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It is a great pleasure to speak after my hon. Friend the Member for Dover (Charlie Elphicke) and I am particularly interested in the port of Dover becoming a people’s port. Interestingly, until 1528 we actually had the whole town of Calais, so it would have been a terrible shame...
It is a great pleasure to speak after my hon. Friend the Member for Dover (Charlie Elphicke) and I am particularly interested in the port of Dover becoming a people’s port. Interestingly, until 1528 we actually had the whole town of Calais, so it would have been a terrible shame...
That this House is concerned by the UK National Screening Committee's (NSC) decision not to introduce routine screening of pregnant women for group B streptococcus; notes that every year hundreds of newborn babies suffer death and disability due to group B streptococcus infection and the numbers of reported cases in the UK has continued to rise by 23 per cent between 2003 and 2011; further notes the decline in group B streptococcus infection in babies where countries routinely screen; acknowledges the widespread support for screening during the NSC consultation with over 95 per cent of respondents in favour; recognises that at the Royal College of Midwives conference 75 per cent of midwives agreed that a routine offer of screening should be introduced; and calls on the UK National Screening Committee to reconsider this decision and follow the example of countries such as the US, Argentina, France, Kenya and Slovenia who support screening of group B streptococcus.
That this House is concerned by the UK National Screening Committee's (NSC) decision not to introduce routine screening of pregnant women for group B streptococcus; notes that every year hundreds of newborn babies suffer death and disability due to group B streptococcus infection and the numbers of reported cases in...
That this House considers that pleural plaques caused by negligent exposure to asbestos constitute actual harm; calls on the Government to reassess its stance on access to compensation for people suffering pleural plaques caused by exposure to asbestos and allow sufferers to sue their employers where there is proven negligence; and further calls on the Government to adopt the position taken in Scotland whereby sufferers may bring a claim under civil law for compensation where their condition was caused by the negligence of the employer.
That this House considers that pleural plaques caused by negligent exposure to asbestos constitute actual harm; calls on the Government to reassess its stance on access to compensation for people suffering pleural plaques caused by exposure to asbestos and allow sufferers to sue their employers where there is proven negligence;...
To ask Her Majesty’s Government what assessment they have made of the continued conflict across the borders of South Sudan; and whether there has been an increase in (1) the number of refugees, (2) the number of conflict-related injuries, and (3) detected cases of serious illness such as meningitis.[HL4086]
To ask Her Majesty’s Government what assessment they have made of the continued conflict across the borders of South Sudan; and whether there has been an increase in (1) the number of refugees, (2) the number of conflict-related injuries, and (3) detected cases of serious illness such as meningitis.[HL4086]
We remain concerned by the ongoing conflicts in Sudan’s border areas, which are having a serious effect on the area’s inhabitants. According to the Office for the Co-ordination of Humanitarian Affairs, over the last four weeks there has been an increase in numbers of refugees crossing the border into South Sudan, with 2,800 new refugees registered in Yida refugee camp between 26 November and 2 December. Due to a continued lack of access to the conflict areas, there are no reliable estimates of the number of conflict-related injuries. We are aware of an outbreak of hepatitis E in the Maban refugee camp in September, which is being addressed by the Office of the UN High Commissioner for Refugees. We continue to press the Sudanese Government and Sudan People’s Liberation Movement-North to agree a cessation of hostilities and allow full humanitarian access.
To ask the Secretary of State for Health what the average age was of people diagnosed with (a) diabetic retinopathy, (b) cataracts and (c) age-related macular degeneration in (i) Plymouth and (ii) Devon in 2011.
[134376]
To ask the Secretary of State for Health what the average age was of people diagnosed with (a) diabetic retinopathy, (b) cataracts and (c) age-related macular degeneration in (i) Plymouth and (ii) Devon in 2011.
[134376]
The Health and Social Care Information Centre has provided the mean age for finished consultant episodes (FCEs) with a primary or secondary diagnosis of diabetic retinopathy, cataracts, and age-related macular degeneration for Plymouth Teaching Primary Care Trust (PCT) and Devon PCT of residence for 2011-12.
It should be noted that these figures only include those people admitted to hospital for the above conditions. It should also be noted that since the same patient may be treated more than once in the year, their age will be counted more than once in the calculation of mean age.
No ICD-10 coding exists specifically for age related macular degeneration—only ‘degeneration of macula and posterior pole’.
