To ask the Secretary of State for Health
(1) what proportion of (a) MRSA and (b) clostridium difficile cases there were in care homes in each of the last five years;
(2) how many (a) recorded incidents of and (b) deaths attributed to (i) MRSA and (ii) clostridium difficile in (A) care homes and (B) other community settings there were in each of the last five years.
The information requested is not available however the Health Protection Agency's (HPA) mandatory surveillance scheme provides some limited information for methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections.
Information on the patient location for Clostridium difficile surveillance has been collected since April 2007 and we aim to publish this later this year.
Death certificates record the place where a person dies, but not where any infections may have been acquired. It is not possible from the information on a death certificate to know whether an infection was acquired in the care home or other place where a patient died. Patients are often transferred between hospitals, nursing/care homes and other establishments and may acquire infections in a different place from where they died.