Gibraltar: Spain

Andrew Rosindell: To ask the Secretary of State for Defence whether the Royal Navy will continue to assist the Royal Gibraltar Police in policing British territorial waters around Gibraltar. [112101]

Nick Harvey: Yes. I refer the hon. Member to the answer I gave on 11 June 2012, Official Report, column 102W, to the hon. Member for Heywood and Middleton (Jim Dobbin).

Harrier Aircraft

Andrea Leadsom: To ask the Secretary of State for Defence whether he has decided on a replacement for the Harrier fighter aircraft. [112262]

Peter Luff [holding answer 18 June 2012]:As the Secretary of State for Defence, my right hon. Friend the Member for Runnymede and Weybridge (Mr Hammond), announced on 10 May 2012, Official Report, column 140, the Ministry of Defence will be procuring the Short Take Off Vertical Landing (STOVL) variant of the Joint Strike Fighter. This aircraft will replace the contribution to Carrier Strike capability previously provided by Harrier.

Joint Strike Fighter Aircraft

Mr Ainsworth: To ask the Secretary of State for Defence what recent discussions he has had with his (a) US and (b) French counterparts on the decision to procure F35B aircraft. [112428]

Peter Luff [holding answer 18 June 2012]: The Ministry of Defence holds frequent discussions at all levels, including at the level of the Secretary of State, with both the US and France. Discussions typically encompass a wide range of issues, including the recent decision to procure the F35B variant of Joint Strike Fighter.

Military Aircraft: Air Traffic Control

Angus Robertson: To ask the Secretary of State for Defence what recent discussions he has had with his counterparts in (a) Australia, (b) New Zealand, (c) the US and (d) Canada on creating an interoperable recognised air picture capability. [109769]

Nick Harvey: The UK is a member of the Australia, US, Canada, New Zealand and UK Information Warfare Organisation, for which the UK is currently the chair.

19 Jun 2012 : Column 936W

One of the objectives of the organisation is to improve picture exchange in all environments, including air. Discussions continually take place at all levels on both the operational and technical specifics of an interoperable recognised air picture capability.

Military Exercises

Angus Robertson: To ask the Secretary of State for Defence what (a) assets and (b) personnel will be sent to Orland Main Air Station in Norway to participate in Unified Vision in 2012. [111570]

Nick Harvey: Two members of the armed forces and four Defence science technological laboratory staff will participate in Unified Vision at Orland Main Air Station in Norway in June 2012.

Nuclear Weapons: Safety

Paul Flynn: To ask the Secretary of State for Defence what the (a) name and (b) date was of each nuclear weapons accident response exercise which (i) took place in 2011 and (ii) is scheduled for 2012. [110595]

Nick Harvey: The names and dates of nuclear weapons emergency response exercises which took place in 2011 and are scheduled for 2012 are:

ExerciseDate

Orange Eagle

28 March - 1 April 2011

Sitex (A)11

8 June 2011

Bowline 11

5 July 2011

Osmosis 11

9-22 July 2011

Astral Climb/Senator 11

12-13 September 2011

Sitex (B)11

11 October 2011

Orange Eagle

19-23 March 2012

Astral Bend 12

27 March 2012

Sitex (A) 12

29 May 2012

Sitex (B) 12

10 October 2012

Osmosis 12

15-26 October 2012

Astral Climb 12

15 November 2012

Olympic Games 2012: Security

Jim Shannon: To ask the Secretary of State for Defence what resources his Department is making available for security for the London 2012 Olympics. [112197]

Nick Harvey: The Ministry of Defence (MOD) contribution to the safety and security for the London 2012 Olympic Games was announced to Parliament on 15 December 2011, Official Report, columns 116-17WS. This set out that, in support of the police and other civil and Olympic authorities, the MOD would provide up to 13,500 personnel to ensure the Olympic and Paralympic Games are safe and secure.

Up to 7,500 will support the smooth running of Olympic sites, while the remainder will use their specialist capabilities and equipment to contribute to the delivery of Olympic security. A further statement on the use of reservists as part of this contribution was made on 20 February 2012, Official Report, columns 64-65WS.

19 Jun 2012 : Column 937W

Regulation

Gordon Banks: To ask the Secretary of State for Defence which regulations his Department repealed between 1 February 2012 and 31 May 2012; and what the anticipated total savings will be from repealing those regulations. [112497]

Mr Robathan [holding answer 18 June 2012]:Between 1 February 2012 and 31 May 2012, the Ministry of Defence revoked the following item of secondary legislation:

The Otmoor Range Byelaws 1980/39

This revocation has come as the result of the regular updating and consolidation of departmental secondary legislation and is not estimated to have any financial impact.

Sea Wolf Missiles

Nicholas Soames: To ask the Secretary of State for Defence when the Sea Wolf Missile System will reach its out of service date; and what system is planned to replace it. [112156]

Peter Luff [holding answer 18 June 2012]: On current plans, the Sea Wolf system will reach its out of service date in 2020. It will be replaced by a new local area air defence system named Sea Ceptor, which will initially be fitted on Type 23 frigates from late 2016, and is then planned to provide the basis for the future air defence capability for the Type 26 Global Combat Ship from 2021.

