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Tag: 2015

  • Andrew Stephenson – 2015 Parliamentary Question to the Department of Health

    Andrew Stephenson – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Andrew Stephenson on 2015-09-16.

    To ask the Secretary of State for Health, how many cases of sepsis there were in (a) East Lancashire, (b) the North West and (c) England in each of the last three years.

    Ben Gummer

    Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for East Lancashire Clinical Commissioning Group (CCG) of Residence, North West Government Office Region of Residence, and England for years 2011-12 to 2013-14 are provided below.

    These figures refer only to hospital admissions and are not a count of patients as a patient may have had more than one episode of care within the same year.

    Count of FDEs1 with a primary or secondary diagnosis2 of sepsis3 for East Lancashire CCG of Residence4, North West Government Office Region of Residence5 and England for 2011-12 to 2013 -14. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector

    2011-12

    2012-13

    2013-14

    NHS East Lancashire CCG of residence

    449

    547

    837

    North West England government office region of residence

    13,109

    14,708

    17,221

    England

    101,015

    114,285

    122,822

    Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

    Notes:

    Note that HES include activity ending in the year in question and run from April to March, eg 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

    1. FDE – A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.

    2. Number of episodes in which the patient had a 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 7 prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.

    3. ICD – 10 codes for Sepsis – A02.1 Salmonella sepsis, A20.7 Septicaemic plague. A21.7 Generalized tularaemia, A22.7 Anthrax sepsis. A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis

    A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn

    The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together: A39.1 Waterhouse-Friderichsen syndrome

    E35.1 Disorders of adrenal glands in diseases classified elsewhere

    4. CCG of Residence – The CCG containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.

    5. Government Office Region of Residence – The Government Office Region of residence of the patient. It is derived from the patient’s postcode.

    6. Assessing growth through time (Admitted patient care).

    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. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

  • Craig Mackinlay – 2015 Parliamentary Question to the Department of Health

    Craig Mackinlay – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Craig Mackinlay on 2015-09-16.

    To ask the Secretary of State for Health, if he will undertake an urgent review into the increased use of electroconvulsive therapy (ECT) on people considered incapacitated without their consent; and if he will make an assessment of the potential merits of introducing a ban on the forced use of ECT.

    Alistair Burt

    The use of electroconvulsive therapy (ECT) for patients who are detained for treatment under the Mental Health Act 1983 (the Act) and for all patients under 18 years is governed by section 58A of the Act. If a patient lacks the capacity to consent a second opinion appointed doctor (SOAD) must certify that the patient lacks the capacity to consent and that:

    – the treatment is appropriate;

    – no valid and applicable advance decision has been made by the patient under the Mental Capacity Act 2005 (MCA) refusing the treatment in question;

    – no suitably authorised attorney or deputy objects to the treatment on the patients behalf; and

    – the treatment would not conflict with a decision of the Court of Protection which prevents the treatment being given.

    The numbers of these second opinions involving ECT have been declining for the past decade though there has been an increase since 2012/13. It is not clear whether this is a change in overall trend.

    The requirements of section 58A can only be overridden in emergency if the treatment is necessary to save the patient’s life and to prevent a serious deterioration of the patient’s condition, and the treatment does not have unfavourable physical or psychological consequences which cannot be reversed.

  • David Burrowes – 2015 Parliamentary Question to the Home Office

    David Burrowes – 2015 Parliamentary Question to the Home Office

    The below Parliamentary question was asked by David Burrowes on 2015-09-16.

    To ask the Secretary of State for the Home Department, with reference to the contribution of the Minister for Policing, Crime and Criminal Justice in the Second Delegated Legislation Committee on the Misuse of Drugs Act 1971 (Temporary Class Drug) (No. 2) Order 2015 on 14 September 2015, whether the family impact test will be included in all future impact assessments.

    Mr John Hayes

    As part of the policy development process Home Office officials are expected to consider the published Family Test guidance when assessing the impacts of the Department’s policies. In accordance with this guidance, the Family Test will be applied for all future orders seeking to control drugs that are dangerous or otherwise harmful when misused, where there are tangible impacts on families and it is proportionate to do so.

  • Edward Garnier – 2015 Parliamentary Question to the Ministry of Justice

    Edward Garnier – 2015 Parliamentary Question to the Ministry of Justice

    The below Parliamentary question was asked by Edward Garnier on 2015-09-16.

