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House of Commons Hansard
x
Asthma: Greater London
29 March 2010
Volume 508
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To ask the Secretary of State for Health what estimate he has made of the number of people in each age group (a) with, (b) diagnosed with, (c) admitted to hospital as a result of, (d) treated by a GP as a result of and (e) who died as a result of asthma in each London borough in each year since 2000. [323738]

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Information is not available in the format requested.

Figures are available for the number of people registered with asthma in the Quality and Outcomes Framework (QOF), introduced as part of the new General Medical Services contract on 1 April 2004. QOF data are available from 2004-05 and information has been provided broken down by primary care trust (PCT) of responsibility. The QOF disease register reporting does not collect information on ages, so the data is not split by age group.

We have provided a count of finished admission episodes where the primary diagnosis was asthma by age group and by PCT of residence in London for the years 2000-01 to 2008-09.

Information on the number of people treated by a general practitioner as a result of asthma, is not collected centrally.

Information is provided from the Office for National Statistics (ONS) on the number of deaths where asthma was the underlying cause of death for persons in each age group in each London borough, for the years 2000-08 (the latest year available) combined. The number of deaths at this level of detail is extremely small. Consequently, figures for individual years have not been provided, in line with ONS policy on protecting confidentiality within birth and death statistics.

The information available has been placed in the Library.

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To ask the Secretary of State for Health whether he has made an estimate of the (a) number of units of medication prescribed to treat asthma-related conditions and (b) bed days were occupied as a result of asthma in each London borough in each year since 2000. [323739]

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Information is not collected in the format requested. The following tables show the number of items prescribed for asthma-related conditions in London primary care trusts (PCTs) from 2006 to 2009 and the number of finished consultant episode bed days where the primary diagnosis was asthma, given by PCT of residence in London for the years 2000-01 to 2008-09.

Items prescribed for asthma-related conditions in London 2006-09

Items

PCT

2006

2007

2008

20091

Barking and Dagenham

127,193

130,402

134,237

102,722

Barnet

177,622

179,357

181,923

136,527

Bexley Care Trust

136,886

140,623

139,635

105,148

Brent Teaching

150,734

155,158

159,531

119,541

Bromley

174,199

174,441

176,350

131,643

Camden

97,679

96,328

99,515

74,481

City and Hackney Teaching

114,129

115,961

115,826

86,550

Croydon

187,823

191,036

196,150

146,878

Ealing

181,177

184,038

184,875

140,683

Enfield

159,942

160,070

165,812

125,442

Greenwich Teaching

165,457

163,219

165,706

125,681

Hammersmith and Fulham

84,273

87,006

86,142

65,544

Haringey Teaching

134,218

137,599

137,925

104,639

Harrow

139,146

143,961

147,964

110,496

Havering

156,823

168,798

178,363

136,048

Hillingdon

154,110

155,412

158,362

118,883

Hounslow

131,948

137,549

138,866

105,842

Islington

111,872

114,330

118,999

89,951

Kensington and Chelsea

65,167

67,858

67,850

51,952

Kingston

93,560

94,220

95,133

70,913

Lambeth

144,873

143,794

148,327

110,021

Lewisham

160,751

162,154

162,727

122,167

Newham

174,827

178,654

187,437

145,500

Redbridge

130,595

133,845

137,194

105,240

Richmond and Twickenham

90,861

92,054

95,092

72,145

Southwark

138,791

141,913

143,623

107,918

Sutton and Merton

212,941

221,283

230,477

172,680

Tower Hamlets

126,113

126,929

128,528

97,768

Waltham Forest

134,323

137,058

139,595

106,985

Wandsworth Teaching

149,320

148,156

146,639

112,369

Westminster

86,734

91,214

93,804

72,086

Total

4,294,087

4,374,420

4,462,607

3,374,443

1 January to September. Notes: 1. The PACT system covers prescriptions prescribed by general practitioners (GPs), nurses, pharmacists and others in England and dispensed in the community in the United Kingdom. For data at PCT level, prescriptions written by a prescriber located in a particular PCT but dispensed outside that PCT will be included in the PCT in which the prescriber is based. Prescriptions written in England but dispensed outside England are included. Prescriptions written in hospitals/clinics that are dispensed in the community, prescriptions dispensed in hospitals, dental prescribing and private prescriptions are not included in PACT data. It is important to note this as some British National Formulary (BNF) sections have a high proportion of prescriptions written in hospitals that are dispensed in the community. For example, BNF chapter 4, “Central Nervous System” has a fair proportion of items written in mental health clinics that are dispensed in the community—these prescriptions are not included in PACT data. 2. Data are held for 60 months and so at the moment the only complete years available are 2006, 2007, 2008 and 2009. Complete data for 2009 cannot be released until after the publication of the associated National Statistic in April 2010 and so only data for January to September is presented here. 3. Prescriptions are written on a prescription form known as a FP10. Each single item written on the form is counted as a prescription item. 4. The term “asthma-related conditions” has been taken to mean asthma and chronic obstructive pulmonary disease since they are treated with the same medications, namely those classified under sections 3.1, 3.2 and 3.3 of the BNF. Source: Prescribing Analysis and CosT (PACT) system.

