Schools: Playing Fields
Kevin Brennan: To ask the Secretary of State for Education on how many occasions his Department has overruled the schools playing fields advisory panel since September 2012; and what the reason for each such case was. [174647]
Mr Laws: The Secretary of State for Education, my right hon. Friend the Member for Surrey Heath (Michael Gove), has overruled the schools playing fields advisory panel only once since September 2012. This was an application by Warwickshire county council to dispose of land at the former Griff special school, Nuneaton, Warwickshire. The panel did not object to the actual loss of this unused playing field, but highlighted specifically that any potential proceeds of sale would be lost to sport or educational investment, as the land was to be 'peppercorn' leased to a charitable housing association to provide housing for senior citizens. Acting directly upon the advice of the panel, the Secretary of State made this disposal conditional on Warwickshire county council investing a sum equal to the value of the land into education or sport, from funds not ring-fenced for education. The former school has been closed for eight years and the playing field land has not been used by a local school or the wider community in this time. Sport England did not object to the council's planning application and at consultation there were no objections to the loss of the unused playing field. Details of this decision were published on the Department's website in July.
Sickness Absence
David Simpson: To ask the Secretary of State for Education how many staff in his Department (a) were disciplined and (b) had their employment terminated as a result of a poor sickness record in each of the last 12 months. [174630]
Elizabeth Truss: The following table shows the Department for Education's figures for the period 1 October 2012 to 7 November 20131:
Month/year | (a) Number of staff disciplined | (b) Number of staff dismissed due to a poor sickness record |
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1 Specific numbers have not been shown on the grounds of confidentiality. |
Sign Language
Mr Andrew Smith: To ask the Secretary of State for Education (1) what assessment his Department has made of the relationship between the learning, skills and teaching involved in learning sign language and in learning other languages; [174576]
(2) if he will take steps to include British Sign Language within the modern foreign language group of subjects in the national curriculum. [174577]
Elizabeth Truss: The Department for Education recognises the importance of British Sign Language.
The new national curriculum programmes of study for languages contain a number of requirements that could not be met through British Sign Language, for example at key stage 2 the requirement to describe people, places, things and actions in writing; and at key stage 3 writing prose in the target language.
This does not mean that British Sign Language cannot be a rigorous and challenging subject which schools might choose to teach in addition to foreign languages. The Department is supporting schools that choose to do so by funding the I-Sign project, which aims to improve the skills and qualifications of support workers in schools who help pupils using sign language. The project also provides classes and support to parents, and has developed an online course.
Teachers: Training
Pat Glass: To ask the Secretary of State for Education with reference to the initial teacher training core and School Direct allocations for 2014-15, published by the National College for Teaching and Leadership on 1 November 2013, if he will publish a breakdown of those allocations by (a) the primary and secondary phases and (b) individual secondary subjects; and if he will apportion the School Direct primary and secondary allocations by the salaried and fee paying routes. [174319]
Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teacher training (ITT) providers (school centred ITTs and higher education institutions) to inform them of their ITT allocations. Institutions will confirm the number of places they want in the coming weeks. To help inform applicants' decisions, NCTL will publish a full list of the places allocated by lead school and ITT provider. The published data will also contain a summative breakdown of allocations by phase of education, subject and training route. These data will be published before the end of the month, once schools and providers have had a chance to respond to our proposed allocations.
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Pat Glass: To ask the Secretary of State for Education if he will publish in respect of each accredited initial teacher training provider for 2014-15 (a) the total provisional core primary allocations, (b) the provisional core allocations for each secondary subject, (c) the number of School Direct primary places provisionally linked to each provider and (d) the number of School Direct places by secondary subject provisionally linked to each provider. [174327]
Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teaching training (ITT) providers (school centred ITTs and higher education institutions) to inform them of their ITT allocations. Institutions will confirm the number of places they want in the coming weeks. To help inform applicants' decisions, NCTL will publish a full list of the places allocated by lead school and ITT provider before the end of the month, once schools and providers have had a chance to respond to our proposed allocations. It would be misleading to state precisely which schools and universities received allocations before that time.
