House of Commons Hansard Written Answers for 02 Nov 2011 (pt 0001)

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Written Answers to Questions

Wednesday 2 November 2011

Health

Consultants

Mr Thomas: To ask the Secretary of State for Health pursuant to the answer of 19 October 2011, Official Report, column 1029W, on departmental procurement, how many contracts involved the provision of consultancy services; how many contracts involved the employment of a consultant within his Department; whether any such consultants remained in employment on the latest date for which information is available; and if he will make a statement. [77720]

Mr Simon Burns: None of the purchase orders awarded to third sector organisations between May 2010 and August 2011 that were set out in the answer of 19 October 2011 fall within the Government Procurement Service definition of consultancy:

“the provision to management of objective advice relating to strategy, structure, management or operations of an organisation, in pursuit of its purpose and objectives”.

Such advice will be provided outside the ‘business-as-usual’ environment when in-house skills are not available and will be time-limited. Consultancy may include the identification of options with recommendations, or assistance with (but the not the delivery of) the implementation of solutions.

Departmental Public Expenditure

Austin Mitchell: To ask the Secretary of State for Health whether he receives any external funding for (a) his ministerial office and (b) his advisers; and what the (i) source and (ii) amount is of any such funding. [78019]

Mr Simon Burns: All costs for the ministerial private office and special advisers are met by the Department.

Depressive Illnesses

Helen Jones: To ask the Secretary of State for Health how many people were diagnosed of suffering from (a) severe and (b) mild or moderate depression in (i) England, (ii) the northwest and (iii) Warrington in the latest year for which figures are available. [77652]

Paul Burstow: The national Quality Outcomes Framework (QOF) for England records the number of people on practice disease registers with a diagnosis of depression, for patients aged 18 years or over. There are no separate prevalence figures for depression by severity type.

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The following table gives the number of patients on the depression register for the areas requested, from the latest release of the QOF, covering the financial year 2010 - 2011:

QOF 2010-11
	Number of patients (aged 18 years or over) on depression register
England	4,878,188
North West Strategic Health Authority	746,640
Warrington Primary Care Trust	20,657
Source: QMAS database—2010-11

Diseases: EU Action

Mr Andrew Smith: To ask the Secretary of State for Health what steps he has taken towards a UK plan for rare diseases as required by the Council of the European Union's recommendation on an action in the field of rare diseases published in June 2009 (2009/C151/02). [77532]

Mr Simon Burns: The United Kingdom response to the European Council’s recommendation on the development of a national plan for rare diseases is due by the end of 2013. As part of the work in developing the plan departmental officials are working very closely with the devolved Administrations and key partners to ensure that the plan responds to the actions identified in Recommendation 2009/C 151/02. A public consultation on the draft plan is expected to be launched before the end of this year.

Haemolytic Uremic Syndrome

Duncan Hames: To ask the Secretary of State for Health how many (a) children and (b) adults were diagnosed with atypical haemolytic uremic syndrome in each of the last three years; and how many of those diagnosed have died as a result of the syndrome. [77948]

Mr Simon Burns: Information is not available in the format requested. Information on the numbers of patients diagnosed in out-patient or other environments is not collected centrally. The information provided in the following table is the number of admission episodes where a primary diagnosis of haemolytic uremic syndrome (i.e. not just atypical) has been recorded.

Total number of finished admission episodes ⁽¹⁾ with a primary diagnosis ⁽²⁾ of Haemolytic- uremic syndrome (ICD-10 code D59.3) by age group for 2007-08, 2008-09 and 2009-10
Age group	2007-08	2008-09	2009-10
0-17	286	325	310
18+	82	63	79
Total	368	388	389
⁽¹⁾ Finished admission episodes A finished admission episode (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⁾ 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 Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital. Source s : 1. Hospital Episode Statistics (HES), The NHS Information Centre for health and social care 2. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

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Information on deaths involving atypical haemolyticuremic syndrome is not directly available from the statistical information derived from death registrations.

Duncan Hames: To ask the Secretary of State for Health how many (a) children and (b) adults with atypical haemolytic uremic syndrome were treated with (a) plasma therapy and (b) dialysis in each of the last three years. [77968]

Mr Simon Burns: Information on the number of these treatments and procedures carried out outside a hospital is not collected centrally. The following table covers in-patient activity for haemolytic uremic syndrome (i.e. not just atypical).

Total number of finished admission episodes ⁽¹⁾ with a primary diagnosis ⁽²⁾ of Haemolytic-uremic syndrome (ICD-10 code D59.3) and where a treatment or procedure ⁽³⁾ of plasma exchange ⁽⁴⁾ or plasma transfusion ⁽⁵⁾ or dialysis ⁽⁶⁾ has been recorded by age group for 2007-08, 2008-09 and 2009-10
Treatment	Age group	2007-08	2008-09	2009-10
Plasma Exchange	0-17	18	8	23
	18+	11	31	27
Total	—	29	39	50

