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To ask the Secretary of State for Health how much the NHS has spent on medical supplies and equipment in each year since 2000.
To ask the Secretary of State for Health how much the NHS has spent on medical supplies and equipment in each year since 2000.
| Supplies and services clinical | |
|---|---|
| £000 | |
| 2009-10 | 4,777,151 |
| 2008-09 | 4,922,822 |
| 2007-08 | 5,036,713 |
| 2006-07 | 5,042,886 |
| 2005-06 | 5,067,562 |
| 2004-05 | 4,953,088 |
| 2003-04 | 5,325,620 |
| 2002-03 | 4,805,109 |
| 2001-02 | 4,312,459 |
| 2000-01 | 3,878,782 |
| 1999-2000 | 3,435,273 |
To ask the Secretary of State for Health what recent assessment he has made of the effectiveness of the procedures of the Medicines and Healthcare products Regulatory Agency in respect of the regulation of the sterility of medical containers.
To ask the Secretary of State for Health what recent assessment he has made of the effectiveness of the procedures of the Medicines and Healthcare products Regulatory Agency in respect of the regulation of the sterility of medical containers.
In recent years we have gained a better understanding of the risks of transmission of infectious diseases like hepatitis from poorly maintained health care premises and instruments which have not undergone effective decontamination. The risk to individual dental patients is small but, with 1.5 million people undergoing dental treatment each...
In recent years we have gained a better understanding of the risks of transmission of infectious diseases like hepatitis from poorly maintained health care premises and instruments which have not undergone effective decontamination. The risk to individual dental patients is small but, with 1.5 million people undergoing dental treatment each...
My honourable friend the Minister of State, Department of Health (Simon Burns), has made the following Written Ministerial Statement. In recent years we have gained a better understanding of the risks of transmission of infectious diseases like hepatitis from poorly maintained healthcare premises and instruments which have not undergone effective...
My honourable friend the Minister of State, Department of Health (Simon Burns), has made the following Written Ministerial Statement. In recent years we have gained a better understanding of the risks of transmission of infectious diseases like hepatitis from poorly maintained healthcare premises and instruments which have not undergone effective...
To ask Her Majesty’s Government what action they have taken to reduce the damage being done to the healthcare system in Gaza, especially in relation to children, by the Government of Israel's restrictions on the importation of essential medical equipment and supplies (including repairs) and on the free movement of...
To ask Her Majesty’s Government what action they have taken to reduce the damage being done to the healthcare system in Gaza, especially in relation to children, by the Government of Israel's restrictions on the importation of essential medical equipment and supplies (including repairs) and on the free movement of...
To ask the Secretary of State for Health what recent estimate his Department has made of the appropriate number of implantations of (a) pacemakers and (b) implantable cardiac defibrillators per million of population.
To ask the Secretary of State for Health what recent estimate his Department has made of the appropriate number of implantations of (a) pacemakers and (b) implantable cardiac defibrillators per million of population.
(2) what estimate he has made of the number of patients in each strategic health authority who received heart pacemakers in the last five years.
(2) what estimate he has made of the number of patients in each strategic health authority who received heart pacemakers in the last five years.
