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6 Apr 2010 : Column 1328W—continued
NHS: Standards
Mr. Lansley: To ask the Secretary of State for Health what the evidential basis is for the use of models of risk prediction for the NHS Health Check. [324874]
Ann Keen: The NHS Health Check programme is a universal and systematic programme for everyone between the ages of 40 and 74 that will assess individuals' risk of heart disease, stroke, kidney disease and diabetes and will support people to reduce or manage that risk through individually tailored advice. The programme was developed on the basis of advice from the National Screening Committee, is based on guidance produced by the National Institute of Health and Clinical Excellence (NICE) and is both cost effective and clinically effective.
The risk assessment stage of the NHS Health Check uses a risk engine to calculate a person's 10-year risk of cardiovascular disease. Evidence on cardiovascular risk estimation has developed considerably, with a number of risk engines available, including Framingham and QRISK. These have been calibrated to reflect risk factors within specific populations, such as ethnicity, and a number of scientific reviews have been published on their validity. The Department takes its advice from NICE on matters such as which risk engines are most appropriate for the national health service to use. NICE has recently revised its guidance to allow the NHS to decide locally which risk engine best predicts risk for their population mix.
Of equal importance however is that people are given individually tailored advice and the necessary follow up which is suitable for their particular circumstances to help them manage or reduce their risk. The advice, interventions and follow-up that are offered will involve professional judgment and will help ensure that everyone's individual needs are met.
Nurses: Schools
Dan Rogerson: To ask the Secretary of State for Health pursuant to the answer of 29 March 2010, Official Report, column 806W, on nurses: schools, to how many school clusters in England a school nurse is allocated. [325733]
Ann Keen: This information is not collected centrally.
It is for primary care trusts in partnership with local authorities, strategic health authorities and other local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, and to commission services accordingly.
Opposition
Mr. Hurd: To ask the Secretary of State for Health whether his Department has undertaken costings of the policies of the (a) Conservative party and (b) Liberal Democrat party at the request of Ministers or special advisers in the last 36 months. [324245]
Phil Hope: I refer the hon. Member to the reply given by my hon. Friend the Exchequer Secretary (Sarah McCarthy-Fry) on 30 March 2010, Official Report, column 1044W.
Prosthetics: Health Services
Justine Greening: To ask the Secretary of State for Health what statistics his Department collects on (a) demographic, (b) diagnosis and (c) treatment information held at prosthetics service centres in England; and whether there are plans to replace the National Amputee Statistical Database. [325064]
Phil Hope: Between 1997 and 2007 the National Amputee Statistical Database collected data from a number of providers using its minimum dataset which contained fields such as:
Patient Number;
Date of Birth;
Commissioning Code;
Centre Code;
Gender;
Category of patient;
Ethnic Origin;
Date of Referral following Amputation;
Date of Amputation;
Level of Amputation; and
Cause of Amputation (Aetiology).
There are no plans at present to replace the database.
Health Episodes Statistics which collates data on the care provided by national health service hospitals and for NHS hospital patients treated elsewhere does not include any data on application of prosthesis as this rarely occurs in a hospital setting.
Health Episodes Statistics does measure in-patient amputations using the OPCS classification of Interventions and Procedures. When combined with other data from the Admitted Patient Care Commissioning Data Set (age, sex, postcode, ethnicity, diagnosis), Health Episodes Statistics can be used to retrieve a great deal of the amputation data previously provided by National Amputee Statistical Database.
Comprehensive central data are not collected about the numbers of people with prostheses or the number of prostheses that are supplied.
Radiotherapy
Mr. Stephen O'Brien: To ask the Secretary of State for Health with reference to his Department's press release of 18 August 2009 on proton therapy services, what progress his Department is making in identifying possible providers of proton therapy treatment for NHS patients in England; what estimate he has made of the maximum annual number of patients who could be treated at a proton therapy treatment centre; and if he will make a statement. [325722]
Ann Keen: We are currently evaluating bids to identify a shortlist of potential providers of proton beam therapy (PBT) services in England. The project team will then work with those trusts to develop a full business case by the end of 2010. We estimate that 1,500 patients could benefit from PBT per annum.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 4 March 2010, Official Report, columns 1400-01W, on medical treatments abroad, in which countries the patients for whom proton therapy treatment was commissioned in (a) 2008-09 and (b) 2009-10 were treated. [325723]
Ann Keen: In 2008-09 patients were treated in France and Switzerland.
In 2009-10 patients were treated in France, Switzerland and the United States of America.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 4 March 2010, Official Report, columns 1400-01W, on medical treatments abroad, which individuals sit on the proton reference panel. [325724]
Ann Keen: The following sit on the panel. Not all members are involved in clinical decisions on the referral of patients abroad for treatment.
Dr. Adrian Crellin, Consultant Clinical Oncologist, St. James's Institute of Oncology. Chairman-NCG National Reference Panel.
Professor Roger Taylor, Clinical Director Cancer Services, ABM University Health Board, Professor of Clinical Oncology, Swansea Clinical School.
