Mr. Spring:
To ask the Secretary of State for Health how many patients were admitted to (a) West Suffolk, (b) Addenbrookes and (c) Ipswich hospital as a consequence of (i) alcoholic liver disease and (ii) cirrhosis in each of the last five years. [286262]
Gillian Merron:
The following table shows the count of finished admission episodes with a primary diagnosis of alcohol liver disease or cirrhosis of the liver for Cambridge university hospitals NHS foundation trust (Addenbrook NHS trust pre 2004-05), Ipswich hospital trust and West Suffolk hospitals NHS trust.
Alcoholic liver disease
Cirrhosis of the liver
2007-08
Cambridge University Hospitals
NHS Foundation Trust
399
404
Ipswich Hospital NHS Trust
83
68
West Suffolk Hospitals NHS Trust
30
27
2006-07
Cambridge University Hospitals
NHS Foundation Trust
400
447
Ipswich Hospital NHS Trust
58
38
West Suffolk Hospitals NHS Trust
36
28
2005-06
Cambridge University Hospitals
NHS Foundation Trust
449
359
Ipswich Hospital NHS Trust
47
24
West Suffolk Hospitals NHS Trust
26
18
2004-05
Cambridge University Hospitals
NHS Foundation Trust
302
252
Ipswich Hospital NHS Trust
45
25
West Suffolk Hospitals NHS Trust
27
44
2003-04
Addenbrookes NHS Trust(1)
372
412
Ipswich Hospital NHS Trust
46
37
West Suffolk Hospitals NHS Trust
28
29
15 July 2009 : Column 538W
(1) Addenbrookes NHS trust becomes Cambridge university hospitals NHS foundation trust (post 2003-04). Notes: Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare 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. Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03. to 2006-07 and 7 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. Secondary diagnoses
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2006-07 and 6 prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care. 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/Strategic health authority (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. Ungrossed data
Figures have not been adjusted for shortfalls in the data, i.e. the data are ungrossed. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.
Individualised Budget Programme
Sandra Gidley:
To ask the Secretary of State for Health which schemes his Department has chosen for the pilot of the individualised budget programme; how many patients will participate in the pilot programme; and what methodology will be used in the assessment of individualised budgets. [285769]
Mr. Mike O'Brien:
Following an application process earlier this year, we have provisionally selected 70 pilot sites, subject to a further progress check. A full list of provisional pilot sites is available from the Department's website at:
Pilot sites will initially only offer models of personal health budget that do not involve direct payments to the patient. Subject to the passage of the Health Bill, direct payments would become an additional option for pilots during 2010.
We have not set any expectations about numbers of patients in each pilot site. This will be for local sites to decide as they develop their proposals.
15 July 2009 : Column 539W
We are currently in the process of selecting an evaluation team. We published an invitation to tender in April, describing what areas the evaluation should explore and inviting bidders to propose a suitable methodology.
Influenza
Mr. Pelling:
To ask the Secretary of State for Health (1) how many of the cases of H1N1 flu reported to the Health Protection Agency (HPA) by 16 June 2009 were recorded by the HPA as (a) male, imported, (b) female, imported, (c) male, indigenous and (d) female, indigenous H1N1 cases; in how many such cases the patient was aged (i) under 10, (ii) 10 to 19, (iii) 20 to 29, (iv) 30 to 39, (v) 40 to 49, (vi) 50 to 59 and (vii) over 60 years; in how many such cases the HPA has recorded (A) the date of symptom onset, the date of obtaining the blood sample from which the H1N1 diagnosis was made and the date of the H1N1 case report and (B) the date of symptom onset, the date of obtaining the blood sample from which H1N1 diagnosis was made, the date of the H1N1 case report and the date on which the H1N1 antiviral prophylaxis or treatment was started; [285833]
15 July 2009 : Column 540W
(2) how many of the cases of H1N1 flu reported to the Health Protection Agency by 16 June 2009 were recorded as having been hospitalised by 30 June 2009; and how many such patients were aged (a) under 10, (b) 10 to 19 , (c) 20 to 29, (d) 30 to 39, (e) 40 to 49, (f) 50 to 59 and (g) over 60 years; [285834]
(3) how many of the cases of H1N1 flu reported to the Health Protection Agency by 16 June 2009 were recorded as being (a) imported, (b) indigenous and (c) not assigned or not known. [285835]
Gillian Merron:
The cases reported by the Health Protection Agency (HPA) are shown in the following tables.
Not all of the data requested are currently available. This is because:
testing for swine flu is based on swabs, not blood samples;
data for Scotland are not currently available for the period requested;
complete data on the commencement of antiviral treatment or prophylaxis is not available. This is because once detailed data on the first few hundred cases had been collected, the HPA stopped collecting that level of detailed information; and
verified data on hospitalisations is only available up to 16 June.
Pandemic influenza A(H1N1) 2009 cases reported by 16 June 2009. England, Wales and Northern Ireland ( PQ285833 )
