|Previous Section||Index||Home Page|
Mr. Mike O'Brien: Details of the Department's capital expenditure forecasts for 2009-10 and 2010-11 were published in the 2009 departmental report (page 218), Cm 7593, which is available in the Library.
Mr. Jenkins: To ask the Secretary of State for Health what recent estimate he has made of the change to the number of patient appointments available following the introduction of extended evening and weekend opening hours at GP practices in (a) Tamworth and (b) England. 
Mr. Mike O'Brien: Information is not collected centrally on which individual general practitioner (GP) practices offer extended opening hours. GP practices can voluntarily participate in a national scheme where they should offer 30 minutes of extended opening for every 1,000 registered patients. Guidance issued to primary care trusts (PCTs) suggests that this would normally equate to 12 to 14 additional patient appointments being available in the average practice of 6,000 patients. However, there will be variations in the number of additional appointments available within each practice dependent on the list size of each practice participating in the scheme. It is not possible to estimate the number of additional appointments being delivered in Tamworth (South Staffordshire PCT). However, nationally, we estimate that around 5.5 million additional new appointments may have been created based on the current levels of extended opening. I have asked the PCT to provide any local information they have to my hon. Friend.
Chris Huhne: To ask the Secretary of State for Health pursuant to the answer to the hon. Member for Eddisbury (Mr. O'Brien) of 1 June 2009, Official Report, column 117-8W, on hospital beds, whether his Department collates data on the (a) sex and (b) age of occupants of hospital beds. 
Mr. Mike O'Brien: The Department does not collate these data. However, the NHS Information Centre publishes Hospital Episode Statistics for admitted patient care which are available by age and gender. Summary data are published at:
Mr. David Anderson: To ask the Secretary of State for Health how many hospital admissions there were for (a) chronic obstructive pulmonary disease and (b) respiratory diseases in (i) England and (ii) each primary care trust area in the latest period for which figures are available. 
Ann Keen: The hospital admission data for 2007-08 for chronic obstructive pulmonary disease and all respiratory disease in England and each primary care trust are contained in a the table which has been placed in the Library.
Hugh Bayley: To ask the Secretary of State for Health what the average waiting time was for (a) elective in-patient admission and (b) first out-patient appointment in each specialty at York NHS Trust in each year since 1996. 
Chris Huhne: To ask the Secretary of State for Health how many people aged (a) under 10, (b) between 10 and 18 and (c) over 18 years of age were admitted to accident and emergency departments in each hospital trust under the external cause code of W54 as a result of an attack by a dog in each year since 2000. 
Mr. Mike O'Brien: The information is not available in the format requested. Tables showing a count of the number (admission episodes) admitted to hospital via accident and emergency departments for hospital providers in England, with a cause code of W54 (bitten or struck by dog) have been placed in the Library. This information has been provided by the following age groups: under 10, between 10 and 18 and over 18, for each financial year from 2000-01 to 2007-08-the most recent financial year available.
|Count of finished admission episodes for the treatment of kidney stones (ICD-10 codes N20.0 and N20.2)|
N20.0 Calculus of Kidney
N20.2 Calculus of Kidney with calculus of ureter
1. Ungrossed data
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
2. 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. We have provided finished admission with a primary diagnosis of ICD-10 codes N20.0 Calculus of kidney and N20.2 Calculus of kidney with calculus of ureter.
3. Primary diagnosis
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.
4. 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.
5. 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.
6. Further primary diagnosis codes exist relating to kidney stones, however these are not limited to kidney stones and therefore have been excluded these are:
N13.2 Hydronephrosis with renal and ureteral calculous obstruction includes but is not limited to ureteric calculus of kidney and hydronephrosis.
N13.6 Pronephrosis includes but is not limited to ureteric calculus with calculus of kidney and hydronephrosis and infection.
Q63.8 Other specific congenital malformations of kidney includes but is not limited to congenital calculus of kidney.
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
Gillian Merron: The information requested is not held centrally. Primary care trusts are responsible for decisions about the funding of mental health services based on the priorities and needs of the local population.
Mr. Stephen O'Brien:
To ask the Secretary of State for Health pursuant to the answer of 15 June 2009, Official Report, column 494W, on the NHS: debt, how
the NHS accounts for debts owed by trusts to bodies other than (a) his Department and (b) other Government bodies. 
