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Written Question
Diabetes: Lancashire
Tuesday 10th February 2015

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 diabetes specialist nurses were employed in East Lancashire in each of the last five years.

Answered by Dan Poulter

The Department does not collect the data requested. There are now over 6,300 more nurses, midwives and health visitors working in the NHS in England compared to May 2010.

Local National Health Service organisations, with their knowledge of the healthcare needs of their local population, invest in training for specialist skills and deploy specialist nurses. Specialist nurses provide invaluable support for patients and their families. They are able to provide specialist treatment and advice and act as a gateway to other members of the multidisciplinary team, which can both save the NHS money and, more importantly, improve care and outcomes for patients.


Written Question
Health Visitors: Pendle
Tuesday 3rd February 2015

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 health visitors were employed in Pendle constituency in each year since 2009.

Answered by Dan Poulter

Information is not available in the format requested.

However, the most recent (December 2014) management information* estimates an indicative count of 11,310 full time equivalent (FTE) health visitors: some 3,218 more than the May 2010 baseline, representing an increase of 40% in the workforce.

* Published January 2015 by NHS England

Table: The number of qualified health visitors by specified organisation as at 30 September in each specified year.

Full-time equivalent

2009

2010

2011

2012

2013

Sept 2014

Central Lancashire Primary Care Trust (PCT)

70

70

68

..

..

..

East Lancashire Teaching Primary Care Trust

76

75

82

..

..

..

Blackburn with Darwen Teaching Care Trust Plus

42

37

39

..

..

..

East Lancashire Hospitals NHS Trust

2

2

2

2

1

-

Lancashire Care NHS Foundation Trust

..

..

..

216

213

236

Total

190

184

191

218

214

236

Source:

Health and Social Care Information Centre, NHS Hospital & Community Health Service (HCHS) Non-Medical Workforce Census and provisional monthly workforce statistics

Notes:

1. '-' denotes zero

2. '..' denotes not applicable

3. 2009 to 2013 data is taken from the Non-Medical Workforce Census as at 30 September in each specified year.

4. 2014 data is taken from the provisional monthly workforce statistics as at 30 September in the specified year.

5. Parliamentary constituencies do not correspond directly to any recognised health geographies, so data is provided for organisations relevant to the area requested.

6. The changes in Health Visitor figures in individual organisations over the period of this request is likely due to moves in service provider from PCTs to neighbouring Trusts as part of Transforming Community Services (TCS). In addition, some functions and associated people may have moved to non-NHS bodies following the April 2013 reorganisation of the NHS, which may impact the figures.

7. These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.

8. Organisations are displayed alongside their latest name held in reference data

9. FTE figures are rounded to the nearest whole number.

10. As from 21st July 2010 the Health and Social Care Information Centre has published provisional monthly NHS workforce data. As expected with provisional statistics, some figures may be revised from month to month as issues are uncovered and resolved. The monthly workforce data is not directly comparable with the annual workforce census; it only includes those staff on the Electronic Staff Record (ESR) (i.e. it does not include Primary care staff or Bank staff). There are also new methods of presenting data (headcount methodology is different and there is now a role count). This information is available from September 2009 onwards at the following website: www.hscic.gov.uk

11. The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed.


Written Question
Sciatica
Monday 19th January 2015

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 diagnoses of sciatica were made in each of the last five years.

Answered by Norman Lamb

This information is not collected. The National Institute for Health and Care Excellence (NICE) 2009 guideline ‘Low back pain: Early management of persistent non-specific low back pain’ is currently being updated to include sciatica. NICE estimates that the lifetime incidence range of sciatica is 13 to 40% and annual incidence of an episode of sciatica ranges from 1 to 5%. The updated guidance is expected for publication in 2016.


Written Question
Electronic Cigarettes: Injuries
Monday 19th January 2015

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 hospital admissions have occurred as a result of injuries caused by e-cigarettes in each of the last five years.

Answered by Jane Ellison

The Department does not hold this information.

The revised Tobacco Products Directive (Directive 2014/40/EU) will, from May 2016, establish new rules for the safety, quality, ingredients and presentation of consumer electronic cigarettes, as well as refill mechanisms. This will include a requirement for manufacturers to report any adverse incidents and, as necessary, to withdraw/recall any product.

In the meantime, e-cigarettes are subject to general product safety regulatory requirements, which include powers for local trading standard officers to withdraw unsafe products from the market.


Written Question
Dementia: Lancashire
Thursday 4th December 2014

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 adults in (a) Pendle constituency and (b) Lancashire have been diagnosed with dementia in each of the last 10 years.

Answered by Norman Lamb

Information is not available in the format requested.

Information on the number of patients on the Quality and Outcomes Framework (QOF) dementia register and the raw prevalence rate for the specified organisations are shown in the following tables.

Data are shown for each of the last eight years only due to the inclusion of dementia on the QOF register from 2006-07.

Number of patients on the QOF dementia register, and the raw prevalence rate for East Lancashire Clinical Commissioning Group (CCG) and East Lancashire Teaching Primary Care Trust (PCT).

East Lancashire

Number of practices

Total list size

Dementia register counts

Dementia prevalence rates

East Lancashire CCG

31 March 2014

59

371,608

2,323

0.63%

31 March 2013

61

367,891

2,197

0.60%

East Lancashire PCT

31 March 2012

65

386,187

2,183

0.57%

31 March 2011

67

388,324

1,975

0.51%

31 March 2010

67

388,267

1,848

0.48%

31 March 2009

65

388,345

1,715

0.44%

31 March 2008

65

387,543

1,774

0.46%

31 March 2007

65

386,260

1,744

0.45%

Number of patients on the Quality and Outcomes Framework (QOF) dementia register, and the raw prevalence rate for the whole of Lancashire.

All Lancashire

Number of practices

Total list size

Dementia register counts

Dementia prevalence rates

Lancashire Area Team1

31 March 2014

231

1,519,892

10,408

0.68%

31 March 2013

235

1,520,393

9,655

0.64%

Total of Lancashire PCTs2

31 March 2012

237

1,520,588

8,933

0.59%

31 March 2011

240

1,514,700

8,046

0.53%

31 March 2010

244

1,514,483

7,538

0.50%

31 March 2009

243

1,513,166

7,118

0.47%

31 March 2008

244

1,505,934

6,911

0.46%

31 March 2007

248

1,497,074

6,812

0.46%

Source: Health and Social Care Information Centre (HSCIC)

Notes:

  1. Data are shown for each of the last eight years due to the inclusion of dementia on the QOF register from only 2006-07.
  2. Data are not available by constituency but are shown by East PCT and East Lancashire CCG due to NHS organisational changes in 2013.
  3. Data are for all patients.
  4. The number of people recorded on practice disease registers is available in the QOF, published by the HSCIC. The numbers of diagnoses are not available but the numbers of people on the dementia register are available. This is a measure of prevalence rather than incidence.
  5. The number of patients on clinical registers can be used to calculate disease prevalence, expressing the number of patients on each register as a percentage of the number of patients on practices’ lists. Therefore ‘raw prevalence’ for a clinical area is defined as: Raw prevalence = (number on clinical register / number on practice list) * 100
  6. The objective of the QOF is to improve the quality of care patients are given by rewarding practices for the quality of care they provide to their patients. QOF is therefore an incentive payment scheme. Participation by practices is entirely voluntary, though participation rates are high.
  7. As QOF registers are constructed to underpin indicators on quality of care, they do not necessarily equate to prevalence as may be defined by epidemiologists. For example, prevalence figures based on QOF registers may differ from prevalence figures from other sources because of coding or definitional issues.
  8. The Lancashire Area Team consists of:

- NHS Blackburn with Darwen CCG

- NHS Blackpool CCG

- NHS Chorley and South Ribble CCG

- NHS East Lancashire CCG

- NHS Fylde and Wyre CCG

- NHS Greater Preston CCG

- NHS Lancashire North CCG

- NHS West Lancashire CCG

9. The Lancashire PCTs making up the totals are:

- Blackburn with Darwen PCT

- Blackpool PCT

- Central Lancashire PCT

- East Lancashire Teaching PCT (previously East Lancashire PCT)

- North Lancashire Teaching PCT (previously North Lancashire PCT)


Written Question
Mental Health Services: Lancashire
Thursday 4th December 2014

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the average waiting time is for talking therapies in (a) Pendle constituency and (b) Lancashire.

Answered by Norman Lamb

The information is not available in the format requested. Such information as is available is shown in the following table. The Improving Access to Psychological Therapies (IAPT) dataset contains information on referrals to IAPT services which provide talking therapies. Information is provided both for East Lancashire Clinical Commissioning Group (CCG) and for all eight Lancashire CCGs combined for the year 2013-14. East Lancashire CCG includes Pendle constituency and the CCG is the smallest geographical breakdown available.

Table 1: The number of referrals entering treatment1 in the year, with mean and median waiting times (days), for IAPT services in 2013-14. Data shown for East Lancashire CCG2 and for all eight Lancashire CCGs combined.

Organisation name

Referrals entering treatment

Mean waiting time to first treatment appointment (days)

Median3 waiting time to first treatment appointment (days)

NHS East Lancashire CCG

3,495

104.6

84

Combined Lancashire CCGs

15,635

89

56

Notes:

1In order to enter treatment a referral must have a first treatment appointment (an appointment with a therapy type recorded) in the year.

2CCG is based on general practitioner (GP) Practice. Where GP Practice is not recorded, or cannot be assigned to a CCG, the referral is categorised as 'Unknown'.

