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Nursing Homes

Mr. Burstow: To ask the Secretary of State for Health (1) if he will set out the timetable for commencement of section 49 of the Health and Social Care Act 2001 for each group affected by the provision; [4924]

Jacqui Smith: I refer the hon. Member to the reply I gave my hon. Friend the Member for Stafford (Mr. Kidney) on 17 July 2001, Official Report, columns 113–14W.

Anti-psychotic Medication

Mr. Burstow: To ask the Secretary of State for Health, pursuant to his answer of 11 July 2001, Official Report, on anti-psychotic medication, what work his Department has undertaken to explain the trend in prescribing; what were the key findings; and if he will set out prescription numbers (a) by region and (b) by ages (i) under 16, (ii) 16 to 25, (iii) 26 to 35, (iv) 36 to 45, (v) 46 to 55, (vi) 56 to 65, (vii) 66 to 75 and (viii) over 75. [5292]

Jacqui Smith: The National Institute for Clinical Excellence (NICE) is expected to issue guidance on the use of these drugs in December.

19 Jul 2001 : Column: 443W

The two tables show:



We do not hold prescribing information on the age breakdown asked for.

Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000

Thousand
Health authority19992000
Avon13.421.7
Barking and Havering5.18.0
Barnet6.910.1
Barnsley2.64.1
Bedfordshire4.710.3
Berkshire11.216.2
Bexley and Greenwich5.78.1
Birmingham16.725.3
Bradford6.810.5
Brent and Harrow8.712.6
Bromley4.86.6
Buckinghamshire9.414.7
Bury and Rochdale6.49.6
Calderdale and Kirklees8.514.3
Cambridgeshire8.613.2
Camden and Islington8.211.4
Cornwall and Isles Of Scilly6.28.5
County Durham and Darlington8.513.7
Coventry7.812.0
Croydon7.510.9
Doncaster4.05.0
Dorset10.313.8
Dudley3.14.3
Ealing, Hammersmith and Hounslow10.715.6
East and North Hertfordshire6.810.3
East Kent12.016.5
East Lancashire9.313.9
East London and The City12.417.4
East Riding and Hull10.114.5
East Surrey5.87.3
East Sussex, Brighton and Hove15.522.0
Enfield and Haringey8.613.2
Gateshead and South Tyneside6.58.9
Gloucestershire5.48.3
Herefordshire1.32.1
Hillingdon2.53.5
Isle Of Wight3.34.9
Kensington and Chelsea and Westminster7.611.1
Kingston and Richmond5.48.4
Lambeth, Southwark and Lewisham15.722.8
Leeds17.123.5
Leicestershire11.616.8
Lincolnshire6.510.2
Liverpool12.818.1
Manchester12.718.7
Merton, Sutton and Wandsworth12.918.4
Morecambe Bay6.29.1
Newcastle and North Tyneside15.621.6
Norfolk9.115.5
North and East Devon9.112.8
North and Mid Hampshire10.214.2
North Cheshire3.85.6
North Cumbria5.98.9
North Derbyshire3.95.8
North Essex12.919.0
North Nottinghamshire4.25.6
North Staffordshire5.27.9
North West Lancashire7.514.5
North Yorkshire7.812.6
Northamptonshire8.610.8
Northumberland6.07.6
Nottingham2.73.1
Oxfordshire9.514.5
Portsmouth and South East Hampshire8.612.7
Redbridge and Waltham Forest8.111.7
Rotherham5.17.1
Salford and Trafford9.013.8
Sandwell4.54.7
Sefton6.010.5
Sheffield5.57.1
Shropshire6.39.2
Solihull3.24.0
Somerset4.58.3
South and West Devon9.817.4
South Cheshire11.317.9
South Essex9.313.8
South Humber4.55.9
South Lancashire4.07.0
South Staffordshire5.99.5
Southampton and South West Hampshire9.717.2
Southern Derbyshire4.16.1
St Helens and Knowsley6.210.9
Stockport5.88.9
Suffolk6.711.4
Sunderland5.26.7
Tees7.812.6
Wakefield6.19.1
Walsall4.85.7
Warwickshire8.111.8
West Hertfordshire8.412.1
West Kent12.821.4
West Pennine6.98.8
West Surrey8.013.1
West Sussex11.216.6
Wigan and Bolton10.216.0
Wiltshire10.314.1
Wirral9.213.6
Wolverhampton5.15.5
Worcestershire4.87.0
England772.61,149.4

Notes:

1. The prescription information is from the Prescription Cost Analysis (PCA) system and is based on a full analysis of all prescriptions dispensed in the community, i.e. by community pharmacists and appliance contractors, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered in England. Also included are prescriptions written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The information shows the number of prescription items dispensed in each health authority. The data do not cover drugs dispensed in hospital or private prescriptions.

2. Atypical anti-psychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs, and cover the drugs Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine,


19 Jul 2001 : Column: 444W

Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs by broad age group 1999 and 2000

19992000
Prescription items dispensed by community pharmacists and appliance contractors only (thousands)
Children aged 0–15 years6.59.7
Elderly people aged 60 and over252.7428.8
Aged 16 to 59 years(43)405.4555.1
Aged 16 to 59 years(44),(45)81.5117.4
Prescription items dispensed by dispensing doctors and items personally administered (thousands)
All ages26.538.4
All prescription items dispensed in the community
All ages772.61,149.4

(43) Exempt

(44) Charged

(45) Includes prepayments

Notes:

1. The age related information is based on an analysis of those not required to pay a charge indicated by the categories completed on the back of the prescription form. This is based on a 1 in 20 sample of all prescription items submitted to the Prescription Pricing Authority by community pharmacists and appliance contractors only. Dispensing doctor prescriptions were not analysed into categories for 1999 and most of 2000. Personally administered items are free of charge.

2. Atypical anti-psychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs, and cover the drugs Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine.


19 Jul 2001 : Column: 445W

Community-based Services

Mr. Frank Field: To ask the Secretary of State for Health what proportion of people aged 65 years and over receive community-based services. [5218]

Jacqui Smith: As at 31 March 2000 (the latest date for which data are available), an average of 8.5 per cent. of people in England aged 65 years and over were in receipt of community-based social services provided or commissioned by local authorities.

In 1999–2000, the latest year for which information is available, it is estimated that 21 per cent. of people aged 65 and over were receiving care from the district nursing service, 2 per cent. from health visitors and 2 per cent. from the community psychiatric nursing service. Contact with the community learning disability service for this age group was negligible. We do not hold data centrally on the proportion of people aged 65 and over who receive primary care-based services.

Nursing and Residential Care

Mr. Goodman: To ask the Secretary of State for Health how many nursing and residential care (a) homes and (b) beds have closed in Buckingham in each year since 1997. [5637]

Jacqui Smith: The number of residential and nursing care establishment closures in 1999 and 2000, together with number of new registrations, are shown in the table. Information is not available centrally on the number of beds associated with closures or new registrations.

Number of care home establishment closures and new home registrations in Buckinghamshire. Year ending 31 March

19992000
Number of establishment closures
Residential(46)55
Nursing(47)(48)3
Number of new registrations
Residential(46)1010
Nursing(47)(48)2

(46) Buckinghamshire county council and Milton Keynes council

(47) Buckinghamshire health authority

(48) Not available

Source:

Registration and Inspection Survey


19 Jul 2001 : Column: 446W

David Maclean: To ask the Secretary of State for Health how many nursing and residential care (a) homes and (b) beds have closed in Cumbria in each year since 1997. [5764]

Jacqui Smith: The number of residential and nursing care establishment closures in 1999 and 2000, together with number of new registrations, are shown in the table. Information is not available centrally on the number of beds associated with closures or new registrations.

Number of care home establishment closures and new home registrations in Cumbria. Year ending 31 March

19992000
Number of establishment closures
Residential(49)1911
Nursing(50)22
Number of new registrations
Residential(49)158
Nursing(50)00

(49) Cumbria county council

(50) North Cumbria and Morecambe Bay health authorities

Source:

Registration and Inspection Survey



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