18 Jun 2012 : Column 779W

Written Answers to Questions

Monday 18 June 2012

Health

Accident and Emergency Departments

Hugh Bayley: To ask the Secretary of State for Health how long on average people waited in accident

18 Jun 2012 : Column 780W

and emergency at York Hospital before being treated in

(a)

1992 and

(b)

each year since 1992. [111404]

Mr Simon Burns: Information is not available in the format requested.

Information on accident and emergency (A&E) performance for York Teaching Hospital NHS Foundation Trust (FT) for 2002-03 onwards is shown in the following table.

 Total time spent in Type 1 A&E
 1 hour or less1 to 2 hours2 to 3 hours3 to 4 hoursOver 4 hoursTime not recordedTotalPercentage within 4 hours

2002-03

14,066

18,452

11,263

7,374

5,570

0

56,725

90.2

2003-04

17,059

20,319

11,640

6,100

5,367

0

60,485

91.1

2004-05

18,707

21,242

12,282

7,527

3,941

0

63,699

93.8

2005-06

18,703

22,960

13,118

8,005

909

0

63,695

98.6

2006-07

20,105

21,257

13,306

9,550

1,679

0

65,897

97.5

2007-08

17,454

21,552

13,278

10,102

2,272

0

64,658

96.5

2008-09

21,433

22,037

13,458

9,141

2,218

0

68,287

96.8

2009-10

21,079

22,153

15,048

11,527

1,686

0

71,493

97.6

2010-11

20,450

21,659

16,295

13,057

2,751

0

74,212

96.3

2011-12

n/a

n/a

n/a

n/a

3,693

n/a

72,914

94.9

n/a—Represents the figures that are not available Notes: 1. It is not possible to calculate an accurate average time that people have waited in A&E at York Teaching Hospital NHS FT before being treated. 2. Data on A&E performance have been collected in the QMAE from 2002-03 onwards and was only collected in hourly time brackets up to four hours and over. 3. These data focus on the percentage of people treated in A&E within four hours. 4. Comparable A&E data from before 2002-03 are not available. 5. The QMAE collection was suspended in 2011-12. Therefore, the figures for 2011-12 have been taken from the Weekly A&E data collection. 6. The Weekly A&E data collection only collects data on the total number of patients seen and the number of patients who waited over four hours. Source: Quarterly Monitoring of Accident and Emergency Dataset (QMAE) and Weekly A&E data

Alcoholic Drinks: Young People

Ms Abbott: To ask the Secretary of State for Health how many people under the age of 18 years in each (a) socio-economic, (b) ethnic and (c) gender group were admitted to hospital with suspected alcohol-induced conditions in each of the last 10 years. [110980]

Anne Milton: The tables contain estimates of the number of admissions involving a mention of an alcohol-related condition as a primary or secondary diagnosis, split by economic group, ethnicity and gender for the years 2002-03 to 2010-11. 2002-03 is the earliest year for which information is available.

The figures include estimates based on admissions involving conditions that are partially attributable to alcohol, as well as counts of admissions involving conditions wholly attributable to alcohol. The former are calculated using evidence about the proportion of diseases and injuries attributable to alcohol.

The attributable fractions are not applicable to children under 16. Therefore figures for this age group relate only to wholly-attributable admissions.

Comparisons over time are affected by improvements in the recording of secondary diagnoses.

The data in the tables should not be described as a count of people as the same person may have been admitted on more than one occasion.

Estimated number of admissions involving an alcohol-related condition(1) for people aged under 18, split by socio-economic group(2), ethnicity(3), and gender for the years 2002-03 to 2010-11(4)
Activity in English national health service hospitals and English NHS commissioned activity in the independent sector
Socio-Economic Group2002-032003-042004-052005-062006-072007-082008-092009-102010-11

Least deprived 10%

686

773

788

899

857

872

803

778

754

Less deprived 10% to 20%

830

813

875

999

906

961

887

892

843

18 Jun 2012 : Column 781W

18 Jun 2012 : Column 782W

Less deprived 20% to 30%

782

880

915

996

965

1,092

966

903

894

Less deprived 30% to 40%

795

904

989

1,164

1,156

1,124

970

958

916

Less deprived 40% to 50%

891

951

1,029

1,234

1,263

1,200

1,013

1,037

986

More deprived 40% to 50%

1,025

1,110

1,224

1,375

1,365

1,360

1,219

1,197

1,172

More deprived 30% to 40%

1,238

1,270

1,413

1,488

1,469

1,444

1,334

1,346

1,325

More deprived 20% to 30%

1,248

1,447

1,580

1,734

1,740

1,738

1,533

1,595

1,468

More deprived 10% to 20%

1,517

1,606

1,786

1,876

1,973

1,983

1,706

1,852

1,669

Most deprived 10%

1,886

2,174

2,230

2,456

2,591

2,503

2,243

2,126

2,165

Unknown

96

132

167

209

201

238

173

147

139

 Ethnic Group2002-03(5)2003-042004-052005-062006-072007-082008-092009-102010-11

A

British (White)

