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To ask the Secretary of State for Health, what was the total cost of running drug dependency units and treatments for drug addicts broken down between (a) in-patient and (b) out-patient care, separately identifying the costs for (i) methadone prescribing and (ii) prevention schemes in (1) 1970, (2) 1980, (3)...

Asked by

Gerald Howarth (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

14 June 2000

For answer on

3 July 2000

Answered on

3 July 2000

Mr. Gerald Howarth: To ask the Secretary of State for Health what was the total cost of running drug dependency units and treatments for drug addicts broken down between (a) in-patient and (b) out-patient care, separately identifying the costs for (i) methadone prescribing and (ii) prevention schemes in (1) 1970, (2) 1980, (3) 1990 and (4) 1999. [126747] Yvette Cooper: The requested information is not collected centrally. Data are available for methadone used in the treatment of substance dependence, covering prescriptions dispensed in the community only. The table shows the number of prescriptions, the actual net ingredient cost, and the net ingredient cost at 1999 prices for the period 1980 to 1998, and the first nine months of 1999. Data before 1980 are not available and full data for 1999 are not yet available. The regional drug misuse databases are the main source of information on persons presenting to drug treatment services with a drug misuse problem. Copies of the six-monthly statistical bulletin are available in the statistics resource unit of the Library. Number and net ingredient cost of prescriptions dispensed in the community for methadone hydrochloride used in substance dependence, 1980-1998, and 1999 (January to September), England _________________________________________________________________________________________________. Prescriptions (Thousand) Net ingredient cost (£000) Net ingredient cost at 1999 prices (£000) 1980 17.3 13.2 31.7 1981 25.9 28.5 62.5 1982 24.6 23.3 47.8 1983 35.4 40.7 79.8 1984 38.5 50.5 94.0 1985 65.3 117.7 208.3 1986 112.0 192.5 330.4 1987 171.7 363.0 591.3 1988 196.5 337.3 514.6 1989 249.8 471.1 670.7 1990 341.2 800.7 1,057.3 1991 403.3 1,912.3 2,377.6 1992 495.0 2,659.3 3,200.5 1993 598.2 3,626.2 4,251.0 1994 682.4 4,444.7 5,137.0 1995 787.0 5,328.0 5,984.9 1996 891.0 6,117.8 6,657.7 1997 981.7 6,852.3 7,254.6 1998 1,022.8 7,067.7 7,244.4 1999{1} 1,081.7 7,360.1 7,360.1 _________________________________________________________________________________________________. {1} January to September Notes: 1. The methadone hydrochloride drugs used in substance dependence are shown in the British National Formulary (BNF) section 4.10, "Drugs used in substance dependence". 2. The data up to 1990 are not strictly consistent with data from 1991 onwards. Figures for 1980-90 are based on fees and on a sample of 1 in 200 prescriptions dispensed by community pharmacists and appliance contractors only. Figures for 1991 onwards are based on items and cover all prescriptions dispensed by community pharmacists, appliance contractors, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered. The data do not cover drugs dispensed in hospital or private prescriptions. 3. The net ingredient cost (NIC) is the basic cost of a drug and does not take account of discounts, dispensing costs, fees or prescription charges income. 4. Figures at 1999 prices are calculated using the GDP Deflator.

Date

3 July 2000

Reference

126747; 353 c37-8W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many people are involved in methadone treatment programmes in England and Wales. - Inc fact that the information requested is not available centrally.

Asked by

Lord Lilley (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

16 March 2000

Reference

346 c300W; 113964

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many people are on waiting lists for methadone maintenance or withdrawal programmes; and what is the average waiting time for treatment. - Not available centrally.

Asked by

Lord Lilley (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

15 March 2000

Reference

346 c236W; 113957

House

House of Commons

Treasury;Office for National Statistics

To ask Mr Chancellor of the Exchequer, what was the total number of death certificates issued in Wales in each of the past 10 years that mentioned (a) heroin, (b) methadone, (c) ecstasy, (d) paracetamol and (e) alcohol. - Includes text of letter from Tim Holt of the Office for...

Asked by

Paul Flynn (Labour)

Answering body

Treasury

Type

Written questions

Status

Answered

Tabled on

19 January 2000

For answer on

31 January 2000

Answered on

31 January 2000

Mr. Flynn: To ask the Chancellor of the Exchequer what was the total number of death certificates issued in Wales in each of the past 10 years that mentioned (a) heroin, (b) methadone, (c) ecstasy, (d) paracetamol and (e) alcohol. [106189] Miss Melanie Johnson: The information requested falls within the responsibility of the Director of the Office for National Statistics. I have asked him to reply. Letter from Tim Holt to Mr. Paul Flynn, dated 31 January 2000 As Director of the Office for National Statistics (ONS), I have been asked to reply to your recent parliamentary question asking what was the total number of death certificates issued in Wales in each of the past 10 years that mentioned (a) heroin, (b) methadone, (c) ecstasy, (d) paracetamol and (e) alcohol. Information is available for usual residents of Wales, rather than for deaths occurring in Wales. The information requested in parts (a) to (d) of the question can only be supplied from 1993 onwards when text from the death certificate was first stored electronically. This enables named drugs to be identified. The ONS has constructed a database of deaths where the underlying cause of death was drug-related. Table [1] shows the numbers of deaths on this database where the substances named in (a) to (d) were mentioned on the death certificate. Some deaths may be counted more than once, for example if heroin and methadone are both recorded on the death certificate. It is not possible to identify all deaths with a mention of alcohol from the ONS drug-related database. The ONS does, however, have a standard list of underlying causes of death regarded as being attributable to alcohol and alcohol-related illness. Figures for these deaths are presented in Table [2]. Table [1]: Drug-related deaths{1} for usual residents of Wales, 1993-97 _________________________________________________________________________________________________. Year Heroin and Heroin and MDMA/Ecstasy Paracetamol{3} Methadone Diamorphine Morphine{2} 1993 2 4 0 15 5 1994 2 7 2 19 9 1995 1 14 0 39 19 1996 5 13 2 21 19 1997 5 12 1 32 21 _________________________________________________________________________________________________. {1} Deaths with underlying cause codes 292, 304, 305.2-305.9, E850-E858, E950.0-E950.5, E962.0 and E980.0-E980.5 using the International Classification of Diseases, Ninth Revision, where the named substance was mentioned on the death certificate. {2} Combined figures are presented for heroin and morphine as the latter may be detected at post-mortem following the breakdown of heroin in the body. {3} Includes deaths where paracetamol or any compounds containing paracetamol, such as co-proxamol, are mentioned on the death certificate. Table [2]: Alcohol-related deaths{1} for usual residents of Wales, 1989-98 _________________________________________________________________________________________________. Year Number 1998 305 1997 295 1996 294 1995 289 1994 244 1993 240 1992 213 1991 233 1990 234 1989 201 _________________________________________________________________________________________________. {1} Underlying cause of death codes 303, 305.0, 291, 425.5, 571 and N980, using the International Classification of Diseases, Ninth Revision.

Date

31 January 2000

Reference

343 c445-6W;343 c445W; 106189

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what is the current annual cost to the National Health Service of methadone; and what is the latest estimate of the number of patients in each health authority area being prescribed methadone. - Including figure and fact that number of patients is...

Asked by

Christopher Chope (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

25 January 2000

Reference

343 c171W; 105257

House

House of Commons

Librarians' tools

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