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Number of admissions via A and E of patients with an alcohol-related condition by strategic health authority (SHA) of residence
SHA name 2006-07 2007-08 2008-09

North East SHA




North West SHA




Yorkshire and The Humber SHA




East Midlands SHA




West Midlands SHA




East of England SHA




London SHA




South East Coast SHA




South Central SHA




South West SHA




Unknown/no fixed abode








Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
Alcohol-related conditions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory. Figures for under 16s only include admissions where one or more of the following alcohol-specific conditions were listed:
Alcoholic cardiomyopathy (I42.6)
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)
Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis
These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
Ungrossed data
Figures have not been adjusted for shortfalls in data (ie the data are ungrossed).
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. 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.
Admissions via A and E
Includes emergency admissions via the casualty department of the provider and the A and E department of another healthcare provider (Method of admission codes 21 and 28).
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.
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.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (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.
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.
Assignment of episodes to years
Years are assigned by the end of the first period of care in a patient's hospital stay.
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Bone Marrow Disorders: Donors

Chris Ruane: To ask the Secretary of State for Health pursuant to the answer of 9 December 2009, Official Report, column 469W, on bone marrow disorders: donors, if he will consider the merits of collecting statistics on UK and non-UK bone marrow donors in order to inform the development of a UK bone marrow donor recruitment strategy. [309661]

Gillian Merron: The United Kingdom is part of the Bone Marrow Donors Worldwide network. This provides reciprocal access to over 13 million bone marrow donors and umbilical cord blood units on registries across the world.

The Department does not hold centrally statistics on the import or export of bone marrow. The most important challenge when searching for a stem cell unit for transplant is not where it comes from but whether it is a suitable match for the patient. Everyone's genetic history is complex. This means that finding a suitable match for a patient can prove very difficult, even when the international registries are used. This task is even more difficult if the condition is rare or there are other factors attributed to a patient's condition. Therefore, the value of collecting statistics on UK and non-UK bone marrow donors to inform the development of a UK bone marrow donor recruitment strategy has not been demonstrated.

Bone Marrow Disorders: Transplant Surgery

Chris Ruane: To ask the Secretary of State for Health how many (a) adults and (b) child patients awaiting a bone marrow transplant have died as a result of the condition necessitating the transplant in each of the last five years. [309679]

Gillian Merron: The Department does not hold this information.

Cardiovascular System: Diseases

Dr. Iddon: To ask the Secretary of State for Health what work his Department has carried out to develop national guidelines for primary care trusts on commissioning enhanced services for people with peripheral arterial disease. [309973]

Ann Keen: A primary care service framework was developed and published by NHS Primary Care Commissioning, in consultation with a number of stakeholders including the peripheral arterial disease (PAD) support group, Target PAD and the Department. These frameworks are specifically developed to provide support and guidance to national health service organisations (who choose to use them) to effectively commission and provide specific services.

Dr. Iddon: To ask the Secretary of State for Health (1) how many vascular networks there are in England; and what his Department's definition is of the (a) remit and (b) purpose of such networks; [309974]

(2) how many cardiovascular networks are undertaking activity related to (a) peripheral arterial disease and (b) co-ordinating network activity for peripheral arterial disease. [309975]

Ann Keen: There are 28 cardiac and stroke networks in England. The networks were set up to support implementation of the Coronary Heart Disease (CHD) National Service Framework (2000) and the national Stroke Strategy (2007). The remit of these networks is to foster joint working, support commissioning and undertake service improvement exercises, resulting in better services and improved outcomes for cardiac and stroke patients. Their purpose is to ensure that individuals experience co-ordinated care from their first contact with services through to rehabilitation and support after discharge from hospital. They are also a key
12 Jan 2010 : Column 909W
vehicle for involving patients and carers as active partners in co-ordinating and supporting service development. The networks receive support from the NHS Heart Improvement Programme and the NHS Stroke Improvement Programme which are part of the wider NHS Improvement Programme. Further information about the networks is given in the CHD National Service Framework and the national Stroke Strategy, copies of which have already been placed in the Library.

The Department does not monitor the activity of the cardiac and stroke networks.

Care Homes: Disabled

Mr. Ellwood: To ask the Secretary of State for Health what plans there are for the future of Douglass House in Bournemouth; and if he will make a statement. [309612]

Phil Hope: I refer the hon. Member to the written answer I gave him on 27 October 2009, Official Report, column 262W.

Departmental Surveys

Grant Shapps: To ask the Secretary of State for Health if he will place in the Library a copy of the results of his Department's most recent staff survey; which organisation carried out the survey; and what the cost of the survey was. [309834]

Phil Hope: The Department of Health intends to publish its October 2009 staff survey results on the Department's website during March 2010. Following publication, we will place a copy of the results in the Library.

