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10 Nov 2009 : Column 254W—continued
Hospitals
Steve Webb: To ask the Secretary of State for Health how many finished consultant episodes each NHS Trust in England undertook under hospital resource group (a) N12 antenatal admissions not related to delivery event, (b) N03 neonates with one minor diagnosis, (c) F06 diagnostic procedures oesophagus and stomach, (d) F35 larger intestine endoscopic or intermediate procedures, (e) N07 normal delivery without complications, (f) C58 intermediate mouth or throat procedures, (g) B13 phakoemulsification cataract extraction and insertion of lens, (h) L21 bladder minor endoscopic procedure without complications and (i) J37 minor skin procedures-category 1 without complications in 2008-09. [298976]
Ann Keen: The information has been placed in the Library.
Hospitals: Crimes of Violence
Mr. Tom Clarke: To ask the Secretary of State for Health what recent steps his Department has taken to increase the protection of hospital staff from attack. [298808]
Ann Keen: Each national health service body has a duty to address the risks to staff and ensure their safety. The NHS Security Management Service (NHS SMS) can assist employers through guidance on assessing risks and acting to protect staff from attacks and, where incidents do occur, on taking action against offenders.
A new offence of causing nuisance or disturbance on hospital premises and a power to remove someone suspected of committing this offence were supported by the Department in the Criminal Justice and Immigration Act 2008. The purpose of these measures is to remove those whose actions may escalate into violence and whose behaviour diverts staff from delivering care. Consultation on guidance on the use of the powers took place between May and August and commencement of these provisions is due later this year. The NHS SMS will provide free training for NHS staff who will use the power of removal.
Mentally Ill: Children
James Brokenshire: To ask the Secretary of State for Health what the cost of anti-psychotic drug prescriptions for children under 16 years old was in each of the last three years. [298490]
Ann Keen: This information is not available. Data collected on prescriptions for children is insufficient to produce meaningful estimates for particular types of prescribing such as anti-psychotic drugs.
Mesothelioma
Mr. Hepburn: To ask the Secretary of State for Health how many people have required treatment for mesothelioma in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) England in each year since 1997. [298091]
Ann Keen: The information on number of people who required treatment for mesothelioma is not held centrally. Requested information on count of finished consultant episodes, where the primary diagnosis was mesothelioma is provided in the following table for England, South Tyneside Primary Care Trust (PCT) and the relevant strategic health authorities (SHAs). It should be noted that Northumberland, Tyne and Wear SHA and County Durham and Tees Valley SHA combined to form the North East SHA in 2006-07. This information is not centrally held for the United Kingdom.
| Count of finished consultant episodes where the primary diagnosis was Mesothelioma( 1) for selected organisations national health service hospitals , England and activity performed in the Independent sector in England commissioned by English NHS 1997-98 to 2008-09 | |||
| England | North East Strategic Health Authority | South Tyneside PCT as PCT of residence | |
| England | Northumberland, Tyne and Wear SHA as SHA of residence | County Durham and Tees Valley SHA as SHA of residence | South Tyneside PCT as PCT of residence | |
| Notes: 1. Finished Consultant Episode (FCE)-An FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. It should be noted that the figures do not represent the number of patients, as a person may have more than one episode of care within the year. 2. Diagnosis (Primary Diagnosis)-The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) dataset and provides the main reason why the patient was in hospital. (1)The ICD-10 codes used in this analysis were as follows: C45 Mesothelioma; D19 Benign neoplasm of mesothelial tissue 3. Assessing growth through time-HES figures are available from 1989-90 onwards. During the years that these records have been collected the NHS there have been ongoing improvements in quality and coverage. 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. 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 in the HES data. This may account for any reductions in activity over time. 4. PCT and SHA Data Quality-PCT and SHA data were 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. 5. Northumberland, Tyne and Wear SHA and County Durham and Tees Valley SHA combined to form the North East SHA in 2006-07. Source: Hospital Episode Statistics (HES), The Information Centre for health and social care | ||||
Methadone
James Brokenshire:
To ask the Secretary of State for Health how many people have been admitted to hospital with a primary or secondary diagnosis of
methadone overdose in each of the last five years; and how many of those died following admission. [298488]
Gillian Merron: The information requested can be found in the following table.
