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Mesothelioma

Volume 451: debated on Wednesday 1 November 2006

To ask the Secretary of State for Health what estimate she has made of the cost of providing (a) herceptin for breast cancer and (b) alimta for mesothelioma for each patient with such diseases in the South West of England, broken down by primary care trust area. (96240)

Information about the cost of providing herceptin for breast cancer and alimta for mesothelioma to individual patients is not centrally collected.

However, the National Institute for Health and Clinical Excellence has assessed that the cost of providing herceptin for early breast cancer is approximately £24,500 per patient and the cost of providing alimta for mesothelioma is approximately £8,000 per patient. Costs may vary in different settings because of negotiated procurement discounts.

To ask the Secretary of State for Health how many people are receiving treatment for mesothelioma in the South West of England, broken down by primary care trust. (96241)

Information on the number of people receiving treatment for mesothelioma is not centrally collected. Information on count of finished consultant episodes where the primary diagnosis was mesothelioma for primary care trusts in the south west of England is provided in the following table.

Count of finished consultant episodes where the primary diagnosis was mesothelioma1 for PCTs in the south west of England for 2004-05 (most recent data available)

PCT name

Total episodes

Bath and North East Somerset PCT

50

Bournemouth Teaching PCT

40

Bristol North PCT

0

Bristol South and West PCT

71

Central Cornwall PCT

89

Cheltenham and Tewkesbury PCT

133

Cotswold and vale PCT

2

Kennet and North Wiltshire PCT

0

East Devon PCT

2

Exeter PCT

57

Mendip PCT

2

Mid Devon PCT

2

North and East Cornwall PCT

2

North Devon PCT

13

North Dorset PCT

0

North Somerset PCT

25

Plymouth Teaching PCT

59

Poole PCT

12

Somerset Coast PCT

0

South and East Dorset PCT

2

South Gloucestershire PCT

57

South hams and West Devon PCT

2

South Somerset PCT

12

South West Dorset PCT

9

South Wiltshire PCT

21

Swindon PCT

9

Taunton Deane PCT

11

Teignbridge PCT

0

Torbay PCT

15

West of Cornwall PCT

2

West Gloucestershire PCT

0

West Wiltshire PCT

0

1 The ICD-10 codes used in this analysis were as follows:

C45 Mesothelioma

D19 Benign neoplasm of mesothelial tissue.

2 Low numbers: Due to reasons of confidentiality, figures between 1 and 5 have been suppressed.

Notes:

1. Finished consultant episode (FCE): An FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.

2. Ungrossed data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

3. Diagnosis (primary diagnosis): The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the hospital episode statistics (HES) dataset and provides the main reason why the patient was in hospital.

Source:

Hospital Episode Statistics (HES), The Information Centre for health and social care.