Plasma Transfusion	0-17	77	112	72
	18+	0	0	0
Total	—	11	112	72

Dialysis	0-17	22	21	45
	18+	50	8	10
Total	—	77	29	55
⁽¹⁾ Finished admission episodes A finished admission episode (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⁾ 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. ⁽³⁾ Number of episodes with a (named) main or secondary procedure The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a 'cataract operation' would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single episode. ⁽⁴⁾ Plasma Exchange (OPCS 4.5 codes) X32.2—Exchange of plasma (single) X32.3—Exchange of plasma (2-9) X32.4—Exchange of plasma (10-19) X32.5—Exchange of plasma (>19) ⁽⁵⁾ Plasma Transfusion (OPCS 4.5 codes) X34.2—Transfusion of plasma ⁽⁶⁾ Dialysis (OPCS 4.5 codes) X40.1—Renal dialysis X40.2—Peritoneal dialysis NEC X40.3—Haemodialysis NEC X40.4—Haemofiltration X40.5—Automated peritoneal dialysis X40.6—Continuous ambulatory peritoneal dialysis X40.7—Haemoperfusion X40.8—Other specified compensation for renal failure X40.9—Unspecified compensation for renal failure Sources: 1. Hospital Episode Statistics (HES), The NHS Information Centre for health and social care 2. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

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Duncan Hames: To ask the Secretary of State for Health how many patients with atypical haemolytic uremic syndrome were waiting for an organ transplant in each of the last 10 years; and how many received an organ transplant in each of the last three years. [77969]

Anne Milton: The information available is provided in the following tables.

Table 1: Patients on the United Kingdom kidney transplant list as at 31 March 2005-11, where the primary renal disease was atypical haemolytic uremic syndrome
	Status
	Active	Suspended ⁽¹⁾	Total
March 2005	26	8	⁽²⁾34
March 2006	28	10	38
March 2007	25	9	34
March 2008	23	6	29
March 2009	21	7	28
March 2010	19	8	27
March 2011	17	9	26
⁽¹⁾ Suspended means the patient has been temporarily removed from the list. This happens for such reasons as being too ill to undergo the operation or being away on holiday. ⁽²⁾ NHS Blood and Transplant do not hold historical transplant list data with primary renal disease prior to 2005, therefore the transplant list data shown is for the last seven years. Source: NHS Blood and Transplant

Table 2: Number of kidneys transplants in the UK, 1 April 2004 to 31 March 2011, where the primary renal disease was haemolytic uremic syndrome
Financial year	Transplants
2004-05	8
2005-06	5
2006-07	10
2007-08	10
2008-09	6
2009-10	14
2010-11	18
Note: The transplant data is provided for the same seven year time period as figures would be misleading for three years only, as the figures have fluctuated. Source: NHS Blood and Transplant

Public Health

Mr Evennett: To ask the Secretary of State for Health what recent assessment he has made of local authorities' preparedness for the proposed transfer of public health responsibilities. [77534]

Anne Milton: The four Strategic Health Authority (SHA) Cluster Directors of Public Health have been charged with leading public health transitions at the local level. Primary care trusts and local government are responsible for planning the transition of public health responsibilities. Local transition plans are required to be submitted to SHA Clusters by 31 March 2012. Implementation of these plans will be monitored by the SHA Cluster Directors of Public Health. The Directors of Public Health will report progress against these plans to a joint Department of Health and Local Government Programme Board.

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Health Services

Mr Bradshaw: To ask the Secretary of State for Health (1) for what reason the cost of providing existing primary care support services was not included in the calculations for the assessment of the Shared Business Services; [77816]

(2) if he will ensure that no decision is taken on the bid from NHS Shared Business Services to operate primary care support services in the south west until the standardising primary care support services report has been published. [77817]

Mr Simon Burns: The decision to award services to NHS Shared Business Services is made locally, and the Department is not involved in the assessment process.

The Department does not intervene in matters which are for local determination because local organisations are best able to make decisions about their local services.

Hepatitis

Jim Fitzpatrick: To ask the Secretary of State for Health what assessment he has made of the effect of a reduction in onward transmission of hepatitis C on NHS costs. [78156]

Anne Milton: We have not assessed the effect of a reduction in onward transmission of hepatitis C on costs to the national health service. However, a reduction in hepatitis C transmission appears likely to reduce NHS costs both by decreasing in the medium, term the need for drug therapy and in the long term, the burden of serious liver disease.

Influenza: Vaccination

Mr Crausby: To ask the Secretary of State for Health whether he has any plans to reduce the age limit for free

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influenza injections to 60 years; and if he will make a statement. [77477]

Anne Milton: Policy on national immunisation programmes, including seasonal influenza immunisation, is based on the advice of the Joint Committee on Vaccination and Immunisation (JCVI). JCVI has advised that the groups at greatest risk from flu eligible to receive flu vaccine on the national health service in the 2011-12 flu season are:

people aged 65 and over; and

people under 65 years in clinical risk groups⁽¹⁾, including pregnant women.

⁽¹⁾ Serious medical conditions, which put people at increased risk from flu, are:

chronic (long-term) respiratory disease, such as severe asthma, chronic obstructive pulmonary disease or bronchitis;

chronic heart disease, such as heart failure;

chronic kidney disease;

chronic liver disease;

chronic neurological disease, such as Parkinson's disease or motor neurone disease;

diabetes; or

a weakened immune system due to disease (such as HIV/AIDS) or treatment (such as cancer treatment).

JCVI is currently reviewing the evidence regarding a number of potential extensions to the flu vaccination programme for future years and will provide advice in due course.

