Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many cases of sepsis there were in (a) East Lancashire, (b) the North West and (c) England in each of the last three years.
Answered by Ben Gummer
Data for finished discharge episodes (FDEs) with a primary or secondary diagnosis of sepsis for East Lancashire Clinical Commissioning Group (CCG) of Residence, North West Government Office Region of Residence, and England for years 2011-12 to 2013-14 are provided below.
These figures refer only to hospital admissions and are not a count of patients as a patient may have had more than one episode of care within the same year.
Count of FDEs1 with a primary or secondary diagnosis2 of sepsis3 for East Lancashire CCG of Residence4, North West Government Office Region of Residence5 and England for 2011-12 to 2013 -14. Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector
| 2011-12 | 2012-13 | 2013-14 |
NHS East Lancashire CCG of residence | 449 | 547 | 837 |
North West England government office region of residence | 13,109 | 14,708 | 17,221 |
England | 101,015 | 114,285 | 122,822 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
Notes:
Note that HES include activity ending in the year in question and run from April to March, eg 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.
1. FDE - 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. Discharges do not represent the number of patients, as a person may have more than one discharge from hospital within the period.
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 7 prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.
3. ICD - 10 codes for Sepsis - A02.1 Salmonella sepsis, A20.7 Septicaemic plague. A21.7 Generalized tularaemia, A22.7 Anthrax sepsis. A26.7 Erysipelothrix sepsis, A28.0 Pasteurellosis, A28.2 Extraintestinal yersiniosis
A32.7 Listerial sepsis, A39.2 Acute meningococcaemia, A39.3 Chronic meningococcaemia, A39.4 Meningococcaemia, unspecified, A40.- Streptococcal sepsis, A41.- Other sepsis, A42.7 Actinomycotic sepsis, B37.7 Candidal sepsis, O85.X Puerperal sepsis, P36.- Bacterial sepsis of newborn
The following pair of codes is a dagger/asterisk code pair (D and A) which must be present together: A39.1 Waterhouse-Friderichsen syndrome
E35.1 Disorders of adrenal glands in diseases classified elsewhere
4. CCG of Residence - The CCG containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.
5. Government Office Region of Residence - The Government Office Region of residence of the patient. It is derived from the patient's postcode.
6. Assessing growth through time (Admitted patient care).
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, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps his Department is taking to offer support to the World Health Organisation to ensure that it is transparent, accountable and better able to respond to emergencies such as the ebola crisis.
Answered by Jane Ellison
We are working with other relevant Departments across Government, and as members of the World Health Organization (WHO) Executive Board to drive the reform process. We want to ensure that WHO focuses on what it can do best and is better equipped to address the increasingly complex challenges of the 21st Century.
In response to the Ebola crisis, we have committed up to $10million to the WHO Contingency Fund, to help finance the rapid scaling up of the WHO’s initial response to outbreaks and emergencies with health consequences. We are supporting the establishment of the Global Health Emergency Workforce and are developing plans to establish a United Kingdom rapid response team that would complement this mechanism. Linked to this we are working with WHO to ensure the establishment of a new emergency response platform which will unite and direct all WHO outbreak and emergency response operations within its mandate.
We are also contributing to the member state driven governance reform process, to support ambitious reform of these aspects; including the establishment of a clear and accountable leadership across all levels of the organisation. As members of the Programme Budget and Administration Committee, we are pressing WHO to improve aspects of compliance controls, transparency and delivery of results.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of (a) adults and (b) children with Type 1 diabetes were being treated with insulin pumps in (i) England, (ii) the North West and (iii) East Lancashire in each year since 2008.
Answered by Jane Ellison
Information on the number of people using insulin pumps is not collected centrally.
Asked by: Andrew Stephenson (Conservative - Pendle)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what support is available for young adults dealing with a family bereavement due to cancer in (a) England and (b) East Lancashire.
Answered by Ben Gummer
Bereavement services are locally commissioned by clinical commissioning groups.
From a national perspective, NHS England advises that it commissions the National Council for Palliative Care to coordinate the Dying Matters Coalition (www.dyingmatters.org/page/coping-bereavement). This includes a wide range of work for raising public awareness and encouraging conversations about death, dying and bereavement, which affect young adults dealing with a family bereavement.
The National Palliative and End of Life Care Partnership, of which NHS England is a member, published its new Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020 on 8 September 2015. The National Bereavement Alliance, which includes the Children’s Bereavement Network, is a member of this Partnership as well. One of the foundations identified as being required in order to achieve the six ambitions articulated in this framework is ‘Involving, supporting and caring for those important to the dying person’. This refers to the young adult dealing with a family bereavement as well.
In One Chance to Get it Right (published June 2014), which was the system-wide response to the report More Care Less Pathway, the Leadership Alliance for the Care of Dying People (of which NHS England was a member) included in its recommendations on ‘desired characteristics of education and training programmes for care in the last days of life’, a learning objective on ‘assessing and addressing the needs of those important to the dying person, including in bereavement’.
In addition, NHS England has recently completed a project with NHS Choices to improve the range and quality of information available on end of life care on its website – including information around bereavement:
www.nhs.uk/Livewell/bereavement/Pages/young-people-bereavement.aspx