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911W<br />

Written Answers<br />

1 DECEMBER 2010<br />

Written Answers<br />

912W<br />

Completed non-admitted RTT consultant-led pathways<br />

Calendar year Quarter Month<br />

Number of patients<br />

who started treatment<br />

within 18-weeks<br />

Number of patients<br />

who started treatment<br />

after 18-weeks<br />

% of patients who<br />

started treatment<br />

within 18-weeks<br />

% of patients who<br />

started treatment<br />

after 18-weeks<br />

2010 — January 794,900 18,346 97.7 2.3<br />

2010 — February 827,198 18,559 97.8 2.2<br />

2010 — March 955,792 21,050 97.8 2.2<br />

2010 1 — 2,577,890 57,955 97.8 2.2<br />

2010 — April 822,550 17,662 97.9 2.1<br />

2010 — May 842,612 15,557 98.2 1.8<br />

2010 — June 942,117 17,252 98.2 1.8<br />

2010 2 — 2,607,279 50,471 98.1 1.9<br />

2010 — July 921,418 18,036 98.1 1.9<br />

2010 — August 859,515 17,278 98.0 2.0<br />

2010 — September 927,225 20,583 97.8 2.2<br />

2010 3 — 2,708,158 55,897 98.0 2.0<br />

Note:<br />

The quarterly figures are calculated from an aggregation of the monthly data.<br />

Source:<br />

Department of Health RTT waiting times.<br />

Health Services: Weather<br />

Derek Twigg: To ask the Secretary of State for Health<br />

(1) whether any NHS trusts have reported issues related<br />

to (a) capacity of critical care services and (b) bed<br />

availability under his Department’s winter reporting<br />

arrangements since 2 November 2010; [27349]<br />

(2) whether he has received any reports of problems<br />

in patient handover between ambulance and acute<br />

services under his Department’s winter reporting<br />

arrangements during November 2010; [27350]<br />

(3) whether any (a) daily situation reports and (b)<br />

NHS trusts have identified services operation problems<br />

under his Department’s winter reporting arrangements<br />

since 2 November 2010. [27351]<br />

Mr Simon Burns: It is for individual local health<br />

areas, working with their strategic health authorities<br />

(SHAs), to ensure that appropriate services are available<br />

for their patients during winter.<br />

W<strong>here</strong> operational issues are identified through daily<br />

winter reporting, the Department works closely with<br />

SHAs to ensure local winter plans are escalated to<br />

mitigate operational risks.<br />

T<strong>here</strong> will, on occasion, be peak demands on services<br />

in certain places. This can mean temporary measures<br />

are necessary, but these are kept to an absolute minimum<br />

and patient safety and quality of care are always paramount.<br />

Hip Fractures: Older People<br />

Emily Thornberry: To ask the Secretary of State for<br />

Health what steps he is taking to reduce the variation<br />

in number of older people with hip fractures between<br />

different local authority areas. [27455]<br />

Paul Burstow: T<strong>here</strong> is a significant programme of<br />

work in development to address variation. This Government<br />

intended the commissioning toolkit to support<br />

organisations’ establishment of effective falls and fracture<br />

prevention and management, the best practice tariff<br />

that is in place which incentivises high quality care;<br />

National Institute for Health and Clinical Excellence<br />

guidance on hip fracture care and the focus on outcomes<br />

within the national health service.<br />

Insulin<br />

Julian Sturdy: To ask the Secretary of State for Health<br />

what plans his Department has for the future provision<br />

of testing strips for insulin users. [27100]<br />

Paul Burstow: Prescribing decisions about blood testing<br />

strips are for local determination. It is for the local<br />

national health service to ensure that they are<br />

commissioning for a comprehensive diabetes service<br />

that includes patient education as well as access to<br />

blood testing strips.<br />

In 2002, the National Institute for Health and Clinical<br />

Excellence issued clinical guidelines on ‘Management<br />

of Type 2 Diabetes—Management of Blood Glucose’.<br />

The guidelines include advice on the self-monitoring of<br />

blood glucose, and state that self-monitoring can have<br />

benefits, but it should be carried out as part of an<br />

integrated self-care package and if the purpose is clear<br />

and agreed with the patient. People with non-insulin-treated<br />

Type 2 diabetes, who believe it to be beneficial, and have<br />

clearly defined goals and objectives, should be encouraged<br />

to continue to monitor.<br />

Local Involvement Networks: Finance<br />

Ms Abbott: To ask the Secretary of State for Health<br />

what arrangements he plans to put in place to ensure<br />

continuity of funding to local authorities for Local<br />

Involvement Networks prior to the establishment of<br />

local HealthWatch organisations; and if he will make a<br />

statement. [28201]<br />

Mr Simon Burns: I refer the hon. Member to the reply<br />

given to the hon. Member for Bristol East (Kerry<br />

McCarthy) on 18 November, Official Report, columns<br />

957-958W.

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