Schools: Playing Fields

Kevin Brennan: To ask the Secretary of State for Education on how many occasions his Department has overruled the Schools Playing Fields Advisory Panel since September 2012; and what the reason for each such case was. [174647]

Mr Laws: The Secretary of State for Education, my right hon. Friend the Member for Surrey Heath (Michael Gove), has overruled the Schools Playing Fields Advisory Panel only once since September 2012. This was an application by Warwickshire county council to dispose of land at the former Griff Special School, Nuneaton, Warwickshire. The panel did not object to the actual loss of this unused playing field, but highlighted specifically that any potential proceeds of sale would be lost to sport or educational investment, as the land was to be 'peppercorn' leased to a charitable housing association to provide housing for senior citizens. Acting directly upon the advice of the panel, the Secretary of State made this disposal conditional on Warwickshire county council investing a sum equal to the value of the land into education or sport, from funds not ring-fenced for education. The former school has been closed for eight years and the playing field land has not been used by a local school or the wider community in this time. Sport England did not object to the council's planning application and at consultation there were no objections to the loss of the unused playing field. Details of this decision were published on the Department's website in July.

Sick Leave

David Simpson: To ask the Secretary of State for Education how many staff in his Department (a) were disciplined and (b) had their employment terminated as a result of a poor sickness record in each of the last 12 months. [174630]

Elizabeth Truss: The following table shows the Department for Education's figures for the period 1 October 2012 to 7 November 2013(1):

Month/year(a) Number of staff disciplined(b) Number of staff dismissed due to a poor sickness record

2012

  

October

0

0

November

0

0

December

0

0

   

2013

  

January

Less than 5

0

February

0

0

March

0

0

April

Less than 5

0

May

0

0

June

Less than 5

0

July

0

0

August

0

0

12 Nov 2013 : Column 609W

September

Less than 5

0

October

0

0

November (to 7 November)

0

0

(1) Specific numbers have not been shown on the grounds of confidentiality.

Sign Language

Mr Andrew Smith: To ask the Secretary of State for Education (1) what assessment his Department has made of the relationship between the learning, skills and teaching involved in learning sign language and in learning other languages; [174576]

(2) if he will take steps to include British Sign Language within the modern foreign language group of subjects in the national curriculum. [174577]

Elizabeth Truss: The Department for Education recognises the importance of British Sign Language.

The new national curriculum programmes of study for languages contain a number of requirements that could not be met through British Sign Language, for example at key stage 2 the requirement to describe people, places, things and actions in writing; and at key stage 3 writing prose in the target language.

This does not mean that British Sign Language cannot be a rigorous and challenging subject which schools might choose to teach in addition to foreign languages. The Department is supporting schools that choose to do so by funding the I-Sign project, which aims to improve the skills and qualifications of support workers in schools who help pupils using sign language. The project also provides classes and support to parents, and has developed an online course.

Teachers: Training

Pat Glass: To ask the Secretary of State for Education with reference to the Initial Teacher Training core and School Direct allocations for 2014-15, published by the National College for Teaching and Leadership on 1 November 2013, if he will publish a breakdown of those allocations by (a) the primary and secondary phases and (b) individual secondary subjects; and if he will apportion the School Direct primary and secondary allocations by the salaried and fee paying routes. [174319]

Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teacher training (ITT) providers (school centred ITTs and higher education institutions) to inform them of their ITT allocations. Institutions will confirm the number of places they want in the coming weeks. To help inform applicants' decisions, NCTL will publish a full list of the places allocated by lead school and ITT provider. The published data will also contain a summative breakdown of allocations by phase of education, subject and training route. This data will be published before the end of the month, once schools and providers have had a chance to respond to our proposed allocations.

12 Nov 2013 : Column 610W

Pat Glass: To ask the Secretary of State for Education if he will publish in respect of each accredited initial teacher training provider for 2014-15 (a) the total provisional core primary allocations, (b) the provisional core allocations for each secondary subject, (c) the number of School Direct primary places provisionally linked to each provider and (d) the number of School Direct places by secondary subject provisionally linked to each provider. [174327]

Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teaching training (ITT) providers (school centred ITTs and higher education institutions) to inform them of their ITT allocations. Institutions will confirm the number of places they want in the coming weeks. To help inform applicants' decisions, NCTL will publish a full list of the places allocated by lead school and ITT provider before the end of the month, once schools and providers have had a chance to respond to our proposed allocations. It would be misleading to state precisely which schools and universities received allocations before that time.

Kevin Brennan: To ask the Secretary of State for Education with reference to the provisional teacher training allocations published by his Department on 1 November 2013, how many places from each accredited providers initial teacher training allocations are for (a) each phase, (b) each secondary subject, (c) core provision and (d) School Direct provision. [174808]

Mr Laws: The National College for Teaching and Leadership (NCTL) has written to lead schools and initial teacher training (ITT) providers (school-centred initial teacher training and higher education institutions) to inform them of their ITT allocations. As stated on 1 November, NCTL will publish a full list of the places allocated by lead school and ITT provider in due course, once they have had the opportunity to confirm their allocations. The published data will contain a summative breakdown of allocations by phase of education, subject and training route.

Kevin Brennan: To ask the Secretary of State for Education with reference to the provisional teacher training allocations published by his Department on 1 November 2013, how many places have been allocated to (a) higher education institutions, (b) school-centred initial teacher training, (c) School Direct fee-paying, (d) School Direct salaried, (e) other types of provision, (f) primary phase, (g) secondary phase and (h) each individual secondary subject. [174809]

Mr Laws: Management information published by the Department on 1 November shows the breakdown of provisional allocations by the type of initial teacher training (ITT) programme and academic level(1).

