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Cardiovascular System: Children

Volume 496: debated on Tuesday 1 September 2009

To ask the Secretary of State for Health what the incidence of cardiovascular failure in children was in the latest period for which figures are available. (288384)

The numbers of finished consultant episodes in English national health service hospitals or in independent hospitals but commissioned by the NHS in England where the primary diagnosis was cardiovascular failure for children for 2007-08, the last year for which figures were available were as in the following table.

Age groupNumber of episodesUnder 1624416 to 1825Notes:Finished Consultant Episode (FCE)1. A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one health care provider. FCEs are counted against the year in which they end. The figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.Primary diagnosis2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the FCE Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.3. The ICD-10 codes used to identify Cardiovascular failure are as follows:I50.0 Congestive heart failureI50.1 Left ventricular failureI50.9 Heart failure, unspecifiedI11.0 Hypertensive heart disease with (congestive) heart failureI11.0 Hypertensive heart and renal disease with (congestive) heart failureI11.0 Hypertensive heart and renal disease with both (congestive) heart failure and renal failureP29.0 Neonatal cardiac failure Data quality4. HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.Ungrossed data5. Figures have not been adjusted for shortfalls in the data, i.e. the data are ungrossed.Source:Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

To ask the Secretary of State for Health what recent assessment he has made of the effectiveness of mechanisms for identifying cardiovascular risk in children. (288385)

We have made no recent assessment of mechanisms for identifying cardiac risk in children but we believe that lack of exercise and poor diet are major factors. We are attempting to address these through the Change 4 Life programme, launched in January of 2009.