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Mr. Lansley: To ask the Secretary of State for Health how many (a) head and neck cancer referrals there were to and (b) head and neck cancer procedures were carried out at (i) the Norfolk and Norwich Hospital and (ii) Ipswich Hospital, (iii) Broomfield Hospital, Chelmsford, (iv) Colchester Hospital and (v) Addenbrooke's Hospital, Cambridge; and what methodology his Department uses to compile such data. 
Ann Keen: Information is not available in the format requested. Information is held on the number of urgent referrals for suspected head and neck cancers seen by national health service trusts. The most recent information that is available is for quarter three of the 2007-08 financial year.
The number of urgent referrals for suspected head and neck cancers seen at Norfolk and Norwich University Hospital NHS Trust, Ipswich Hospital NHS Trust, Mid Essex Hospital Services NHS Trust, Essex Rivers Healthcare NHS Trust and Cambridge
University Hospitals NHS Foundation Trust in quarter three of the 2007-08 financial year are set out in the following table.
|Number of urgent referrals for suspected head and neck cancers seen during quarter three of 2007-08|
|(1) Incorporating the Broomfield hospital, Chelmsford. (2) Incorporating Colchester hospital. (3) Essex Rivers Healthcare NHS Trust became Colchester Hospital University NHS Foundation Trust on 1 May 2008. (4) Incorporating Addenbrooke's hospital, Cambridge. Source: Cancer Waiting Time Statistics Quarter three 2007-08|
Information on the numbers of procedures that take place at NHS trusts are compiled from Hospital Episode Statistics (HES). HES are generated from data submitted by providers of NHS care in England. Healthcare providers collect administrative and clinical information which is then submitted to the Secondary Uses Service (SUS) and saved in a database. At prearranged times during the financial year, SUS takes an extract from its database and submits it to HES where the information is validated before it is released.
The term "head and neck cancer' includes any malignant neoplasm that affects any site or structure on or within the head or neck. Information is held on the numbers of patients who underwent a procedure whose primary diagnosis was a malignant neoplasm of a site or structure on or within the head and neck, however within the data it is not possible to distinguish between a procedure specifically related to the treatment of the cancer and one that is incidental to its treatment.
The number of finished consultant episodes (FCEs) where the primary diagnosis is head and neck cancer and there is a mention of any procedure in the primary or secondary procedure fields for Norfolk and Norwich University Hospital NHS Trust, Ipswich Hospital NHS Trust, Mid Essex Hospital Services NHS Trust, Essex Rivers Healthcare NHS Trust and Cambridge University Hospitals NHS Foundation Trust in the 2006-07 financial year are set out in the following table.
|Total finished consultant episodes( 1) where the primary diagnosis( 2) is 'head and neck cancer'( 3) and there is a mention of any procedure( 4) in the primary or secondary procedure fields|
| Ungrossed Data|
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
A FCE is defined as a period of admitted patient care under one consultant within one healthcare 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) The primary diagnosis is the first diagnosis field in the HES data set and provides the main reason why the patient was in hospital.
(3) The diagnosis classifications used to calculate the total number of head and neck cancer patients undergoing a procedure are as follows:
malignant neoplasms of lip;
malignant neoplasm of other and unspecified parts of tongue;
malignant neoplasm of gum;
malignant neoplasm of floor of mouth;
malignant neoplasm of palate;
malignant neoplasm of other and unspecified parts of mouth;
malignant neoplasm of parotid gland;
malignant neoplasm of other and unspecified major salivary glands;
malignant neoplasm of tonsil;
malignant neoplasm of oropharynx;
malignant neoplasm of nasopharynx;
malignant neoplasm of pyriform sinus;
malignant neoplasm of hypopharynx;
malignant neoplasm of accessory sinuses;
malignant neoplasm of larynx;
malignant neoplasm of thyroid gland;
malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx: Pharynx, unspecified;
malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx: Waldeyer's ring;
malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx:
Overlapping lesion of lip, oral cavity and pharynx; and secondary and unspecified malignant neoplasm of lymph nodes: Lymph nodes of head, face and neck.
(4) These figures represent a count of all finished consultant episodes where the procedure was mentioned in any of the 12 operation fields in a HES record. A record is only included once in each count, even if an operation is mentioned in more than one operation field of the record.
(5) Incorporating the Broomfield Hospital, Chelmsford.
(6) Incorporating Colchester Hospital.
