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| Notes: Ungrossed data Figures have not been adjusted for shortfalls in data (ie the data are ungrossed). Finished admission episodes A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. Cause Code(1)( )The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. Hospital Episode Statistics (HES) has used the following ICD-10 external cause codes as requested for this parliamentary question. It should be noted that this is not the full list of codes used to identify gunshot wounds and so the data should not be used to illustrate this. X93Assault by handgun discharge X94Assault by rifle, shotgun and larger firearm discharge X95Assault by other and unspecified firearm discharge.|
Data quality HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data is 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. PCT/SHA data quality PCT and SHA data was added to historic data years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of treatment and SHA of treatment is poor in 1996-97, 1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of general practitioner (GP) practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data. Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.
Mr. Andrew Turner: To ask the Secretary of State for Health on how many occasions an excess of demand for intensive care unit beds on the Isle of Wight has resulted in patients being taken off the island for treatment in each week in the last 12 months. 
Phil Hope: The Department is currently exploring the possibility of publishing revised guidance on intermediate care as part of the work on a wider prevention package for older people to be published in spring 2009.
The LinkAge Plus pilots have been testing the principles of joined-up working. Going beyond the traditional benefits and care agendas, they also provide access to a wide range of services encompassing housing, transport and volunteering opportunities to form aspects of a seamless service for older people.
Each pilot focuses on local needs, and how best to integrate services within those locations, being driven by the needs and aspirations of older people themselves, while also developing existing links between central Government, local authorities and other organisations The pilots finished in September 2008. They are currently being evaluated and a final summary report is scheduled for publication by March 2009.
In Gloucestershire, for example, they have set up a network of Village Agents who work directly with isolated older people in rural areas. Their presence within the community enables older people to get access to information and advice about the entitlements and services available to themdirect from a friendly, local contact.
We are also starting to disseminate the learning and core principles for LinkAge Plus across local authorities. To help do so, toolkit has been developed jointly with the Department of Health Partnership for Older People Projects. This seeks to help local authorities to put in place similar services.
To ask the Secretary of State for Health what representations he has received on the funding of
accredited laboratory testing services by the Food Standards Agency; and if he will make a statement. 
Ann Keen: The NHS Choices service, launched in June 2007, is the Department's and national health services primary online service to the public for health related information and advice. All data records published via NHS Choices, including 254 NHS Maternity Units with their contact and location details, are freely available to the public via the NHS Choices website at:
Ann Keen: The £330 million announced for Maternity Matters covers three years, 2008-09 to 2010-11. This additional funding is included within the 2008-09 to 2010-11 primary care trust (PCT) revenue allocations. PCTs were informed of their revenue allocations for 2008-09 in December 2007. The 2009-10 and 2010-11 revenue allocations were announced on 8 December 2008. Revenue allocations for the year are made available to PCTs at the start of the financial year. We are in the first year of this additional funding and it is too early to assess the actual impact. However, through the national tariff money automatically flows to trusts when they do more maternity activity. In addition, the price itself for maternity services for 2008-09 has been uplifted by 10 per cent. compared to 2007-08, so even if there were no increase in activity, trusts would be getting 10 per cent. more. This equates to well over £100 million over the current year and means that we know PCTs are passing on to trusts much more that the first year share of the £330 million.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much he plans to provide for (a) commissioning of specialist in-reach services from older peoples community mental health teams to work in care homes and (b) specification and commissioning of other in-reach services. 
Phil Hope: The Department provides funding for primary care trusts (PCTs) to commission or provide healthcare for their local populations from national health service or independent sector providers. PCTs are responsible for ensuring that adequate healthcare provision exists in their localities, including healthcare provision for the community mental health teams to work in care homes and on the specification and commissioning of other in-reach services.
It is for each PCT to decide how much to spend on the provision or commissioning of any specific treatment or service. In reaching their decisions, PCTs will need to take into account the overall funding of £150 million already announced to support implementation of the National Dementia Strategy in 2009-10 and 2010-11 and of the NHS operating framework.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much he has allocated for the (a) gathering and (b) analysis of data on the (i) nature and (ii) effect of specialist older people's mental health liaison teams' work in general hospitals. 
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