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12 Oct 2009 : Column 720W—continued

Mr. Brady: To ask the Secretary of State for Health how many and what proportion of student health visitors became qualified health visitors in each of the last five years. [289966]

Kevin Brennan: I have been asked to reply

The Department does not hold information down to the level of health visitor students. Higher Education Statistics Agency information on the number of students who qualified from nursing courses, the category within which health visitor students are included, has been provided as an alternative.

The proportion of nursing students who became qualified is not available.

Health Visitors: Manpower

Mrs. Maria Miller: To ask the Secretary of State for Health what the average vacancy rate for health visitors in each primary care trust was in the latest period for which figures are available. [289310]

Phil Hope: The vacancy rate for health visitors by primary care trust has been placed in the Library.

Home Care Services

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what percentage of home help contact hours in each region were provided by (a) council authorities and (b) the independent sector according to the results of his Department's home help returns in the latest period for which figures are available; [289449]

(2) if he will publish the results of the 2008 home help returns for each (a) region, (b) shire county, (c) unitary authority and (d) metropolitan district. [289450]

Phil Hope: Information on the number of people receiving home care/home help services during a sample week in September each year is collected on the HHl return and published by the NHS Information Centre for health and social care.

The following table shows the percentage of home help contact hours in each region provided by councils with adult social services responsibilities (CASSRs) and the independent sector during the sample week in September 2008.

Hours provided Percentage of hours


All sectors CASSR Independent

North East




North West




Yorkshire and The Humber




East Midlands




West Midlands




South West












South East








HHl return, table 1.1.

The full HHl data for 2008-the latest available-has been published and is available on the NHS Information Centre website at:

A copy has been placed in the Library.

Hospices: Finance

Charles Hendry: To ask the Secretary of State for Health how much each hospice funded by his Department has received from his Department in the latest period for which figures are available; and what criteria his Department uses to determine its funding allocations to hospices. [289551]

Phil Hope: Funding for hospices comes from primary care trusts (PCTs), not from the Department. It is for individual PCTs to decide the level of funding they allocate to hospices, based on assessments of local
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needs and priorities. The level of funding a hospice receives is a matter for negotiation between the local PCT and the hospice.

Hospital Wards

Mr. Lansley: To ask the Secretary of State for Health what data NHS trusts are required to collect to monitor levels of (a) use of mixed-sex accommodation and (b) standards of privacy and dignity provided for patients. [291785]

Phil Hope: Annually, the national adult in-patient survey conducted by the Care Quality Commission (CQC) is used to measure patient experience relating to mixed sex accommodation and privacy and dignity. Nationally, there is no requirement to monitor occurrences of mixed sex accommodation.

The 2009-10 NHS Standard Contract for Acute Hospital Services states:

The definition of such a plan is:

Because the Department is committed to keep patient experience at the heart of delivery, ahead of the next (2009) CQC annual in-patient survey outcome, it is currently exploring with strategic health authorities, arrangements that would provide indications of progress by the local national health service in delivering same-sex accommodation.

Hospitals: Energy

Mr. David Anderson: To ask the Secretary of State for Health (1) what recent estimate he has made of the number of A-rated circulator pumps which are installed in NHS hospitals; [291788]

(2) what energy efficiency standards his Department has stipulated for circulator pumps in its guidance on private finance initiative projects. [291789]

Mr. Mike O'Brien: The Department does not collect data centrally on the number of A-rated circulator pumps installed in national health service hospitals in England.

All capital development schemes, whether private finance initiative or publicly funded projects, are expected to comply with energy efficiency standards of 35 to 55 gigajoules per one hundred metres squared (Gj/100m(2)), and also with BREEAM Healthcare requirements (Building Research Establishment Environmental Assessment Method) to ensure healthcare facilities are constructed with sustainability and energy efficiency in mind. The Department provides guidance to assist the NHS and their partners in meeting this criteria.

This information is contained in the guidance document "Health Technical Memorandum 07-02: Encode-making energy work in healthcare", a copy of which has been placed in the Library, and which provides general energy
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efficiency standards within health-care facilities. This guidance covers new build and refurbishment as well as the energy management of existing operational facilities and provides advice about pumps, fans and boilers. Capital project teams will make their own decisions about specific items of equipment, such as circulator pumps, to ensure they are appropriate to meet the needs, circumstances and efficiency of their particular schemes.

Hospitals: Waiting Lists

Mr. Kemp: To ask the Secretary of State for Health what the average waiting time for a hip replacement operation has been in (a) Sunderland and (b) England in each year since 2001. [289332]

Mr. Mike O'Brien: Median time waited (days) for hip replacement operations for Sunderland Primary Care Trust and England are shown in the following table:

Sunderland Primary Care Trust England






















1. Time waited data has been provided where the main operation was a hip replacement operation.
2. Operative procedure codes were revised for 2006-07 and 2007-08. The 2008-09 and 2007-08 data uses OPCS 4.4 codes, 2006-07 data uses OPCS 4.3 codes, data prior to 2006-07 uses OPCS 4.2 codes. All codes that were in OPCS 4.2 remain in later OPCS 4 versions, however the introduction of OPCS 4.3 codes enable the recording of interventions and procedures which were not possible in OPCS 4.2. In particular, OPCS 4.3 and OPCS 4.4 codes include high cost drugs and diagnostic imaging, testing and rehabilitation. Some activity may have been coded under different codes in OPCS 4.2. These changes need to be borne in mind when analysing time series and may explain some apparent variations over time. Please note that care needs to be taken in using the newer codes as some providers of data were unable to start using the new codes at the beginning of each data year.
3. The quality and coverage of HES data have improved over time. The improvements in information submitted by the national health service 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.
4. Time waited statistics from HES are not the same as the published waiting list statistics. HES provides counts and time waited for all patients admitted to hospital within a given period, whereas the published waiting list statistics count those waiting for treatment on a specific date and how long they have been on the waiting list. Also, HES calculates the time waited as the difference between the admission and decision to admit dates. Unlike published waiting list statistics, this is not adjusted for self-deferrals or periods of medical/social suspension.
Hospital Episodes Statistics (HES), The NHS Information Centre for health and social care.


Mr. Stephen O'Brien: To ask the Secretary of State for Health how many universities offer (a) pre- and (b) post-registration courses for nurses on continence education and training. [289452]

Phil Hope: This information is not collected centrally. For pre-registration education, the United Kingdom regulatory body, the Nursing and Midwifery Council, sets standards of proficiency for all nursing courses.
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Although continence is not identified separately, its management is implicit within several of the essential nursing skills which are required to be demonstrated.

Post-registration training is the responsibility of employers, who are best placed to understand the roles and responsibilities-and hence the training needs-of their staff. Specific post-registration training courses in continence and continence care are available and these are accessed according to local need.

Infant Mortality

Mr. Crausby: To ask the Secretary of State for Health what the most common cause of infant mortality is. [291646]

Angela E. Smith: I have been asked to reply.

The information requested falls within the responsibility of the UK Statistics Authority. I have asked it to reply.

Letter from Jil Matheson, dated September 2009:

Learning Disability

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) how many people with a learning disability have been referred for further treatment as a result of an annual health check in the latest period for which figures are available [290203]

(2) how many practising GPs have (a) had training and (b) been accredited to provide health checks to people with a learning disability. [290206]

Ann Keen: This information is held at local level and is not available centrally.

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) what steps he plans to take to (a) monitor and (b) evaluate the effect of direct enhanced service annual health checks on people with a learning disability; [290204]

(2) how many people with a learning disability have had a health check in the last 12 months. [290205]

Phil Hope: We have commissioned an extraction of data from a sample of general practitioner (GP) practice clinical systems. This information will be used to inform
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the continued commissioning of this Directed Enhanced Service through the GP contract arrangements.

We will also collect information to support a newly agreed Vital Sign indicator on the number of health checks completed in 2008-09. This will begin in October. This exercise will be repeated in May 2010 to collect retrospective information on the number of checks completed in 2009-10.

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