| These data include admissions in English national health service hospitals and English NHS commissioned activity in the independent sector | |||
| Year( 6) | Finished admission episodes( 1) | Discharge episodes( 2) | Died in hospital( 3) |
| (1) 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. (2) Discharges: A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital (this includes transfer to another hospital). Discharge episodes have been included as it is here that 'died in hospital' events are recorded. For a small proportion of hospital stays the diagnosis on admission may not be present on the discharge episode hence the difference in counts between admission and discharge episodes. (3) Deaths: Hospital Episode Statistics (HES) data cannot be used to determine the cause of death of a patient while in hospital. Deaths recorded on the HES database may be analysed by the main diagnosis for which the patient was being treated during their stay in hospital, which may not necessarily be the underlying cause of death. For example, a patient admitted for a hernia operation (with a primary diagnosis of hernia) may die from an unrelated heart attack. The Office for National Statistics (ONS) collects information on the cause of death, wherever it occurs, based on the death certificate and should be the source of data for analyses on cause of death. (4) Primary Diagnosis: The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital. (5) Secondary Diagnosis: As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2006-07 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care. (6) 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. Data quality: HES are compiled from data sent by more than 300 NHS trusts and primary care trusts 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. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care | |||
NHS: Disciplinary Proceedings
Mr. Wallace: To ask the Secretary of State for Health what information his Department holds on (a) the number of clinicians suspended from their posts and (b) the cost to trusts of such suspensions. [297860]
Ann Keen: There were 154 active suspensions and exclusions at the end of 2008-09. The end-of-year numbers fluctuate without a clear upward or downward trend. It is not possible to estimate the current cost of such suspensions. In 2003, the National Audit Office (NAO) estimated that hospital and community doctor exclusions cost an average of £188,000, over an average period of 47 weeks. The NAO's hospital and community weekly cost estimate was therefore £4,000 at 2001-02 prices. This was a one-off survey involving analysis of 206 doctor exclusions in the hospital and community sector.
NHS: Repairs and Maintenance
Mr. Stephen O'Brien: To ask the Secretary of State for Health what the (a) actual and (b) risk-adjusted backlog maintenance was for each NHS trust in (i) 2007-08 and (ii) 2008-09. [299212]
Ann Keen: The information requested has been placed in the Library.
National health service organisations are responsible for the provision and maintenance of facilities to support the delivery of high quality clinical services. Therefore, the NHS will locally prioritise investment to reduce backlog maintenance based on risk assessment, reconfiguration planning and available resources. The majority of backlog maintenance relates to low priority work, which trusts will undertake through maintenance programmes. Where higher risks are present, work will be undertaken as a priority. While levels of backlog maintenance vary across the NHS, it is estimated that
around 75 per cent. of the total costs to eradicate backlog maintenance is concentrated in 20 per cent. of organisations.
The Department collects data on backlog maintenance and risk adjusted backlog maintenance annually from NHS trusts through its Estates Returns Information Collection. The data provided are not amended centrally and the responsibility for its accuracy lies with the contributing NHS organisations.
NHS: Working Hours
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many NHS trusts have (a) applied for and (b) been granted derogations from the provisions of the European Working Time Directive. [298297]
Ann Keen: The National Scrutiny Panel for England considered applications from 77 trusts and recommended 273 service rotas for derogation.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much his Department has spent in each category on ensuring that NHS trusts comply with the provisions of the European Working Time Directive. [298299]
Ann Keen: A total of £310 million has been made available to support compliance with the European working time directive.
Mr. Stephen O'Brien: To ask the Secretary of State for Health how much his Department has given to each NHS trust for the purposes of assisting with compliance with the provisions of the European Working Time Directive. [298300]
Ann Keen: These data are not collected centrally.
A total of £310 million was made available to support the implementation of the working time directive for junior doctors.
In 2009-10, £200 million was made available in primary care trust (PCT) revenue allocations to support working time directive implementation, in addition to the £110 million that was made available in 2008-09.
£150 million of the £200 million was made explicit in the 2009-10 tariff uplift.
Strategic health authorities (SHAs) have been able to target a further £50 million to support change and expansion in paediatrics, obstetrics and anaesthetics.
SHAs have made the criteria clear to PCTs and trust boards of the availability of funding.
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