As stated on 1 November, the National College for Teaching and Leadership will publish a full list of the places allocated by lead school and ITT provider in due course, once they have had the opportunity to confirm their allocations. The published data is intended to help inform applicants' decisions and will also contain a summative breakdown of allocations by phase of education, subject and training route.

12 Nov 2013 : Column 611W

(1) Available at:

http://www.education.gov.uk/schools/careers/traininganddevelopment/initial/b00205704/schooldirect?cid=school-direct&type=redirect&pla=201112

Mr Mike Hancock: To ask the Secretary of State for Education what budget the National College for Teaching and Leadership has set for promotion and advertisement of (a) core allocation and (b) School Direct routes for entry in academic year 2014-15. [174891]

Mr Laws: The Department for Education plans to spend around £2.9 million on promotion and advertising to support recruitment to initial teacher training over the next 12 months. This marketing budget is not broken down into core allocation and School Direct routes.

Tristram Hunt: To ask the Secretary of State for Education how many trainees (a) started the School Direct programme in 2012-13 and (b) having started that programme, did not achieve Qualified Teacher Status. [175010]

Mr Laws: 400(1) trainees started a School Direct in programme 2012/13. Outcomes of training, including award of qualified teacher status and employment in teaching within six months of completing training, will be published in the initial teacher training performance profiles in late 2014.

(1 )Numbers are rounded to the nearest 10.

Tristram Hunt: To ask the Secretary of State for Education whether he plans to apply automatic penalties for under-recruitment to School Direct places in the present academic year. [175011]

Mr Laws: The School Direct allocations methodology for 2014/15 initial teacher training allocations was published in July 2013(1).

(1)https://www.gov.uk/government/publications/school-direct-allocations-methodology-academic-year-2014-to-2015

Tristram Hunt: To ask the Secretary of State for Education when he expects to publish his evaluation of the School Direct programme. [175012]

Mr Laws: There are a number of measures by which the Department monitors and evaluates initial teacher training (ITT), including trainees on the School Direct scheme. These include the number and quality of trainees; success rates; and progression into employment. The Department also surveys the views of trainees. All data are published regularly on the Department's website. In addition, Ofsted inspects ITT providers and publishes its reports.

Tristram Hunt: To ask the Secretary of State for Education how many schools recruited through School Direct in 2012-13 for trainees to start in 2013. [175013]

Mr Laws: The data requested will be published in a Statistical First Release on 26 November 2013, as part of the Initial Teacher Training Census.

Tristram Hunt: To ask the Secretary of State for Education how many School Direct candidates were declined by partner Initial Teacher Training providers after they had been selected by a school. [175024]

12 Nov 2013 : Column 612W

Mr Laws: The Department for Education does not hold the data requested. The Department holds data on the number of candidates who were declined, but not whether the decision was made by the school or the partner provider.

Tristram Hunt: To ask the Secretary of State for Education how many applicants to School Direct in 2012-13 had a UK undergraduate degree that was (a) first class, (b) second class, upper division (2.1), (c) second class, lower division (2.2), (d) third class and (e) ordinary degree (pass). [175026]

Mr Laws: The information requested is not readily available and could be obtained only at disproportionate cost.

Information on the degree class of trainee teachers in 2012-13 was published in the Initial Teacher Training Census (November 2012), available at:

https://www.gov.uk/government/publications/initial-teacher-training-trainee-number-census

Information about the degree class of School Direct applicants who commenced their training in the academic year 2013-14 will be published in the Initial Teacher Training Census in November 2013.

Bill Esterson: To ask the Secretary of State for Education what proportion of teachers in each Government office region underwent their initial teacher training within that region. [175055]

Mr Laws: This question cannot be answered without incurring disproportionate cost.

Bill Esterson: To ask the Secretary of State for Education what proportion of higher education institutions with an Outstanding Ofsted rating have been granted a smaller core allocation for initial teacher training for academic year 2014-15 than in 2012-13. [175070]

Mr Laws: In June 2012, the Secretary of State for Education, the right hon. Member for Surrey Heath (Michael Gove), announced a two-year guarantee of places for ‘outstanding’ providers. The guarantee covers any phase of provision currently graded ‘outstanding’ by Ofsted for overall effectiveness. If they request them, any provider with provision in this category will receive at least the same number of places they were allocated for 2012-13. If a provider requests less than their guaranteed number of places, we will allocate the smaller number.

The National College for Teaching and Leadership intends to publish a full list of the places allocated by lead school and initial teacher training provider in the next few weeks, once institutions have had a chance to respond to our proposed allocations, which were released on 1 November. An analysis of the allocations received by '’outstanding’ higher education institution providers cannot be provided before this publication.

Bill Esterson: To ask the Secretary of State for Education what proportion of initial teacher training allocated places for academic year 2014-15 have been granted to lead institutions with an (a) Outstanding, (b) Good, (c) Requires improvement and (d) Inadequate Ofsted rating. [175071]

12 Nov 2013 : Column 613W

Mr Laws: Information regarding allocations to lead institutions by Ofsted rating is not available at this time. As stated on 1 November, the National College for Teaching and Leadership will publish a full list of the places allocated by lead school and initial teacher training (ITT) provider in due course, once they have had the opportunity to confirm their allocations.

ITT providers or lead schools graded by Ofsted in their last inspection as 'requires improvement' or 'inadequate' were not allocated postgraduate ITT places.

