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Macular Degeneration

Mr. Alan Simpson: To ask the Secretary of State for Health which NHS trusts provide treatment and which health authorities have purchased treatment for individual patients (a) inside and (b) outside their own area, for macular degeneration. [19416]

Jacqui Smith: In 2000–01, there were 3,317 in-patient episodes in England with a primary diagnosis concerning age-related macular degeneration (AMD). The hospital trusts that provided the treatment are given in list 1, the health authorities that purchased treatment from within their own area in list 2, and those that purchased treatment from outside their area in list 3. An appraisal of the use of photodynamic therapy in the treatment of AMD, which is being conducted by the National Institute for Clinical Excellence (NICE), should be completed in July 2002 provided there are no appeals. NICE's guidance will provide for a consistent approach to the purchasing of the treatment.

List 1—Finished consultant episodes (FCEs) for primary diagnosis "Degeneration of macula and posterior pole" (ICD10 code H35.3), by hospital trust, NHS trusts in England, 2000–01

RP6Moorfields Eye hospital329
RL4Royal Wolverhampton hospital293
RQ6Royal Liverpool and Broadgreen hospitals153
RR8Leeds Teaching hospitals130
RBUCentral Manchester healthcare120
REUBurnley healthcare115
RLZRoyal Shrewsbury hospitals106
RTXMorecambe Bay hospitals92
RLWCity hospital90
RJYWigan and Leigh health84
RHMSouthampton University hospitals79
RGUBrighton healthcare74
REFRoyal Cornwall hospitals and west Cornwall72
RKCWarrington hospital70
RLNCity hospitals Sunderland64
RJ5St. Mary's hospital63
REZRochdale healthcare52
RDZRoyal Bournemouth and Christchurch50
RVYSouthport and Ormskirk hospital48
RA5East Gloucestershire NHS trust47
RFKQueen's Medical Centre, Nottingham University45
RA7United Bristol healthcare44
RE7West Cumbria healthcare44
RM1Norfolk and Norwich healthcare44
RMRBlackpool Victoria44
RCBYork health services42
RTHOxford Radcliffe hospital41
RMFPreston Acute hospitals34
RJENorth Staffordshire hospital centre33
RCXKings Lynn and Wisbech hospitals32
RTGSouthern Derbyshire Acute hospitals31
RDFForest healthcare30
RPLWorthing and Southlands hospitals30
RWEUniversity hospitals of Leicester30
RMBBlackburn, Hyndburn and Ribble Valley27
RNTStoke Mandeville hospital27
RCCScarborough and north-east Yorkshire26
REMAintree hospitals26
RBNSt. Helens and Knowsley hospital25
RTDNewcastle upon Tyne hospitals25
RTKAshford and St. Peters25
RGQIpswich hospital23
RD1Royal United hospitals Bath22
RA9South Devon healthcare21
RJ1Guy's and St. Thomas' hospital21
RCVCentral Sheffield University hospitals19
RCJSouth Tees Acute hospitals18
RWAHull and east Yorkshire hospitals18
RWPWorcestershire Acute hospitals18
RJZKing's healthcare16
RAEBradford Hospitals NHS trust15
RMCBolton hospitals15
RJ7St. George's healthcare14
RTASouth Durham healthcare14
RDEEssex Rivers healthcare11
RN3Swindon and Marlborough11
RWFMaidstone and Tunbridge Wells11
RAJSouthend hospital10
RBATaunton and Somerset NHS trust10
RH8Royal Devon and Exeter10
RKBWalsgrave hospitals10
RDUFrimley Park hospital9
RTPSurrey and Sussex healthcare9
RAGDoncaster Royal Infirmary and Montagu hospital7
RBLWirral hospital7
RGBHuddersfield healthcare services7
RGNPeterborough hospitals7
RK9Plymouth hospitals6
Other trusts (inc. unknown and foreign)73

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Of the 3,317 cases with this diagnosis, 1,907 (57 per cent.) were treated within the health authority of residence.

List 2—the following HAs have purchased treatment from trusts within their own area; the majority of these have also purchased treatment from outside their area:

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12 Dec 2001 : Column: 934W

University of Leicester Hospitals Trust

Mr. Vaz: To ask the Secretary of State for Health how many accidents were reported by patients while they were on the premises of hospitals in the University of Leicester Hospitals Trust in the last 12 months. [20260]

Jacqui Smith: The number of statutory reportable "incidents" is collected under Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995. This covers reportable infectious diseases, and accidents that result in more than three days absence from work, deaths in the workplace for example.

The number of RIDDOR incidents recorded at University Hospitals of Leicester National Health Service Trust (UHL) in 2000–01 was 89—the latest year for which figures are available. This figure includes both patient and staff incidents.

In terms of public liability claims against UHL, under the NHS Litigation Authority's "Non-Clinical Pooling Scheme", the total number of accidents reported by patients and visitors over the last 12 months was 20.

Delayed Discharges

Dr. Fox: To ask the Secretary of State for Health what the average delay for patients with delayed discharges has been in each quarter since 1996. [20862]

Jacqui Smith: No information was collected centrally about the length of delay for patients with delayed discharge until the first quarter of 2001–02. In the first two quarters of 2001–02, the breakdown of lengths of delay is shown in the table.


Less than eight days26
Between eight and 14 days18
Between 14 and 28 days20
More than 28 days36

12 Dec 2001 : Column: 935W

Renal National Service Framework

Dr. Fox: To ask the Secretary of State for Health what measurements of capacity he used when deciding on the feasibility of introducing a Renal National Service Framework. [20864]

Jacqui Smith: The Renal National Service Framework was announced on 27 February 2001. An external reference group led by Professor Robert Wilkinson and announced on 14 September 2001, will develop proposals for modernising services and improving patient care over a 10 year period in planned stages. The programme will build on the already agreed and funded targets for expanding kidney dialysis set out in the NHS Plan, and increased transplantation rates agreed with, and funded through, United Kingdom Transplant.

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