Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will list the total number of alcohol-related (a) GP and (b) hospital admissions in each English region.
Answered by Jane Ellison
The following table contain the sum of the estimated alcohol attributable fractions (AAFs) for admission for patients via a general practitioner (GP) (Emergency) and hospital.
It should be noted that these figures are not a count of people and represent an estimated number of admissions that were attributable to alcohol.
AAFs are based on the proportion of a given diagnosis or injury that is estimated to be attributed to alcohol. Some diagnoses or injuries will, by definition, be wholly attributable to alcohol and have an AAF of one, others will only be partly attributable to alcohol and have an AAF greater than zero, but less than one. Diagnoses or injuries that are not attributable at all to alcohol will have an AAF of zero.
These figures are derived by summing all AAFs for the relevant admissions and should therefore only be interpreted as an estimate of the number of admissions that can be attributed to alcohol.
In addition, partial AAFs are not applicable to children aged under 16 years, therefore figures for this age group relate only to wholly – attributable admissions.
Sum of AAFs1 of finished admission episodes2 (FAEs) for (a) all admissions and (b) emergency admissions via a GP by strategic health authority of treatment for 2012-13
Strategic Health Authority of Treatment | Emergency admission via a GP | Hospital admissions |
North East | 4,835 | 85,872 |
North West | 11,686 | 202,278 |
Yorkshire And The Humber | 7,694 | 133,076 |
East Midlands | 5,796 | 83,266 |
West Midlands | 8,660 | 134,613 |
East of England | 7,813 | 121,948 |
London | 1,512 | 181,824 |
South East Coast | 4,709 | 90,870 |
South Central | 5,909 | 68,867 |
South West | 11,843 | 129,849 |
Total 3 | 70,457 | 1,232,464 |
Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.
Source: Hospital Episode Statistics (HES), The Health & Social Care Information Centre
Notes:
1. Alcohol–related admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO), which uses 48 indicators for alcohol-related illnesses, determining the proportion of a wide range of diseases and injuries that can be partly attributed to alcohol as well as those that are, by definition, wholly attributable to alcohol. Further information on these proportions can be found at http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf
The AAF is set to 1 (100%) where the admission is considered to be entirely due to alcohol, e.g. in the case of alcoholic liver disease - these records are described as wholly alcohol attributable.
The alcohol attributable fraction is set to a value greater than 0 but less than 1 according to the NWPHO definition, e.g. the alcohol fraction of an admission with a primary diagnosis of C00 - malignant neoplasm of lip, where the patient is male and between 65 and 74 is 0.44 - these records are described as partly alcohol attributable.
These wholly and partly attributable fractions can be aggregated to supply an estimate of activity which can be considered wholly or partly attributable to alcohol.
Partly AAFs are not applicable to children under 16. Therefore figures for this age group relate only to wholly-attributable admissions, where the attributable fraction is one.
2. Finished admission episodes
A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.
3. "Total" Strategic Health Authority of Treatment
Note that the "Total" SHA of Treatment includes patients treated in Wales.
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what proportion of the cancer drugs fund has been spent in Liverpool since its inception.
Answered by George Freeman
Prior to April 2013, information on the Cancer Drugs Fund was administered through clinical panels based in each strategic health authority (SHA) and data on spend through the Fund in each city was not collected. Information on spend by the North West SHA and in England in 2010-11, 2011-12 and 2012-13 is shown in the following table:
| Amount Spent (£000) 2010-11 | Amount Spent (£000) | Amount Spent (£000) |
North West SHA | 7,400 | 10,015 | 29,272 |
England | 38,254 | 108,327 | 175,334 |
Source: Information provided to the Department by SHAs
NHS England has had oversight of the Fund since April 2013 and does not collect information at city level. In 2013-14, £63,368,429 was spent through the Fund in the North of England region and total national expenditure in England, net of any central rebates, was £230,539,005. Figures for 2014-15 are not currently available.
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to increase cancer screening rates in Liverpool; and how much he has spent on public health campaigns to increase cancer screening rates in Liverpool in each year since 2010.
