Asked by: Justin Madders (Labour - Ellesmere Port and Bromborough)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what recent assessment he has made of the effectiveness of the recommended antibiotic treatment for urinary tract infections.
Answered by Steve Brine
The National Institute for Health and Care Excellence (NICE) produced a Quality Standard (QS90) in 2015 in order to advise upon the diagnosis, management and treatment of urinary tract infections in adults to a high quality of care. It includes assessment, antibiotic treatment and referral for specialist assessment. It describes high-quality care and priority areas for improvement.
NICE reviewed the Quality Standard in 2016 and determined that it was still effective and up to date.
Asked by: Catherine West (Labour - Hornsey and Friern Barnet)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether he or officials from his Department have met (a) Professor Christopher Butler from Oxford University to discuss the PRINCESS Study on the diagnosis and treatment of urinary tract infections or (b) Chris Harding from the University of Newcastle to discuss the ALTAR Study on the diagnosis and treatment of urinary tract infections.
Answered by Steve Brine
I hold responsibility for urological conditions.
Officials from the Department are aware that Whittington Trust is instigating a new multidisciplinary team at Whittington Health for the Lower Urinary Tract Service, as recommended by the Royal College of Physicians report and advised by NHS England and NHS Improvement. The first reconstituted multidisciplinary team will meet in July. Local commissioners will be members of the multidisciplinary team to support the review of people suffering with chronic urinary tract infections and ensuring that they receive appropriate treatment. New patients will be accepted into the clinic on a phased approach and with the agreement of local commissioners that there is a functioning multidisciplinary team in place. Ministers will be briefed accordingly.
The Trust has worked with clinicians to develop a pathway for the treatment of children with lower urinary tract infections, who should now be referred to Great Ormond Street Hospital (the local tertiary service for children). All patients that suspect they have urinary tract infection should see their general practitioner (GP) who will be able to provide medical advice, set out a treatment plan and if appropriate refer to a secondary provider. Patients who are not able to be referred to the Lower Urinary Tract Service clinic should continue to seek support from their GPs.
The National Institute for Health Research has previously and is currently funding a number of research projects on the testing and treatment of urinary tract infections.
The Department, through the National Institute for Health Research, is funding the PRINCESS and ALTAR studies and will receive any publications resulting from the work. Both projects are ongoing and the Department looks forward to seeing the results when they are completed.
Data on the number of people diagnosed with urinary tract infections is not collected centrally.
Asked by: Catherine West (Labour - Hornsey and Friern Barnet)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, when he plans to respond to the letters from the hon. Member for Hornsey and Wood Green of (a) 7 November and (b) 14 December 2016 on scheduling a meeting to discuss his Department's policy on the treatment of chronic urinary tract infections.
Answered by David Mowat
There were 196,692 finished hospital admission episodes with a primary diagnosis for urinary tract infections in England in 2015/16.
Replies to the hon. Member of Hornsey and Wood Green’s recent letters on urinary tract infections should be sent on or before Friday 27 January 2017.
Asked by: Catherine West (Labour - Hornsey and Friern Barnet)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients have been diagnosed with chronic urinary tract infections over the last 12 months.
Answered by David Mowat
There were 196,692 finished hospital admission episodes with a primary diagnosis for urinary tract infections in England in 2015/16.
Replies to the hon. Member of Hornsey and Wood Green’s recent letters on urinary tract infections should be sent on or before Friday 27 January 2017.
Asked by: Greg Mulholland (Liberal Democrat - Leeds North West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what discussions he has had with NICE about the effectiveness of guidelines to tackle urinary tract infections that are (a) acute and (b) chronic.
Answered by Baroness Blackwood of North Oxford
No such discussions have taken place.
The National Institute for Health and Care Excellence (NICE) published a clinical guideline on Urinary tract infection in under 16s: diagnosis and management (CG54) in August 2007. NICE has also published Quality Standards on Urinary tract infection in children and young people (QS36) in July 2013 and Urinary tract infections in adults (QS90) in June 2015.
NICE periodically reviews its technology appraisal methods and processes to ensure that they remain appropriate in the light of wider developments.
Asked by: Greg Mulholland (Liberal Democrat - Leeds North West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to improve the accuracy of diagnosing chronic urinary tract infections.