Health

Allergies

Mr Amess: To ask the Secretary of State for Health (1) whether he has any plans to increase the level of provision of immunotherapy services through specialist allergy centres for people with severe

19 Jun 2012 : Column 938W

uncontrolled allergic rhinitis; and if he will make a statement; [112019]

(2) what progress he is making in increasing the number of regional specialist allergy centres in England; and if he will make a statement. [112020]

Paul Burstow: The Department funded a project in the North West Strategic Health Authority to pilot the concept of an integrated regional service for allergy and immunotherapy services, and the “lessons learned” report has been widely disseminated. We expect local and national commissioners to take full account of this report in developing allergy services in the light of local needs and priorities.

Mr Amess: To ask the Secretary of State for Health (1) what estimate he has made of the number of (a) males and (b) females in each age group who have (i) food and (ii) inhalant allergies; and if he will make a statement; [112022]

(2) what estimate he has made of the number of (a) males and (b) females with hay fever in each age group in the last year; and if he will make a statement. [112023]

Paul Burstow: The Department has made no recent estimate of the prevalence of common allergies. A review carried out in 2006 on behalf of the Department by Professor John Newton estimated that around 6% of children less than three years old were affected by food allergies, including allergy to milk and to eggs, and that about 4% of adults had a food allergy of some sort, most frequently to shellfish or to nuts. Estimates for the proportion of patients by age group consulting a general practitioner for allergic rhinitis (including hay fever) are given in the following table; these figures will, however, understate the number of people suffering from hay fever, since many people with this condition do not consult a doctor. Estimates for inhalant allergies are not available.

Proportion of patients consulting a GP for allergic rhinitis at some point during 2004 (rates per 10,000)
 Age standardised rate (95% CI)All ages<11-45-1415-2425-4445-6465-7475+

Male

152 (147-158)

152

5

112

308

241

143

86

84

77

Female

171 (165-177)

173

0

73

224

305

214

121

89

70

Mr Amess: To ask the Secretary of State for Health what recent (a) discussions he has had with, and (b) representations he has received from, the British Medical Association on the treatment of patients with hay fever; and if he will make a statement. [112024]

Paul Burstow: There have been no such representations or discussions.

Allergies: Prescription Drugs

Mr Amess: To ask the Secretary of State for Health what information his Department collects on trends in the level of prescribed medication for the relief of hay fever; and if he will make a statement. [112021]

Paul Burstow: The following table provides the numbers of prescription items dispensed for medicines that may have been used to treat hay fever, taken from three sections of the British National Formulary (BNF).

Number of prescription items written in the UK and dispensed in the community, in England
 BNF 11.4.2 Other anti-inflammatory preparations(1)BNF 12.2.1 Drugs used in nasal allergy(1)BNF 3.4.1 Antihistamines(1)Total

2002

1,352,155

4,433,933

8,356,615

14,142,703

2003

1,367,768

4,491,490

8,522,913

14,382,171

2004

1,413,721

4,503,651

8,615,941

14,533,313

19 Jun 2012 : Column 939W

19 Jun 2012 : Column 940W

2005

1,456,963

4,644,196

8,801,773

14,902,932

2006

1,541,187

4,816,022

9,136,310

15,493,519

2007

1,508,719

4,998,264

9,346,175

15,853,158

2008

1,615,290

5,335,056

9,812,115

16,762,461

2009

1,672,617

5,630,523

10,489,562

17,792,702

2010

1,655,297

5,918,929

11,059,214

18,633,440

2011

1,594,293

6,180,649

11,558,280

19,333,222

(1) The Department does not collect information on the condition treated by a prescribed medicine. Not all the prescription items dispensed may have been for the treatment of hay fever. Source: Prescription Cost Analysis (PCA) system

Cancer

Tracey Crouch: To ask the Secretary of State for Health what the average length of stay was of patients with each cancer type, following an emergency admission to hospital in (a) England and (b) each hospital trust in the last two years. [112173]

Mr Simon Burns: Information concerning the average length of stay of patients with each cancer type following an emergency admission to hospital in England and each strategic health authority (SHA) area in the last two years has been placed in the Library. SHA-level data have been provided because hospital trust level-data would require severe suppression of statistics in order to protect patient confidentiality.

Carbon Monoxide: Poisoning

Andrew Rosindell: To ask the Secretary of State for Health what steps his Department is taking to prevent cases of carbon monoxide poisoning. [112122]

Anne Milton: The Department seeks to prevent cases of carbon monoxide (CO) poisoning by raising medical professional and general awareness of CO. As part of that process the then interim chief medical officer and chief nursing officer published updated guidance on the diagnosis of carbon monoxide poisoning on 11 November 2010. This is available at:

www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Professionalletters/Chiefmedicalofficerletters/DH_121502

Furthermore, an estimate of 4,000 patients per year attending accident and emergency departments and diagnosed with CO poisoning was published in November 2011 to highlight the serious health impact of CO poisoning. This is available at:

www.dh.gov.uk/health/2011/11/co-poisoning/

The Department is currently working with other Departments on the revision of safety information on disposable barbecues and barbecue fuels to highlight the danger of CO poisoning and the Health Protection Agency has recently issued a press release to highlight the risk of CO poisoning whilst camping. This is available at:

www.hpa.org.uk/NewsCentre/NationalPressReleases/2012PressReleases/120601CampersremindedofCOriskofBBQs/

Care Quality Commission

Dr Poulter: To ask the Secretary of State for Health which Ministers in his Department authorised the decision in 2009 by the Care Quality Commission to abolish (a) its national investigation team, (b) its healthcare associated infection team and (c) a whistleblower telephone line; and for what reason those decisions were taken. [111913]

Mr Simon Burns: The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England and it is responsible at board level for all decisions of an operational nature.

