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Wessex Neurological Centre

Mr. Butterfill: To ask the Secretary of State for Health what action he will take to restore operations on the neurosurgical lists of the Wessex Neurological Centre; and if he will make a statement. [54030]

Ms Blears [holding answer 2 May 2002]: A clinical governance review by Southampton University Hospitals NHS trust identified the need to strengthen senior anaesthetic cover in the neurosciences intensive care unit at the Wessex Neurological Centre. In the short term this could only be achieved by redeploying anaesthetists from the neuro-operating theatres. This necessitated a temporary reduction in operating time. From 15 April only emergency surgery and urgent cases from the waiting list have been treated. The trust envisages that a full service will resume on 13 May.

The trust is taking action to recruit additional anaesthetists.

Anthrax Vaccine

Dr. Gibson: To ask the Secretary of State for Health what facilities are available in the United Kingdom for anthrax vaccine production; and if it is produced by biotechnological methodologies. [53900]

Mr. Hutton [holding answer 2 May 2002]: Anthrax vaccine in the United Kingdom is produced at the Centre for Applied Microbiology and Research at Porton Down.

It is produced from the vaccine strain of Bacillus anthracis (known as the Sterne strain) using biotechnological methods, but is not a recombinant product.

Coronary Care

Mr. Gale: To ask the Secretary of State for Health how many patients who received a bare stent in a percutaneous coronary intervention were readmitted for a repeat re-stent or coronary bypass grafting procedure in the last five years for which figures are available; and what estimate he has made of the total cost to the NHS of such readmissions. [54349]

Yvette Cooper [holding answer 7 May 2002]: The Department does not collect the data relating to the number of patients who received a bare stent in a percutaneous coronary intervention and were later readmitted for a repeat re-stent or coronary bypass graft. It is not possible, therefore, to estimate the cost to the national health service of such readmissions.

Mr. Gale: To ask the Secretary of State for Health if readmission procedures for in-stent restenosis are recorded as separate patient episodes. [54350]

Yvette Cooper [holding answer 7 May 2002]: I can confirm that readmission for in-stent restenosis are recorded as separate patient episodes.

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Heart Bypass Operations

Tim Loughton: To ask the Secretary of State for Health how many heart bypass operations have been carried out in the NHS in each of the last 10 years. [53283]

Yvette Cooper [holding answer 29 April 2002]: Patients who need revascularisation may be treated by angioplasty (PTCA) a non-surgical intervention to open arteries that have become blocked, or by coronary artery bypass graft (CABG), a surgical procedure which bypasses blocked arteries. As the technology has improved angioplasty has become the appropriate treatment for an increasing proportion of patients. A table providing data on the number of finished consultant episodes for angioplasty and coronary artery bypass in England for the last 10 years has been placed in the Library.

Information about operations undertaken in Wales, Scotland and Northern Ireland is a matter for the devolved Administrations.


Mr. David Stewart: To ask the Secretary of State for Health (1) what projections were provided by his Department to the Wanless Review Team for (a) the prevalence of diabetes in the years to 2010–11 and (b) the reduction in the number of people with undiagnosed diabetes by 2010–11; [54653]

Jacqui Smith: During the early years of implementation of the diabetes national service framework (NSF) we would expect the majority of available resources to be directed towards improvements in treatment for those people with diabetes who have not received systematic high quality treatment in the past. In subsequent years, the cost of implementing the NSF is likely to be increasingly attributable to the rising prevalence of diabetes and the maintenance of a high quality of care across the patient population.

Optimal blood glucose control and tight blood pressure control are two key interventions in the diabetes NSF. Evidence indicates that these interventions may reduce the rate of certain complications of diabetes, including renal failure and heart attack, which might therefore lead to reduced expenditure on coronary heart disease and renal disease.

The Department provided the following prevalence projections to the Wanless review team for diabetes in England for the years up to 2011:

YearDiagnosed prevalenceTotal patients (million)

8 May 2002 : Column 267W

Additionally, officials undertook some sensitivity analysis on the prevalence rates for the Wanless team that focused on different scenarios regarding the size and integration of the undiagnosed diabetes population into the system.

The Wanless report has informed decisions about the overall level of funding that the national health service has received. The Budget provides the highest sustained growth in NHS history, with annual average increases of 7.4 per cent. a year in real terms over the five years 2003–04 to 2007–08. Decisions about the allocation of the increased funding will be announced later this year.

Renal Failure

Mr. David Stewart: To ask the Secretary of State for Health if he will make a statement on the principal causes for the increase in end stage renal failure in the last five years. the Minister of State, Department of Health. [54652]

Jacqui Smith: There is a world-wide increase in end stage renal failure, although the number of new patients in England still falls behind other European countries. The principal causes of end stage renal failure include diabetes and hypertension, and the effects of increasing age. As the incidence of diabetes and hypertension (which are both major risk factors) increase so does the number of people who develop renal complications. People with diabetes make up 16 per cent. of all new patients with end stage renal failure. Additionally people from ethnic minority groups are at greater risk of developing the disease and the number of patients being treated in these groups is rising as the ethnic population ages.

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Warrington Primary Care Trust

Helen Jones: To ask the Secretary of State for Health how many applications were received for the post of Chairman of Warrington PCT from (a) Warrington, North constituency and (b) Warrington, South constituency; and what percentage of applicants from each constituency were interviewed. [54227]

Jacqui Smith [holding answer 7 May 2002]: Ten applications were received, four of which were from candidates living in Warrington, North and six living in Warrington, South. All of the three candidates interviewed lived in Warrington, South.


Mrs. May: To ask the Secretary of State for Health what recent representations he has received from local authorities on the funding of the ambulance services; and if he will make a statement. [54441]

Ms Blears [holding answer 7 May 2002]: The Department is not aware of any representations that have been made by local authorities on the funding of the ambulance service.

Building Projects

Jane Griffiths: To ask the Secretary of State for Health if he will list the building projects under construction; and what coolant will be used for the building services water chilling system for such projects. [52052]

Ms Blears: A list of building schemes currently under construction and with a total cost of over £2.5 million, including VAT, is given in the table. Information on the coolant used in building services chilled water systems is not collected centrally. However, all refrigerants used in chilled water systems should comply with EC Regulation EC 2037–2000 which came into force on 1 October 2000. The NHS Estates Model Engineering Specification Rev 3 November 1997, MES C10 Refrigerant Plant—General advises the use of refrigerant R134a or 407c and its associated blends, which are ozone friendly.

NHS trust name Scheme description
University College London HospitalsAcute rationalisation
The Dudley Group of HospitalsNew DGH
South Tees Acute HospitalsSingle site development/centralisation of acute hospital services
Bromley HospitalsNew DGH
Swindon and MarlboroughNew DGH for Swindon
Guy's and St Thomas' HospitalReconfiguration of services
Royal Berkshire and Battle HospitalsConsolidation project
King's HealthcareNew block
West Middlesex University HospitalAcute rationalisation
St George's HospitalNeurol Cardiac Unit
South Durham Health CareRedevelopment of Bishop Auckland General Hospital
Leeds Community and MH Services TeachingReprovision of mental health services, High Royds
Royal United Hospital BathRoyal United Hospital Bath redevelopment
Blackpool Victoria HospitalBlackpool Victoria Hospital—Phase 5
Berkshire HealthcareProspect Park mental health redevelopment
Northumbria Health CareRedevelopment of Hexham General Hospital
Wrightington, Wigan and LeighRoyal Albert Edward Infirmary, Phase 4
Basildon and Thurrock General HospitalsCentralisation of acute services
Barnet PCTEdgware Community Hospital
Bury HealthcareFairfield reprovision
Mayday HealthcareNew ward block and day surgery unit
Hull and East Yorkshire HospitalsMaternity and acute development, Hull Royal Infirmary
Isle of Wight HealthcareDevelopment at St. Mary's, IOW
Southampton University HospitalsSouthampton General—cancer care relocation
Northumbria Health CarePhase II Development of Wansbeck GH
Newcastle upon Tyne HospitalsNewcastle strategic review
Surrey Hampshire BordersFarnham Community Resource Centre
West London Mental HealthCharing Cross Mental Health Unit
West London Mental HealthSecurity Fencing at Broadmoor
Royston Buntingford and Bishop's Stortford PCTHerts and Essex Hospital
Luton and Dunstable HospitalsSt. Mary's Wing
Northern Lincolnshire and Goole HospitalsWomen's and Children's and Day Surgery Units
United Lincolnshire Hospitals NHS TrustFaçade renovation at Pilgrim Hospital
Barnet, Enfield and Haringey Mental HealthEnfield Community Medium Secure Unit
The Royal Wolverhampton HospitalsRadiology Unit
East London and the City Mental HealthMental health reprovision
North Staffordshire HospitalCritical Care/UGMS
Nottinghamshire HealthcareNew entry building at Rampton Hospital
Thames GatewaySheppey Community Hospital
Cornwall HealthcareBodmin Hospital
Bromley HospitalsManaged Equipment Service
Central Manchester and Manchester Children's University HospitalClinical Science extension
Greenwich HealthcareManaged Equipment Service
Hull and East Yorkshire HospitalsHull Royal Infirmary—maternity and acute development
Leicester and Rutland HealthcareLoughborough Hospital Phase II
Birmingham Heartlands and SolihullMedical wards development—Phase 2
Nottingham City HospitalStaff residences
Parkside HealthcareKingsbury Hospital Learning Disabilities Reprovision
West London Mental HealthSports and Visitors Centre at Broadmoor
North Durham HealthcareRedevelopment of Shotley Bridge Hospital to Community Hospital
Cornwall HealthcareLiskeard Community Hospital
Newcastle-upon-Tyne HospitalsReplacement of existing energy centre, RVI
South Durham Health CareSedgefield Community Hospital
Queens Medical Centre Nottingham University HospitalA&E modernisation
Wolverhampton HealthcarePenn redevelopment
Princess Alexandra HospitalStaff accommodation
Hammersmith HospitalsCritical Care Unit
Parkside HealthcarePaddington Community Hospital Elderly Continuing Care
Parkside HealthcarePrincess Louise Hospital Elderly Continuing Care
Countess of Chester Hospital NHS TrustDay Case Unit
Mid Devon Primary CareNew Centre for Health, Okehampton
University Hospitals of LeicesterExtensions and alterations to A&E Department
South Downs HealthMill View Hospital Phase 2
Cornwall HealthcareWestern Mental Health, Cambourne and Redruth
Royal Devon and ExeterHaematology Unit
Bexley PCTErith Health Centre
Luton and Dunstable HospitalsOut-patient Department
Local Health PartnershipsMental health unit
Poole HospitalsRefurbishment of operating theatres
Whittington HospitalWhittington Hospital—enabling works
University Hospitals Coventry and WarwickshireWalsgrave Hospital—Radiotherapy Department
Worthing and Southlands HospitalsCatering Service
North West London HospitalsACAD Equipment
Trafford Healthcare NHS TrustRe-development of surgical facilities
Mid-SussexResidential accommodation
West London Mental HealthSecurity scheme at Broadmoor
Royal Orthopaedic HospitalRadiology Department

8 May 2002 : Column 269W

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