Bill Esterson: To ask the Secretary of State for Education what proportion of initial teacher training allocated places for academic year (a) 2012-13 and (b) 2013-14 were granted to lead institutions with an (A) Outstanding, (B) Good, (C) Requires improvement and (D) Inadequate Ofsted rating. [175072]

Mr Laws: Core initial teacher training (ITT) places were allocated to ITT providers and School Direct places were allocated to lead schools for 2012/13 and 2013/14.

The proportion of core ITT places allocated to ITT providers at each Ofsted grade in 2012/13 is shown in the following table. Information on the Ofsted grade of the lead schools that received an allocation of School Direct places in 2012/13 is not readily available.

Ofsted grade of ITT providerProportion of core places allocated for the 2012/13 academic year (percentage)

Outstanding

52

Good

45

Requires improvement

1

Inadequate

1

No inspection grade

1

The proportion of ITT places allocated to schools and ITT providers at each Ofsted grade in 2013/14 is shown in the following table.

Percentage
Ofsted grade of ITT provider or schoolProportion of core places allocated for the 2013/14 academic yearProportion of School Direct places allocated for the 2013/14 academic year

Outstanding

54

69

Good

39

22

Requires improvement or satisfactory

3

4

Inadequate

0

0

No inspection grade

3

5

Bill Esterson: To ask the Secretary of State for Education if he will publish the number of School Direct trainees recruited for the 2013-14 academic year for each subject, by the government region of the lead institution. [175136]

Mr Laws: The data requested are not available prior to publication of the national level statistics.

These are due to be published in the statistical first release on 26 November 2013, as part of the initial teacher training census.

Bill Esterson: To ask the Secretary of State for Education what proportion of the overall (a) School Direct allocation, (b) Core allocation (postgraduate),

12 Nov 2013 : Column 614W

(c)

Core allocation (undergraduate) and

(d)

Core allocation (School Centred Initial Teacher Training) has the National College for Teaching and Leadership calculated will need to be filled in academic year 2014-15 in order for the overall recruitment target to be met. [175137]

Mr Laws: Management information published by the Department on 1 November shows the breakdown of provisional allocations by the type of initial teacher training programme and academic level(1).

The allocation number for individual training programmes are not targets and should not be regarded as such.

(1) Available at:

http://www.education.gov.uk/schools/careers/traininganddevelopment/initial/b00205704/schooldirect?cid=school-direct&type=redirect&pla=201112

Bill Esterson: To ask the Secretary of State for Education what proportion of teachers working in each government region underwent their initial teacher training within that region. [175144]

Mr Laws: This question cannot be answered without incurring disproportionate cost.

Health

Cancer: Drugs

Mr Amess: To ask the Secretary of State for Health what recent discussions he has had with the National Institute for Health and Care Excellence about health technology assessment methodologies for appraising cancer medicines; and if he will make a statement. [174619]

Norman Lamb: Ministers have had no such discussions. However, as part of our plans to introduce value-based pricing for new medicines, including new cancer medicines, we have given the National Institute for Health and Care Excellence (NICE) terms of reference for the development of a broader value assessment of new medicines which are available on its website at:

www.nice.org.uk/media/9A4/92/DH_VBP_Terms_of_Reference.pdf

Following feedback from patients' groups that they would welcome further opportunities to feed into the development of the new arrangements, we have now agreed that NICE will carry out a full public consultation before the methods for broader value assessment are implemented in autumn 2014.

CJD

Mark Tami: To ask the Secretary of State for Health (1) what steps his Department has put in place to monitor the number of people who carry the abnormal prion protein which causes variant Creutzfeldt-Jakob disease; [174628]

(2) when he plans that screening of the abnormal prion protein which causes variant Creutzfeldt-Jakob disease will be introduced; [174631]

(3) what assessment he has made of the number of people who carry the abnormal prion protein which causes variant Creutzfeldt-Jakob disease. [174633]

12 Nov 2013 : Column 615W

Jane Ellison: The presence of abnormal prion protein is currently taken as a marker for asymptomatic carriage of variant Creutzfeldt-Jakob disease or for symptomatic infection. A recent study to assess carriage by looking at stored appendix tissue samples, first published in the Health Protection Report in August 2012, found abnormal prion protein in 16 appendices out of 32,441 samples. This suggests a prevalence of about 1 in 2,000.

There is no monitoring of people who may carry the abnormal prion protein; all appendix prevalence studies are anonymised.

No routine screening can yet take place as there are no suitable validated screening tests for abnormal prion protein available. The Department, together with the United Kingdom Blood Services, continues to monitor, scientific research and development in this area.

Cochlear Implants: East Midlands

Lilian Greenwood: To ask the Secretary of State for Health what assessment he has made of the number of adults in (a) Nottingham, (b) Nottinghamshire and

12 Nov 2013 : Column 616W

(c)

the East Midlands who might benefit from a cochlear implant. [175147]

Norman Lamb: The Department has made no assessment of the number of adults in Nottingham, Nottinghamshire and the East Midlands who might benefit from a cochlear implant.