3Medians have been rounded up to the nearest whole number.

Waiting time is measured by counting the number of days between a referral being received and the first treatment appointment. For 2013-14, the presence of a valid therapy type is used as an indicator of whether treatment was provided in the course of the appointment.

Entering treatment figures, except England totals, are rounded to the nearest 5.

It is generally advised that the median is used as the most reliable measure of average waiting

time, as this accounts for any outliers in the data.

Lancashire CCGs are:

East Lancashire CCG

Lancashire North CCG

West Lancashire CCG

Blackburn with Darwen CCG

Blackpool CCG

Chorley and South Ribble CCG

Fylde and Wyre CCG

Greater Preston CCG

Source: [Health and Social Care Information Centre,Improving Access to Psychological Therapies (IAPT) Dataset]


Written Question
Motor Neurone Disease: North West
Wednesday 29th October 2014

Asked by: Andrew Stephenson (Conservative - Pendle)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment he has made of the adequacy of the availability of augmentative and alternative communication aids for sufferers of motor neurone disease in (a) East Lancashire and (b) the North West.

Answered by Norman Lamb

Since April 1 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease (MND). Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.

NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services and supports equity of access to a nationally consistent, high quality service for patients across the country including in East Lancashire and the North West. The specification can be found at:

www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf

NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.


Written Question
Dementia: Pendle
Wednesday 29th October 2014

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 in Pendle constituency have been diagnosed with dementia in each year since 2006-07.

Answered by Norman Lamb

Information is not available in the format requested. The number of people on the dementia register is available. This is a measure of prevalence rather than incidence. The number of people recorded on practice disease registers is taken from the Quality and Outcomes Framework (QOF), published by the Health and Social Care Information Centre. The following table shows all available data for East Lancashire Primary Care Trust (PCT) and East Lancashire Clinical Commissioning Group (CCG) as these cover the Pendle constituency.

Number of patients on the QOF dementia register for East Lancashire Clinical Commissioning Group/Primary Care Trust

Practices1

Practice List size1

Number of patients on Dementia Register1

East Lancashire CCG

2013-142

59

371,608

2,323

2012-13

61

367,891

2,197

East Lancashire PCT

2011-12

65

386,187

2,183

2010-11

67

388,324

1,975

2009-10

67

388,267

1,848

2008-09

65

388,345

1,715

2007-08

65

387,543

1,774

2006-07

65

386,260

1,744

1 Practices, Practice List sizes and Number of patients on Dementia Register are based only on those GP practices that participated in QOF.

2 Information for 2013-14 is based only on those practices that participated in QOF in both 2012-13 and 2013-14. Therefore, 2013-14 figures are provisional and are subject to change once the full QOF is published 28 October 2014.


Written Question
Obesity: Pendle
Wednesday 29th October 2014

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 (a) men and (b) women in Pendle constituency were classified as (i) overweight and (ii) obese in each of the last 10 years.

Answered by Jane Ellison

Data on adult obesity and excess weight (overweight and obese) for Pendle district are available from the ‘Local Health Profiles’ using data from the ‘Active People Survey’ commissioned by Sport England. The data are only available for 2012 and are presented as a total figure for males and females. This data is not collected by parliamentary constituency. The following data are for the area of Pendle district.

Excess weight defined as the proportion of the adult population who are overweight or obese for Pendle district in 2012 was 67.7% (England 63.8%).

The proportion of the adult population in Pendle district classified as obese in 2012 was 25.3% (England 23.0%).


Written Question
Obesity: Pendle
Wednesday 29th October 2014

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 children in Pendle constituency were classified as (a) overweight and (b) obese in each year since 2006-07.

Answered by Jane Ellison

Data on childhood obesity are not collected by parliamentary constituency. The following data are for the area of Pendle district. The National Childhood Measurement Programme (NCMP) data collection began in 2006-07 and only collects data on two age groups; reception year (4-5 years) and year 6 (10-11 years).

Reception Year (4-5 years)

Year 6 (10-11 years)

Prevalence of obesity

Prevalence of overweight (including obese)

Prevalence of obesity

Prevalence of overweight (including obese)

Children

%

Children

%

Children

%

Children

%

2006-07

94

10.84

191

22.03

50

13.59

99

26.9

2007-08

89

10.06

193

21.81

152

18.36

251

30.31

2008-09

82

7.98

219

21.32

159

16.31

279

28.62

2009-10

102

9.51

253

23.58

175

17.82

307

31.26

2010-11

106

9.84

256

23.77

163

17.25

291

30.79

2011-12

115

10.48

271

24.7

192

19.12

352

35.06

2012-13

151

12.46

313

25.83

188

19.54

339

35.24

Source: Health and Social Care Information Centre, National Childhood Measurement Programme.