Answered by David Mowat
Urinary tract infections (UTIs) are caused by the presence and multiplication of microorganisms in the urinary tract.
The National Institute for Health and Care Excellence (NICE) publishes quality standards to define clinical best practice for the diagnosis and treatment of conditions.
The NICE published the Urinary tract infections in adults quality standard in June 2015. The quality standard comprises of quality statements concerning the diagnosis, treatment and management of UTIs. Quality statement 1 and 2 offer specific guidance on ensuring more accurate diagnoses of UTIs in adults.
The guidance is available at: www.nice.org.uk/guidance/qs90
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were admitted to hospital for urinary tract infections in each of the last five years; and what the cost to the NHS was of treating people so admitted in each such year.
Answered by Jane Ellison
The Department does not hold information on the number of people admitted to hospital for a catheter-associated urinary tract infection, urinary tract infection or urinary incontinence.
The following table shows a count of finished admission episodes (FAEs) in the last five years with a primary diagnosis of catheter-associated urinary tract infections.
YEAR | FAEs |
2010-11 | 215 |
2011-12 | 294 |
2012-13 | 447 |
2013-14 | 641 |
2014-15 | 942 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary incontinence in England.
Year | FAEs |
2010-11 | 27,797 |
2011-12 | 26,751 |
2012-13 | 24,938 |
2013-14 | 23,498 |
2014-15 | 20,969 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary tract infection in England
YEAR | FAEs |
2010-11 | 168,581 |
2011-12 | 174,818 |
2012-13 | 184,924 |
2013-14 | 187,594 |
2014-15 | 195,282 |
Source: Hospital episode statistics (HES), Health and social care information centre
Notes:
A finished admission episode (FAE) is the first period of admitted patient 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 patients, as a person may have more than one admission within the period.
The primary diagnosis provides the main reason why the patient was admitted to hospital.
The costs to the National Health Service of treating people with urinary tract infections and urinary incontinence is not available centrally.
Such information as is available is from reference costs, which are the average unit costs of providing defined services to patients. Reference costs for acute care are published by Healthcare Resource Group (HRG), which are standard groupings of similar treatments that use similar resources. For example, costs relating to kidney or urinary tract interventions are assigned to the same HRGs.
Table: Estimated total costs of kidney or urinary tract interventions and urinary incontinence or other urinary problems reported by NHS trusts and foundation trusts, 2010-11 to 2014-15 (£ millions)
Kidney or urinary tract interventions | Urinary incontinence or other urinary problems | |
2010-11 | 370.5 | 28.2 |
2011-12 | 398.9 | 28.1 |
2012-13 | 432.4 | 27.8 |
2013-14 | 464.8 | 28.3 |
2014-15 | 506.5 | 27.6 |
Source: Reference costs, Department of Health
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were diagnosed with urinary incontinence in each of the last five years; and what the cost to the NHS was of treating that condition in each such year.
Answered by Jane Ellison
The Department does not hold information on the number of people admitted to hospital for a catheter-associated urinary tract infection, urinary tract infection or urinary incontinence.
The following table shows a count of finished admission episodes (FAEs) in the last five years with a primary diagnosis of catheter-associated urinary tract infections.
YEAR | FAEs |
2010-11 | 215 |
2011-12 | 294 |
2012-13 | 447 |
2013-14 | 641 |
2014-15 | 942 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary incontinence in England.
Year | FAEs |
2010-11 | 27,797 |
2011-12 | 26,751 |
2012-13 | 24,938 |
2013-14 | 23,498 |
2014-15 | 20,969 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary tract infection in England
YEAR | FAEs |
2010-11 | 168,581 |
2011-12 | 174,818 |
2012-13 | 184,924 |
2013-14 | 187,594 |
2014-15 | 195,282 |
Source: Hospital episode statistics (HES), Health and social care information centre
Notes:
A finished admission episode (FAE) is the first period of admitted patient 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 patients, as a person may have more than one admission within the period.
The primary diagnosis provides the main reason why the patient was admitted to hospital.
The costs to the National Health Service of treating people with urinary tract infections and urinary incontinence is not available centrally.
Such information as is available is from reference costs, which are the average unit costs of providing defined services to patients. Reference costs for acute care are published by Healthcare Resource Group (HRG), which are standard groupings of similar treatments that use similar resources. For example, costs relating to kidney or urinary tract interventions are assigned to the same HRGs.
