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3 Dec 2009 : Column 933W—continued

Ann Keen: Information on screening data from genitourinary medicine (GUM) clinics for 2009 is not
3 Dec 2009 : Column 934W
yet available. The most up to date Chlamydia screening information is provided in the following table.

Number of Chlamydia tests performed in the last 12 months by the National Chlamydia Screening Programme (NCSP), and within laboratories outside of genitourinary medicine clinics (GUM), among those aged 15-24 years in the West Midlands (1 October 2008 to 30 September 2009).

Number of female tests Number of male tests Total tests including unknown sex Female coverage( 1) (percentage) Male coverage( 1) (percentage) Total coverage( 1) (percentage)

NCSP tests

60,648

37,081

97,885

17.0

9.9

13.4

Non NCSP laboratory tests outside of GUM

24,185

1,935

26,266

6.8

0.5

3.6

Total tests outside of GUM

84,833

39,016

124,151

23.8

10.4

16.9

(1) 15-24 year old population estimates are based on the mid 2006-ONS population projections for 2009 using the mid 2006 ONS male and female proportions.
Notes:
1. The information from GUM clinics for 2009 is not yet available.
2. NSCP data are presented by primary care trust of residence and are based on vital signs indicator criteria.
3. Tests outside GUM represent the number of tests and not number of people tested. It should be noted that number of tests will be used as a proxy for the number of people tested.
4. Total tests include tests for which sex was recorded as unknown or unspecified.
5. Data presented are based on tests with confirmed positive and negative results only. Tests with equivocal, inhibitory and insufficient results have been excluded as most people with these results are retested.
Source:
NCSP core data and non NCSP non GUM aggregate dataset. Data for the period October 2008 to March 2009 are as of 22 May 2009 and data for the period April 2009 to September 2009 are as of 9 November 2009.

Departmental Buildings

Mr. Willis: To ask the Secretary of State for Health how many residential properties his Department owns; and how many (a) are occupied and (b) have been empty for more than six months. [303998]

Phil Hope: The Department owns 10 individual residential properties (nine being in one block). Two are occupied and the remainder have been vacant for more than six months. The residential block of nine properties is currently in the process of being sold.

Departmental Contracts

Mr. Touhig: To ask the Secretary of State for Health what criteria his Department uses in determining the award of contracts; and how much his Department has spent on the advertisement of tenders for Government contracts since 1997. [303132]

Phil Hope: The Department's 'Guide to Buying Services and Goods' states the need to develop value for money principles thus:

This principle is included within the 'Public Contracts Regulations 2006', which outlines the need to either set the award criteria at the lowest price, or at the most economically advantageous tender (MEAT). The award criteria using MEAT is linked to the subject matter and may include quality, price, technical merits, aesthetic and functional characteristics.

The Department's procurement policy is to apply this approach to all procurements above £10,000. Procurements at £90,319 or above are subject to the 'Public Contract Regulations 2006' where further information relating to weightings for criteria are applied.

Using the free electronic portal 'Information System for European Public Procurement', the cost of advertising tenders is kept to a minimum.

There may however be occasions when, due to the specific nature of a procurement, the Department uses paid-for advertising. This information could be obtained only at disproportionate cost. Until July 2008, when a new business management system was introduced for the Department, such information was not held centrally.

Departmental Ministerial Duties

Mr. Stephen O'Brien: To ask the Secretary of State for Health what official (a) meetings and (b) engagements he had on 27 October 2009; at what times and venues each took place; what the purposes of each were; and if he will make a statement. [303528]

Phil Hope: My right hon. Friend the Secretary of State attended Cabinet on 27 October 2009, and had a variety of meetings and engagements throughout the day.

Derbyshire County Primary Care Trust: Manpower

Paul Holmes: To ask the Secretary of State for Health how many (a) staff, (b) doctors other than general practitioners, (c) medical and dental health services staff other than doctors and nurses, (d) general practitioners, (e) qualified nursing staff other than practice nurses and (f) practice nurses worked in Derbyshire primary care trust in (i) 2007, (ii) 2008 and (iii) 2009. [303875]


3 Dec 2009 : Column 935W

Ann Keen: Workforce data for 2009 are currently being collected and will not be available until March 2010. However, data for staff working within Derbyshire County primary care trust (PCT), for 2006, 2007 and 2008 are shown in the following table.

General practitioners (GPs), Hospital and Community Health Services (HCHS): medical and dental staff( 1) and qualified nursing staff working within Derbyshire County PCT, England at 30 September each year
Number (headcount)

2006 2007 2008

All national health service staff

6,989

6,830

7,015

O f which:

All doctors(1)

552

554

622

GPs

497

510

544

HCHS: medical and dental staff(1)

55

44

78

Total qualified nursing staff

1,595

1,631

1,671

Nursing staff

1,271

1,280

1,320

GP practice nurses

324

351

351

(1)Excludes medical hospital practitioners and medical clinical assistants, most of whom are GPs working part time in hospitals and have been excluded to avoid double counting. All medical and dental staff are doctors and have been counted as such. Source: The NHS Information Centre for health and social care.

Diabetes

Mr. Leech: To ask the Secretary of State for Health how many emergency hospital admissions of (a) males and (b) females in each age group in each primary care trust area were recorded for (i) diabetic ketoacidosis and (ii) hypoglycaemia in each of the last five years, broken down by type of diabetes. [301406]

Ann Keen: Tables which show emergency hospital admissions with a primary diagnosis of diabetic ketoacidosis or hypoglycaemic coma between 2004-05 and 2008-09 have been placed in the Library. The data are broken down by age, gender, strategic health authority (SHA) and diabetes type.

