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Written Question
Liver diseases: Coronavirus
Thursday 18th March 2021

Asked by: Tracey Crouch (Conservative - Chatham and Aylesford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of covid-19 deaths of patients with liver failure as a proportion of all covid-19 deaths in the UK.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

It is not possible to disaggregate the number of people with liver cirrhosis, liver failure and liver cancer who have died as a result of COVID-19 infection, nor the number of COVID-19 deaths of patients with liver failure as a proportion of all COVID-19 deaths in the United Kingdom. This is due to the way data is collected


The NHS Long Term Plan recognises the importance of preventing avoidable liver disease through targeted policies to address alcohol consumption and obesity. As the NHS recovers from the impact of the pandemic, specialised commissioning teams will be refocusing their efforts on achieving the ambitions set out in the Long Term Plan and working with local systems and clinical networks to improve outcomes for people with preventable and complex conditions, including liver disease.

NHS England is developing liver networks in England, supported by the Hepatobiliary Clinical Reference Group, to enable quicker access to specialised liver services, as well as providing clinical advice on disease prevention and referral practice. To address geographical variation, NHS England and NHS Improvement, with support from Public Health England, are helping acute hospitals with the highest rates of alcohol harm to establish or improve specialist alcohol care teams. Areas at highest need will be supported by targeted national investment. To improve survival rates and support earlier detection of alcohol-related liver disease, NHS England and NHS Improvement are also developing a commissioning for quality and innovation scheme to incentivise increased cirrhosis and fibrosis tests for alcohol dependent patients in acute and mental health services.


Written Question
Live Diseases: Coronavirus
Thursday 18th March 2021

Asked by: Tracey Crouch (Conservative - Chatham and Aylesford)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of people with (a) liver cirrhosis, (b) liver failure and (c) liver cancer who have died as a result of a covid-19 infection.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

It is not possible to disaggregate the number of people with liver cirrhosis, liver failure and liver cancer who have died as a result of COVID-19 infection, nor the number of COVID-19 deaths of patients with liver failure as a proportion of all COVID-19 deaths in the United Kingdom. This is due to the way data is collected


The NHS Long Term Plan recognises the importance of preventing avoidable liver disease through targeted policies to address alcohol consumption and obesity. As the NHS recovers from the impact of the pandemic, specialised commissioning teams will be refocusing their efforts on achieving the ambitions set out in the Long Term Plan and working with local systems and clinical networks to improve outcomes for people with preventable and complex conditions, including liver disease.

NHS England is developing liver networks in England, supported by the Hepatobiliary Clinical Reference Group, to enable quicker access to specialised liver services, as well as providing clinical advice on disease prevention and referral practice. To address geographical variation, NHS England and NHS Improvement, with support from Public Health England, are helping acute hospitals with the highest rates of alcohol harm to establish or improve specialist alcohol care teams. Areas at highest need will be supported by targeted national investment. To improve survival rates and support earlier detection of alcohol-related liver disease, NHS England and NHS Improvement are also developing a commissioning for quality and innovation scheme to incentivise increased cirrhosis and fibrosis tests for alcohol dependent patients in acute and mental health services.


Written Question
Coronavirus: Death
Tuesday 9th March 2021

Asked by: Lord Marlesford (Conservative - Life peer)

Question to the Cabinet Office:

To ask Her Majesty's Government what proportion of the first 100,000 people to die as a result of COVID-19 died in (1) England, (2) Scotland, (3) Wales, and (4) Northern Ireland; how many of those died (a) in hospital, (b) in care homes, and (c) elsewhere; and how many of those were (i) over 80 years old, (ii) over 70 years old, (iii) under 50 years old, (iv) BAME, (v) male, and (vi) female.

Answered by Lord True - Leader of the House of Lords and Lord Privy Seal

The information requested falls under the remit of the UK Statistics Authority. I have, therefore, asked the Authority to respond.

