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23 Feb 2009 : Column 222W—continued


Hospitals: Malnutrition

Norman Lamb: To ask the Secretary of State for Health what assessment he has made of the incidence of malnutrition among (a) all hospital patients and (b) hospital patients aged 65 years and over. [256262]

Dawn Primarolo: The following table indicates the counts of admissions into hospital where there was a primary or secondary diagnosis of malnutrition for
23 Feb 2009 : Column 223W
2006-07 for all patients and those aged over and under 65. This is the only form that the data are available.

Total admissions 2006-07

Number

England

2,581

64 and under

1,380

65 and under

1,200

Unknown

1

Source:
Statistics (HES), The NHS Information Centre for health and social care

Independent Reconfiguration Panel

Mr. Gordon Prentice: To ask the Secretary of State for Health how many NHS hospital re-organisations have been referred to the Independent Reconfiguration Panel since it was established; and how many of those were changed as a result. [255819]

Ann Keen: Since the Independent Reconfiguration Panel (IRP) was established in 2003, the IRP has competed 14 full reviews at the request of the Secretary of State for Health.

In general terms, three of the 14 reviews undertaken by the IRP have supported local national health service proposals, four have not supported them and seven supported them in principle, but placed conditions on their implementation.

Mr. Gordon Prentice: To ask the Secretary of State for Health how many requests from overview and scrutiny committees for (a) proposed and (b) in progress NHS
23 Feb 2009 : Column 224W
re-organisations to be referred to the Independent Reconfiguration Panel have been rejected since overview and scrutiny committees were established. [255820]

Ann Keen: Regulation 4 of the Local Authority (Overview and Scrutiny Committees Health Scrutiny Functions) Regulations 2002 allows overview and scrutiny committees the power to refer contested local national health service reconfigurations to the Secretary of State for Health.

My right hon. Friend the Secretary of State for Health considers all referrals from overview and scrutiny committees.

Injuries: Firearms

Mr. Stephen O'Brien: To ask the Secretary of State for Health how many people were (a) treated in accident and emergency departments and (b) admitted to hospital for (i) gunshot and (ii) knife wounds in each of the last five years. [249784]

Mr. Bradshaw: Information on numbers treated in accident and emergency is not available as the information requested is not collected centrally. Information is available on patients who have been admitted to hospital for gunshot wounds and knife wounds—finished admission episodes.

The data for X99—assault by sharp object—has been included as it is the closest data code for intentional knife wounds. In order to enable comparison data for W26—contact with a knife, sword or dagger, has also been provided.

Reference should be made to all attached notes when reading this response.

Count of finished admission episodes with a gunshot wound or knife related injury by strategic health authority for period 2002-03 to 2006-07—national health service hospitals England and activity performed in the independent sector in England commissioned by English NHS

2006-07 2005-06 2004-05 2003-04 2002-03

Gunshot wounds*

1,315

1,233

1,163

1,370

1,287

Contact with knife sword or dagger**

5,284

5,321

4,939

4,921

4,805

Assault by sharp object**

5,720

5,496

5,072

4,774

4,275

Notes:
1. Finished admission episodes—A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
2. Cause Code—Gunshot* wounds and Knife** related injuries. The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects.
3. Hospital Episode Statistics (HES) has used the following ICD-10 external cause codes when referring to gunshot wounds and knife related injuries.
Gunshot wounds*:
W32—Handgun discharge
W33—Rifle, shotgun and larger firearm discharge
W34—Discharge from other and unspecified firearms
X72—Intentional self-harm by handgun discharge
X73—Intentional self-harm by rifle, shotgun and larger firearm discharge
X74—Intentional self-harm by other and unspecified firearm discharge
X93—Assault by handgun discharge
X94—Assault by rifle, shotgun and larger firearm discharge
X95—Assault by other and unspecified firearm discharge
Y22—Handgun discharge, undetermined intent
Y23—Rifle, shotgun and larger firearm discharge, undetermined intent
Y24—Other and unspecified firearm discharge, undetermined intent
Y35.0—Legal intervention involving firearm discharge
Y36.4—War operations involving firearm discharge and other forms of conventional warfare
Knife related injuries**:
W26—Contact with knife, sword or dagger
Z99—Assault by sharp object
Data Quality:
HES are compiled from data sent by over 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.
Ungrossed Data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

23 Feb 2009 : Column 225W

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 20 January 2009, Official Report, columns 1372-78W, on injuries: firearms, how many cases of incidents classified under the (a) X93, (b) X94 and (c) X95 code there were in each hospital in each year. [254107]

Mr. Bradshaw: Information is not available on the injuries at individual hospital level. The Hospital Episode
23 Feb 2009 : Column 226W
Statistics collection does provide information by strategic health authority (SHA) of residence.

