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759586

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have established the cross-agency expert group on viral hepatitis to provide strategic direction and advice around hepatitis C and other viral hepatitis, as announced in March.
tabling member printed	Baroness Randerson
uin	HL1556
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>With the support of the Department and the Chief Medical Officer, Public Health England (PHE) has established a national cross-agency expert group, the National Strategic Group on Viral Hepatitis, to provide strategic direction and advice around all types of viral hepatitis, including hepatitis C. It will provide advice to PHE, the Department, NHS England and to the wider health system. The new group is committed to working towards the World Health Organization goal to eliminate viral hepatitis as a major public health threat and brings together partner organisations to improve health services, minimise the number of new infections and reduce the health consequences of viral hepatitis for people in England. A priority is addressing the cross-system operational barriers in case finding and treatment capacity.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:22:49 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4230 label Biography information for Baroness Randerson

759716

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Anorexia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many diagnosed cases of anorexia there have been among people aged under 30 in the last three years.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	10053
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The information requested is shown in the table.</p><p> </p><p>Count of finished admission episodes (FAEs)<sup>1</sup> with a primary diagnosis<sup>2</sup> of anorexia<sup>3</sup> , where the patient age was under 30 years, 2013-14 to 2015-16.</p><p> </p><table><tbody><tr><td colspan="2"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Year</p></td><td><p>FAEs</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,854</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,832</p></td></tr><tr><td><p>2015-16</p></td><td><p>1,803</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1</sup>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><p><sup>2</sup>Primary diagnosis</p><p>The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>3</sup> International Classification of Diseases ICD-10 Codes</p><p>The following ICD-10 codes classify anorexia:</p><p>F50.0 Anorexia nervosa</p><p>F50.1 Atypical anorexia nervosa</p><p> </p><p>Source: HES, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/10/2017 11:13:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1409 label Biography information for Mr Gregory Campbell

759717

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 5 September 2017 to Question 6776, what steps his Department will take to include the recommendations of the national neonatal review due to publish its initial report in September 2017 for consultation in the Local Maternity System Plans which must be in place by October 2017; and what the timetable is for incorporating those recommendations in the period between publication of that review and the putting in place of those plans.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	10021
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Neonatal Critical Care Review has this month, set out initial themes and recommendations supported by detailed data packs at Neonatal Care level and Local Maternity Systems level. The Local Maternity System Plans are being incorporated into local planning arrangements.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:53:38 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

759123

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the adverse consequences for patients of restricting the use of blue-light filtering intraocular lenses, as laid out in the NICE draft guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1492
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The Government has made no such assessment. The National Institute for Health and Care Excellence (NICE) has not yet issued its final clinical guideline on the management of cataracts and it would not be appropriate to pre-empt its final recommendations. NICE recently consulted on the draft clinical guideline and will take the comments it received in response to the consultation fully into account in developing its final guidance, due for publication in October 2017.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:30:19 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

759124

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what were the exceptional circumstances that led to the addition of a review question on blue-light filtering intraocular lenses in the final scope of the NICE guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1493
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) has advised that there were no exceptional circumstances that led to the addition of a review question on blue-light filtering intraocular lenses in the development of its guideline on the management of cataracts. The draft review questions in the scope for the guideline referred to various aspects of lens design and, during the NICE Guideline Committee’s work on this area, the question relating to blue-light filtering intraocular lenses was added and subsequently signed off through all the normal processes. This is consistent with the normal way in which questions are refined by committees during guidance development.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:37:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

759125

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cataracts: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what investigation they have conducted into evidence reporting lower incidence of age-related macular degeneration in patients with blue-light filtering intraocular lenses; and what account was taken of that evidence in the preparation of the NICE draft guideline Cataracts in adults: management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1494
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>The Government has not conducted any such investigation. The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service. NICE will consider all the evidence fully in developing its final guidance on the management of cataracts due for publication in October 2017.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:24:10 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

759134

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Oral Tobacco
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to publish (1) the assessments, and (2) the correspondence, held by Public Health England regarding the toxicology of the smoking substitute snus, including any communication with government scientists.
tabling member printed	Viscount Ridley
uin	HL1503
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>There are no current plans to publish any assessments or correspondence on the toxicology of snus.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:22:02 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4272 label Biography information for Viscount Ridley

