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3 Nov 2009 : Column 916W—continued
Heart Diseases: Barnet Hospital
Mr. Dismore: To ask the Secretary of State for Health what progress has been made in developing treatments for cardiac conditions at Barnet Hospital; and if he will make a statement. [296589]
Ann Keen: The information requested is not held centrally. It is for local national health service organisations to plan, develop and improve services for local people.
Hospital Wards: Greater London
Mr. Dismore: To ask the Secretary of State for Health what progress is being made on the introduction of the productive ward concept at (a) Barnet and Chase Farm Hospitals, (b) Northwick Park Hospital and (c) the Royal Free Hospital; and if he will make a statement. [296597]
Mr. Mike O'Brien: The information requested is not held centrally. It is for local national health service organisations to plan, develop and improve services for local people.
Hospitals: Finance
Mr. Dismore: To ask the Secretary of State for Health what the percentage cost was of (a) surgical and (b) other treatments in (i) Barnet and Chase Farm Hospitals, (ii) the Royal Free Hospital and (iii) Northwick Park Hospital as compared with the benchmark reference cost in each of the last three financial years; and if he will make a statement. [296646]
Mr. Mike O'Brien: The information requested is not available in the format requested. Such information as is available is in the following table, which shows the reference cost index (RCI) for these national health service providers for the last three available financial years.
| RCIs including excess bed days 2005-06 to 2007-08 | |||
| 2005-06 | 2006-07 | 2007-08 | |
| Notes: 1. The RCI is the standard way of comparing reference costs between NHS organisations, and is a widely recognised measure of relative efficiency. It is not available for surgical and other treatments. 2. The RCI shows the average cost of an NHS organisation's aggregate activity, compared with the same activity delivered at the national average cost. By comparing with the national average for each type of treatment, the complexity of care provided is taken into account. An organisation with costs equal to the national average will have an RCI of 100, with higher cost organisations scoring above 100 and lower cost organisations scoring below 100. 3. 2005-06 reference costs were collected on a Healthcare Resource Group (HRG) 3.5 basis. 4. 2006-07 and 2007-08 reference costs were collected on a HRG4 basis. 5. The 2007-08 reference costs are the latest publicly available. 6. Reference costs are collected at trust level, and not hospital level. Northwick Park Hospital is part of North West London Hospitals NHS Trust. 7. A RCI of 125 means that the costs are 25 per cent. above the average while a RCI of 92 shows costs are 8 per cent. below the average. 8. The RCIs are market forces factor (MFF) adjusted. Providers based in some areas of the country, e.g. London and the South East, have higher costs for staff, land and buildings due to external market forces. The MFF is a method for taking this into account. Source: Department of Health Payment by Results team. | |||
Mr. Dismore: To ask the Secretary of State for Health what the financial position of (a) Barnet and Chase Farm Hospitals NHS Trust, (b) the Royal Free Hospital NHS Trust and (iii) Northwick Park Hospital NHS Trust (i) is and (ii) was at the end of the most recent financial year; and if he will make a statement. [296647]
Mr. Mike O'Brien: Data are collected on a trust level. Northwick Park Hospital is part of North West London Hospitals NHS Trust, and so figures for the latter are shown. The figures are in the following table:
| £000 | ||
| Organisation | 2008-09 Annual accounts surplus/(deficit) | 2009-10 Quarter 1 Forecast outturn surplus/(deficit) |
The Department is working through the strategic health authority to ensure that all the organisations forecasting an operating deficit in 2009-10 are developing recovery plans to return to financial balance whilst still maintaining and improving services to patients.
Hospitals: Infectious Diseases
Mr. Dismore: To ask the Secretary of State for Health what the incidence of (a) MRSA and (b) clostridium difficile was at (i) Barnet and Chase Farm Hospitals NHS Trust, (ii) the Royal Free Hospital and (iii) Northwick Park Hospital in each of the last three years; and if he will make a statement. [296596]
Ann Keen: The information is not held in the format requested.
Data on the incidence of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia for 2006-07, 2007-08 and 2008-09, and data on the incidence of Clostridium difficile ( C. difficile) for 2007-08 and 2008-09 Barnet and Chase Farm Hospitals NHS Trust, Royal Free Hampstead NHS Trust and North West London Hospitals NHS Trust are given as follows.
| Cases of MRSA bloodstream infections reported under the mandatory surveillance scheme | |||
| MRSA bacteraemia | 2006-07 | 2007-08 | 2008-09 |
| Cases of C. difficile bloodstream infections in people aged two years and over reported under the mandatory surveillance scheme (trust-apportioned number) | ||
| C. difficile | 2007-08 | 2008-09 |
| Notes: 1. Data are published by acute trust. Northwick Park Hospital is part of North West London Hospitals NHS Trust and information for this trust is included in the tables above. 2. Under the mandatory surveillance scheme, national health service acute trust laboratories report all cases of MRSA bloodstream infections, not just those from in-patients, and include infections acquired in hospital and elsewhere. 3. Under the mandatory surveillance scheme, NHS acute trusts report episodes of C. difficile infection in people aged two years and over. The scheme was 'enhanced' in April 2007 to include patient-level data for all patients aged two years and over. We are therefore only able to provide data for the last two years. 4. The 'trust apportioned number' refers to infections which are presumed to be hospital acquired. Source: Health Protection Agency, mandatory surveillance reporting schemes for MRSA and C. difficile infections. | ||
Hospitals: Reorganisation
Mr. Dismore: To ask the Secretary of State for Health what progress is being made on the reconfiguration of services between Barnet and Chase Farm Hospitals; and if he will make a statement. [296648]
Mr. Mike O'Brien: Steps have been taken to implement the Barnet, Enfield and Haringey Clinical Strategy, part of which involves the reconfiguration of services at Barnet and Chase Farm hospitals. Most of the Independent Review Panel's recommendations have been implemented, with implementation of the rest already under way.
Hospitals: Waiting Lists
Mr. Dismore: To ask the Secretary of State for Health what his assessment is of the effects of the abolition of waiting time targets on patients awaiting operations at Barnet and Chase Farm Hospitals NHS Trust. [296643]
Mr. Mike O'Brien: As set out in the "Operating Framework for the NHS in England 2009-10", the minimum expectation is that 90 per cent. of admitted patients will start consultant-led treatment within 18-weeks from the time they are referred by their general practitioner to start of their treatment unless it is clinically appropriate to do so or they choose to wait longer.
Latest figures for August 2009 show that 94.6 per cent. of patients at Barnet and Chase Farm Hospitals NHS Trust whose treatment involved admission to hospital started their treatment within 18-weeks, and 98.5 per cent. of patients at Barnet and Chase Farm Hospitals NHS Trust whose treatment did not involve admission to hospital started their treatment within 18-weeks.
Mr. Dismore: To ask the Secretary of State for Health what the performance was as against waiting time targets for (a) operations, (b) accident and emergency, (c) outpatient services and (d) cancer services in (i) Barnet and Chase Farm Hospitals NHS Trust, (ii) the Royal Free Hospital and (iii) Northwick Park Hospital in the latest period for which figures are available; and if he will make a statement. [296645]
Mr. Mike O'Brien: Data are collected at a trust level. The figures for waiting times are in the following tables (inpatient figures are a proxy for operations data):
The performance waiting time target for inpatients is 100 per cent. within 26-weeks.
| Inpatient median waiting times-August 2009-10 | |
| Organisation | Median waiting time (weeks) |
| (1 )The information requested is not collected by individual hospitals, it is collected by Trusts. Northwick Park hospital is part of North West London Hospitals NHS Trust, and so figures for the latter are shown. Source: Monthly monitoring report (MMR)-provider based. August 2009-10 | |
| Outpatient median waiting times-August 2009-10 | |
| Organisation | Median waiting time (weeks) |
| Source: Monthly monitoring report (MMR)-Provider based. August 2009-10 | |
Data on accident and emergency (A&E) waiting times are not available in the format requested. The Department has set a national standard that patients should not wait more than four hours in A and E departments from arrival to admission, transfer or discharge. A 98 per cent. minimum operating figure allows for the minority of patients who clinically need more than four hours in A and E.
Latest data for quarter one 2009-10 show Barnet and Chase Farm Hospitals NHS Trust achieved 98.9 per cent., Royal Free Hampstead NHS Trust 98.7 per cent., and North West London Hospitals NHS Trust, which includes Northwick Park hospital, 98.5 per cent. The performance reported is the result of activity corresponding to A and E departments at sites within the trust and additionally activity at mapped type three facilities operated by partner primary care trusts and the independent sector. Data are split by A and E department type but are not available at hospital site level.
Published performance for the last full year and latest quarter for the three trusts has been:
| Percentage of patients who spent less than four hours in A and E (all types) | ||
| 2008-09 | Quarter 1 2009-10 | |
For cancer waiting times, the operational standard for the two week waits standard has been set at 93 per cent., allowing patients to exercise patient choice.
The information is shown in a table which has been placed in the Library.
Housebound Patients
Anne Milton: To ask the Secretary of State for Health what estimate he has made of the number of NHS patients in England who are housebound. [297501]
Ann Keen: This information is not collected centrally.
Maternity Services: Greater London
Mr. Dismore: To ask the Secretary of State for Health how many (a) midwives, (b) doctors below consultant grade and (c) consultants were employed in maternity services at (i) Barnet Hospital, (ii) Chase Farm Hospital, (iii) the Royal Free Hospital and (iv) Northwick Park Hospital in each of the last three years; and if he will make a statement. [296586]
Ann Keen: Workforce planning is a matter for local determination as local workforce planners are best placed to assess the health care needs of their local population. The Department continues to ensure the frameworks are in place to enable effective local workforce planning.
The information requested is not available in the format requested. Such information as is available is in the following table:
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