    To ask the Secretary of State for Justice, what representations he has received on the continuance of the criminal courts; and if he will make a statement.

    Andrew Selous

    I have received clarification that the Honourable and Learned member was referring to the Criminal Courts Charge

    To date my department has received representations from the magistracy, defence practitioners, the Law Society and the Bar Council

    It is important that this change, which has been approved by Parliament to make sure our justice system is fair and that those who offend pay their way, is given time to bed in. This will allow us to form an appropriate view. The government will be reviewing the provisions in due course.

  • Lord West of Spithead – 2015 Parliamentary Question to the Ministry of Defence

    Lord West of Spithead – 2015 Parliamentary Question to the Ministry of Defence

    The below Parliamentary question was asked by Lord West of Spithead on 2015-02-11.

    To ask Her Majesty’s Government how many nuclear attack submarines were employed in the hunt for a suspected Russian submarine to the west of the United Kingdom this year.

    Lord Astor of Hever

    We do not discuss the detail of maritime operations as this would, or would be likely to, prejudice the capability, effectiveness or security of the Armed Forces.

  • Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    The below Parliamentary question was asked by Lord Green of Deddington on 2015-02-11.

    To ask Her Majesty’s Government what proportion of the increase in successive censuses since 1961 in the number of households in England and Wales they consider to be due to increases in population.

    Lord Wallace of Saltaire

    The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply and attached a copy of the response.

  • Mark Williams – 2015 Parliamentary Question to the Department for Business, Innovation and Skills

    Mark Williams – 2015 Parliamentary Question to the Department for Business, Innovation and Skills

    The below Parliamentary question was asked by Mark Williams on 2015-02-11.

    To ask the Secretary of State for Business, Innovation and Skills, what assessment he has made of the declaration by the African Union that the Crans Montana Forum in Dakhla, occupied Western Sahara, should be cancelled.

    Matthew Hancock

    My right hon. Friend the Secretary of State for Business, Innovation and Skills has received and declined an invitation to this forum and my Department does not plan to send a representative. We are aware of reports that the African Union has called for the forum to be cancelled but we do not intend to make any assessment.

  • Paul Flynn – 2015 Parliamentary Question to the HM Treasury

    Paul Flynn – 2015 Parliamentary Question to the HM Treasury

    The below Parliamentary question was asked by Paul Flynn on 2015-02-11.

    To ask Mr Chancellor of the Exchequer, if he will bring forward legislative proposals to permit publication of data by banks in the UK on the aggregate bank holdings of residents in other jurisdictions using the structure developed by the Bank for International Settlements for banking data collection.

    Mr David Gauke

    UK Banks are already subject to extensive disclosure requirements which have been substantially strengthened under this Government.

  • Ian Lavery – 2015 Parliamentary Question to the Department for Energy and Climate Change

    Ian Lavery – 2015 Parliamentary Question to the Department for Energy and Climate Change

    The below Parliamentary question was asked by Ian Lavery on 2015-02-11.

    To ask the Secretary of State for Energy and Climate Change, whether any former officials of his Department have taken employment with Rio Tinto plc in the last five years.

    Amber Rudd

    Our Business Appointments register shows that no former civil servant has taken employment with Rio Tinto plc immediately after leaving the Department of Energy & Climate Change.

  • Virendra Sharma – 2015 Parliamentary Question to the Department of Health

    Virendra Sharma – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Virendra Sharma on 2015-02-11.

    To ask the Secretary of State for Health, pursuant to the Answer of 10 Febraury 2015 to Question 223094, what assessment he has made of the implications for his policies of the findings by the Pernicious Anaemia Society members’ survey, published in the British Journal of Nursing in April 2014, that over 60 per cent of people with pernicious anaemia are unhappy with their treatment and that many such people self-medicate to reduce their pain; and if he will consider the potential merits of revising the relevant guidelines to recommend more regular treatment.

    Norman Lamb

    The treatment of pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, is well established and reported in the British Committee for Standards in Haematology (BCSH) document, Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders, which was updated in May 2014. The BCSH operates independently of the Department and NHS England.

    Current clinical practice within the United Kingdom is to treat pernicious anaemia with Vitamin B12 intramuscular injections. The BCSH produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. The guidelines can be found via the BCSH website at the following link:

    www.bcshguidelines.com

    Any patient with pernicious anaemia who has concerns about their treatment should discuss this matter with their general practitioner.

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