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Breast Treatment

Volume 456: debated on Thursday 1 February 2007

To ask the Secretary of State for Health which hospital trusts in England perform mastectomies but do not offer breast reconstruction surgery. (106881)

Information on the treatments offered to a patient is not collected.

However, we do collect data on where procedures are carried out. The table shows the number of mastectomies and breast reconstruction performed in England in 2005-06 broken down by national health service trust.

The National Institute for Clinical Excellence’s (NICE) guidance on “Improving Outcomes for Breast Cancer”, published in August 2002, recommends that surgeons should discuss breast reconstruction with all patients.

Implementation of NICE guidance is a developmental standard as set out in “National Standards, Local Action” published by the Department in July 2004. Progress is expected to be made against the developmental standards across much of the NHS. In 2006-07, the Healthcare Commission will assess trusts against a sample of the developmental standards including those related to clinical and cost effectiveness, which covers the breast cancer guidance. The Healthcare Commission’s “Criteria for Assessing Developmental Standards in 2006-07”, is available at:

www.healthcarecommission.org.uk/_db/_documents/Criteria_for_assessing_developmental_standards_0607.pdf

Count of total finished consultant episodes for mastectomy and reconstruction of breast by provider—mastectomy and breast reconstruction defined as using OPCS 4.2 codes—mastectomy: B27.1, B27.2, B27.3, B27.4, B27.5, B27.8 and B27.9—reconstruction of breast: B29.1, B29.2, B29.3, B29.4, B29.5, B29.8, B29.9—possible reconstruction of breast1: B30.1, S48.2

