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22 Mar 2010 : Column 124W—continued
From 1 January 2009 onwards the definitions and methodology used to calculate these statistics are no longer directly comparable to those used previously. This change means that the national health service no longer adjusts these data to separate referrals after 24 hours or account for the impact of patient choice, where individuals elect to delay their appointment. Statistics for the period January 2009 to December 2009 are included as follows:
| Period | Total seen | Number of patients seen within 14 days | Percentage performance |
Graham Stringer: To ask the Secretary of State for Health what average NHS waiting times for residents of (a) Manchester, Blackley and (b) the City of Manchester were in each of the last five years. [323016]
Mr. Mike O'Brien: The information is not collected in the format requested. The information that is available is shown in the following tables.
| Average (median) waiting times for first out-patient appointment (weeks)-patients still waiting at month end, time periods 2006-10 (commissioner based) | ||
| Primary care trust (PCT) | Position at month end | Median (weeks) |
| Notes: 1. PCT mergers took place in 2006. Figures are shown for organisations that existed at the time. 2. Out-patient waiting times are measured from referral by the general practitioner to first outpatient appointment to the consultant. 3. The figures show the median waiting times for patients still waiting for their first out-patient appointment at the end of the period stated. 4. Median waiting times are calculated from aggregate data, rather than patient level data, and therefore are only estimates of the position on average waits. Source: Department Waiting List Collections (QM08R and MMRCOM) | ||
| Average (median) in-patient waiting times for elective admission (weeks)-patients still waiting at month end, time periods 2006-10 (commissioner based) | ||
| PCT | Position at month end | Median (weeks) |
| Notes: 1. PCT mergers took place in 2006. Figures are shown for organisations that existed at the time. 2. In-patient waiting times are measured from decision to admit by the consultant to admission to hospital. 3. The figures show the median waiting times for patients still waiting for admission at the end of the period stated. 4. Median waiting times are calculated from aggregate data, rather than patient level data, and therefore are only estimates of the position on average waits. Source: Department Waiting List Collections QF01 and MMRCOM | ||
| Average (median) waiting times from referral to treatment (weeks)-patients seen within each month, time periods 2006-10 (commissioner based) | |||
| PCT | Position at month end | Median (weeks)-admitted patients | Median (weeks)-non-admitted patients |
| Notes: 1. Waiting times are for patients treated during the month and are from referral to first definitive treatment. 2. Data for non-admitted patients were first published in August 2007. 3. Admitted data are on an unadjusted basis for March 2007 and adjusted thereafter. 4. Median waiting times are calculated from aggregate data, rather than patient level data, and therefore are only estimates of the position on average waits. Source: Department Monthly RTT Return | |||
Mental Health Services: Advocacy
Lynne Jones: To ask the Secretary of State for Health pursuant to the answer of 10 March 2010, Official Report, column 351W, on mental health services: advocacy, whether he plans to make public the information being collected by the Care Quality Commission on the availability of independent mental health advocates in hospitals which detain patients under the Mental Health Act 1983; and if he will issue guidance to the Care Quality Commission requiring the inclusion of information on the availability and accessibility of independent mental health advocates in annual statements for establishments registered to take detained patients under the provisions of the Mental Health Act 1983. [323224]
Phil Hope: It is for the Care Quality Commission (CQC) to decide whether or not to publish this information. The CQC has informed us that it will publish the results of its survey of independent mental health advocacy services and that it hopes to do so in an annual report which will be laid before Parliament later this year.
Mental Health Services: Expenditure
Mr. Donaldson: To ask the Secretary of State for Health (1) how much the NHS has spent on (a) mental illness, (b) personality disorder, (c) learning disability, (d) brain injury and (e) step-down rehabilitation services provided by partnerships in care in each of the last three years; [323018]
(2) for what reasons the NHS sub-contracts mental health and psychiatric services to Partnerships in Care; and what recent assessment he has made of the effect on NHS expenditure of that practice. [323019]
Phil Hope: The provision of local health services, and the funding thereof, are decisions that should be made by primary care trusts and their strategic health authorities. Clinicians are best placed to decide on what services their local communities need and how they are provided. Information is not held centrally on local contracts with individual providers of care.
Mental Health Services: Finance
Mr. Amess: To ask the Secretary of State for Health how much funding has been allocated to the provision of cognitive behavioural therapy in (a) Southend, (b) Essex and (c) England in each of the last five years. [323120]
Phil Hope: Prior to the inception of the Improving Access to Psychological Therapies (IAPT) programme in 2008, no central information was collected about the funding of cognitive behavioural therapy in the national health service. Consequently, the Department on has figures for the period 2008-09 onwards.
