§ Mr. BurstowTo ask the Secretary of State for Health (1) how many osteoporotic hip fractures have been recorded in each health authority in the last five years; and if he will make a statement; [56136]
(2) what guidance he provides on osteoporosis risk assessment; and what percentage of fracture patients aged 50 years and over received an osteoporosis risk assessment in the last 12 months. [56138]
§ Jacqui SmithInformation about identifying those at risk of osteoporosis was included in the Department's "strategy to prevent fractures caused by osteoporosis", which was issued to all health authorities in 1998. This was based on the Royal College of Physicians' clinical guidelines for strategies to prevent and treat osteoporosis.
Osteoporosis has since been included in the Falls Standard of the national service framework for older people (NSF), which requires the local development of interventions and advice to prevent osteoporotic fracture. To support the NSF we have asked the National Institute of Clinical Excellence to develop clinical guidelines for the prevention, treatment and assessment of osteoporosis.
971WInformation on the percentage of fracture patients who have received an osteoporosis risk assessment is not available centrally.
972W
Health authority 1996–97 1997–98 1998–99 1999–2000 2000–01 Avon 1,302 1,280 1,334 1,419 1,416 Barking and Havering 442 425 438 563 487 Barnet 205 344 349 421 484 Barnsley 267 266 398 304 300 Bedfordshire 487 516 646 592 573 Berkshire 705 781 806 792 789 Bexley and Greenwich 491 537 522 476 437 Birmingham 1,090 1,123 1,093 1,322 1,161 Bradford 500 511 639 582 598 Brent and Harrow 459 510 443 419 140 Bromley 437 426 438 503 496 Buckinghamshire 651 664 775 904 852 Bury and Rochdale 405 459 429 478 464 Calderdale and Kirklees 763 637 647 705 683 Cambridge — — — 1,117 1,064 Cambridge and Huntingdon 475 523 514 — — Camden and Islington 427 422 413 447 411 Cornwall and Isles of Scilly 624 1,042 1,082 1,090 908 County Durham 779 797 871 901 859 Coventry 362 347 422 430 378 Croydon 349 262 281 341 233 Doncaster 321 338 365 336 379 Dorset 1,101 1,138 1,128 1,140 1,244 Dudley 380 407 538 362 424 Ealing, Hammersmith and Hounslow 589 652 640 650 580 East and North Hertfordshire 488 530 520 608 563 East Kent 1,198 1,102 1,052 1,116 1,031 East Lancashire 504 622 586 658 577 East London and The City 605 526 561 632 599 East Norfolk 1,211 1,309 1,390 — — East Riding 176 95 682 720 637 East Surrey 582 517 556 571 577 East Sussex, Brighton and Hove 1,354 1,245 1,213 1,286 1,280 Enfield and Haringey 437 434 437 449 468 Foreign — — 152 142 93 Gateshead and South Tyneside 474 587 528 605 621 Gloucestershire 727 969 966 963 853 Herefordshire 253 253 213 196 289 Hillingdon 212 20 202 214 204 Isle of Wight 228 229 214 191 237 Kensington, Chelsea and Westminster 364 420 396 422 447 Kingston and Richmond 365 323 319 352 397 Lambeth, Southwark and Lewisham 704 651 630 664 660 Leeds 812 857 879 862 813 Leicestershire 993 993 1,106 1,030 989 Lincolnshire 845 766 887 860 874 Liverpool 799 847 778 713 711 Manchester 485 477 531 563 439 Merton, Sutton and Wandsworth 736 594 681 710 706 Morecambe Bay 331 397 430 329 414 Northern Ireland 6 3 0 5 0 Newcastle and North Tyneside 647 633 717 743 676 Norfolk — — — 1,763 1,811 North and East Devon 792 997 1,156 1,127 1,301 North and Mid Hampshire 566 571 544 636 735 North Cheshire 276 303 301 358 328 North Cumbria 435 408 502 559 510 North Derbyshire 430 380 461 425 460 North Essex 1,271 1,418 1,312 1,276 1,250 North Nottinghamshire 417 469 500 543 528 North Staffordshire 487 595 602 657 643 North West Anglia 346 704 776 — — North West Lancashire 814 770 817 839 614 North Yorkshire 996 614 970 936 913 Northamptonshire 409 677 697 779 782 Northumberland 429 418 462 424 504 The numbers of finished consultant episodes where hip fractures were recorded in national health service hospitals in England in the last five years are shown in the table. Hip fractures are invariably osteoporotic.
973W
Health authority 1996–97 1997–98 1998–99 1999–2000 2000–01 Nottingham 846 813 826 803 758 Oxfordshire 605 569 662 687 710 Portsmouth and South East Hampshire 807 935 909 1,034 1,044 Redbridge and Waltham Forest 579 503 527 577 596 Rotherham 245 226 289 287 240 Salford and Trafford 555 448 486 540 568 Sandwell 360 309 394 354 372 Scotland 49 38 0 55 60 Sefton 408 428 398 373 429 Sheffield 784 710 734 649 745 Shropshire 408 404 434 428 453 Solihull 199 216 244 267 278 Somerset 711 693 794 837 773 South and West Devon 784 917 913 1,104 1,390 South Cheshire 795 797 754 768 794 South Derbyshire 504 647 622 658 637 South Essex 1,364 1,104 1,136 1,316 1,153 South Humber 279 328 342 360 401 South Lancashire 318 314 425 391 389 South Staffordshire 539 723 658 705 672 Southampton and South West Hampshire 696 681 814 794 858 St. Helens and Knowsley 342 329 370 336 383 Stockport 313 296 360 378 348 Suffolk 942 1,121 1,195 1,228 1,124 Sunderland 345 370 415 378 388 Tees 570 576 685 683 692 Wakefield 301 300 342 315 349 Wales 204 180 197 210 215 Walsall 252 270 217 295 278 Warwickshire 609 587 652 677 643 West Hertfordshire 587 550 615 580 560 West Kent 1,079 1,107 1,134 1,087 1,172 West Pennine 453 500 491 508 551 West Surrey 919 857 758 710 627 West Sussex 1,179 1,242 1,006 1,115 1,174 Wigan and Bolton 484 551 611 635 669 Wiltshire 765 705 805 716 734 Wirral 490 490 473 581 490 Wolverhampton 238 162 228 266 321 Worcestershire 739 720 720 765 710 Not known 1,257 1,277 395 122 172 Total 60,718 62,307 64,967 66,792 65,814 Notes:
Figures are presented by health authority areas of residence.
Patients from other UK countries and abroad are indicated separately in the table.
Source:
Hospital Episode Statistics (HES) Department of Health