Finished consultant episode bed days where the primary diagnosis was asthma by London PCT of residence from 2000-01 to 2008-09—Activity in English NHS hospitals and English NHS commissioned activity in the independent sector

PCT of residence

PCT code

2008-09

2007-08

2006-07

2005-06

2004-05

2003-04

2002-03

2001-02

2000-01

Barking and Dagenham PCT

5C2

695

807

1,015

1,030

1,249

934

781

573

619

Barnet PCT

5A9

910

656

1,364

1,278

1,230

1,687

1,339

926

1,406

Bexley Care Trust

TAK

725

694

698

695

927

953

Bexley PCT

5AX

1,030

676

688

Brent Teaching PCT

5K5

1,150

1,177

1,183

1,439

1,505

1,408

1,270

516

747

Bromley PCT

5A7

599

756

1,027

1,375

1,251

1,118

1,295

579

1,102

Camden PCT

5K7

587

670

800

672

987

1,077

1,377

879

856

City and Hackney Teaching PCT

5C3

949

937

1,134

1,898

1,331

1,375

1,452

1,120

1,139

Croydon PCT

5K9

1,533

1,608

1,392

1,598

1,920

1,556

971

1,246

1,290

Ealing PCT

5HX

2,021

1,810

2,002

1,890

2,064

2,714

1,687

1,661

1,790

Enfield PCT

5C1

1,046

603

1,020

921

971

799

785

1,311

1,038

Greenwich Teaching PCT

5A8

572

554

690

873

843

1,363

841

957

824

Hammersmith and Fulham PCT

5H1

526

801

752

787

799

722

758

1,107

1,078

Haringey Teaching PCT

5C9

899

1,049

1,190

1,281

1,242

819

907

768

1,290

Harrow PCT

5K6

718

674

628

729

685

682

704

555

636

Havering PCT

5A4

475

549

563

768

824

992

856

773

678

Hillingdon PCT

5AT

831

783

530

658

661

597

818

733

1,004

Hounslow PCT

5HY

1,138

1,178

684

1,409

1,482

1,798

1,298

1,317

1,412

Islington PCT

5K8

1,182

1,238

1,325

1,287

1,037

980

809

868

855

Kensington and Chelsea PCT

5LA

305

389

438

612

346

372

504

483

802

Kingston PCT

5A5

559

630

563

709

842

669

701

707

554

Lambeth PCT

5LD

1,038

1,030

1,178

1,136

1,195

1,260

1,440

1,526

1,298

Lewisham PCT

5LF

942

1,015

1,148

1,188

1,000

1,086

1,229

1,047

1,264

Newham PCT

5C5

1,137

1,144

1,302

1,037

1,212

1,244

1,470

1,471

1,389

Redbridge PCT

5NA

1,140

1,430

1,399

1,558

1,429

1,383

Chingford, Wanstead and Woodford PCT

5C7

616

381

358

Redbridge PCT

5C8

622

617

681

Richmond and Twickenham PCT

5M6

601

504

456

478

630

800

737

418

446

Southwark PCT

5LE

877

800

982

1,052

1,211

1,658

1,198

1,288

1,225

Sutton and Merton PCT

5M7

1,210

1,302

1,062

995

1,336

1,271

1,076

1,465

1,576

Tower Hamlets PCT

5C4

816

1,048

806

1,304

1,388

1,173

1,058

1,401

1,073

Walthamstow, Leyton and Leytonstone PCT

5C6

608

458

614

Waltham Forest PCT

5NC

871

834

900

1,076

1,069

1,109

Wandsworth PCT

5LG

962

939

809

1,076

1,116

1,130

1,230

1,063

1,264

Westminster PCT

5LC

677

619

722

814

963

648

809

1,153

1,044

Notes: 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. Please note that 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. 2. Episode duration/bed days: episode duration is calculated as the difference in days between the episode start date and the episode end date, where both are given. Episode duration is based on FCEs and applies only to ordinary admissions, i.e. day cases are excluded (unless otherwise stated). 3. 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 HES data set and provides the main reason why the patient was admitted to hospital. 4. PCT Changes: In July 2006, the NHS reorganised strategic health authorities (SHA) and PCTs in England from 28 SHAs into 10, and from 303 PCTs into 152. As a result, data from 2006-07 onwards is not directly comparable with previous years. In particular, it is noted that there was a change in the number of PCTs that constituted the London boroughs around 2003-04: Walthamstow, Leyton and Leytonstone PCT became Waltham Forest PCT; Chingford, Wanstead and Woodford PCT and Redbridge PCT became Redbridge PCT; and Bexley PCT became Bexley Care Trust. 5. Assessing growth through time: HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time. 6. Data quality: HES are compiled from data sent by more than 300 NHS trusts and PCTs in England. Data is 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. Source: Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

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To ask the Secretary of State for Health whether he has made a recent estimate of the cost per bed day of treating a patient with asthma in each London borough. [323740]

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The Department has made no such estimate.