Mark Hoban: DHSC: Written Answers (15)

Written Question

Queen Alexandra Hospital

Monday 3rd November 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the (a) mean and (b) median waiting time for treatment in Queen Alexandra Hospital's accident and emergency department was in each year from 2009-10.

Answered by Jane Ellison

The information is shown in the following table.

Mean and median duration (in minutes) to treatment for Portsmouth Hospitals NHS Trust accident and emergency (A&E) department, 2009-10 – 2012-13.
Year	Number of attendances with a valid Duration to Treatment	Mean Duration to Treatment	Median Duration to Treatment
2009-10	102,395	83	52
2010-11	108,101	83	55
2011-12	118,719	65	49
2012-13	128,728	70	48

Source: Hospital Episode Statistics (HES) Analysis Team at the Health and Social Care Information Centre.

Notes:

Mean and median – The mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.
The information supplied was available by Trust rather than by individual A&E Department and therefore the Department has supplied information on Portsmouth Hospitals NHS Trust as a whole rather than Queen Alexandra Hospital A&E specifically.
Duration to assessment – The total amount of time in minutes between the patient's arrival and their initial assessment in the A&E department. This is calculated as the difference in time from arrival at A&E to the time when the patient is initially assessed.
Duration to treatment – The total amount of time in minutes between the patient's arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&E to the time when the patient began treatment.
Duration to departure – the total amount of time spent in minutes in the A&E department. This is calculated as the difference in time from arrival at A&E to the time when the patient is discharged from A&E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.
Hospital provider - A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS trust or primary care trust). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures.
Assessing growth through time (A&E) – HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.
Data quality – The recording of duration in HES A&E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.

Written Question

Dementia

Monday 3rd November 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what proportion of adults in (a) Fareham constituency, (b) Hampshire and (c) England have been diagnosed with dementia in each of the last 10 years.

Answered by Norman Lamb

Information on the number of people with dementia has been collected since 2006-07. Information is collected at National Health Service organisation level, and not constituency level. Data on the number of people with dementia in England, Hampshire Primary Care Trust, and the clinical commissioning groups (CCGs) that replaced it, are shown in the following table.

Table 1: Quality and Outcomes Framework (QOF): Patients on the dementia register and prevalence rates in England, 2006-07 to 2013-14

Year	Number of Practices¹	Sum of List Sizes¹	Sum of Dementia Register¹	Dementia Prevalence¹ (percentage - based on QOF registers)
2013-14	7,921	56,324,887	348,973	0.62
2012-13	8,020	56,012,096	318,669	0.57
2011-12	8,123	55,525,732	293,738	0.53
2010-11	8,245	55,169,643	266,697	0.48
2009-10	8,305	54,836,561	249,463	0.45
2008-09	8,229	54,310,660	232,430	0.43
2007-08	8,294	54,009,831	220,246	0.41
2006-07	8,372	53,681,098	212,794	0.40

Note:

1. Practices, practice list size and number of patients on the dementia register are based only on those GP practices that participated in QOF.

Table 2: Quality and Outcomes Framework (QOF): Patients on the dementia register and prevalence rates in the specified CCGs, 2012-13 and 2013-14

	2012/13				2013/14
CCG Name	Number of Practices¹	Sum of List Sizes¹	Sum of Dementia Register¹	Dementia Prevalence¹ (percentage - based on QOF registers)	Number of Practices¹	Sum of List Sizes¹	Sum of Dementia Register¹	Dementia Prevalence¹ (percentage - based on QOF registers)
North Hampshire	22	217,387	1,090	0.50	20	218,955	1,215	0.55
Fareham and Gosport	21	200,959	1,277	0.64	21	201,596	1,413	0.70
Portsmouth	26	217,685	1,473	0.68	26	218,672	1,510	0.69
South Eastern Hampshire	28	208,977	1,568	0.75	27	209,540	1,699	0.81
Southampton	36	267,765	1,376	0.51	35	269,948	1,467	0.54
West Hampshire	54	543,354	4,031	0.74	52	536,744	4,295	0.80
North East Hampshire and Farnham	24	218,868	1,079	0.49	24	220,174	1,317	0.60

Note:

1. Practices, practice list size and number of patients on the dementia register are based only on those GP practices that participated in QOF.

Table 3: Quality and Outcomes Framework (QOF): Patients on the dementia register and prevalence rates in Hampshire Primary Care Trust, 2006-07 to 2011-12

Year	Number of Practices¹	Sum of List Sizes¹	Sum of Dementia Register¹	Dementia Prevalence¹ (percentage - based on QOF registers)
2011-12	146	1,334,272	8,695	0.65
2010-11	146	1,325,050	8,288	0.63
2009-10	147	1,316,394	7,998	0.61
2008-09	147	1,298,398	7,518	0.58
2007-08	146	1,289,145	7,109	0.55
2006-07	148	1,288,615	6,763	0.52

Note:

1. Practices, practice list size and number of patients on the dementia register are based only on those GP practices that participated in QOF.

Written Question

Obesity

Monday 3rd November 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what proportion of (a) children and (b) adults in (i) Fareham constituency, (ii) Hampshire and (iii) England were classed as (A) overweight and (B) obese in each of the last 10 years.