Kevin Brennan: To ask the Secretary of State for Education with reference to the provisional teacher training allocations published by his Department on 1 November 2013, how many places from each accredited providers initial teacher training allocations are for (a) each phase, (b) each secondary subject, (c) core provision and (d) School Direct provision. [174808]
Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teacher training (ITT) providers (school-centred initial teacher training and higher education institutions) to inform them of their ITT allocations. As stated on 1 November, NCTL will publish a full list of the places allocated by lead school and ITT provider in due course, once they have had the opportunity to confirm their allocations. The published data will contain a summative breakdown of allocations by phase of education, subject and training route.
Kevin Brennan: To ask the Secretary of State for Education with reference to the provisional teacher training allocations published by his Department on 1 November 2013, how many places have been allocated to (a) higher education institutions, (b) school-centred initial teacher training, (c) School Direct fee-paying, (d) School Direct salaried, (e) other types of provision, (f) primary phase, (g) secondary phase and (h) each individual secondary subject. [174809]
Mr Laws: Management information published by the Department on 1 November shows the breakdown of provisional allocations by the type of initial teacher training (ITT) programme and academic level1.
As stated on 1 November, the National College for Teaching and Leadership will publish a full list of the places allocated by lead school and ITT provider in due course, once it has had the opportunity to confirm its allocations. The published data are intended to help inform applicants' decisions and will also contain a summative breakdown of allocations by phase of education, subject and training route.
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http://www.education.gov.uk/schools/careers/traininganddevelopment/initial/b00205704/schooldirect?cid=school-direct&type=redirect&pla=201112
Mr Mike Hancock: To ask the Secretary of State for Education what budget the National College for Teaching and Leadership has set for promotion and advertisement of (a) core allocation and (b) School Direct routes for entry in academic year 2014-15. [174891]
Mr Laws: The Department for Education plans to spend around £2.9 million on promotion and advertising to support recruitment to initial teacher training over the next 12 months. This marketing budget is not broken down into core allocation and School Direct routes.
Tristram Hunt: To ask the Secretary of State for Education how many trainees (a) started the School Direct programme in 2012-13 and (b) having started that programme, did not achieve qualified teacher status. [175010]
Mr Laws: 4001 trainees started a School Direct in programme 2012/13. Outcomes of training, including award of qualified teacher status and employment in teaching within six months of completing training, will be published in the initial teacher training performance profiles in late 2014.
1 Numbers are rounded to the nearest 10.
Tristram Hunt: To ask the Secretary of State for Education whether he plans to apply automatic penalties for under-recruitment to School Direct places in the present academic year. [175011]
Mr Laws: The School Direct allocations methodology for 2014/15 initial teacher training allocations was published in July 20131.
1https://www.gov.uk/government/publications/school-direct-allocations-methodology-academic-year-2014-to-2015
Tristram Hunt: To ask the Secretary of State for Education when he expects to publish his evaluation of the School Direct programme. [175012]
Mr Laws: There are a number of measures by which the Department monitors and evaluates initial teacher training (ITT), including trainees on the School Direct scheme. These include the number and quality of trainees; success rates; and progression into employment. The Department also surveys the views of trainees. All data are published regularly on the Department's website. In addition, Ofsted inspects ITT providers and publishes its reports.
Tristram Hunt: To ask the Secretary of State for Education how many schools recruited through School Direct in 2012-13 for trainees to start in 2013. [175013]
Mr Laws: The data requested will be published in a statistical first release on 26 November 2013, as part of the initial teacher training census.
Tristram Hunt: To ask the Secretary of State for Education how many School Direct candidates were declined by partner initial teacher training providers after they had been selected by a school. [175024]
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Mr Laws: The Department for Education does not hold the data requested. The Department holds data on the number of candidates who were declined, but not whether the decision was made by the school or the partner provider.
Tristram Hunt: To ask the Secretary of State for Education how many applicants to School Direct in 2012-13 had a UK undergraduate degree that was (a) first class, (b) second class, upper division (2.1), (c) second class, lower division (2.2), (d) third class and (e) ordinary degree (pass). [175026]
Mr Laws: The information requested is not readily available and could be obtained only at disproportionate cost.
Information on the degree class of trainee teachers in 2012-13 was published in the initial teacher training census (November 2012), available at:
https://www.gov.uk/government/publications/initial-teacher-training-trainee-number-census
Information about the degree class of School Direct applicants who commenced their training in the academic year 2013-14 will be published in the initial teacher training census in November 2013.