The following information has been provided by the CQC.

The CQC has never had a dedicated whistleblowing telephone line as calls have always been, and continue to be, handled through the CQCs National Customer Service Centre telephone line. The CQC has a dedicated team of call handlers to deal with whistleblowing calls and are responsible for tracking contacts through to a satisfactory conclusion with CQC inspectors. Since this specialist team was set up in June 2011, it has dealt with over 4,200 contacts.

The decision to move to a new field force model for the CQC inspectors included the abolition of the CQC national investigations team and healthcare associated infection teams. This was discussed in a private meeting of the CQC Board on Wednesday 9 December 2009.

The CQC has provided a copy of the relevant part of the minutes of that meeting, which has already been placed in the Library.

Mr Offord: To ask the Secretary of State for Health what steps he is taking to raise the standard of inspections by the Care Quality Commission. [112076]

Mr Simon Burns: The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England and it is responsible for developing and consulting on its methodology for assessing whether providers are meeting the registration requirements.

The Department has recently undertaken a performance and capability review into the CQC. The report of this review, which was published on 23 February 2012, made a number of recommendations around the development and delivery of the regulatory model. A copy of this report has been placed in the Library.

19 Jun 2012 : Column 941W

The CQC has welcomed the findings of the performance and capability review and has published its formal response and action plan. A copy has been placed in the Library.

Dental Services

Mr Offord: To ask the Secretary of State for Health what improvements to patient care in dental practices have been made since the introduction of changes to Care Quality Commission registration. [112077]

Mr Simon Burns: Primary dental care providers have been registered with the Care Quality Commission (CQC) since April 2011. The CQC informs us that, as at 5 April 2012, 796 inspection reports of dental services had been published. 88% of these services were meeting all the essential standards checked, while 12% of services failed to meet at least one essential standard. One location was identified with serious non-compliance issues requiring the CQC to take stronger enforcement to protect patients from harm.

Diabetes

Jim Shannon: To ask the Secretary of State for Health whether he has discussed advances on diabetes and blood critical care with representatives of Altnagelvin Hospital. [112213]

Paul Burstow: We have had no such discussions.

Diagnosis

Jim Shannon: To ask the Secretary of State for Health how many people there were in England and Wales with SWAN syndrome in the last three years. [112205]

Anne Milton: The Department does not collect this information centrally.

SWAN stands for syndromes without a name. It is not a syndrome or diagnosis in and of itself. It is a collective term that represents those people who have a condition that is currently undiagnosed.

Drugs

Jim Shannon: To ask the Secretary of State for Health whether he has had discussions with Queen's University Belfast on its research and testing programme and on making such drugs available. [112212]

Mr Simon Burns: The Department is not aware of any specific discussions with Queen's University Belfast.

Fertility: Medical Treatments

Dr Poulter: To ask the Secretary of State for Health what recent assessment he has made of the safety of intracytoplasmic sperm injections for couples receiving fertility treatment. [112178]

Anne Milton: We are aware of recent research that has suggested a link between the use of intracytoplasmic sperm injection (ICSI) and the occurrence of birth defects. However, the research also makes it clear that the increased risk identified from the use of ICSI is small and that it cannot be established whether it is attributable to the use of the ICSI technique or related to the male factor fertility problems that require its use.

19 Jun 2012 : Column 942W

The Human Fertilisation and Embryology Authority (HFEA), which regulates the provision of in vitro fertilisation treatments in the United Kingdom, which include ICSI, monitors research on the safety of treatment techniques. The HFEA's Scientific and Clinical Advances Advisory Committee regularly meets and is to consider this ICSI research at its June meeting. The minutes of the Committee's meetings can be found on the authority's website at:

www.hfea.gov.uk/SCAAC.html

Both the Government and the HFEA welcome further research on the safety of treatment techniques. To assist this, steps have already been taken to make the extensive treatment data held by the HFEA more readily available for use in research.

Food

Jim Shannon: To ask the Secretary of State for Health if he will make it his policy to put in place a strategy to reduce calorie intake by the general public in restaurants, cafes and shops. [112210 ]

Anne Milton: ‘Healthy Lives, Healthy People: A call to action on obesity in England’, a copy of which has been placed in the Library, underlined the need for the population to reduce its calorie over-consumption. In March 2012, the Government announced a first group of major signatories to a Public Health Responsibility Deal pledge to reduce calories.

This pledge calls for the food and drink industry, including restaurants, cafes and shops, to enable their customers to eat and drink fewer calories through actions such as product/menu reformulation, reviewing portion sizes, education and information, and actions to shift the marketing mix towards lower calorie options. There are currently 24 businesses signed up to the calorie reduction pledge and we are seeking further commitments.