5,305

6,723

7,755

9,354

10,111

10,722

9,829

10,103

9,645

B

Irish (White)

10

15

18

23

25

24

23

24

27

C

Any other White background

233

250

287

258

250

267

261

282

283

D

White and Black Caribbean (Mixed)

29

30

29

42

51

44

69

62

74

E

White and Black African (Mixed)

5

11

7

6

6

16

13

14

16

F

White and Asian (Mixed)

12

13

13

11

30

49

43

39

39

G

Any other Mixed background

24

26

25

49

54

69

68

76

77

H

Indian (Asian or Asian British)

52

78

79

68

88

86

97

95

105

J

Pakistani (Asian or Asian British)

59

69

103

115

92

121

148

159

161

K

Bangladeshi (Asian or Asian British)

15

21

28

29

35

56

51

53

62

L

Any other Asian background)

24

27

34

40

51

65

70

90

96

M

Caribbean (Black or Black British)

40

55

48

59

62

74

71

80

87

N

African (Black or Black British)

29

38

43

49

73

68

76

102

119

P

Any other Black background

44

63

66

70

94

96

99

102

116

R

Chinese (other ethnic group)

13

16

9

8

8

10

13

16

16

S

Any other ethnic group

80

85

103

159

166

188

180

211

225

X

Not known

244

898

898

898

802

651

362

313

285

Z

Not stated

3,648

3,642

3,450

3,192

2,490

1,909

1,373

1,009

901

0

White

427

1

Black—Caribbean

7

2

Black—African

2

3

Black—Other

4

4

Indian

0

5

Pakistani

2

6

Bangladeshi

1

8

Any other ethnic group

7

9

Not given

677

Gender2002-032003-042004-052005-062006-072007-082008-092009-102010-11

Male

5,467

5,848

6,203

6,879

6,905

6,646

5,909

5,838

5,563

18 Jun 2012 : Column 783W

18 Jun 2012 : Column 784W

Female

5,527

6,211

6,793

7,551

7,580

7,869

6,937

6,993

6,769

(1) Alcohol-related admissions The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory, which uses 48 indicators for alcohol-related illnesses, determining the proportion of a wide range of diseases and injuries that can be partly attributed to alcohol as well as those that are, by definition, wholly attributable to alcohol. Further information on these proportions can be found at: www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf The application of the NWPHO methodology has recently been updated and is now available directly from Hospital Episode Statistics (HES). As such, information about episodes estimated to be alcohol related may be slightly different from previously published data. (2) Socio-economic group The socio-economic group used is derived from the Index of Multiple Deprivation (IMD). IMD is a measure of multiple deprivation which ranks the relative deprivation of each area of England in a number domains (such as crime and income) and then combines the individual scores to produce a composite score for each area. The patient's residential postcode is then mapped to one of these areas, and summarised into 10 groups for presentation. The version of IMD used was published in 2004. Available at: www.communities.gov.uk/documents/communities/pdf/131206.pdf for further details. (3) Ethnicity Ethnicity data may not be good enough to allow accurate analysis, including analysis of ethnic differences. Ethnic group was collected from 1 April 1995 to 31 March 2002 and Ethnic category, using the definitions in the 2001 census, from 1 April 2002. Patients are asked to select their category from a standard list, and some decline to do this. Data may therefore be incomplete and of poor quality. (4) Assessing growth through time 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 NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in out-patient settings and so no longer include in admitted patient HES data. (5) There was a change in the ethnic categories during this period and while some providers adopted the new definitions others still used the old definition. Data quality: HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England and from some independent sector organisations for activity commissioned by the English NHS. The NHS 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. Activity included: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Antibiotics

Zac Goldsmith: To ask the Secretary of State for Health (1) what guidance the NHS issues on the use of the antibiotic fluoroquinolones and third and fourth generation cephalosporins to treat people who do not have an infection but might be at risk of infection; [111352]

(2) whether he has received recent representations on (a) cephalosporin and (b) fluoroquinolone-resistant E. coli; [111438]

(3) what steps his Department is taking to prevent the spread of antibiotic resistant strains of bacteria; [111439]

(4) what recent steps he has taken to tackle drug resistant E. coli; [111440]

(5) how many representations he has received on antibiotic resistance relating to the treatment of E. coli in the latest period for which figures are available; [111446]

(6) what guidance his Department provides to doctors on the desirability of limiting the use of (a) fluoroquinolones and (b) 3rd and 4th generation cephalosporins. [111459]

Anne Milton: The Department, with other organisations such as the National Institute for Health and Clinical Excellence, have a wide range of initiatives that promote responsible prescribing and good infection prevention and control practice to minimise antimicrobial resistance. These include participation in the annual European Antibiotic Awareness Day on 18 November. Last year we used this day to launch new guidance for hospital preservers “Start Smart Then Focus”. This guidance reminds doctors to regularly review the use of broad spectrum antibiotics such as fluoroquinolones and cephalosporins and the need for effective infection prevention and control, for example, high standards of hand hygiene.

