Alzheimer's Disease: Paracetamol

Dame Tessa Jowell: To ask the Secretary of State for Health what research his Department has (a) commissioned and (b) evaluated on possible links between paracetamol and Alzheimer’s disease; and what discussions he has had with regulatory bodies on such links. [186270]

Dr Poulter: The Medicines and Healthcare products Regulatory Agency keeps the safety of paracetamol under close review. The available evidence does not suggest that paracetamol is linked to an increased risk of Alzheimer’s disease.

The Department has not commissioned any research on possible links between paracetamol and Alzheimer’s disease.

The Secretary of State for Health, my right hon. Friend the Member for South West Surrey (Mr Hunt), has had no discussions with regulatory bodies on such links.

Autism

Luciana Berger: To ask the Secretary of State for Health what assessment his Department has made of the adequacy and effectiveness of current models of care and treatment for people with autism in the NHS. [186482]

Charlotte Leslie: To ask the Secretary of State for Health (1) what discussions his Department has had with the Home Office on better addressing issues in the criminal justice system raised during the recent listening exercise on the review of the adult autism strategy; [186556]

10 Feb 2014 : Column 448W

(2) what discussions his Department has had with the Department for Education on better ensuring that it addresses issues on transition raised during the recent listening exercise on the review of the adult autism strategy; [186557]

(3) what discussions his Department has had with the Ministry of Justice on better addressing issues in the criminal justice system raised during the recent listening exercise on the review of the adult autism strategy; [186558]

(4) what discussions his Department has had with (a) the Ministry of Justice and (b) the Home Office on the implementation of the adult autism strategy in the criminal justice system. [186954]

Norman Lamb: Although progress is being made under the 2010 Adult Autism Strategy, provision of services for people with autism can vary across the country. In order to help standardise and improve the care and management of autism and to enable health and social care services to support people with autism more effectively, the Department commissioned the National Institute for Health and Care Excellence to produce guidance on autism. This includes a recent Quality Standard for Autism which can help to inform the commissioning of autism services for children, young people and adults, focusing on key areas for improving the quality of existing services.

The Department worked with a range of Government Departments and agencies, local health and social service providers, public and voluntary organisations and people with autism, carers and families during the listening phase of the review of the adult autism strategy. This included the Department for Education (DFE), Ministry of Justice (MOJ) and the Home Office, with officials representing those departments attending meetings and events. The MOJ and DFE are members of the Autism Programme Board (APB). All papers for the APB are placed on Gov.UK website at:

www.gov.uk/government/policy-advisory-groups/aapb

These papers provide further information about how the reviews were conducted, the findings, and notes of discussions at the APB.

The MOJ and DFE have also offered to host meetings of officials in the near future with advocates for autism to discuss what more can be done.

The Children and Families Bill, led by the DFE, will introduce joint arrangements between health, care and education, for children with special educational needs and young people aged 0 to 25, providing a basis for planning effective transition; the Department of Health's Care Bill provides for social care assessments before a child turns 18, to allow for continuity in transition.

Crime Prevention: Young People

Luciana Berger: To ask the Secretary of State for Health what guidance his Department has given to (a) local authorities in England and (b) health and wellbeing boards on the Ending Gang and Youth Violence programme. [186960]

Jane Ellison: The Department, working with the Home Office and the Local Government Association, has commissioned the NHS Confederation to develop a

10 Feb 2014 : Column 449W

resource providing practical information and guidance on the significant role health and wellbeing boards can play in preventing and tackling violence generally, in collaboration with community safety partnerships and other local partners. This briefing will be made available to local authorities and health and wellbeing boards soon.

Diabetes

Mr Virendra Sharma: To ask the Secretary of State for Health how many diabetes-related amputations were carried out in each year since 2003. [186282]

Jane Ellison: In the following table, we have provided information concerning the number of finished consultant episodes (FCEs) with a primary diagnosis of diabetes and a primary or secondary procedure of amputation, in each year from 2003-04 to 2012-13.