Mr. Mike O'Brien: From 2009-10, accounting for all types of creditor transactions by national health service organisations is in accordance with International Financial Reporting Standards, as adapted and interpreted for the public sector by the Government Financial Reporting Manual issued by Her Majesty's Treasury.
Mr. Baron: To ask the Secretary of State for Health how much has been paid in (a) legal costs and (b) compensation awards arising from cases of adverse incidents associated with the use of medicines outside their licensed indication in the last 12 months. 
Tony Baldry: To ask the Secretary of State for Health on what criteria relating to (a) medical conditions and (b) waiting times the eligibility of patients for access to treatment funded by the NHS in private hospitals is determined. 
Mr. Mike O'Brien: Under free choice, patients who require an elective referral can choose to be treated at any clinically appropriate provider that meets national health service costs and standards (including waiting times standards). This includes all NHS Foundation trusts and NHS Acute trusts as well as a large number of Independent Sector providers and their hospitals.
There are some services that fall outside the scope of the choice policy. Where speed of access is particularly important (for example, patients attending a rapid access chest pain cancer services under the two week maximum waiting time). Maternity and mental health services are also currently exempt.
Mark Simmonds: To ask the Secretary of State for Health what support primary care trusts provide to pharmacies which do not reach their prescription items threshold for (a) one month, (b) six months and (c) one year. 
Mr. Mike O'Brien: Essential Small Pharmacy Local Pharmaceutical Services (ESPLPS) contracts are in place for those low-volume pharmacies considered by their primary care trust to be essential to the proper and sufficient provision of drugs and medicines within its area. This provides a 'top-up' where the dispensing activity falls below certain monthly thresholds. For other low-volume pharmacies it is a matter for the parties locally to agree what measures, if any, may be taken, including, for example, the commissioning of additional services.
Harry Cohen: To ask the Secretary of State for Health how many health in pregnancy grants have been made in the London boroughs of (a) Waltham Forest and (b) Redbridge; and what estimate he has made of the number of residents of each borough who will be eligible for such grants in 2009-10. 
Lembit Öpik: To ask the Secretary of State for Health what recent progress his Department has made towards exempting from prescription charges people with long-term medical conditions; and if he will make a statement. 
Norman Lamb: To ask the Secretary of State for Health how much has been allocated to each primary care trust in respect of compliance with the revised requirements of the European Working Time Directive; and what assessment he has made of the use to which such funds have been put. 
Ann Keen: A total of £310 million has been made available to support implementation of the Directive. In 2009-10 the tariff uplift includes £150 million implementing the Directive, while strategic health authorities will be able to target £50 million to support change and expansion in paediatrics, obstetrics and anaesthetics and other trained doctor solutions.
Mr. Lansley: To ask the Secretary of State for Health pursuant to the statement of 12 June 2009, Official Report, columns 1052-62, on swine flu update, what scenarios have been planned for; and which of these has enabled his Department to plan for the worst. 
The planning assumptions set out in the National Framework for Responding to an Influenza
Pandemic, which was published in November 2007, advise planning for a range of scenarios. A copy has already been placed in the Library. These were based on advice from the predecessor of the Scientific Pandemic Influenza Advisory Committee, the Scientific Advisory Group on Pandemic Influenza, and its subgroup on Modelling. These assumptions are for a considerably more severe and more infectious illness than the illness currently seen in the United Kingdom or abroad with the swine flu virus A(H1N1).
|Charge against the capital resource limit (£000)|
1. York Hospitals NHS Trust achieved Foundation Trust status on 1 April 2007. The Department does not collect data from foundation trusts, therefore no data are available for 2007-08.
2. The term "capital expenditure" has been interpreted to mean the charge against the Capital Resource Limit for the year. This charge is calculated as follows:
(a) Gross capital expenditure in accruals terms for the period
(b) Less the net book value of assets disposed of
(c) Plus any loss on disposal of donated assets
(d) Less capital grants received
(e) Less donations
3. The negative figures in 2006-07 and 2001-02 indicate that the trust has disposed of assets with a net book value greater than the amount spent on the purchase of fixed assets in each period.
4. For the available data since achieving foundation trust status, my hon. Friend may wish to contact the York Hospitals NHS Foundation Trust direct.
Department of Health audited summarisation schedules.
|Next Section||Index||Home Page|