§ Mr. Carter-Jonesasked the Secretary of State for Social Services if, during the forthcoming campaign to
Country Methods of initial treatment for new diabetic patients (per cent.) Population (millions) Numbers of new diabetic patients accepted for treatment by dialysis or transplantation Haemodialysis Intermittent peritoneal dialysis Continuous ambulatory peritoneal dialysis Transplant Austria 7.5 29 89 0 11 0 Belgium 9.8 27 74 0 26 0 Denmark 5.1 23 36 36 19 9 Federal Republic of Germany 61.2 266 80 10 10 0 Finland 4.8 39 35 16 44 5 France 53.4 168 67 11 22 0 German Democratic Republic 16.8 27 88 12 0 0 Greece 9.3 31 96 4 0 0 Israel 4.8 11 60 20 20 0 Italy 56.8 145 57 16 27 0 Netherlands 14.0 33 76 3 14 7 Norway 4.1 29 78 7 4 11 Spain 37.0 95 51 42 7 0 Sweden 8.3 89 47 23 22 8 Switzerland 6.5 24 29 8 63 0 United Kingdom 55.9 79 16 35 44 5 Yugoslavia 22.1 13 90 10 0 0
Mr. Carter-Jones asked the Secretary of State for Social Services if he is aware of any patients being treated for end stage renal disease outside of regional renal units, under the primary care of general physicians with an
448Wincrease public awareness of the need for kidney transplantation, he will bring to the attention of all general practitioners and all general physicians in England the need to refer all cases of end stage renal disease to a consultant nephrologist in a specialist renal unit for investigation of possible treatment.
§ Mr. John PattenThis is a matter for the clinical judgment of the doctors concerned.
§ Mr. Carter-Jonesasked the Secretary of State for Social Services (1) if he will give comparative data for countries, including England, covered by the European Dialysis and Transplant Association register for the acceptance of new patients in renal failure who also suffer from diabetes; and if he will give details of the treatment methods used;
(2) if he will give comparative data for countries, including Northern Ireland, covered by the European Dialysis and Transplant Association register for the acceptance of new patients in renal failure who also suffer from diabetes; and if he will give details of the treatment methods used;
(3) if he will give comparative data for countries, including Scotland, covered by the European Dialysis and Transplant Association register for the acceptance of new patients in renal failure who also suffer from diabetes; and if he will give details of the treatment methods used;
(4) if he will give comparative data for countries, including Wales, covered by the European Dialysis and Transplant Association register for the acceptance of new patients in renal failure who also suffer from diabetes; and if he will give details of the treatment methods used.
§ Mr. John PattenThe information following is taken from a study undertaken by the European Dialysis and Transplant Association of diabetic patients accepted for treatment for end stage renal failure during 1981 in seventeen countries covered by the association's register. The figures for the United Kingdom were not broken down between its individual countries.
interest in nephrology using the technique of continuous ambulatory peritoneal dialysis; and if he will make a statement.
449W
§ Mr. John PattenThis information is not held centrally. I am advised that the treatment of end-stage renal failure, including continuous ambulatory peritoneal dialysis, requires the skill and experience of specialist renal centres and I would expect all such treatment to be given under their supervision.
§ Mr. Carter-Jonesasked the Secretary of State for Social Services whether there are any regional health authority guidelines relating to registered diabetics who report with end stage renal disease; and if he will give details of numbers of these patients in 1982 and 1983, the proportion who were referred to specialist renal units and the proportion of these who were treated either by dialysis or transplantation.
§ Mr. John PattenThis is a matter for the clinical judgment of the doctor concerned and there are no health authority guidelines. The available information on diabetic patients treated for renal failure is given in my reply to the hon. Member's other question today.