 FCEs

2003-04

2,092

2004-05

2,141

2005-06

1,994

2006-07

1,999

2007-08

2,114

2008-09

2,197

2009-10

2,176

2010-11

2,370

2011-12

2,406

2012-13

1,757

Notes: 1. Activity in English NHS hospitals and English NHS commissioned activity in the independent sector. 2. Data include amputation of arm, hand, leg, foot, toe and re-amputation at a higher level. 3. A finished consultant episode (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. 4. These data provide the number episodes of care where one or more amputations has taken place, and may not be the actual number of individual amputations. For example, a patient may have had both legs amputated in the same episode of care. 5. These data should not be described as a count of people as the same person may have been admitted on more than one occasion. For example, a patient may have had a re-amputation at a higher level in a later episode. Source: Hospital Episode Statistics (HES), the Health and Social Care Information Centre.

Mr Virendra Sharma: To ask the Secretary of State for Health how many cases of diabetic retinopathy have been diagnosed in each year since 2003. [186283]

Jane Ellison: The following table indicates the number of persons diagnosed with referable diabetic retinopathy from when records began in 2007. This does not include persons diagnosed with referable diabetic retinopathy outside the national screening programme.

Number of referable diabetic retinopathy outcomes by the NHS National Diabetic Eye Screening Programme in England, 2007-08 to 2011-12
 Total

2007-08

53,076

2008-09

76,687

2009-10

95,155

2010-11

112,471

2011-12

108,212

Note: This includes patients screened by digital photography and SLB with grading outcomes of M1, R2 and R3. Source: Diabetic Eye Screening Programme Annual Reports.

10 Feb 2014 : Column 450W

Mr Virendra Sharma: To ask the Secretary of State for Health (1) how many people from black, Asian and minority ethnic backgrounds were diagnosed with type 2 diabetes in England in each year since 2003; [186358]

(2) how many people were diagnosed with type 2 diabetes in England in each year since 2003. [186359]

Jane Ellison: This information cannot be provided in the format requested.

In the following table we have provided the number of patients recorded in the National Diabetes Audit (NDA)1 that were newly diagnosed with type 2 diabetes in England in the 2009-102, 2010-11 and 2011-122 audit years, broken down by ethnic category. Participation in the NDA is not mandatory, so does not have 100% coverage or participation.

1 Data can only be provided for the 2009-10, 2010-11 and 2011-12 audit years as data prior to 2009-10 are not currently held.

2 The figures provided in the table should be used in context of increased coverage in the NDA. Coverage has improved from an estimated 80.2% case ascertainment in 2009-10 to an estimated 88.4% case ascertainment in 2011-12.

 Audit year
Ethnic category2009-102010-112011-12

White

110,206

123,787

125,529

British

98,682

111,256

113,215

Irish

1,101

1,308

1,318

Any other white background

10,423

11,223

10,996

    

Mixed

1,495

1,698

1,807

White and black Caribbean

428

444

474

White and black African

329

417

389

White and Asian

240

276

288

Any other mixed background

498

561

656

    

Asian or Asian British

17,789

20,087

21,958

Indian

6,958

7,661

8,146

Pakistani

5,325

5,827

6,728

Bangladeshi

2,304

2,533

2,704

Any other Asian background

3,202

4,066

4,380

    

Black or black British

6,109

6,947

7,694

Caribbean

2,353

2,595

2,829

African

3,157

3,660

4,128

Any other black background

599

692

737

    

Other ethnic groups

5,537

5,942

5,918

Chinese

504

572

601

Any other ethnic group

5,033

5,370

5,317

    

Not stated

56,213

50,938

49,874

    

Total

197,349

209,399

212,780

10 Feb 2014 : Column 451W

Drugs

Sir Bob Russell: To ask the Secretary of State for Health if he will make it his policy to remove geographic inequalities in the dispensing of the Humira form of the drug adalimumab; and if he will make a statement. [186385]

Norman Lamb: We are not aware of any significant unwarranted geographical variations in the dispensing of this drug in England.

The National Institute for Health and Care Excellence (NICE) has published technology appraisal guidance which recommends adalimumab as a treatment option in a number of conditions, subject to certain clinical criteria. These include:

Rheumatoid arthritis (TA130, October 2007);

Severe active ankylosing spondylitis (TA143, May 2008);

Psoriasis in adults (TA146, June 2008);

Severe active Crohn's disease (TA187, May 2010); and

Active and progressive psoriatic arthritis (TA199, August 2010).

National health service commissioners are required to fund drugs and treatments recommended in NICE technology appraisal guidance where a clinician believes they are appropriate.