Table: Estimated total costs of kidney or urinary tract interventions and urinary incontinence or other urinary problems reported by NHS trusts and foundation trusts, 2010-11 to 2014-15 (£ millions)
Kidney or urinary tract interventions | Urinary incontinence or other urinary problems | |
2010-11 | 370.5 | 28.2 |
2011-12 | 398.9 | 28.1 |
2012-13 | 432.4 | 27.8 |
2013-14 | 464.8 | 28.3 |
2014-15 | 506.5 | 27.6 |
Source: Reference costs, Department of Health
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were admitted to hospital for catheter-associated urinary tract infections in each of the last five years; and what the cost was of treating those people.
Answered by Jane Ellison
The Department does not hold information on the number of people admitted to hospital for a catheter-associated urinary tract infection, urinary tract infection or urinary incontinence.
The following table shows a count of finished admission episodes (FAEs) in the last five years with a primary diagnosis of catheter-associated urinary tract infections.
YEAR | FAEs |
2010-11 | 215 |
2011-12 | 294 |
2012-13 | 447 |
2013-14 | 641 |
2014-15 | 942 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary incontinence in England.
Year | FAEs |
2010-11 | 27,797 |
2011-12 | 26,751 |
2012-13 | 24,938 |
2013-14 | 23,498 |
2014-15 | 20,969 |
The following table shows a count of FAEs in the last five years with a primary diagnosis of urinary tract infection in England
YEAR | FAEs |
2010-11 | 168,581 |
2011-12 | 174,818 |
2012-13 | 184,924 |
2013-14 | 187,594 |
2014-15 | 195,282 |
Source: Hospital episode statistics (HES), Health and social care information centre
Notes:
A finished admission episode (FAE) is the first period of admitted patient 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 patients, as a person may have more than one admission within the period.
The primary diagnosis provides the main reason why the patient was admitted to hospital.
The costs to the National Health Service of treating people with urinary tract infections and urinary incontinence is not available centrally.
Such information as is available is from reference costs, which are the average unit costs of providing defined services to patients. Reference costs for acute care are published by Healthcare Resource Group (HRG), which are standard groupings of similar treatments that use similar resources. For example, costs relating to kidney or urinary tract interventions are assigned to the same HRGs.
Table: Estimated total costs of kidney or urinary tract interventions and urinary incontinence or other urinary problems reported by NHS trusts and foundation trusts, 2010-11 to 2014-15 (£ millions)
Kidney or urinary tract interventions | Urinary incontinence or other urinary problems | |
2010-11 | 370.5 | 28.2 |
2011-12 | 398.9 | 28.1 |
2012-13 | 432.4 | 27.8 |
2013-14 | 464.8 | 28.3 |
2014-15 | 506.5 | 27.6 |
Source: Reference costs, Department of Health
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many people were diagnosed with urinary incontinence in each clinical commissioning group area in each of the last five years; and what the cost was of treating that condition in each such area in each such year.
Answered by Jane Ellison
The Department does not hold information on the number of people admitted to hospital for urinary incontinence.
A count of finished admission episodes with a primary diagnosis of urinary incontinence, by clinical commissioning group of residence, 2010-11 to 2014-15 is provided in the attached table.
The costs to the National Health Service of treating people with urinary tract infections and urinary incontinence is not available centrally.
Such information as is available is from reference costs, which are the average unit costs of providing defined services to patients. Reference costs for acute care are published by Healthcare Resource Group (HRG), which are standard groupings of similar treatments that use similar resources. For example, costs relating to kidney or urinary tract interventions are assigned to the same HRGs.
Table: Estimated total costs of kidney or urinary tract interventions and urinary incontinence or other urinary problems reported by NHS trusts and foundation trusts, 2010-11 to 2014-15 (£ millions)
Kidney or urinary tract interventions | Urinary incontinence or other urinary problems | |
2010-11 | 370.5 | 28.2 |
2011-12 | 398.9 | 28.1 |
2012-13 | 432.4 | 27.8 |
2013-14 | 464.8 | 28.3 |
2014-15 | 506.5 | 27.6 |
Source: Reference costs, Department of Health