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8 Feb 2010 : Column 702W—continued
Information is collected centrally on people admitted to hospital as an in-patient with a cause of injury recorded as being bitten or struck by a dog. This does not include people only attending A and E for treatment. Figures are for England.
| Count of finished admission episodes (FAEs)( 1) where there was a primary cause code( 2) of bitten or struck by dog( 3) , England | |
| Financial year | FAEs |
| (1) FAE is the first period of in-patient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. (2) The cause code is 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 HES. (3) The ICD10 Cause Code used for bitten or struck by dog is W54. Notes: 1. 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 national health service practice. For example, apparent reductions in activity may be due to a number of procedures that may now be undertaken in out-patient settings and so no longer include in admitted patient HES data. 2. The figures cover activity in English NHS Hospitals and English NHS commissioned activity in the independent sector Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care | |
Hospitals: Closures
Mr. Davey: To ask the Secretary of State for Health whether his Department has amended its guidance to strategic health authorities on consulting with the public on major re-configuration or closures of local hospital services since January 2009. [316387]
Mr. Mike O'Brien: The Department has not amended its guidance to strategic health authorities on consulting with the public on reconfiguration of services since January 2009.
Mr. Davey: To ask the Secretary of State for Health what guidance his Department has issued to strategic health authorities on consulting the public on major re-configurations or closures of local hospital services; whether any specific guidance has been issued in respect of NHS London; and if he will make a statement. [316388]
Mr. Mike O'Brien: The Department, in conjunction with its key stakeholders, has issued a raft of helpful guidance to the national health service on consulting the public on major re-configurations or closures of local hospital services.
The most recent guidance on service reconfiguration schemes going to public consultation "Our NHS Our Future Next Stage Review Leading Local Change" review by Professor the Lord Darzi, was published on 9 May 2008.
The Department has not issued guidance specifically to NHS London. However, NHS London issued its own guidance "NHS London Reconfiguration Programme Guide" in October 2008.
Hotels
Mr. Hurd: To ask the Secretary of State for Health how many separate bookings for stays at five-star or above hotels were made through the Expotel contract by his Department in the last year for which figures are available; and at what cost. [315493]
Phil Hope: The Department has made six separate bookings for a total of seven nights in five-star hotels at a total cost of £1,575.21 between 1 January 2009 and 31 December 2009. All these bookings were for overseas destinations. The Department and Expotel do not record the star rating of hotels booked in the United Kingdom. Instead a limit of £115 per night is imposed for hotels with London postcodes and also for overseas hotels booked from April 2009. The limit is £85 for elsewhere in the UK.
Medical Treatments: Lasers
Anne Milton: To ask the Secretary of State for Health what recent assessment he has made of the health effects of low-level laser therapy. [315072]
Mr. Mike O'Brien: None. However the Medicines and Healthcare products Regulatory Agency has issued guidance on the safe use of lasers, intense pulsed light systems and intense light emitting diodes when used as medical devices. The guidance is available at:
Milton Keynes
Mr. Lancaster: To ask the Secretary of State for Health if he will set out, with statistical information related as directly as possible to North East Milton Keynes constituency, the effects on Milton Keynes of the policies and actions of his Department and its predecessors since 1997. [316040]
Phil Hope: The Government have put in place a programme of national health service investment and reform since 1997 to improve service delivery in all parts of the United Kingdom. 93 per cent. of people nationally now rate the NHS as good or excellent. The "NHS Constitution" contains 25 rights and 14 pledges for patients and the public including new rights to be treated within 18 weeks, or be seen by a cancer specialist within two weeks, and an NHS health check every five years for those aged 40-74 years.
There is significant evidence that these policies have yielded considerable benefits for the North East Milton Keynes constituency. For example:
Figures for November 2009 show that in Milton Keynes Primary Care Trust (PCT):
92 per cent. of patients whose treatment involved admission to hospital started their treatment within 18 weeks.
98 per cent. of patients whose treatment did not involve admission to hospital started their treatment within 18 weeks.
In September 2009, at Milton Keynes Hospital NHS Foundation Trust, 97.7 per cent. of patients spent less than four hours in accident and emergency from arrival to admission, transfer or discharge.
Between September 2002 and September 2008, the number of consultants at Milton Keynes Hospital NHS Foundation Trust has increased from 67 to 93. Between September 2002 and September 2008, the estimated number of nurses has increased from 829 to 832.
Between September 2001 and September 2008, the number of general practitioners (GPs) per 100,000 within Milton Keynes PCT has increased from 54.9 to 61.1.
98.6 per cent. of urgent GP referrals to Milton Keynes Hospital NHS Foundation Trust with suspected cancer are seen by a specialist within two weeks of the referral.
Milton Keynes PCT opened its GP-led health centre in December 2009 at Glyn Valley Place, Broughton Gate in Milton Keynes. The centre is open between 8 am and 8 pm, seven days a week, and additional services include maternity care, minor surgery, childhood immunisations, asthma reviews, family planning, diabetic reviews and cryotherapy.
Although statistical information is not available at a local level, North East Milton Keynes will have also benefited from national policies in other areas. For example:
Since 1997, gross current expenditure on personal social services has increased by around 70 per cent. in real terms, with around 105,000 households now receiving intensive home care and 3,076 new extra care housing units-exceeding the original target of 1,500 new extra care units.
Other strategies currently being implemented are:
Subject to parliamentary approval, the "Personal Care at Home Bill" will guarantee free personal care for 280,000 people with the highest needs and help around 130,000 people who need home care for the first time to regain their independence.