Lilian Greenwood: To ask the Secretary of State for Health what estimate he has made of the number of cochlear implants fitted to adults in (a) Nottingham, (b) Nottinghamshire and (c) the East Midlands in the last year. [175159]

Norman Lamb: Information is not available in the format requested. Information on the total number of finished consultant episodes (FCE) with an operative procedure of cochlear implant for adult patients resident in the former Nottingham City Primary Care Trust (PCT) area, Nottinghamshire, and the former East Midlands Strategic Health Authority (SHA) area in 2012-13 is shown in the following table:

Area of residenceTotal FCEs

Nottingham City PCT

*

Nottinghamshire

7

East Midlands SHA

39

Notes: 1. A 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 with a main or secondary procedure: The number of episodes where the procedure (or intervention) was recorded in any of the 24 procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a “cataract operation” would tend to have at least two procedures—removal of the faulty lens and the fitting of a new one—counted in a single episode. 3. Patients resident in Nottinghamshire are defined as those resident within the Nottingham City PCT, Bassetlaw PCT and Nottinghamshire County Teaching PCT boundaries. 4. SHA/PCT of residence: The SHA or PCT containing the patient's normal home address. This does not necessarily reflect where patients were treated as they may have travelled to another SHA/PCT for treatment. 5. To protect patient confidentiality, figures between one and five have been replaced with ‘*’ (an asterisk). Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Continuing Care

Mrs Main: To ask the Secretary of State for Health what estimate he has made of the cost of dispensing drugs to patients with long-term conditions on a 28-day prescription cycle. [174600]

Norman Lamb: No such estimate has been made. There has been no Government directive to specify the length of time for which prescriptions should be issued.

General Practitioners

Chris Ruane: To ask the Secretary of State for Health how many visits were made to a GP in each of the last 10 years. [174639]

Dr Poulter: The Health and Social Care Information Centre does not hold data on how many visits were made to a general practitioner (GP) in each of the last 10 years.

However information about trends in consultation rates in general practice was published up until 2009, in ‘Trends in Consultation Rates in General Practice—1995-2009’. This report estimates the number of consultations in England based on a sample. It includes consultations by GPs, nurses and other clinicians. Consultations include visits to surgery, telephone consultations, home visits and consultations at other locations. A link to the data is available at:

http://www.hscic.gov.uk/catalogue/PUB01077

Mr Virendra Sharma: To ask the Secretary of State for Health what recent discussions he has had with (a) the National Institute for Health and Care Excellence and (b) Public Health England on the Quality and Outcomes Framework. [174665]

Jane Ellison: NHS England asked the National Institute for Health and Care Excellence to undertake a piece of work to inform a review of indicators within the clinical and public health domains within the Quality and Outcomes Framework (QOF). NHS England has also sought on-going advice from Public Health England throughout the process of reviewing indicators in the QOF. This advice will feed into the on-going discussions on the General Medical Services (GMS) contract.

The GMS contract is negotiated by NHS Employers on behalf of NHS England. The outcome of the GMS contract negotiations will be published in due course.

12 Nov 2013 : Column 617W

Mr Virendra Sharma: To ask the Secretary of State for Health (1) if he will direct Public Health England to prioritise the development of a Quality and Outcomes Framework indicator that would award points to GPs who advise, prescribe and recommend appropriate guidance and support for obese and overweight patients; [174666]

(2) what steps he will take to incentivise GPs to advise, prescribe and recommend appropriate guidance and support for obese and overweight patients. [174667]

Jane Ellison: General practitioners and other health and care professionals have a key role in "making every contact count" by identifying overweight children and adults, and supporting them with an appropriate intervention or referral and on-going management.

Public Health England is delivering key programmes such as NHS health checks and the National Child Measurement Programme to help identify overweight and obesity so local authorities can plan and deliver services.

NHS England asked the National Institute for Health and Care Excellence to undertake a piece of work to inform a review of indicators within the clinical and public health domains within the Quality and Outcomes Framework. NHS England also sought advice from Public Health England. This advice will feed into the on-going discussions on the General Medical Services (GMS) contract.

The GMS contract is negotiated by National Health Service Employers on behalf of NHS England. The outcome of the GMS contract negotiations will be published in due course.

Glaucoma

Andrew Percy: To ask the Secretary of State for Health what assessment his Department has made of the availability of the Xalatan form of the drug latanoprost at UK pharmacies. [175282]

Norman Lamb: Pharmacies can obtain Xalatan (latanoprost) eye drops through the wholesaler, Alliance Healthcare. Supplies are available. Any pharmacy who experiences difficulties obtaining stock can contact the manufacturer, Pfizer, who will investigate further.

Hearing Impairment: East Midlands

Lilian Greenwood: To ask the Secretary of State for Health what recent estimate he has made of the number of adults in (a) Nottingham, (b) Nottinghamshire and (c) the East Midlands with a severe to profound hearing loss. [175160]

Norman Lamb: Information is not available in the format requested. Information on the number of adults registered as deaf or hard of hearing at 31 March 2010 for Nottingham city council, Nottinghamshire county council, and for all councils with adult social services responsibilities (CASSRs) in the east midlands area is shown in the following table.

 DeafHard of hearing

Nottingham

720

560

Nottinghamshire

835

1,125

12 Nov 2013 : Column 618W

East Midlands

5,020

13,355

Notes: 1. Data was historically submitted by CASSRs every three years. The most recently available data is at 31 March 2010. Following a review of returns collected by the HSCIC, the number of people registered as deaf is no longer collected centrally. 2. In order to find the figure for the geographical area of Nottinghamshire, the figures for Nottingham and Nottinghamshire councils must be totalled. 3. The figures reflect the definitions of the return from CASSRs, not necessarily ‘severe to profound hearing loss’. 4. The 2009-10 SSDA910 publication is available on the Health and Social Care Information Centre website at: www.hscic.gov.uk/pubs/regdeafl0 5. The guidance document for the SSDA910 return for the year 2009-10 is available on the Health and Social Care Information Centre website at: http://webarchive.nationalarchives.gov.uk/20120802111034/http://www.ic.nhs.uk/webfiles/Services/Social%20care/Collections%200910/SSDA910/SSDA910%20Deaf%20and%20Hard%20of%20Hearing% 202009-10%20v1.0.pdf Source. Registers for Deaf People from CASSRs (SSDA910), Health and Social Care Information Centre (HSCIC).

