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Written Question
Cholesterol
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the rate of admissions to hospital with a (a) primary and (b) secondary diagnosis of high cholesterol per 100,000 population as recorded by the Hospital Episodes Statistics database was in (i) England and (ii) each local commissioning organisation area in each of the last 10 years.

Answered by Jane Ellison

The information requested is set out in the attached tables.


Written Question
Hypertension
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many people there were with established hypertension as recorded in the Quality and Outcomes Framework database in (a) England and (b) each local commissioning organisation area in the last five years.

Answered by Jane Ellison

The attached tables show the number of patients on the Quality and Outcomes Framework hypertension register and the raw prevalence of hypertension for England and by Clinical Commissioning Group and Primary Care Trust in the last five years.


Written Question
Cardiovascular System: Diseases
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many discharge episodes with an (a) primary and (b) secondary diagnosis of cardiovascular disease as recorded by the Hospital Episodes Statistics database there were in (i) England and (ii) each local commissioning organisation area in each of the last 10 years.

Answered by Jane Ellison

This information is not available in the format requested.


Written Question
Medical Records: Databases
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps he is taking to encourage the (a) sharing and (b) linking of health and care data; when he expects the hospital episodes statistics database and GP-level data to be linked; and if he will make a statement.

Answered by Dan Poulter

The National Information Board framework for action Personalised Health and Care 2020 published 13 November 2014 confirms local systems will publish detailed plans by April 2016, outlining how they will ensure by 2020 information and data can be comprehensively shared between all settings of care.

NHS England has confirmed that there will be a phased roll out for the care.data programme, starting with up to 265 general practitioner(GP) practices. It is envisaged that data will be extracted from pathfinder practices early in 2015. This will only take place once the Independent Information Governance Oversight Panel, chaired by Dame Fiona Caldicott, has agreed to this and advised the care.data Programme Board and Senior Responsible Owner on the first phase of the programme. No data will be extracted from GP practices as part of the care data programme until Dame Fiona has advised the Secretary of State for Health that she is satisfied with the proposals and safeguards.


Written Question
Cardiovascular System: Diseases
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what rate of discharge episodes with an (a) primary and (b) secondary diagnosis of cardiovascular disease as recorded by the Hospital Episodes Statistics database was in (i) England and (ii) each local commissioning organisation area in each of the last 10 years.

Answered by Jane Ellison

This information is not available in the format requested.


Written Question
Medical Records
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what representations his Department has received from (a) NHS organisations, (b) Public Health England, (c) local authorities and (d) other parties on problems in sharing health and care data; what the content of those representations was; and if he will make a statement.

Answered by Dan Poulter

In June this year, the Department undertook a consultation in relation to proposed data sharing regulations associated with ensuring that commissioners are able to access the data they need to undertake their statutory functions, at the same time providing for the necessary controls so that this was limited to the minimum level of information required and for specific purposes.

There were 278 responses from a range of organisations, including from within the National Health Service and Local Government, as well as professional organisations such as the Royal Colleges and service user focussed groups. These responses are currently being considered and a Government response will be issued in due course.

The Department continues to have a regular dialogue with organisations across the health and care system, as well as with the recently appointed National Data Guardian, Dame Fiona Caldicott, so that we can understand the key priorities that exist in relation to data sharing and, from that, consider what contribution the Department can make to ensuring that data sharing is an effective component of securing the best outcomes for patients.


Written Question
Cholesterol
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many discharge episodes with an (a) primary and (b) secondary diagnosis of high cholesterol as recorded by the Hospital Episodes Statistics database there have been in (i) England and (ii) each local commissioning organisation area in each of the last 10 years.

Answered by Jane Ellison

The information requested is set out in the attached tables.


Written Question
Hypertension
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the prevalence of established hypertension per 100,000 population was as recorded in the Quality and Outcomes Framework database in (a) England and (b) each local commissioning organisation area in the last five years.

Answered by Jane Ellison

The attached tables show the number of patients on the Quality and Outcomes Framework hypertension register and the raw prevalence of hypertension for England and by Clinical Commissioning Group and Primary Care Trust in the last five years.


Written Question
Mental Illness
Monday 8th December 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many people with a (a) primary and (b) secondary diagnosis of mental health conditions were admitted to hospital as an emergency (i) in England, (ii) as a proportion of the total number of emergency admissions and (iii) in each local commissioning area of responsibility in each month since monthly figures were first collected.

Answered by Norman Lamb

Information on (a) the number of emergency Finished Admission Episodes (FAEs) with a (i) primary and (ii) secondary diagnosis of mental health conditions and as a percentage of all emergency admissions, by month, April 1998 to March 2013, (b) the number of emergency FAEs with a primary diagnosis of mental health conditions by primary care trust (PCT) of responsibility and month, April 2003 to March 2013, and (c) the number of emergency FAEs with a secondary diagnosis of mental health conditions by PCT of responsibility and month, April 2003 to March 2013, is attached.


Written Question
Care Quality Commission
Monday 17th November 2014

Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many registered manager applications were (a) received by the Care Quality Commission and (b) approved within (i) one to two weeks, (ii) three to four weeks, (iii) five to six weeks, (iv) seven to eight weeks, (v) nine to 10 weeks, (vi) 11 to 12 weeks, (vii) 13 to 14 weeks, (viii) 15 to 16 weeks, (ix) 17 to 18 weeks, (x) 19 to 20 weeks, (xi) 21 to 30 weeks, (xii) 31 to 52 weeks and (xiii) more than a year in each quarter of the last three years.

Answered by Norman Lamb

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has provided the following information.

Table 1 shows the number of application processes the CQC has received and undertaken by start date for each fiscal quarter of the last three years.

Table 1

Number of Application Processes by Start Date Fiscal Quarter

2012-13

2013-14

2014-15

3

4

1

2

3

4

1

2

4,372

4,747

4,729

4,825

5,309

6,710

5,718

5,065

Notes:

These figures show applications which have been validated meaning they have both been processed by the CQC’s National Customer Service Centre (NCSC) and Registration Inspectors.

The same applicant may be counted more than once in these figures, as a new process is assigned to each Regulatory Activity the applicant is applying for initially, and for each Location and Regulated Activity the applicant is applying to have added to their registration subsequently.

These numbers also include processes which did not result in completion, due to the applicant having withdrawn their application or the process having been terminated by a Registration Inspector, for example when the applicant was asked to re-submit.

It is not possible to provide data for the first two quarters of 2012-13 as it is incomplete.

Table 2 shows the number of application processes the CQC has completed by start date for each fiscal quarter of the last three years.

These figures show completed applications where a Notice of Decision was approved by a Registration Manager.

As at 10 November 2014, CQC has 35,991 registered managers at 38,056 active locations

Table 2

Number of Application Processes Completed by Start Date Fiscal Quarter

2012-13

2013-14

2014-15

Time taken to Completion

3

4

1

2

3

4

1

2

One to two weeks

330

490

379

279

221

237

67

61

Three to four weeks

901

917

889

905

764

919

315

263

Five to six weeks

938

1,066

1,000

973

1,174

1,364

649

490

Seven to eight weeks

794

736

871

1,014

1,222

1,291

798

488

Nine to ten weeks

325

471

512

521

599

717

644

418

11 to 12 weeks

123

145

191

235

236

265

328

182

13 to 14 weeks

74

73

130

123

174

107

174

68

15 to 16 weeks

45

57

73

63

99

87

90

43

17 to 18 weeks

33

27

31

44

44

28

39

3

19 to 20 weeks

12

12

17

13

24

32

30

21 to 30 weeks

35

28

33

32

25

53

57

31 to 52 weeks

12

27

13

22

4

6

Over a year

1

4

1

Total

3,623

4,053

4,139

4,225

4,586

5,106

3,191

2,016

Notes:

The same applicant may be counted more than once in these figures, as a new process is assigned to each Regulatory Activity the applicant is applying for initially, and for any subsequent Location and Regulated Activity that the applicant applies to have added to their registration.

The figures include applications which resulted in a successful registration, as well as applications which resulted in the registration being refused by the CQC. However, owing to the way in which this information is held on the CQC records system, it is not possible to provide separate figures for these two outcomes.

It is also not possible to provide data before 1 October 2012 as it is incomplete.

The difference between number of application processes started and the number of application processes completed can be accounted for through a number of factors. A number of applications will be withdrawn by applicants. Some processes will be terminated by the Registration Inspector (e.g. re-submission of an application). The CQC records system does not break down application processes as approved, refused and withdrawn.