The Code of Practice on the prevention and control of infections and related guidance (2010) expects health care providers to have procedures in place to ensure responsible prescribing of antimicrobials and antimicrobial stewardship and an ongoing programme to audit and review these procedures. The Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infection keeps multiple resistant bacteria under review and advises, as necessary.

In line with the Code of Practice on the prevention and control of infections and related guidance, the national health service will have local policies on antimicrobial prescribing. However, decisions on the antibiotics used for prophylaxis are made locally and this information is not collected centrally.

A search of the Department's ministerial correspondence database has not identified any correspondence received since 1 May 2010 about cephalosporin or fluoroquinolone-resistant Escherichia coli. A search for correspondence received in the same period has identified two items of correspondence about antibiotic resistance relating to the treatment of E. coli. This is a minimum figure which represents correspondence received by the Department's central correspondence unit only.

Zac Goldsmith: To ask the Secretary of State for Health what information his Department holds on levels of use in the NHS of (a) fluoroquinolones and (b) 3rd and 4th generation cephalosporins. [111458]

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Anne Milton: Information on the number of prescriptions items for quinolones (including fluoroquinalones) and “third generation” cephalosporins dispensed in the community in England is shown in the following tables and is taken from the Prescription Cost Analysis (PCA) system. The PCA system uses the therapeutic classifications defined in the British National Formulary (BNF). There are no “fourth generation” cephalosporins listed in the British National Formulary (BNF).

Number of prescription items for quinolones(1) dispensed in the community in England
Thousand
BNF chemical name20072008200920102011

Ciprofloxacin

1,185.9

1,049.9

929.7

881.0

821.6

Levofloxacin

41.4

36.0

26.0

21.7

18.5

Moxifloxacin

19.0

14.8

9.8

8.8

8.0

Nalidixic Acid

1.1

1.0

0.9

0.6

0.7

Norfloxacin

55.7

45.3

36.1

30.7

25.9

Ofloxacin

47.0

40.1

36.6

33.5

37.4

Total(2)

1,350.1

1,187.1

1,039.1

976.2

912.1

(1) Medicines classified as quinolones in section 5.1.12 of the BNF. (2) Totals may not sum due to rounding. Source: Prescription Cost Analysis (PCA) system
Number of units of “third generation” cephalosporins(1) dispensed in the community in England
Thousand
BNF chemical name20072008200920102011

Cefixime

14.5

12.1

10.0

8.6

7.4

Cefotaxime Sodium

0.4

0.3

0.1

0.1

0.1

Cefpodoxime

0.8

0.6

0.6

0.7

0.6

Ceftazidime Pentahydrate

0.5

0.5

0.5

0.6

0.4

Ceftriaxone Sodium.

1.4

1.6

1.6

1.6

2.0

Total(2)

17.5

15.0

12.8

11.6

10.6

(1) Medicines classified as “third generation” cephalosporins in section 5.1.2.1 of the BNF. (2) Totals may not sum due to rounding. Source: Prescription Cost Analysis (PCA) system

The Department holds no direct data on levels of use in secondary care.

In the Health Protection Agency-led Point Prevalence Survey for 2011, which is a snapshot survey of antimicrobial use in acute hospitals in England, 34.7% of all hospital in-patients surveyed were receiving an antimicrobial. Of those patients surveyed, 855/52,443 (1.63%) were receiving a fluoroquinolone; 535 (1.02%) were receiving a third generation cephalosporin and two (0.003%) patients were receiving a fourth generation cephalosporin.

The full report is available at:

http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/HCAI/HCAIPointPrevalenceSurvey/

The document has been placed in the Library.

Atos

Tom Greatrex: To ask the Secretary of State for Health (1) what the total monetary value of each contract between his Department and Atos is; [111190]

(2) when each contract between his Department and Atos was most recently (a) agreed, (b) renewed and (c) extended. [111191]

18 Jun 2012 : Column 786W

Mr Simon Burns: There is a contract with Atos for a five year managed service for the Department and a number of arm's length bodies to provide the internal desktop and information technology services solution called IMS3 (Information Management System). The total value for the IMS3 contract let to-date is £74.2 million and was awarded in January 2012. The contract includes an option for an additional two years service not included in this figure.

There is a contract with Atos for Choose and Book. The value of the current contract variation with Atos for Choose and Book is £43.8 million. The original contract for Choose and Book was agreed in 2003. This contract was subsequently extended in December 2009 to December 2011. In December 2011, the contract was varied to allow a live service to continue up to December 2013.