759340

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Compulsorily Detained Psychiatric Patients
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many detentions there were under the Mental Health Act 1983 by each section of that Act in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	10013
answer	answer is ministerial correction date of answer 19/09/2017 answer text <p>The information requested is shown in the following table. The Department of Health, with the Home Office, has led the Mental Health Crisis Care Concordat, which brings together both nationally, and in each locality in England, the services and agencies involved in the care and support of people in crisis. These partnerships have worked to reduce the use of police cells for detentions under section 136 of the Mental Health Act. In 2011/12 there were 8,667 such detentions, by 2015-16 this had been reduced by over 80 per cent., to 1,764 detentions.</p><p> </p><p> </p><p>Detentions under The Mental Health Act 1983 by legal status 2010/11 to 2015/16</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="6"><p>All providers</p></td></tr><tr><td><p> </p></td><td><p>2010/11</p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>All detentions</p></td><td><p>46,348</p></td><td><p>48,631</p></td><td><p>50,408</p></td><td><p>53,176</p></td><td><p>58,399</p></td><td><p>63,622</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions on admission to hospital</p></td><td><p>29,557</p></td><td><p>30,900</p></td><td><p>32,224</p></td><td><p>34,806</p></td><td><p>37,709</p></td><td><p>40,785</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions under Part II of the Mental Health Act</p></td><td><p>27,337</p></td><td><p>28,632</p></td><td><p>30,253</p></td><td><p>32,781</p></td><td><p>35,444</p></td><td><p>38,873</p></td></tr><tr><td><p>Section 2</p></td><td><p>19,163</p></td><td><p>20,931</p></td><td><p>22,477</p></td><td><p>25,300</p></td><td><p>27,754</p></td><td><p>30,627</p></td></tr><tr><td><p>Section 3</p></td><td><p>8,174</p></td><td><p>7,701</p></td><td><p>7,776</p></td><td><p>7,481</p></td><td><p>7,690</p></td><td><p>8,246</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions under Part III of the Mental Health Act</p></td><td><p>2,138</p></td><td><p>2,130</p></td><td><p>1,788</p></td><td><p>1,847</p></td><td><p>1,930</p></td><td><p>1,696</p></td></tr><tr><td><p>35</p></td><td><p>85</p></td><td><p>107</p></td><td><p>69</p></td><td><p>77</p></td><td><p>75</p></td><td><p>40</p></td></tr><tr><td><p>36</p></td><td><p>16</p></td><td><p>16</p></td><td><p>16</p></td><td><p>22</p></td><td><p>15</p></td><td><p>17</p></td></tr><tr><td><p>37 (with S41 restrictions)</p></td><td><p>508</p></td><td><p>522</p></td><td><p>435</p></td><td><p>448</p></td><td><p>486</p></td><td><p>415</p></td></tr><tr><td><p>37 (without S41 restrictions)</p></td><td><p>493</p></td><td><p>459</p></td><td><p>326</p></td><td><p>315</p></td><td><p>307</p></td><td><p>223</p></td></tr><tr><td><p>45A</p></td><td><p>1</p></td><td><p>8</p></td><td><p>3</p></td><td><p>2</p></td><td><p>9</p></td><td><p>7</p></td></tr><tr><td><p>47 (with S49 restrictions)</p></td><td><p>430</p></td><td><p>427</p></td><td><p>404</p></td><td><p>414</p></td><td><p>429</p></td><td><p>385</p></td></tr><tr><td><p>47 (without S49 restrictions)</p></td><td><p>40</p></td><td><p>41</p></td><td><p>41</p></td><td><p>43</p></td><td><p>60</p></td><td><p>32</p></td></tr><tr><td><p>48 (with S49 