Bill Esterson: To ask the Secretary of State for Education what proportion of teachers in each Government office region underwent their initial teacher training within that region. [175055]
Mr Laws: This question cannot be answered without incurring disproportionate cost.
Bill Esterson: To ask the Secretary of State for Education what proportion of higher education institutions with an “Outstanding” Ofsted rating have been granted a smaller core allocation for initial teacher training for academic year 2014-15 than in 2012-13. [175070]
Mr Laws: In June 2012, the Secretary of State for Education, the right hon. Member for Surrey Heath (Michael Gove), announced a two-year guarantee of places for ‘outstanding’ providers. The guarantee covers any phase of provision currently graded ‘outstanding’ by Ofsted for overall effectiveness. If they request them, any provider with provision in this category will receive at least the same number of places they were allocated for 2012-13. If a provider requests less than their guaranteed number of places, we will allocate the smaller number.
The National College for Teaching and Leadership intends to publish a full list of the places allocated by lead school and initial teacher training provider in the next few weeks, once institutions have had a chance to respond to our proposed allocations, which were released on 1 November. An analysis of the allocations received by '’outstanding’ higher education institution providers cannot be provided before this publication.
Bill Esterson: To ask the Secretary of State for Education what proportion of initial teacher training allocated places for academic year 2014-15 have been granted to lead institutions with an (a) outstanding, (b) good, (c) requires improvement and (d) inadequate Ofsted rating. [175071]
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Mr Laws: Information regarding allocations to lead institutions by Ofsted rating is not available at this time. As stated on 1 November, the National College for Teaching and Leadership will publish a full list of the places allocated by lead school and initial teacher training (ITT) provider in due course, once they have had the opportunity to confirm their allocations.
ITT providers or lead schools graded by Ofsted in their last inspection as 'requires improvement' or 'inadequate' were not allocated postgraduate ITT places.
Bill Esterson: To ask the Secretary of State for Education what proportion of initial teacher training allocated places for academic year (a) 2012-13 and (b) 2013-14 were granted to lead institutions with an (A) outstanding, (B) good, (C) requires improvement and (D) inadequate Ofsted rating. [175072]
Mr Laws: Core initial teacher training (ITT) places were allocated to ITT providers and School Direct places were allocated to lead schools for 2012/13 and 2013/14.
The proportion of core ITT places allocated to ITT providers at each Ofsted grade in 2012/13 is shown in the following table. Information on the Ofsted grade of the lead schools that received an allocation of School Direct places in 2012/13 is not readily available.
Ofsted grade of ITT provider | Proportion of core places allocated for the 2012/13 academic year (percentage) |
The proportion of ITT places allocated to schools and ITT providers at each Ofsted grade in 2013/14 is shown in the following table.
Percentage | ||
Ofsted grade of ITT provider or school | Proportion of core places allocated for the 2013/14 academic year | Proportion of School Direct places allocated for the 2013/14 academic year |
Bill Esterson: To ask the Secretary of State for Education if he will publish the number of School Direct trainees recruited for the 2013-14 academic year for each subject, by the Government region of the lead institution. [175136]
Mr Laws: The data requested are not available prior to publication of the national level statistics.
These are due to be published in the statistical first release on 26 November 2013, as part of the initial teacher training census.
Bill Esterson:
To ask the Secretary of State for Education what proportion of the overall (a) School Direct allocation, (b) core allocation (postgraduate),
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(c)
core allocation (undergraduate) and
(d)
core allocation (school centred initial teacher training) has the National College for Teaching and Leadership calculated will need to be filled in academic year 2014-15 in order for the overall recruitment target to be met. [175137]
Mr Laws: Management information published by the Department on 1 November shows the breakdown of provisional allocations by the type of initial teacher training programme and academic level1.
The allocation number for individual training programmes are not targets and should not be regarded as such.
1 Available at:
http://www.education.gov.uk/schools/careers/traininganddevelopment/initial/b00205704/schooldirect?cid=school-direct&type=redirect&pla=201112
Bill Esterson: To ask the Secretary of State for Education what proportion of teachers working in each Government region underwent their initial teacher training within that region. [175144]
Mr Laws: This question cannot be answered without incurring disproportionate cost.
