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26 Nov 2009 : Column 343W—continued


Bone Marrow Disorders: Donors

Chris Ruane: To ask the Secretary of State for Health (1) what proportion of patients who have received treatment for bone marrow cancer received bone marrow from (a) UK and (b) non-UK donors in the latest period for which figures are available; [300669]

(2) what proportion of UK cancer patients received bone marrow from US donors in the latest period for which figures are available. [300670]

Ann Keen: The Department does not hold this information centrally.

Breast Cancer

Mr. Baron: To ask the Secretary of State for Health how many (a) admissions and (b) emergency admissions for breast cancer there have been in (i) England, (ii) each primary care trust area of responsibility and (iii) each cancer network area of responsibility, as recorded in the Hospital Episodes Statistics database in each of the last five years. [300549]

Ann Keen: Tables showing count of finished admission episodes and emergency finished admission episodes where the primary diagnosis was breast cancer have been placed in the Library. The information has been provided for England and for primary care trusts. Information is not centrally held for cancer networks.


26 Nov 2009 : Column 344W

Mr. Baron: To ask the Secretary of State for Health how many (a) elective and (b) emergency bed days were accounted for by breast cancer patients in each year since 1997-98 (A) in total and (B) broken down by (i) primary care trust area of responsibility and (ii) cancer network area of responsibility, as recorded in the Hospital Episodes Statistics database; and at what overall cost to the public purse. [300551]

Ann Keen: Tables showing the count of finished consultant episode (FCE) bed days where the primary diagnosis was breast cancer, separated into emergency and elective admissions and split by primary care trust responsibility, for the years 1997-08 to 2008-09 have been placed in the Library.

FCE bed day data are not available at cancer network level. Information on the cost of bed days is not available centrally.

Mr. Baron: To ask the Secretary of State for Health what the ratio of mastectomies to breast conserving surgical procedures was in (a) England, (b) each cancer network and (c) each primary care trust area in each of the last five years for which figures are available. [300554]

Ann Keen: Tables showing ratio of mastectomies to breast conserving surgical procedures where breast cancer was recorded have been placed in the Library.

The information has been provided for England and for primary care trusts. Information is not centrally held for cancer networks.

Mr. Baron: To ask the Secretary of State for Health what proportion of women undergoing surgery for breast cancer received immediate breast reconstruction surgery in (a) England, (b) each cancer network and (c) each primary care trust area in the latest period for which figures are available. [300555]

Ann Keen: The information requested is not available in the format requested.

The National Mastectomy and Breast Reconstruction Audit (NMBRA) only collects data on patients having mastectomy for breast cancer, not all surgery for breast cancer. The data are available at a national and cancer network level, but not at primary care trust level.

The data has been taken from the NMBRA 2 Annual Report, published in October 2009. This publication is available online at:

The audit collected data on patients who have had a mastectomy, with or without immediate reconstruction, or delayed reconstruction for breast cancer mastectomy patients between 1 January 2008 and 31 March 2009.

When the aAudit closed for submissions 15,479 female mastectomy patients had been entered into the data collection system. Of these 3,216 women underwent immediate breast reconstruction.


26 Nov 2009 : Column 345W
Percentage of women by cancer network who accepted an offer of an immediate reconstruction
Cancer network Compliance (percentage)

3 counties

26.5

Anglia

21.4

Arden

12.8

Avon, Somerset and Wiltshire

21.1

Central South Coast

23.3

Derby/Burton

16.3

Dorset

13.7

Essex

42.8

Greater Manchester and Cheshire

16.1

Greater Midlands

18.0

Humber and Yorkshire Coast

26.2

Kent and Medway

17.1

Lancashire and South Cumbria

19.3

Leicestershire, Northamptonshire and Rutland

9.1

Merseyside and Cheshire

22.3

Mid Trent

18.6

Mount Vernon

20.0

North East London

23.6

North London

25.9

North of England

9.9

North Trent

10.5

Pan Birmingham

11.1

Peninsula

13.7

South East London

34.5

South West London

31.7

Surrey, West Sussex and Hampshire

36.1

Sussex

25.2

Thames Valley

17.7

West London

24.4

Yorkshire

16.8

Notes:
1. All eligible national health service trusts in England have participated in the Audit but case ascertainment is not 100 per cent. for all trusts. Therefore the audit's data does not cover all eligible patients.
2. The second Annual Report reported on the 30 cancer networks that existed when the audit began in January 2008. Subsequently, Mid Trent; Derby/Burton; and Leicestershire, Northamptonshire and Rutland combined to become East Midlands Cancer Network, and there are currently 28 cancer networks.

Cancer

Mr. Baron: To ask the Secretary of State for Health what the percentage compliance was of each cancer network with (a) 3A and (b) 1E-1 measures, as set out in section 8.5 of his Department's Cancer Commissioning Guidance published in December 2008. [300557]

Ann Keen: The Manual for Cancer Services (2004) contains a number of quality measures for commissioners and providers of national health service services. Compliance against the measures was last reviewed under the National Cancer Peer Review Programme 2004-07.

The following table shows the percentage of cancer networks that were compliant with quality measure 3A, which covers cross-cutting services provided by specialist palliative care multi-disciplinary teams.


26 Nov 2009 : Column 346W
Percentage of cancer networks compliant with measure 3A (The Specialist Palliative Care Team) of the Manual for Cancer Services (2004)
Cancer network Compliance (percentage)

3 Counties

65

Anglia Cancer Network

51

Arden

61

Avon, Somerset and Wiltshire

64

Central South Coast

56

Derby/Burton

90

Dorset

81

Essex Cancer Network

67

Greater Manchester and Cheshire

68

Greater Midlands

60

Humber and Yorkshire Coast

58

Kent and Medway

65

Lancashire and South Cumbria

33

Leicester, Northamptonshire, Rutland

70

Merseyside and Cheshire

61

Mid Trent

82

Mount Vernon

41

North East London

69

North London

41

North of England Cancer Network

70

North Trent

72

Pan-Birmingham

57

Peninsula

68

South East London

68

South West London

81

Surrey, West Sussex and Hampshire

59

Sussex

14

Thames Valley

57

West London

67

Yorkshire

77

Source:
National Cancer Peer Review Programme 2004-07

The following table shows the percentage of cancer networks that were compliant with quality measure 1E-1, which covers cross-cutting services for palliative care across network palliative care groups.


26 Nov 2009 : Column 347W
Percentage of cancer networks compliant with measure 1E-1 (Functions of the Network Palliative Care Group) of the Manual for Cancer Services (2004)
Cancer network Compliance (percentage)

3 Counties

74

Arden

70

Avon, Somerset and Wiltshire

74

Black Country

70

Cancer Care Alliance

65

Central South Coast

83

Derby/Burton

100

Dorset

78

Greater Manchester and Cheshire

74

Greater Midlands

48

Humber and Yorkshire Coast

52

Kent and Medway

87

Lancashire and South Cumbria

17

Leicester, Northamptonshire, Rutland

74

Merseyside and Cheshire

78

Mid Trent

96

Mount Vernon

22

North East London

57

North London

43

North of England Cancer Network

91

North Trent

65

North West Midlands

22

Pan-Birmingham

43

Peninsula

61

South East London

70

South Essex

61

South West London

87

Surrey, West Sussex and Hampshire

65

Sussex

35

Thames Valley

96

West Anglia

61

West London

52

Yorkshire

83

Source:
National Cancer Peer Review Programme 2004-07

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