NHS hospitals England 2005-06

Mastectomy

Reconstruction of breast

Possible reconstruction of breast1

South and East Dorset PCT

2

2

0

Mid Devon PCT

2

0

0

Royal Surrey County Hospital NHS Trust

106

8

2

Weston Area Health NHS Trust

56

0

0

East Somerset NHS Trust

62

0

0

United Bristol Healthcare NHS Trust

94

2

2

South Devon Health Care NHS Trust

98

0

2

Bradford Teaching Hospitals NHS Foundation Trust

207

64

18

Southend Hospital NHS Trust

99

7

0

Royal Free Hampstead NHS Trust

84

28

8

North Middlesex University Hospital NHS Trust

51

0

0

The Hillingdon Hospital NHS Trust

58

2

0

Kingston Hospital NHS Trust

52

2

0

Taunton and Somerset NHS Trust

95

0

0

West Dorset General Hospitals NHS Trust

69

2

2

Walsall Hospitals NHS Trust

154

0

0

Wirral Hospital NHS Trust

109

0

0

St. Helens and Knowsley Hospitals NHS Trust

102

47

37

Royal Liverpool Children’s NHS Trust

14

0

0

The Mid Cheshire Hospitals NHS Trust

99

0

0

Christie Hospital NHS Trust

81

30

38

Northern Devon Healthcare NHS Trust

49

0

0

Bedford Hospital NHS Trust

46

2

0

Ealing Hospital NHS Trust

18

0

0

Luton and Dunstable Hospital NHS Trust

72

2

0

York Hospitals NHS Trust

144

26

17

Scarborough and North East Yorkshire Health Care NHS Trust

57

0

0

Harrogate and District NHS Foundation Trust

35

0

0

Airedale NHS Trust

52

2

0

Nottingham City Hospital NHS Trust

255

97

23

Sheffield Children’s NHS Trust

7

0

2

The Queen Elizabeth Hospital King’s Lynn NHS Trust

89

2

2

Royal United Hospital Bath NHS Trust

130

12

2

Poole Hospital NHS Trust

90

2

2

Heatherwood and Wexham Park Hospitals NHS Trust

141

44

2

Milton Keynes General Hospital NHS Trust

58

0

0

Basildon and Thurrock University Hospitals NHS Foundation Trust

41

0

0

Essex Rivers Healthcare NHS Trust

143

7

2

Finchley Park Hospital NHS Foundation Trust

102

2

2

Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

106

2

0

South Tyneside NHS Foundation Trust

58

0

0

Royal Cornwall Hospitals NHS Trust

175

0

0

Aintree Hospitals NHS Trust

89

8

2

Barking, Havering and Redbridge Hospitals NHS Trust

190

2

0

Barnsley District General Hospital NHS Foundation Trust

102

6

0

Queen’s Medical Centre, Nottingham University Hosp

2

0

0

The Rotherham NHS Foundation Trust

74

0

0

Chesterfield Royal Hospital NHS Foundation Trust

162

8

0

West Middlesex University Hospital NHS Trust

34

2

2

Queen Elizabeth Hospital NHS Trust

30

0

0

Bromley Hospitals NHS Trust

93

2

2

Whipps Cross University Hospital NHS Trust

72

0

0

Peterborough and Stamford Hospitals NHS Foundation Trust

119

2

11

James Paget Healthcare NHS Trust

84

6

2

Ipswich Hospital NHS Trust

91

2

2

West Suffolk Hospitals NHS Trust

64

7

0

Cambridge University Hospitals NHS Foundation Trust

184

32

20

Queen Mary’s Sidcup NHS Trust

31

0

0

Royal Devon and Exeter NHS Foundation Trust

231

43

33

Southampton University Hospitals NHS Trust

180

0

0

Sheffield Teaching Hospitals NHS Foundation Trust

205

79

48

Portsmouth Hospitals NHS Trust

190

37

13

Royal Berkshire and Battle Hospitals NHS Trust

120

2

2

Guy’s and St. Thomas NHS Foundation Trust

225

38

15

The Lewisham Hospital NHS Trust

3

0

0

St. Mary’s NHS Trust

67

2

2

Mayday Healthcare NHS Trust

71

0

0

St. George’s Healthcare NHS Trust

102

9

22

South Warwickshire General Hospitals NHS Trust

89

14

2

Mid Staffordshire General Hospitals NHS Trust

84

7

2

University Hospital Of North Staffordshire NHS Trust

185

62

25

Burton Hospitals NHS Trust

67

13

7

Good Hope Hospital NHS Trust

79

6

0

Northern Lincolnshire and Goole Hospitals NHS Trust

120

2

2

East Cheshire NHS Trust

96

2

2

Countess Of Chester Hospital NHS Foundation Trust

137

43

10

King’s College Hospital NHS Trust

46

0

0

Sherwood Forest Hospitals NHS Trust

82

0

0

Plymouth Hospitals NHS Trust

192

40

23

University Hospitals Coventry and Warwickshire NHS

110

7

2

The Whittington Hospital NHS Trust

26

0

0

The Royal Wolverhampton Hospitals NHS Trust

98

6

2

City Hospitals Sunderland NHS Foundation Trust

87

0

0

Hereford Hospitals NHS Trust

61

2

2

George Eliot Hospital NHS Trust

63

22

14

Norfolk and Norwich University Hospital NHS Trust

254

45

42

South Manchester University Hospitals NHS Trust

215

84

60

Salford Royal Hospitals NHS Trust

87

16

2

Trafford Healthcare NHS Trust

17

0

0

Bolton Hospitals NHS Trust

152

6

9

Tameside and Glossop Acute Services NHS Trust

85