Shaping the "Future of Care Together" Green Paper, published in July 2009, sets out a vision of a National Care Service for all adults in England that is fair, simple and affordable. The Department has consulted widely on this reform and is currently analysing the responses, which will feed into a White Paper later this year.
The National Carer's Strategy-"Carers at the heart of 21st century families and communities"-launched in 2008.
The first National Dementia Strategy was published in February 2009.
"Valuing People Now"-a three year strategy for people with learning disabilities-was published in January 2009.
"New Horizons-A Shared Vision for Mental Health" was launched in December 2009 to maintain improvements in mental health services, combined with a new cross-Government approach to promoting public mental health.
Since 1998, there are 2.4 million fewer smokers in England as a result of the Government's comprehensive tobacco control strategy, which has a measurable impact on reducing smoking prevalence.
Child obesity levels are reducing due to the efforts of families across England, supported by the Government's obesity strategy. In 2008, 13.9 per cent. of children (aged two to 10) in England were classified as obese, compared with 17.3 per cent. in 2005.
Overall, life expectancy at birth for men has increased from 74.5 years (1995-1997 data) to 77.7 years (2006-08 data) while for women, life expectancy at birth has increased from 79.6 years (1995-97 data) to 81.9 years (2006-08 data).
Musgrove Park Hospital Taunton
Mr. Liddell-Grainger: To ask the Secretary of State for Health (1) how many scheduled cardiology operations were cancelled at Musgrove Park Hospital, Taunton in the last 12 months; [315986]
(2) how many scheduled hip replacement operations were cancelled at Musgrove Park Hospital, Taunton in the last 12 months; [315987]
(3) how many scheduled gastroenterology procedures have been cancelled at Musgrove Park Hospital, Taunton in the last 12 months. [316082]
Mr. Mike O'Brien: The information is not available in the format requested. The total number of operations cancelled by Taunton and Somerset NHS Foundation Trust for non-clinical reasons was 483 in the 12 months ending September 2009.
A further breakdown by hospital site may be obtained by contacting the chair of Somerset and Taunton NHS Foundation Trust.
Mr. Liddell-Grainger: To ask the Secretary of State for Health how much was spent on gardening and landscaping at Musgrove Park Hospital, Taunton in the last five years. [316025]
Mr. Mike O'Brien: The information relating to gardening and maintenance has been set out in the following table.
| Grounds and gardening maintenance costs at Musgrove Park Hospital | |
| Spend (£) | |
| Notes: 1. "Ground and gardens maintenance costs" includes labour costs for directly employed and contract staff including contract support costs, fees, material and pay element for directors, senior mangers and all associated staff employed in the upkeep and maintenance of the grounds, gardens and external paths of the organisation site. 2. Expenditure will also include costs relating to the employment of staff belonging to an external organisation (including private finance initiative work). Source: Department of Health (Estates returns information collection) | |
Mr. Liddell-Grainger: To ask the Secretary of State for Health how long on average an in-patient displaying symptoms of (a) dementia and (b) Alzheimer's Disease remained at Musgrove Park Hospital, Taunton, in the last 12 months. [316081]
Phil Hope: The information is not available in the format requested. However, data relating to the Taunton and Somerset NHS foundation trust have been set out in the following table:
| Mean and median length of stay for in-patients with primary diagnosis of dementia and Alzheimer's disease at Taunton and Somerset NHS foundation trust, 2008-09 | |||
| Duration (days) | |||
| Primary diagnosis | Median spell | Mean spell | In-year discharge episodes |
| Notes: 1. Discharges: A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. 2. 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. Dementia is defined with the following ICD-10 Codes recorded in primary diagnosis: F00* Dementia in Alzheimer's disease F01 Vascular dementia F02* Dementia in other diseases classified elsewhere F03 Unspecified dementia Dagger codes that are relevant for "F00* Dementia in Alzheimer's disease" and "F02* Dementia in other diseases classified elsewhere" have not been included in this analyses and counts for Dementia in the table are relevant to ICD-10 codes in the range of F00 to F03 where they were recorded as primary diagnosis. Alzheimer's is defined with the following ICD-10 Codes recorded in primary diagnosis: G30 Alzheimer's disease. 3. Hospital provider: A provider code is a unique code that identifies an organisation acting as a health care provider (national health service 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. However, in the case of those with embedded treatment centres, these data are quoted separately. In these cases, '-X' is appended to the code for the rest of the trust, to remind users that the figures are for all sites of the trust excluding the treatment centres. The quality of TC returns are such that data may not be complete. Some NHS trusts have not registered their TC as a separate site, and it is therefore not possible to identify their activity separately. Data from some independent sector providers, where the onus for arrangement of data flows is on the commissioner, may be missing. Care must be taken when using these data as the counts may be lower than true figures. 4. Length of stay (LOS) (duration of episode)/length of stay (duration of spell): The difference in days between the admission date and the episode end date (duration of episode) or discharge date (duration of spell), where both dates are given. LOS is based on hospital stays and applies only to ordinary admissions, not day cases (unless otherwise stated). Information relating to LOS, including discharge method/destination, diagnoses and any operative procedures, is based only on the final episode of the spell. 5. In-patients: In-patients are patients who are admitted to hospital and occupy a bed, including both admissions where an overnight stay is planned and day cases. 6. Activity included: Activity in English NHS hospitals and English NHS commissioned activity in the independent sector. 7. 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 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 Information Centre for health and social care. | |||
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