Health
Cancer: Drugs
Mr Amess: To ask the Secretary of State for Health what recent discussions he has had with the National Institute for Health and Care Excellence about health technology assessment methodologies for appraising cancer medicines; and if he will make a statement. [174619]
Norman Lamb: Ministers have had no such discussions. However, as part of our plans to introduce value-based pricing for new medicines, including new cancer medicines, we have given the National Institute for Health and Care Excellence (NICE) terms of reference for the development of a broader value assessment of new medicines which are available on its website at:
www.nice.org.uk/media/9A4/92/DH_VBP_Terms_of_Reference.pdf
Following feedback from patients' groups that they would welcome further opportunities to feed into the development of the new arrangements, we have now agreed that NICE will carry out a full public consultation before the methods for broader value assessment are implemented in autumn 2014.
CJD
Mark Tami: To ask the Secretary of State for Health (1) what steps his Department has put in place to monitor the number of people who carry the abnormal prion protein which causes variant Creutzfeldt-Jakob disease; [174628]
(2) when he plans that screening of the abnormal prion protein which causes variant Creutzfeldt-Jakob disease will be introduced; [174631]
(3) what assessment he has made of the number of people who carry the abnormal prion protein which causes variant Creutzfeldt-Jakob disease. [174633]
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Jane Ellison: The presence of abnormal prion protein is currently taken as a marker for asymptomatic carriage of variant Creutzfeldt-Jakob disease or for symptomatic infection. A recent study to assess carriage by looking at stored appendix tissue samples, first published in the Health Protection Report in August 2012, found abnormal prion protein in 16 appendices out of 32,441 samples. This suggests a prevalence of about 1 in 2,000.
There is no monitoring of people who may carry the abnormal prion protein; all appendix prevalence studies are anonymised.
No routine screening can yet take place as there are no suitable validated screening tests for abnormal prion protein available. The Department, together with the United Kingdom blood services, continues to monitor scientific research and development in this area.
Cochlear Implants: East Midlands
Lilian Greenwood:
To ask the Secretary of State for Health what assessment he has made of the number of adults in (a) Nottingham, (b) Nottinghamshire and
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(c)
the East Midlands who might benefit from a cochlear implant. [175147]
Norman Lamb: The Department has made no assessment of the number of adults in Nottingham, Nottinghamshire and the East Midlands who might benefit from a cochlear implant.
Lilian Greenwood: To ask the Secretary of State for Health what estimate he has made of the number of cochlear implants fitted to adults in (a) Nottingham, (b) Nottinghamshire and (c) the East Midlands in the last year. [175159]
Norman Lamb: Information is not available in the format requested. Information on the total number of finished consultant episodes (FCE) with an operative procedure of cochlear implant for adult patients resident in the former Nottingham City primary care trust (PCT) area, Nottinghamshire, and the former East Midlands strategic health authority (SHA) area in 2012-13 is shown in the following table:
Area of residence | Total FCEs |
Notes: 1. A FCE is a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. 2. Number of episodes with a main or secondary procedure: The number of episodes where the procedure (or intervention) was recorded in any of the 24 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. 3. Patients resident in Nottinghamshire are defined as those resident within the Nottingham City PCT, Bassetlaw PCT and Nottinghamshire County Teaching PCT boundaries. 4. SHA/PCT of residence: The SHA or PCT containing the patient's normal home address. This does not necessarily reflect where patients were treated as they may have travelled to another SHA/PCT for treatment. 5. To protect patient confidentiality, figures between one and five have been replaced with ‘*’ (an asterisk). Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre |
Continuing Care
Mrs Main: To ask the Secretary of State for Health what estimate he has made of the cost of dispensing drugs to patients with long-term conditions on a 28-day prescription cycle. [174600]
Norman Lamb: No such estimate has been made. There has been no Government directive to specify the length of time for which prescriptions should be issued.
General Practitioners
Chris Ruane: To ask the Secretary of State for Health how many visits were made to a GP in each of the last 10 years. [174639]
Dr Poulter: The Health and Social Care Information Centre does not hold data on how many visits were made to a general practitioner (GP) in each of the last 10 years.