The IAPT programme has begun to roll out services in all primary care trusts (PCTs) across England over a three-year period. In years one and two (2008-09 and 2009-10) growth money has been allocated centrally to PCTs that have demonstrated, through the submission of clear delivery plans, that they are ready to run an IAPT service.
In 2008-09 £33 million was allocated to this programme and in 2009-10 an additional £103 million was allocated across England, in 2010-11 £173 million will be allocated.
In Essex, four PCTs have established IAPT services and a total of £681,000 was allocated in year one and a further £1,620,000 was allocated in year two.
The PCT covering Southend is South East Essex PCT which established an IAPT service in October 2009 following the allocation of £517,000 of funding.
Muscular Dystrophy: West Midlands
Mr. David Anderson: To ask the Secretary of State for Health what the average age of death was for people diagnosed with Duchenne muscular dystrophy who died in the West Midlands Strategic Health Authority area in the last 12 months. [322490]
Angela E. Smith: I have been asked to reply.
The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.
Letter from Stephen Penneck, dated March 2010:
As Director General for the Office for National Statistics, I have been asked to reply to your recent question asking what the average age of mortality was for people diagnosed with Duchenne muscular dystrophy in the West Midlands Strategic Health Authority area in the last 12 months. (322490)
The information collected at death registration provides statistics on deaths which were caused by specific conditions, or to which specific conditions were known to have contributed. It is not possible to obtain from these mortality statistics any information about all persons diagnosed with, or receiving treatment for, a specific condition.
Internationally accepted guidance from the World Health Organisation requires only those conditions that contributed directly to the death to be recorded on the death certificate. Medical practitioners and coroners are not supposed to record all of the diseases or conditions present at or before death, and whether a condition contributed is a matter for their clinical judgement.
Deaths are coded to an underlying cause of death using the International Classification of Diseases, Tenth Revision (ICD-10). The codes in ICD-10 do not allow the identification of deaths specifically with a cause of Duchenne muscular dystrophy. The figure given below is therefore based on deaths from all types of muscular dystrophy, including Duchenne.
The average (mean) age at death for people with an underlying cause of death of muscular dystrophy(1) in West Midlands strategic health authority was 48 years in 2008 (the latest year available)(2, 3).
(1) Deaths were identified using the International Classification of Diseases, Tenth Revision (ICD-10) code G71.0.
(2) Based on boundaries as of February 2010.
(3) Figures are based on deaths registered in 2008.
Neuromuscular Services: West Midlands
Mr. David Anderson: To ask the Secretary of State for Health what discussions he has had with representatives of the West Midlands Strategic Health Authority on access to specialist care for people in that region diagnosed with a rare neuromuscular condition. [322491]
Ann Keen: No such discussions have been held with the West Midlands Strategic Health Authority on access to specialist care for people in the West Midlands region.
The number of patients in the West Midlands diagnosed with muscular dystrophy and related neuromuscular conditions is approximately 5,000.
It is the responsibility of primary care trusts to ensure the provision of services for neuromuscular dystrophy patients in that region, including access to national health service funded muscular dystrophy care advisers.
NHS: Foreign Workers
Mr. Willis: To ask the Secretary of State for Health if he will make an assessment of the effects on the number of jobs in the NHS of the outsourcing of finance departments to SBS Solutions in India. [323025]
Mr. Mike O'Brien:
The Department does not hold data on the number of jobs in the national health service that are released when finance and accounting
functions are outsourced to NHS Shared Business Services (NHS SBS). It is the responsibility of each trust when moving these functions to NHS SBS to determine the number of posts required following outsourcing.
Jenny Willott: To ask the Secretary of State for Health (1) how many private recruitment agencies recruited health workers from Africa for work in the NHS prior to the introduction of the NHS Code of Practice on International Recruitment; how many have done so since its introduction; and if he will make a statement; [323319]
(2) how many health workers from Africa were employed in the NHS immediately prior to the introduction of the NHS Code of Practice on International Recruitment; how many have been so employed since its introduction; and if he will make a statement; [323320]
(3) what steps his Department is taking to (a) monitor and (b) enforce compliance with the NHS Code of Practice on International Recruitment; and if he will make a statement. [323321]
Ann Keen: There is no centrally held information on the country of origin of health-workers.
It is not known how many agencies have recruited specifically from Africa since 2001. The number of British private recruitment agencies registered with the NHS Code of Practice in August 2005, when records began, was 256 this rose to 531 in January 2010.
NHS Employers is responsible for the management, promotion, advice and guidance on international recruitment.
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