The following table shows mean age (in years) for FCEs1 with a named primary or secondary diagnosis2 of diabetic retinopathy3, cataracts4 and age-related macular degeneration5 for Plymouth Teaching PCT and Devon PCT of residence6, for 2011-12.
| Activity
in English NHS Hospitals and English NHS commissioned activity in the
independent
sector | ||
| 5QQ:
Devon
PCT | 5F1:
Plymouth Teaching
PCT | |
| Diabetic
retinopathy | 69 | 65 |
| Cataracts | 77 | 76 |
| Macular
degeneration | 82 | 81 |
| 1
Finished Consultant Episode
(FCE) A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one health care 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 in which the patient had a (named) primary or secondary diagnosis The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record. 3 Diabetic Retinopathy CD-10 codes used to identify diabetic retinopathy. Each of the following codes must be immediately followed by H36.0 (H36.0 A Diabetic retinopathy): E10.3 D Insulin-dependent diabetes mellitus with ophthalmic complications E11.3 D Non-insulin-dependent diabetes mellitus with ophthalmic complications E12.3 D Malnutrition-related diabetes mellitus with ophthalmic complications E13.3 D Other specified diabetes mellitus with ophthalmic complications E14.3 D Unspecified diabetes mellitus with ophthalmic complications 4 Cataracts ICD-10 codes used to identify cataracts: H25 Senile cataract H26 Other cataract H28.0A Diabetic cataract (must be preceded by one of the following codes E10.3, E11.3, E12.3, E13.3 or E14.3 in order to be included). In order to be included, the following two codes should only appear in a secondary diagnosis position: H28.1A Cataract in other endocrine, nutritional and metabolic diseases H28.2A Cataract in other diseases classified elsewhere Q12.0 Congenital cataract 5 Macular Degeneration It is not possible to identify age-related macular degeneration using HES data. The ICD-10 code used to identify macular degeneration is: H35.3 Degeneration of macula and posterior pole 6 PCT of residence The strategic health authority (SHA) or 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. A change in methodology in 2011-12 resulted in an increase in the number of records where the PCT or SHA of residence was unknown. From 2006-07 to 2010-11 the current PCT and SHA of residence fields were populated from the recorded patient postcode. In order to improve data completeness, if the postcode was unknown the PCT, SHA and country of residence were populated from the PCT/SHA value supplied by the provider. From April 2011-12 onwards if the patient postcode is unknown the PCT, SHA and country of residence are listed as unknown. 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. Health and Social Care Information Centre 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 Episodes Statistics (HES), Health and Social Care Information Centre |
That this House expresses support for the findings of the report The Forgotten Millions: reforming social care services for people living with neurological conditions recently published by the health and social care charity, Sue Ryder; further expresses concern that only 10 per cent of the local authorities who responded to the charity's survey have an agreed commissioning strategy for people with neurological conditions, that only five per cent of responding local authorities know how many individuals with any neurological condition they care for and that only six per cent of local authorities categorise all specific neurological conditions; and supports the recommendations made by the charity that in order for the problems highlighted by the report to be addressed there is a need for strong leadership at a national and local level, that robust data collection must take place, that the postcode lottery of service provision must end and that the nationally-recognised standards of care and support for people with neurological conditons must be introduced.
That this House expresses support for the findings of the report The Forgotten Millions: reforming social care services for people living with neurological conditions recently published by the health and social care charity, Sue Ryder; further expresses concern that only 10 per cent of the local authorities who responded to...
On 30 October, my right hon. Friend the Secretary of State asked DEFRA’s chief scientific adviser to convene an independent expert taskforce on tree health and plant biosecurity to review the current arrangements and make recommendations to address long-term tree and plant disease risk. Today, the taskforce published its interim report and made a number of recommendations on measures to address the increasing threat to the health of our plants and trees. They included strengthening our approach to risk assessment, improving biosecurity and clarifying governance.
On 30 October, my right hon. Friend the Secretary of State asked DEFRA’s chief scientific adviser to convene an independent expert taskforce on tree health and plant biosecurity to review the current arrangements and make recommendations to address long-term tree and plant disease risk. Today, the taskforce published its interim report and made a number of recommendations on measures to address the increasing threat to the health of our plants and trees. They included strengthening our approach to risk assessment, improving biosecurity and clarifying governance.
Given the growing incidence of plant disease across the globe and the increasingly global nature of trade, what plans does the Minister have to address the long-term threat of disease to our plants and trees?
Given the growing incidence of plant disease across the globe and the increasingly global nature of trade, what plans does the Minister have to address the long-term threat of disease to our plants and trees?
Given the growing incidence of plant disease across the globe and the increasingly global nature of trade, what plans does the Minister have to address the long-term threat of disease to our plants and trees?
On 30 October, my right hon. Friend the Secretary of State asked DEFRA’s chief scientific adviser to convene an independent expert taskforce on tree health and plant biosecurity to review the current arrangements and make recommendations to address long-term tree and plant disease risk. Today, the taskforce published its interim report and made a number of recommendations on measures to address the increasing threat to the health of our plants and trees. They included strengthening our approach to risk assessment, improving biosecurity and clarifying governance.
That this House welcomes the recommendation by the National Institute for Health and Clinical Excellence for the introduction of further bicycle-hire schemes and recommending cycling and walking for short journeys of less than 20 minutes; notes that an NHS survey published in 2012 found that just over a quarter of all adults in England are obese and around one in seven children; further notes that obesity is a leading factor in the development of type 2 diabetes and that even a modest reduction in weight brings important health benefits, reducing the risk of the condition; and calls on the Departmentfor Transport to evaluate the possibility of further bicycle-hire schemes to encourage more individuals to cycle.
That this House welcomes the recommendation by the National Institute for Health and Clinical Excellence for the introduction of further bicycle-hire schemes and recommending cycling and walking for short journeys of less than 20 minutes; notes that an NHS survey published in 2012 found that just over a quarter of...
To ask the Secretary of State for Environment, Food and Rural Affairs if he has made an assessment of the effects of the conditions under which live animals are transported over significant distances on the risk of transmission and spread of diseases.
[131383]
To ask the Secretary of State for Environment, Food and Rural Affairs if he has made an assessment of the effects of the conditions under which live animals are transported over significant distances on the risk of transmission and spread of diseases.
[131383]
The EU legislation on animal welfare during transport (Council Regulation (EC) 1/2005) acknowledges that the unloading and subsequent reloading of animals could be a source of stress to animals and could also, in certain conditions, lead to the spread of infectious diseases. For this reason the legislation strengthened the conditions under which control posts used for resting livestock have to operate (amending Council Regulation (EC) 1255/97) and introduced detailed journey logs that have to be completed by the transporter at certain stages of the journey.
To ask the Secretary of State for Health how many people were diagnosed with (a) diabetic retinopathy, (b) glaucoma, (c) cataracts and (d) age related macular degeneration in (i) Plymouth and (ii) Devon in 2011.
[130361]
To ask the Secretary of State for Health how many people were diagnosed with (a) diabetic retinopathy, (b) glaucoma, (c) cataracts and (d) age related macular degeneration in (i) Plymouth and (ii) Devon in 2011.
[130361]
Information is not available in the format requested. The following table shows finished consultant episodes (FCEs) with a named primary or secondary diagnosis of diabetic retinopathy, glaucoma, cataracts and macular degeneration for Plymouth Teaching Primary Care Trust (PCT) and Devon PCT of residence for 2011-12.
| Activity
in English NHS Hospitals and English NHS commissioned activity in the
independent
sector | ||
| 5QQ:
Devon
PCT | 5F1:
Plymouth Teaching
PCT | |
| Diabetic
retinopathy | 1,255 | 484 |
| Glaucoma | 2,975 | 858 |
| Cataracts | 7,765 | 2,110 |
| Macular
degeneration | 2,606 | 870 |
| Notes: 1. Finished Consultant Episode (FCE) A finished consultant episode (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 in which the patient had a (named) primary or secondary diagnosis The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record. 3. Diabetic Retinopathy CD-10 codes used to identify diabetic retinopathy. Each of the following codes must be immediately followed by H36.0 (H36.0 A Diabetic retinopathy): E10.3 D Insulin-dependent diabetes mellitus with ophthalmic complications E11.3 D Non-insulin-dependent diabetes mellitus with ophthalmic complications E12.3 D Malnutrition-related diabetes mellitus with ophthalmic complications E13.3 D Other specified diabetes mellitus with ophthalmic complications E14.3 D Unspecified diabetes mellitus with ophthalmic complications Additional Information: In 2009-10, the National Diabetes Audit reported a Diabetic Retinopathy Treatment prevalence rate of 0.42% against the 1,929,985 registrations received from primary and secondary care. Participation in the National Diabetes Audit (NDA), which audits diabetes registrations in primary and secondary care, is not mandatory ie the NDA does not have 100% coverage or participation. In 2009-10 the Quality Outcomes Framework (QOF) had 2,338,813 registered diabetics, QOF data only contains patients aged 17 years and over with diabetes mellitus and does not contain the clinical information needed to answer this PQ. 4. Glaucoma ICD-10 codes used to identify glaucoma: H40.