§ Chris Grayling
To ask the Secretary of State for Health if he will list the(a) NHS audits and (b) other statistical assessments which require records to be kept of amputations. 
§ Mr. Lammy
Clinical audit is organised both locally and nationally. All clinicians are required to participate in clinical audit. Given this requirement it is expected that vascular and orthopaedic surgeons, those most likely to perform amputation procedures, participate in a range of local clinical audit activities. There is no central record of local clinical audits.
The Commission for Health Improvement (CHI) has the responsibility for developing a programme of national clinical audits. Currently there is no national clinical audit in the programme specifically targeted at amputation. The development of a national clinical audit for diabetes may provide data of associated amputations.958W
The Vascular Society of Great Britain and Ireland maintains a clinical database of activity related to vascular surgery, and is actively considering a national clinical audit of amputation.
Amputation data is collected through the Department's Hospital Episodes Statistics system. Current in-patient data from the HES system is shown in the table.
Main operation (X07-X11) amputations; Finished consultant
episodes; In year admissions; NHS hospitals England 1999–00 to
OPCS 4 operation code 3 char Main operation description 1999–2000 2000–01 2001–02 X07 Amputation of arm 113 111 116 X08 Amputation of hand 3,126 3,074 3,081 X09 Amputation of leg 5,462 5,505 5,415 X10 Amputation of foot 580 568 569 X11 Amputation of toe 5,028 4,980 4,777 Total 14,309 14,238 13,958
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.
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.
Figures in this table have not yet been adjusted for shortfalls in data.
Hospital Episode Statistics (HES), Department of Health
Information is also available on the National Amputee Statistical Database (NASDAB), managed by representatives from UK NHS Prosthetic Centres, British Healthcare Trade Association, NHS Purchasing and Supply Agency, and Information and Statistics Division Scotland. The database records, and publishes annually, the considerable detail about new referrals to UK prosthetic centres.