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In April this year, the Department also published guidance on "Managing Demand and Capacity in Health Care Organisations (Surge)". The document gives guidance on measures the NHS can take to handle the pressures it will face, including in providing paediatric care during a pandemic. A copy of the guidance has already been placed in the Library.
To further support local planning, on 10 September, a strategy for critical care services was published that in part set out how the NHS would work to substantially increase availability of paediatric intensive care beds should this be required at the peak of the pandemic. A copy has been placed in the Library.
Anne Milton: To ask the Secretary of State for Health what estimate he has made of the likely change in numbers of paediatric beds available between 2010 and 2012; and what assessment he has made of the likely effects of that change on winter planning during that period. 
Dr. Julian Lewis: To ask the Secretary of State for Health what steps he plans to take to strengthen mechanisms to improve implementation of the National Institute for Health and Clinical Excellence's clinical guidelines on Parkinson's disease dated 2006, in light of the relevant recommendations contained in High Quality Care for All. 
Mr. Mike O'Brien: We have no plans to strengthen mechanisms to improve the implementation of the National Institute for Health and Clinical Excellence's clinical guidelines on Parkinson's disease. It is the responsibility of individual health professionals to ensure they comply with all existing clinical guidelines when providing health and social care.
From April 2009, the Care Quality Commission took over from the Healthcare Commission and will consider, in discussion with stakeholders including NICE, how to take account of NICE guidance as it develops its compliance criteria.
Jim Dowd: To ask the Secretary of State for Health what recent reports he has received of the prevalence of the automatic ordering of repeat prescriptions; and if he will take steps to end the practice. 
Mr. Mike O'Brien: I am told that the Department has received one report of automatic ordering of repeat prescriptions by pharmacies. The terms of service of pharmacists (Schedule 1 of the National Health Service (Pharmaceutical Services) Regulations 2005) include a number of provisions relevant to this issue. For example, paragraph 10 (a) and (c) of the terms of service makes provision for pharmacists to ensure that appropriate advice is given to patients, in particular with regards to the request of repeatable prescriptions.
This is supported by the Royal Pharmaceutical Society of Great Britain's (RPSGB) professional standards and guidance for patient consent, which makes clear that
patients have a basic right to be involved in decisions about their health care and the process of obtaining consent is fundamental for patient autonomy. Obtaining consent is an on-going process and not a single event.
Mike Penning: To ask the Secretary of State for Health (1) pursuant to the answer of 3 July 2009, Official Report, column 486W, on prescription: fees and charges, for what reasons the projections for revenue from prescription charges do not take account of proposals to exempt from such charges those with long-term conditions; 
(2) pursuant to the answer of 3 July 2009, Official Report, column 486W, on prescription: fees and charges, for what reason the preparations for prescription charge income do not take into account his Department's proposals in relation to the exemption from prescription charges of people with long-term illnesses. 
Mr. Mike O'Brien: Forecasts for 2009-10 and 2010-11 in the departmental report 2009 (Cm 7593) take no account of the effect of the Government's decision to exempt patients with long term conditions from prescription charges because the cost and timeframe for the phasing in of the long term conditions exemption will depend on the recommendations set out in Professor Ian Gilmore's review, which is due to report in the autumn.
The Department does not know the number of people for whom prescription items are dispensed because the information collected is based on the number of prescription items dispensed in the community. These data are not available at a constituency level. The latest data for England (for 2008) show that around 93 per cent. of prescription items were not charged for at the point of dispensing, either because the patient was not liable to pay a charge, or because they held a valid prescription pre-payment certificate.
Mike Penning: To ask the Secretary of State for Health what changes to the amount of funding allocated to primary care trusts in Hertfordshire there have been in the course of 2009-10; and what such changes he anticipates in the course of 2010-11. 
Phil Hope: Revenue allocations are made to primary care trusts (PCTs) on the basis of the relative needs of the populations they serve. The following table provides the revenue allocations made to East and North Hertfordshire PCT and West Hertfordshire PCT for 2009-10 and 2010-11.
Mike Penning: To ask the Secretary of State for Health which primary care trusts in Hertfordshire have a financial deficit against their budget for 2009-10; and how much the deficit is in each such case. 
Phil Hope: Information published in the Director General for NHS Finance, Performance and Operations report "The Quarter" show that neither East and North Hertfordshire Primary Care Trust (PCT) nor West Hertfordshire PCT is forecasting a deficit in the 2009-10 financial year. The following table shows that both PCTs are forecasting a surplus.
|2009-10 quarter 1 forecast outturn (£000)|
The 2009-10 and 2010-11 PCT revenue allocations represent £164 billion investment in the national health service, £80 billion in 2009-10 and £84 billion in 2010-11. PCTs received an average increase in funding of 5.5 per cent. in 2009-10 and will receive an average increase in funding of 5.5 per cent. in 2010-11, a total increase in funding of £8.6 billion.
The following table provides the two year revenue allocations made to PCTs in Hertfordshire for 2009-10 and 2010-11 along with the cash and percentage increases. East and North Hertfordshire PCT will be 0.6 per cent. under target in 2010-11, West Hertfordshire PCT will be 5.3 per cent. above target in 2010-11.
|PCT||2009-10 allocation (£000)||2010-11 allocation (£000)||Two-year cash increase (£000)||Two-year cash increase (percentage)|
Stephen Hammond: To ask the Secretary of State for Health pursuant to the answer of 20 April 2009, Official Report, column 479W, on respiratory system, to how many patients in each age group the figures on (a) hospital and (b) admission episodes related in each case. 
Phil Hope: The following table shows hospital episodes and admission episodes for diseases of the respiratory system by age group. Data have been provided for the hospitals referred to in the answer of 20 April 2009, Official Report, column 479W.
|Number of finished consultant episodes and finished admission episodes for di seases of the reparatory system( 1) , by provider, 2003-04 to 2007-08, activity in English NHS Hospitals and English NHS commissioned activity in the independent sector|
|Finished consultant episode||Finished admission episode|
|Provider||Provider code age on admission||2007- 20 08||2006- 20 07||2005- 20 06||2004- 20 05||2003- 20 04||2007- 20 08||2006- 20 07||2005- 20 06||2004- 20 05||2003- 20 04|
Figures have not been adjusted for shortfalls in data (ie the data are ungrossed).
Finished Consultant Episode (FCE)
A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Please note that the figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
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. Please note that admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Number of episodes in which the patient had a (named) primary or secondary diagnosis
These figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.
(1 )The following ICD-10 codes have been used:
J00-J99-'Diseases of the respiratory disease'. Please see the following table for J00-J99 sheet for ICD-code descriptions.
HES are compiled from data sent by more than 300 National Health Service 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.
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.
To protect patient confidentiality, figures between 1 and 5 have been suppressed and replaced with "*" (an asterisk). Where it was possible to identify numbers from the total due to a single suppressed number in a row or column, an additional number (the next smallest) has been suppressed.
Hospital Episode Statistics HES. The NHS Information Centre for health and social care.
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