NICE is currently reviewing its guidance on adalimumab for the treatment of rheumatoid arthritis and ankylosing spondylitis. It is also developing technology appraisal guidance on the use of this drug for severely active ulcerative colitis.

In the absence of positive NICE technology appraisal guidance, NHS commissioners should make funding decisions based on an assessment of the available evidence and on the basis of an individual patient's clinical circumstances.

Dysentery

Luciana Berger: To ask the Secretary of State for Health pursuant to the answer of 3 February 2014, Official Report, column 69W, on health education: sex, how many cases of shigella there have been in (a) total and (b) each parliamentary constituency since 2010. [186956]

Jane Ellison: The number of laboratory reports of most common shigella species reported to Public Health England (England and Wales) 2010-2013 follows:

 Shigella flexneriShigella sonniesTotal

2010

499

1,125

1,624

2011

529

1,096

1,625

2012

670

958

1,628

2013

686

1,004

1,690

Total

2,384

4,183

6,567

The number of laboratory reports of most common shigella species reported to Public Health England by PHE Centre (England and Wales) 2010-2013 follows:

PHE centreShigella flexneriShigella sonneiTotal

Anglia and Essex

85

188

273

2010

24

64

88

2011

14

32

46

10 Feb 2014 : Column 452W

2012

22

35

57

2013

25

57

82

    

Avon Gloucestershire and Wiltshire

48

217

265

2010

9

56

65

2011

15

57

72

2012

17

51

68

2013

7

53

60

    

Cheshire and Merseyside

54

119

173

2010

9

30

39

2011

11

26

37

2012

22

34

56

2013

12

29

41

    

Cumbria and Lancashire

70

92

162

2010

27

34

61

2011

14

25

39

2012

15

5

20

2013

14

28

42

    

Devon Cornwall and Somerset

67

150

217

2010

15

49

64

2011

19

41

60

2012

14

29

43

2013

19

31

50

    

East Midlands

30

106

136

2010

9

29

38

2011

7

30

37

2012

10

25

35

2013

4

22

26

    

Greater Manchester

181

259

440

2010

43

53

96

2011

34

60

94

2012

65

98

163

2013

39

48

87

    

Kent Surrey and Sussex

207

351

558

2010

53

104

157

2011

41

93

134

2012

46

74

120

2013

67

80

147

    

London

888

1,251

2,139

2010

154

296

450

2011

188

312

500

2012

245

299

544

2013

301

344

645

    

North East

59

124

183

2010

10

30

40

2011

12

18

30

2012

23

29

52

2013

14

47

61

10 Feb 2014 : Column 453W

South Midlands and Hertfordshire

57

180

237

2010

11

44

55

2011

12

45

57

2012

20

45

65

2013

14

46

60

    

Thames Valley

117

190

307

2010

23

68

91

2011

26

42

68

2012

39

38

77

2013

29

42

71

    

Wessex

142

209

351

2010

36

49

85

2011

54

79

133

2012

31

47

78

2013

21

34

55

    

West Midlands

163

278

441

2010

43

91

134

2011

32

83

115

2012

46

40

86

2013

42

64

106

    

Yorkshire and Humber

178

354

532

2010

29

97

126

2011

35

108

143

2012

49

84

133

2013

65

65

130

    

Mid and West Wales

11

32

43

2010

2

9

11

2011

4

8

12

2012

1

11

12

2013

4

4

8

    

North Wales

4

17

21

2010

 

5

5

2011

3

6

9

2012

 

3

3

2013

1

3

4

    

South East Wales

23

64

87

2010

2

16

18

2011

8

31

39

2012

5

11

16

2013

8

6

14

    

Total

2,384

14,181

6,565

1 Two lab reports where the PHE centres were not included relates to the two missing records for this total. Note: Laboratory reports are taken from LabBase2, an operational database that can be updated as the result of new information received.

Fathers

Mr Lammy: To ask the Secretary of State for Health (1) what training health professionals receive on engaging with new fathers; [186202]

10 Feb 2014 : Column 454W

(2) what steps he is taking to ensure that maternity services acknowledge and provide support to new fathers. [186203]

Dr Poulter: The engagement of fathers during pregnancy and the early years is extremely important for maximising the lifelong well-being and outcomes for children. The Healthy Child Programme for pregnancy and the first five years is the universal programme for all children. The programme recognises the contribution that fathers make to their children’s development and aims to ensure that contact with the family routinely involves and supports fathers.