In addition, the Government's Responsibility Deal out-of-home calorie labelling pledge is designed to help people make healthier choices through the provision of calorie information in out-of-home settings, such as restaurants and cafes. There are currently 45 businesses signed up to the out-of-home calorie labelling pledge.

Food: Allergies

Mr Amess: To ask the Secretary of State for Health (1) how many people were admitted to hospital following an allergic reaction to food in each year since 2006; and if he will make a statement; [112163]

(2) what the average cost to the NHS was of treating an individual for food allergies in the latest period for which figures are available; and if he will make a statement. [112164]

Paul Burstow: The information requested is not available.

Food: Labelling

Mr Amess: To ask the Secretary of State for Health if he will require food manufacturers to label their foods more precisely in order to avoid serious allergic reactions; what regulation applies to such labelling; and if he will make a statement. [112018]

19 Jun 2012 : Column 943W

Anne Milton: The Government are very aware of the need to protect the health of consumers with food allergies and this is why food allergens are already required to be clearly declared on the labels of pre-packed foods.

Directives 2003/89/EC and 2006/142/EC established a list of 14 food ingredients which must be indicated on the label of pre-packed foods as they are likely to cause adverse reactions in people suffering from food allergy. The allergens that have to be declared are those of greatest public health concern for allergy sufferers in the European Union. However, the legislation would allow for other foods to be added to the list should the need arise.

Regulation (EU) No. 1169/2011 of the European Parliament and of the Council on the provision of food information to consumers, which comes into force in December 2014, will require the specified allergenic ingredients not only to be listed, but highlighted in the ingredients list for pre-packed foods and will also introduce a new requirement to provide allergy information for foods sold non pre-packed, including food supplied by the catering sector.

General Practitioners

Jim Shannon: To ask the Secretary of State for Health what steps he is taking to ensure that GPs adopt a better working relationship with Government and ensure that the cheaper systems are operated in terms of telephone call systems as well as paying for simple support letters or forms. [112202]

Mr Simon Burns: The Department issued guidance and directions to national health service bodies in December 2009 on the cost of telephone calls, which prohibit the use of telephone numbers that charge the patient more than the equivalent cost of calling a geographical number to contact the NHS. It is currently the responsibility of primary care trusts to ensure that local practices are compliant with the directions and guidance.

We feel that it is important that services provided by general practitioners (GPs), which are funded by the NHS, are delivered to, and for the benefit of, the majority of patients. However, under the terms of their contract for the provision of NHS primary medical services, GPs are required to provide certain medical reports, or complete certain forms, such as those required to support a claim for incapacity benefit, free of charge to their registered patients. GPs also provide a variety of other services which successive Governments have regarded as private matters between the patient and the doctor providing the service. The doctor is free to make a charge for these non-NHS services if he or she wishes.

Homeopathy

Mr Anderson: To ask the Secretary of State for Health what steps he is taking to ensure that access to homeopathic medicines is not restricted. [111886]

Anne Milton: There are no planned changes to either the current regulatory status or the longstanding regulations governing access to, or sale and supply of, homeopathic products. Provision for homeopathic products is set out in Directive 2001/83/EC, as amended by 2004/27/EC Directive 2001/83/EC. Activities currently permitted will continue to be permitted.

19 Jun 2012 : Column 944W

Hospitals: Sick Leave

Dr Poulter: To ask the Secretary of State for Health how many days of staff sickness absence there were in (a) foundation trust hospitals and (b) other NHS hospitals in England on average per employee in each of the last five years for which figures are available. [112235]

Mr Simon Burns: Sickness absence is not reported by the number of days absence because of the difficulty in defining a standard working day in the national health service. Different shift patterns and the 24-hour nature of employment in the national health service mean that a percentage of whole time equivalents is the standard used to define levels of sickness absence data in the national health service.

The most recent figures for sickness absence can be found on the national health service information centre's website at:

www.ic.nhs.uk/statistics-and-data-collections/workforce/sickness-absence

The national health service information centre is currently preparing to publish an annual summary of sickness absence rates for the NHS for 2009-10, 2010-11 and 2011-12. This will be published on 24 July 2012. It will not contain sickness absence rates per employee due to the reasons given above, however it will include a table presenting ‘Sickness Absence Rates' per organisation including ‘Full Time Equivalent Days Lost to Sickness Absence' and ‘Full Time Equivalent Days Available' per organisation for each financial year that data are available.

Hospitals: Waiting Lists

Mr Hepburn: To ask the Secretary of State for Health what the average hospital waiting time was for NHS patients in (a) Jarrow constituency, (b) South Tyneside, (c) the north-east and (d) the UK in each year since 2005. [111892]

Mr Simon Burns: The Department does not collect referral to treatment (RTT) data at constituency level and so we have used data for the national health service organisations deemed to be the closest geographically: South Tyneside NHS Foundation Trust and South Tyneside Primary Care Trust (PCT).

