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<p>There have been no discussions between my Rt. hon. friend the Secretary of State
for Health and the Royal Colleges about the use of radical brain surgery to reduce
death from epilepsy. The National Institute for Health and Care Excellence (NICE)
guidance sets out that surgery should be a treatment option for patients with complex
epilepsy who do not respond to conventional treatment. In addition, NHS England has
commissioned a specialised children’s epilepsy service at four centres in England
to improve access to earlier surgical intervention.</p><p> </p><p> </p><p> </p><p>NICE
estimates that epilepsy affects between 362,000 and 415,000 people in England. The
following table provides figures for finished admission episodes (FAEs) with a primary
diagnosis of epilepsy by age group, 2009-10 to 2013-14:</p><p> </p><p> </p><p> </p><table><tbody><tr><td
rowspan="2"><p>Year</p></td><td colspan="11"><p>FAEs per age group</p></td><td> </td></tr><tr><td><p>0-9</p></td><td><p>10-19</p></td><td><p>20-29</p></td><td><p>30-39</p></td><td><p>40-49</p></td><td><p>50-59</p></td><td><p>60-69</p></td><td><p>70-79</p></td><td><p>80-89</p></td><td><p>90+</p></td><td><p>Unknown</p></td><td><p>Total</p></td></tr><tr><td><p>2009-10</p></td><td><p>8,188</p></td><td><p>5,410</p></td><td><p>5,113</p></td><td><p>5,263</p></td><td><p>6,135</p></td><td><p>4,645</p></td><td><p>3,697</p></td><td><p>3,519</p></td><td><p>2,833</p></td><td><p>514</p></td><td><p>97</p></td><td><p>45,414</p></td></tr><tr><td><p>2010-11</p></td><td><p>8,606</p></td><td><p>5,344</p></td><td><p>5,155</p></td><td><p>5,137</p></td><td><p>6,346</p></td><td><p>4,743</p></td><td><p>3,932</p></td><td><p>3,664</p></td><td><p>2,915</p></td><td><p>587</p></td><td><p>106</p></td><td><p>46,535</p></td></tr><tr><td><p>2011-12</p></td><td><p>8,851</p></td><td><p>5,284</p></td><td><p>5,292</p></td><td><p>4,969</p></td><td><p>6,335</p></td><td><p>4,843</p></td><td><p>3,971</p></td><td><p>3,592</p></td><td><p>2,900</p></td><td><p>600</p></td><td><p>123</p></td><td><p>46,760</p></td></tr><tr><td><p>2012-13</p></td><td><p>8,578</p></td><td><p>4,990</p></td><td><p>4,967</p></td><td><p>4,625</p></td><td><p>5,873</p></td><td><p>4,660</p></td><td><p>4,015</p></td><td><p>3,434</p></td><td><p>2,884</p></td><td><p>624</p></td><td><p>133</p></td><td><p>44,783</p></td></tr><tr><td><p>2013-14</p></td><td><p>9,316</p></td><td><p>5,027</p></td><td><p>5,060</p></td><td><p>4,815</p></td><td><p>5,722</p></td><td><p>4,872</p></td><td><p>3,801</p></td><td><p>3,297</p></td><td><p>2,660</p></td><td><p>677</p></td><td><p>108</p></td><td><p>45,355</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p><em>Source:</em> Hospital Episodes Statistics (HES) Health
and Social Care Information Centre.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Notes:
</em></p><p> </p><p> </p><p> </p><p>1. An 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> </p><p> </p><p>2. 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. HES figures
includes 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><p> </p>
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