| Activity in English national health service hospitals and English NHS commissioned activity in the independent sector | ||
|---|---|---|
| Insertion of pacemaker | ||
| SHA of residence | 2005-06 | 2004-05 |
| Norfolk, Suffolk and Cambridgeshire SHA | 1,400 | 1,315 |
| Bedfordshire and Hertfordshire SHA | 1,044 | 821 |
| Essex SHA | 815 | 724 |
| North West London SHA | 947 | 815 |
| North Central London SHA | 525 | 540 |
| North East London SHA | 578 | 540 |
| South East London SHA | 625 | 628 |
| South West London SHA | 741 | 642 |
| Northumberland, Tyne and Wear SHA | 711 | 685 |
| County Durham and Tees Valley SHA | 530 | 524 |
| North and East Yorkshire and Northern Lincolnshire SHA | 897 | 812 |
| West Yorkshire SHA | 917 | 874 |
| Cumbria and Lancashire SHA | 961 | 931 |
| Greater Manchester SHA | 1,167 | 1,066 |
| Cheshire and Merseyside SHA | 1,254 | 1,215 |
| Thames Valley SHA | 1,098 | 982 |
| Hampshire and Isle of Wight SHA | 1,069 | 975 |
| Kent and Medway SHA | 911 | 853 |
| Surrey and Sussex SHA | 1,805 | 1,519 |
| Avon, Gloucestershire and Wiltshire SHA | 1,095 | 977 |
| South West Peninsula SHA | 1,772 | 1,456 |
| Dorset and Somerset SHA | 1,181 | 957 |
| South Yorkshire SHA | 747 | 741 |
| Trent SHA | 1,300 | 1,367 |
| Leicestershire, Northamptonshire and Rutland SHA | 896 | 873 |
| Shropshire and Staffordshire SHA | 509 | 570 |
| Birmingham and the Black Country SHA | 1,079 | 1,038 |
| West Midlands South SHA | 696 | 584 |
| Wales | 217 | 180 |
| Scotland | 25 | 22 |
| England—not otherwise specified | 9 | 6 |
| Foreign (incl. Isle of Man and Channel Islands) | 141 | 170 |
| Unknown | 46 | 34 |
| Northern Ireland | 3 | 3 |
| Insertion of pacemaker | |||
| SHA of residence | 2008-09 | 2007-08 | 2006-07 |
| North East SHA | 1,573 | 1,462 | 1,291 |
| North West SHA | 4,900 | 4,185 | 3,839 |
| Yorkshire and the Humber SHA | 3,135 | 2,749 | 2,610 |
| East Midlands SHA | 2,281 | 2,049 | 2,063 |
| West Midlands SHA | 2,701 | 2,437 | 2,284 |
| East of England SHA | 3,422 | 3,473 | 3,271 |
| London SHA | 3,493 | 3,110 | 3,245 |
| South East Coast SHA | 2,919 | 2,753 | 2,619 |
| South Central SHA | 2,311 | 2,244 | 2,098 |
| South West SHA | 5,301 | 4,739 | 3,986 |
| Wales | 383 | 325 | 200 |
| Scotland | 14 | 18 | 13 |
| England—not otherwise specified | 8 | 10 | 4 |
| Foreign (incl. Isle of Man and Channel Islands) | 147 | 150 | 140 |
| Unknown | 46 | 129 | 56 |
| Northern Ireland | 1 | 4 | 2 |
| Notes: | |||
| 1. Finished Consultant Episode (FCE)—A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. | |||
| 2. Number of episodes with a (named) main or secondary procedure: | |||
| The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a Hospital Episode Statistics (HES) record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients under going a 'cataract operation' would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single episode. | |||
| 3. OPCS-4 Codes: | |||
| The OPCS-4 codes used to identify the procedures are: | |||
| (I). Insertion of pacemaker | |||
| K60.1 Implantation of intravenous cardiac pacemaker system NEC | |||
| K60.5 Implantation of intravenous single chamber cardiac pacemaker system | |||
| K60.6 Implantation of intravenous dual chamber cardiac pacemaker system | |||
| K60.7 Implantation of intravenous biventricular cardiac pacemaker system | |||
| K60.8 Other specified cardiac pacemaker system introduced through vein | |||
| K60.9 Unspecified cardiac pacemaker system introduced through vein | |||
| K61.1 Implantation of cardiac pacemaker system NEC | |||
| K61.5 Implantation of single chamber cardiac pacemaker system | |||
| K61.6 Implantation of dual chamber cardiac pacemaker system | |||
| K61.7 Implantation of biventricular cardiac pacemaker system | |||
| K61.8 Other specified other cardiac pacemaker system | |||
| K61.9 Unspecified other cardiac pacemaker system | |||
| 4. Assessing growth through time: | |||
| HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. | |||
| 5. SHA/PCT of residence: | |||
| The strategic health authority (SHA) or primary care trust (PCT) containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment. | |||
| 6. Data quality: | |||
| HES are compiled from data sent by more than 300 NHS trusts and PCTs in England and from some independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain. | |||
| Source: | |||
| Hospital Episode Statistics (HES), The NHS Information Centre for health and social care |
To ask the Secretary of State for Health (1) what guidance his Department has issued to procurement hubs on the weighting to be applied to price when commissioning a contract for the supply of implantable cardiac devices;
To ask the Secretary of State for Health (1) what guidance his Department has issued to procurement hubs on the weighting to be applied to price when commissioning a contract for the supply of implantable cardiac devices;
| Activity in English national health service hospitals and English NHS commissioned activity in the independent sector | ||
|---|---|---|
| Insertion of pacemaker | ||
| SHA of residence | 2005-06 | 2004-05 |
| Norfolk, Suffolk and Cambridgeshire SHA | 1,400 | 1,315 |
| Bedfordshire and Hertfordshire SHA | 1,044 | 821 |
| Essex SHA | 815 | 724 |
| North West London SHA | 947 | 815 |
| North Central London SHA | 525 | 540 |
| North East London SHA | 578 | 540 |
| South East London SHA | 625 | 628 |
| South West London SHA | 741 | 642 |
| Northumberland, Tyne and Wear SHA | 711 | 685 |
| County Durham and Tees Valley SHA | 530 | 524 |
| North and East Yorkshire and Northern Lincolnshire SHA | 897 | 812 |
| West Yorkshire SHA | 917 | 874 |
| Cumbria and Lancashire SHA | 961 | 931 |
| Greater Manchester SHA | 1,167 | 1,066 |
| Cheshire and Merseyside SHA | 1,254 | 1,215 |
| Thames Valley SHA | 1,098 | 982 |
| Hampshire and Isle of Wight SHA | 1,069 | 975 |
| Kent and Medway SHA | 911 | 853 |
| Surrey and Sussex SHA | 1,805 | 1,519 |
| Avon, Gloucestershire and Wiltshire SHA | 1,095 | 977 |
| South West Peninsula SHA | 1,772 | 1,456 |
| Dorset and Somerset SHA | 1,181 | 957 |
| South Yorkshire SHA | 747 | 741 |
| Trent SHA | 1,300 | 1,367 |
| Leicestershire, Northamptonshire and Rutland SHA | 896 | 873 |
| Shropshire and Staffordshire SHA | 509 | 570 |
| Birmingham and the Black Country SHA | 1,079 | 1,038 |
| West Midlands South SHA | 696 | 584 |
| Wales | 217 | 180 |
| Scotland | 25 | 22 |
| England—not otherwise specified | 9 | 6 |
| Foreign (incl. Isle of Man and Channel Islands) | 141 | 170 |
| Unknown | 46 | 34 |
| Northern Ireland | 3 | 3 |
| Insertion of pacemaker | |||
| SHA of residence | 2008-09 | 2007-08 | 2006-07 |
| North East SHA | 1,573 | 1,462 | 1,291 |
| North West SHA | 4,900 | 4,185 | 3,839 |
| Yorkshire and the Humber SHA | 3,135 | 2,749 | 2,610 |
| East Midlands SHA | 2,281 | 2,049 | 2,063 |
| West Midlands SHA | 2,701 | 2,437 | 2,284 |
| East of England SHA | 3,422 | 3,473 | 3,271 |
| London SHA | 3,493 | 3,110 | 3,245 |
| South East Coast SHA | 2,919 | 2,753 | 2,619 |
| South Central SHA | 2,311 | 2,244 | 2,098 |
| South West SHA | 5,301 | 4,739 | 3,986 |
| Wales | 383 | 325 | 200 |
| Scotland | 14 | 18 | 13 |
| England—not otherwise specified | 8 | 10 | 4 |
| Foreign (incl. Isle of Man and Channel Islands) | 147 | 150 | 140 |
| Unknown | 46 | 129 | 56 |
| Northern Ireland | 1 | 4 | 2 |
| Notes: | |||
| 1. Finished Consultant Episode (FCE)—A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. | |||
| 2. Number of episodes with a (named) main or secondary procedure: | |||
| The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a Hospital Episode Statistics (HES) record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients under going a 'cataract operation' would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single episode. | |||
| 3. OPCS-4 Codes: | |||
| The OPCS-4 codes used to identify the procedures are: | |||
| (I). Insertion of pacemaker | |||
| K60.1 Implantation of intravenous cardiac pacemaker system NEC | |||
| K60.5 Implantation of intravenous single chamber cardiac pacemaker system | |||
| K60.6 Implantation of intravenous dual chamber cardiac pacemaker system | |||
| K60.7 Implantation of intravenous biventricular cardiac pacemaker system | |||
| K60.8 Other specified cardiac pacemaker system introduced through vein | |||
| K60.9 Unspecified cardiac pacemaker system introduced through vein | |||
| K61.1 Implantation of cardiac pacemaker system NEC | |||
| K61.5 Implantation of single chamber cardiac pacemaker system | |||
| K61.6 Implantation of dual chamber cardiac pacemaker system | |||
| K61.7 Implantation of biventricular cardiac pacemaker system | |||
| K61.8 Other specified other cardiac pacemaker system | |||
| K61.9 Unspecified other cardiac pacemaker system | |||
| 4. Assessing growth through time: | |||
| HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. | |||
| 5. SHA/PCT of residence: | |||
| The strategic health authority (SHA) or primary care trust (PCT) containing the patient's normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another SHA/PCT for treatment. | |||
| 6. Data quality: | |||
| HES are compiled from data sent by more than 300 NHS trusts and PCTs in England and from some independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain. | |||
| Source: | |||
| Hospital Episode Statistics (HES), The NHS Information Centre for health and social care |
To ask Her Majesty’s Government on what date and for what reason the approval for Life Support Engineering Ltd to supply oxygen equipment to NHS bodies was ended.
To ask Her Majesty’s Government on what date and for what reason the approval for Life Support Engineering Ltd to supply oxygen equipment to NHS bodies was ended.
To ask Her Majesty’s Government, further to the Answer by Earl Howe on 23 June (Official Report, col. 1314), whether they will publish the research on the effects of labelling prescribed medicines and appliances with prices.
To ask Her Majesty’s Government, further to the Answer by Earl Howe on 23 June (Official Report, col. 1314), whether they will publish the research on the effects of labelling prescribed medicines and appliances with prices.
To ask the Secretary of State for Health if he will make an estimate of the number of static NHS lithotriptor machines there are per million population in England.
To ask the Secretary of State for Health if he will make an estimate of the number of static NHS lithotriptor machines there are per million population in England.
To ask Her Majesty’s Government whether all eligible and appropriate NHS patients have access to technologies approved by the National Institute forHealth and Clinical Excellence, and in particular (a) insulin pumps, (b) uterine fibroid embolisation, and (c) implantable cardioverter-defibrillators.
To ask Her Majesty’s Government whether all eligible and appropriate NHS patients have access to technologies approved by the National Institute forHealth and Clinical Excellence, and in particular (a) insulin pumps, (b) uterine fibroid embolisation, and (c) implantable cardioverter-defibrillators.
To ask Her Majesty's Government what steps they are taking to increase the number of cardiac technicians in the National Health Service trained in the use of pacemakers and defibrillators; and what measures are in place to achieve remote monitoring of those devices.
To ask Her Majesty's Government what steps they are taking to increase the number of cardiac technicians in the National Health Service trained in the use of pacemakers and defibrillators; and what measures are in place to achieve remote monitoring of those devices.
To ask the Secretary of State for Transport if he will bring forward proposals to require British aeroplane operators (a) not to charge passengers with medical conditions who require oxygen and (b) to allow the use of portable oxygen concentrators during flights.
To ask the Secretary of State for Transport if he will bring forward proposals to require British aeroplane operators (a) not to charge passengers with medical conditions who require oxygen and (b) to allow the use of portable oxygen concentrators during flights.
To ask Her Majesty's Government how many people with type 1 diabetes who use insulin pump therapy are offered access to a dose adjustment for normal eating (DAFNE) course or an equivalent course.
To ask Her Majesty's Government how many people with type 1 diabetes who use insulin pump therapy are offered access to a dose adjustment for normal eating (DAFNE) course or an equivalent course.