Since August 2007, waiting times on an RTT basis for patients waiting to start treatment have been published. Information on the average waiting times for patients from South Tyneside, the north-east and in England between March 2008 and March 2012 is shown in the following table:

Average waiting time for patients waiting to start treatment at the end of March
Weeks
As at March each yearSouth Tyneside PCTNorth-east SHAEngland

2008

14.3

8.6

9.8

2009

5.0

5.1

5.6

2010

5.9

5.3

5.2

2011

6.0

5.1

5.5

2012

4.8

5.0

5.2

Source: Department of Health monthly RTT return

19 Jun 2012 : Column 945W

Liver Diseases: Death

Jim Shannon: To ask the Secretary of State for Health what steps he plans to take to reduce the incidence of deaths from liver disease caused by excessive alcohol and obesity. [112199]

Anne Milton: Liver disease mortality in the under-65 age group across all other major demographic classifications is a growing problem in the United Kingdom. Blood borne virus, alcohol consumption and obesity are major contributing factors to the development of liver disease.

Martin Lombard, National Clinical Director for liver disease, has been working with specialist associations and patient representative groups to identify the strategic interventions that can be made to improve outcomes for patients. He will be consulting key partners on the resulting draft outcomes strategy over this summer.

“The Government’s Alcohol Strategy” (March 2012), which has been already placed in the Library, and “Healthy Lives, Healthy People: A call to action on obesity in England” (October 2011), which has been placed in the Library, include several actions that will support reductions in liver disease mortality.

Low Birth Weight Babies

Chris Ruane: To ask the Secretary of State for Health how many and what proportion of children born in

19 Jun 2012 : Column 946W

each of the last 10 years had low birth weight in each

(a)

nation and

(b)

region. [111648]

Mr Hurd: I have been asked to reply on behalf of the Cabinet Office.

The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

Letter from Stephen Penneck, dated June 2012:

As Director General for the Office for National Statistics, I have been asked to reply to your recent question asking how many and what proportion of children born in each of the last ten years had low birth weight in each (a) nation and (b) region (111648).

Figures for live births in England and Wales with a birthweight of less than 2500 grams (low birthweight) have been compiled from birth registration and birth notification data. The table in the following spreadsheet shows the number and proportion of low birthweight live births in 2001-2010.

The information for England and Wales is published annually in the Characteristics of Birth 1 publication and can be found at:

www.ons.gov.uk/ons/rel/vsob1/characteristics-of-birth-1--england-and-wales/index.html

in Table 5.

Information on live births with a low birthweight is not available for Scotland or Northern Ireland.

Number and proportion of live births in England and Wales with a birthweight of less than 2,500 grams, by country and region for 2001-10
 Low birthweight
 20102009200820072006
Area of usual residence of motherNo%No%No%No%No%

England Wales and elsewhere(1)

50,223

6.9

50,348

7.1

50,424

7.1

49,305

7.1

50,121

7.5

           

England

47,699

6.9

47,776

7.1

47,833

7.1

46,773

7.1

47,629

7.5

           

Wales

2,479

6.9

2,513

7.2

2,536

7.1

2,473

7.2

2,445

7.3

           

Regions

          

North East

2,252

7.3

2,124

7.1

2,266

7.5

2,098

7.1

2,343

8.0

North West

6,029

6.8

6,229

7.1

6,437

7.3

6,234

7.3

6,566

7.8

Yorkshire and The Humber

4,851

7.2

5,086

7.7

4,854

7.3

4,956

7.7

5,016

8.0

East Midlands

4,024

7.3

3,939

7.3

3,862

7.1

3,771

7.2

3,870

7.6

West Midlands

5,532

7.7

5,795

8.2

6,045

8.4

5,909

8.4

5,707

8.4

           

East

4,785

6.6

4,844

6.8

4,652

6.5

4,496

6.5

4,603

6.9

London

9,800

7.4

9,650

7.5

9,568

7.5

9,200

7.3

9,235

7.6

South East

6,832

6.4

6,576

6.3

6,559

6.3

6,550

6.5

6,749

6.8

South West

3,594

6.0

3,533

6.1

3,590

6.1

3,559

6.2

3,540

6.5

           

Usual residence outside England and Wales

45

21.8

59

23.3

55

21.8

59

24.4

47

20.9

 Low birthweight
 20052004200320022001
Area of usual residence of motherNo%No%No%No%No%

England Wales and elsewhere(1)

48,335

7.5

48,246

7.5

47,576

7.7

45,957

7.7

45,131

7.6

           

England

46,049

7.5

45,864

7.6

45,251

7.7

43,692

7.7

42,793

7.6

19 Jun 2012 : Column 947W

19 Jun 2012 : Column 948W

           

Wales

2,229

6.8

2,336

7.2

2,280

7.3

2,226

7.4

2,290

7.5

           

Regions

          

North East

2,211

7.8

2,141

7.7

2,136

7.9

2,101

8.0

1,932

7.4

North West

6,351

7.8

6,279

7.7

6,376

8.2

6,064

8.1

5,967

7.9

Yorkshire and The Humber

4,784

7.9

4,825

8.0

4,784

8.3

4,595

8.3

4,478

8.1

East Midlands

3,708

7.6

3,674

7.6

3,676

7.8

3,566

7.9

3,358

7.5

West Midlands

5,571

8.4

5,563

8.4

5,444

8.5

5,321

8.7

5,255

8.6

           

East

4,350

6.7

4,456

6.9

4,277

6.8

4,132

6.9

4,018

6.7

London

9,107

7.8

8,859

7.8

8,924

8.1

8,584

8.1

8,436

8.1

South East

6,449

6.9

6,410

6.8

6,164

6.7

6,033

6.8

6,105

6.9

South West

3,518

6.7

3,657

7.0

3,470

6.7

3,296

6.7

3,244

6.7

           

Usual residence outside England and Wales

57

26.6

46

21.7

45

20.6

39

18.8

48

17.5

(1) Includes births to women whose usual residence is outside England and Wales Source: Office for National Statistics

Multiple Sclerosis

Fiona Mactaggart: To ask the Secretary of State for Health (1) what estimate he has made of total expenditure on multiple sclerosis in (a) each primary care trust and (b) England in the last five years; [112226]

(2) how many (a) emergency admissions and (b) elective admissions were recorded for patients with multiple sclerosis in each primary care trust in England in the last year for which figures are available; [112228]

(3) what the average length of stay was for a patient admitted with a diagnosis of multiple sclerosis in each primary care trust in England in the last year for which figures are available. [112229]

Paul Burstow: Information on the total expenditure on multiple sclerosis is not collected centrally as funding for services is included in the general allocation to the national health service.

Table 1 provides data on finished admission episodes(1) (elective and emergency(2)) with a primary diagnosis of multiple sclerosis(3) by primary care trust (PCT) of main provider(4) 2010-11.

Table 1: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
  Admissions
PCT of main provider namePCT codeElectiveEmergency

Ashton, Leigh and Wigan PCT

5HG

15

*

Barnet PCT

5A9

34

22

Barnsley PCT

5JE

67

12

Bath and North East Somerset PCT

5FL

229

15

Bedfordshire PCT

5P2

*

9

Berkshire East PCT

5QG

113

11

Berkshire West PCT

5QF

69

16

Bexley Care Trust

TAK

446

145

Birmingham East and North PCT

5PG

9

31

Blackburn with Darwen Teaching Care Trust Plus

TAP

39

13

Blackpool PCT

5HP

24

Bolton PCT

5HQ

*

6

Bournemouth and Poole Teaching PCT

5QN

187

19

Bradford and Airedale teaching PCT

5NY

12

34

Brent Teaching PCT

5K5

7

15

Brighton and Hove City PCT

5LQ

47

36

Bristol PCT

5QJ

*

*

Buckinghamshire PCT

5QD

257

19

Cambridgeshire PCT

5PP

248

33

Camden PCT

5K7

1,918

101

Central and Eastern Cheshire PCT

5NP

*

8

Central Lancashire PCT

5NG

442

49

City and Hackney Teaching PCT

5C3

*

Cornwall and Isles of Scilly PCT

5QP

357

13

Coventry Teaching PCT

5MD

871

18

Croydon PCT

5K9

*

19

Cumbria Teaching PCT

5NE

178

50

Darlington PCT

5J9

10

10

Derby City PCT

5N7

86

21

Derbyshire County PCT

5N6

15

18

Devon PCT

5QQ

240

30

Doncaster PCT

5N5

10

20

Dorset PCT

5QM

*

12

19 Jun 2012 : Column 949W

Dudley PCT

5PE

12

8

Ealing PCT

5HX

*

8

East Lancashire Teaching PCT

5NH

*

East Riding of Yorkshire PCT

5NW

*

East Sussex Downs and Weald PCT

5P7

*

*

Eastern and Coastal Kent PCT

5QA

186

34

Enfield PCT

5C1

*

*

Gateshead PCT

5KF

*

Gloucestershire PCT

5QH

552

32

Great Yarmouth and Waveney PCT

5PR

*

14

Hampshire PCT

5QC

6

40

Haringey teaching PCT

5C9

*

Harrow PCT

5K6

*

Hartlepool PCT

5D9

*

7

Hastings and Rother PCT

5P8

40

18

Havering PCT

5A4

57

49

Heart of Birmingham Teaching PCT

5MX

196

26

Herefordshire PCT

5CN

22

11

Hertfordshire PCT

5QV

25

36

Hillingdon PCT

5AT

106

24

Hounslow PCT

5HY

*

11

Hull Teaching PCT

5NX

544

30

Isle of Wight NHS PCT

5QT

*

Islington PCT

5K8

6

Kensington and Chelsea PCT

5LA

18

12

Kingston PCT

5A5

*

37

Kirklees PCT

5N2

69

22

Knowsley PCT

5J4

*

6

Lambeth PCT

5LD

70

20

Leeds PCT

5N1

460

22

Leicester City PCT

5PC

308

27

Leicestershire County and Rutland PCT

5PA

*

8

Lewisham PCT

5LF

*

8

Lincolnshire Teaching PCT

5N9

373

37

Liverpool PCT

5NL

792

22

Luton PCT

5GC

46

8

Manchester PCT

5NT

75

47

Medway PCT

5L3

11

Mid Essex PCT

5PX

662

28

Middlesbrough PCT

5KM

373

28

Milton Keynes PCT

5CQ

6

9

Newcastle PCT

5D7

1,798

32

Newham PCT

5C5

*

*

Norfolk PCT

5PQ

349

23

North East Essex PCT

5PW

22

21

North East Lincolnshire Care Trust Plus

TAN

83

23

North Somerset PCT

5M8

*

6

North Staffordshire PCT

5PH

*

North Tyneside PCT

5D8

41

26

19 Jun 2012 : Column 950W

North Yorkshire and York PCT

5NV

256

38

Northamptonshire Teaching PCT

5PD

10

18

Nottingham City PCT

5EM

771

403

Nottinghamshire County Teaching PCT

5N8

125

16

Oxfordshire PCT

5QE

243

19

Peterborough PCT

5PN

*

7

Plymouth teaching PCT

5F1

252

22

Portsmouth City Teaching PCT

5FE

9

17

Redcar and Cleveland PCT

5QR

*

*

Rotherham PCT

5H8

*

19

Salford PCT

5F5

936

33

Sefton PCT

5NJ

*

8

Sheffield PCT

5N4

1,165

75

Shropshire County PCT

5M2

138

15

Somerset PCT

5QL

335

19

South Birmingham PCT

5M1

616

44

South East Essex PCT

5P1

11

12

South Gloucestershire PCT

5A3

574

92

South Staffordshire PCT

5PK

109

36

South Tyneside PCT

5KG

*

South West Essex PCT

5PY

97

21

Southampton City PCT

5L1

451

18

Southwark PCT

5LE

12

15

Stockport PCT

5F7

9

17

Stoke on Trent PCT

5PJ

1,168

20

Suffolk PCT

5PT

22

32

Sunderland Teaching PCT

5KL

178

10

Surrey PCT

5P5

70

67

Sutton and Merton PCT

5M7

*

9

Swindon PCT

5K3

234

14

Tameside and Glossop PCT

5LH

*

9

Torbay Care Trust

TAL

85

11

Tower Hamlets PCT

5C4

693

9

Trafford PCT

5NR

*

8

Wakefield District PCT

5N3

154

25

Walsall Teaching PCT

5M3

50

6

Waltham Forest PCT

5NC

*

16

Wandsworth PCT

5LG

505

24

Warrington PCT

5J2

*

*

Warwickshire PCT

5PM.

15

*

West Essex PCT

5PV

*

13

West Kent PCT

5P9

53

20

West Sussex PCT

5P6

76

44

Western Cheshire PCT

5NN

*

*.

Westminster PCT

5LC

2,367

50

Wiltshire PCT

5QK

*

8

Wirral PCT

5NK

17

Wolverhampton City PCT

5MV

26

15

19 Jun 2012 : Column 951W

Worcestershire PCT

5PL

15

30

(1) Finished admission episodes A finished admission episode (FAE) is the first period of inpatient 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) Emergency and elective admissions An emergency admission is one where the admission method is recorded as one of the following codes: 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 out-patient clinic 28: Emergency—other means, including patients who arrive via the A&E department Elective admissions are those episodes with an admission method of: 11 = Elective: from waiting list 12 = Elective: booked 13 = Elective: planned (3) Primary diagnosis of multiple sclerosis 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. The ICD code for multiple sclerosis is G35. (4) PCT of main provider This indicates the PCT area within which the organisation providing treatment was located. Note: Small numbers. To protect patient confidentiality, figures between one and five 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), Health and Social Care Information Centre (HSCIC)
Table 2: Average(1) length of stay for FAEs with a primary diagnosis(2) of multiple sclerosis(3) by PCT(4) of main provider in England, 2010-11. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.
Provider codeProvider descriptionMean averageMedian average
 

England

12

4

5HG

Ashton, Leigh and Wigan PCT

30

20

5A9

Barnet PCT

15

9

5JE

Barnsley PCT

14

10

5FL

Bath and North East Somerset PCT

15

4

5P2

Bedfordshire PCT

7

5

5QG

Berkshire East PCT

8

5

5QF

Berkshire West PCT

19

8

TAK

Bexley Care Trust

16

7

5PG

Birmingham East and North PCT

10

4

TAP

Blackburn with Darwen Teaching Care Trust Plus

24

11

5HP

Blackpool PCT

10

4

5HQ

Bolton PCT

16

8

5QN

Bournemouth and Poole Teaching PCT

13

7

5NY

Bradford and Airedale Teaching PCT

18

7

5K5

Brent Teaching PCT

14

9

5LQ

Brighton and Hove City PCT

10

4

5QJ

Bristol PCT

23

12

5QD

Buckinghamshire PCT

14

6

5PP

Cambridgeshire PCT

9

3

5K7

Camden PCT

9

2

5NP

Central and Eastern Cheshire PCT

11

7

5NG

Central Lancashire PCT

10

4

19 Jun 2012 : Column 952W

5C3

City and Hackney Teaching PCT

*

*

5QP

Cornwall and Isles of Scilly PCT

8

7

5MD

Coventry Teaching PCT

13

7

5K9

Croydon PCT

11

9

5NE

Cumbria Teaching PCT

18

6

5J9

Darlington PCT

17

8

5N7

Derby City PCT

15

5

5N6

Derbyshire County PCT

13

5

5QQ

Devon PCT

24

8

5N5

Doncaster PCT

7

2

5QM

Dorset PCT

12

7

5PE

Dudley PCT

8

6

5HX

Ealing PCT

4

2

5NH

East Lancashire Teaching PCT

5NW

East Riding of Yorkshire PCT

*

*

5P7

East Sussex Downs and Weald PCT

*

*

5QA

Eastern and Coastal Kent PCT

15

11

5C1

Enfield PCT

13

13

5KF

Gateshead PCT

*

*

5QH

Gloucestershire PCT

11

5

5PR

Great Yarmouth and Waveney PCT

17

5

5QC

Hampshire PCT

12

5

5C9

Haringey Teaching PCT

*

*

5K6

Harrow PCT

5D9

Hartlepool PCT

11

6

5P8

Hastings and Rother PCT

29

8

5A4

Havering PCT

18

6

5MX

Heart of Birmingham Teaching PCT

11

2

5CN

Herefordshire PCT

24

8

5QV

Hertfordshire PCT

31

4

5AT

Hillingdon PCT

32

14

5HY

Hounslow PCT

16

5

5NX

Hull Teaching PCT

18

5

5QT

Isle of Wight NHS PCT

*

*

5K8

Islington PCT

17

6

5LA

Kensington and Chelsea PCT

10

1

5A5

Kingston PCT

10

1

5N2

Kirklees PCT

13

6

5J4

Knowsley PCT

9

7

5LD

Lambeth PCT

10

5

5N1

Leeds PCT

22

8

5PC

Leicester City PCT

9

4

5PA

Leicestershire County and Rutland PCT

26

16

5LF

Lewisham PCT

17

5

5N9

Lincolnshire Teaching PCT

20

10

5NL

Liverpool PCT

10

6

5GC

Luton PCT

2

1

5NT

Manchester PCT

25

8

5L3

Medway PCT

10

4

5PX

Mid Essex PCT

8

2

5KM

Middlesbrough PCT

9

1

5CQ

Milton Keynes PCT

16

5

19 Jun 2012 : Column 953W

5D7

Newcastle PCT

10

3

5C5

Newham PCT

12

6

5PQ

Norfolk PCT

12

3

5PW

North East Essex PCT

6

4

TAN

North East Lincolnshire Care Trust Plus

5

2

5M8

North Somerset PCT

15

5

5PH

North Staffordshire PCT

*

*

5D8

North Tyneside PCT

15

5

5NV

North Yorkshire and York PCT

32

4

5PD

Northamptonshire Teaching PCT

14

4

5EM

Nottingham City PCT

4

0

5N8

Nottinghamshire County Teaching PCT

14

14

5QE

Oxfordshire PCT

9

4

5PN

Peterborough PCT

14

3

5F1

Plymouth Teaching PCT

10

4

5FE

Portsmouth City Teaching PCT

12

5

5QR

Redcar and Cleveland PCT

*

*

5H8

Rotherham PCT

20

5

5F5

Salford PCT

7

2

5NJ

Sefton PCT

11

4

5N4

Sheffield PCT

14

5

5M2

Shropshire County PCT

13

6

5QL

Somerset PCT

19

11

5M1

South Birmingham PCT

20

6

5P1

South East Essex PCT

14

5

5A3

South Gloucestershire PCT

3

0

5PK

South Staffordshire PCT

10

3

5KG

South Tyneside PCT

*

*

5PY

South West Essex PCT

11

4

5L1

Southampton City PCT

18

10

5LE

Southwark PCT

8

4

5F7

Stockport PCT

23

6

5PJ

Stoke on Trent PCT

13

5

5PT

Suffolk PCT

8

5

5KL

Sunderland Teaching PCT

9

2

5P5

Surrey PCT

7

3

5M7

Sutton and Merton PCT

24

9

5K3

Swindon PCT

6

3

5LH

Tameside and Glossop PCT

8

3

TAL

Torbay Care Trust

5

3

5C4

Tower Hamlets PCT

3

2

5NR

Trafford PCT

21

9

5N3

Wakefield District PCT

7

0

5M3

Walsall Teaching PCT

4

3

5NC

Waltham Forest PCT

11

6

5LG

Wandsworth PCT

22

7

5J2

Warrington PCT

13

8

5PM

Warwickshire PCT

29

4

5PV

West Essex PCT

4

2

5P9

West Kent PCT

15

3

5P6

West Sussex PCT

5

0

5NN

Western Cheshire PCT

17

10

5LC

Westminster PCT

4

1

5QK

Wiltshire PCT

8

7

5NK

Wirral PCT

13

6

5MV

Wolverhampton City PCT

21

6

19 Jun 2012 : Column 954W

5PL

Worcestershire PCT

20

5

(1) Mean length of stay The average length of stay based on the difference between the admission date and discharge date in days of each spell, summed for all spells and divided by the number of spells where a valid duration has been recorded. This excludes day cases and periods of care where the length of stay is less than one full day. (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) Multiple sclerosis The ICD code for Multiple Sclerosis is G35 (4) PCT of main provider This indicates the PCT area within which the organisation providing treatment was located. Notes: 1. Finished admission episodes. An 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 inpatients, as a person may have more than one admission within the year. 2. Small numbers. To protect patient confidentiality, figures (both the mean and median) where the denominator of the mean is between one and five have been replaced with “*” (an asterisk). 3. Data quality. HES are compiled from data sent by more than 300 NHS trusts and 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. Source: HES, HSCIC