Answered by Jane Ellison
Since early 2011 the Department of Health (Public Health England from 1 April 2013) has been running Be Clear on Cancer campaigns. These are designed to:
- raise the public’s awareness of specific cancer symptoms
- encourage people with those symptoms to go to the doctor
- catch cancer at an earlier stage, and therefore make it more treatable, and thereby improve cancer survival rates
The NHS England Merseyside Area Team and Public health England have been working together to develop a cancer screening plan to improve breast, cervical and bowel cancer screening uptake rates in Merseyside and they are working closely with our partners including other clinical commissioning groups in the areas, local authorities and providers to name just a few.
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the public health budget is in each core city in England.
Answered by Jane Ellison
This information is not available in the format requested. On 9 September 2014, the Department announced the public health allocation for 2015/16 to upper tier and unitary local authorities with details of the health premium incentive scheme. The total public health funding for 2015/16 will be £2.79 billion, the same as 2014/15 funding in cash terms. The table below shows the local authority allocation by regions for the year 2015/16.
Local authorities public health allocation for 2015/16 | |
England (£' 000) | |
Region | Local Authority Name | 2015-16 Allocations £’000 |
North East | ||
Hartlepool | 8,486 | |
Middlesbrough | 16,378 | |
Redcar and Cleveland | 10,917 | |
Stockton-on-Tees | 13,067 | |
Darlington | 7,184 | |
County Durham | 45,780 | |
Northumberland | 13,408 | |
Gateshead | 15,832 | |
Newcastle upon Tyne | 21,302 | |
North Tyneside | 10,807 | |
South Tyneside | 12,917 | |
Sunderland | 21,234 | |
North West | ||
Halton | 8,749 | |
Warrington | 10,440 | |
Blackburn with Darwen | 13,134 | |
Blackpool | 17,946 | |
Cheshire East | 14,274 | |
Cheshire West and Chester | 13,889 | |
Bolton | 18,906 | |
Bury | 9,619 | |
Manchester | 44,116 | |
Oldham | 14,915 | |
Rochdale | 14,777 | |
Salford | 18,777 | |
Stockport | 12,834 | |
Tameside | 12,600 | |
Trafford | 10,456 | |
Wigan | 23,665 | |
Knowsley | 16,375 | |
Liverpool | 41,437 | |
St. Helens | 13,035 | |
Sefton | 19,952 | |
Wirral | 26,440 | |
Cumbria | 15,594 | |
Lancashire | 59,801 | |
Yorkshire & Humber | ||
Kingston upon Hull, City of | 22,559 | |
East Riding of Yorkshire | 9,175 | |
North East Lincolnshire | 9,971 | |
North Lincolnshire | 8,464 | |
York | 7,305 | |
Barnsley | 14,243 | |
Doncaster | 20,198 | |
Rotherham | 14,176 | |
Sheffield | 30,748 | |
Bradford | 34,699 | |
Calderdale | 10,679 | |
Kirklees | 23,527 | |
Leeds | 40,540 | |
Wakefield | 20,797 | |
North Yorkshire | 19,733 | |
East Midlands | ||
Derby | 14,484 | |
Leicester | 21,995 | |
Rutland | 1,073 | |
Nottingham | 27,839 | |
Derbyshire | 35,651 | |
Leicestershire | 21,863 | |
Lincolnshire | 28,506 | |
Northamptonshire | 29,523 | |
Nottinghamshire | 36,119 | |
West Midlands | ||
Herefordshire, County of | 7,970 | |
Telford and Wrekin | 10,913 | |
Stoke-on-Trent | 20,242 | |
Shropshire | 9,843 | |
Birmingham | 80,838 | |
Coventry | 19,615 | |
Dudley | 18,974 | |
Sandwell | 21,805 | |
Solihull | 9,905 | |
Walsall | 15,827 | |
Wolverhampton | 19,296 | |
Staffordshire | 33,313 | |
Warwickshire | 21,810 | |
Worcestershire | 26,528 | |
East of England | ||
Peterborough | 9,291 | |
Luton | 13,065 | |
Southend-on-Sea | 8,060 | |
Thurrock | TBA | |
Bedford | 7,343 | |
Central Bedfordshire | 10,150 | |
Cambridgeshire | 22,299 | |
Essex | TBA | |
Hertfordshire | 37,642 | |
Norfolk | 30,633 | |
Suffolk | 26,289 | |
London | ||
City of London | 1,698 | |
Barking and Dagenham | 14,213 | |
Barnet | 14,335 | |
Bexley | 7,574 | |
Brent | 18,848 | |
Bromley | 12,954 | |
Camden | 26,368 | |
Croydon | 18,825 | |
Ealing | 21,974 | |
Enfield | 14,257 | |
Greenwich | 19,061 | |
Hackney | 29,818 | |
