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14 July 2009 : Column 344W—continued


Accident and Emergency Departments: Staffordshire

Mr. Jenkins: To ask the Secretary of State for Health what provision at what locations there is in the South Staffordshire Primary Care Trust area for emergency referrals for children, the elderly and vulnerable adults outside normal working hours. [285903]

Mr. Mike O'Brien: This information is not collected centrally. Strategic health authorities and primary care trusts (PCTs) determine how to most effectively meet the needs of their local populations. I have asked the South Staffordshire PCT to send this information to my hon. Friend.

Cancer: Brain

Sandra Gidley: To ask the Secretary of State for Health how much the NHS spent on the treatment of brain cancer in each strategic health authority area in each of the last six years. [286284]


14 July 2009 : Column 345W

Ann Keen: The information is not available in the format requested.

Dental Services

Hugh Bayley: To ask the Secretary of State for Health what percentage of the (a) adult and (b) child population of (i) Selby and York Primary Care Trust area, (ii) North Yorkshire Primary Care Trust area, (iii) Yorkshire and the Humber and (iv) England received treatment from an NHS general dental practitioner in the last 24 months. [285867]

Ann Keen: Information is not available in the format requested.

Information on the number of patients seen by an NHS dentist in the previous 24 months as a percentage of the population, in England, is available in table D2 of annex 3 of the "NHS Dental Statistics, Quarter 3: 31 December 2008" report. Data are available at primary care trust and strategic health authority level, and are provided by adults and children. The most recent published information covers the period from 1 January 2007 to 31 December 2008.

This report has already been placed in the Library.

Dental Services: Waiting Lists

Mr. David Anderson: To ask the Secretary of State for Health (1) how many people resident in Blaydon constituency were on a waiting list for orthodontic treatment in each of the last five years; [286246]

(2) how many people in (a) Gateshead Borough and (b) the North East were on a waiting list for orthodontic treatment in each of the last five years. [286288]

Ann Keen: The information is not available in the format requested. However, information on the waiting lists for orthodontic treatment in the Gateshead Primary Care Trust (PCT) area is shown in the following table:

Oral surgery-total number of incomplete pathways
Gateshead PCT North East Strategic Health Authority England

August 2007

244

3,011

152,302

April 2008

136

3,850

121,032

April 2009

127

3,431

111,188

Note:
Data on incomplete pathways only published since August 2007
Source:
Department of Health 18 weeks RTT data

Mr. David Anderson: To ask the Secretary of State for Health (1) what the average waiting time for (a) initial orthodontic assessment and (b) subsequent orthodontic treatment was in Gateshead borough in each of the last five years; [286248]

(2) what the average waiting time for (a) initial orthodontic assessment and (b) subsequent orthodontic treatment was in Blaydon constituency in each of the last five years. [286249]

Ann Keen: The information is not available in the format requested. The following tables provide information on the median in-patient and out-patient waiting times for orthodontics and oral surgery within the Gateshead Primary Care Trust and the North East Strategic Health Authority areas.


14 July 2009 : Column 346W
Table 1: Median in-patient waiting time for elective admission (weeks). Time periods 2003-07 (commissioner based). Inpatient Commissioner Hospital Based Waiting List Statistics: Specialties-Oral Surgery, Orthodontics
Gateshead North East
Month ending Oral surgery Orthodontics Oral surgery Orthodontics

March 2003

8.4

n/a

8.4

8.0

March 2004

7.9

n/a

8.4

8.2

March 2005

6.0

n/a

6.6

n/a

March 2006

4.2

n/a

6.6

n/a

March 2007

9.3

n/a

6.5

n/a

September 2007

6.8

n/a

7.1

n/a

Notes:
1. Figures are shown for organisations that existed at the time.
2. In-patient waiting times are measured from decision to admit by the consultant to admission to hospital.
3. The last time this data was collected was for period ending September 2007.
4. Where n/a, no orthodontic waiters were declared for the time periods specified.
5. Median waiting times are calculated from aggregate data, rattier than patient level data, and therefore are only estimates of the position on average waits.
6. In particular, specialties with low numbers waiting are prone to fluctuations in the median. This should be taken into account when interpreting the data.
Source:
Department of Health Waiting List Collections QF01 and MMRCOM

Table 2: Median out-patient waiting time for first out - patient appointment not seen (weeks). Time periods 2005-07 (commissioner based). Outpatient Commissioner Hospital Based Waiting List Statistics: Specialities-Oral Surgery, Orthodontics
Gateshead North East
Month ending Oral surgery Orthodontics Oral surgery Orthodontics

March 2005

4.4

n/a

4.5

5.4

March 2006

5.5

n/a

4.7

5.6

March 2007

4.3

5.1

4.1

4.4

September 2007

4.5

6.3

3.8

4.5

Notes:
1. Figures are shown for organisations that existed at the time.
2. Out-patient waiting times are measured from referral by the general practitioner (GP) to first out-patient appointment to the consultant.
3. From 2004-05 all time bands for outpatients not seen were first collected so only average waiting first out-patient times can be made from this point in time.
4. The last time this data was collected was for period ending September 2007.
5. Where n/a, no orthodontic waiters were declared for the time periods specified or there were very low numbers declared.
6. Median waiting times are calculated from aggregate data, rather than patient level data, and therefore are only estimates of the position on average waits. In particular, specialties with low numbers waiting are prone to fluctuations in the median. This should be taken into account when interpreting the data.
Source:
Department of Health Waiting List Collections QM08R and MMRCOM

From 1 January 2009, no one should wait more than 18 weeks from the time they are referred by their GP or dentist to start of their consultant-led treatment unless it is clinically appropriate to do so or they choose to wait longer. The 18 weeks commitment covers pathways that involve or might involve consultant-led care, including orthodontics, which is now recorded under the oral surgery speciality.