Cancer

Tracey Crouch: To ask the Secretary of State for Health how many emergency admissions for each type of cancer there were in each hospital trust in each of the last two years. [112172]

Paul Burstow: Information concerning the number of emergency admissions in England by type of cancer and by hospital trust has been placed in the Library. These data should not be referred to as a count of patients as the same patient may be admitted more than once within a year.

Carers

Mark Lancaster: To ask the Secretary of State for Health (1) how much funding his Department allocated for carers (a) nationally and (b) in Milton Keynes in the latest period for which figures are available; [111373]

(2) what recent consultations he has undertaken on community-based respite care; [111389]

Paul Burstow: Nationally, we have made available funding of £400 million to the national health service between 2011 and 2015 to enable carers to take breaks from their caring responsibilities to sustain them in their caring role. This funding is available through primary care trust (PCT) baseline allocations. The NHS Milton Keynes and Northamptonshire PCT is currently identifying funding commitments for priority areas flagged up in the Operating Framework, including carers services.

There have been no recent consultations on community-based respite care. However, the Department funded the National Carers' Strategy Demonstrator Sites programme which included sites exploring innovative ways of supporting carers, including breaks. An independent evaluation was undertaken by the Centre for International Research on Care, Labour and Equalities at Leeds university. The evaluation report can be accessed at:

www.sociology.leeds.ac.uk/circle/news/new-approaches.php

Clinical Trials

Ben Gummer: To ask the Secretary of State for Health what arrangements are in place to ensure that clinical trials cannot be falsified for commercial purposes. [111122]

18 Jun 2012 : Column 787W

Mr Simon Burns: Clinical trials are regulated by a European Directive Council Directive 2001/20/EC, which came into force in May 2004. The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for the enforcement of this law, which was transposed into UK law under SI 2004/1031 as amended.

Clinical studies for investigation of new medicinal products are required to comply with European Union standards for Good Clinical Practice. Companies are required to confirm that studies have been conducted according to EU standards for Good Clinical Practice within marketing authorisation applications. Professional assessors at the MHRA review the clinical study reports during the assessment of applications for marketing authorisations and consider the credibility of the data within that review.

The MHRA's Licensing Division is responsible for the acceptance of the trials to be conducted and the subsequent review of any such data in Marketing Authorisation Applications. The MHRA's Good Clinical Practice Inspectorate conducts inspections to ensure that the patients' rights, safety and well being are protected and that data are credible. They do this by conducting inspections using a risk based approach.

Dementia

Chris Ruane: To ask the Secretary of State for Health what research his Department has (a) commissioned and (b) evaluated on any effects of social contact and volunteering on delaying the onset of dementia; [111706]

Jim Shannon: To ask the Secretary of State for Health what recent research he has commissioned on the effect of nutrition and exercise on the advance of dementia; and what the outcome was of any such research. [112207]

Paul Burstow: The Department has not commissioned or evaluated research specifically on any effects of social contact and volunteering on delaying the onset of dementia.

Four new National Institute for Health Research (NIHR) biomedical research units in dementia are being funded for five years from April 2012. Some research at the units will include aspects of nutrition and exercise.

The NIHR Health Technology Assessment programme is funding a £1.7 million trial of physical activity programmes for community dwelling people with mild to moderate dementia. The estimated date of publication of the report of the trial is late 2017.

The Economic and Social Research Council and the NIHR will be working together to support an initiative with up to £13 million funding available for social science research on dementia. The call for proposals will open in the week commencing 9 July and will fund national or international social science research in dementia which can make a significant contribution to scientific, economic and social impact.

The research agenda for the initiative encompasses prevention including public awareness and early presentation, public health of behaviour change including the role of social interventions in slowing cognitive decline, and delivery of interventions in hospitals, care homes and carers including the interface between professionals and lay people and patients.

18 Jun 2012 : Column 788W

Jim Shannon: To ask the Secretary of State for Health whether the additional funding for dementia provided by his Department will be distributed to all constituent parts of the UK; and what proportion of such funding Northern Ireland will receive. [112204]

Paul Burstow: Responsibility for healthcare in Northern Ireland is devolved and funding is a matter for the Northern Ireland Assembly.

The combined value of the National Institute for Health Research (NIHR), Medical Research Council (MRC) and the Economic and Social Research Council (ESRC) funding for research into dementia will increase from £26.6 million in 2009-10 to an estimated £66.3 million in 2014-15.

The Department is responsible for health research in England and funds research through the NIHR. MRC and ESRC funding is available throughout the United Kingdom, and allocation is subject to open competition and peer review.

Diabetes

Mr Buckland: To ask the Secretary of State for Health how many people were diagnosed with (a) type 1 and (b) type 2 diabetes last year. [111615]

Paul Burstow: Information on the rate of diagnosis is not available. Information from the National Diabetes Audit, in which national health service participation is still expanding, shows how many new registrations of diabetic patients were made last year.

