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14 Dec 2009 : Column 748W—continued
Hospitals: Crimes of Violence
David Simpson: To ask the Secretary of State for Health how many accident and emergency staff in hospitals in each region were assaulted while on duty in each of the last three years. [305014]
Ann Keen: Information on the number of accident and emergency staff who have been victims of assault while on duty is not held centrally and could be obtained only at disproportionate cost.
Information on the number of reported physical assaults against national health service staff in 2006-07 and 2007-08 is contained in the 'Tables showing number of reported physical assaults on NHS staff from 2004-05 to 2007-08, broken down by NHS trust/PCT' which have already been placed in the Library.
Information on the number of reported physical assaults against NHS staff in 2008-09 is contained in the 'Tables showing number of reported physical assaults on NHS staff in 2008-09, broken down by NHS trust/PCT' which have already been placed in the Library.
The NHS Security Management Service (SMS) can assist employers through guidance on assessing risks and acting to protect staff from assaults and, where incidents do occur, on taking action against offenders. The NHS SMS also works with stakeholders, including the Social Partnership Forum, to promote the safety and security of NHS staff.
Hospitals: Death
Mr. Gordon Prentice: To ask the Secretary of State for Health if he will publish Hospital Standardised Mortality Ratios for each general hospital in England. [304665]
Mr. Mike O'Brien: Hospital Standardised Mortality Ratios (HSMRs) for every non-specialist acute NHS trust in England are published each month on the NHS Choices website at:
Impact Assessments
Mr. Stephen O'Brien: To ask the Secretary of State for Health how many Regulatory Impact Assessments published by his Department have considered (a) one, (b) two, (c) three and (d) four policy options since 1997. [304951]
Phil Hope: The information could be obtained only at disproportionate cost.
Knives: Injuries
Norman Baker: To ask the Secretary of State for Health how many people were admitted to (a) the Royal Sussex Hospital, Brighton, (b) the Eastbourne District General Hospital, Eastbourne and (c) the Princess Royal Hospital, Haywards Heath with knife wounds in each year since 1997. [306876]
Gillian Merron: Information is not available in the format requested. However, the following table shows the count of finishes admission episodes where the external cause was for knife wounds at Brighton and Sussex University Hospital NHS Trust and East Sussex Hospitals NHS Trust from 2002-03 (the earliest data available) to 2008-09.
| A count of finished admission episodes( 1) where the external cause code( 2) was knife wound at Brighton and Sussex University Hospitals NHS Trust and East Sussex Hospitals NHS Trust( 3) from 2002-03 to 2008-09( 4) : A ctivity in English national health service hospitals and English NHS commissioned activity in the independent sector | ||
| Brighton and Sussex University Hospitals NHS Trust | East Sussex Hospitals NHS Trust | |
| Notes: 1. Finished admission episodes A finished admission episode (FAE) is the first period of in-patient care under one consultant within one healthcare provider. FAEs 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. Cause code A supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. Only the first external cause code which is coded within the episode is counted in hospital episode statistics (HES). The codes used to define knife wound are: W26-Contact with knife, sword or dagger X99-Assault by sharp object This code identifies assault by ANY sharp object and therefore includes but is not limited to assault with a knife. 3. Hospital Provider 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 (PCT)). Hospital providers can also include Treatment Centres (TC). Normally, if data are tabulated by health care provider, the figure for an NHS trust gives the activity of all the sites as one aggregated figure. Some NHS trusts have not registered their TC as a separate site, and it is therefore not possible to identify their activity separately. The parliamentary question asks for information on the following hospitals the Royal Sussex Hospital, Brighton; the Eastbourne District General Hospital, Eastbourne; and the Princess Royal Hospital. Data for the individual hospital sites are not available. However: The Royal Sussex County Hospital, Brighton and the Princess Royal Hospital, Haywards Heath form part of the Brighton and Sussex University Hospitals NHS Trust for which we have provided data. The Eastbourne District General Hospital, Eastbourne is part of East Sussex Hospitals NHS Trust for which we have provided data. Due to organisational changes (both splits and mergers) data prior to 2002-03 are not comparable with that for later years at a trust level. For this reason we have not provided these figures as no meaningful time series is available. 4. Assessing growth through time HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in out-patient settings and so no longer include in admitted patient HES data. 5. Data quality HES are compiled from data sent by more than 300 NHS trusts and PCTs in England and from some 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. While this brings about improvement over time, some shortcomings remain. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care | ||
Lancashire Primary Care Trust
Mr. Hoyle: To ask the Secretary of State for Health what recent estimate he has made of the number of people being treated for depression in Lancashire primary care trust. [306673]
Phil Hope: The information is not available in the format requested. The following table shows the number of patients aged 18 years or over, recorded on practice disease registers with a diagnosis of depression for the Central Lancashire primary care trust (PCT).