However, information about trends in consultation rates in general practice was published up until 2009, in ‘Trends in Consultation Rates in General Practice—1995-2009’. This report estimates the number of consultations in England based on a sample. It includes consultations by GPs, nurses and other clinicians. Consultations include visits to surgery, telephone consultations, home visits and consultations at other locations. A link to the data is available at:
http://www.hscic.gov.uk/catalogue/PUB01077
Mr Virendra Sharma: To ask the Secretary of State for Health what recent discussions he has had with (a) the National Institute for Health and Care Excellence and (b) Public Health England on the quality and outcomes framework. [174665]
Jane Ellison: NHS England asked the National Institute for Health and Care Excellence to undertake a piece of work to inform a review of indicators within the clinical and public health domains within the quality and outcomes framework (QOF). NHS England has also sought on-going advice from Public Health England throughout the process of reviewing indicators in the QOF. This advice will feed into the ongoing discussions on the general medical services (GMS) contract.
The GMS contract is negotiated by NHS Employers on behalf of NHS England. The outcome of the GMS contract negotiations will be published in due course.
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Mr Virendra Sharma: To ask the Secretary of State for Health (1) if he will direct Public Health England to prioritise the development of a quality and outcomes framework indicator that would award points to GPs who advise, prescribe and recommend appropriate guidance and support for obese and overweight patients; [174666]
(2) what steps he will take to incentivise GPs to advise, prescribe and recommend appropriate guidance and support for obese and overweight patients. [174667]
Jane Ellison: General practitioners and other health and care professionals have a key role in "making every contact count" by identifying overweight children and adults, and supporting them with an appropriate intervention or referral and on-going management.
Public Health England is delivering key programmes such as NHS health checks and the national child measurement programme to help identify overweight and obesity so local authorities can plan and deliver services.
NHS England asked the National Institute for Health and Care Excellence to undertake a piece of work to inform a review of indicators within the clinical and public health domains within the quality and outcomes framework. NHS England also sought advice from Public Health England. This advice will feed into the on-going discussions on the general medical services (GMS) contract.
The GMS contract is negotiated by National Health Service Employers on behalf of NHS England. The outcome of the GMS contract negotiations will be published in due course.
Glaucoma
Andrew Percy: To ask the Secretary of State for Health what assessment his Department has made of the availability of the Xalatan form of the drug latanoprost at UK pharmacies. [175282]
Norman Lamb: Pharmacies can obtain Xalatan (latanoprost) eye drops through the wholesaler, Alliance Healthcare. Supplies are available. Any pharmacy who experiences difficulties obtaining stock can contact the manufacturer, Pfizer, who will investigate further.
Hearing Impairment: East Midlands
Lilian Greenwood: To ask the Secretary of State for Health what recent estimate he has made of the number of adults in (a) Nottingham, (b) Nottinghamshire and (c) the East Midlands with a severe to profound hearing loss. [175160]
Norman Lamb: Information is not available in the format requested. Information on the number of adults registered as deaf or hard of hearing at 31 March 2010 for Nottingham city council, Nottinghamshire county council, and for all councils with adult social services responsibilities (CASSRs) in the east midlands area is shown in the following table.
Deaf | Hard of hearing | |
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Notes: 1. Data were historically submitted by CASSRs every three years. The most recently available data were at 31 March 2010. Following a review of returns collected by the HSCIC, the number of people registered as deaf is no longer collected centrally. 2. In order to find the figure for the geographical area of Nottinghamshire, the figures for Nottingham and Nottinghamshire councils must be totalled. 3. The figures reflect the definitions of the return from CASSRs, not necessarily ‘severe to profound hearing loss’. 4. The 2009-10 SSDA910 publication is available on the Health and Social Care Information Centre website at: www.hscic.gov.uk/pubs/regdeafl0 5. The guidance document for the SSDA910 return for the year 2009-10 is available on the Health and Social Care Information Centre website at: http://webarchive.nationalarchives.gov.uk/20120802111034/http://www.ic.nhs.uk/webfiles/Services/Social%20care/Collections%200910/SSDA910/SSDA910%20Deaf%20and%20Hard%20of%20Hearing% 202009-10%20v1.0.pdf Source. Registers for Deaf People from CASSRs (SSDA910), Health and Social Care Information Centre (HSCIC). |
Heart Diseases
Stuart Andrew: To ask the Secretary of State for Health whether a new health and equality impact assessment will be undertaken for the new congenital heart disease review; and which body is responsible for commissioning such assessments. [175218]
Jane Ellison: NHS England is responsible for conducting the new review of congenital heart disease services and is committed to a review that is robust, transparent and inclusive, in the interests of delivering high-quality and sustainable services for all patients.