NHS Blood and Transplant: Pay

John Healey: To ask the Secretary of State for Health how much was paid to the directors of NHS Blood and Transplant in (a) salaries, (b) other benefits and (c) employer pension contributions in each of the last five years. [77780]

Anne Milton: The information is shown in the following table.

NHS Blood and Transplant Directors' salary, benefits and pension contributions, 2010-11 to 2006-07
£
	2010-11			2009-10			2008-09
Position	Salary	Benefits ⁽¹⁾	Pension cont.	Salary	Benefits	Pension cont.	Salary	Benefits	Pension cont.
Chief Executive	190,000 to 195,000	700	25,000 to 30,000	190,000 to 195,000	700	25,000 to 30,000	170,000 to 175,000	700	20,000 to 25,000
Managing Director National Blood Service (role disestablished 2007-08)	—	—	—	—	—	—	—	—	—
Managing Director BPL (part year 2007-08—role disestablished)	—	—	—	—	—	—	—	—	—
Managing Director UK Transplant (role disestablished 2008-09)	—	—	—	—	—	—	—	—	—
Medical Director (part year 2009-10—permanent appointment)	205,000 to 210,000	300	25,000 to 30,000	155,000 to 160,000	—	20,000 to 25,000	115,000 to 120,000	—	15,000 to 20,000
Director of Strategic Supply and Service Delivery (role disestablished 2008-09)	—	—	—	—	—	—	—	—	—
Director of Patient Services (2008-09 role established)	140,000 to 145,000	2,600	15,000 to 20,000	130,000 to 135,000	4,300	15,000 to 20,000	115,000 to 120,000	4,100	15,000 to 20,000

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Director of Specialist Services (part year 2009-10—role disestablished)	—	—	—	135,000 to 140,000	—	15,000 to 20,000	125,000 to 130,000	—	15,000 to 20,000
Director of Blood Donation (part year 2009/10—permanent appointment)	130,000 to 135,000	7,700	15,000 to 20,000	35,000 to 40,000	—	5,000 to 10,000	6,000 to 70,000	100	5,000 to 10,000
Director of Organ Donation and Transplantation (part year 2008-09—role established)	130,000 to 135,000	—	15,000 to 20,000	120,000 to 125,000	—	1,0005 to 20,000	65,000 to 70,000	—	5,000 to 10,000
Director of Finance	140,000 to 145,000	1,500	15,000 to 20,000	130,000 to 135,000	—	15,000 to 20,000	120,000 to 125,000	—	15,000 to 20,000
Director of Human Resources (part year 2006-07—role established)	120,000 to 125,000	3,300	15,000 to 20,000	120,000 to 125,000	4,600	15,000 to 20,000	110,000 to 115,000	5,400	15,000 to 20,000
Director of Business Transformation Services (part year 2010-11—permanent appointment)	55,000 to 60,000	800	5,000 to 10,000	120,000 to 125,000	9,300	5,000 to 10,000	105,000 to 100,000	9,200	5,000 to 10,000
Director of Strategy Management (part year 2009-10—role disestablished)	—	—	—	0 to 5,000	—	0 to 5,000	100,000 to 105,000	800	10,000 to 15,000
Director of Communications (part year 2009-10—permanent appointment)	105,000 to 110,000	—	10,000 to 15,000	70,000 to 75,000	—	5,000 to 10,000	100,000 to 105,000	100	10,000 to 15,000
Director of Estates and Facilities (part year 2006-07—role established)	110,000 to 115,000	3,600	10,000 to 15,000	110,000 to 115,000	5,100	15,000 to 20,000	100,000 to 105,000	5,700	10,000 to 15,000

£
	2007-08			2006-07
Position	Salary	Benefits	Pension cont.	Salary	Benefits	Pension cont.
Chief Executive	250,000 to 265,000	200	30,000 to 35,000	165,000 to 170,000	—	20,000 to 25,000
Managing Director National Blood Service (role disestablished 2007-08)	—	—	—	120,000 to 125,000	4,800	15,000 to 20,000
Managing Director BPL (part year 2007-08—role disestablished)	195,000 to 200,000	4,400	25,000 to 30,000	100,000 to 105,000	5,400	10,000 to 15,000
Managing Director UK Transplant (role disestablished 2008-09)	130,000 to 135,000	—	15,000 to 20,000	125,000 to 130,000	—	15,000 to 20,000
Medical Director (part year 2009/10—permanent appointment)	95,000 to 100,000	3,600	10,000 to 15,000	205,000 to 210,000	1,100	25,000 to 30,000
Director of Strategic Supply and Service Delivery (role disestablished 2008-09)	120,000 to 125,000	5,600	15,000 to 20,000	—	—	—
Director of Patient Services (2008-09 role established)	—	—	—	—	—	—
Director of Specialist Services (part year 2009-10—role disestablished)	—	—	—	—	—	—
Director of Blood Donation (part year 2009-10—permanent appointment)	—	—	—	—	—	—
Director of Organ Donation and Transplantation (part year 2008-09—role established)	—	—	—	—	—	—
Director of Finance	165,000 to 175,000	8,000	20,000 to 25,000	110,000 to 115,000	5,400	15,000 to 20,000
Director of Human Resources (part year 2006-07—role established)	100,000 to 105,000	3,900	10,000 to 15,000	75,000 to 80,000	2,900	10,000 to 15,000

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Director of Business Transformation Services (part year 2010-11—permanent appointment)	100,000 to 105,000	8,500	5,000 to 10,000	60,000 to 65,000	4,800	5,000 to 10,000
Director of Strategy Management (part year 2009-10—role disestablished)	100,000 to 105,000	—	10,000 to 15,000	95,000 to 100,000	—	10,000 to 15,000
Director of Communications (part year 2009-10—permanent appointment)	125,000 to 130,000	0 to 500	15,000 to 20,000	145,000 to 155,000	3,200	15,000 to 20,000
Director of Estates and Facilities (part year 2006-07—role established)	95,000 to 100,000	5,000	10,000 to 15,000	55,000 to 60,000	—	5,000 to 10,000
⁽¹⁾ Benefits in kind were in relation to the provision of cars and are stated in round £100s not £1000s. Notes: 1. In October 2005 the National Blood Service and.UK Transplant merged to create NHS Blood and Transplant. The two organisational structures merged and the initial changes were completed in 2006-07. Further changes to Director posts have been made in later financial years as a result of further reconfiguration to support delivery of the strategic plan. 2. Significant salary changes between years can be explained by a new appointment to a post previously filled by an individual with many years' service, non-recurrent costs of one-off settlements (such as redundancy) and additional running costs when two salaries were being paid to cover sickness or during the process of reconfiguration. Source: NHS Blood and Transplant

NHS: Older People

Mr Laws: To ask the Secretary of State for Health what his most recent estimate is of the proportion of NHS expenditure which is spent on people aged 60 years and over; and if he will make a statement. [77524]

Mr Simon Burns: The most recent and partial analysis of national health service expenditure by age was supplied in departmental report 2006 (figure 6.2) based on analysis of financial year 2003-04 (for the hospital and community health sector (HCHS)). This analysis showed that 43% of total HCHS expenditure was on people aged 65 and over.

NHS: Social Enterprises

Mr Thomas: To ask the Secretary of State for Health pursuant to the answer of 18 October 2011, Official Report, column 839W, on the public sector, what the (a) name, (b) region, (c) size of contract from the NHS and (d) length of contract from the NHS is of each of the staff-led social enterprises; and if he will make a statement. [77512]

Paul Burstow: The Department has supported the right to request (R2R), which has enabled 45 staff-led social enterprises to be established as shown in the following table. This policy has supported approximately 25,000 staff to move out of the national health service into social enterprises with contracts worth roughly £900 million a list of these are also in the table.

The Department cannot provide details of individual social enterprise staff and turnover figures as they are commercial in confidence and belong to the social enterprises as they are now independent bodies. Contracts were negotiated between the new social enterprises and commissioners (ie primary care trusts). The Department's policy was the contracts should be for between three and five years, depending on services and the introduction of any qualified provider for their services.

Strategic health authority	Trust	Social enterprise	Services
East of England	North East Essex	Anglian Community Enterprise	Whole provider arm with over 40 services including learning disability services and services for children.
East of England	Mid Essex	Central Essex Community Services	Whole provider arm. Providing and/or managing the provision of a wide range of safe, high quality and cost effective community-based health and social care related services to local people within the East of England and adjoining areas of London and Kent.
East of England	Bedfordshire	Community Dental Services CIC	Community Dental Services providing vital oral health services to the most marginalised people and disadvantaged communities in Bedfordshire and Luton. The social enterprise will improve the oral health of people with special care needs, and vulnerable people who do not have access to regular dental care.
East of England	Bedfordshire	Sunnyhill Health Care CIC	A range of primary and community services including general medical care services, home visits, minor surgery, ante and post natal care and cervical cytology.

