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10 Feb 2009 : Column 1937W—continued
Number of episodes in which the patient had a (named) primary diagnosis
These figures represent the number of episodes where the diagnosis was recorded in the primary diagnosis field in a Hospital Episode Statistics (HES) record.
The ICD-10 code used to identify obesity is as follows:
E66—Obesity
Main procedure
The main procedure is the first recorded procedure or intervention in the Hospital HES data set and is usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedure.
The OPCS code used to identify a gastric band insertion is as follows:
G30.3—Partitioning of stomach using band
Data Quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS 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:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.
Organs
Dr. Kumar: To ask the Secretary of State for Health how many organs donated by British people have been sold to non-UK citizens in each of the last 10 years. [254899]
Ann Keen: None. Section 32 of the Human Tissue Act 2004 makes it illegal to deal commercially in human material for transplantation.
Osteoporosis
Charlotte Atkins: To ask the Secretary of State for Health (1) what estimate he has made of the level of compliance among NHS trusts with the National Institute for Health and Clinical Excellence's Technology Appraisal 87; [254775]
(2) what percentage of women with a fragility fracture did not receive care and treatment in accordance with the National Institute for Health and Clinical Excellence's Technology Appraisal 87 in the last 12 months; [254776]
(3) which NHS trusts (a) complied and (b) did not comply with the National Institute for Health and Clinical Excellence's Technology Appraisal 87 in 2007-08. [254777]
Dawn Primarolo: We have no data on, nor made an estimate of, the level of compliance among trusts with the National Institute for Health and Clinical Excellence's (NICE's) technology appraisal number 87.
Information on the number of women not treated in accordance with technology appraisal 87 is not collected.
Primary care trusts have a legal obligation to provide funding for treatments recommended by NICE within three months of the guidance being issued. NICE guidance is also included in ‘Standards for Better Health’ (a copy has already been placed in the Library), which sets out the Government's high-level expectations for the health service. Adherence to NICE technology appraisals is one of the core standards against which NHS organisations are assessed in the Healthcare Commission's annual health check.
Patient Choice Schemes
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many people used Choose and Book in each (a) primary care trust and (b) strategic health authority in the latest period for which figures are available. [254156]
Mr. Bradshaw: The number of people who used choose and book (CAB) in each primary care trust (PCT) and each strategic health authority (SHA) in the latest period data are available for (January 2009) are shown in the document general practitioner referrals to first out-patient appointments made using CAB by PCT and SHA—January 2009, a copy of which has been placed in the Library.
Sativex
Simon Hughes: To ask the Secretary of State for Health what estimate he has made of the number of patients prescribed Sativex since it became available on a named patient basis, broken down by the type of illness for which it was prescribed. [253095]
Phil Hope: Information on the number of patients prescribed a medicine and the condition for which that medicine is prescribed is not collected centrally. The number of Sativex prescription items dispensed in the community in England, is in the following table.
| Prescription items (Thousand) | |
| (1) Less than 50 items. Source: Prescription Cost Analysis System. | |
Teenage Pregnancy
John Bercow: To ask the Secretary of State for Health what projections he has made of future trends in unintended pregnancies amongst teenagers. [251785]
Beverley Hughes: I have been asked to reply.
Government have set an ambitious target of halving the under-18 conception rate by 2010 (compared to the 1998 baseline rate). On average, the under-18 conception rate fell 1.6 per cent. each year between 1998 and 2006 (the latest year for which annual data are available), reversing the previous upward trend. This steady decline means that in 2006, the teenage pregnancy rate was at its lowest level since the mid 1980s.
However, this rate of progress needs to be accelerated in order to achieve the 2010 target. A number of local areas are showing that rapid progress is possible, with local reductions of over 30 per cent. since 1998. However, in other areas rates have remained static and in a minority of areas rates have increased. We have issued guidance to local authorities and PCTs based on the lessons learned from the best performing areas and will be challenging those areas where progress has been slow to demonstrate how they have used this guidance to accelerate progress.
In addition, we have provided PCTs with extra funding (£26.8 million in this and the next two financial years) to improve young people’s access to effective contraception and have set out our intention to make Personal, Social and Health Education (PSHE) statutory, to drive up the quality of sex and relationships education. We will also be strengthening our communications to both young people and parents.
Anne Milton: To ask the Secretary of State for Health with reference to the answer to the hon. Member for Sutton and Cheam (Mr. Burstow) of 27 October 2008, Official Report, columns 665-66W, on teenage pregnancy, if he will place in the Library a copy of the memorandum of understanding between his Department and strategic health authorities. [254346]
Dawn Primarolo: A copy of the draft memorandum of understanding has been placed in the Library.