| Quality and Outcomes Framework (QOF) | |
| Number of patients on depression register | |
| Notes: 1. The Information Centre for health and social care published the national QOF for England, which gives the number of people recorded on practice disease registers with a diagnosis of depression. The depression register only includes patients 18 years or over. 2. QOF is the national Quality and Outcomes Framework, introduced as part of the new general medical services contract on 1 April 2004. 3. Participation by practices in the QOF is voluntary, though participation rates are very high, with most personal medical services practices also taking part. 4. Patients will only contribute to the figures in QOF if they are registered with a general practice participating in QOF. 5. Most indicators in QOF have rules which allow for patients to be excluded (e.g. patient refuses treatment) and so the denominator for a given indicator may be less than the number of patients on the register for that disease. 6. The published QOF information was derived from QMAS; a national system developed by NHS Connecting for Health. 7. QMAS uses data from general practices to calculate individual practices' QOF achievement. QMAS is a national IT system developed by NHS Connecting for Health to support the QOF. 8. The QMAS system captures the number of patients on the various disease registers for each practice. The number of patients on the clinical registers can be used to calculate measures of disease prevalence, expressing the number of patients on each register as a percentage of the number of patients on practices' lists. Source: Quality Management Analysis System (QMAS database) 2008-09 data as at end of June 2009 | |
Legislation
Mr. Stephen O'Brien: To ask the Secretary of State for Health how long it took in each case between the completion of an impact assessment relating to each Bill sponsored by his Department and First Reading of that Bill since 1997. [305974]
Phil Hope: The Department does not hold these data centrally.
Maternity Services
Norman Lamb: To ask the Secretary of State for Health whether the recommendations of the NHS Neonatal Taskforce will be included as indicators in the 2009-10 NHS Operating Framework. [305911]
Mr. Mike O'Brien: The 2010-11 NHS Operating Framework is currently being developed.
Mental Capacity Act 2005
Mr. Amess:
To ask the Secretary of State for Health what (a) statutory instruments, (b) departmental
circulars and (c) other documents he (i) has issued in the last 12 months and (ii) plans to issue in the next 12 months consequent on the provisions of the Mental Capacity Act 2005; and if he will make a statement. [303896]
Phil Hope: The statutory instruments (SI), departmental circulars, other documents issued in the last 12 months consequent on the provisions of the Mental Capacity Act 2005 are shown as follows. There are no current plans to issue SIs in the next 12 months but there are plans to publish further guidance and possibly departmental circulars to support the implementation of the Act.
1. Transitional arrangements were introduced via the Mental Health Act 2007 (Commencement No. 10 and Transitional Provisions) Order 2009 (SI 2009 No. 139), which were laid on 4 February 2009, to ease the handling of the then anticipated volume of assessments requested by managing authorities (care homes and hospitals) from supervisory bodies (local authorities and primary care trusts (PCTs)) following the implementation of the Deprivation of Liberty Safeguards (DOLS) on 1 April 2009.