NHS England advises that if the review develops proposals to change the form and function of services then appropriate impact assessments will be undertaken.
Information on the detail of the new review can be found on NHS England's website at:
www.england.nhs.uk/ourwork/qual-clin-lead/chd/
Insulin
Jeremy Lefroy: To ask the Secretary of State for Health what steps his Department is taking to monitor access to insulin pump therapy in (a) Stafford and (b) England. [174728]
Jane Ellison: The Department does not monitor access to insulin pump therapy and does not hold this information centrally.
It is for NHS England to ensure that commissioners and providers make insulin pumps available for those people with diabetes that meet the criteria recommended by the National Institute for Health and Care Excellence (NICE).
The first ever United Kingdom-wide audit of insulin pump use was sponsored by the Association of British Clinical Diabetologists, Diabetes UK and the Juvenile Diabetes Research Foundation with support from NICE. It involves the participation of 97% of hospital trusts that provide insulin pump services.
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Malnutrition
Mr Jim Cunningham: To ask the Secretary of State for Health how many people were admitted to hospital with malnutrition in (a) England, (b) each primary care trust area of responsibility and (c) each current clinical commissioning group area of responsibility in each of the last five years for which data are available. [175168]
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Norman Lamb: The table shows a count of finished admission episodes for patients with a primary or secondary diagnosis of malnutrition in England and each primary care trust (PCT) area of responsibility for the last five years.
This is not a count of patients as the same patient may be admitted more than once in a financial year.
The information is not available for each current clinical commissioning group area of responsibility.
Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector | |||||
Area | 2008-09 | 2009-10 | 2010-11 | 2011-12 | 2012-13 |
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Note: To protect patient confidentiality; figures between 1 and 5 have been replaced with “*” (an asterisk), Where it was still possible to identify figures from the total, additional figures have been replaced with “*”. |
Mr Jim Cunningham: To ask the Secretary of State for Health how many patients were discharged from hospital with malnutrition in (a) England, (b) each primary care trust area of responsibility and (c) each current clinical commissioning group area of responsibility in each of the last five years for which data are available. [175169]
Norman Lamb: The information requested is not collected centrally. However, the following table shows a count of finished discharge episodes with a primary or secondary diagnosis of malnutrition for England and by primary care trust (PCT) of responsibility for the year 2008-09 to 2012-13.
This indicates one of the last diagnoses that a particular patient was being treated for; it is not the diagnosis at the moment the patient is discharged as information on the diagnoses that a patient has on leaving hospital is not collected. As such the presence of a diagnosis of malnutrition on the discharge episode does not imply they were still malnourished when discharged from hospital.
Code | PCT of responsibility | 2008-09 | 2009-10 | 2010-11 | 2011-12 | 2012-13 |
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Notes: 1. Finished discharge episodes A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. 2. Number of episodes in which the patient had a primary or secondary diagnosis. The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record. 3. ICD10 codes—Malnutrition E40.X—Kwashiorkor E41.X—Nutritional marasmus E42.X—Marasmic kwashiorkor E43.X—Unspecified severe protein-energy malnutrition E44.0—Moderate protein-energy malnutrition E44.1—Mild protein-energy malnutrition E45.X—Retarded development following protein-energy malnutrition E46.X—Unspecified protein-energy malnutrition O25.X—Malnutrition in pregnancy 4. PCT of responsibility The PCT of responsibility is derived from the PCT of general practitioner practice, the PCT of residence and the PCT of main provider. 5. Assessing growth through time (in-patients) 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, changes in activity may be due to changes in the provision of care. 6. Small numbers To protect patient confidentiality, figures between one and five have been replaced with “*” (an asterisk). Where it was still possible to identify figures from the total, additional figures have been replaced with “*”. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre. |