To support maternity services in their engagement with fathers, the Department funded “Reaching out: Involving Fathers in Maternity Care” and “Top Tips for Involving Fathers in Maternity Care”, which were published by the Royal College of Midwives in 2011. The guide provides top tips and useful insight into how all maternity service staff might best encourage fathers’ involvement throughout pregnancy and childbirth, and into fatherhood and family life. The guide is supported by the Fatherhood Institute and the Royal College of Obstetricians and Gynaecologists.

Family Nurse Partnership (FNP) is a licensed preventive programme for vulnerable first-time young mothers. It offers intensive and structured home visiting, delivered by specially trained nurses, from early pregnancy until the child is two. FNP uses in-depth methods to work with young mothers and fathers on attachment, relationships and psychological preparation for parenthood, as well as supporting learning and changes in family health, well-being and child health and development. Family nurses build supportive relationships with families and guide first-time young parents so they can adopt healthier lifestyles for themselves and their babies, provide good care for their babies and plan their own futures. Fathers are actively invited to participate in FNP from the beginning, as a way of respecting their important contribution as a parent and partner.

In addition, we have developed a resource pack “Preparation for birth and beyond: a resource pack for leaders of community groups and activities”, to help the national health service, local authorities and the voluntary sector with the planning of preparation for parenthood groups and activities. This is a practical tool which recognises the need to include fathers and other partners in groups and activities. It is available at:

www.gov.uk/government/publications/preparation-for-birth-and-beyond-a-resource-pack-for-leaders-of-community-groups-and-activities

Health Services: Greater London

Mr Thomas: To ask the Secretary of State for Health how many (a) medical and (b) non-medical staff were employed in each NHS trust within London in the last five years for which figures are available; and if he will make a statement. [186892]

Dr Poulter: The information requested has been placed in the Library.

10 Feb 2014 : Column 455W

Healthy Start Scheme

Stephen Timms: To ask the Secretary of State for Health whether someone who is sanctioned while a mother in receipt of jobseeker's allowance remains eligible for Healthy Start vouchers. [186692]

Dr Poulter: Any pregnant woman or family with children under four years old entitled to income-based jobseeker's allowance is eligible to apply for Healthy Start vouchers. Once they have applied, they continue to receive the vouchers unless the Healthy Start Issuing Unit is notified by either Her Majesty's Revenue and Customs or the Department for Work and Pensions that they are no longer eligible, or until the child's fourth birthday.

A person entitled to jobseeker's allowance who receives a sanction nonetheless remains entitled to that allowance, and therefore also remains eligible for support from Healthy Start for any pregnant woman or child under four living with them. The majority of income-based-jobseeker's allowance claimants with children under four also qualify for Healthy Start through receipt of child tax credit.

Anyone who stops receiving Healthy Start vouchers that they believe they are entitled to should contact the Healthy Start Issuing Unit helpline on 0845 607 6823 for assistance.

10 Feb 2014 : Column 456W

HIV Infection

Mrs Main: To ask the Secretary of State for Health (1) how many cases of HIV have been identified in (a) St Albans constituency, (b) Hertfordshire, (c) the East of England and (d) the UK in each year since 2005; [186223]

(2) if he will publish an analysis of the cases of HIV identified in (a) St Albans constituency, (b) Hertfordshire, (c) the East of England and (d) the UK among people of each (i) gender, (ii) age group and (iii) ethnicity group. [186224]

Jane Ellison: Tables 1 to 3 provide data on the number of new HIV diagnoses by key demographic information (gender, age at HIV diagnosis, ethnicity) for three geographical areas (UK, East of England and Hertfordshire Primary Care Trust (PCT)). There were 12 persons (all ages) newly-diagnosed with HIV in St Alban's local authority in 2005 and five between 2006 and 2012.

Data were not broken-down further due to very small numbers. To ensure data presented do not inadvertently lead to disclosure of an individual, cells contents pertaining to fewer than 10 individuals are denoted ‘<10’.