The data provided are by SHA of residence, because the figures at primary care trust (PCT) level would be too small to give a meaningful indication of the level of emergency admissions and most would be suppressed for patient confidentiality reasons.

In July 2006, the national health service reorganised SHAs and PCTs in England. As a result data from 2006-07 onwards are not directly comparable with previous years.

Health Professions: Regulation

Mark Simmonds: To ask the Secretary of State for Health what progress has been made towards implementation of his Department's White Paper on the regulation of health professionals; and if he will make a statement. [302397]


3 Dec 2009 : Column 936W

Ann Keen: We welcome the opportunity to set out the significant progress that the Government have made in implementing the White Paper Trust Assurance and Safety - The Regulation of Health Professionals in the 21st Century.

Following the publication of the White Paper in February 2007, the Government introduced the Health and Social Care Act which provides an enabling framework to implement many of the reforms proposed in the White Paper.

Seven working groups were established to develop detailed implementation proposals. All the working groups have reported and good progress is being made in implementing the recommendations made. Reports from the seven working groups are available on the Department's website at:

A detailed summary of the progress made to date has been placed in the Library.

Health Services: Children

Dr. Pugh: To ask the Secretary of State for Health how many children under the age of 16 years have been admitted to hospital owing to ingestion of (a) alcohol, (b) nicotine and tobacco, (c) prescription drugs and (d) Class (i) A, (ii) B and (iii) C drugs in each of the last five years. [303116]

Gillian Merron: Data on the number of children aged under-16 admitted to hospital due to ingestion of alcohol, nicotine and tobacco or drugs is given in the following table. It should be noted that there are 17,000 hospital admissions per year of children under-five due to their parents smoking and that the system of diagnostic codes used to classify admission to hospital does not distinguish between whether a drug is prescribed or not or classify drugs according to their class. Additionally, it is important to note that the diagnostic codes do not distinguish between recreational, illicit misuse or medical use of drugs. The diagnostic codes used are as listed.


3 Dec 2009 : Column 937W
Count of finished admission episodes( 1) where there is a primary diagnosis( 2) of 'ingestion of alcohol'( 3) , 'nicotine and tobacco ingestion'( 3) and 'ingestion of drugs'( 3) for patients aged 0 to 15 from 2004-05 to 2008-09( 4)

Alcohol Nicotine and tobacco Drugs

2008-09

3,681

44

13,303

2007-08

4,740

31

14,893

2006-07

5,086

22

15,210

2005-06

5,246

29

15,916

2004-05

4,967

23

14,609

(1) Finished admission episodes
A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. It should be noted that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Years are assigned by the end of the first period of care in a patient's hospital stay.
(2) Diagnosis
Primary diagnosis data have been used to provide figures on ingestion for nicotine and tobacco and drugs. However, primary and secondary diagnosis data have been used to provide a more accurate figure for alcohol admissions.
Finished admission episodes
A finished admission episode is the first period of in-patient care under one consultant within one health care 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 in-patients, as a person may have more than one admission within the year.
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 Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.
Secondary diagnosis
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
(3) ICD-10 Codes
The ICD-10 codes used to identify hospital admissions due to ingestion of alcohol, or nicotine and tobacco or drug are listed as follows:
Alcohol
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic liver disease (K70)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
Chronic pancreatitis (alcohol induced) (K86.0)
Degeneration of nervous system due to alcohol (G31.2)
Mental and behavioural disorders due to use of alcohol (F10)
Accidental poisoning by and exposure to alcohol (X45)
Ethanol poisoning (T51.0)
Methanol poisoning (T51.1)
Toxic effect of alcohol, unspecified (T51.9)
Nicotine and tobacco
F17-Mental and behavioural disorders due to use of tobacco
T65.2-Toxic effect of tobacco and nicotine
Drugs
F10-Mental and behavioural disorders due to use of alcohol
F11-Mental and behavioural disorders due to use of opioids
F12-Mental and behavioural disorders due to use of cannabinoids
F13-Mental and behavioural disorders due to use of sedatives or hypnotics
F14-Mental and behavioural disorders due to use of cocaine
F15-Mental and behavioural disorders due to use of other stimulants, including caffeine
F16-Mental and behavioural disorders due to use of hallucinogens
F17-Mental and behavioural disorders due to use of tobacco
F18-Mental and behavioural disorders due to use of volatile solvents
F19-Mental and behavioural disorders due to use of multiple drug use and use of other psychoactive substances
F55.X Abuse of non-dependence-producing substances
The following ICD-10 code categories are for poisoning and toxic effects which are both either self-inflicted, or accidental. They include both prescription and non prescription drugs:
T36-Poisoning by systemic antibiotics
T37-Poisoning by other systemic anti-infectives and antiparasitics
T38-Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified
T39-Poisoning by nonopioid analgesics, antipyretics and antirheumatics
T40-Poisoning by narcotics and psychodysleptics (hallucinogens)
T41-Poisoning by anaesthetics and therapeutic gases
T42-Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
T43-Poisoning by psychotropic drugs, not elsewhere classified
T44-Poisoning by drugs primarily affecting the autonomic nervous system
T45-Poisoning by primarily systemic and haematological agents, not elsewhere classified
T46-Poisoning by agents primarily affecting the cardiovascular system
T47-Poisoning by agents primarily affecting the gastrointestinal system
T48-Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system
T49-Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinolaryngological and dental drugs
T50-Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
(4) 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 out-patient 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.

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