Professor Sir Ian Diamond | National Statistician

The Lord Marlesford DL
House of Lords

London

SW1A 0PW

03 March 2021

Dear Lord Marlesford,

As National Statistician and Chief Executive of the UK Statistics Authority, I am responding to your Parliamentary Question asking what proportion of the first 100,000 people to die as a result of COVID-19 died in (1) England, (2) Scotland, (3) Wales, and (4) Northern Ireland; how many of those died (a) in hospital, (b) in care homes, and (c) elsewhere; and how many of those were (i) over 80 years old, (ii) over 70 years old, (iii) under 50 years old, (iv) BAME, (v) male, and (vi) female (HL13602).

The Office for National Statistics (ONS) publishes statistics on deaths in England and Wales and produces a weekly report[1] on provisional numbers of deaths involving COVID-19. Mortality statistics are compiled from information supplied when deaths are certified and registered as part of civil registration. National Records for Scotland[2] and the Northern Ireland Statistics and Research Agency[3] are responsible for publishing statistics on deaths registered in Scotland and Northern Ireland respectively.

We cannot precisely organise deaths involving COVID-19 into the ‘first 100,000’ at this time. However, we have provided figures for deaths registered up to the end of Week 2 of 2021 (ending 15 January 2021) which is when deaths involving COVID-19 first passed 100,000 in total.

Table 1 below provides the number of deaths involving COVID-19 in the UK, and the proportion of these in England, Wales, Scotland, and Northern Ireland. Table 2 provides the number of deaths involving COVID-19 by place of death in each UK country. Table 3 provides the number of deaths involving COVID by age group and sex. Please note that the UK totals in Table 3 are slightly different from Tables 1 and 2, as published data by age group and sex are only available for England and Wales combined (including non-residents) rather than England and Wales as individual countries.

The ONS has published a report on ethnic contrasts in deaths involving COVID-19 in England and Wales[4]. Table 4 shows the number of deaths involving COVID-19 in England and Wales; data have been published for deaths that occurred (rather than were registered) between 2 March 2020 and 28 July 2020. Please note this data includes only deaths that could be linked to the 2011 Census, as this was necessary to obtain ethnic group data. Because the method of calculation is different, the numbers do not relate directly to those in Tables 1 to 3.

Yours sincerely,

Professor Sir Ian Diamond

Table 1: Number and proportion of deaths involving COVID-19, weeks ending 13 March 2020 to 15 January 2021, England, Wales, Scotland, Northern Ireland [5][6][7][8][9]

-

UK

England

Wales

Scotland1

Northern Ireland

Number of deaths involving COVID-19

104,446

88,974

5,884

7,460

2,128

% of UK total

100.0%

85.2%

5.6%

7.1%

2.0%

Source: ONS, NRS, and NISRA

Table 2: Number of deaths involving COVID-19, weeks ending 13 March 2020 to 15 January 2021 by place of occurrence, England, Wales, Scotland and Northern Ireland [10][11]

Place of death

UK

England

Wales

Scotland1

Northern Ireland

All places of death

104,446

88,974

5,884

7,460

2,128

Home

5,256

4,376

286

459

135

Care home

26,393

21,615

1,267

2,869

642

Hospital

70,793

61,101

4,247

4,116

1,329

Other

2,004

1,882

84

16

22

Source: ONS, NRS and NISRA


Table 3: Number of deaths involving COVID-19, weeks ending 13 March 2020 to 15 January 2021, by broad age group and sex, England, Wales, Scotland and Northern Ireland

Sex

Age group

UK total6

England & Wales6

Scotland

Northern Ireland

People

All ages

103,720

94,132

7,460

2,128

-

Under 1 year

3

2

1

0

-

1-14

9

9

0

0

-

15-44

1,004

941

49

14

-

45-64

9,615

8,777

670

168

-

65-74

15,798

14,305

1,188

305

-

75-84

33,855

30,647

2,478

730

-

85+

43,436

39,451

3,074

911

Males

All ages

56,596

51,693

3,831

1,072

-

Under 1 year

2

2

0

0

-

1-14

4

4

0

0

-

15-44

587

554

27

6

-

45-64

6,188

5,656

433

99

-

65-74

10,036

9,119

729

188

-

75-84

19,848

18,067

1,376

405

-

85+

19,931

18,291

1,266

374

Females

All ages

47,124

42,439

3,629

1,056

-

Under 1 year

1

0

1

0

-

1-14

5

5

0

0

-

15-44

417

387

22

8

-

45-64

3,427

3,121

237

69

-

65-74

5,762

5,186

459

117

-

75-84

14,007

12,580

1,102

325

-

85+

23,505

21,160

1,808

537

Source: ONS, NRS and NISRA


Table 4: Number of deaths involving COVID-19 by ethnic group and sex, deaths occurring 2 March 2020 to 28 July 2020, England and Wales[12][13]

