§ Lord Colwynasked Her Majesty's Government:
How many coronary artery bypass grafts were carried out in successive years from 1990 within the National Health Service; and what was the average cost, including hospitalisation, of each operation in these years. [HL4633]
§ Lord Hunt of Kings HeathThe number of coronary artery bypass grafts carried out in the National Health Service in England from 1990 is as follows:
- 1990–91: 14,070
- 1991–92: 16,046
- 1992–93: 18,352
- 1993–94: 20,394
- 1994–95: 23,533
- 1995–96: 22,922
- 1996–97: 22,694
- 1997–98: 22,181
- 1998–99: 23,663
- 1999–2000: 23,398
- 2000–01: 24,387
The mean average reference costs for coronary artery bypass grafts since 1997 (the first available data) are shown in the table:
Elective inpatient Non-elective inpatient Day case 1997–98 £5,673 £6,105 n/a 1998–99 £4,764 £5,044 n/a 1999–2000 £4,956 £5,206 n/a 2000–01 £5,483 £5,558 n/a Lord Colwyn asked Her Majesty's Government:
How many precutaneous coronary interventions involving stents were carried out in successive years from 1990 within the National Health Service; and what was the average cost, including hospitalisation, of these interventions. [HL4634]
64WA
§ Lord Hunt of Kings HeathThe number of percutaneous coronary interventions involving stents and information on their cost is not collected centrally.
The number of percutaneous transluminal coronary angioplastics (PTCAs) carried out in the National Health Service in England since 1990 is as follows:
- 1990–91: 5,754
- 1991–92: 7,891
- 1992–93: 10,184
- 1993–94: 11,660
- 1994–95: 13,454
- 1995–96: 14,911
- 1996–97: 17,043
- 1997–98: 17,291
- 1998–99: 19,028
- 1999–2000: 21,968
- 2000–01: 25,698
The mean average reference costs for PTCAs since 1997 (the first available data) are shown in the table.
Elective inpatient Non-elective inpatient Day case 1997–98 £2,820 £2,673 £2,437 1998–99 £2,553 £2,679 £1,213 1999–2000 £2,369 £2,478 £1,267 2000–01 £2,428 £2,689 £1,341
§ Lord Colwynasked Her Majesty's Government:
What is the average life expectancy following coronary artery bypass surgery; and what is the failure rate of bare stents used in angioplasty. [HL4635]
§ Lord Hunt of Kings HeathThis information is not collected centrally.
§ Lord Colwynasked Her Majesty's Government:
Why there is an under-provision of revascularisation procedures in the United Kingdom compared to (a) France; (b) Germany; (c) Belgium; and (d) the Netherlands; and how they plan to increase the number of these procedures undertaken in the United Kingdom. [HL4636]
§ Lord Hunt of Kings HeathWe have put in place a number of steps to increase the number of revascularisation procedures in England. These include extra funding to increase the number of operations—the NHS Plan target 6,000 extra operations by April 2003 should be met ahead of time. We are also increasing the number of facilities. In November 2001, we announced £170 million to rebuild or expand surgical facilities at eight centres across the country, creating 12 extra operating theatres and 380 extra beds: £65 million from the New Opportunities Fund, together with £15 million NHS capital, has been made available to expand catheter laboratories (used to carry out angiograms and angioplasties); the first wave will see 29 new and eight replacement laboratories.
65WAThe Extending Patient Choice pilot scheme will also come into operation in July. Under this initiative, patients who wait longer than six months for their heart operation will be offered the choice of having their operation elsewhere, which should mean a shorter wait.