To ask the Secretary of State for Health how many (a) admissions and (b) emergency admissions for breast cancer there have been in (i) England, (ii) each primary care trust area of responsibility and (iii) each cancer network area of responsibility, as recorded in the Hospital Episodes Statistics database in each of the last five years. (300549)

Tables showing count of finished admission episodes and emergency finished admission episodes where the primary diagnosis was breast cancer have been placed in the Library. The information has been provided for England and for primary care trusts. Information is not centrally held for cancer networks.

To ask the Secretary of State for Health how many (a) elective and (b) emergency bed days were accounted for by breast cancer patients in each year since 1997-98 (A) in total and (B) broken down by (i) primary care trust area of responsibility and (ii) cancer network area of responsibility, as recorded in the Hospital Episodes Statistics database; and at what overall cost to the public purse. (300551)

Tables showing the count of finished consultant episode (FCE) bed days where the primary diagnosis was breast cancer, separated into emergency and elective admissions and split by primary care trust responsibility, for the years 1997-08 to 2008-09 have been placed in the Library.

FCE bed day data are not available at cancer network level. Information on the cost of bed days is not available centrally.

To ask the Secretary of State for Health what the ratio of mastectomies to breast conserving surgical procedures was in (a) England, (b) each cancer network and (c) each primary care trust area in each of the last five years for which figures are available. (300554)

Tables showing ratio of mastectomies to breast conserving surgical procedures where breast cancer was recorded have been placed in the Library.

The information has been provided for England and for primary care trusts. Information is not centrally held for cancer networks.

To ask the Secretary of State for Health what proportion of women undergoing surgery for breast cancer received immediate breast reconstruction surgery in (a) England, (b) each cancer network and (c) each primary care trust area in the latest period for which figures are available. (300555)

The information requested is not available in the format requested.

The National Mastectomy and Breast Reconstruction Audit (NMBRA) only collects data on patients having mastectomy for breast cancer, not all surgery for breast cancer. The data are available at a national and cancer network level, but not at primary care trust level.

The data has been taken from the NMBRA 2 Annual Report, published in October 2009. This publication is available online at:

www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/mastectomy-and-breast-reconstruction

The audit collected data on patients who have had a mastectomy, with or without immediate reconstruction, or delayed reconstruction for breast cancer mastectomy patients between 1 January 2008 and 31 March 2009.

When the aAudit closed for submissions 15,479 female mastectomy patients had been entered into the data collection system. Of these 3,216 women underwent immediate breast reconstruction.