Heart Diseases

Stuart Andrew: To ask the Secretary of State for Health whether a new health and equality impact assessment will be undertaken for the new congenital heart disease review; and which body is responsible for commissioning such assessments. [175218]

Jane Ellison: NHS England is responsible for conducting the new review of congenital heart disease services and is committed to a review that is robust, transparent and inclusive, in the interests of delivering high quality and sustainable services for all patients.

NHS England advises that if the review develops proposals to change the form and function of services then appropriate impact assessments will be undertaken.

Information on the detail of the new review can be found on NHS England's website at:

www.england.nhs.uk/ourwork/qual-clin-lead/chd/

Insulin

Jeremy Lefroy: To ask the Secretary of State for Health what steps his Department is taking to monitor access to insulin pump therapy in (a) Stafford and (b) England. [174728]

Jane Ellison: The Department does not monitor access to insulin pump therapy and does not hold this information centrally.

It is for NHS England to ensure that commissioners and providers make insulin pumps available for those people with diabetes that meet the criteria recommended by the National Institute for Health and Care Excellence (NICE).

The first ever United Kingdom-wide audit of insulin pump use was sponsored by the Association of British Clinical Diabetologists, Diabetes UK and the Juvenile Diabetes Research Foundation with support from NICE. It involves the participation of 97% of hospital trusts that provide insulin pump services.

12 Nov 2013 : Column 619W

Malnutrition

Mr Jim Cunningham: To ask the Secretary of State for Health how many people were admitted to hospital with malnutrition in (a) England, (b) each primary care trust area of responsibility and (c) each current clinical commissioning group area of responsibility in each of the last five years for which data are available. [175168]

12 Nov 2013 : Column 620W

Norman Lamb: The table shows a count of finished admission episodes for patients with a primary or secondary diagnosis of malnutrition in England and each primary care trust (PCT) area of responsibility for the last five years.

This is not a count of patients as the same patient may be admitted more than once in a financial year.

The information is not available for each current clinical commissioning group area of responsibility.

Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
Area2008-092009-102010-112011-122012-13

England

3,161

3,773

4,657

5,377

5,499

PCT Area of Responsibility:

     