Anne Milton:
To ask the Secretary of State for Health what assessment his Department has made of (a) the effectiveness of programmes intended to reduce the number of teenage pregnancies and (b) the
adequacy of the budget allocated to primary care trusts for such purposes. [254515]
Dawn Primarolo: A total of £26.8 million has been allocated this year to strategic health authorities (SHAs) and primary care trusts (PCTs) to improve women’s knowledge of, and access to the full range of contraception, to help reduce the number of teenage pregnancies and abortions.
It is for SHAs and PCTs to determine how to use this funding most effectively to meet the needs of their local populations. However, departmental officials are working with SHAs to provide advice and spread good practice. Priority areas include encouraging innovation and ensuring equitable access to all methods of contraception including long acting reversible methods.
The South West Public Health Observatory are developing a balanced score card for sexual health which will monitor a range of indicators at PCT, SHA and national level. This will be available during 2009 and the first phase will focus on outcomes for young people.
Teenage Pregnancy: Nottingham
Mr. Allen: To ask the Secretary of State for Health how much his Department spent on initiatives to reduce teenage pregnancy levels in Nottingham in the last 12 months. [255582]
Dawn Primarolo: This information is not held centrally. However, a total of £26.8 million additional funding has been allocated this year to strategic health authorities (SHAs) and primary care trusts (PCTs) to improve women’s knowledge of, and access to the full range of contraception, and to help reduce the number of teenage pregnancies and abortions. It is for SHAs and PCTs to determine how to use this funding most effectively to meet the needs of their local populations.
Thalidomide
Mr. Breed: To ask the Secretary of State for Health what his latest projection is of the age-specific mortality rates of thalidomiders. [255889]
Dawn Primarolo: We have made no projection of the age-specific mortality rates for those living with the effects of thalidomide.
Children, Schools and Families
Building Schools for the Future Programme
Mr. Laws: To ask the Secretary of State for Children, Schools and Families what the (a) original expected completion date and (b) current expected completion date is of each unfinished Building Schools for the Future project; and what the reasons are for delay in completion of each delayed project. [253948]
Jim Knight: I refer the hon. Member to my answer of 6 October 2008, Official Report, column 468W. There has been no change in current expected completion dates.
Mr. Laws: To ask the Secretary of State for Children, Schools and Families how many schools are planned to be re-built under the Building Schools for the Future programme in each year from 2009 to 15; and if he will make a statement. [255004]
Jim Knight: The following table shows the projected trajectory for schools which will be transformed through the Building Schools for the Future programme, including new build, remodelled, refurbished and ICT-only schools:
| Financial year | Number of schools expected to open |
These are the current plans, which may change as projects develop. Plans for schools in later waves of the programme have not yet been finalised.
Mr. Laws: To ask the Secretary of State for Children, Schools and Families which Building Schools for the Future school designs have been assessed as (a) excellent, (b) good, (c) not yet good enough and (d) mediocre by the Commission for Architecture and the Built Environment; and if he will make a statement. [255005]
Jim Knight:
The Schools Design Panel of the Commission for Architecture and the Built Environment
(CABE) assesses proposals for schools against 10 key design criteria, using the ratings ‘excellent', ‘good', ‘mediocre' and ‘poor'. For a scheme to achieve an overall design quality rating of ‘good', it must achieve at least 10 ‘good's. If the majority scores are ‘good', but one or more key criteria are rated ‘mediocre', the overall design quality rating will be set as ‘not yet good enough'. In other cases the balance of scores between ‘excellent' and ‘good', and between ‘mediocre' and ‘poor' will determine which category the overall assessment falls in.
By 4 February 2009, the Panel had assessed 163 design proposals for 47 schools within 18 local authorities in the Building Schools for the Future (BSF) programme. Many of these reviews take place when two or more bidders are developing proposals for a BSF project and so the Panel will see different proposals for the same schools. Brief reports of these assessments are given to the local authority's BSF project team which, in turn, will share individual reports with the appropriate bidders. Bidding teams therefore receive a steer on how to improve their designs when necessary. Because these reviews take place while bidders are still in competition with each other the reports, and the design quality ratings they contain, are confidential.
The Panel also reviews design proposals for schools when planning applications are referred to it. These applications are in the public domain and CABE publishes the results of its reviews on its website. The assessments of BSF schools are set out in the table.
| Local authority | School name: | Funding | Overall Score | Stage |
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