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Paul Holmes: To ask the Secretary of State for Health what estimate he has made of the average expenditure by the NHS on meals per hospital patient per day in the latest period for which figures are available. 
This cost relates to the average daily cost for the provision of all meals and beverages fed to one patient per day, across all national health service trusts in England. The cost should include all pay and non-pay costs, including provisions, ward issues, disposables, equipment and its maintenance.
The information has been supplied by the national health service and has not been amended centrally. The accuracy and completeness of the information is the responsibility of the provider organisation.
Ann Keen: The information requested is not collected centrally. The best available data are from the mandatory surveillance system, which covers Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections, Clostridium difficile ( C.difficile) infections, Glycopeptide resistant enterococci infections, and orthopaedic surgical site infections operated for the Department by the Health Protection Agency (HPA).
These data comprise all specimens processed by NHS acute trust laboratories, not just those from in-patients and include infections acquired in hospital and elsewhere. These data are only available by financial year.
|Number of cases of bloodstream infections caused by MRSA|
|April to March each year||England||East of England|
|Number of cases of C. difficile infection in people aged 65 years and over|
|Calendar year||England||East of England|
These data comprise all specimens processed by NHS acute trust laboratories, not just those from in-patients and include infections acquired in hospital and elsewhere. These data are available from October to September; they are not available by calendar year.
|Number of cases of blood stream infections caused by glycopeptide resistant enterococci|
|October to September each year||England||East of England|
Since April 2004, the following data have been collected from the mandatory surveillance of surgical site infections (SSIs) in orthopaedic categories in English NHS hospitals. Hospitals carrying out orthopaedic surgery have to participate in the surveillance of at least one category for at least one quarter of the year. All of the SSIs reported are identified during the in-patient period.
|Surgical category||Number of operations||Number of SSIs||Number of operations||Number of SSIs||Number of operations||Number of SSIs||Number of operations||Number of SSIs|
Dawn Primarolo: Information has been provided on the number of finished admission episodes for two clinical codes. Code x99 covers assault by a sharp object, and code w26 covers accidental contact knife, sword or dagger. Data for both these clinical codes have been provided for the years 1996-97 to 2007-08.
|Total number of admissions to hospital for assault by a sharp object (X99) and contact with knife, sword or dagger (W26), for years 1996-97 to 2007-08|
|Contact with knife, sword or dagger||Assault by sharp object|
1. Assignment of episodes to years: Years are assigned by the end of the first period of care in a patient's hospital stay.
2. 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.
3. Cause codeblunt object, sharp object and gunshot wounds: The cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. HES has used the following ICD-10 external cause codes when assault by sharp object and contact with knife, sword or dagger.
X99Assault by sharp object
W26Contact with knife, sword or dagger
4. Data quality: hospital episode statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts in England. 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.
5. Assessing growth through time: HES figures are available from 1989-90 onwards. During the years that these records have been collected by the NHS there have been ongoing improvements in quality and coverage. 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.
6. Ungrossed data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Hospital episode statistics (HES), The NHS Information Centre for health and social care
Chris Grayling: To ask the Secretary of State for Health how many people in each (a) strategic health authority and (b) healthcare provider area had diagnosis codes of (i) W32, (ii) W33, (iii) W34, (iv) W50, (v) X93, (vi) X94, (vii) X95 and (viii) X99 or Y00 in each of the last six years. 
Dawn Primarolo: Information has been provided on the number of finished admission episodes for all requested codes for strategic health authority (SHA) of residence and health care providers. The codes have been grouped together because it is not possible to provide individual codes for health care providers because the number involved are so small, they would need to be suppressed in order to preserve anonymity. In addition, the numbers for individual codes have been provided at SHA level. Small numbers have been suppressed and replaced with *. The information has been placed in the Library.
References should be made to footnotes when examining the data. It should be noted that a finished admission episode is the first period of in-patient 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 in-patients, as a person may have more than one admission within the year.
Dr. Kumar: To ask the Secretary of State for Health how much his Department has spent on (a) treatment of and (b) support for people diagnosed with leukaemia in (i) England, (ii) the North East, (iii) Tees Valley district and (iv) Middlesbrough South and East Cleveland constituency in each of the last 10 years. 
Ann Keen: The information is not available in the format requested. The following table shows expenditure on haematological cancer, which includes leukaemia, for 2006-07, the first year that these data were collected at sub-category level. Information is provided for England, and for primary care trusts (PCTs) which serve the North East Strategic Health Authority (SHA) area, including the Tees Valley District, and Middlesbrough, South and East Cleveland constituency.
|Expenditure on Haematological Cancer, 2006-07|
|Primary care trusts||Expenditure (£)|
| Notes: 1. England data include the Department, SHA, Special Health Authority as well as PCT expenditure. 2. PCT data include spend by national health service foundation trusts. Source: Programme Budgeting.|
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