Answered by Jane Ellison

Data on childhood obesity are not collected by parliamentary constituency. The data in the attached table 1 and 2 are for the area of Fareham district, Hampshire County and England. The National Childhood Measurement Programme 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).

Data on adult obesity and excess weight (overweight and obese) for Fareham district, Hampshire County and England 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.

- Excess weight defined as the proportion of the adult population who are overweight or obese in 2012

Fareham district 64.8%

Hampshire County Council 65.1%

England 63.8%

- The proportion of the adult population classified as obese in 2012.

Fareham district 26.1%

Hampshire County Council 22.2%

England 23.0%

Written Question

Cerebral Palsy

Tuesday 22nd July 2014

Asked by: Mark Hoban (Conservative - Fareham)

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 public purse of supporting people with cerebral palsy.

Answered by Norman Lamb

No estimate has been made of the cost to the public purse of supporting people with cerebral palsy.

National Health Service expenditure on cerebral palsy is included in the programme budgeting category ‘neurological problems’, but cannot be separately identified. Aggregate annual NHS expenditure in this category in 2012-13, the latest period for which data is available, was £4.44 billion.

The programme budgeting data return is an analysis of commissioning expenditure by healthcare condition and care centre based on figures provided to NHS England by primary care trusts (PCTs) and PCT successor organisations. Programme budgeting data, as well as further information on how these figures were calculated, can be found on the NHS England website at the following link:

www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/

Written Question

Cerebral Palsy

Tuesday 22nd July 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what estimate he has made of the average age at which children are diagnosed with cerebral palsy.

Answered by Dan Poulter

Information is not collected centrally on the age at which children are diagnosed with cerebral palsy and therefore no estimate of the average age of diagnosis has been made.

The age at which a diagnosis of cerebral palsy is made will depend on its severity and type. In some cases it will be diagnosed at birth other cases will be picked up through screening and monitoring.

Under the Healthy Child Programme schedule, babies undergo screening and health checks or immunisations at birth, at 72 hours, at five to eight days, at six to eight weeks, 12 weeks, 16 weeks, six to eight months and 12 months, 2½ years and at school entry.

Written Question

General Practitioners

Monday 16th June 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, with reference to the Answer to the hon. Member for Suffolk Coastal of 8 January 2014, Official Report, column 265W, on general practitioners: Suffolk, how much his Department spent funding each general practice in England in 2012-13; and what spending type and GP Practice code applies in each case.

Answered by Dan Poulter

The requested information is not collected centrally. The Investment in General Practice report published by the Health and Social Care Information Centre includes the investment in General Practice and the reimbursement of drugs dispensed in General Practices at national level. A copy has been placed in the Library.

Written Question

Economic Situation

Wednesday 14th May 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how much his Department spent per capita in each general practice area in Fareham constituency in the last year for which information is available.

Answered by Norman Lamb

The information is shown in the following table.

The closest geographical boundary to the question is the area covered by NHS Fareham and Gosport Clinical Commissioning Group (CCG).

Fareham and Gosport CCG General Practice spend 2013-14

General Practitioner Practice Name	Weighted List Size as at Q4 2013-14	Total Spend 2013-14 (£)	Spend Per Capita – Weighted (£)
Gosport Health Centre Practice	8,638.37	1,336,261	155
Portchester Practice	8,596.25	795,373	93
The Whiteley Surgery	9,993.36	1,180,482	118
Centre Practice	15,540.52	1,363,476	88
Gudgeheath Lane Surgery	7,804.48	773,741	99
Jubilee Surgery	8,259.15	874,108	106
Stoke Road Medical Centre	8,752.48	905,412	103
Bury Road Surgery	4,337.50	446,570	103
Forton Medical Centre	9,656.23	1,125,220	117
Stubbington Medical Practice	13,184.17	1,240,984	94
Waterside Medical Centre	11,926.55	1,448,573	121
Brune Medical Centre	8,549.08	1,118,871	131
Brockhurst Medical Centre	4,345.77	488,803	112
Bridgemary Medical Centre	8,503.24	936,475	110
Fareham Highlands Practice	15,323.71	1,424,597	93
Westlands Medical Centre	9,802.59	1,075,039	110
Lockswood Surgery	10,786.16	1,106,611	103
Lee on the Solent Health Centre	6,603.07	596,335	90
Brook Lane Surgery	10,787.97	1,209,754	112
Manor Way Surgery	4,566.91	444,296	97
Rowner Health Centre	6,092.44	774,137	127
Totals/Average	192,050.00	20,665,119	108

Source: NHS England Wessex Area Team

Note:

The average spend per capita figure of 108 is calculated as follows: Total spend 2013-14 (£20,665,119) / Total weighted list size Q4 2013-14 (192,050) = £107.60

Written Question

Solid Fuels: Heating

Wednesday 14th May 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, who is responsible for auditing compliance with National Institute for Health and Care Excellence guidelines relating to the care of patients with diabetes.

Answered by Jane Ellison

The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.

As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).

The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.

In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.

Written Question

Children: Protection

Wednesday 14th May 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what guidance his Department has issued to GPs on the assessment and treatment of foot conditions where a patient has diabetes.

Answered by Jane Ellison

Written Question

Local Government Finance

Wednesday 14th May 2014

Asked by: Mark Hoban (Conservative - Fareham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment he has made of the quality of foot care provided in primary care to patients with diabetes.

Answered by Jane Ellison