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To ask the Secretary of State for Health, how many bone fractures resulting from falls were treated by the NHS in the last period for which figures are available; how many of those suffering from such fractures were known to have osteoporosis; how many were discovered to have osteoporosis in...

Asked by

Sue Doughty (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

7 September 2004

For answer on

4 October 2004

Answered on

4 October 2004

Sue Doughty: To ask the Secretary of State for Health how many bone fractures resulting from falls were treated by the NHS in the last period for which figures are available; how many of those suffering from such fractures were known to have osteoporosis; how many were discovered to have osteoporosis in post-fracture screening; and if he will make a statement. [188180] Dr. Ladyman: Information on the number of bone fractures resulting from falls treated by the National Health Service for the last period for which figures are available is shown in the table. Information on how many of those suffering fractures were known to have osteoporosis and how many were discovered to have osteoporosis in post-fracture screening is not collected centrally. Primary diagnosis--fracture (ICD 10 diagnosis codes S02, 812, S22, 832, 842, 552, 562, 872, 582, 892 and T02) with secondary diagnosis falls (ICD diagnosis codes WOO-W19)--counts of finished consultant episodes (FCEs) _________________________________________________________________________________________________. National Health Service hospitals--England 161,670 _________________________________________________________________________________________________. Notes: Ungrossed data--figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed). A FCE is defined as a period of admitted patient care under one consultant within one healthcare provider. Please note that the figures do not represent the number of patients, as a patient may have more than one episode of care within the year. Cause code--the cause code is a supplementary code that indicates the nature of any external cause of injury, poisoning or other adverse effects. Secondary diagnoses--as well as the primary diagnosis, there are up to 13 (6 prior to 2002-03) secondary diagnosis fields in Hospital Episode Statistics (HES) that show other diagnoses relevant to the episode of care Source: HES, Department of Health

Date

4 October 2004

Reference

424 c1967-8W;424 c1965-6W; 188180

House

House of Commons

Warner, Lord

Whether a person assessed as needing a hip protector to protect them from the risk of fracture is entitled to receive one free of charge from the National Health Service equipment service. [HL 3388].

Asked by

Baroness Greengross (Crossbench)

Type

Written questions

Status

Answered

Date

2 July 2004

Reference

HL 3388; 663 c49WA

House

House of Lords

McIntosh of Haringey, Lord

Whether hip protectors are VAT exempt; and, if not, whether they have any plans to make them exempt. [HL 3387].

Asked by

Baroness Greengross (Crossbench)

Type

Written questions

Status

Answered

Date

2 July 2004

Reference

HL 3387; 663 c49-50WA

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, how many (a) osteoporotic hip fractures, (b) osteoporotic vertebral fractures and (c) osteoporotic wrist fractures occurred on average in England in each of the last three years. - Not collected centrally.

Asked by

Howard Stoate (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

7 June 2004

Reference

175433; 422 c168W;422 c167W

House

House of Commons

Warner, Lord

Whether, and if so how, the National Health Service Modernisation Agency's collaborative work, specifically in the area of osteoporosis, will be taken forward following the downsizing of the agency in April 2005. [HL 2779].

Asked by

Earl Howe (Conservative)

Type

Written questions

Status

Answered

Date

19 May 2004

Reference

HL 2779; 661 c92-4WA

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, what (a) number and (b) percentage of patients who suffered a hip fracture died as a consequence of the fracture in (i) 2001-02 and (ii) 2002-03. - Inc tables.

Asked by

Rob Marris (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

26 April 2004

For answer on

14 May 2004

Answered on

14 May 2004

Rob Marris: To ask the Secretary of State for Health what (a) number and (b) percentage of patients who suffered a hip fracture died as a consequence of the fracture in (i) 2001-02 and (ii) 2002-03. [169469] Dr. Ladyman: Numbers are not available on patients who die specifically from hip fractures. However there is information on the number of deaths with the main injury of hip fracture and also with an underlying cause of osteoporosis. Information on the number of hospital episodes of patients admitted with hip fracture is shown in the tables. Number of deaths with underlying cause of death of Osteoporosis1 persons, England and Wales 2001-02 _________________________________________________________________________________________________. Number of deaths 2001 11,542 2002 11,605 _________________________________________________________________________________________________. 1 ICD-10 codes M80-M81 Number of deaths with main injury of Hip fracture1 persons, England and Wales 2001-02 _________________________________________________________________________________________________. Number of deaths 2001 2,214 2002 2,151 _________________________________________________________________________________________________. 1 ICD-10 codes S72.0-S72.2 These two groups are mutually exclusive. Count of finished admission episodes primary diagnosis hip fracture (ICD-10 diagnosis code S72)--NHS _________________________________________________________________________________________________. NHS hospitals Finished admission episodes 2001-02 63,999 2002-03 70,508 _________________________________________________________________________________________________. Note: Finished admission episodes--A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that number of in-patients, as a person may have more than one admission within the year. Source: Hospital Episode Statistics (HES) Department of Health Ungrossed Data: Figures have not been adjusted for shortfalls in data (ie the data are ungrossed)

Date

14 May 2004

Reference

169469; 421 c633-4W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what steps his Department is taking to (a) raise public awareness of osteoporosis and (b) reduce the number of avoidable hip fractures.

Asked by

Rob Marris (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

26 April 2004

For answer on

14 May 2004

Answered on

14 May 2004

Rob Marris: To ask the Secretary of State for Health what steps his Department is taking to (a) raise public awareness of osteoporosis and (b) reduce the number of avoidable hip fractures. [169468] Dr. Ladyman: A considerable amount of work is under way which will help to raise general awareness of osteoporosis, for example, The National Institute for Clinical Excellence is to develop two clinical guidelines and a technology appraisal to provide the best available evidence of what is effective in: the assessment and prevention of falls in older people; the assessment of fracture risk and the prevention of osteoporotic fractures in individuals at high risk; and the prevention and treatment of osteoporosis The clinical guideline on the assessment and prevention of falls in older people is currently out for consultation. Although osteoporosis does not cause falls it significantly increases the likelihood of a fracture when a fall happens. The falls guideline will provide recommendations for good practice that are based on the best available evidence of clinical and cost effectiveness. It is due to be completed in August this year. A second clinical guideline has been commissioned to look at the assessment of fracture risk and the prevention of osteoporotic fractures in individuals at high risk. We know it is the fractures which result from osteoporosis which can lead to pain, disability, greatly reduced quality of life and premature death. This guideline will look at all groups of people recognised to be at high risk of osteoporotic fracture. It will examine both interventions used to prevent an initial fracture and those used to prevent subsequent fractures where one has already occurred. It will cover care from primary and secondary National Health Service healthcare professionals who have direct contact with and make decisions about the care of high risk individuals. It will look at areas where collaboration is needed between primary and secondary NHS services. Although it does not specifically cover areas outside the NHS, it will be relevant to practice in non-NHS residential and nursing homes, social services and the voluntary sector. This guideline will build on and where necessary extend the work already completed around osteoporosis. It is due to be completed in June 2005.

Date

14 May 2004

Reference

169468; 421 c633W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, if he will make a statement on the value of primary prevention of osteoporotic fracture.

Asked by

Linda Gilroy (Labour; Co-operative Party)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

16 March 2004

Reference

158867; 419 c251W;419 c251-2W

House

House of Commons

Warner, Lord

What methods will be used to audit the standard of services in the National Health Service with regard to osteoporosis and falls. [HL 1730].

Asked by

Lord Colwyn (Conservative)

Type

Written questions

Status

Answered

Date

15 March 2004

Reference

HL 1730; 659 c19WA

House

House of Lords

Warner, Lord

Which primary care trusts will not provide by April 2005 a dedicated falls service for the elderly who suffer falls as outlined in the National Service Framework for Older People. [HL 1728].

Asked by

Lord Colwyn (Conservative)

Type

Written questions

Status

Answered

Date

15 March 2004

Reference

HL 1728; 659 c19WA

House

House of Lords

Warner, Lord

When the National Institute for Clinical Excellence's guidance on osteoporosis will be published and implemented; and what support they are giving to the National Health Service in developing osteoporosis aspects of the National Service Framework for Older People. [HL 1729].

Asked by

Lord Colwyn (Conservative)

Type

Written questions

Status

Answered

Date

11 March 2004

Reference

HL 1729; 658 c200-1WA

House

House of Lords

Westminster Hall adjournment debate on osteoporosis

Westminster Hall adjournment debate on osteoporosis.

Lead member

Vincent Cable

Answering member

Stephen Ladyman

Department

Department of Health

Type

Adjournment debates

Date

3 March 2004

Reference

418 c282-302WH

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many (a) osteoporotic and (b) hip fractures were treated by the NHS in each of the last five years; and what the cost was in each year. - Inc table.

Asked by

Robert Key (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

12 January 2004

Reference

146575; 416 c617-8W;416 c615-6W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what estimates the Department has made of the potential savings to be made by preventing osteoporosic fractures. - Includes no figures.

Asked by

Sandra Gidley (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

5 January 2004

Reference

416 c203W; 145633

House

House of Commons

OSTEOPOROSIS

That this House commends the work of the National Osteoporosis Society in raising public awareness of this debilitating condition; expresses sympathy with the estimated three million osteoporosis sufferers in the United Kingdom; notes that one in three women and at least one in 12 men will develop the disease during...

Primary sponsor

Tim Yeo (Conservative)

Type

Early day motions

Date

26 November 2003

Reference

House

House of Commons

Librarians' tools

Type

House

Session

Year

Department

Member

Primary member

Answering member

Legislative stage

Legislation

Subject

Publisher