Latest data show that since January 2009, the national health service has been delivering the operating standards for 18 weeks to ensure that no one should wait more than 18 weeks from the time they are referred to the start of their consultant-led treatment, unless it is clinically appropriate to do so or they choose to wait longer.

Mr. David Anderson: To ask the Secretary of State for Health what the average waiting time for (a) initial orthodontic assessment and (b) subsequent orthodontic treatment was in England in each of the last five years. [286252]


14 July 2009 : Column 347W

Ann Keen: Information is not collected centrally on waiting times for orthodontic treatment provided in primary care.

Information is available for part of the period requested from which average hospital waiting times from referral to first out-patient appointment and from decision to hospital admission (both day case and in-patient) can be provided.

This information available covers the period up to and including Quarter 2 2007-08. From Quarter 3 2007-08 this data collection no longer broke waits down by speciality.

Median orthodontic speciality out-patient waiting time for first out-patient appointment
England
Month ending Weeks

March 2005

5.1

March 2006

3.9

March 2007

4.2

September 2007

3.9

Source:
Department of Health Waiting List Collections QM08R and MMRCOM

Median orthodontic specialty in-patient waiting time for elective admission
England
Month ending Weeks

March 2003

11.2

March 2004

9.2

March 2005

8.9

March 2006

6.8

March 2007

4.0

September 2007

5.8

Notes:
1. Figures shown are for those recorded under the orthodontic speciality.
2. Out-patient waiting times are measured from referral by the dentist to first out-patient appointment to the consultant. The data are based on a snapshot in time, and so will include some patients who were yet to see a consultant.
3. In-patient waiting times are measured from the decision to admit by the consultant to admission to hospital.
4. The last time these data were collected was for the period ending September 2007.
5. Time bands for all specialties were only collected from 2004-05 onwards for out-patients so average waiting first out-patient times are only available from this point forward.
6. Median waiting times are calculated from aggregate data, rather than patient level data, and therefore are estimates of the position on average waits.
7. In particular, specialties with low numbers waiting are prone to fluctuations in the median. This should be taken into account when interpreting the data.
Source:
Department of Health Waiting List Collections QF01 and MMRCOM

From 1 January 2009, no one should wait more than 18 weeks from the time they are referred by their general practitioner or dentist to start of their consultant-led treatment unless it is clinically appropriate to do so or they choose to wait longer. The 18 weeks commitment covers pathways that involve or might involve consultant-led care, including orthodontics, which is now recorded under the oral surgery speciality.

Latest data show that since January 2009, the national health service has been delivering the operating standards for 18 weeks to ensure that no one should wait more than 18 weeks from the time they are referred to the start of their consultant-led treatment, unless it is clinically appropriate to do so or they choose to wait longer.

Mr. David Anderson: To ask the Secretary of State for Health how many people were on a waiting list for orthodontic treatment in England in each of the last five years. [286253]


14 July 2009 : Column 348W

Ann Keen: Information is not collected centrally on waiting times for national health service orthodontic treatment provided in primary care.

From 1 January 2009, no one should wait more than 18 weeks from the time they are referred by their general practitioner or dentist to the start of their consultant-led treatment unless it is clinically appropriate to do so, or they choose to wait longer.

The 18 weeks commitment covers pathways that involve or might involve consultant-led care. Referral to treatment (RTT) data collection monitors the length of time from referral through to treatment and is used to measure performance against the 18 weeks operational standard.

Information is collected on the total number of incomplete RTT pathways, for oral surgery, which includes orthodontic treatment. This data looks at patients who have entered a RTT pathway but whose treatment had not yet started. Data are available from August 2007:

Total number of incomplete oral surgery RTT pathways, England
Number

August 2007

152,302

April 2008

121,032

April 2009

111,188

Note:
Data on incomplete pathways is only available from August 2007 onwards.

Mr. Evennett: To ask the Secretary of State for Health how many people resident in (a) the London Borough of Bexley and (b) Bexleyheath and Crayford constituency were on a waiting list for orthodontic treatment in each of the last four years. [286691]

Ann Keen: Information is not collected centrally on waiting times for national health service orthodontic treatment provided in primary care.

From 1 January 2009, no one should wait more than 18 weeks from the time they are referred by their general practitioner or dentist to the start of their consultant-led treatment unless it is clinically appropriate to do so, or they choose to wait longer.

The 18 weeks commitment covers pathways that involve or might involve consultant-led care. Referral to treatment (RTT) data collection monitors the length of time from referral through to treatment and is used to measure performance against the 18 weeks operational standard.

Information is collected on the total number of incomplete RTT pathways, for oral surgery, which includes orthodontic treatment. These data look at patients who have entered a RTT pathway but whose treatment had not yet started. Data are available from August 2007.

The following table shows data for Bexley Care Trust.

Oral surgery: Total number of incomplete RTT pathways
Bexley Care Trust

August 2007

757

April 2008

216

April 2009

183

Note:
RTT data are only available from 2007 onwards.
Source:
Department of Health 18 weeks RTT data

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