Table 1: New HIV diagnoses by year of diagnosis and key demographic information: UK, 2005-12
  20052006200720082009201020112012

Sex

Male

4,676

4,514

4,716

4,619

4,476

4,321

4,431

4,559

 

Female

3,252

2,984

2,672

2,654

2,200

2,041

1,788

1,805

          

Age at diagnosis

<20

299

289

261

239

224

220

196

171

 

20-34

3,930

3,658

3,366

3,213

2,736

2,593

2,577

2,552

 

35-49

3,011

2,917

3,053

3,020

2,808

2,700

2,569

2,651

 

50+

688

634

708

801

848

849

877

990

          

Ethnicity

White

3,142

3,161

3,393

3,328

3,299

3,092

3,216

3,201

 

Asian

145

174

192

232

233

267

271

320

 

Other/mixed

337

325

308

327

284

317

266

283

 

Black Caribbean

272

244

218

253

241

194

159

147

 

Black African

3,834

3,407

3,013

2,832

2,249

1,978

1,693

1,522

 

Black other

114

119

140

145

128

126

92

100

 

Unknown

84

68

124

156

242

388

522

791

Total

 

7,928

7,498

7,388

7,273

6,676

6,362

6,219

6,364

Table 2: New HIV diagnoses by year of diagnosis and key demographic information: East of England, 2005-12
  20052006200720082009201020112012

Sex

Male

254

251

269

229

192

239

197

262

 

Female

289

276

238

218

213

193

131

157

          

Age at diagnosis

<20

15

19

11

18

10

16

10

<10

 

20-34

234

256

215

167

150

165

120

147

 

35-49

230

189

206

217

174

187

142

193

 

50+

64

63

75

45

71

64

56

70

          

Ethnicity

White

149

173

206

130

164

192

156

192

 

Asian

<10

<10

<10

14

<10

11

<10

13

 

Other/mixed

12

11

11

14

<10

13

11

10

10 Feb 2014 : Column 457W

10 Feb 2014 : Column 458W

 

Black Caribbean

<10

11

<10

11

11

10

<10

<10

 

Black African

359

318

265

269

200

189

116

143

 

Black other

<10

<10

<10

<10

0

<10

<10

0

 

Unknown

<10

<10

<10

<10

14

14

26

55

Total

 

543

527

507

447

405

432

328

419

Table 3: New HIV diagnoses by year of diagnosis and key demographic information; Hertfordshire PCT, 2005-12
  20052006200720082009201020112012

Sex

Male

43

36

42

43

29

40

30

36

 

Female

45

42

36

43

43

33

23

21

          

Age at diagnosis

<20

<10

<10

<10

<10

0

<10

<10

<10

 

20-34

36

31

29

30

20

27

19

22

 

35-49

39

31

31

45

40

38

26

27

 

50+

<20

<20

<20

<10

12

<10

<10

<10

          

Ethnicity

White

23

23

29

16

20

28

22

17

 

Asian

<10

<10

0

<10

<10

<10

<10

<10

 

Other/mixed

<10

<10

<10

<10

0

0

<10

<10

 

Black Caribbean

<10

<10

<10

<10

<10

<10

<10

<10

 

Black African

55

46

43

58

44

37

21

23

 

Black other

0

0

<10

0

0

0

<10

0

 

Unknown

0

0

0

<10

<10

<10

<10

<10

Total

 

88

78

78

86

72

73

53

57

Notes: 1. Data are sourced from laboratories, genito-urinary medicine clinics and other health care settings. 2. Areas when presented are area of diagnoses and not of residence, there is evidence that a large proportion of individuals are diagnosed outside of their area of residence. 3. Numbers will rise as further reports are received, particularly for recent years. 4. Cells are masked where cell sizes are 1-9.

Mrs Main: To ask the Secretary of State for Health what funding his Department provides for the treatment of HIV in (a) St Albans constituency, (b) Hertfordshire, (c) the East of England and (d) the UK. [186225]

Jane Ellison: Estimated 2011-12 expenditure on HIV treatment and care by former national health service primary care trusts (PCTs) in St Albans and Hertfordshire was £231,000, and in the area covered by the former East of England Strategic Health Authority £35,760,000. Estimated expenditure by former PCTs in England was approximately £642 million.

This area of health policy is devolved to both Scotland and Wales; funding data for the United Kingdom are not available.

Hospital Beds: Essex

Mr Simon Burns: To ask the Secretary of State for Health how many beds in the Mid Essex Hospital Trust have been occupied by patients affected by delays in discharge in each of the last 12 months; and if he will make a statement. [185596]

Jane Ellison: The information is not available in the format requested.