Ashton, Leigh And Wigan PCT

20

28

23

29

42

Barking and Dagenham PCT

*

*

*

13

12

Barnet PCT

11

33

29

26

38

Barnsley PCT

*

18

11

17

14

Bassetlaw PCT

9

7

13

18

22

Bath and North East Somerset PCT

10

13

26

29

27

Bedfordshire PCT

43

39

23

33

44

Berkshire East PCT

26

22

20

25

22

Berkshire West PCT

105

31

43

33

22

Bexley Care Trust

15

10

16

28

26

Birmingham East And North PCT

30

25

39

54

43

Blackburn with Darwen PCT

8

Blackburn with Darwen Teaching Care Trust Plus

10

10

6

Blackpool PCT

*

8

16

13

15

Bolton PCT

10

17

42

62

70

Bournemouth And Poole Teaching PCT

38

26

29

49

57

Bradford and Airedale Teaching PCT

56

74

114

158

113

Brent Teaching PCT

10

19

39

30

38

Brighton and Hove City PCT

22

18

41

34

39

Bristol PCT

33

37

34

48

41

Bromley PCT

9

9

16

24

28

Buckinghamshire PCT

30

24

39

16

33

Bury PCT

13

11

17

21

9

Calderdale PCT

6

*

6

8

15

Cambridgeshire PCT

18

18

37

35

35

Camden PCT

6

13

20

32

53

Central and Eastern Cheshire PCT

18

20

30

43

41

Central Lancashire PCT

22

28

36

49

31

City and Hackney Teaching PCT

24

30

27

33

32

Cornwall and Isles of Scilly PCT

63

79

92

130

118

County Durham PCT

17

32

42

28

44

Coventry Teaching PCT

11

25

23

45

28

Croydon PCT

12

11

17

40

27

Cumbria Teaching PCT

24

39

22

33

51

Darlington PCT

*

10

*

*

10

Derby City PCT

10

12

24

16

16

Derbyshire County PCT

31

31

32

47

41

Devon PCT

62

65

84

83

72

Doncaster PCT

9

16

18

25

28

Dorset PCT

37

57

36

51

42

Dudley PCT

27

35

26

18

35

Ealing PCT

14

25

15

39

30

East and North Hertfordshire PCT

13

20

East Lancashire Teaching PCT

14

34

25

27

16

East Riding of Yorkshire PCT

13

19

20

24

15

East Sussex Downs and Weald PCT

17

16

24

35

23

Eastern and Coastal Kent PCT

20

37

39

36

44

Enfield PCT

12

15

21

31

26

Gateshead PCT

35

43

59

63

40

Gloucestershire PCT

25

29

51

50

44

Great Yarmouth and Waveney PCT

13

25

27

32

27

Greenwich Teaching PCT

14

25

38

40

23

12 Nov 2013 : Column 621W

12 Nov 2013 : Column 622W

Halton and St Helens PCT

20

16

34

48

45

Hammersmith and Fulham PCT

31

14

15

14

18

Hampshire PCT

93

109

134

135

101

Haringey Teaching PCT

29

19

16

30

36

Harrow PCT

10

10

15

33

25

Hartlepool PCT

*

9

11

9

11

Hastings and Rother PCT

*

7

6

22

29

Havering PCT

10

7

10

21

12

Heart of Birmingham Teaching PCT

10

29

32

23

42

Herefordshire PCT

9

7

9

9

10

Hertfordshire PCT

73

69

82

Heywood, Middleton and Rochdale PCT

14

16

23

18

22

Hillingdon PCT

8

20

18

30

43

Hounslow PCT

26

12

7

20

25

Hull Teaching PCT

11

14

21

31

33

Isle of Wight NHS PCT

27

35

41

24

28

Islington PCT

13

15

20

29

33

Kensington and Chelsea PCT

10

12

20

38

21

Kingston PCT

8

8

16

11

6

Kirklees PCT

9

10

33

23

26

Knowsley PCT

8

6

18

17

17

Lambeth PCT

17

15

32

28

27

Leeds PCT

30

40

68

83

93

Leicester City PCT

27

23

28

35

37

Leicestershire County and Rutland PCT

47

69

63

55

43

Lewisham PCT

7

16

19

25

17

Lincolnshire Teaching PCT

34

41

45

34

32

Liverpool PCT

37

43

47

58

51

Luton PCT

24

19

24

27

25

Manchester PCT

37

29

61

77

66

Medway PCT

12

19

17

21

19

Mid Essex PCX

12

13

17

21

12

Middlesbrough PCT

8

8

16

11

6

Milton Keynes PCT

11

21

29

21

22

Newcastle PCT

20

31

20

33

35

Newham PCT

20

18

28

31

35

Norfolk PCT

31

43

49

52

58

North East Essex PCT

12

37

20

29

20

North East Lincolnshire Care Trust Plus

*

*

9

6

15

North Lancashire Teaching PCT

19

14

30

22

32

North Lincolnshire PCT

*

*

*

*

*

North Somerset PCT

7

11

8

21

12

North Staffordshire PCT

*

22

19

25

31

North Tyneside PCT

17

20

29

36

35

North Yorkshire and York PCT

36

69

54

58

77

Northamptonshire Teaching PCT

37

37

28

40

35

Northumberland Care Trust

17

32

49

37

33

Nottingham City PCT

17

31

36

38

51

Nottinghamshire County Teaching PCT

57

53

66

55

64

Oldham PCT

*

10

23

15

17

Oxfordshire PCT

31

28

39

50

54

Peterborough PCT

11

13

8

10

13

Plymouth Teaching PCT

40

62

57

57

66

Portsmouth City Teaching PCT

14

32

31

36

25

Redbridge PCT

6

*

15

9

18

Redcar and Cleveland PCT

*

10

15

11

10

Richmond and Twickenham PCT

8

11

15

8

10

Rotherham PCT

7

10

10

18

10

Salford PCT

22

33

49

64

60

Sandwell PCT

29

16

35

51

34

Sefton PCT

8

19

22

19

29

Sheffield PCT

54

22

30

29

27

Shropshire County PCT

8

11

26

23

23

Solihull Care Trust

13

11

17

Solihull PCT

14

16

12 Nov 2013 : Column 623W

12 Nov 2013 : Column 624W

Somerset PCT

30

81

93

110

215

South Birmingham PCT

19

21

26

28

49

South East Essex PCT

29

27

33

22

41

South Gloucestershire PCT

*

25

13

23

18

South Staffordshire PCT

22

43

40

59

50

South Tyneside PCT

6

27

33

25

25

South West Essex PCT

15

20

26

20

41

Southampton City PCT

39

45

53

43

44

Southwark PCT

27

28

17

18

23

Stockport PCT

19

21

18

37

55

Stockton-On-Tees Teaching PCT

8

*

26

21

13

Stoke On Trent PCT

18

27

23

26

58

Suffolk PCT

36

61

48

72

77

Sunderland Teaching PCT

9

12

14

21

31

Surrey PCT

33

50

81

80

84

Sutton and Merton PCT

18

19

30

31

39

Swindon PCT

14

21

28

26

20

Tameside and Glossop PCT

9

15

25

34

10

Telford and Wrekin PCT

9

6

*

14

8

Torbay Care Trust

22

15

9

18

28

Tower Hamlets PCT

12

14

19

20

12

Trafford PCT

9

9

24

29

40

Wakefield District PCT

21

17

23

20

32

Walsall Teaching PCT

13

16

26

63

38

Waltham Forest PCT

8

21

17

14

19

Wandsworth PCT

11

16

37

34

29

Warrington PCT

12

15

27

16

27

Warwickshire PCT

42

36

41

51

35

West Essex PCT

19

14

24

50

27

West Hertfordshire PCT

25

45

West Kent PCT

33

23

40

39

44

West Sussex PCT

84

80

91

118

101

Western Cheshire PCT

18

20

16

20

19

Westminster PCT

20

20

33

48

50

Wiltshire PCT

43

33

52

52

54

Wirral PCT

31

24

32

47

89

Wolverhampton City PCT

14

15

38

41

42

Worcestershire PCT

30

22

31

38

47

Not applicable

18

21

25

32

32

Unknown

*

*

*

*

*

Note: To protect patient confidentiality; figures between 1 and 5 have been replaced with “*” (an asterisk), Where it was still possible to identify figures from the total, additional figures have been replaced with “*”.

Mr Jim Cunningham: To ask the Secretary of State for Health how many patients were discharged from hospital with malnutrition in (a) England, (b) each primary care trust area of responsibility and (c) each current clinical commissioning group area of responsibility in each of the last five years for which data are available. [175169]

Norman Lamb: The information requested is not collected centrally. However, the following table shows a count of finished discharge episodes with a primary or secondary diagnosis of malnutrition for England and by primary care trust (PCT) of responsibility for the year 2008-09 to 2012-13.

