|Previous Section||Index||Home Page|
Sandra Gidley: To ask the Secretary of State for Health what mechanisms his Department plans to put in place to ensure that primary care trusts considering a new pharmacy application take account of competition and choice, as referred to in the Pharmacy White Paper; and if he will make a statement. 
Phil Hope: Subject to parliamentary approval, clause 24 of the Health Bill amends the NHS Act 2006 to replace the current market entry test so that primary care trusts (PCTs) will in future determine whether a new prospective provider will be admitted to a PCTs pharmaceutical list (or an existing listing can be amended) by reference to and determined against its pharmaceutical needs assessment. Regulations will in due course set out the detailed requirements of what must be contained in those assessments and may also prescribe matters which a PCT must consider when making a decision on an application.
When we consulted on these measures last autumn in Pharmacy in England: Building on strengthsdelivering the futureproposals for legislative change, a copy of which has already been placed in the Library, we proposed to carry forward a number of factors introduced in the 2005 regulations, which help PCTs reach their decisions. These factors include the choice and diversity of providers or of services.
Mr. Laurence Robertson: To ask the Secretary of State for Health what opportunities pharmacists working in (a) academia, (b) industry and (c) other areas, other than general practice, will have to register with the General Pharmacy Council under his Department's proposals for a draft Pharmacy Order 2009; whether his Department's proposals will allow retired pharmacists to be able to describe themselves as such; and if he will make a statement. 
Phil Hope: Ministers will shortly be publishing the formal response to the consultation on the draft Pharmacy Order 2009, which will include registration criteria for all pharmacists in Great Britain. There is nothing in the draft Pharmacy Order 2009 that would prevent a person from describing themselves as a "retired pharmacist".
Mr. Kidney: To ask the Secretary of State for Health if he will ensure that the Change 4 Life public awareness campaign includes information for young women about the importance of health and well-being before pregnancy with regard to (a) diet, (b) optimal body weight, (c) smoking and (d) alcohol consumption. 
Dawn Primarolo: The Change4Life campaign seeks to address the rising tide of obesity in England through marketing communications about diet and activity that address the target groups of families having at least one child under the age of 11. The priority groups for 2009-10 include pregnant women, families with children under the age of two, and at risk families, those whose current behaviours and/or attitudes suggest that their children are most at risk of weight gain.
Change4Life currently provides information about diet and activity-related behaviours only (not smoking or alcohol consumption), and as this is a prevention campaign, it focuses on how these behaviours relate to children, i.e. what and how children eat, and how much they are physically active. The Change4Life campaign does not, therefore, currently target adults about their own diet and activity behaviours, rather it targets adults who are parents, about their children. It does not currently target adults who do not have children, or those planning a pregnancy.
However, the Department will consider the feasibility of communicating to those planning a pregnancy when it develops plans for a pregnancy-specific strand of the Change4Life campaign later this year.
an NHS Smokefree campaign targeting pregnant smokers launched in February 2009. Initial results show a 196 per cent. increase in calls against February 2008. Further information can be found at:
The campaign aims to raise awareness of the dangers of smoking and the immediate benefits of becoming smokefree for pregnant women and their babies, offers telephone stop smoking support and new resources.
The campaign focused on women already pregnant, rather than those trying to conceive. However, relevant information for those trying to conceive is included on the NHS Choices website at:
A national campaign to improve the publics understanding of units of alcohol was launched in May 2008, featuring two phases. Phase 1 focused on improving peoples knowledge of how many units of alcohol are in the alcoholic drinks they consume, while phase 2 focused on improving peoples understanding of the link between their alcohol consumption and their health;
the second phase of the campaign included targeting people who were trying to conceive and pregnant women. The communications messages Did you know that drinking alcohol whilst pregnant can damage your unborn baby? and Did you know that its safer to avoid alcohol if you are trying to get pregnant? were delivered in press adverts; and
in addition, a pregnancy and alcohol booklet was produced in September 2008 for stakeholders such as PCTs, local councils and charities to use as support materials. The booklet offered information about drinking when youre trying to conceive, during pregnancy, and while breastfeeding, how alcohol affects your unborn baby, and the advice on drinking during pregnancy.
Mr. Lansley: To ask the Secretary of State for Health how many people were admitted to hospital for the treatment of sexually transmitted infections (a) in each region in each year since 1997-98 and (b) in each primary care trust area in the last year for which figures are available. 
Dawn Primarolo: We are unable to provide a breakdown by primary care trust of residence due to the sensitivity of the data. The count of admissions to hospital for sexually transmitted infections (STIs) broken down by strategic health authority of residence for 1997-98 to 2007-08 is provided in the following table. These data only include admissions to hospital and do not include attendances at genito-urinary medicine clinics, where the majority of STIs are detected and treated.
|Number of admissions to hospital for sexually transmitted infections broken down by strategic health authority (SHA) of residence for 1997-98 to 2007-08, activity in English NHS Hospitals and English NHS commissioned activity in the independent sector|
|Current s trategic HA of residence||2007-08||2006-07||2005-06||2004-05||2003-04||2002-03||2001-02||2000-01||1999-2000||1998-99||1997-98|
Finished admission episodes
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.
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.
The ICD-10 codes used to identify sexually transmitted infections are as follows:
A50: Congenital syphilis
A51: Early syphilis
A52: Late syphilis
A53: Other and unspecified syphilis
A54: Gonococcal infection
A55: Chlamydial lymphogranuloma (venereum)
A56: Other sexually transmitted chlamydial diseases
A58: Granuloma inguinale
A60: Anogenital herpesviral (herpes simplex) infection
A63: Other predominantly sexually transmitted diseases, not elsewhere classified
A64: Unspecified sexually transmitted disease
It should be noted that there are other diagnoses that can be transmitted sexually but are not limited to sexually transmissionthey have been excluded from this response.
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.
PCT/SHA data quality
PCT and SHA data were 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 GP practice and SHA of general practitioner (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 out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Hospital Episode Statistics (HES), the NHS Information Centre for health and social care.
|Next Section||Index||Home Page|