Ethnic group

Sex

Aged 9 to 64 years

Aged 65 to 110 years

Bangladeshi

Male

61

112

Bangladeshi

Female

19

54

Black African

Male

159

188

Black African

Female

85

96

Black Caribbean

Male

95

514

Black Caribbean

Female

67

306

Chinese

Male

16

78

Chinese

Female

8

55

Indian

Male

180

525

Indian

Female

80

357

Mixed

Male

29

144

Mixed

Female

30

99

Other

Male

186

351

Other

Female

85

226

Pakistani

Male

119

286

Pakistani

Female

75

156

White

Male

1,939

20,531

White

Female

1,184

18,201

Source: ONS

[1]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregisteredweeklyinenglandandwalesprovisional/latest

[2]https://www.nrscotland.gov.uk/

[3]https://www.nisra.gov.uk/

[4]https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/updatingethniccontrastsindeathsinvolvingthecoronaviruscovid19englandandwales/deathsoccurring2marchto28july2020

[5] Weeks for Scotland run Monday to Sunday rather than Saturday to Friday, so Week 2 of 2021 is week ending 11th January 2021 rather than week ending 15 January 2021

[6] Figures for individual countries exclude deaths of non-residents. Figures for “England and Wales” totals include non-residents of England and Wales; for this reason, UK totals in Table 3 differ from Tables 1 and 2.

[7] Data in Tables 1, 3 and 3 are based on date a death was registered rather than occurred. Data in Table 4 are based on the date a death occurred, registered up to 24 August 2020. There is a delay between a death occurring and it being registered

[8] All figures for 2020 and 2021 are provisional.

[9] The International Classification of Diseases, Tenth Edition (ICD-10) definitions are as follows: coronavirus (COVID-19) (U07.1 and U07.2). We use the term “involving COVID-19” when referring to deaths that mentioned these ICD-10 codes anywhere on the death certificate, whether as the underlying cause of death or elsewhere.

[10] Deaths at home are those at the usual residence of the deceased (according to the informant)‚ where this is not a communal establishment. Other Communal Establishments include (for example) prisons, student residences, and hotels. Elsewhere includes all places not covered above.

[11] "Other" includes deaths in communal establishments other than hospitals and care homes, in hospices, and that occurred "elsewhere".

[12]Data in Table 4 includes only death records that could be linked to the 2011 Census, to obtain ethnic group data.

[13]The detailed composition of each ethnic group is available to download: https://www.ons.gov.uk/download/table?format=xlsx&uri=/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/updatingethniccontrastsindeathsinvolvingthecoronaviruscovid19englandandwales/deathsoccurring2marchto28july2020/22f0c996.json


Written Question
Liver Diseases: Death
Tuesday 2nd March 2021

Asked by: Alex Norris (Labour (Co-op) - Nottingham North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of (a) premature deaths due to non-alcoholic fatty liver disease in each of the past five years, by local authority, and (b) covid-19 deaths of patients with diagnosed non-alcoholic fatty liver disease.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Public Health England does not hold data on premature deaths due to non-alcoholic fatty liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease for local authorities in England.

PHE does not hold data on COVID-19 deaths of patients with diagnosed non-alcoholic fatty liver disease. PHE has published an assessment of excess mortality from liver disease during the COVID-19 pandemic in England from 21 March 2020 to 8 January 2021 and estimated that there were 692 excess deaths from liver disease.


Written Question
Hospitals: Coronavirus
Wednesday 3rd February 2021

Asked by: Philip Davies (Conservative - Shipley)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 January 2021 to Question 135882 on Hospitals: Coronavirus, in what format his Department holds that information.

