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To ask the Secretary of State for Health, what steps were taken by the Walsgrave NHS Trust management to investigate the surgical mistake that resulted in an anvil being left in a patient's rectum; and when the patient was informed of the mistake. - (Holding answer 3 May 2001).

Asked by

Geoffrey Robinson (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

26 April 2001

For answer on

10 May 2001

Answered on

10 May 2001

Mr. Geoffrey Robinson: To ask the Secretary of State for Health what steps were taken by the Walsgrave NHS Trust management to investigate the surgical mistake that resulted in an anvil being left in a patient's rectum; and when the patient was informed of the mistake. [159611] Yvette Cooper: [holding answer sent 03 May 2001]: Our White Paper "A First Class Service" sets out a requirement for all organisations within the National Health Service to set up and implement a clinical governance framework, which identifies procedures to be followed when reporting and investigating clinical and untoward incidents. Such procedures should enable incidents to be investigated thoroughly in a culture of openness and reflection to ensure lessons are learnt and clinical practice improved. In this particular case, a clinical incident report was completed on 10 December 2000. The head of nursing for theatres was asked to undertake a thorough investigation to review and revise the necessary trust theatre procedures. As a result of the investigation, the importance of following theatre-checking procedures was reinforced to theatre managers and staff, and all theatre procedures were reviewed and amended accordingly to reflect lessons learned through this incident. The clinical director for surgery has ensured that junior doctors involved in colorectal surgery have a clear understanding of the operating mechanisms of the stapling gun. In addition, the Trust medical director also wrote to all consultant surgeons who carry out colorectal surgery reminding them of the need to be present throughout this kind of surgery. The consultant surgeon responsible for his care informed the patient on 18 January 2001 that the anvil had been left in their rectum following the operation of 4 December 2000. The patient's wife and another family member together with the specialist stoma nurse were present during this discussion.

Date

10 May 2001

Reference

368 c362-3W; 159611

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what the average peri-operative mortality rates for rectal cancer operations were in (a) 1997, (b) 1998, (c) 1999 and (d) 2000 for (i) England, (ii) the West Midlands and (iii) Wasgrave NHS Trust excluding the St. Cross Hospital at Rugby. - Inc...

Asked by

Geoffrey Robinson (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

26 April 2001

For answer on

10 May 2001

Answered on

10 May 2001

Mr. Geoffrey Robinson: To ask the Secretary of State for Health what the average peri-operative mortality rates for rectal cancer operations were in (a) 1997, (b) 1998, (c) 1999 and (d) 2000 for (i) England, (ii) the West Midlands and (iii) Walsgrave NHS Trust excluding the St. Cross Hospital at Rugby. [159612] Yvette Cooper: [holding answer 3 May 2001]: The table shows a count of discharges from hospital for patients where the main operation was on the rectum and the main diagnosis was `malignant neoplasm of rectum'. This information is for National Health Service hospitals in England, West Midlands and the Walsgrave Hospitals NHS Trust in 1996-97 to 1999-2000 and includes both emergency and planned operations undertaken in this period. _________________________________________________________________________________________________. Live discharges Mortality 1996-97 Walsgrave NHS Trust 49 {1}-- West Midlands 732 32 England 5,480 228 1997-98 Walsgrave NHS Trust 39 {1}-- West Midlands 694 32 England 5,381 250 1998-99 Walsgrave NHS Trust 58 {1}-- West Midlands 681 32 England 5,649 241 1999-2000 Walsgrave NHS Trust 59 {1}-- West Midlands 675 23 England 5,773 210 _________________________________________________________________________________________________. {1} Due to reasons of confidentiality, figures between one and five at trust level are not normally published. Notes: 1. The main operation is the first of four operation fields in the Hospital Episode Statistics (HES) data set, and is usually the most resource intensive performed during the episode. 2. The main diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital. 3. Figures in this table have not been adjusted for shortfalls in data. 4. The Walsgrave Hospitals NHS Trust became the University Hospitals Coventry and Warwickshire NHS Trust in 2000. 5. The statistics provided are whole trust statistics and include St. Cross Hospital in Rugby for the time it has been a part of the trust. Source: HES Department of Health The average peri-operative rates during the four year period 1996 to 2000 is: _________________________________________________________________________________________________. Total discharges Mortality Rate percentage 1996-2000 Walsgrave NHS Trust 216 11 5.1 West Midlands 2,901 119 4.1 England 23,212 929 4.0 _________________________________________________________________________________________________. Note: The average number of deaths related to rectal cancer operations at the former Walsgrave Hospitals NHS Trust is less than three per year. Source: Department of Health

Date

10 May 2001

Reference

368 c363-4W; 159612

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what the waiting list was for those waiting for hip replacement operations on the NHS in the North West in each of the years from 1997 to date; what the cost of a hip replacement operation in the North West was in...

Asked by

Nigel Evans (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

9 May 2001

Reference

368 c200W; 160086;160085

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, pursuant to his Answer of 13th March 2001 at 364 c583W, on surgical treatments, when he expects the National Institute for Clinical Excellence to discuss procedures for offering breast reduction surgery following clinical recommendations and reduce the postcode lottery in this area...

Asked by

Bob Russell (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

8 May 2001

Reference

160163; 368 c150W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what the waiting list was for those waiting for cataract operations on the NHS in the North West in each of the years from 1997 to date; what the cost of a cataract operation was in the North West in each of...

Asked by

Nigel Evans (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

8 May 2001

Reference

368 c149W; 160088;160087

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, pursuant to his Answer of 13th March, Official Report, 364 c583W, on surgical treatments, when he expects the National Institute for Clinical Excellence to produce guidance on the management of infertility to improve services and reduce the postcode lottery in this area...

Asked by

Bob Russell (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

3 May 2001

Reference

367 c767W; 160162

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many individuals within the Sefton Health Authority have had (a) hip replacements, (b) knee replacements, (c) hernia operations and (d) cataract operations each year since 1996-97; what the age profile was of the people undergoing these operations; and what the average...

Asked by

Claire Curtis-Thomas (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

10 April 2001

For answer on

2 May 2001

Answered on

2 May 2001

Mrs. Curtis-Thomas: To ask the Secretary of State for Health how many individuals within the Sefton Health Authority have had (a) hip replacements, (b) knee replacements, (c) hernia operations and (d) cataract operations each year since 1996-97; what the age profile was of the people undergoing these operations; and what the average cost of these operations is in the private sector. [158515] Mr. Denham: Consultant episodes by operation and age for the period 1996-97 to 1999-2000, the latest data available, are shown in the table. Data on private sector costs are not available. Finished consultant episodes by operation and age where the patient was resident in Sefton health authority NHS hospitals, England 1996-97 to 1999-2000 _________________________________________________________________________________________________. Age Year/operation 0-4 10-14 15-44 45-64 65-74 75-84 85 and over Total 1996-97 Hip replacement 0 0 -- 82 123 127 64 400 Knee replacement 0 0 -- 40 64 51 6 161 Hernia 36 27 7 143 89 52 14 437 Cataract 2 3 2 112 277 477 224 1124 1997-98 Hip replacement 0 0 -- 85 131 136 79 440 Knee replacement 0 0 -- 29 66 45 9 149 Hernia 39 20 9 145 108 54 8 465 Cataract 4 0 -- 109 251 479 224 1074 1998-99 Hip replacement 0 0 1 87 116 133 69 418 Knee replacement 0 0 -- 33 84 63 3 184 Hernia 31 29 8 148 88 66 4 449 Cataract 0 1 1 137 362 616 274 1403 1999-2000 Hip replacement 0 0 -- 71 113 138 81 410 Knee replacement 0 0 -- 45 76 53 7 181 Hernia 37 20 9 133 103 64 13 461 Cataract 3 0 2 137 374 576 257 1369 _________________________________________________________________________________________________. Note: An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year.

Date

2 May 2001

Reference

367 c646-8W;367 c646-7W; 158515

House

House of Commons

Hunt of Kings Heath, Lord

1st supplementary on need for prevention and treatment.

Asked by

Baroness Gardner of Parkes (Conservative)

Oral questions - 1st Supplementary

Status

Answered

Date

1 May 2001

Reference

624 c1687

House

House of Lords

Hunt of Kings Heath, Lord

Answered by

Lord Hunt of Kings Heath (Labour)

Type

Oral answers to questions

Date

1 May 2001

Reference

624 c1687

House

House of Lords

Hunt of Kings Heath, Lord

Answered by

Lord Hunt of Kings Heath (Labour)

Type

Oral answers to questions

Date

1 May 2001

Reference

624 c1687

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, what assessment he has made of recent reports on the numbers of mastectomy operations in (a) London and (b) the north east and north west regions of England.

Asked by

Ian Gibson (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

1 May 2001

Reference

367 c569W; 156236

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what assessment he has made of the reason for the variation in the number of mastectomies carried out in different parts of the United Kingdom; and if he will make a statement.

Asked by

Gordon Prentice (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

1 May 2001

Reference

156252; 367 c569W

House

House of Commons

Hunt of Kings Heath, Lord

What is the estimated cost to the United Kingdom of osteoporotic fractures.

Asked by

Baroness Gardner of Parkes (Conservative)

Oral questions - Lead

Status

Answered

Date

1 May 2001

Reference

624 c1687

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, how many operations were cancelled in each of the last five years (a) nationally and (b) in North Durham Trust, Dryburn. - Inc ref to quarterly results in Library.

Asked by

Gerry Steinberg (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

23 April 2001

Reference

367 c174W; 157825

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what assessment he has made of the impact of closures within the private nursing home and residential care sector on bed blocking and cancellation of elective surgery in National Health Service hospitals.

Asked by

Roger Gale (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

10 April 2001

Reference

156311; 366 c608W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, What recent investigations he has made into the outcomes of the use of placebo (a) medicines and (b) surgery. - Including ref to NHS Research and Development Health Technology Assessment Programme (March 1999), copy in Library. (Failed OPQ).

Asked by

Paul Flynn (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

10 April 2001

Reference

156298; 366 c589-90W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, if he will list for (a) Great Britain and (b) each health authority in England, the number of operations (i) cancelled and (ii) cancelled with the patient not re-admitted within one month, for each year since 1995. - Includes fact that quarterly...

Asked by

Nick Harvey (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

30 March 2001

Reference

149434; 365 c798W

House

House of Commons

Home Office

To ask the Secretary of State for the Home Department, how many prisoners were (a) aged over 65 years, (b) required major surgery and (c) had significant impairments or disabilities in each of the past five years; and what plans he has to make special arrangements for prisoners in these...

Asked by

Lord Boswell of Aynho (Conservative)

Answering body

Home Office

Type

Written questions

Status

Answered

Tabled on

22 March 2001

For answer on

29 March 2001

Answered on

29 March 2001

Mr. Boswell: To ask the Secretary of State for the Home Department how many prisoners were (a) aged over 65 years, (b) required major surgery and (c) had significant impairments or disabilities in each of the past five years; and what plans he has to make special arrangements for prisoners in these categories. [155674] Mr. Boateng: The number of prisoners aged over 65 in each of the past five years is as follows: _________________________________________________________________________________________________. Year Number 1996 281 1997 317 1998 354 1999 427 2000 472 _________________________________________________________________________________________________. The number of prisoners who require major surgery or have significant impairments or disabilities is not collected centrally. Prisons, and their local health authorities, are currently assessing the health needs of prisoners, identifying appropriate services to meet those needs and effective ways of delivery. The aim of the needs assessment process is to provide prisoners with access to the same range and quality of services that the general public receive.

Date

29 March 2001

Reference

155674; 365 c725W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, when he expects to receive the results of the research he commissioned into the effective sterilisation of surgical instruments by alkaline hydrolysis at elevated temperature. - (Holding answer 30 January 2001).

Asked by

Tony Worthington (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

28 March 2001

Reference

147865; 365 c664W

House

House of Commons

OXFORD HEART CENTRE

That this House expresses concern that Mr Stephen Westaby, a full time National Health Service consultant cardiac surgeon at the Oxford Heart Centre, part of the John Radcliffe Hospital in Oxford, has stated that he ...used to carry out between 12 and 16 operations a week here in Oxford, and...

Primary sponsor

Tony Baldry (Conservative)

Type

Early day motions

Date

27 March 2001

Reference

489

House

House of Commons

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