PARLIAMENTARY DEBATES - United Kingdom Parliament

PARLIAMENTARY DEBATES - United Kingdom Parliament PARLIAMENTARY DEBATES - United Kingdom Parliament

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1083W Written Answers 26 MARCH 2013 Written Answers 1084W Strategic health authority Number of patients funded in 2010-11 Number of patients funded in 2011-12 Number of patients funded from April 2012 to end January 2013 Total number of patients funded since October 2010 1 South East Coast 306 1,241 1,172 2,719 South Central 290 1,170 2,109 3,569 South West 161 1,459 1,976 3,596 Total 2,780 11,798 13,389 27,967 Note: Some individual patients may be double-counted where a patient has received more than one drug treatment through the Cancer Drugs Fund. Source: Information provided to the Department by SHAs Cardiovascular System: Diseases Andrew Gwynne: To ask the Secretary of State for Health (1) what assessment he has made of the potential effect of the reduction of 2013-14 Healthcare Resource Group tariffs for percutaneous coronary interventions against the NHS Outcomes Framework indicator to reduce the incidence of under-75 mortality from cardiovascular disease; [149576] (2) what assessment has been made of the potential effect of the reduction of 2013-14 Healthcare Resource Group tariffs for percutaneous coronary interventions (PCI) on (a) PCI and (b) primary PCI service provision. [149578] Dr Poulter: The 2013-14 tariffs for percutaneous coronary interventions are in line with the costs reported by the national health service and so there should be no impact on the access for patients to these treatments and therefore on mortality rates. Prior to publication of the tariffs, the financial impact of the 2013-14 prices was assessed and the prices shared with a wide range of stakeholder groups including hospital trusts, commissioners and with industry. In addition, there is a flexibility available to enable commissioners to provide additional support to 24 hour primary percutaneous coronary intervention services (primary angioplasty). Andrew Gwynne: To ask the Secretary of State for Health what process the NHS Commissioning Board will use to select (a) the 12 centres allowed to perform renal denervation procedures under Clinical Commissioning Policy A9b2 and (b) the high volume arterial centres allowed to perform highly specialised interventions under Service Specification A4. [149579] Anna Soubry: This is a matter for the NHS Commissioning Board (NHS CB) as an independent body. We understand from the NHS CB that it will determine potential providers through a process of assessing providers against the requirements of the service specifications. The service specifications are currently being developed. Andrew Gwynne: To ask the Secretary of State for Health what representations he has received on commissioning policy A10b on left atrial appendage occlusion produced by the NHS Commissioning Board. [149580] Anna Soubry: The Department has received four representations expressing concerns about the draft commissioning policy A10b on left atrial appendage occlusion. The NHS Commissioning Board has confirmed that it has taken these concerns into consideration as part of the consultation process undertaken on the draft policies and service specifications. Diabetes Mr George Howarth: To ask the Secretary of State for Health (1) how many people with type 1 diabetes have been diagnosed as having related eating disorders in each primary care trust area in each year since 2008; [149847] (2) how many people with type 1 diabetes and related eating disorders have been the subject of hospital admissions (a) by hospital and (b) per person for each year since 2008. [149848] Anna Soubry: The Health and Social Care Information Centre (HSCIC) does not hold information relating to the number of people with type 1 diabetes who have been diagnosed with an eating disorder. The reason for this is that Hospital Episode Statistics do not capture this information as it relates to primary care. The HSCIC are unable to provide the data to the requested level of detail due to the rules concerning the suppression of small numbers (many hospitals would have fewer than five admissions each year for this combination of conditions). HSCIC have therefore provided figures at a national level. The data provided are for hospital admission episodes with a diagnosis (primary or secondary) of diabetes and with a diagnosis (primary or secondary) of an eating disorder and is provided for the period 2005-06 to 2011-12. It should be noted that these data should not be described as a count of people as the same person may have been admitted on more than one occasion. Count of finished admission episodes (FAEs) with a primary or secondary diagnosis of diabetes, and a primary or secondary diagnosis of an eating disorder, 2005-06 to 2011-12: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector FAEs 2005-06 155 2006-07 180 2007-08 195 2008-09 226 2009-10 285 2010-11 299 2011-12 354 Epilepsy Valerie Vaz: To ask the Secretary of State for Health (1) if his Department will make it a priority to incorporate the epilepsy quality standards into the Clinical Commissioning Group Outcomes Indicator Set; [150153]

1085W Written Answers 26 MARCH 2013 Written Answers 1086W (2) how and when the new Quality Standards for Epilepsy will be incorporated into the Clinical Commissioning Group Outcome Indicator Set. [150215] Norman Lamb: It is for the NHS Commissioning Board (NHS CB) to make decisions on the Clinical Commissioning Group Outcomes Indicator Set. We understand that the National Institute for Health and Clinical Excellence (NICE) published two epilepsy quality standards on 28 February this year and plan to consider potential epilepsy indicators for the Clinical Commissioning Group Outcomes Indicator Set in April. Following further consideration by NICE, and their independent advisory committee on whether there is a need for further work to develop these indicators, it will make recommendations to the NHS CB who will make final decisions about inclusion in the Clinical Commissioning Group Indicator Set for future years. Health Services: Young People Mr Blunt: To ask the Secretary of State for Health what system is in place to monitor the (a) results and (b) effectiveness of (i) units set up to care for young people diagnosed with eating disorders and chronic fatigue syndrome/myalgic encephalomyelitis and (ii) other psychiatric and psychological services sponsored by his Department. [149574] Dr Poulter: Since 2010, the Department has published three outcomes frameworks, for public health, adult social care and the NHS, and these are intended to provide a focus for action and improvement across the system. The independent Children and Young People’s Health Outcomes Forum, which reported in July 2012, looked at the Outcomes Frameworks from a children and young people’s perspective and made recommendations, including on children and young people’s mental health. Improving Children and Young People’s Health Outcomes: a system wide response, published in February 2013, stated that “DH is investigating the feasibility and appropriateness (according to agreed criteria) of implementing all of the Forum’s wide-ranging recommendations on the development of measures for the NHS, Public Health, Adult Social Care and Commissioning Outcomes Frameworks”. In addition, we have been working to develop the CAMHS (Child and Adolescent Mental Health Services) Minimum Data Set as a key driver to achieving better outcomes of care for children by providing comparative, linked data; that can be used to plan and commission services. The Data Set is currently in its implementation phase and the data has been specified for collection from all NHS organisations from April 2013. The Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) project which we introduced in 2011 is about transforming mental health services for children and young people with mental health conditions. The project focuses on extending training to staff and service managers in CAMHS and embedding evidence based practice across services, making sure that the whole service, not just the trainee therapists, use session-by-session outcome monitoring which supports collaborative practice with clients and focuses on improving their outcomes. In the longer term the intention is to include CYP IAPT data in the CAMHS Minimum Data Set. Hospitals: Waiting Lists Gloria De Piero: To ask the Secretary of State for Health what the average waiting time was for an operation in (a) Sherwood Forest Hospitals NHS Foundation Trust, (b) Nottingham University Hospitals Trust and (c) England in each of the last four (i) quarters and (ii) years. [149836] Anna Soubry: The information available is shown in the following tables: Average (median) time waited (in weeks) for patients whose treatment required an admission to hospital during the month (admitted adjusted referral to treatment pathways) 2009 February March April May June July August September October November December (a) Sherwood Forest Hospitals NHS Foundation Trust (b) Nottingham University Hospitals NHS Trust 11.0 9.4 9.5 11.0 10.7 11.1 9.7 12.2 10.9 10.0 10.2 6.4 6.6 6.0 7.7 7.7 7.1 7.4 7.1 7.1 7.1 7.2 (c) England 8.7 7.7 7.7 8.1 8.0 7.8 7.9 8.3 8.1 7.9 7.7 2010 January February March April May June July August September October November December (a) Sherwood Forest Hospitals NHS Foundation Trust 11.1 11.4 10.0 9.9 10.1 9.2 10.7 8.9 9.6 10.3 9.1 9.2

1083W<br />

Written Answers<br />

26 MARCH 2013<br />

Written Answers<br />

1084W<br />

Strategic health authority<br />

Number of patients funded<br />

in 2010-11<br />

Number of patients funded<br />

in 2011-12<br />

Number of patients funded<br />

from April 2012 to end<br />

January 2013<br />

Total number of patients<br />

funded since October 2010 1<br />

South East Coast 306 1,241 1,172 2,719<br />

South Central 290 1,170 2,109 3,569<br />

South West 161 1,459 1,976 3,596<br />

Total 2,780 11,798 13,389 27,967<br />

Note:<br />

Some individual patients may be double-counted where a patient has received more than one drug treatment through the Cancer Drugs Fund.<br />

Source:<br />

Information provided to the Department by SHAs<br />

Cardiovascular System: Diseases<br />

Andrew Gwynne: To ask the Secretary of State for<br />

Health (1) what assessment he has made of the<br />

potential effect of the reduction of 2013-14 Healthcare<br />

Resource Group tariffs for percutaneous coronary<br />

interventions against the NHS Outcomes Framework<br />

indicator to reduce the incidence of under-75 mortality<br />

from cardiovascular disease; [149576]<br />

(2) what assessment has been made of the potential<br />

effect of the reduction of 2013-14 Healthcare Resource<br />

Group tariffs for percutaneous coronary interventions<br />

(PCI) on (a) PCI and (b) primary PCI service<br />

provision. [149578]<br />

Dr Poulter: The 2013-14 tariffs for percutaneous coronary<br />

interventions are in line with the costs reported by the<br />

national health service and so there should be no impact<br />

on the access for patients to these treatments and therefore<br />

on mortality rates. Prior to publication of the tariffs,<br />

the financial impact of the 2013-14 prices was assessed<br />

and the prices shared with a wide range of stakeholder<br />

groups including hospital trusts, commissioners and<br />

with industry. In addition, there is a flexibility available<br />

to enable commissioners to provide additional support<br />

to 24 hour primary percutaneous coronary intervention<br />

services (primary angioplasty).<br />

Andrew Gwynne: To ask the Secretary of State for<br />

Health what process the NHS Commissioning Board<br />

will use to select (a) the 12 centres allowed to perform<br />

renal denervation procedures under Clinical<br />

Commissioning Policy A9b2 and (b) the high volume<br />

arterial centres allowed to perform highly specialised<br />

interventions under Service Specification A4. [149579]<br />

Anna Soubry: This is a matter for the NHS<br />

Commissioning Board (NHS CB) as an independent<br />

body. We understand from the NHS CB that it will<br />

determine potential providers through a process of assessing<br />

providers against the requirements of the service<br />

specifications.<br />

The service specifications are currently being developed.<br />

Andrew Gwynne: To ask the Secretary of State for<br />

Health what representations he has received on<br />

commissioning policy A10b on left atrial appendage<br />

occlusion produced by the NHS Commissioning<br />

Board. [149580]<br />

Anna Soubry: The Department has received four<br />

representations expressing concerns about the draft<br />

commissioning policy A10b on left atrial appendage<br />

occlusion. The NHS Commissioning Board has confirmed<br />

that it has taken these concerns into consideration as<br />

part of the consultation process undertaken on the<br />

draft policies and service specifications.<br />

Diabetes<br />

Mr George Howarth: To ask the Secretary of State<br />

for Health (1) how many people with type 1 diabetes<br />

have been diagnosed as having related eating disorders<br />

in each primary care trust area in each year since 2008;<br />

[149847]<br />

(2) how many people with type 1 diabetes and related<br />

eating disorders have been the subject of hospital<br />

admissions (a) by hospital and (b) per person for each<br />

year since 2008. [149848]<br />

Anna Soubry: The Health and Social Care Information<br />

Centre (HSCIC) does not hold information relating to<br />

the number of people with type 1 diabetes who have<br />

been diagnosed with an eating disorder. The reason for<br />

this is that Hospital Episode Statistics do not capture<br />

this information as it relates to primary care.<br />

The HSCIC are unable to provide the data to the<br />

requested level of detail due to the rules concerning the<br />

suppression of small numbers (many hospitals would<br />

have fewer than five admissions each year for this<br />

combination of conditions). HSCIC have therefore provided<br />

figures at a national level.<br />

The data provided are for hospital admission episodes<br />

with a diagnosis (primary or secondary) of diabetes and<br />

with a diagnosis (primary or secondary) of an eating<br />

disorder and is provided for the period 2005-06 to<br />

2011-12.<br />

It should be noted that these data should not be<br />

described as a count of people as the same person may<br />

have been admitted on more than one occasion.<br />

Count of finished admission episodes (FAEs) with a primary or secondary<br />

diagnosis of diabetes, and a primary or secondary diagnosis of an eating<br />

disorder, 2005-06 to 2011-12: Activity in English NHS Hospitals and English<br />

NHS commissioned activity in the independent sector<br />

FAEs<br />

2005-06 155<br />

2006-07 180<br />

2007-08 195<br />

2008-09 226<br />

2009-10 285<br />

2010-11 299<br />

2011-12 354<br />

Epilepsy<br />

Valerie Vaz: To ask the Secretary of State for Health<br />

(1) if his Department will make it a priority to<br />

incorporate the epilepsy quality standards into the<br />

Clinical Commissioning Group Outcomes Indicator<br />

Set; [150153]

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