2. Amending regulations to the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 were made via the NHS Bodies and Local Authorities Partnership Arrangements (Amendment) Regulations 2009 (SI 2009 No. 278), which were laid on 18 February 2009. The Mental Capacity Act Deprivation of Liberty Safeguards are now included on the list of functions of NHS Bodies as a result of regulation 5 of that SI, thereby enabling PCTs to enter into formal partnership arrangements with a local authority under section 75 of the National Health Service Act 2006. Local authorities are enabled to carry out MCA DOLS functions on behalf of PCTs. Powers for LAs to enter into formal partnership arrangements with a PCT under section 75 of the National Health Service Act 2006 and for PCTs to carry out MCA DOLS functions on behalf of PCTs already existed.
3. The Mental Capacity (Deprivation of Liberty: Monitoring and Reporting; and Assessments-Amendment) Regulations 2009 (SI 2009 No. 827), which were made on 31 March 2009, provide for the powers of the Care Quality Commission for the purpose of monitoring, or reporting on, the operation of the Deprivation of Liberty Safeguards.
1. A Dear Colleague Letter was issued on 19 March 2009 to confirm the funding available to PCTs in 2009-10 to support the implementation of the Mental Capacity Act.
http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_096559
2. LAC(DH)(2009)2 was issued on 24 March 2009 to confirm the funding available to LAs in 2009-10 to support the implementation of the Mental Capacity Act.
Copies of both documents have been placed in the Library.
General guidance
A range of guidance to support the implementation of the Act is available on dedicated pages on the Department's website and further guidance, for example, in relation to significant case law developments will be placed there over the next 12 months.
www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/MentalCapacity/MentalCapacityAct2005/index.htm
http://www.dh.gov.uk/en/SocialCare/Deliverin gadultsocialcare/MentalCapacity/MentalCapacityActDeprivationofLiberty Safeguards/index.htm
Specific guidance
Guidance was issued on 1 April 2009, on the Department's website and a copy has been placed in the Library, regarding arrangements under paragraph 183(4) of schedule A1 to the Mental Capacity Act 2005 between the Secretary of State and the Welsh Ministers. They set out that, where questions about a person's ordinary residence arise in relation to which local authority should act as the supervisory body, the Secretary of State will determine cross-border ordinary residence disputes between England and Wales where the person to whom the dispute relates is accommodated in a care home in England. The Welsh Ministers will determine cross-border disputes where the person to whom the dispute relates is accommodated in a care home in Wales.
Mental Health Services
Norman Lamb: To ask the Secretary of State for Health how the Government will fulfil those commitments made in the National Service Framework for mental health that have not yet been fully implemented. [305914]
Phil Hope: The Mental Health National Service Framework reached the end of its 10-year lifespan in September 2009. It provided a blueprint for a genuine transformation in the delivery of services, and many of its objectives have been carried forward into New Horizons.
The cross-Government framework "New Horizons: A shared vision for mental health" was published on 7 December 2009 and is designed as a platform for future action across Government. It has been co-produced with a number of key external stakeholders, and sets out the expectation that services to treat and care for people with mental health problems will be accessible to everyone who needs them. A copy of the publication has already been placed in the Library.
Norman Lamb: To ask the Secretary of State for Health for what reasons the Choose and Book system does not include mental health services; and in what ways the New Horizons initiative will address this issue. [305915]
Phil Hope: Mental health services are not excluded from Choose and Book. In November 2009, there were around 380 mental health services available in the Directory of Services, 85 per cent. of which were for adults. From September to November 2009, 10,751 mental health appointments were booked using Choose and Book. However, Choose and Book may not always be the most appropriate way in which appointments for mental health services can be booked; appropriate help should be offered to vulnerable patients who may be unable or unwilling to take the necessary steps to make a booking.
"New Horizons: A shared vision for mental health", published on 7 December 2009, is a significant cross-Government programme of action with the twin aims of improving the mental health and well-being of the population and improving the quality and accessibility of services for people with poor mental health. It is based on four key guiding values one of which is "being in control of our lives" and includes a commitment to continue to explore and cost further options for extending choice to mental health service users. A copy of the publication has already been placed in the Library.
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