The number of delayed discharges at the Mid Essex Hospital Services NHS Trust for each of the last 12 months is shown in the following table. The patient snapshot refers to the number of patients affected on one day (the last Thursday) of each month.

  Patient snapshotTotal delayed days
 PeriodNHSSocial CareBothTotalNHSSocial CareBothTotal

2012-13

January

37

0

0

37

1,090

23

0

1,113

2012-13

February

36

0

0

36

736

0

0

736

2012-13

March

24

0

0

24

843

12

0

855

2013-14

April

30

0

0

30

733

0

0

733

2013-14

May

27

0

0

27

803

0

0

803

2013-14

June

26

0

0

26

813

0

0

813

2013-14

July

28

0

0

28

999

0

0

999

2013-14

August

33

0

0

33

851

5

0

856

2013-14

September

35

0

0

35

899

0

0

899

2013-14

October

22

0

0

22

782

0

0

782

2013-14

November

20

0

0

20

652

0

0

652

10 Feb 2014 : Column 459W

10 Feb 2014 : Column 460W

2013-14

December

21

0

0

21

746

0

0

746

Source: NHS England Analytical Service

Hospital Beds: Greater London

Mr Thomas: To ask the Secretary of State for Health how many hospital beds operated or owned by North West London Hospitals NHS Trust there were at (a) Central Middlesex Hospital, (b) Northwick Park Hospital and (c) other hospitals in (i) 2010-11, (ii) 2011-12 and (iii) 2012-13; and if he will make a statement. [186890]

Jane Ellison: The information is not available in the format requested. The following table shows the average daily number of beds available at North West London Hospitals NHS Trust in each of the specified years.

 Beds open overnightBeds open during the day only

2010-11

738

96

2011-12

760

94

2012-13

727

109

Source: Department of Health KH03.

Hospitals

Luciana Berger: To ask the Secretary of State for Health what (a) staff and (b) budgetary resources have been allocated to the Chief Inspector of Hospitals. [186429]

Norman Lamb: The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. Under the Health and Social Care Act 2008 all providers of regulated activities have to register with CQC and meet a set of requirements of safety and quality.

The CQC has provided the following information:

The CQC has set out its purpose of ensuring services provide people with safe, effective, compassionate, high-quality care and to encourage services to improve. To achieve this aim, the CQC is in the process of finalising its inspection schedule and budget with the Department for 2014-15. Any figures quoted are therefore subject to change.

Based on current assumptions there are 131 inspectors that will form the core of the CQC's hospital inspection staff in April 2014. To deliver the programme of inspections (including the new approach to its new inspection process, and current approach of risk-based inspections and follow up inspections) the CQC estimates that this will increase to between 160 and 220 by June 2014. Full-time equivalent resources beyond quarter 1 of the financial year are expected to increase in line with the inspection schedule and to reflect the CQC's new approach as it is phased in.

The staff resources for the chief inspector of hospitals are based on understanding the number of teams that are required to regulate the services. The teams include experts such as clinical associates and people who use services such as, Experts by Experience.

The CQC has been given additional resources for this financial year to help us deliver the programme of improvement to hospital inspections. The CQC is in the final stages of planning and budgeting for 2014-15 and when this is finalised it will be agreed with the Department. The CQC cannot supply a figure for the budget directly allocated to the hospital inspection directorate for 2013-14, given that the directorate's full first year of operation will be 2014-15.

Hospitals: Waiting Lists

Andrew Gwynne: To ask the Secretary of State for Health what proportion of planned elective operations was cancelled in each week since 4 November 2013. [186757]

Jane Ellison: The information is not available in the format requested.

The latest available information on cancelled elective operations in the national health service in England is for the quarter ending 30 September 2013. This shows that 14,972 elective operations were cancelled by hospitals on or after the day of admission for non-clinical reasons in the quarter, representing 0.8% of 1,857,919 elective admissions.

Information for the quarter ending 31 December 2013 is due to be published on 14 February 2014.

Mr Ainsworth: To ask the Secretary of State for Health how many NHS patients in (a) Coventry, (b) the West Midlands and (c) England waited for more than a year for treatment in each of the last three years. [186490]

Jane Ellison: The information is shown in the following table.