This indicates one of the last diagnoses that a particular patient was being treated for, it is not the diagnosis at the moment the patient is discharged as information on the diagnoses that a patient has on leaving hospital is not collected. As such the presence of a diagnosis of malnutrition on the discharge episode does not imply they were still malnourished when discharged from hospital.

CodePCT of responsibility2008-092009-102010-112011-122012-13

England

3,633

4,412

5,558

6,409

6,691

5HG

Ashton, Leigh and Wigan PCT

20

29

29

29

51

5C2

Barking and Dagenham PCT

8

8

7

15

14

5A9

Barnet PCT

12

30

36

29

46

5JE

Barnsley PCT

*

19

11

14

20

5ET

Bassetlaw PCT

8

7

12

26

34

5FL

Bath and North East Somerset PCT

10

14

28

33

35

12 Nov 2013 : Column 625W

12 Nov 2013 : Column 626W

5P2

Bedfordshire PCT

49

41

30

39

65

5QG

Berkshire East PCT

32

24

25

32

26

5QF

Berkshire West PCT

119

31

43

38

19

TAK

Bexley Care Trust

16

11

16

28

28

SPG

Birmingham East and North PCT

36

30

43

57

52

5CC

Blackburn with Darwen PCT

0

*

0

0

0

TAP

Blackburn with Darwen Teaching Care Trust Plus

0

0

12

15

6

5HP

Blackpool PCT

7

9

22

19

23

5HQ

Bolton PCT

13

15

51

64

86

5QN

Bournemouth and Poole Teaching PCT

44

34

34

54

68

5NY

Bradford and Airedale Teaching PCT

62

75

120

164

128

5K5

Brent Teaching PCT

8

20

40

32

42

5LQ

Brighton and Hove City PCT

23

22

50

38

48

5QJ

Bristol PCT

36

49

43

56

54

5A7

Bromley PCT

10

9

16

24

39

5QD

Buckinghamshire PCT

33

25

38

23

38

5JX

Bury PCT

13

12

21

22

14

5J6

Calderdale PCT

6

6

7

10

18

5PP

Cambridgeshire PCT

20

20

35

42

44

5K7

Camden PCT

6

11

20

34

54

5NP

Central and Eastern Cheshire PCT

26

26

28

48

45

5NG

Central Lancashire PCT

25

31

40

51

43

5C3

City and Hackney Teaching PCT

28

29

35

33

37

5QP

Cornwall and Isles of Scilly PCT

76

98

135

175

171

5ND

County Durham PCT

19

41

44

30

52

5MD

Coventry Teaching PCT

14

35

40

46

26

5K9

Croydon PCT

13

18

24

42

40

5NE

Cumbria Teaching PCT

26

44

22

36

53

5J9

Darlington PCT

*

11

*

6

11

5N7

Derby City PCT

14

19

32

27

26

5N6

Derbyshire County PCT

39

37

40

76

63

5QQ

Devon PCT

81

72

96

111

86

5N5

Doncaster PCT

12

19

20

28

35

5QM

Dorset PCT

37

70

55

75

57

5PE

Dudley PCT

32

34

28

24

32

5HX

Ealing PCT

20

24

18

38

39

5P3

East and North Hertfordshire PCT

15

21

0

0

0

5NH

East Lancashire Teaching PCT

19

36

28

30

22

5NW

East Riding of Yorkshire PCT

10

21

25

29

17

5P7

East Sussex Downs and Weald PCT

16

16

27

36

25

5QA

Eastern and Coastal Kent PCT

23

35

43

41

52

5C1

Enfield PCT

11

19

26

39

29

5KF

Gateshead PCT

39

44

73

65

50

5QH

Gloucestershire PCT

31

30

54

60

45

5PR

Great Yarmouth and Waveney PCT

16

29

29

33

33

5A8

Greenwich Teaching PCT

14

24

35

38

27

5NM

Halton and St Helens PCT

24

26

48

64

57

5H1

Hammersmith and Fulham PCT

29

15

23

16

23

5QC

Hampshire PCT

106

117

149

152

112

5C9

Haringey Teaching PCT

30

21

20

41

39

5K6

Harrow PCT

9

12

17

40

29

5D9

Hartlepool PCT

*

9

12

10

11

5P8

Hastings and Rother PCT

*

8

9

27

34

5A4

Havering PCX

13

10

16

20

16

5MX

Heart of Birmingham Teaching PCT

16

33

39

35

52

5CN

Herefordshire PCX

9

8

8

9

10

5QV

Hertfordshire PCT

0

0

76

91

90

5NQ

Heywood, Middleton and Rochdale PCT

15

15

22

21

26

5AT

Hillingdon PCT

10

21

28

35

45

5HY

Hounslow PCT

32

12

8

26

30

5NX

Hull Teaching PCT

14

17

29

38

43

5QT

Isle of Wight NHS PCT

27

34

37

22

30

5K8

Islington PCT

15

17

21

31

33

5LA

Kensington and Chelsea PCT

14

18

23

44

29

12 Nov 2013 : Column 627W

12 Nov 2013 : Column 628W

5A5

Kingston PCT

9

8

20

17

9

5N2

Kirklees PCT

11

14

34

35

34

5J4

Knowsley PCT

8

11

22

24

25

5LD

Lambeth PCT

18

18

38

37

34

5N1

Leeds PCT

41

57

89

95

135

5PC

Leicester City PCT

33

31

38

52

46

5PA

Leicestershire County and Rutland PCT

50

85

79

67

¦64

5LF

Lewisham PCT

9

19

20

32

18

5N9

Lincolnshire Teaching PCT

39

42

54

40

38

5NL

Liverpool PCT

37

61

64

75

64

5GC

Luton PCT

28

24

28

31

32

5NT

Manchester PCT

38

41

67

96

80

5L3

Medway PCT

12

18

20

24

25

5PX

Mid Essex PCT

13

14

18

25

17

5KM

Middlesbrough PCT

9

10

23

16