Donna Routsis, Lead Research Radiographer, Addenbrooke's NHS Trust.
Dr. Neil Burnet, Consultant Oncologist, Addenbrooke's NHS Trust.
Dr. Nicola Thorp, Consultant Paediatric Oncologist, Clatterbridge Cancer Centre.
Professor Bleddyn Jones, Director, Gray Institute for Radiation Oncology and Biology University of Oxford.
Dr. Susan Short, Consultant and Senior Lecturer in Clinical Oncology, University College Hospital London.
Dr. Daniel Ford, Consultant Clinical Oncologist, University Hospitals Birmingham NHS Foundation Trust.
Dr. Michelle Kwok-Williams, Consultant Clinical Oncologist, St. James's Institute of Oncology.
Dr. Edmund Jessop, Medical Advisor, National Commissioning Group.
Sarah Watson, Senior Commissioning Manager National Commissioning Group.
Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 4 March 2010, Official Report, columns 1400-01W, on medical treatments abroad, what the average cost of an individual course of proton therapy treatment commissioned from abroad was in (a) 2008-09 and (b) 2009-10; and what the total cost of such treatment was in each such year. [325725]
Ann Keen: The average cost of an individual course of proton therapy treatment commissioned from abroad in 2008-09 was £28,000. This figure relates to the treatment of six patients at a total cost of £168,000.
The average cost of an individual course of proton therapy treatment commissioned from abroad in 2009-10 was £62,000. This figure relates to the treatment of 26 patients at a total cost of £1,600,000. These figures are taken from draft accounts which have yet to be finalised.
The increase in average cost in 2009-10 over 2008-09 relates to patients being treated in the United States of America for the first time in 2009-10.
Shropshire
Mr. Paterson: To ask the Secretary of State for Health what official visits (a) he and (b) his predecessors have made to Shropshire in the last five years. [325412]
Phil Hope: The Department holds records of visits dating back three years. Since 2007, the Secretary of State for Health has not visited Shropshire.
Social Services: Cambridgeshire
Mr. Lansley: To ask the Secretary of State for Health what estimate he has made of the number of people eligible for adult social care in Cambridgeshire; and what methodology was used to calculate the estimate of the cost of providing such care for a person in Cambridgeshire of £103 a week. [323666]
Phil Hope: Councils with Adult Social Services Responsibilities (CASSRs) assess peoples' eligibility for social care services according to statutory guidance, issued under section 7(1) of the Local Authority Social Services Act 1970, entitled "Fair Access to Care Services-guidance on eligibility criteria for adult social care", which was issued in 2003. A copy has already been placed in the Library.
"Fair Access to Care Services" is shortly to be replaced by new statutory guidance, "Prioritising need in the context of Putting People First: A whole system approach to eligibility for social care", which was published on 25 February 2010 and will take effect from 1 April 2010. A copy has been placed in the Library.
Data on the number of adults aged 18 and over receiving social care services funded by CASSRs are collected and published by the NHS Information Centre for health and social care as part of the Referrals, Assessments and Packages of Care (RAP) return.
The table shows the number of service users aged 18 and over receiving social care services in Cambridgeshire in 2008-09 by service category.
| Number of service users receiving social care services in Cambridgeshire, 2008-09( 1) Cambridgeshire | |
| Type of service | Number of clients (rounded numbers) |
| (1) Data for 2008-09 are provisional, final data are expected to be published on 28 April 2010. (2) The 'Total number of clients receiving services' is the number of clients receiving one or more services at some point during the year, excluding double counting. (3) This is the total number of clients receiving community based services during the year, excluding double counting. (4) A client may have received more than one type of community based service during the year and thus there may be some double counting across service categories. Source: RAP form P1 and P2f | |
There has been no estimate made that providing adult social care in Cambridgeshire would cost £103 a week. The impact assessment which accompanies the Personal Care at Home Bill sets out the methodology used to estimate the additional costs of providing free personal care at home nationally to those in the highest
need. The figure was arrived at using information contained in annex B of the impact assessment-which has already been placed in the Library-as follows:
1. Average number of hours of personal care per week provided for those in highest need = 6.54.
2. Estimated cost of that care per hour, based on 2011-12 prices = £15.75
3. 6.54 x £15.75 = £103 per week.
Social Services: Finance
Mr. Andrew Turner: To ask the Secretary of State for Health what proportion of people in each local authority area (a) have been assessed for a personal social care budget, (b) are in receipt of payment from a personal social care budget, (c) have declined to use a personal social care budget and (d) are awaiting assessment for a personal social care budget. [325052]
Phil Hope [holding answer 30 March 2010]: The NHS Information Centre for health and social care collects data on the number of clients (aged 18 and over) planned to receive services commissioned or provided by councils with adult social service responsibilities (CASSRs) via a personal budget as at 31 March 2009.
Information on the numbers of people assessed for, awaiting assessment for, or declining a personal (social care) budget is not collected centrally.
The table provides provisional information on the number of clients planned to receive services provided or commissioned by CASSRs via a personal budget as at 31 March 2009. Final data for 2008-09 are expected to be published on 28 April 2010.
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