The following table shows how many people with Type 1 and Type 2 diabetes were newly registered with the National Diabetes Audit in 2009-10.

Diabetes typeRegistration from primary careRegistrations from secondary careTotal registrations

Type 1

7,719

922

8,641

Type 2

195,452

1,900

197,352

MODY

54

2

56

Other specified

3,545

1,372

4,917

Not specified

2,824

2,876

5,700

Total

209,594

7,072

216,666

In addition, there are 55,357 people with diabetes where the registration date has not been specified.

Dialysis Machines: York

Hugh Bayley: To ask the Secretary of State for Health how many patients a week received kidney dialysis in NHS centres in York on average in (a) 1992 and (b) each year since 1992. [111405]

Mr Simon Burns: The information is not collected centrally.

Drugs: Young People

Steve McCabe: To ask the Secretary of State for Health what assessment his Department has made of the effect of psychotropic drugs on young people. [111096]

Anne Milton: The most recent information on the effects of psychotropic drugs on young people is contained in the document published by the Department in August 2011: ‘A summary of the health harms of drugs: A

18 Jun 2012 : Column 789W

guide to the risks and harms associated with substance misuse’. A copy of this document has been placed in the Library.

E. coli

Zac Goldsmith: To ask the Secretary of State for Health how many NHS reports there were of antibiotic resistant E. coli in (a) England, (b) each region and (c) each strategic health authority in each of the last six years. [111448]

Anne Milton: These data are not readily available. The Health Protection Agency publishes reports on selected individual antibiotics rather than on the total number of Escherichia coli (E.coli) reports with resistance to any antibiotics. Antibiotic susceptibility data for E. coli are not analysed and broken down to either national or sub-national levels.

Zac Goldsmith: To ask the Secretary of State for Health how many recorded cases of drug resistant E. coli were confirmed in each of the last five years. [111449]

Anne Milton: These data are not readily available in the form requested. The Health Protection Agency analyse and publish data on human blood samples of drug resistant Escherichia coli for a selected number of antibiotics. Latest data are available at:

www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317134482059

Zac Goldsmith: To ask the Secretary of State for Health how many cases of extended-spectrum beta-lactamases resistant E. coli were reported in each of the last five years. [111450]

Anne Milton: This information is not available. There is no national surveillance on the number of infections due to extended-spectrum beta-lactamase, (ESBL)-producing Escherichia coli (E. coli).

The Department is in the process of commissioning research to provide information on the prevalence of the resistance caused by ESBL-producing bacteria. Details

18 Jun 2012 : Column 790W

of this call for proposals and the expert group report outlined are available on the Department's website at:

http://www.dh.gov.uk/health/2012/02/research-esbl-producing-bacteria/

The document has been placed in the Library.

Health

Mr Chope: To ask the Secretary of State for Health whether his Department has commissioned or funded any research into the opinions of hon. Members on issues of health policy since May 2010. [112333]

Mr Simon Burns: The Department does not routinely commission or fund research of this nature and to obtain this information would incur disproportionate cost.

Health Insurance

Gordon Henderson: To ask the Secretary of State for Health how many staff working in his Department are entitled to private health care as part of their remuneration package. [111258]

Mr Simon Burns: None of the civil servants in the Department are entitled to private health care as part of their remuneration packages.

Health Services: North Yorkshire

Hugh Bayley: To ask the Secretary of State for Health what resources were allocated for NHS services in (a) York and (b) North Yorkshire and York (i) in cash terms and (ii) at current prices (A) in total and (B) per capita in (1) 1992 and (2) each year since 1992. [111418]

Mr Simon Burns: Information on recurrent revenue allocations for York and North Yorkshire from 1996-97 is shown in the following table.

Figures prior to 1996-97 are not available as allocations were made to the then 14 regional health authorities. Recurrent allocations are not fully comparable across the whole time period because of changes in the scope of the services funded through recurrent allocations and changes in organisational boundaries.

Revenue recurrent allocation for York and North Yorkshire
 OrganisationTotal recurrent allocations cash terms (£000)Total recurrent allocations in 2012-13 prices (£000)Recurrent allocations per capita cash terms (£)Recurrent allocations per capita in 2012-13 prices (£)

1996-97

North Yorkshire Health Authority (HA)

291,504

416,279

396

565

1997-98

North Yorkshire Health Authority

303,427

421,721

410

569

1998-99

North Yorkshire Health Authority

318,712

436,765

430

589

1999-2000

North Yorkshire Health Authority

434,879

583,990

587

788

2000-01

North Yorkshire Health Authority

474,576

634,853

638

854

2001-02

North Yorkshire Health Authority

512,685

673,405

685

899

2002-03

North Yorkshire Health Authority

566,781

725,414

753

964

2003-04

Craven, Harrogate and Rural District Primary Care Trust (PCT)