The following tables provide data for each of the requested codes for ten years. It should be noted that this list does not constitute the full set of codes used to identify gunshot wounds.

The structure of SHAs changed for data year 2006-07, with 28 SHAs merging to make just ten. The number of admissions does not represent the number of patients as a patient may have been admitted more than once.


23 Feb 2009 : Column 227W

23 Feb 2009 : Column 228W
Total number of admissions to hospital where the patient had a cause code of X93( 1) broken down by strategic health authority of residence for the last 10 years—Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

2006-07 2005-06 2004-05 2003 - 04 2002 - 03 2001-02 2000-01 1999-2000 1998-99 1997-98

Resident in England total

44

42

34

48

46

40

31

27

20

21

Q01

Norfolk. Suffolk and Cambridgeshire Strategic HA

0

0

0

0

0

0

0

0

0

Q02

Bedfordshire and Hertfordshire Strategic HA

1

0

1

1

0

1

0

0

2

Q03

Essex Strategic HA

0

0

0

0

0

0

0

0

1

Q04

North West London Strategic HA

7

5

8

5

5

6

2

1

1

Q05

North Central London Strategic HA

0

0

2

1

1

1

0

2

0

Q06

North East London Strategic HA

1

2

1

7

3

3

1

1

0

Q07

South East London Strategic HA

3

2

4

2

3

3

2

0

0

Q08

South West London Strategic HA

2

2

1

1

1

3

1

2

0

Q09

Northumberland, Tyne and Wear Strategic HA

0

0

0

0

0

0

0

0

0

Q10

County Durham and Tees Valley Strategic HA

2

0

0

3

0

1

1

0

0

Q11

North and East Yorkshire and Northern Lincolnshire Strategic HA

1

2

2

0

0

0

3

2

1

Q12

West Yorkshire Strategic HA

7

6

16

16

11

3

7

4

2

Q13

Cumbria and Lancashire Strategic HA

1

0

1

0

0

0

0

0

0

Q14

Greater Manchester Strategic HA

4

4

3

1

2

1

6

2

4

Q15

Cheshire and Merseyside Strategic HA

1

2

5

2

2

2

0

3

2

Q16

Thames Valley Strategic HA

0

0

3

0

0

2

0

0

0

Q17

Hampshire and Isle of Wight Strategic HA

0

0

0

0

0

1

1

1

1

Q18

Kent and Medway Strategic HA

1

2

0

2

1

0

0

0

1

Q19

Surrey and Sussex Strategic HA

0

2

0

1

1

2

0

1

2

Q20

Avon. Gloucestershire and Wiltshire Strategic HA

1

0

0

0

0

0

0

0

0

Q21

South West Peninsula Strategic HA

0

0

0

0

0

0

0

0

0

Q22

Dorset and Somerset Strategic HA

0

0

0

0

0

0

0

1

0

Q23

South Yorkshire Strategic HA

0

0

0

2

1

0

1

0

0

Q24

Trent Strategic HA

2

1

0

0

1

0

0

0

2

Q25

Leicestershire, Northamptonshire and Rutland Strategic HA

2

0

0

1

1

0

0

0

0

Q26

Shropshire and Staffordshire Strategic HA

1

0

0

0

0

0

0

0

1

Q27

Birmingham and the Black Country Strategic HA

2

2

1

0

6

1

2

0

1

Q28

West Midlands South Strategic HA

1

1

0

1

0

1

0

0

0

Q30

North East SHA

0

Q31

North West SHA

11

Q32

Yorkshire and The Humber SHA

10

Q33

East Midlands SHA

2

Q34

West Midlands SHA

7

Q35

East of England SHA

0

Q36

London SHA

12

Q37

South East Coast SHA

2

Q38

South Central SHA

0

Q39

South West SHA

0

U

England—Not otherwise specified

0

2

1

0

0

1

0

0

0

0

Other unknown/foreign SHAs

2

2

3

1

1

2

0

1

0

2


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