Hammersmith and Fulham | 20,855 | |
Haringey | 18,189 | |
Harrow | 9,146 | |
Havering | 9,717 | |
Hillingdon | 15,709 | |
Hounslow | 14,084 | |
Islington | 25,429 | |
Kensington and Chelsea | 21,214 | |
Kingston upon Thames | 9,302 | |
Lambeth | 26,437 | |
Lewisham | 20,088 | |
Merton | 9,236 | |
Newham | 26,112 | |
Redbridge | 11,411 | |
Richmond upon Thames | 7,891 | |
Southwark | 22,946 | |
Sutton | 8,619 | |
Tower Hamlets | 32,261 | |
Waltham Forest | 12,277 | |
Wandsworth | 25,431 | |
Westminster | 31,235 | |
South East | ||
Medway | 14,280 | |
Bracknell Forest | 3,049 | |
West Berkshire | 4,819 | |
Reading | 8,212 | |
Slough | 5,487 | |
Windsor and Maidenhead | 3,511 | |
Wokingham | 4,223 | |
Milton Keynes | 8,788 | |
Brighton and Hove | 18,695 | |
Portsmouth | 16,178 | |
Southampton | 15,050 | |
Isle of Wight | 6,088 | |
Buckinghamshire | 17,249 | |
East Sussex | 24,507 | |
Hampshire | 40,428 | |
Kent | 54,827 | |
Oxfordshire | 26,086 | |
Surrey | 25,561 | |
West Sussex | 27,445 | |
South West | ||
Bath and North East Somerset | 7,384 | |
Bristol, City of | 29,122 | |
North Somerset | 7,593 | |
South Gloucestershire | 7,345 | |
Plymouth | 12,276 | |
Torbay | 7,351 | |
Bournemouth | 8,296 | |
Poole | 6,057 | |
Swindon | 8,680 | |
Cornwall | 18,339 | |
Isles of Scilly | 73 | |
Wiltshire | 14,587 | |
Devon | 22,060 | |
Dorset | 12,889 | |
Gloucestershire | 21,793 | |
Somerset | 15,513 | |
England | 2,793,775 | |
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to increase self-care education in public health campaigns in Liverpool.
Answered by Jane Ellison
Self Care Week 2014 will take place between 17 and 23 November, and is run by the Self Care Forum. This year’s campaign will focus on how many winter illnesses do not need to be treated with antibiotics, and informing people of the advice available from pharmacists. Both Liverpool Clinical Commissioning Group and Liverpool Community Health NHS Trust supported last year’s Self Care Week.
There is a range of work underway in NHS England to support self care, including working with Age UK on advice on self care for older people with mild frailty.
All Public Health England campaigns do give advice to the public on actions they can take to improve their health for example quitting smoking, identifying the early signs and symptoms of cancer or eating more healthily and getting more active. All of these campaigns can be used locally to support local priorities. We are giving local authorities ring-fenced funding of £8.2 billion over three years, 2013-14 to 2015-16, to help tackle public health issues.
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many mental health patients in England have been sent for out of area treatment more than 30 miles from their trust in each year since May 2010.
Answered by Norman Lamb
The Government does not hold this information centrally.
Asked by: Steve Rotheram (Labour - Liverpool, Walton)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he is taking to reduce the time taken between a mental health patient being referred for counselling and their first appointment with a specialised mental health counsellor.
Answered by Norman Lamb
The 2014/15 NHS Mandate sets a requirement for NHS England to: “put mental health on a par with physical health, and close the health gap between people with mental health problems and the population as a whole. By March 2015, we expect to make measurable progress towards achieving true parity of esteem where everyone who needs it has timely access to evidence-based services”.
NHS England is currently gathering information about access to and waiting times for adult mental health services around the country, and whether any particular groups of people experience longer waits or poorer access than others. Based on this information, we will then set new national standards that focus on improving access to adult mental health services. These will be introduced starting in 2015.