§ Mr. BurstowTo ask the Secretary of State for Health what the cost of amputations due to diabetes was in each year since 1996 in(a) England and (b) each strategic health authority; how many people in each case have had amputations due to diabetes in each year since 1996; and what assessment his Department has made of the proportion of amputations due to diabetes that could have been prevented.[144776]
§ Ms Rosie WintertonData on the cost of lower limb amputations is not collected in the format requested. The table shows how many lower-limb amputations were performed in the years 1996–2003 in national health service hospital trusts in England.
Primary Diagnosis Diabetes (ICD10 codes E10–E14), With main operation of Lower Limb Amputation (OPCS4 codes X09–X11), Finished Consultant Episodes (FCEs) NHS hospital trusts in England, 1996–97 to 2002–03 Amputation of: Leg(X09) Foot(X10) Toe(X11) Total 1996–97 914 154 921 1,989 1997–98 79 476 634 1,189 1998–99 89 490 660 1,239 1999–2000 120 504 677 1,301 2000–01 97 457 621 1,175 2001–02 434 100 596 1, l 30 2002–03 384 115 621 1,120 Notes:
1.An FCE is defined as a period of patient care under one consultant in one health care provider. The figures do not represent the number of patients, as one person may have several episodes within the year
2. The main operation is the first of four operation fields in the HES data set, and is usually the most resource intensive procedure performed during the episode
3. The primary diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital
4. Data in this table are adjusted for both coverage and unknown/ invalid clinical data, except for 2001–02 and 2002–03 which are not yet adjusted for shortfalls
5. 2002–03 data are provisional and subject to change
Source:
Hospital Episode Statistics (HES), Department of Health.
393WThe Department of Health's Hospital Episode Statistics (HES) system provides information on inpatient care in England. With the clinical information given by hospital providers it is not possible to determine how many amputations due to diabetes could have been prevented. The national service framework for diabetes standards document noted that all people with diabetes should receive high-quality care throughout their lifetime, including support to optimise the control of blood glucose, blood pressure and other risk factors for developing the complications of diabetes. The standards document also noted that the impact of microvascular complications could be reduced if they are detected and treated at an early stage and states that all young people and adults with diabetes should receive regular surveillance for the long-term complications of diabetes