restrictions)</p></td><td><p>403</p></td><td><p>398</p></td><td><p>371</p></td><td><p>394</p></td><td><p>440</p></td><td><p>465</p></td></tr><tr><td><p>48 (without S49 restrictions)</p></td><td><p>10</p></td><td><p>9</p></td><td><p>14</p></td><td><p>11</p></td><td><p>3</p></td><td><p>5</p></td></tr><tr><td><p>Other sections - 38, 44 and 46</p></td><td><p>152</p></td><td><p>143</p></td><td><p>109</p></td><td><p>121</p></td><td><p>106</p></td><td><p>107</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Under previous legislation (Fifth Schedule) and other Acts</p></td><td><p>82</p></td><td><p>138</p></td><td><p>183</p></td><td><p>178</p></td><td><p>335</p></td><td><p>216</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions subsequent to admission</p></td><td><p>13,397</p></td><td><p>13,680</p></td><td><p>14,249</p></td><td><p>14,087</p></td><td><p>16,078</p></td><td><p>17,181</p></td></tr><tr><td><p>Informal to 2</p></td><td><p>3,347</p></td><td><p>3,398</p></td><td><p>3,974</p></td><td><p>4,097</p></td><td><p>5,079</p></td><td><p>5,678</p></td></tr><tr><td><p>Informal to 3</p></td><td><p>4,199</p></td><td><p>4,114</p></td><td><p>3,895</p></td><td><p>3,483</p></td><td><p>4,077</p></td><td><p>4,303</p></td></tr><tr><td><p>5(2) to 2</p></td><td><p>2,973</p></td><td><p>3,264</p></td><td><p>3,601</p></td><td><p>3,707</p></td><td><p>4,015</p></td><td><p>4,121</p></td></tr><tr><td><p>5(2) to 3</p></td><td><p>2,309</p></td><td><p>2,437</p></td><td><p>2,361</p></td><td><p>2,414</p></td><td><p>2,489</p></td><td><p>2,631</p></td></tr><tr><td><p>5(4) to 2</p></td><td><p>72</p></td><td><p>63</p></td><td><p>57</p></td><td><p>54</p></td><td><p>56</p></td><td><p>51</p></td></tr><tr><td><p>5(4) to 3</p></td><td><p>40</p></td><td><p>22</p></td><td><p>41</p></td><td><p>44</p></td><td><p>43</p></td><td><p>40</p></td></tr><tr><td><p>4 to 2</p></td><td><p>401</p></td><td><p>344</p></td><td><p>280</p></td><td><p>260</p></td><td><p>277</p></td><td><p>331</p></td></tr><tr><td><p>4 to 3</p></td><td><p>56</p></td><td><p>38</p></td><td><p>40</p></td><td><p>28</p></td><td><p>42</p></td><td><p>26</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions following use of Section 136</p></td><td><p>2,376</p></td><td><p>2,582</p></td><td><p>2,426</p></td><td><p>2,882</p></td><td><p>3,185</p></td><td><p>4,099</p></td></tr><tr><td><p>136 to 2</p></td><td><p>1,948</p></td><td><p>2,142</p></td><td><p>2,135</p></td><td><p>2,587</p></td><td><p>2,882</p></td><td><p>3,660</p></td></tr><tr><td><p>136 to 3</p></td><td><p>428</p></td><td><p>440</p></td><td><p>291</p></td><td><p>295</p></td><td><p>303</p></td><td><p>439</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions following revocation of Community Treatment orders</p></td><td><p>1,018</p></td><td><p>1,469</p></td><td><p>1,509</p></td><td><p>1,401</p></td><td><p>1,427</p></td><td><p>1,557</p></td></tr></tbody></table><p>Notes:</p><p> </p><p>The 'all detentions' figure excludes:</p><p>Short term detention orders under Sections 4, 5(2) &amp; 5(4) or 135 &amp; 136;</p><p>Detentions following the use of Section 135 (the KP90 form does not collect changes from Section 135 to 2, or Section 135 to 3); and</p><p>Detentions following recalls from conditional discharge (these are out of scope of the current KP90 collection).</p><p> </p><p>Section 136 uses in police custody suites (the KP90 collection is from healthcare providers only).</p><p> </p><p>Source: KP90 - NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/09/2017 09:52:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