—Glaucoma Q15.0 Congenital glaucoma H40.2 Primary angle-closure glaucoma H40.1 Primary open-angle glaucoma In order to be included, the following set of codes must be immediately followed by H42.8 (Glaucoma in other diseases classified elsewhere) A18.5D Tuberculosis of eye A52.7D Other symptomatic late syphilis B73.XD Onchocerciasis Q13.1D Absence of iris In order to be included, the following set of codes must be immediately followed by H42.0 (Glaucoma in endocrine, nutritional and metabolic diseases) E34.9D Endocrine disorder, unspecified E72.0D Disorders of amino-acid transport E85.—D Amyloidosis E88.9D Metabolic disorder, unspecified 5. Cataracts ICD-10 codes used to identify cataracts: H25.—Senile cataract H26.—Other cataract H28.0A Diabetic cataract (must be preceded by one of the following codes E10.3, E11.3, E12.3, E13.3 or E14.3 in order to be included). In order to be included, the following two codes should only appear in a secondary diagnosis position: H28.1A Cataract in other endocrine, nutritional and metabolic diseases H28.2A Cataract in other diseases classified elsewhere 6. Macular Degeneration It is not possible to identify age-related macular degeneration using HES data. The ICD-10 code used to identify macular degeneration is: H35.3 Degeneration of macula and posterior pole 7. PCT of residence The 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 strategic health authority/PCT for treatment. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre |
My Lords, I have taken the perhaps slightly unusual step of a Take Note debate on a negative instrument not because I oppose it—otherwise it would not be a take note debate; I want to make it extremely clear that we do not oppose this order—but because, when I read...
My Lords, I have taken the perhaps slightly unusual step of a Take Note debate on a negative instrument not because I oppose it—otherwise it would not be a take note debate; I want to make it extremely clear that we do not oppose this order—but because, when I read...
I cannot guarantee to do it quickly enough that I would be comfortable.
I cannot guarantee to do it quickly enough that I would be comfortable.
Thank you. When the Division Bell rang I had read out the end of the rapid risk assessment published by Forestry Research on 9 August 2012 and referred to paragraph 3.1 of the Explanatory Memorandum, which says,
“Such legislation would have been based on poor technical evidence (in the absence of...
Thank you. When the Division Bell rang I had read out the end of the rapid risk assessment published by Forestry Research on 9 August 2012 and referred to paragraph 3.1 of the Explanatory Memorandum, which says,
“Such legislation would have been based on poor technical evidence (in the absence of...
My Lords, I thank the noble Lord, Lord Knight of Weymouth, for raising this topic, which is very pertinent and of much interest in the country as a whole. I declare my interest as an owner of sundry ash trees and bits of woodland in Scotland.
I have two questions in...
My Lords, I thank the noble Lord, Lord Knight of Weymouth, for raising this topic, which is very pertinent and of much interest in the country as a whole. I declare my interest as an owner of sundry ash trees and bits of woodland in Scotland.
I have two questions in...
My Lords, I add my thanks to the noble Lord, Lord Knight, for raising this issue. Given his extensive questions, I will limit mine to one and a half. Many of us in this Room did of course have the opportunity three weeks ago to debate the important issue of...
My Lords, I add my thanks to the noble Lord, Lord Knight, for raising this issue. Given his extensive questions, I will limit mine to one and a half. Many of us in this Room did of course have the opportunity three weeks ago to debate the important issue of...
My Lords, I would like to apologise to the noble Lord, Lord Knight, that I was not here for the first few minutes of his opening remarks. I also declare an interest in that I am yet another woodland owner from Scotland. I would like to ask two questions. First,...
My Lords, I would like to apologise to the noble Lord, Lord Knight, that I was not here for the first few minutes of his opening remarks. I also declare an interest in that I am yet another woodland owner from Scotland. I would like to ask two questions. First,...
I thank my noble friend for initiating a debate on this order. He has made an expansive analysis of the situation. I also praise the Parliamentary Office of Science and Technology on its very interesting exposition yesterday in the other place about the disease. Two points came out of that...
I thank my noble friend for initiating a debate on this order. He has made an expansive analysis of the situation. I also praise the Parliamentary Office of Science and Technology on its very interesting exposition yesterday in the other place about the disease. Two points came out of that...