Answered by Nadine Dorries

Given the incubation period of the virus and local differences in application of testing protocols, it is not possible to definitively determine the number of people who contracted the virus while in hospital in England to date. NHS England and NHS Improvement publish daily deaths data, but the number of those who may have caught COVID-19 in hospital is not collected.


Written Question
Coronavirus: Ethnic Groups
Thursday 28th January 2021

Asked by: Apsana Begum (Labour - Poplar and Limehouse)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of (a) BAME people and (b) people of a Bangladeshi background have died from covid-19 since the summer 2020 compared to other groups.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

The information is not available in the format requested. The National Health Service publishes weekly statistics on the deaths of patients who have died in hospitals in England and have tested positive for COVID-19.


Written Question
Liver Diseases
Wednesday 27th January 2021

Asked by: Alex Norris (Labour (Co-op) - Nottingham North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what data his Department holds on the number of patients diagnosed with (a) liver disease, (b) alcohol-related liver disease and (c) non-alcoholic fatty liver disease in each local authority area in each of the last five years.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Public Health England (PHE) does not hold data on liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease, rather than diagnoses.

In 2020, PHE published a comparison of liver disease to other causes of death, which is available at the following link:

https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health

PHE has not made an estimate of the number of people with undiagnosed liver disease.


Written Question
Diseases: Death
Wednesday 27th January 2021

Asked by: Alex Norris (Labour (Co-op) - Nottingham North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what comparative assessment his Department has made of the number of deaths due to liver disease and other major diseases; and if he will make a statement.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Public Health England (PHE) does not hold data on liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease, rather than diagnoses.

In 2020, PHE published a comparison of liver disease to other causes of death, which is available at the following link:

https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health

PHE has not made an estimate of the number of people with undiagnosed liver disease.


Written Question
Liver Diseases
Wednesday 27th January 2021

Asked by: Alex Norris (Labour (Co-op) - Nottingham North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of people with undiagnosed liver disease.

Answered by Jo Churchill - Minister of State (Department for Work and Pensions)

Public Health England (PHE) does not hold data on liver disease in the format requested. PHE publishes data on the number of hospitals admissions and deaths from liver disease, alcohol-related liver disease and non-alcoholic fatty liver disease, rather than diagnoses.

In 2020, PHE published a comparison of liver disease to other causes of death, which is available at the following link:

https://www.gov.uk/government/publications/liver-disease-applying-all-our-health/liver-disease-applying-all-our-health

PHE has not made an estimate of the number of people with undiagnosed liver disease.


Written Question
Mental Health: Children and Young People
Friday 22nd January 2021

Asked by: Baroness Fall (Conservative - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty's Government what has been the reported level of (1) anorexia nervosa, (2) self-harm, and (3) suicide, amongst young and adolescent girls since 23 March 2020; and what were the reported such levels from 23 March 2019 to 22 March 2020.

Answered by Lord Bethell

Information on the incidence of anorexia nervosa among young and adolescent girls under the age of 18 years old is not available due to poor diagnosis recording in the Mental Health Services Data Set (MHSDS).

Between 23 March 2019 and 22 March 2020 there were 493 reported incidents of self-harm amongst girls under the age of 18 years old reported in MHSDS by the secondary care mental health services. For the period 23 March 2020 to 30 November 2020, there were 399 incidents. These numbers are based on the data submitted by the secondary care mental health services to MHSDS and include only incidents of self-harm in the mental health hospitals. The numbers include November provisional data and are likely to be an undercount of the true activity. This is the latest data available to NHS Digital.

For suicide, the Office for National Statistics reports that there were 63 suicide registrations relating to girls aged 10-19 years old in 2019 (49 registrations between Jan-Sept 2019). Provisional information for January to September 2020 (Jan-Sep) shows that there were 24 suicide registrations relating to girls aged 10-19 years old. All deaths caused by suicide in England are investigated by coroners. Given the length of time it takes to hold an inquest, most deaths are registered around five to six months after they occurred. The number of suicides registered in 2020 should be interpreted with caution due to the pandemic causing further delays on the coroner’s service resulting in further delays to inquests.