759341

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Complaints
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many formal complaints (a) mental health services and (b) the NHS received in 2016-17.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	10016
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The total number of complaints in respect of National Health Service mental health services for 2016/17 is 14,106.</p><p> </p><p>The total written complaints in 2016/17 that the NHS received was 208,400.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 11:19:20 answering member 1542 label Biography information for Philip Dunne
tabling member	4036 label Biography information for Luciana Berger

759342

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Joint Replacements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many (a) knee, (b) hip and (c) shoulder replacements have been undertaken by the NHS in each of the last five years; and how many people aged (i) 30 to 40, (ii) 41 to 50, (iii) 51 and 60 and (iv) over 60 had such replacements.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10007
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>A count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedure<sup>2</sup> for 'joint replacement surgery'<sup>3</sup> which includes shoulder, hip and knee<sup>4</sup> in total and for selected age groups in England from 2011/12 to 2015/16<sup>5</sup> is provided in the tables below.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Knee replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>83,312</p></td><td><p>263</p></td><td><p>2,713</p></td><td><p>12,155</p></td><td><p>68,089</p></td></tr><tr><td><p>2012-13</p></td><td><p>82,976</p></td><td><p>271</p></td><td><p>2,838</p></td><td><p>12,558</p></td><td><p>67,200</p></td></tr><tr><td><p>2013-14</p></td><td><p>85,934</p></td><td><p>237</p></td><td><p>2,894</p></td><td><p>13,199</p></td><td><p>69,493</p></td></tr><tr><td><p>2014-15</p></td><td><p>91,542</p></td><td><p>228</p></td><td><p>2,964</p></td><td><p>14,076</p></td><td><p>74,148</p></td></tr><tr><td><p>2015-16</p></td><td><p>92,735</p></td><td><p>229</p></td><td><p>2,964</p></td><td><p>14,157</p></td><td><p>75,272</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Hip replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>104,434</p></td><td><p>1,126</p></td><td><p>3,895</p></td><td><p>11,245</p></td><td><p>87,683</p></td></tr><tr><td><p>2012-13</p></td><td><p>105,499</p></td><td><p>1,145</p></td><td><p>4,239</p></td><td><p>11,369</p></td><td><p>88,249</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,635</p></td><td><p>1,099</p></td><td><p>4,228</p></td><td><p>12,113</p></td><td><p>92,686</p></td></tr><tr><td><p>2014-15</p></td><td><p>113,111</p></td><td><p>1,157</p></td><td><p>4,386</p></td><td><p>12,796</p></td><td><p>94,227</p></td></tr><tr><td><p>2015-16</p></td><td><p>112,625</p></td><td><p>1,075</p></td><td><p>4,339</p></td><td><p>12,669</p></td><td><p>94,010</p></td></tr></tbody></table><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="5"><p>Shoulder replacements</p></td></tr><tr><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,852</p></td><td><p>61</p></td><td><p>222</p></td><td><p>518</p></td><td><p>5,010</p></td></tr><tr><td><p>2012-13</p></td><td><p>6,210</p></td><td><p>60</p></td><td><p>216</p></td><td><p>624</p></td><td><p>5,281</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,827</p></td><td><p>78</p></td><td><p>219</p></td><td><p>676</p></td><td><p>5,809</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,174</p></td><td><p>62</p></td><td><p>198</p></td><td><p>617</p></td><td><p>6,252</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,343</p></td><td><p>71</p></td><td><p>229</p></td><td><p>687</p></td><td><p>6,326</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p><sup>1 </sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. 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.</p><p><sup>2 </sup>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p><sup>3 </sup>Included in the codes are for both partial and total joint replacements as well as conversion and revision codes. The ‘Conversion to’ codes provided in this resolution (e.g. W40.2) are assigned when the procedure has converted to the specified type of joint replacement from a different type of joint replacement. Examples could include conversion to a cemented total shoulder replacement following previous partial shoulder replacement or conversion to a total shoulder replacement following a previous uncemented shoulder replacement. This principle would apply to all ‘Conversion to’ prosthetic joint procedures provided. The ‘Conversion to’ codes could be considered ‘revisions’ in clinical terms, and you may wish to include these codes in your data search.</p><p><sup>4 </sup>A range of OPCS codes covering knee replacements, hemiarthroplasty knees, unicomparmental knee replacements, hip replacements, hemiarthroplasty hips, shoulder replacements and hemiarthroplasty shoulder have been included.</p><p><sup>5 </sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 13:01:41 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon