Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what support his Department offers to commissioning support units to manage backlogs in applications for Continuing Healthcare Retrospective Review claims.
Answered by Alistair Burt
The Department does not offer support to commissioning support units (CSUs) in relation to NHS Continuing Healthcare.
Support for CSUs is a matter for NHS England.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many family members looking after a relative at home were registered as carers with Pendle Borough Council in (a) April 2010 and (b) each subsequent April.
Answered by Norman Lamb
The data are not available as requested.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many falls (a) at home and (b) in total were recorded by health and social care providers in Pendle constituency in 2010 and each subsequent year.
Answered by Norman Lamb
The information is not available in the format requested. Data is only held in relation to falls which lead to a hospital admission. We have provided a count of finished admission episodes where an external cause of fall was recorded.
Count of finished admission episodes (FAEs)1 where an external cause2 of fall was recorded, for Pendle parliamentary constituency3, 2010-11 to 2013-144
Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector | |||||||||
Year | FAEs | ||||||||
2010-11 | 760 | ||||||||
2011-12 | 790 | ||||||||
2012-13 | 709 | ||||||||
2013-14 | 750 | ||||||||
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre | |||||||||
1Finished admission episodes | |||||||||
A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month 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 period. | |||||||||
2External cause codes | |||||||||
Falls are categorised by the following external cause codes: | |||||||||
3Parliamentary constituency of residence | |||||||||
The parliamentary constituency containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another parliamentary constituency for treatment. This field is only available from 2009-10 onwards. | |||||||||
4Assessing growth through time (Admitted patient care) | |||||||||
Hospital Episode Statistics (HES) figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. | |||||||||
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what NHS spending per head of population in East Lancashire has been in each of the last two years.
Answered by George Freeman
The information is not available in the format requested.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate he has made of the number of Community First Responders supporting ambulance responses in (a) England, (b) the North West and (c) East Lancashire.
Answered by Jane Ellison
This information is not held centrally.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many care homes with (a) a dementia service band and (b) an older people service band there were in (i) England, (ii) the North West and (iii) Lancashire in the latest period for which figures are available.
Answered by Norman Lamb
The Care Quality Commission (CQC), as the independent regulator of health and adult social care in England, registers and regulates all providers. We are informed by CQC that, as at 1 March 2015, the information requested was as follows:
Area | Numbers of care homes registered in service bands | |
Dementia | Older people | |
England | 7,043 | 11,056 |
North West | 884 | 1,535 |
Lancashire County | 232 | 434 |
Source: CQC database as at 1 March 2015 | ||
Notes: | ||
1. Service bands are not mutually exclusive. The number of care homes caring for older people may be higher than the number registered under the “Older people” service band. Care homes may be registered under a service band such as "Dementia" and not under "Older people", even though it is highly likely that they will care for people aged over 65. | ||
2. Data for the North West comprises the counties of Cheshire, Cumbria, Greater Manchester, Merseyside and Lancashire. | ||
3. Data for Lancashire County comprises:
- Lancashire (which includes districts of West Lancashire, Chorley, South Ribble, Fylde, Preston, Wyre, Lancaster, Ribble Valley, Pendle, Burnley, Rossendale, Hyndburn) - Blackburn with Darwen (unitary authority) - Blackpool (unitary authority) | ||
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate he has made of the cost to the NHS of treating health problems caused by alternative medicine.
Answered by Jane Ellison
No such estimate has been made
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of people in (a) Pendle constituency, (b) East Lancashire and (c) the North West were registered as organ donors in each of the last three years.
Answered by Jane Ellison
The information requested is in the following table.
| Pendle Constituency | East Lancashire2 | North West (formerly NW Strategic Health Authority) 3 |
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Population estimates1 | 89,613 | 530,605 | 7,084,337 |
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As at 31 March 2013 |
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Number on the Organ Donor Register (ODR) | 19,505 | 121,393 | 1,838,938 |
% of population on the ODR | 21.8% | 22.9% | 26.0% |
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As at 31 March 2014 |
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Number on the ODR | 20,538 | 128,042 | 1,944,244 |
% of population on the ODR | 22.9% | 24.1% | 27.4% |
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As at 12 March 2015 |
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Number on the ODR | 22,600 | 141,902 | 2,148,575 |
% of population on the ODR | 25.2% | 26.7% | 30.3% |
Source: NHS Blood and Transplant
Notes:
1 Source: Office for National Statistics mid-2012 population estimates
2 East Lancashire comprising the districts of Blackburn with Darwen, Hyndburn, Ribble Valley, Burnley, Pendle and Rossendale
3 Former NW Strategic Health Authority 9areas now grouped by Clinical Commissioning Groups on a regional basis) comprises:
Ashton, Leigh and Wigan
Blackburn with Darwen
Blackpool
Bolton
Bury
Central and Eastern Cheshire
Central Lancashire
Cumbria
East Lancashire
Halton and St Helens
Heywood, Middleton and Rochdale
Knowsley
Liverpool
Manchester
North Lancashire
Oldham
Salford
Sefton
Stockport
Tameside and Glossop
Trafford
Warrington
Western Cheshire
Wirral
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were diagnosed with diabetes in East Lancashire in each of the last five years.
Answered by Jane Ellison
The information requested is not available. Information on the number of patients in the National Diabetes Audit (NDA) registered in primary care with a general practitioner (GP) practice in the East Lancashire Clinical Commissioning Group (CCG) that were newly diagnosed with diabetes in the 2009-10, 2010-11, 2011-12 and 2012-13 audits is shown in the following tables.
Table 1: Number of people newly diagnosed with diabetes in each audit year for East Lancashire CCG
| 2009-10 | 2010-11 | 2011-12 | 2012-13 |
NHS East Lancashire CCG | 1,320 | 1,195 | 1,475 | 1,479 |
Table 2: The coverage of the NDA based on the number of participating practices in the East Lancashire CCG in each of the audit years
| 2009-10 | 2010-11 | 2011-12 | 2012-13 |
NHS East Lancashire CCG | CCGs were created in April 2013; participation prior to the 2012-13 audit is recorded at Primary Care Trust (PCT) level and is not directly comparable
| 94.9% | ||
Notes:
1. Participation in the NDA, which audits diabetes registrations in primary and secondary care, is not mandatory. The NDA does not have 100% coverage or participation so the information in Table 1 will be incomplete. Table 2 shows the proportion of GP practices in East Lancashire CCG participating in the audit in each audit year.
2. The Royal College of Paediatrics and Child Health are the authoritative source for all Paediatric diabetes audit data.
3. The NDA currently only holds data for 2009-10, 2010-11, 2011-12 and 2012-13. Each audit covers a 15 month period, for example the 2012-13 audit was for the period 1 January 2012 to 31 March 2013.
4. Due to the 15 month audit period from January to March, a patient could be classed as newly diagnosed in two audit periods, for example if the patient were diagnosed in 2012 and appeared in the 2011-12 and the 2012-13 audit they could be counted twice, once in each year.
5. The data at CCG level is collated by mapping data from GP practices for each audit year to their current CCG. Prior to the 2011-12 audit, the NDA reported at PCT level. Where PCT and CCG boundaries differ, the figures here will differ to published figures from the 2009-10 and 2010-11 audits.
6. NDA 2012-13 comprised data from 1.9 million persons with diabetes in England. Quality and Outcomes Framework (QOF) states there are approximately 2.7 million persons aged 17 or over with diabetes in England alone.
7. NDA 2012-13 comprised data from 5,666 practices in England, there are around 8,000 practices in England.
8. Coverage of the NDA based on practices in the NHS East Lancashire CCG is shown in Table 2 above.
Source: The Health and Social Care Information Centre – National Diabetes Audit
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of people in (a) Pendle constituency and (b) Lancashire who have been diagnosed with diabetes are receiving the nine basic monitoring tests.
Answered by Jane Ellison
The information requested is not collected. Although the Health and Social Care Information Centre holds Quality and Outcomes Framework (QOF) diabetes data, the indicators within the QOF do not match the nine basic monitoring tests.
The table below shows the completion rate for all eight measurable care processes assessed in the National Diabetes Audit (NDA), the number of patients completing all eight care processes and the number not completing all eight care processes. This is provided for the eight clinical commissioning groups (CCGs) in the Lancashire area. Also provided is the participation rate for each CCG.
The care processes are those which the National Institute of Health and Care Excellence recommends should be part of an annual check for people with diabetes.
The data provided is from the 2012-13 audit year.
| Registrations - all diabetes1 2012-13 NDA | All 82 care process completion rate | Number of registrations completed all 8 processes | Number of registrations not completed all 8 processes | Participation rate3 |
NHS East Lancashire CCG | 17,856 | 66.7% | 11,907 | 5,949 | 94.9% |
NHS Blackburn with Darwen CCG | 9,070 | 70.6% | 6,400 | 2,670 | 100.0% |
NHS Blackpool CCG | 9,659 | 65.9% | 6,362 | 3,297 | 100.0% |
NHS Chorley and South Ribble CCG | 8,718 | 66.0% | 5,756 | 2,962 | 96.8% |
NHS Greater Preston CCG | 8,114 | 62.6% | 5,079 | 3,035 | 79.4% |
NHS Lancashire North CCG | 3,895 | 72.0% | 2,805 | 1,090 | 61.5% |
NHS West Lancashire CCG | 5,539 | 63.9% | 3,541 | 1,998 | 100.0% |
NHS Fylde and Wyre CCG | 7,016 | 71.5% | 5,019 | 1,997 | 85.7% |
1All diabetes includes maturity onset diabetes of the young, other specified diabetes and not specified diabetes
2The eye screening care process has been removed from this figure due to data quality issues. This figure comprises the following care processes:
HbA1c
Blood pressure
Cholesterol
Serum creatinine
Urine albumin
Foot surveillance
Body Mass Index
Smoking
3Participation is calculated from the percentage of general practitioner (GP) practices participating in the NDA 2012-13 out of all GP practices within the CCG