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9 Nov 2009 : Column 128W—continued


From 2006, the numbers in adult placements/Shared Lives were collected separately. Table 2 shows the numbers of adults-aged 18 and over-in local authority funded residential and nursing care and numbers in adult placements/Shared Lives, as at 31 March for the years 2006 to 2008 in England. Information for 2009 is expected to be published in early 2010.

Table 2: Total( 1) number of clients aged 18 and over in receipt of local authority funded residential or nursing care as at 31 March, England
Rounded number
Total of all supported residents( 1) Total of all supported residents in registered( 2) accommodation Adult Placements/Shared lives

2006(3, 4)

259,200

256,900

2,200

2007(3, 4)

250,200

247,300

2,900

2008(3, 4)

239,100

236,100

2,900

Notes:
(1) Includes people in voluntary and private registered residential, general and mental health nursing homes, adults in un-staffed homes and adult placements/Shared Lives.
(2) Registered accommodation excludes adult placements/Shared Lives. These data were collected separately from 2006 onwards.
(3) Includes clients formerly in receipt of preserved rights.
(4) Includes Boyd loophole residents.
Source:
SRI Return, table S1.

Nutrition

Mr. Stephen O'Brien: To ask the Secretary of State for Health (1) pursuant to the answer of 27 October 2009, Official Report, column 260W, on care homes: food, in what ways Ministers are considering the Nutrition Action Plan Delivery Board's report; whether his Department is to exercise any editorial control over the content of the report as it is to be published; and if he will make a statement; [297973]

(2) pursuant to the answer of 27 October 2009, Official Report, column 268W, on nutrition, in what ways Ministers are considering the Nutrition Action Plan Delivery Board's report; and if he will make a statement. [298290]

Phil Hope: The Nutrition Action Plan Delivery Board's report contains 21 recommendations, covering various aspects of nutrition, some aimed at Government and some at organisations outside Government. In order to prepare a response to these recommendations, it has been necessary to consult with the relevant policy interests, within Government and outside organisations.

The report was written by the chair of the Nutrition Action Plan Delivery Board, in collaboration with the board membership. It is an independent report and was produced on the understanding that the Government would not have any editorial control over the content.

When a response to the report's recommendations is finalised, a copy of the report, as drafted by the chair of the board, together with the Government's response, will be placed in the Library.

Organ Donors

Mr. Stephen O'Brien: To ask the Secretary of State for Health if he will place in the Library a copy of his response to the review of allocation of organs to non-UK EU residents conducted by Elizabeth Buggins. [298289]

Ann Keen: The Department issued a press release on 31 July 2009 setting out the immediate steps it would take to implement the recommendations in Elizabeth Buggins' report. A copy of the press release has been placed in the Library.

Social Services

Mr. Stephen O'Brien: To ask the Secretary of State for Health when he plans to publish the social care workforce action plan announced in the Social Care Green Paper. [298284]


9 Nov 2009 : Column 129W

Phil Hope: "Working to Put People First: The Adult Social Care Workforce Strategy in England", was launched in April 2009. The strategy has been jointly produced between the Department and its key sector partners through the Adult Social Care Workforce Strategy Board.

The Strategy sets out the intention to 'commission a renewed sector workforce action plan from our delivery partners to take account of Department of Health workforce policy priorities'.

The Department is currently working closely with our key partners in the social care sector to develop an action plan for the adult social care workforce of the future.

The Department will aim to publish this plan later this year.

Mr. Stephen O'Brien: To ask the Secretary of State for Health whether the (a) assessment and (b) funding proposals in the Social Care Green Paper are based solely on the level of need. [298374]

Phil Hope: In developing the Green Paper, the Department asked the Personal Social Services Research Unit (PSSRU) to forecast the likely levels of need for care and support until 2026. The methodology used to do this was published by PSSRU in July 2009 at:

The funding options look at different ways to bring money into the system to meet the forecasted levels of need. The different funding options consider both needs and means. The options under consideration are:


9 Nov 2009 : Column 130W

Swine Flu

Mr. Greg Knight: To ask the Secretary of State for Health what advice he has given to NHS trusts on maintaining sufficient capacity to deal with swine influenza cases; whether any such advice is mandatory or advisory; and if he will make a statement. [298248]

Gillian Merron: We continue to base our planning work with the national health service for the H1N1 pandemic on independent expert advice. The latest assumptions that we published on 22 October assume that, over this pandemic wave, up to a further 35,000 people who become ill with H1N1 may require hospitalisation. This would be above normal winter levels of flu activity and all NHS organisations have been planning to handle this if necessary, for both adult and paediatric services.

On 22 October, the National Director of NHS Flu Resilience wrote to NHS trusts to inform them of the revised assumptions and reiterate the need to maintain services for all patients over the winter period. A copy of the letter has been placed in the Library.

In April this year the Department 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 entitled, "Critical care strategy: managing the H1N1 flu pandemic (September 2009)", was published that in part sets 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 already been placed in the Library.

The local NHS will take steps locally to manage demand from swine influenza following guidance and advice, as they do with all other pressures at other times.

West Hertfordshire Hospitals NHS Trust

Anne Main: To ask the Secretary of State for Health how many finished consultant episodes there were (a) in total and (b) in each speciality at West Hertfordshire Hospitals NHS Trust in each of the last five years. [297527]

Mr. Mike O'Brien: The information requested is provided in the following table.


9 Nov 2009 : Column 131W

9 Nov 2009 : Column 132W
Number of finished consultant episodes in West Hertfordshire Hospitals NHS Trust by main specialty, 2004-05 to 2008-09
Numbers
Main specialty description 2004-05 2005-06 2006-07 2007-08 2008-09

Total

91,662

89,579

86,439

84,831

87,469

Accident and Emergency (A&E)

3,334

4,800

4,674

4,375

2,847

Allied Health Professional Episode

0

0

0

*

0

Anaesthetics

442

506

511

509

676

Cardiology

3,308

3,691

3,889

4,672

4,374

Clinical Haematology

2,583

1,928

2,228

2,384

2,244

Clinical Oncology (previously Radiotherapy)

4,768

820

530

504

422

Critical Care Medicine

0

0

0

0

34

Dermatology

551

252

27

26

11

Ear, Nose and Throat (ENT)

1,090

1,236

1,264

1,247

1,366

Endocrinology

200j

129

95

309

391

Gastroenterology

5,767

5,872

6,946

6,518

8,564

General Medicine

8,914

9,313

9,207

4,740

4,366

General Surgery

9,900

9,697

9,829

9,454

9,357

Genitourinary Medicine

*

0

0

0

0

Geriatric Medicine

7,501

7,313

6,197

8,810

8,080

Gynaecology

4,487

4,379

4,547

4,110

3,789

Immunopathology

112

138

127

126

133

Learning Disability (previously Mental Health)

*

0

0

0

0

Medical Oncology

748

292

69

108

87

Midwife episode

0

0

148

95

1,426

Nephrology

46

20

*

*

9

Neurology

17

17

31

35

9

Not known

*

0

*

0

0

Obstetrics

8,794

8,619

8,613

9,959

9,682

Ophthalmology

1,841

2,074

2,037

2,353

2,563

Oral Surgery

706

613

602

675

2,110

Paediatrics

4,998

5,430

7,112

8,378

9,008

Palliative Medicine

331

0

0

*

0

Plastic Surgery

7,712

8,018

3,899

0

0

Respiratory Medicine (Thoracic Medicine)

1,225

1,714

1,727

2,786

2,773

Rheumatology

502

816

852

590

642

Trauma and Orthopaedics

7,246

7,390

7,156

7,888

8,266

Urology

4,532

4,502

4,109

4,167

4,240

Notes:
1. A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which they end. It should be noted 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.
2. 'Consultant main speciality' is defined as the specialty under which the consultant responsible for the care of the patient at that time is registered. Care is needed when analysing hospital episode statistics (HES) data by specialty, or by groups of specialties (such as "acute"). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other patient or service information.
3. A provider code is a unique code that identifies an organisation acting as a health care provider (e.g. NHS trust or primary care trust). Hospital providers can also include Treatment Centres (TC). TCs (also known as Diagnostic Centres) provide elective (planned) surgery for a range of conditions, mainly for day surgery or short-term hospital stay patients. Some Treatment Centres are attached to hospital trusts and HES enables data for these to be separately identified from the rest of the health care provider's data. It does this by adding TC to the trust code; if there is more than one per trust T1, T2, T3 etc. are suggested unless already in use by the trust. Activity performed in the remainder of the trust is identified by the health care provider code being followed by an 'X'. Hospital providers beginning with an 'N' indicates an independent sector health care provider.
4. To protect patient confidentiality, figures between one 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.
5. 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 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 outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
6. HES are compiled from data sent by over 300 NHS trusts and 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.
7. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.
Source:
HES, The NHS Information Centre for health and social care.

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