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Mr. Gerald Howarth: To ask the Secretary of State for Health if he will break down, by sub-head in (a) near cash and (b) non-cash terms his Department's (i) gross resource outturn, (ii) operating appropriations in aid outturn, (iii) gross capital outturn and (iv) non-operating appropriations in aid outturn for financial years 2001-02 to 2006-07. 
Mr. Ivan Lewis: The Department publishes its sustainable operations commitments as part of its Sustainable Development Action Plan. We also report annually to the Sustainable Development Commission on our progress against the Sustainable Operations on the Government Estate (SOGE) targets. The results of the latest SOGE exercise have recently been published, and we were in first place overall.
Mr. Oaten: To ask the Secretary of State for Health what guidance he has issued on the appointment of authorised persons to inspect (a) central sterile stores and (b) management of infection control. 
The Department has issued guidance on the management and environment for the decontamination of reusable medical devices in Health Technical Memorandum (HTM) 01-01): Decontamination of reusable medical devices. Part A of HTM 01-01 identifies the
functional responsibilities including Authorised Persons (Decontamination) to ensure equipment is operated safely and efficiently. A copy of HTM 01-01 Part A has been placed in the Library.
The role of the Director of Infection Prevention and Control (DIPC) was first set out in Winning Waysworking together to reduce healthcare associated infection in England a report by the Chief Medical Officer which was published in December 2003. A copy of this publication is available in the Library. Guidance on competences for DIPCs was issued in May 2004.
Norman Lamb: To ask the Secretary of State for Health how many children were born with drug-dependency problems in each of the last five years, broken down by (a) region and (b) type of drug. 
Dawn Primarolo: The following tables show the number of finished consultant episodes (FCEs) where the primary or secondary diagnosis was either neonatal withdrawal symptoms from maternal use of drugs addiction or withdrawal symptoms from therapeutic use of drugs in newborn. Information is provided for the years 2002-03 to 2006-07, which is the latest data available, broken down by strategic health authority (SHA) of residence. It is not possible to provide information for what type of drug a newborn baby is addicted to.
|Count of cases (FCEs) with a primary or secondary diagnosis of neonatal withdrawal symptoms from maternal use of drugs by SHA of residence for the period 2006-07|
|SHA of Residence||Total finished consultant birth episodes|
|Count of cases (finished consultant birth episodes) with a primary or secondary diagnosis of neonatal withdrawal symptoms from maternal use of drugs by SHA of residence for the period 2002-03 to 2005-06|
|Total finished consultant birth episodes|
|SHA of Residence||2005-06||2004-05||2003-04||2002-03|
1. Coverage and data quality:
The maternity tail data coverage is not as complete as the rest of HES data. There are a number of reasons for the coverage and data quality issues such as:
trusts submitting a significantly higher number of delivery episodes compared to birth episodes;
trusts failing to submit data on the number of birth episodes where they record a high number of delivery episodes;
trusts failing to submit delivery - the reason for this is that approximately 20 trusts have a stand alone maternity system which is not linked to the Patient Administration System;
trusts identifying a high number of maternity beds available, but not recording any information about deliveries or births;
trusts identifying that they have no maternity beds available, but recording a high number of birth and delivery episodes; and
Some trusts have space in their maternity system to record nine birth tails, whereas other systems have space for 18. As deliveries, miscarriages and abortions are all recorded in the birth tail, there are cases where nine tails is not enough to record all of the relevant data.
2. Between 2001-02 and 2005-06, coverage of hospital deliveries was 72.6 per cent., on average, whereas that of home deliveries was 13.6 per cent., on average. The incomplete coverage problem is significantly compounded by the data quality issues outlined.
3. Assessing growth through time:
HES figures are available from 1989-90 onwards. During the years that these records have been collected 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.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
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.
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.
5. All Diagnoses count of episodes:
These figures represent a count of all FCEs where the diagnosis was mentioned in any of the 14 (seven prior to 2002-03) diagnosis fields in a HES record.
International Classification of Diseases (ICD)-IO diagnosis codes used:
P96.1 Neonatal withdrawal symptoms form maternal use of drugs of addiction.
P96.2 Withdrawal symptoms form therapeutic use of drugs in newborn.
6. Low Numbers:
Due to reasons of confidentiality, figures between one and five have been suppressed and replaced with * (an asterisk).
7. Ungrossed Data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Hospital Episode Statistics (HES), The Information Centre for health and social care.
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