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East of England	Norfolk	Horizon Health CIC	Primary care services and. management of Long Term Conditions for patients in custodial/offender care environments.
East Midlands	Leicester City	Inclusion Healthcare	General Medical Services for homeless people including substance misuse services.
East Midlands	Derby City	Ripplez	Health visiting programme working with vulnerable teenage parents.
London	Bromley	Bromley Healthcare	A whole provider arm of integrated community and primary care services.
London	Kingston	Your Healthcare	A whole provider arm of primary and community care services.
North West	Salford	Social Adventures Ltd	A healthy living centre delivering a range of public health services.
South East Coast	Medway	Medway Community Healthcare	Whole provider arm providing provide a range of community health services for the population of Medway which is 275,000. These include district nursing, health visiting, outpatient therapists, out of hours service, dental service and community hospital.
Yorks and Humber	Hull	City Health Care Partnership CIC	Whole provider arm including Adult Services, Children's Services, Specialist Services, Primary Health Care Services and Corporate Services.
Yorks and Humber	Wakefield	Spectrum Community Health	Enhanced general medical services, health promotion and wellbeing interventions targeting specific population groups, eg adult and young offenders, older substance misusers and dually diagnosed clients, young people and hard to reach groups seeking contraception and sexual health advice.
Yorks and Humber	NE Lincolnshire Care Trust Plus	NAViGO Health and Social Care CIC	Mental health services, including services for older people, community mental health teams, eating disorder services and employment services.
London	Brent PCT	Integrated Health CIC	A wide range of primary health care services for residents of Brent, Harrow and Ealing.
London	Ealing PCT	The Wellbeing Service	Primary care mental health services across the borough of Ealing to clients who have primarily mild to moderate mental health problems. Clinical and non clinical interventions using a holistic approach, including one to one, telephone contact, and patient groups using evidence based therapies.
North West	Salford PCX	Six Degrees Social Enterprise	The Primary Care Mental Health Service is an Improving Access to Psychological Therapies (IAPT) Service delivering high quality and innovative care with a central mission to improve mental health and wellbeing through the use of self help skills and see more resilient communities in which people are accepted, supported and equipped with skills to deal with the challenges they face.
South West	Bristol PCT (Bristol Community Health)	Bristol Community Health CIC	Whole provider arm with services targeted primarily at the adult population in Bristol and managing a comprehensive portfolio of complementary, nurse-led, community and specialist services. Providing a number of services with a specific remit, to meet the health inequalities agenda such as our Tuberculosis service as well as delivering primary care to the prison populations in Bristol and South Gloucestershire.
South West	Devon	Chime Audiology	Providing hearing and balance care to patients of all ages from birth to old age for the Exeter, Mid and East Devon areas. This includes follow up of babies from the Newborn Hearing Screening Programme through to a comprehensive adult hearing aid service including hearing therapy—free at the point of delivery via the NHS.
South West	Swindon	Care and Support Partnership (SEQOL—Social Enterprise Quality of Life)	Whole provider arm providing support for long-term conditions, rehabilitation, support of older people with complex health and social care needs and complex care at home.
West Midlands	Birmingham East and North PCT	John Taylor Hospice CIC	Community end of life care, including hospice at home and Macmillan services.
Yorks and Humber	NHS Bradford and Airedale (interpreting)	Enable2 CIC	Interpreting and translation services.

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Yorks and Humber	North East Lincolnshire Care—Trust Plus (NEL CTP)	Care Plus Group (North East Lincolnshire) Ltd	Wide range of services including end of life care, specialist services, rapid response team, and all adult and older peoples mental health and associated services in North East Lincolnshire.
Yorks and Humber	Rotherham	Gateway Primary Care CIC	Primary care general medical services for asylum seekers and socially excluded vulnerable groups and individuals within the Rotherham area.
East Midlands	Nottingham	Nottingham CityCare Partnership	Delivering a range of community services in partnership with Nottingham Emergency Medical Services CBS and Nottingham City Council.
East of England	Great Yarmouth and Waveney	East Coast Community Healthcare CIC	Whole provider arm including a wide range of community services together with a GP Practice and small number of specialist services such as prison healthcare, predominantly within the Great Yarmouth and Waveney area.
East of England	Hertfordshire	Health Inclusion Matters CIC (trading as Meadowell)	Homeless primary care services.
East of England	Luton	CHUMS CIC	The Child Bereavement and Trauma Service CHUMS in Bedfordshire offers bereavement support to children up to the age of 18 years and their families following the death of someone close through services including family visits, individual support, workshops and parents groups, a parenting course, residential weekends, family days, specialist days for those bereaved through suicide and also a remembrance service. CHUMS also delivers training to professionals, and produces literature in support of bereaved families and professionals.
East of England	Suffolk	Allied Health Professionals Suffolk CIC	Providing community musculoskeletal physiotherapy and back and neck services in Suffolk.
London	Hillingdon	The Orchard Medical Practice CIC	Primary and additional medical services in an area of high deprivation, including asylum seekers, refugees and many patients who do not have English as a first language and working in close association with other health and community groups.
London	Newham	Name to be decided	A range of integrated primary and community services.
London	Tower Hamlets (wound healing)	Accelerate Health CIC (Trading as Accelerate CIC)	Wound care and lymphoedema services.
North West	Bolton	Bolton Community Practice CIC	Primary medical care services for vulnerable people.
South Central	Buckinghamshire	The Healthy Living Centre CIC	Health and wellbeing services.
South Central	Isle of Wight	The Phoenix Project	A range of day service activities for people with learning disabilities living on the Isle of Wight including individuals with profound and multiple disabilities and complex health needs as well as individuals with challenging behaviour.
South East Coast	Surrey	First Community Health and Care QC	A wide range of community healthcare services for families and adults living in Surrey and West Sussex.
South West	Bath and North East Somerset	Sirona Health and Care CIC	Whole provider arm providing community health and social care services for adults, older people, children and learning disabled.
South West	Cornwall and Isles of Scilly	Peninsula Community Health CIC	Whole provider arm of approximately 48 service lines providing a full range of community health services for both adults and children for the whole population of Cornwall and the Isles of Scilly. Service lines also include the salaried dental service/district nursing, health visiting, school nursing, community therapy and podiatry.
South West	Gloucestershire	Gloucestershire Care Services CIC	Whole provider arm providing a full range of community health and adult social care services.
South West	North Somerset	North Somerset Community Partnership CIC	Whole provider arm providing a full range of primary and social care services.
South West	Plymouth	Plymouth Community Healthcare CIC	Whole provider arm providing a wide range of Primary Care, Community and In-patient services for Children, Young People and Adults including a comprehensive range of Mental Health, Learning Disability and General Rehabilitation services for the City of Plymouth, including some services commissioned by Devon and Cornwall Primary Care Trusts.

