| Previous Section | Index | Home Page |
5 Feb 2009 : Column 1508W—continued
| SHA | Code | Commissioner | Treatment function code | Treatment function | Total (all) | Total (known clock start) | Total (known clock start) within 18 weeks | Percentage with in 18 weeks (column BJ/column BI ) |
| Notes: 1. Referral to treatment (RTT) times for patients whose 18 week clock stopped during the month with an in-patient/day case admission. 2. It is important to view this performance data in conjunction with the data completeness assessment score for each organisation. | ||||||||
Malnutrition
Mr. Burstow: To ask the Secretary of State for Health how many and what percentage of people in each age group (a) admitted to and (b) discharged from hospital were malnourished in the last year in which figures are available; and if he will make a statement. [247152]
Dawn Primarolo: The data we have provided in the following table are the latest available and includes both the number diagnosed with malnutrition(2) and this as a proportion of the total admissions and last episodes (discharges(1)) into hospital for the following age groups; 0-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85-120 where there was a primary or a secondary diagnosis of malnutrition in 2006-07.
Admission figures do not include patients showing signs of malnutrition, who subsequently undergo tests during their hospital stay to establish the cause of their symptoms.
| Count and proportion of all admissions and last episodes (discharges( 1) ) in hospital where a patient had a primary or secondary diagnosis of malnutrition( 2) during his/her stay in 2006-07, activity in English NHS hospitals and English NHS commissioned activity in the independent sector | ||||
| Age at start of episode | Total admissions where a patient received a diagnosis of malnutrition | Percentage of all admissions where a patient was diagnosed with malnutrition | Total discharges where a patient received a diagnosis of malnutrition | Percentage of all discharges where a patient was diagnosed with malnutrition |
| (1) Discharges A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital (this includes transfer to another hospital). (2) Malnutrition is classified between the following ICD-10 codes. The ICD-10 coding for under nutrition is the same as that for malnutrition: E40 Kwashiorkor E41 Nutritional marasmus E42 Marasmic kwashiorkor E43 Unspecified severe protein-energy malnutrition E44 Protein-energy malnutrition of moderate and mild degree E45 Retarded development following protein-energy malnutrition E46 Unspecified protein-energy malnutrition O25 Malnutrition in pregnancy. | ||||
Medical Treatments
Ms Abbott: To ask the Secretary of State for Health what his Department’s definition is of directly observed treatment (DOT); under what circumstances DOT is (a) recommended and (b) mandatory; and if will make a statement. [253404]
Dawn Primarolo: Directly observed treatment (DOT) is one of the components of the World Health Organisation’s (WHO) tuberculosis (TB) control strategy.
The Department recommends that TB services follow the guidelines developed by the national institute for health and clinical excellence (NICE). NICE define DOT as ‘direct observation by a health professional or other person such as a family member, where swallowing of the medication is observed’. DOT may also include increased contact between the care provider and patient, support and provision of incentives (e.g. food vouchers).
NICE guidelines indicate that the use of DOT is not usually necessary in the management of most cases of TB, but all patients should have a risk assessment for adherence to treatment.
DOT is recommended for patients who have adverse factors on their risk assessment, in particular:
street—or shelter—dwelling homeless patients with active TB
TB patients with serious mental illness
TB patients with drug-resistances
TB patients with likely poor adherence, in particular those who have a history of non-adherence
In 2007, the Department initiated a ‘Find and Treat’ (F and T) project to actively look for cases of TB among the homeless and other vulnerable groups in London, and to promote the use of DOT, which provides supervised medication and support to patients to improve adherence to treatment. Currently, the F and T team is helping over 300 people with TB who have challenging lifestyles to complete their treatment.
DOT is not mandatory. The Public Health (Control of Disease) Act 1984 stipulates that a justice of the peace may, under certain circumstances, order that an individual undergo medical examination or be removed to or detained in a hospital. No-one can be forced to undertake medical treatment.
Mental Health Services
Mr. Burstow: To ask the Secretary of State for Health when his Department's review of anti-psychotic prescribing in care settings will be concluded; and if he will make a statement. [253865]
Phil Hope: The review of the prescribing of anti-psychotics for people with dementia will now be concluded in the spring.
Mentally Ill: Medical Treatments
David Taylor: To ask the Secretary of State for Health what recent discussions he has had with the Chief Executive of the National Institute for Health and Clinical Excellence (NICE) on the issuing of NICE guidance on the pharmaceutical treatments for personality disorders. [253294]
Dawn Primarolo: We have had no such discussions.
MMR Vaccine
Mike Penning: To ask the Secretary of State for Health (1) what estimate he has made of the proportion of (a) males and (b) females aged under 18 in each strategic health authority area who have not been immunised against measles, mumps and rubella; [252936]
(2) how many children in each strategic health authority area had not received measles, mumps and rubella vaccine in each of the last five years. [252937]
Dawn Primarolo: The Information Centre for Health and Social Care publishes annual reports which include tables of the percentage of children immunised with measles, mumps and rubella vaccine at two and five years of age in each strategic health authority. A copy of the most recent annual report, ‘NHS Immunisation Statistics 2007-08’, has been placed in the Library. Copies of the reports titled; ‘NHS Immunisation Statistics, England, 2003-04’, ‘NHS Immunisation Statistics, England, 2004-05’, ‘NHS Immunisation Statistics, England, 2005-06’, and ‘NHS Immunisation Statistics, England, 2006-07’ have already been placed in the Library.
Data on gender are not collected.
| Next Section | Index | Home Page |