0

0

Winchester and Eastleigh Healthcare NHS Trust

91

16

2

Swindon and Marlborough NHS Trust

89

2

7

North Hampshire Hospitals NHS Trust

72

2

2

Dartford and Gravesham NHS Trust

57

0

0

Dudley Group Of Hospitals NHS Trust

147

12

6

Newham University Hospital NHS Trust

39

0

0

Barts and The London NHS Trust

131

13

11

North Cumbria Acute Hospitals NHS Trust

110

2

2

Kettering General Hospital NHS Trust

71

0

0

Northampton General Hospital NHS Trust

85

0

0

Salisbury Health Care NHS Trust

118

56

44

Great Ormond Street Hospital For Children NHS Trust

1

0

0

Doncaster and Bassetlaw Hospitals NHS Foundation Trust

152

8

2

Medway NHS Trust

94

0

0

Queen Victoria Hospital NHS Foundation Trust

83

73

40

Worthing and Southlands Hospitals NHS Trust

123

9

2

Royal West Sussex NHS Trust

45

0

0

The Royal Marsden NHS Foundation Trust

185

156

10

Birmingham Children’s Hospital NHS Trust

7

0

8

Royal Liverpool and Broadgreen University Hospital

217

25

9

Mid Essex Hospital Services NHS Trust

147

156

11

Chelsea and Westminster Healthcare NHS Trust

21

2

6

Hammersmith Hospitals NHS Trust

166

32

18

Hinchingbrooke Health Care NHS Trust

47

0

6

The Princess Alexandra Hospital NHS Trust

96

2

2

Homerton University Hospital NHS Foundation Trust

38

0

0

Heart Of England NHS Foundation Trust

132

0

2

Isle Of Wight Healthcare NHS Trust

44

0

0

Gateshead Health NHS Foundation Trust

137

17

8

Leeds Teaching Hospitals NHS Trust

239

55

42

Wrightington, Wigan and Leigh NHS Trust

139

11

2

University Hospital Birmingham NHS Foundation Trust

177

62

44

University College London Hospitals NHS Foundation Trust

55

0

2

The Newcastle Upon Tyne Hospitals NHS Trust

251

80

50

Gloucestershire Hospitals NHS Foundation Trust

162

11

13

Northumbria Health Care NHS Trust

134

22

0

Derby Hospitals NHS Foundation Trust

241

9

43

Oxford Radcliffe Hospitals NHS Trust

222

25

11

Ashford and St. Peter’s Hospitals NHS Trust

84

2

2

Surrey and Sussex Healthcare NHS Trust

103

2

2

South Tees Hospitals NHS Trust

180

32

2

University Hospitals Of Morecambe Bay NHS Trust

165

2

12

North West London Hospitals NHS Trust

99

2

2

North Bristol NHS Trust

179

37

93

Barnet and Chase Farm Hospitals NHS Trust

127

2

0

Epsom and St. Helier University Hospitals NHS Trust

4

0

0

East Kent Hospitals NHS Trust

157

6

16

North Tees and Hartlepool NHS Trust

165

19

7

Southport and Ormskirk Hospital NHS Trust

45

0

0

Central Manchester and Manchester Children’s Uni

7

0

2

Pennine Acute Hospitals NHS Trust

221

13

30

Hull and East Yorkshire Hospitals NHS Trust

186

41

35

United Lincolnshire Hospitals NHS Trust

213

6

2

University Hospitals Of Leicester NHS Trust

298

63

28

Maidstone and Tunbridge Wells NHS Trust

147

2

0

West Hertfordshire Hospitals NHS Trust

137

31

9

East and North Hertfordshire NHS Trust

112

25

10

Stockport NHS Foundation Trust

71

0

0

Worcestershire Acute Hospitals NHS Trust

158

2

0

North Cheshire Hospitals NHS Trust

102

2

2

Calderdale and Huddersfield NHS Trust

170

0

0

East Sussex Hospitals NHS Trust

173

2

0

Mid Yorkshire Hospitals NHS Trust

171

22

14

Brighton and Sussex University Hospitals NHS Trust

151

9

2

Sandwell and West Birmingham Hospitals NHS Trust

211

31

15

Blackpool, Fylde and Wyre Hospitals NHS Trust

146

0

0

Lancashire Teaching Hospitals NHS Foundation Trust

122

30

22

County Durham and Darlington Acute Hospitals NHS Trust

158

31

14

Buckinghamshire Hospitals NHS Trust

116

42

22

East Lancashire Hospitals NHS Trust

137

2

2

Shrewsbury and Telford Hospital NHS Trust

133

2

2

Total

17,823

2,409

1,330

1 Possible reconstruction of the breast (B30.1 and S48.2) can be used to describe forms of reconstruction of the breast but can also apply to other operations on the breast..

2 Indicates 5 or less.

Notes:

1. Data Quality: Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts and Primary Care Trusts (PCTs) in England.

2. All operations count of Episodes: these figures represent a count of all Finished Consultant Episodes where the procedure was mentioned in any of the 12 (4 prior to 2002-02) operation fields in a HES record. A record is only included once in each count, even if an operation is mentioned in more than one operation field of the record.

3. Ungrossed Data: figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed.

Source:

Hospital Episode Statistics (HES), The Information Centre for Health and Social Care