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South West	Torbay Care Trust	DENPOD	Oral care services for disadvantaged and vulnerable people, delivering oral health promotion activities to protect and maintain oral health. Podiatry providing foot health interventions and education to the vulnerable and those in hard to reach areas to remain active, pain free and independent.
West Midlands	Dudley	Lymphcare UK	Comprehensive and holistic Lymphoedema Service that is equitable and accessible to patients suffering with both Primary and Secondary Lymphoedema, Chronic oedema and Lipoedema.
Yorks and Humber	Bradford and Airedale	Bevan Healthcare CIC	Bevan healthcare providing easy access to high quality primary healthcare services for homeless people, people in temporary accommodation, asylum seekers, refugees and other marginalised groups who find it difficult to gain access to mainstream services.
Yorks and Humber	Kirklees	Locala Community Partnerships CIC	A whole provider arm providing a wide range of health, wellbeing and social care services.

Total staff	All R2R totals	25,000

Organs: Donors

Mrs Moon: To ask the Secretary of State for Health if he will consider allocating responsibility to one individual for the Government's objective of improving rates of organ donation and transplantation; and if he will make a statement. [77727]

Anne Milton: Improving rates of organ donation and transplantation rests not with one individual but with a wide range of people. As Minister for Public Health, I am responsible for organ donation and transplantation for the Department of Health.

Therefore, work continues at national, regional and local levels across a number of organisations to support the excellent work of the national health service in identifying, referring and procuring donor organs. We have made good progress and are on track to meet the 50% improvement in deceased donor rates by 2013 anticipated by the Organ Donation Taskforce. A Transitional Steering Group, established in March 2011 is encouraging action at all levels and provides a clear reporting line to United Kingdom health ministers on progress. As we modernise the NHS we will continue our work to keep donation rates at a record high so that more people can benefit from a life-saving transplant.

Mrs Moon: To ask the Secretary of State for Health what the percentage change was in the number of people (a) on the Organ Donor Register, (b) who died in circumstances suitable for organ donation and whose organs were donated and (c) requiring a transplant operation who received one in each of the last six years; and if he will make a statement. [77728]

Anne Milton: The information requested is provided in the following table.

Organ Donor Register (ODR) figures, 2005-06 to 2010-11
Financial year	Number on the ODR	Percentage change	Deceased organ donors	Percentage change	Deceased organ transplants	Percentage change
2005-06	13,126,625	—	764	—	2,196	—
2006-07	14,209,009	8	793	4	2,385	9
2007-08	15,148,606	7	809	2	2,381	-0.2
2008-09	16,132,651	6	899	11	2,552	7
2009-10	17,084,885	6	959	7	2,645	4
2010-11	17,751,795	4	1,010	5	2,695	2

Overall increase	4,625,170	35	246	32	499	23
Note: The percentage change figure for the overall increase, will not equal the total sum of the percentage change figures. The percentage change from year to year is calculated comparing one year with the previous year, whereas the overall increase is comparing the final year (2010-11) with the first year (2005-06). Source: NHS Blood and Transplant

Sustained work to improve organ donation and transplantation rates continues at national, regional and local levels and we have made good progress and are on track to meet the 50% improvement in deceased donor rates by 2013 anticipated by the Organ Donation Taskforce. Significant resources have been made available, largely through NHS Blood and Transplant, to increase the number of specialist nurses for organ donation and appoint clinical leads, donation committees and donation chairs in acute trusts to drive improvement locally. This has helped donor rates to increase and for rates to continue to rise in 2011-12.

2 Nov 2011 : Column 631W

Chronic Pain

Mr Virendra Sharma: To ask the Secretary of State for Health what discussions he has had with the National Institute for Health and Clinical Excellence on the publication of a quality standard for chronic pain in adults. [78005]

Paul Burstow: We wrote to the National Institute for Health and Clinical Excellence (NICE) in December, asking for further scoping work on 11 topics, and for advice on their suitability for the development of quality standards. The list included a possible quality standard or standards on pain relief, including pain relief in children. This topic of ‘pain management’ was included

2 Nov 2011 : Column 632W

in the proposed list for the library of NICE Quality Standards that the National Quality Board will be considering shortly, following the completion of an engagement exercise hosted by NICE. An announcement will be made in due course.

Mr Virendra Sharma: To ask the Secretary of State for Health how many (a) elective and (b) emergency (i) admissions and (ii) bed days were recorded for patients with a primary diagnosis of chronic pain in each primary care trust in the last year for which figures are available. [78006]

Paul Burstow: The information requested is in the following table.

Number of finished admission episodes ⁽¹⁾ and number of finished consultant episode (FCE) bed days ⁽²⁾ by method of admission ⁽³⁾ with a primary diagnosis of chronic pain ⁽⁴⁾ by primary care trust of residence ⁽⁵⁾ 2009-10
	Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
	Finished admission episodes			FCE b ed days
Primary care trust	Elective	Emergency	Unknown	Elective	Emergency	Unknown
East Midlands SHA
Bassetlaw PCT	*	0	0	0	0	0
Derby City PCT	*	*	0	0	31	0
Derbyshire County PCT	9	8	0	25	22	0
Leicester city PCT	*	*	0	0	2	0
Leicestershire County and Rutland PCT	6	11	*	39	49	57
Northamptonshire Teaching PCT	*	*	0	0	72	0
Nottingham City PCT	7	*	0	0	1	0
Nottinghamshire County Teaching PCT	*	6	0	20	72	0

East of England SHA
Bedfordshire PCT	18	*	0	37	6	0
Cambridgeshire PCT	22	9	0	0	60	0
East and North Hertfordshire PCT	20	*	0	11	27	0
Great Yarmouth and Waveney PCT	*	*	0	12	15	0
Luton PCT	*	*	0	0	40	0
Mid Essex PCT	23	0	0	0	0	0
Norfolk PCT	47	9	*	60	109	27
North East Essex PCT	7	0	0	0	0	0
Peterborough PCT	*	*	0	25	9	0
South East Essex PCT	9	7	0	38	55	0
South West Essex PCT	16	*	0	18	90	0
Suffolk PCT	16	8	0	29	69	0
West Essex PCT	11	*	0	30	12	0
West Hertfordshire PCT	10	*	0	20	2	0

London SHA
Barking and Dagenham PCT	12	0	0	3	0	0
Barnet PCT	16	*	0	18	24	0
Bexley Care Trust	18	*	*	3	3	1
Brent Teaching PCT	10	*	0	1	34	0
Bromley PCT	13	*	0	0	22	0
Camden PCT	30	0	0	2	0	0
City and Hackney Teaching PCT	9	*	0	0	4	0
Croydon PCT	11	*	0	25	8	0
Ealing PCT	7	11	0	10	134	0
Enfield PCT	37	*	0	15	4	0
Greenwich Teaching PCT	19	*	0	16	22	0
Hammersmith and Fulham PCT	*	*	0	0	16	0
Haringey Teaching PCT	14	*	0	0	6	0
Harrow PCT	12	*	0	19	13	0

2 Nov 2011 : Column 633W

2 Nov 2011 : Column 634W

Havering PCT	13	*	0	8	0	0
Hillingdon PCT	12	*	0	0	0	0
Hounslow PCT	8	*	0	12	32	0
Islington PCT	24	*	0	0	36	0
Kensington and Chelsea PCT	*	*	0	45	4	0
Lambeth PCT	13	0	0	0	25	0
Lewisham PCT	29	*	0	4	7	0
Newham PCT	6	*	0	0	3	0
Redbridge PCT	8	*	0	0	62	0
Richmond and Twickenham PCT	*	0	0	0	0	0
Southwark PCT	25	*	0	0	15	0
Sutton and Merton PCT	11	*	0	24	8	0
Tower hamlets PCT	*	*	0	0	2	0
Waltham forest PCT	18	*	0	4	47	0
Wandsworth PCT	9	*	0	17	20	0
Westminster PCT	6	*	0	4	0	0

North East SHA
County Durham PCT	16	7	*	21	21	2
Gateshead PCT	0	8	0	0	29	0
Middlesbrough PCT	0	*	0	0	5	0
Newcastle PCT	0	*	0	0	3	0
North Tyneside PCT	*	*	0	0	0	0
Northumberland Care Trust	*	0	0	3	0	0
Redcar and Cleveland PCT	*	*	0	2	16	0
South Tyneside PCT	*	*	0	0	8	0
Stockton-on-Tees Teaching PCT	0	*	0	0	2	0
Sunderland Teaching PCT	*	*	0	1	16	0

North West SHA
Ashton, Leigh and Wigan PCT	45	*	0	4	7	0
Blackburn with Darwen PCT	*	*	0	0	4	0
Blackpool PCT	0	*	0	0	16	0
Bolton PCT	77	*	0	0	68	0
Bury PCT	130	*	0	0	5	0
Central and Eastern Cheshire PCT	37	8	0	1	34	0
Central Lancashire PCT	65	*	0	9	28	0
Cumbria Teaching PCT	6	6	*	33	22	46
East Lancashire Teaching PCT	8	*	0	0	15	0
Halton and St Helens PCT	32	*	0	9	25	0
Heywood, Middleton and Rochdale PCT	134	*	0	2	5	0
Knowsley PCT	0	*	0	0	6	0
Liverpool PCT	*	*	0	36	6	0
Manchester PCT	128	*	0	17	2	0
North Lancashire Teaching PCT	28	0	0	6	0	0
Oldham PCT	16	*	*	16	1	25
Salford PCT	609	0	0	10	0	0
Sefton PCT	0	*	0	0	67	0
Stockport PCT	80	6	0	0	171	0
Tameside and Glossop PCT	224	*	0	11	61	0
Trafford PCT	105	6	0	0	77	0
Warrington PCT	43	*	0	4	10	0
Wirral PCT	10	*	0	22	39	0

South Central SHA
Berkshire West PCT	12	0	0	0	0	0
Buckinghamshire PCT	8	*	0	0	8	0

2 Nov 2011 : Column 635W

2 Nov 2011 : Column 636W

Hampshire PCT	60	13	*	213	91	58
Isle of Wight NHS PCT	0	*	0	0	15	0
Milton Keynes PCT	*	*	0	2	6	0
Oxfordshire PCT	*	6	0	5	86	0
Portsmouth City Teaching PCT	*	0	0	14	0	0
Southampton City PCT	*	*	0	12	2	0
Swindon PCT	*	*	0	19	3	0

South East Coast SHA
Berkshire East PCT	*	*	0	0	27	0
Brighton and Hove City PCT	*	*	0	3	12	0
East Sussex Downs and Weald PCT	10	*	0	19	13	0
Eastern and Coastal Kent PCT	15	7	0	44	133	0
Hastings and Rother PCT	*	*	0	0	6	0
Medway PCT	8	*	0	19	7	0
Surrey PCT	51	9	0	247	31	0
West Kent PCT	34	6	0	3	42	0
West Sussex PCT	34	10	0	5	36	0

South West SHA
Bath and North East Somerset PCT	0	*	0	0	2	0
Bournemouth and Poole Teaching PCT	*	*	0	16	22	0
Bristol PCT	15	6	0	0	63	0
Cornwall and Isles of Scilly PCT	9	*	0	40	21	0
Devon PCT	10	7	*	48	16	5
Dorset PCT	6	*	0	21	54	0
Gloucestershire PCT	8	6	0	2	36	0
North Somerset PCT	*	*	0	2	22	0
Plymouth Teaching PCT	*	0	0	0	0	0
Somerset PCT	13	16	0	22	150	0
South Gloucestershire PCT	*	*	0	0	110	0
Torbay Care Trust	*	*	0	21	6	0
Wiltshire PCT	*	*	0	78	17	0

West Midlands SHA
Birmingham East and North PCT	*	*	0	15	39	0
Coventry Teaching PCT	*	0	0	37	0	0
Dudley PCT	*	*	0	21	6	0
Heart of Birmingham Teaching PCT	12	*	0	44	0	0
Herefordshire PCT	*	*	0	21	1	0
North Staffordshire PCT	*	*	0	0	1	0
Sandwell PCT	16	*	0	1	4	0
Shropshire County PCT	6	*	0	6	2	0
South Birmingham PCT	*	*	0	17	27	0
South Staffordshire PCT	26	*	0	14	74	0
Stoke on Trent PCT	*	*	0	18	2	0
Telford and Wrekin PCT	*	0	0	4	0	0
Walsall Teaching PCT	*	0	0	0	0	0
Warwickshire PCT	15	6	0	43	51	0
Wolverhampton City PCT	*	*	0	0	46	0
Worcestershire PCT	49	*	0	152	40	0

Yorkshire and Humber SHA
Barnsley PCT	*	*	*	5	7	4
Bradford and Airedale Teaching PCT	26	9	*	0	49	24
Calderdale PCT	*	*	0	0	2	0
Doncaster PCT	*	*	*	4	25	11

2 Nov 2011 : Column 637W

2 Nov 2011 : Column 638W

East Riding of Yorkshire PCT	23	23	0	30	299	0
Hull Teaching PCT	*	19	0	16	276	0
Kirklees PCT	*	*	0	0	74	0
Leeds PCT	25	8	*	38	122	15
Lincolnshire Teaching PCT	22	14	0	5	185	0
North East Lincolnshire Care Trust Plus	*	0	0	0	0	0
North Lincolnshire PCT	*	0	0	0	0	0
North Yorkshire and York PCT	8	8	*	1	109	6
Rotherham PCT	10	9	0	1	37	0
Sheffield PCT	29	10	0	34	105	0
Wakefield District PCT	*	*	0	5	19	0
⁽¹⁾ Finished admission episodes A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. ⁽²⁾ Episode duration (FCE bed days) Episode duration is calculated as the difference in days between the episode start date and the episode end date, where both are given. Episode duration is based on finished consultant episodes and only applies to ordinary admissions, ie day cases are excluded (unless otherwise stated). ⁽³⁾ Method of admission This is the sum of the episode duration for all finished consultant episodes that ended within the financial year. This field does not include bed days where the episode was unfinished at the end of the financial year. To identify bed days as emergency bed days we have filtered the total bed days figures by admission method indicating the admission was an emergency (codes 21 to 24 and 28). 21 = Emergency: via Accident and Emergency (A&E) services, including the casualty department of the provider 22 = Emergency: via general practitioner (GP) 23 = Emergency: via Bed Bureau, including the Central Bureau 24 = Emergency: via consultant outpatient clinic 28 = Emergency: other means, including patients who arrive via the A&E department of another healthcare provider" ⁽⁴⁾ Primary diagnosis The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital. ICD-10 codes used: R52.1 - Chronic intractable pain R52.2 - Other chronic pain" ⁽⁵⁾ SHA/PCT of residence The strategic health authority (SHA) or primary care trust (PCT) containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment. Note: Small numbers To protect patient confidentiality, figures between 1 and 5 have been replaced with “” (an asterisk). Where it was still possible to identify numbers from the total an additional number (the next smallest) has been replaced. Source:* Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

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Wednesday 2 November 2011

Health

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Haemolytic Uremic Syndrome

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Hepatitis

Influenza: Vaccination

NHS Blood and Transplant: Pay

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Organs: Donors

Chronic Pain

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