166,668

208,961

816

1,023

2003-04

Hambleton and Richmondshire PCT

91,187

114,327

795

997

2003-04

Scarborough, Whitby and Ryedale PCT

138,792

174,011

894

1,121

2003-04

Selby and York PCT

216,207

271,071

804

1,008

18 Jun 2012 : Column 791W

18 Jun 2012 : Column 792W

2004-05

Craven, Harrogate and, Rural District PCT

181,585

221,308

889

1,083

2004-05

Hambleton and Richmondshire PCT

99,349

121,082

866

1,056

2004-05

Scarborough, Whitby and Ryedale PCT

152,118

185,395

980

1,195

2004-05

Selby and York PCT

235,557

287,087

876

1,068

2005-06

Craven, Harrogate and Rural District PCT

197,111

235,435

965

1,152

2005-06

Hambleton and Richmondshire PCT

107,843

128,811

940

1,123

2005-06

Scarborough, Whitby and Ryedale PCT

166,123

198,422

1,071

1,279

2005-06

Selby and York PCT

255,791

305,524

951

1,136

2006-07

Craven, Harrogate and Rural District PCT

235,518

272,290

1,131

1,307

2006-07

Hambleton and Richmondshire PCT

129,360

149,557

1,076

1,244

2006-07

Scarborough, Whitby and Ryedale PCT

198,010

228,925

1,262

1,460

2006-07

Selby and York PCT

307,131

355,084

1,112

1,285

2007-08

Craven, Harrogate and Rural District PCT

254,740

287,882

1,217

1,376

2007-08

Hambleton and Richmondshire PCT

139,918

158,121

1,156

1,306

2007-08

Scarborough, Whitby and Ryedale PCT

216,805

245,012

1,379

1,559

2007-08

Selby and York PCT

335,917

379,620

1,209

1,367

2008-09

North Yorkshire and York PCT

999,125

1,096,184

1,269

1,392

2009-10

North Yorkshire and York PCT

1,076,587

1,160,322

1,347

1,451

2010-11

North Yorkshire and York PCT

1,139,019

1,195,507

1,410

1,480

2011-12

North Yorkshire and York PCT

1,151,558

1,182,650

1,444

1,483

2012-13

North Yorkshire and York PCT

1,185,834

1,185,834

1,477

1,477

Notes: 1. Allocations have been expressed in 2012-13 prices using the gross domestic product deflator. 2. Changes in the scope of recurrent allocations include in particular the inclusion of prescribing costs from 1999-2000 and primary medical services from 2006-07.

Hugh Bayley: To ask the Secretary of State for Health how many full-time equivalent NHS (a) hospital doctors, (b) GPs, (c) dentists, (d) nurses and midwives, (e) other clinical staff and (f) staff in total were employed in (i) York and (ii) North Yorkshire and York (A) in cash terms and (B) at current prices (1) in total and (2) per capita in (x) 1992 and (y) each year since 1992. [111419]

Mr Simon Burns: Information cannot be provided in the format requested. The following tables show the cost of permanent and agency staff employed by the national health service from 2004-05 to 2010-11. In common with many other public and private sector organisations, the Department holds financial data at organisation level for seven years. Data prior to 2004-05 are not available.

North Yorkshire and York Primary Care Trust (PCT) staff costs by category
£000
Category2004-052005-062006-072007-08.2008-092009-102010-11

Total medical staff

12,619

13,376

14,359

15,420

17,485

15,659

18,005

Total dental staff

824

1,108

1,024

939

982

987

998

Total nursing, midwifery and health visiting staff

48,260

56,250

56,930

54,628

50,079

52,522

51,548

Total scientific, therapeutic and technical staff

16,627

18,877

19,208

19,930

20,326

20,556

22,997

Healthcare assistants and other support staff

5,290

3,716

2,613

3,796

14,124

17,356

17,307

Total staff costs

105,966

118,026

117,248

117,384

127,997

135,684

139,043

Source: 2004-05 to 2010-11 PCT financial returns
York Hospitals NHS Trust staff costs by category
£000
Category2004-052005-062006-072007-082008-092009-102010-11

Total medical staff

27,149

29,686

34,372

n/a -

n/a

n/a

n/a

18 Jun 2012 : Column 793W

18 Jun 2012 : Column 794W

Total dental staff

0

2

1

n/a

n/a

n/a

n/a

Total nursing, midwifery and health visiting staff

33,027

38,145

42,090

n/a

n/a

n/a

n/a

Total scientific, therapeutic and technical staff

15,875

17,454

18,550

n/a

n/a

n/a

n/a

Healthcare assistants and other support staff

7,717

6,244

6,783

n/a

n/a

n/a

n/a

Total staff costs

102,505

111,845

122,668

n/a

n/a

n/a

n/a

Source: 2004-05 to 2010-11 NHS trusts financial returns
Yorkshire Ambulance Service NHS trust staff costs by category
£000
Category2004-052005-062006-072007-082008-092009-102010-11