(7) Essex Rivers Healthcare NHS Trust became Colchester Hospital University NHS Foundation Trust on 1 May 2008.
(8) Incorporating Addenbrooke's Hospital, Cambridge.
Note: Data Quality
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.
Source: HES, The NH Information Centre for health and social care.
To ask the Secretary of State for Health pursuant to the answer to the hon. Member for South-West Norfolk (Christopher Fraser) of 7 May
2008, Official Report, columns 1001-2W, on cancer: urinary system, in what ways the Kent Cancer Network's Improving Outcomes Guidance implementation plan is not compliant; and when he expects the Kent Cancer Network to have submitted a compliant implementation plan. 
Ann Keen: Kent and Medway Cancer Network will develop a compliant urological improving outcomes guidance plan by the end of June 2008 with clear implementation dates for when the service will be delivered.
Mr. Amess: To ask the Secretary of State for Health (1) how many babies were born before reaching 24 weeks gestation in each year since 2000; and how many of those survived beyond six months; 
(2) how many and what percentage of babies born at (a) 21 weeks, (b) 22 weeks and (c) 23 weeks gestation survived beyond six months in each year since 2000; and what percentage of these babies were born at (i) level two and (ii) level three hospitals. 
Sandra Gidley: To ask the Secretary of State for Health how many people aged (a) three to nine, (b) 10 to 19, (c) 20 to 29, (d) 30 to 39, (e) 40 to 49, (f) 50 to 59 and (e) 60 years and over, were hospitalised with dehydration in each of the last five years, broken down by (i) region, (ii) month and (iii) sex. 
Norman Lamb: To ask the Secretary of State for Health what estimate he has made of (a) the annual cost to the Exchequer of abolishing all charges for dental checks and (b) the number of people who paid a charge for such checks wholly or in part in the last year for which figures are available. 
Ann Keen: There is no separate charge for a dental examination. The present three tier system of national health service dental charges sets charges according to the overall content of each course of treatment. The current band one charge of £16.20 applies to any course of treatment that consists of diagnostic and preventative care only, which can include an examination, any necessary x-rays, a scale and polish, and oral health advice. In 2006-07 a total of £147.9 million was collected in dental charges for band one courses of treatment delivered to charge paying patients.
The numbers of NHS courses of treatment delivered to charge payers in England in 2006-07, by treatment band, are available in Table seven of the NHS Dental Statistics for England 2006-07 report. The report, published by the Information Centre for health and social care on 23 August 2007, is available in the Library and is also available at:
Ann Keen: The dental reforms implemented in 2006 gave primary care trusts (PCTs), for the first time, the responsibility for providing or commissioning dental services in their area. It is for PCTs, including Wakefield PCT, to assess local needs, review current service provision and develop services to meet local needs.
Increasing the number of patients seen within national health service dental services is also now a formal priority in The Operating Framework. For the NHS in England 2008-09. There was a substantial 11 per cent. uplift in overall allocations to PCTs from 1 April 2008 to take account of this. Copies of the framework are available in the Library.
Mr. Willis: To ask the Secretary of State for Health how many full-time equivalent qualified dentists were working in the NHS in each (a) strategic health authority and (b) primary care trust at the latest date for which figures are available. 
Ann Keen: The number of dentists on open national health service contracts in England as at 30 June 2006, 30 September 2006, 31 December 2006 and 31 March 2007 are available in table E1 of annex 3 of the NHSDental Statistics for England: 2006-07 report. This information is provided by strategic health authority (SHA) and by primary care trust (PCT).
The methodology for counting and reporting the NHS dental work force is currently under review. The review, led by analysts at the Information Centre and the Statistical Directorate of the Welsh Assembly Government, working in liaison with the Dental Services Division of the NHS Business Services Authority, aims to ensure that following the first year of the new dental contractual arrangements, the figures provide an appropriate measure of the work force.
The Information Centre for health and social care is due to publish a report on dental working hours from 2006-07 and 2007-08 in August 2008. This report will contain some analysis of the full-time equivalent workforce and NHS commitment.
Mr. Willis: To ask the Secretary of State for Health (1) how many patients were waiting to be registered with an NHS dentist in each primary care trust area at the latest date for which figures are available; 
Norman Lamb: To ask the Secretary of State for Health how much his Department achieved in efficiency savings in (a) public funding and regulation, (b) productive time (including quality), (c) procurement, (d) social care, (e) corporate services and (f) central budgets between 2005-06 and 2007-08. 
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