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|Rates per 1,000 women||Rates per 1,000 women|
|Region (SHA) 2006||Under 16||Under 18||Under 16||Under 18|
|(1) Rates for ages under 16 and under 18 are based on populations 13-15 and 15-17 respectively.|
|Abortions to residents of Gloucestershire( 1) , 1990 to 2006|
|District health authorities (DHA) 1990 to 1991, Gloucester DHA|
|District health authorities (DHA) 1992 to 1998, Gloucestershire DHA|
|Health Authority (HA) 1999 to 2001, Gloucestershire HA|
|Primary care trust (PCT) 2002 to 2005|
|Cheltenham and Tewkesbury||Cotswold and Vale||Gloucestershire||Total|
|Primary care trust (PCT), 2006|
|(1) Boundaries for Gloucestershire changed in 2002, 1999, 2002 and 2006 and totals cannot be compared between groups.|
Department of Health.
Dawn Primarolo: The data are not held centrally in the format requested. Costs of treating people with HIV vary depending on the severity of symptoms and level of immune suppression. Estimated annual costs of HIV treatment, including the costs of combination antiretroviral therapies range between £12,000 to £19,000 per person. Treatment is lifelong. Total national health service expenditure on HIV treatment in 2006-07 was £497 million. This was the first year this data has been collected since HIV treatment and care budgets were placed into NHS baselines in 2002-03.
James Brokenshire: To ask the Secretary of State for Health what recent assessment he has made of the demands on accident and emergency services of each NHS acute hospital trust arising from alcohol consumption; and if he will make a statement. 
Dawn Primarolo: Our policy is not to adopt a universal screening programme for alcohol misuse, as the evidence base indicates this would not be cost-effective. Instead, we are encouraging health care professionals and others to implement opportunistic alcohol case identification and to deliver brief advice about alcohol. This can take place at any opportunity when an individual is consulting with a health care professional or indeed any agency about a health issue, which may have a link to excessive alcohol consumption.
International research has shown that this approach works well in primary care. We believe these results would be replicated in some targeted clinics within secondary care, such as genito-urinary medicine, fracture clinics or facial injury clinics.
While there is good evidence confirming the value of this approach, there are some gaps in the research. This is why the Department has commissioned a programme of research into opportunistic alcohol case identification and delivering brief advice that is now under way in a selection of general practitioner (GP) practices, accident and emergency departments and probation departments. The purpose of this research is to refine which identification tool works best in which setting, with which target groups, and what methods of providing advice are most effective.
We have put in place from April 2008, a new national health service indicator to measure the change in the rate of hospital admissions for alcohol-related harmthe first ever national commitment to monitor how the NHS is tackling alcohol health harms. This indicator is expected to encourage primary care trusts to invest in earlier identification of people who drink too much linked to advice and support from GPs or other health care staff. This has been shown to be the best way of reducing the kind of everyday drinking which over time leads to liver disease and other problems.
Mr. Spring: To ask the Secretary of State for Health (1) how many patients were treated for abdominal aortic aneurysms through (a) endovascular aneurysm repair using a stent graph and (b) open surgical repair in the NHS (i) in England and Wales and (ii) broken down by strategic health authority in each of the last five years; 
(2) how many patients were treated for thoracic aortic aneurysms and dissections through (a) endovascular aneurysm repair using a stent graph and (b) open surgical repair in the NHS (i) in England and Wales and (ii) broken down by strategic health authority in each of the last five years. 
This information is not available in the format requested. Using clinical codes, it is not possible to identify endovascular aortic aneurysm repair using a stent graft. Furthermore, in order to adhere to patient
confidentiality, incidences of treatment between one and five are suppressed, which is why to break these results down by strategic health authority (SHA) would be infeasible. Data on patients in Wales is not held centrally.
The following table shows the count of finished consultant episodes (FCEs) with a primary diagnosis of aortic aneurysm, broken down by abdominal and thoracic, and a main or secondary procedure of open surgical repair of aortic aneurysm from 2002-03 to 2006-07, which are the latest figures available, in national health service hospitals in England.
|Thoracic aortic aneurysms and dissections||Abdominal aortic aneurysm||Aortic aneurysm that crosses both the thoracic and abdominal areas|
A FCE is defined as a period of admitted patient care under one consultant within one health care provider. The figures do not represent the number of patients, as a person may have more than one episode of care within the year.
2. Data quality:
Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCTs) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
3. Assessing growth through time:
HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS, there have been ongoing improvements in quality and coverage. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Changes in NHS practice also need to be borne in mind when analysing time series. For example a number of procedures may now be undertaken in outpatient settings and may no longer be accounted in the HES data. This may account for any reductions in activity over time.
4. Diagnosis (primary diagnosis):
The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
5. Ungrossed data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
6. Main operation:
The main operation is the first recorded operation in the HES data set and is usually the most resource intensive procedure performed during the episode. It is appropriate to use main operation when looking at admission details, e.g. time waited, but the figures for all operations count of episodes give a more complete count of episodes with an operation.
7. Secondary procedure:
As well as the main operative procedure, there are up to 11 (three prior to 2002-03) secondary operation fields in HES that show secondary or additional procedures performed on the patient during the episode of care.
Hospital Episode Statistics (HES), The Information Centre for Health and Social Care.
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