National health service patients waiting more than 52 weeks for treatment, 2010-11 to 2012-13
 2010-112011-122012-13
 Admitted1Non-admitted2AdmittedNon-admittedAdmittedNon-admitted

Coventry3

6

12

9

3

5

5

West Midlands4

445

2,167

1,147

1,960

513

600

10 Feb 2014 : Column 461W

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England

4460

11,191

7,389

13,045

4,677

6,098

1 Patients admitted to hospital. 2 Patients not admitted to hospital, for example those receiving out-patient treatment. 3 Patients where Coventry Teaching Primary Care Trust was the responsible commissioner. 4 Patients where Primary Care Trusts in the West Midlands Strategic Health Authority were the responsible commissioner. Source: Consultant-led referral to treatment waiting times, NHS England, www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

Human Papillomavirus

Mrs Main: To ask the Secretary of State for Health what assessment he has made of the efficacy of the HPV vaccination among young women since 2008. [186226]

Jane Ellison: Public Health England (PHE), and its predecessor organisation, the Health Protection Agency, has been assessing the effectiveness of the human papillomavirus (HPV) immunisation programme in England. PHE has been monitoring the prevalence of type-specific genital HPV infections through surveys that use specimens from young women in England. Data analysed in 2012 from specimens collected in 2010 to 2012 from young women included in the catch-up immunisation programme have shown a reduction in the two HPV types included in the vaccine, compared with similar data collected prior to the introduction of the HPV immunisation programme. These findings provide the first indication that the national HPV immunisation programme is successfully preventing HPV 16/18 infection in sexually active young women in' England. In the post-immunisation survey of 16 to 24-year-olds, the prevalence of the two vaccine types (HPV 16/18) was lowest in the youngest girls, 16-18 years, who had been vaccinated aged between 12-17 years. This group of girls, who had the highest vaccination coverage, experienced a reduction in the prevalence of HPV 16/18 from 19.1% pre-immunisation to 6.5% post-immunisation.

The development of cancer typically takes many years following HPV infection: the impact of HPV vaccination on cancer cases will therefore take many years to be fully realised.

Joint Replacements

Jim Shannon: To ask the Secretary of State for Health how many elderly people have had post-operative problems with a joint replacement in the latest period for which figures are available. [186453]

Norman Lamb: The information cannot be provided in the format requested. Figures for post-operative problems following joint replacements are generally not available.

In the following tables, we have provided patient reported outcomes measure (PROM) data collected for certain specified problems reported by patients following surgery for total hip or knee replacements (including revisions) for the financial year, April 2011 to March 2012, the latest year for which figures are available.

Knee replacement
 Number of Of those with one or more problems  
Age groupProceduresAvailable recordsOne or more problemsAllergyBleedingUrinaryWoundRe-admittedFurther surgery

50-59

9,411

4,969

1,696

607

451

432

735

565

260

60-69

26,423

15,552

5,202

2,006

1,233

1,498

1,990

1,451

580

70-79

28,548

16,581

5,688

2,082

1,171

1,994

2,015

1,517

477

80-89

10,712

5,700

1,905

668

366

770

606

541

*

90+

376

181

60

18

13

26

19

11

*

Total (50+)

75,470

42,983

14,551

5,381

3,234

4,720

5,365

4,085

1,447

Hip replacement
 Number of Of those with one or more problems  
Age groupProceduresAvailable recordsOne or more problemsAllergyBleedingUrinaryWoundRe-admittedFurther surgery

50-59

9,831

5,442

1,584

584

313

544

562

370

155

60-69

21,928

13,581

4,077

1,536

667

1,583

1,228

855

313

70-79

24,875

14,828

4,450

1,566

702

1,961

1,269

1,150

375

80-89

10,211

5,529

1,592

499

229

799

416

570

153

90+

600

272

86

29

14

52

20

. 28

8

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Total (50+)

67,455

39,652

11,789

4,214

1,925

4,939

3,495

2,973

1,004

Notes: 1. All data are for activity in NHS hospitals in England and activity commissioned by the English NHS carried out in the independent sector in England. 2. Analysis is based on pre-operative questionnaires completed by patients under the PROMs programme between 1 April 2011 and 31 March 2012 for which a post-operative questionnaire has been returned and which has been successfully matched to a record of hospital in-patient care. 3. All patients undergoing elective in-patient treatment for an eligible procedure are invited to complete PROMs questionnaires, but are not required to do so. 4. Not all patients who returned PROMs questionnaires answered questions on complications following surgery (allergy/reaction, urinary problems, bleeding, wound problems), although these questions were answered in a minimum of 86% of questionnaires. 5. Post-operative questionnaires are sent to and returned by patients following their surgery. Not all patients undergoing the relevant operations return questionnaires; the reasons for this will vary, but patients are not obliged to complete or return their questionnaires and some will simply have chosen not to do so. 6. The column ‘number of procedures’ refers to the number of hospital episodes recorded for this type of surgery, age group and financial year. It is contextual only as some records may relate to procedures conducted in other years. 7. The column ‘number of available records’ refers to the number of post-operative questionnaires where we were able to link to hospital in-patient data for analysis. 8. “*” denotes that this value has been suppressed to protect patient confidentiality. Values of <5 are suppressed, and additional values where it would be otherwise possible to derive suppressed values from the total. Source: Patient Reported Outcome Measures in England/Hospital Episode Statistics, Health and Social Care Information Centre.

Medical Records: Databases

Mr Godsiff: To ask the Secretary of State for Health what proportion of households have not yet received a “Better information means better care” leaflet; and when he expects the leaflet drop to be completed. [186267]

Dr Poulter: NHS England are in the process of surveying a sample of households to evaluate the effectiveness of the leaflet, “Better information means better care”, which includes asking whether they recall receiving the leaflet and how much of it they read. This will ensure that lessons are learnt to incorporate in future national mailings.

Royal Mail was contracted to deliver the leaflet to every household in England during January 2014.

Mr Godsiff: To ask the Secretary of State for Health whether patient data extracted through the care.data programme will be used to facilitate direct care for individual patients. [186315]

Dr Poulter: The care.data programme will extract coded data from care settings to ensure that commissioners and providers obtain a more complete and balanced picture of the care being delivered to patients. Without joined-up information it is impossible to commission joined-up care or to address variations in the quality, efficiency and equity of health and social care service provision.

Mr Godsiff: To ask the Secretary of State for Health (1) what recent assessment he has made of the accuracy of the Information Governance Assessment on care.data published by the Health and Social Care Information Centre on 29 August 2013; [186316]

(2) what use his Department makes of information governance assessments on care.data by the Health and Social Care Information Centre; and which is the most recent such assessment used by his Department. [186317]

Dr Poulter: The Health and Social Care Information Centre (HSCIC) is responsible for ensuring that it meets all essential information governance requirements and like all bodies that process patient information must undertake an annual assessment of its performance in this area. Undertaking additional information governance or privacy impact assessments for specific programmes such as care.data helps an organisation such as the HSCIC assure itself that it understands and is effectively managing risks to information.

The information governance assessment for NHS England's care.data addendum endorsed on 3 October 2013 by the HSCIC as a key element of the Independent Advisory Group's (IAG) necessary work to discharge the HSCIC's responsibilities in respect of safeguarding patients' data. As with all other information governance assessments, it enabled the IAG to provide a view on whether the risks, particularly information governance risks, are balanced with the benefits that can be realised through extracting the data.

The HSCIC information governance assessment concluded that there were some new risks that would need to be considered by NHS England. NHS England subsequently undertook a privacy impact assessment in January 2014 which set out to a satisfactory level how it would manage these risks.

NHS: Employment Services

Stephen Timms: To ask the Secretary of State for Health how many NHS trusts provide specialist employment support; and if he will make a statement. [186906]

Dr Poulter: The Department does not collect information about how many trusts provide specialist employment support. However, as major employers, many will have schemes to help local people into employment with them including, for example, for those with physical disabilities and mental health issues, support via the Government's access to work scheme. Trusts would also have access to occupational health services to advise on reasonable adjustments to support people in employment.

Northwick Park Hospital

Mr Thomas: To ask the Secretary of State for Health how many operations were carried out at Northwick Park hospital in each of the last five years; and if he will make a statement. [186893]

Jane Ellison: The numbers of finished consultant episodes (FCE) with any procedure or intervention which have taken place at Northwick Park hospital in each of the last five years are shown in the following table:

10 Feb 2014 : Column 465W

 Number

2008-09

28,893

2009-10

30,296

2010-11

33,255

2011-12

36,641

2012-13

39,328

Note: An 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. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre.