Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents

8.  PSA AND DSO PERFORMANCE

8.1.10  Regarding PSA indicators 19.7 (Healthcare-associated infection (HCAI) figures—MRSA) and 19.8 (Healthcare-associated infection (HCAI) figures—Clostridium difficile), can the Department provide a full set of quarterly data on MRSA and Clostridium difficile cases since 2003-04 and 2007-08 respectively, including data for the fourth quarter of 2008-09 which were due to be published in June 2009? (Q101)

Answer

  1.  The data requested are provided in table 101a and table 101b (not printed, available at http:/www.publications.parliament.uk/pa/cm200910/cmselect/cmhealth/269/excel/excel.htm). They are also available on the Health Protection Agency's website at:

http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1244763936373

Table 101a

QUARTERLY REPORTS OF C. DIFFICILE FOR PATIENTS AGED 2 YEARS AND OVER

			Number of C. difficile reports
Trust code	Region	Name of trust	April to June 2007	July to September 2007	October to December 2007	January to March 2008	April to June 2008	July to September 2008	October to December 2008	January to March 2009
REM	North West	Aintree University Hospitals	92	36	73	91	86	106	109	147
RCF	Yorkshire & the Humber	Airedale	82	51	38	64	60	29	31	15
RBS	North West	Alder Hey Children's	1	1	3	3	4	3	3	3
RTK	South East	Ashford & St Peter's Hospitals	207	137	108	83	94	50	47	60
RF4	London	Barking, Havering & Redbridge Hospitals	71	64	47	37	39	69	51	58
RVL	London	Barnet & Chase Farm Hospitals	123	97	70	64	48	36	21	38
RFF	Yorkshire & the Humber	Barnsley Hospital	79	77	81	60	52	52	39	51
RNJ	London	Barts & the London	160	111	90	124	93	73	79	83
RDD	East of England	Basildon & Thurrock University Hospitals	161	68	61	52	48	29	31	29
RN5	South East	Basingstoke & North Hampshire	34	60	57	42	33	25	14	25
RC1	East of England	Bedford Hospital	107	61	43	39	47	35	23	35
RQ3	West Midlands	Birmingham Children's Hospital	0	0	1	0	0	0	0	2
RLU	West Midlands	Birmingham Women's	0	0	0	0	0	0	0	0
RXL	North West	Blackpool, Fylde & Wyre Hospitals	113	108	92	156	89	87	58	81
RAE	Yorkshire & the Humber	Bradford Teaching Hospitals	114	93	115	125	107	92	99	67
RXH	South East	Brighton & Sussex University Hospitals	162	119	150	111	123	76	65	56
RG3	London	Bromley Hospitals	88	47	40	46	38	35	21	28
RXQ	South East	Buckinghamshire Hospitals	67	57	33	52	40	57	48	37
RJF	West Midlands	Burton Hospitals	67	59	42	27	25	18	18	24
RWY	Yorkshire & the Humber	Calderdale & Huddersfield	59	60	74	44	59	67	59	64
RGT	East of England	Cambridge University Hospitals	165	166	131	113	104	107	84	85
RW3	North West	Central Manchester University Hospitals	103	99	75	101	66	58	64	54
RQM	London	Chelsea & Westminster Hospital	52	49	25	41	20	25	24	18
RFS	East Midlands	Chesterfield Royal Hospital	106	67	57	67	113	55	39	26
RBV	North West	Christie Hospital	29	24	26	23	13	24	17	14
RLN	North East	City Hospitals Sunderland	107	108	125	84	93	82	71	61
REN	North West	Clatterbridge Centre for Oncology	6	6	9	5	2	6	4	3
RDE	East of England	Colchester Hospital University	118	100	72	65	26	29	28	31
RJR	North West	Countess of Chester Hospital	88	81	95	128	99	79	64	73
RXP	North East	County Durham & Darlington	118	89	67	65	131	124	107	136
RN7	South East	Dartford & Gravesham	41	39	37	34	25	60	51	30
RTG	East Midlands	Derby Hospitals	95	69	69	61	64	42	78	92
RP5	Yorkshire & the Humber	Doncaster & Bassetlaw Hospitals	37	33	67	94	105	50	55	39
RBD	South West	Dorset County Hospital	73	71	83	58	46	43	47	47
RC3	London	Ealing Hospital	35	26	55	57	29	33	26	35
RWH	East of England	East & North Hertfordshire	135	94	90	84	72	57	49	37
RJN	North West	East Cheshire	62	74	58	65	68	48	37	29
RVV	South East	East Kent Hospitals University	79	78	73	64	54	58	56	52
RXR	North West	East Lancashire Hospitals	134	88	81	82	42	44	37	71
RXC	South East	East Sussex Hospitals	77	104	105	69	65	67	59	93
RVR	London	Epsom & St Helier University Hospitals	139	139	109	106	85	55	51	88
RDU	South East	Frimley Park Hospital	102	94	74	86	49	43	22	53
RR7	North East	Gateshead Health	35	50	50	60	61	44	33	32
RLT	West Midlands	George Eliot Hospital	89	72	72	89	67	31	41	62
RTE	South West	Gloucestershire Hospitals	308	192	162	182	178	144	131	84
RP4	London	Great Ormond Street Hospital for Children	3	8	5	10	5	5	2	4
RN3	South West	Great Western Hospitals	105	118	60	64	50	33	21	15
RJ1	London	Guy's & St. Thomas'	50	65	42	35	32	31	34	31
RCD	Yorkshire & the Humber	Harrogate & District	12	14	17	12	18	22	14	9
RR1	West Midlands	Heart of England	321	200	165	281	205	156	97	85
RD7	South East	Heatherwood & Wexham Park Hospitals	63	73	72	69	90	59	51	92
RLQ	West Midlands	Hereford Hospitals	74	38	40	53	47	44	45	28
RAS	London	Hillingdon Hospital	76	45	55	56	55	51	59	58
RQQ	East of England	Hinchingbrooke Healthcare	28	25	12	36	32	12	47	31
RQX	London	Homerton University Hospital	20	14	25	33	24	18	22	12
RWA	Yorkshire & the Humber	Hull & East Yorkshire Hospitals	145	129	98	126	93	99	65	63
RYJ	London	Imperial College Healthcare (1)	183	178	165	152	119	128	97	133
RGQ	East of England	Ipswich Hospital	142	146	107	87	104	101	75	58
RR2	South East	Isle of Wight Healthcare	37	30	55	54	19	18	27	30
RGP	East of England	James Paget University Hospitals	72	34	22	43	34	17	22	24
RNQ	East Midlands	Kettering General Hospital	144	71	59	81	68	57	61	47
RJZ	London	King's College Hospital	117	107	80	106	99	35	41	75
RAX	London	Kingston Hospital	113	81	52	64	26	25	28	23
RXN	North West	Lancashire Teaching Hospitals	173	112	98	119	87	68	70	74
RR8	Yorkshire & the Humber	Leeds Teaching Hospitals	275	255	250	293	305	265	279	224
RBQ	North West	Liverpool Heart & Chest Hospital	7	6	6	8	9	3	2	8
REP	North West	Liverpool Women's	3	1	5	2	2	1	1	0
RC9	East of England	Luton & Dunstable Hospital	102	54	40	21	30	25	45	33
RWF	South East	Maidstone & Tunbridge Wells	113	93	80	73	50	53	46	54
RJ6	London	Mayday Healthcare	98	67	54	62	67	52	33	36
RPA	South East	Medway	65	48	35	34	35	46	32	21
RBT	North West	Mid Cheshire Hospitals	88	43	85	97	51	45	43	54
RQ8	East of England	Mid Essex Hospital Services	43	36	51	41	28	16	17	23
RJD	West Midlands	Mid Staffordshire	110	76	59	62	57	62	47	68
RXF	Yorkshire & the Humber	Mid Yorkshire Hospitals	121	113	69	139	85	110	99	107
RD8	South East	Milton Keynes Hospital	90	55	45	26	20	15	19	22
RP6	London	Moorfields Eye Hospital	0	0	0	0	0	0	0	0
RNH	London	Newham University Hospital	48	65	58	58	55	19	34	38
RM1	East of England	Norfolk & Norwich University Hospitals	167	141	129	94	71	70	57	63
RVJ	South West	North Bristol	358	278	281	240	99	99	89	78
RNL	North West	North Cumbria University Hospitals	98	82	113	143	96	79	64	102
RAP	London	North Middlesex University Hospital	54	69	62	45	32	48	22	68
RVW	North East	North Tees & Hartlepool	144	89	58	92	60	61	78	91
RV8	London	North West London Hospitals	125	106	58	59	60	55	50	44
RNS	East Midlands	Northampton General Hospital	117	63	55	62	54	48	40	55
RBZ	South West	Northern Devon Healthcare	27	32	30	22	32	18	8	25
RJL	Yorkshire & the Humber	Northern Lincolnshire & Goole Hospitals	85	87	56	72	64	39	45	47
RTF	North East	Northumbria Healthcare	155	99	106	96	115	108	91	75
RX1	East Midlands	Nottingham University Hospitals	237	237	167	169	136	129	90	65
RBF	South East	Nuffield Orthopaedic Centre	1	3	5	1	6	3	3	3
RTH	South East	Oxford Radcliffe Hospitals	224	237	171	186	167	134	119	117
RGM	East of England	Papworth Hospital	6	8	5	7	3	7	5	7
RW6	North West	Pennine Acute Hospitals	146	107	178	206	193	157	107	162
RGN	East of England	Peterborough & Stamford Hospitals	58	72	83	70	56	30	43	39
RK9	South West	Plymouth Hospitals	105	77	64	46	96	91	79	63
RD3	South West	Poole Hospital	26	39	33	30	27	31	18	19
RHU	South East	Portsmouth Hospitals	130	121	120	83	111	108	83	78
RQW	East of England	Princess Alexandra Hospital	65	73	24	24	9	12	8	22
RG2	London	Queen Elizabeth Hospital	41	22	17	30	50	21	17	12
RGZ	London	Queen Mary's Sidcup	62	52	27	30	34	17	14	16
RPC	South East	Queen Victoria Hospital	1	2	2	0	2	1	1	2
RL1	West Midlands	Robert Jones & Agnes Hunt Orthopaedic & District Hospital	3	3	1	2	1	1	3	2
RHW	South East	Royal Berkshire	75	58	80	111	69	57	49	57
RMC	North West	Royal Bolton Hospital	105	67	73	102	86	73	49	38
RT3	London	Royal Brompton & Harefield	10	10	10	6	7	3	4	9
REF	South West	Royal Cornwall Hospitals	168	120	100	120	95	94	79	54
RH8	South West	Royal Devon & Exeter	82	82	84	113	83	84	48	46
RAL	London	Royal Free Hampstead	66	69	73	47	29	26	30	22
RQ6	North West	Royal Liverpool & Broadgreen University Hospitals	193	147	189	266	235	122	129	114
RBB	South West	Royal National Hospital for Rheumatic Diseases	3	2	0	2	2	1	1	0
RAN	London	Royal National Orthopaedic Hospital	1	2	2	4	1	2	2	0
RA2	South East	Royal Surrey County Hospital	83	54	42	61	40	31	25	33
RD1	South West	Royal United Hospital Bath	173	97	121	164	115	100	75	101
RPR	South East	Royal West Sussex	100	80	102	69	58	52	25	37
RL4	West Midlands	Royal Wolverhampton Hospitals	58	45	56	66	58	46	34	33
RM3	North West	Salford Royal	84	70	62	65	50	48	38	51
RNZ	South West	Salisbury	50	39	25	33	15	7	21	30
RXK	West Midlands	Sandwell & West Birmingham Hospitals	139	99	101	84	60	49	60	68
RCC	Yorkshire & the Humber	Scarborough & North East Yorkshire Health Care	38	30	34	46	36	36	22	27
RCU	Yorkshire & the Humber	Sheffield Children's	4	4	7	9	1	2	2	1
RHQ	Yorkshire & the Humber	Sheffield Teaching Hospitals	200	189	202	196	163	127	86	97
RK5	East Midlands	Sherwood Forest Hospitals	114	119	100	106	67	66	43	96
RXW	West Midlands	Shrewsbury & Telford Hospital	131	104	87	68	76	47	67	78
RA9	South West	South Devon Healthcare	52	48	33	66	46	44	42	22
RTR	North East	South Tees Hospitals	186	155	115	138	108	161	119	104
RE9	North East	South Tyneside	35	19	30	44	35	51	24	15
RJC	West Midlands	South Warwickshire General Hospitals	124	82	90	51	26	34	43	54
RHM	South East	Southampton University Hospitals	223	201	183	90	104	121	96	119
RAJ	East of England	Southend University Hospital	94	67	62	60	49	38	26	24
RVY	North West	Southport & Ormskirk Hospital	28	34	25	45	37	30	37	26
RBN	North West	St Helens & Knowsley Hospitals	90	90	120	129	85	58	52	87
RJ7	London	St. George's Healthcare	155	118	116	102	44	31	29	37
RWJ	North West	Stockport	120	57	50	58	49	44	40	48
RTP	South East	Surrey & Sussex Healthcare	50	73	96	115	85	39	38	45
RMP	North West	Tameside Hospital	91	89	114	96	88	72	93	91
RBA	South West	Taunton & Somerset	54	51	46	42	56	51	49	50
RNA	West Midlands	The Dudley Group of Hospitals	149	108	126	130	121	58	59	57
RJ2	London	The Lewisham Hospital	19	13	26	19	13	6	11	15
RTD	North East	The Newcastle upon Tyne Hospitals	361	174	139	186	139	99	109	87
RCX	East of England	The Queen Elizabeth Hospital King's Lynn	130	68	59	58	40	30	36	35
RFR	Yorkshire & the Humber	The Rotherham	64	38	37	46	37	18	25	23
RDZ	South West	The Royal Bournemouth & Christchurch Hospitals	28	40	44	51	34	27	18	28
RPY	London	The Royal Marsden	28	20	18	20	21	16	22	13
RRJ	West Midlands	The Royal Orthopaedic Hospital	4	10	3	5	1	1	3	2
RET	North West	The Walton Centre for Neurology & Neurosurgery	3	2	2	10	5	2	2	0
RKE	London	The Whittington Hospital	63	55	43	63	31	20	17	41
RM4	North West	Trafford Healthcare	48	53	29	51	42	31	37	59
RWD	East Midlands	United Lincolnshire Hospitals	119	111	77	84	81	70	88	107
RRV	London	University College London Hospitals	72	56	47	19	22	14	11	14
RRK	West Midlands	University Hospital Birmingham	286	256	251	278	221	127	121	94
RJE	West Midlands	University Hospital of North Staffordshire	318	249	115	104	126	105	83	88
RM2	North West	University Hospital of South Manchester	139	88	100	115	120	67	39	44
RA7	South West	University Hospitals Bristol	139	112	113	174	159	93	86	90
RKB	West Midlands	University Hospitals Coventry & Warwickshire	121	99	145	112	76	56	59	54
RWE	East Midlands	University Hospitals of Leicester	337	158	145	168	151	126	118	103
RTX	North West	University Hospitals of Morecambe Bay	116	118	103	144	132	101	61	59
RBK	West Midlands	Walsall Hospitals	59	38	46	37	58	40	22	18
RWW	North West	Warrington & Halton Hospitals	166	121	114	114	65	42	47	50
RWG	East of England	West Hertfordshire Hospitals	227	194	89	101	37	31	44	41
RFW	London	West Middlesex University Hospital	97	45	50	44	53	47	42	45
RGR	East of England	West Suffolk Hospitals	114	82	36	39	34	28	38	27
RA3	South West	Weston Area Health	58	41	52	84	57	42	26	24
RGC	London	Whipps Cross University Hospital	108	56	28	49	38	26	23	24
RN1	South East	Winchester & Eastleigh Healthcare	55	38	43	78	51	23	24	29
RBL	North West	Wirral University Teaching Hospital	145	137	145	144	96	96	65	80
RWP	West Midlands	Worcestershire Acute Hospitals	202	128	158	143	115	103	69	82
RPL	South East	Worthing & Southlands Hospitals	74	85	71	94	95	56	58	63
RRF	North West	Wrightington, Wigan & Leigh	154	159	102	56	51	34	30	26
RA4	South West	Yeovil District Hospital	28	27	22	21	14	14	13	19
RCB	Yorkshire & the Humber	York Hospitals	59	52	44	43	52	47	25	20
		Total	16,865	13,419	12,248	12,967	10,883	8,948	7,908	8,358
Source:
Health Protection Agency (Data for the period April 2007 onwards are as extracted from the HCAI Data Capture System on 1 May 2009)
Footnotes:
1.  Hammersmith Hospitals NHS Trust merged with St. Mary's NHS Trust in October 2007. Data prior to October 2007 for Hammersmith Hospitals NHS Trust and St. Mary's NHS Trust are combined and displayed under Imperial College Healthcare NHS Trust.
2.  Data are provisional as they may be updated in year. Data are collected at Trust level and are not published by the HPA for individual hospitals within a Trust.
3.  Trusts are required to report all toxin positive results for C. difficile infections that are detected by laboratories in their trust (in-patients aged 2 or more years). This does not necessarily imply that the infection was acquired there.
4.  Due to the nature of CDAD and the data collection scheme trust values do include community cases as well as hospital acquired cases. Data for each trust are thus likely to include a variable number of community cases.
5.  For further information see www.hpa.org.uk.

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Prepared 20 January 2010