The supplier for the Department's staff survey in October 2009 was ORC International who were procured by the Cabinet Office to deliver the first cross-Civil Service People Survey. The People Survey replaced all existing staff surveys in the civil service with a single questionnaire.

The cost of the 2009-10 People Survey for the Department is £33,257. By procuring a single supplier for staff surveys in 2009-10, the civil service has saved 35 per cent. on the total cost of staff surveys in 2008-09.

Departmental Training

Mr. Baron: To ask the Secretary of State for Health pursuant to the answer of 15 December 2009, Official Report, column 1047W, on departmental training, how many civil servants attended the overseas training course; where it was held; when it was held; and what its title was. [308987]

Phil Hope: One official from the Department attended the 'Leadership across borders: A four country programme' course which took place during 2009. This is an international leadership initiative that aims to develop leadership skills in tackling complex, global issues. The course is designed for senior public leaders and was created by the UK National School of Government, the Australian Public Service Commission (also representing New Zealand) and the Canada School of
12 Jan 2010 : Column 910W
Public Service. It consists of week-long modules in the UK, Australia and Canada. It also has a view to creating a network of high potential senior leaders covering the two hemispheres.

Details of the programme are publicly available at:

Departmental Training

Grant Shapps: To ask the Secretary of State for Health how many sessions of media training were organised for Ministers in his Department in each of the last three years. [309912]

Phil Hope: Training is provided to Ministers on a range of issues including handling the media, as part of their induction and continuing development in order to carry out their duties effectively under the Ministerial Code.

Drugs: Prisons

Philip Davies: To ask the Secretary of State for Health how many prisoners have participated in intensive drug treatment programmes in the last five years; and what assessment he has made of their effectiveness of such programmes. [308216]

Maria Eagle: I have been asked to reply.

The following table provides figures for prisoners recorded as entering accredited drug treatment programmes in 2008-09, the latest period for which figures are available. These figures have been drawn from administrative data systems. Although care is taken when processing and analysing the returns, the detail collected is subject to the inaccuracies inherent in any large scale recording system.

All accredited drug treatment programmes available in prisons are based on good practice found in the community. Evaluations to date specifically of prison drug treatment programmes run in England and Wales are limited and have not always met the highest standards of methodological robustness. However, they suggest that accredited programmes can reduce re-offending (Ramsay, M. (ed) (2003) Prisoners' Drug Use and Treatment: Seven Research Studies. Home Office Research Study 267. London: Home Office). International evidence supports these findings.

The Prison Drug Treatment Strategy Review Group has been established to oversee a complex piece of work to take forward the recommendations of PricewaterhouseCoopers' 2007 report on prison drug treatment. An assessment of the available evidence base for drug treatment in prisons will form a part of this review. A report with recommendations will be produced by the end of March 2011.

12 Jan 2010 : Column 911W
Intervention type (2008-09) Intervention starts (rounded to nearest 10)

12-Step Programme


Therapeutic Communities


Cognitive Behaviour Therapy (CBT) programmes(1)


of which:

Short Duration Programme




(1) Prisons have in place a range of CBT accredited drug programmes, including: PASRO (Prisoner Addressing Substance Related Offending), STOP (Substance Treatment and Offending Programme), FOCUS (high security prisons only) and the Short Duration Programme

Employment Tribunals Service

Grant Shapps: To ask the Secretary of State for Health how many industrial tribunals relating to his Department have been held in each of the last five years; and what the total cost to his Department was of such tribunals in each such year. [309941]

Phil Hope: There have been a very small number of employment tribunals relating to the Department in the last five years. As this is less than five in total, this information is not given on the grounds of confidentiality.

The total costs of those cases settled in favour of claimants was £3,000.

General Practitioners

Dr. Stoate: To ask the Secretary of State for Health (1) if he will require primary care trusts to publish a complete list of GPs with special interests; [310322]

(2) if he will take steps to increase the number of GPs with special interests in (a) obesity, (b) weight management, (c) nutrition, (d) dermatology, (e) sexual health, (f) respiratory health, (g) diabetes and (h) cardiovascular disease. [310326]

Mr. Mike O'Brien: It is for primary care trusts to determine the best ways of meeting the health and health care needs of their local populations, including the potential contribution of general practitioners (GPs) with special interests towards the Government's overall objective of moving care closer to patients where it is appropriate and safe to do so. It is also for primary care trusts to decide in detail what information to publish about the services available locally.

Dr. Stoate: To ask the Secretary of State for Health (1) if he will publish a list of GPs with special interests in (a) obesity, (b) weight management and (c) nutrition; [310323]

(2) how many GPs have special interests in each specialty. [310325]

Mr. Mike O'Brien: Information on the number of general practitioners with special interests in individual specialties is not collected centrally and could not be obtained other than at disproportionate expense.

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