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17 Dec 2008 : Column 902W—continued


Health Services: Ex-servicemen

Derek Twigg: To ask the Secretary of State for Health what assessment he has made of the arrangements put in place by primary healthcare trusts to inform health practitioners of veterans’ priority treatment entitlement. [243224]

Mr. Bradshaw: An update to existing guidance issued on 12 December 2007 to the NHS on priority treatment for war pensioners for any condition related to their service (HSG(97)21) extended entitlement to all veterans from 1 January 2008. This included a requirement that all GPs and clinical staff in PCTs and acute and mental health trusts and NHS Foundation Trusts were made aware of the changes. In line with the Government’s policy of devolving decisions on how change is delivered in NHS organisations, it is appropriate for PCTs to decide how to take this forward. The Operating Framework published earlier this month draws attention to the need to take account of the special circumstances of veterans as part of the commissioning process. A copy has already been placed in the Library.

Hearing Aid Council

Mr. Harper: To ask the Secretary of State for Health what assessment he has made of the effect on (a) consumers and (b) dispensers of the decision to delay the abolition of the Hearing Aid Council (HAC) until 31 March 2010; and whether HAC will be given additional powers to protect consumers during the period before the switch of responsibilities from it to the Health Professions Council. [243840]

Ann Keen: The Department, the Department for Business Enterprise and Regulatory Reform, the Hearing Aid Council and the Health Professions Council are working towards the required legislation to allow the closure of the Hearing Aid Council and the transfer of its register.

The Health Professions Council has powers to protect consumers that the Hearing Aid Council does not. The Hearing Aid Council have estimated that the additional cost to the industry is £1,107 and this is tax deductible.

The Hearing Aid Council’s powers will remain unchanged until the date of transfer of the dispensers to the Health Professions Council.

Hospital Beds

Mr. Burstow: To ask the Secretary of State for Health how many delayed discharges there were in (a) each strategic health authority area, (b) each primary
17 Dec 2008 : Column 903W
care trust area and (c) England in each of the last five years, broken down by (i) reason for delay and (ii) age of patient; and how many patients in each case were occupying an acute hospital bed. [241271]

Phil Hope: The information requested has been placed in the Library.

Data on the reason for the delayed discharge are not collected centrally for primary care trusts.

Mark Simmonds: To ask the Secretary of State for Health how many bed nights patients who were ready for discharge spent in hospital in the last 12 months; and what the estimated total cost to the NHS of these delayed discharges was. [241996]

Phil Hope [holding answer 10 December 2008]: In the year ending 16 November 2008 there was a total of 1,737,475 bed-days as a result of delayed discharges from both acute and non-acute hospital beds in England. This represents a fall of almost 10 per cent. over the previous 12 months.

We have made no estimate of the cost of these delayed discharges. Since January 2004, if a patient remains in hospital because social services have not provided the assessments or services the patient or their carer needs to be safely discharged, the local authority is liable to pay the national health service a charge per day of delay. The charge has been set at a level higher than the cost of providing services to support discharge to act as an incentive to councils to improve their assessment and service provision.

Hospitals: Parking

Mr. Hancock: To ask the Secretary of State for Health (1) if he will take steps to abolish hospital car park charges in England for cancer patients; [242999]

(2) if he will direct hospital trusts not to charge for hospital car parking for cancer patients. [243032]

Mr. Bradshaw: The provision of car parking and the setting of appropriate car parking charges are decided by individual trusts, taking into account different local operating circumstances.

Guidelines issued by the Department to support trusts to implement parking policies does advise that trusts should have schemes in place to ensure that patients and carers who visit hospital regularly are not disadvantaged. These schemes may include charging exemptions, concessionary or capped rates. Cancer patients in particular should benefit from these schemes.

Hospitals: Waiting Lists

Dr. Kumar: To ask the Secretary of State for Health what the average length of waiting lists in each category for NHS patients in the North East was in (a) 1997, (b) 2001 and (c) 2005; and what the length of each list was at the latest date for which figures are available. [242387]

Ann Keen: Information on the total in-patient waiting list by specialty for the north-east Area in March 1997, March 2001, March 2005 and September 2007 is shown in the following table.


17 Dec 2008 : Column 904W
Quarter ending
Specialty March 1997 March 2001 March 2005 September 2007

General surgery

12,454

10,202

5,882

4,358

Urology

4,811

4,449

3,267

2,404

Trauma and orthopaedics

11,657

11,379

10,063

9,055

Ear, nose and throat

5,024

4,380

3,471

2,495

Ophthalmology

7,522

6,473

3,464

3,802

Oral surgery

3,859

1,395

1,972

1,996

Restorative dentistry

0

0

0

9

Orthodontics

24

21

0

0

Neurosurgery

857

724

834

669

Plastic surgery

3,015

2,700

2,339

1,468

Cardiothoracic surgery

878

867

223

248

Paediatric surgery

598

927

596

412

Accident and Emergency

472

68

87

0

Anaesthetics

200

137

44

418

Pain management

0

414

349

0

General medicine

1,600

542

375

236

Gastroenterology

490

194

2

501

Endocrinology

0

15

0

9

Clinical haematology

18

17

5

6

Clinical pharmacology

7

9

0

0

Rehabilitation

11

1

4

3

Palliative medicine

8

0

0

0

Cardiology

1,406

1,118

1,350

1,335

Dermatology

328

273

32

667

Thoracic medicine

173

15

23

61

Infectious diseases

0

0

0

0

Nephrology

27

8

6

3

Neurology

306

240

202

120

Rheumatology

130

26

15

3

Paediatrics

1

11

0

13

Paediatric neurology

0

0

0

0

Geriatric medicine

13

19

1

0

Medical ophthalmology

0

0

0

0

Gynaecology

4,191

3,154

2,855

1,967

General practice (non-maternity)

257

0

0

0

Mental handicap

4

4

21

11

Mental illness

58

11

4

5

Child and adolescent psychiatry

1

3

0

Forensic psychiatry

0

0

0

0

Old age psychiatry

23

6

2

0

Clinical oncology

45

0

2

42

Occupational medicine

0

0

0

222

All specialties

60,467

49,800

37,493

32,538


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