8

5CQ

Milton Keynes PCT

10

32

35

27

29

5D7

Newcastle PCT

28

48

25

37

47

5C5

Newham PCT

27

21

36

44

44

5PQ

Norfolk PCT

37

46

56

58

67

5PW

North East Essex PCT

14

38

29

31

27

TAN

North East Lincolnshire Care Trust Plus

*

*

12

9

20

5NF

North Lancashire Teaching PCT

19

19

33

28

34

5EF

North Lincolnshire PCT

6

*

7

*

6

5M8

North Somerset PCT

9

12

9

23

16

5PH

North Staffordshire PCT

6

24

18

30

30

5D8

North Tyneside PCT

21

30

49

40

43

5NV

North Yorkshire and York PCT

39

73

61

65

84

5PD

Northamptonshire Teaching PCT

44

42

33

44

41

TAC

Northumberland Care Trust

27

39

57

55

36

5EM

Nottingham City PCT

24

45

50

66

71

5N8

Nottinghamshire County Teaching PCT

66

70

82

81

97

5J5

Oldham PCT

6

11

28

13

19

5QE

Oxfordshire PCT

32

30

42

52

55

5PN

Peterborough PCT

15

18

7

10

14

5F1

Plymouth Teaching PCT

55

89

91

74

93

5FE

Portsmouth City Teaching PCT

16

41

41

42

25

5NA

Redbridge PCT

8

6

21

10

20

5QR

Redcar and Cleveland PCT

*

8

20

21

14

5M6

Richmond and Twickenham PCT

9

12

14

11

12

5H8

Rotherham PCT

7

10

11

17

12

5F5

Salford PCT

24

32

50

63

62

5PF

Sandwell PCT

32

24

38

57

40

5NJ

Sefton PCT

8

22

22

21

32

5N4

Sheffield PCT

61

19

30

29

26

5M2

Shropshire County PCT

8

12

27

21

28

TAM

Solihull Care Trust

17

14

21

b

0

5QW

Solihull PCT

0

0

0

21

21

5QL

Somerset PCT

34

116

155

179

301

5M1

South Birmingham PCT

24

25

33

32

61

5P1

South East Essex PCT

31

29

41

46

63

5A3

South Gloucestershire PCT

*

28

18

25

21

5PK

South Staffordshire PCT

26

49

41

63

61

5KG

South Tyneside PCT

13

34

43

34

35

5PY

South West Essex PCT

15

24

29

31

47

5L1

Southampton City PCT

45

54

64

55

53

5LE

Southwark PCT

26

26

21

23

28

5F7

Stockport PCT

20

30

24

41

57

5E1

Stockton-on-Tees Teaching PCT

11

*

28

22

15

5PJ

Stoke on Trent PCT

21

31

28

29

59

5PT

Suffolk PCT

39

78

60

86

88

5KL

Sunderland Teaching PCT

10

16

21

24

30

5P5

Surrey PCT

34

66

94

94

103

5M7

Sutton and Merton PCT

23

23

36

48

50

5K3

Swindon PCT

16

23

31

28

23

5LH

Tameside and Glossop PCT

13

17

29

38

16

12 Nov 2013 : Column 629W

12 Nov 2013 : Column 630W

5MK

Telford and Wrekin PCT

9

8

*

17

10

TAL

Torbay Care Trust

28

22

11

26

35

5C4

Tower Hamlets PCT

12

20

20

20-

15

5NR

Trafford PCT

7

13

27

30

41

5N3

Wakefield District PCT

20

20

29

21

36

5M3

Walsall Teaching PCT

14

18

32

71

50

5NC

Waltham Forest PCT

15

23

22

19

27

5LG

Wandsworth PCT

18

19

41

37

33

5J2

Warrington PCT

12

18

31

17

36

5PM

Warwickshire PCT

47

40

44

58

46

5PV

West Essex PCT

20

14

25

51

37

5P4

West Hertfordshire PCT

31

46

0

0

0

5P9

West Kent PCT

36

29

43

45

49

5P6

West Sussex PCT

102

100

124

133

125

5NN

Western Cheshire PCT

21

21

23

25

20

5LC

Westminster PCT

29

20

39

53

53

5QK

Wiltshire PCT

49

36

58

61

71

5NK

Wirral PCT

31

23

33

50

89

5MV

Wolverhampton City PCT

17

21

47

55

52

5PL

Worcestershire PCT

31

24

31

41

47

59898

Not Applicable

15

25

31

33

36

59999

Unknown

1

1

2

*

1

Notes: 1. Finished discharge episodes 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. 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 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. ICD10 codes—Malnutrition E40.X—Kwashiorkor E41.X—Nutritional marasmus E42.X—Marasmic kwashiorkor E43.X—Unspecified severe protein-energy malnutrition E44.0—Moderate protein-energy malnutrition E44.1—Mild protein-energy malnutrition E45.X—Retarded development following protein-energy malnutrition E46.X—Unspecified protein-energy malnutrition O25.X—Malnutrition in pregnancy 4. PCT of responsibility The PCT of responsibility is derived from the PCT of general practitioner practice, the PCT of residence and the PCT of main provider. 5. Assessing growth through time (in-patients) 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, changes in activity may be due to changes in the provision of care. 6. Small numbers To protect patient confidentiality, figures between one and five have been replaced with “*” (an asterisk). Where it was still possible to identify figures from the total, additional figures have been replaced with “*”. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre.