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29 Mar 2006 : Column 1057W—continued
Accident and Emergency Departments
Mr. Gauke: To ask the Secretary of State for Health what are the categories of accident and emergency (A&E) departments; and what the criteria are for determining into which category an A&E department falls. [57881]
Mr. Byrne: There are three types of accident and emergency (A&E) department for reporting purposes. Primary care trusts and national health service trusts together with strategic health authorities are expected to use this to determine into which category an individual service falls. The current definition is as follows:
Type one A&E department, which is a consultant led 24-hour service with full resuscitation facilities and designated accommodation for the reception of A&E patients;
Type two A&E department, which is a consultant led single speciality A&E service, for example ophthalmology or dental, with designated accommodation for the reception of patients.
Type three A&E department, which is other type of A&E or minor injury units with designated accommodation for the reception of A&E patients.
A type three department may be doctor led or nurse led. A defining characteristic of a service qualifying as a type three department is that it treats at least minor injuries and illnesses, for example sprains, and can be routinely accessed without appointment. A service mainly or entirely appointment based, for example a general practitioner practice or outpatient clinic, is not a type three A&E service even though it may treat a number of patients with minor illness or injury.
Type three services include all NHS walk in centres and other open access treatment services offering at least minor injury/illness services, whether located alongside a main A&E department or at another location.
Alcohol Dependency
Dr. Cable: To ask the Secretary of State for Health how much each primary care trust in England will receive to treat alcohol dependency in 2007–08. [58357]
Caroline Flint: The alcohol needs assessment research programme published by the Department last year found that the Government spends an estimated £217 million on alcohol treatment each year. In 2007–08, primary care trusts in England will receive an additional £15 million to treat alcohol dependency. Allocations for individual trusts are not known at this time.
Asperger's Syndrome
Mr. Drew: To ask the Secretary of State for Health what recent research she has commissioned on whether there are links between drug and alcohol dependency and Asperger's Syndrome; and what advice she is offering to those involved in (a) medical research and (b) medical practice on this issue. [55372]
Caroline Flint: The Department has not made any specific recent research into links between Asperger's Syndrome and drug or alcohol dependency.
Cancer
Dr. Murrison: To ask the Secretary of State for Health what assessment she has made of the trend in the incidence of (a) non-Hodgkin's lymphoma, (b) breast cancer and (c) multiple myeloma in (i) men and (ii) women; and if she will make a statement. [62170]
John Healey: The information requested falls within the responsibility of the National Statistician who has been asked to reply.
Letter from Karen Dunnell, dated 29 March 2006:
As National Statistician, I have been asked to reply to your recent Parliamentary Question asking what assessment has been made of the trend in incidence of (a) non-Hodgkin's lymphoma (b) breast cancer and (c) multiple myeloma in (i) men and (ii) women. (62170)
The latest available incidence figures are for the year 2003. Directly age-standardised registration rates per 100,000 population, by site and sex, in each year between 1994 and 2003, are available in Table 10 of the Annual Reference Volume, Cancer statistics: Registrations, Series MB1. These are available on the National Statistics website: http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=8843&Pos=1&ColRank=2&Rank=272
The most recent trends in incidence for the cancer sites requested are given in the table below for England.
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| Site(8)/sex | 1999 | 2000 | 2001 | 2002 | 2003 |
|---|---|---|---|---|---|
| Non-Hodgkin's lymphoma | |||||
| M | 15.1 | 15.2 | 15.4 | 14.9 | 15.3 |
| F | 10.8 | 10.9 | 10.9 | 10.7 | 11.1 |
| Breast | |||||
| M | 1.0 | 0.7 | 0.9 | 0.9 | 1.0 |
| F | 116.5 | 113.8 | 114.5 | 114 | 120.3 |
| Myeloma | |||||
| M | 5.5 | 5.7 | 5.4 | 5.4 | 5.7 |
| F | 3.7 | 4.0 | 3.5 | 3.6 | 3.7 |
(7) Directly age-standardised using the European Standard Population.
(8) For cancers registered in 2003, site is based on codes in the International Classification of Diseases. Tenth Revision (ICD 10). Malignant neoplasms of the breast are defined by code C50, non-Hodgkin's lymphoma by codes C82–85, and multiple myeloma and malignant plasma cell neoplasms by code C90.
Source:
Office for National Statistics
Mr. Baron: To ask the Secretary of State for Health what plans she has (a) to ensure that cancer patients are made aware of benefits to which they may be entitled at each stage of the patient journey and (b) to provide training for healthcare professionals to play a signposting role for patients about benefits to which they may be entitled; and whether there is a timetable for (i) drawing up and (ii) implementing such plans. [61889]
Ms Rosie Winterton [holding answer 28 March 2006]: Our Health, Our Care, Our say; a new direction for community services" proposes that an information prescription will be developed for people with long-term health and social care needs. The information prescription will signpost people, including patients with cancer, to further information and advice about services, including where to get advice and information on benefits. We expect support, such as training, that professionals might need to give information prescriptions to people, to be incorporated into pilots that will be taking place before the prescription is introduced in 2008.
Chronic Hepatitis B
Joan Walley: To ask the Secretary of State for Health how many people in England have been diagnosed with chronic hepatitis B. [60232]
Caroline Flint: The information requested is not available centrally.
The Health Protection Agency (HPA) carries out surveillance of laboratory reports of acute hepatitis B infection as they provide a more accurate source for following trends in the disease incidence (new cases), help evaluate the current immunisation programme and inform national and local control policy.
Surveillance of acute hepatitis B infection in England and Wales is carried out by the HPA. Data on reported diagnoses of acute hepatitis B infection from 1990 to 2003 is available on the HPA's website at:
Community Hospitals
Mr. Graham Stuart:
To ask the Secretary of State for Health (1) what instructions on community hospitals her Department has given (a) strategic health
29 Mar 2006 : Column 1060W
authorities and (b) primary care trusts since the publication of the Health White Paper, Our Health, Our Care, Our Say; [55965]
(2) when she will issue further guidance for primary care trusts on how to apply the principles of the White Paper, Our Health, Our Care, Our Say, in relation to community hospitals. [56597]
Mr. Byrne: I refer the hon. Member to the reply given today to the hon. Member for Forest of Dean (Mr. Harper).
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