Total medical staff

2,262

1,477

39

0

12

8

285

Total nursing, midwifery and health visiting staff

232

218

302

317

572

417

193

Total scientific, therapeutic and technical staff

0

0

2

0

0

0

3

Healthcare assistants and other support staff

1,201

1,643

1,878

1,434

1,477

1,630

1,821

Ambulance staff

73,801

88,867

88,314

90,397

106,189

112,456

113,065

Total staff costs

100,122

115,226

108,439

110,796

132,867

142,579

143,710

Source: 2004-05 to 2010-11 NHS trusts financial returns

Information on full-time equivalent data for all doctors and non-medical staff for the York Hospitals NHS Trust, North Yorkshire and York PCT and Yorkshire Ambulance Service NHS Trust has been placed in the Library.

Hearing Impairment: Health Services

Stephen Lloyd: To ask the Secretary of State for Health what steps his Department is taking to ensure that the communication needs of (a) people who are hard of hearing and (b) deaf British Sign Language users are met by the National Health Service. [110922]

Paul Burstow: In accordance with the Equality Act 2010, all public sector organisations have a general duty to advance equality of opportunity between people who share a protected characteristic, including a disability such as hearing loss, and those who do not. Advancing equality involves taking steps to meet the needs of people from protected groups where these are different from the needs of other people—this would include considering the needs of people who are hard of hearing and deaf (including British Sign Language users).

National health service organisations must assure themselves that they have complied with the Equality Act 2010. To help NHS organisations improve their equality performance and comply with the duties set out in the Equality Act 2010, the NHS Equality and Diversity Council launched the equality delivery system last year. The equality delivery system provides a common framework to support NHS organisations to address all protected characteristics covered by the public sector equality duty and help them deliver better outcomes for patients and better working environments for staff, which are personal, fair and diverse. It can be found at:

www.eastmidlands.nhs.uk/about-us/inclusion/eds/

Home Care Services

Jim Shannon: To ask the Secretary of State for Health what steps he plans to take to deliver care at home packages. [112201]

Paul Burstow: Under the NHS and Community Care Act 1990, local council social services departments in England are responsible for assessing the needs of their populations and providing or arranging the necessary social care services, such as domiciliary care, to meet eligible needs.

Homeopathy

Mr Laurence Robertson: To ask the Secretary of State for Health what his policy is on the extent to which qualified homeopaths can dispense homeopathic remedies to patients; whether he has any plans to change this extent; and if he will make a statement. [112151]

Anne Milton: Section 10 of the Medicines Act 1968 currently allows the preparation or dispensing in a registered pharmacy of a medicine in accordance with a specification furnished by the person to whom the product is to be sold or supplied. This would include preparations identified by a homeopath to meet the needs of a patient identified following a consultation. We have no plans to change the position.

Hospices

Mr Buckland: To ask the Secretary of State for Health what steps his Department plans to take to increase the number of (a) NHS and (b) independent hospices. [111487]

Paul Burstow: It is for commissioners, working with NHS and independent providers, to identify any gaps in local palliative and end of life care provision, and put in place service development plans to address this identified need.

18 Jun 2012 : Column 795W

However, adults' and children's hospices will be supported by the Department through a capital fund announced on 29 May 2012, which will make available up to £60 million through a competitive scheme to improve the physical environment and directly impact on the care that patients and families receive. This capital fund will be available to all independent and NHS hospices. Full details of the scheme, including the types of projects that will be supported, will be made available later this summer. However, it is expected that bids for funding to support the development of new hospices would be eligible for consideration, on the condition that such developments were supported by commissioners as part of their local service planning.

Hospital Beds

Mr Hepburn: To ask the Secretary of State for Health (1) what change there has been in the number of NHS beds in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) nationally in each year since 2005; [111491]

(2) how many NHS beds there were in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2005. [111891]

Mr Simon Burns: The information is shown in the following tables:

Average daily number of available beds open overnight 2005-06 to 2011-12
  EnglandNorth East Strategic Health Authority (SHA)South Tyneside Strategic Health Authority (SHA)South Tyneside Primary. Care Trust (PCT)

2005-06

175,436

11,384

464

22

2006-07

167,019

11,027

452

7

2007-08

160,891

10,562

431

7

2008-09

160,254

10,516

426

7

2009-10

158,461

10,343

417

7

2010-11

Q1

144,455

9,832

365

7

2010-11

Q2

141,477

9,640

367

7

2010-11

Q3

141,630

9,478

431

7

2010-11

Q4

142,319

9,534

431

6

2011-12

Q1

137,347

9,564

416

6

2011-12

Q2

138,646

9,600

431

0

2011-12

Q3

138,080

9,764

438

0

2011-12

Q4

140,449

10,034

448

0

Source: Department of Health KH03
Average number of available beds open day only 2005-06 to 2011-12
  EnglandNorth East SHASouth Tyneside NHS FTSouth Tyneside PCT

2005-06

9,726

718

40

0

2006-07

10,342

741

40

0

2007-08

10,479

721

40

0

2008-09

10,959

793

40

0

2009-10

11,221

829

40

0

2010-11

Q1

11,783

823

40

0

2010-11

Q2

10,990

857

40

0

2010-11

Q3

10,916

797

39

0

2010-11

Q4

11,328

867

53

0

2011-12

Q1

10,703

767

53

0

2011-12

Q2

11,468

817

53

0

2011-12

Q3

11,324

794

53

0

2011-12

Q4

11,715

808

53

0

Source: Department of Health KH03

18 Jun 2012 : Column 796W

Hospitals: York

Hugh Bayley: To ask the Secretary of State for Health how many NHS patients in York waited more than (a) six months and (b) three months for an inpatient admission in (i) the year ended March 1992 and (ii) each year since. [111406]

Mr Simon Burns: Information is not available in the form requested. Information on the number of patients waiting over six months and over three months for in-patient admission at, what is now, York Teaching Hospitals NHS Foundation Trust from March 1992 to March 2010 is shown in the following table:

Number of patients waiting more than six months and three months from decision to admit for in-patient admission at the end of March
As at March each yearOrganisation(a) 6 months(b)3 months

1992

York District Health Authority

1,137

1,834

1993

York Health Services NHS Trust

841

1,777

1994

York Health Services NHS Trust

1,591

2,969

1995

York Health Services NHS Trust

1,294

2,844

1996

York Health Services NHS Trust

1,112

2,414

1997

York Health Services NHS Trust

1,317

3,138

1998

York Health Services NHS Trust

2,744

4,651

1999

York Health Services NHS Trust

1,641

3,368

2000

York Health Services NHS Trust

1,752

3,540

2001

York Health Services NHS Trust

1,884

3,488

2002

York Health Services NHS Trust

1,900

3,697

2003

York Health Services NHS Trust

1,711

3,416

2004

York Health Services NHS Trust

826

2,542

2005

York Health Services NHS Trust

532

2,076

2006

York Health Services NHS Trust

0

1,490

2007

York Hospitals NHS Foundation Trust

0

606

2008

York Hospitals NHS Foundation Trust

0

227

2009

York Hospitals NHS Foundation Trust

0

298

2010

York Hospitals NHS Foundation Trust

0

132

Note: Data on in-patient waiting lists not collected after March 2010. Source: Department of Health KH07 from March 1992 to March 2007 and MMRProv (monthly monitoring return) from March 2008 to March 2010.

Since 2007, waiting times on a referral to treatment (RTT) basis have been published. Information on the number of patients who (a) waited over six months and (b) over three months on an admitted RTT pathway at York Teaching Hospitals NHS Foundation Trust between March 2008 and March 2012 is shown in the following table:

18 Jun 2012 : Column 797W

Number of patients that waited more than six months and three months from referral to start of in-patient (admitted) treatment in March
As at March each yearOrganisation(a) 6 months(b) 3 months

2008

York Hospitals NHS Foundation Trust

42

413

2009

York Hospitals NHS Foundation Trust

46

529

2010

York Hospitals NHS Foundation Trust

44

449

2011

York Teaching Hospitals NHS Foundation Trust

38

530

2012

York Teaching Hospitals NHS Foundation Trust

119

736

Source: Department of Health monthly RTT return.

Hugh Bayley: To ask the Secretary of State for Health how many NHS (a) inpatient admissions and (b) outpatient appointments there were at York Hospital in (i) 1992 and (ii) each year since 1992. [111407]

Mr Simon Burns: Information on how many national health service inpatient admissions from 1998 to 2012 and outpatient appointments from 1992 to 2012 at what is now York Teaching Hospitals NHS Foundation Trust has been placed in the Library. Information is not available for inpatient admissions from 1992.

Hugh Bayley: To ask the Secretary of State for Health (1) how many full-time equivalent NHS (a) consultants, (b) junior hospital doctors, (c) nurses and midwives, (d) other clinical staff and (e) staff in total were employed at York hospitals (excluding mental health units) in (i) 1992 and (ii) each year since 1992; [111421]

(2) how many full-time equivalent NHS (a) consultants, (b) junior doctors, (c) nurses, (d) other clinical staff and (e) staff in total were employed at NHS mental health units in what is the 2012 City of York council area in each year since 1992. [111431]

Mr Simon Burns: The information is not collected in the format requested. Information on the full-time equivalent data for all doctors and non-medical staff employed at the York Hospitals NHS Trust, North Yorkshire and York PCT and Yorkshire Ambulance Service NHS Trust has been placed in the Library.