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Mr. Mellor : It is for health authorities to decide their training priorities and allocate funds accordingly. We do not hold information centrally on the way in which individual health authorities choose to exercise this responsibility, or on the number of enrolled nurses wishing to convert to first-level nursing.
Information supplied by the English National Board for Nursing, Midwifery and Health Visiting (ENB) shows that the number of schools of nursing approved to run the 52-week conversion course for enrolled nurses to gain the
Column 128registered general nursing qualification has increased from three in 1986 to 86 in October 1988. I understand that further courses are in the planning stage. The hon. Member may wish to contact the ENB Resource and Careers Service at PO Box 356, Sheffield S80 SF, which holds details of the schools which have approval. Information on the costs for each place for enrolled nurses is not available. I am not aware of any health authorities cancelling conversion courses, but if the hon. Member has a specific case, I would be pleased to make inquiries. The Government's response to the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) Project 2000 proposals, in May 1988, stressed the need to increase the number of enrolled nurse conversion courses. We therefore welcome the circular recently issued by the UKCC, setting out new approaches for conversion, designed to create greater opportunities and flexibility for enrolled nurses to convert to first level training.
Regional health authorities have also been made aware that we shall be discussing firm targets for conversion with them as part of the regional review process.
Sir Michael McNair-Wilson : To ask the Secretary of State for Health what percentage of organ transplant operations are successful, organ by organ ; how many of these are first-time operations ; and what percentage of organs are being required by those who have used up the useful life of their first transplant.
Mr. Mellor : According to information provided by the United Kingdom transplant service, the survival of first cadaveric kidney grafts at one year is approximately 75 per cent., and for second grafts about 70 per cent. Numbers of subsequent grafts are too small to provide meaningful estimates. In 1986, about 20 per cent. of all cadaveric kidney transplants were regrafts. Many of the original grafts would have required replacement because they had been rejected, or failed for some other reason. Comprehensive statistics on graft survival for other forms of transplantation are not held centrally.
Mr. Mellor : I assume that the hon. Member is referring to prescriptions for benzodiazepines. The net ingredient cost of the 25.5 million prescriptions for these drugs dispensed in Great Britain in 1987 was £25.3 million.
Ms. Primarolo : To ask the Secretary of State for Health what funds will be allocated under the central funding initiative to projects in the catering specifically for benzodiazepine dependence in 1989-90.
Ms. Primarolo : To ask the Secretary of State for Health whether the chief medical officer has met the representatives of the medical profession to discuss benzodiazepine prescribing ; what further action has been decided upon to reduce the number of people taking ; benzodiazepines ; and whether he will make a statement.
Mr. Mellor : The chief medical officer held a useful meeting with representatives of the medical profession on 22 November to discuss benzodiazepines. We are considering what action might be taken to follow up some of the helpful suggestions made.
Ms. Primarolo To ask the Secretary of State for Health whether he intends to seek to establish precise figures to show the level of trend in benzodiazepine dependence in future.
Mr. Mellor : It is unlikely that it would be possible to obtain accurate statistical data on those dependent on benzodiazopines. What is important is to encourage careful prescribing of benzodiazepines, to promote alternatives to their use, and to provide services for those experiencing problems as a result of their dependence ; the hon. Member will be aware of the initiatives the Government are taking in this respect.
Ms. Primarolo : To ask the Secretary of State for Health (1) what allocation of funds will be made to regional health authorities in the United Kingdom for the development of services for drug misusers in 1989-90 ;
(2) what funds will be allocated to the South West regional health authority for the development of drug misuse services, including services for those dependent on benzodiazepines in 1989-90.
Disposal of NHS land Financial year-total receipts £ thousands Region |1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88 -------------------------------------------------------------------------------------------------- Northern |150 |123 |748 |413 |858 |1,436 |1,337 |6,162 |3,872 Yorkshire |766 |713 |961 |1,756 |844 |1,073 |2,005 |4,127 |5,450 Trent |505 |1,596 |1,697 |1,567 |2,342 |3,910 |4,851 |6,308 |7,628 East Anglian |251 |188 |357 |699 |934 |8,184 |3,501 |3,932 |3,812 North West Thames |1,228 |1,293 |4,358 |2,719 |6,096 |6,724 |6,556 |24,452 |50,255 North East Thames |1,804 |1,405 |1,039 |1,061 |3,771 |2,828 |6,272 |13,150 |28,005 South East Thames |336 |746 |1,191 |2,197 |1,570 |2,549 |11,054 |19,789 |25,599 South West Thames |93 |3,451 |1,989 |878 |2,409 |10,510 |9,085 |30,157 |24,541 Wessex |1,323 |748 |383 |461 |1,238 |1,956 |4,687 |10,216 |5,678 Oxford |922 |1,619 |1,194 |2,287 |1,522 |1,745 |7,559 |2,926 |10,617 South Western |1,074 |1,973 |1,567 |537 |972 |2,678 |5,001 |10,872 |10,094 West Midlands |578 |493 |1,114 |1,185 |1,930 |2,311 |3,859 |3,542 |5,311 North Western |338 |334 |1,414 |600 |999 |1,979 |2,515 |8,396 |4,075 BGs/SHAs |272 |Nil |700 |63 |4,559 |49 |14,283 |888 |12,197 England |9,904 |15,231 |19,424 |18,000 |31,508 |49,019 |84,942 |149,026|204,062
Mr. Meale : To ask the Secretary of State for Health if he will list moneys payable to each district health authority from other health authorities for the provision of services for the mentally ill since June 1987.
Sir Hal Miller : To ask the Secretary of State for Health how many outbreaks of salmonella attributed by him to eggs could be attributed to the following factors (a) unhygienic food preparation in kitchens, (b) inadequate care in storage and transportation and (c) bad stockmanship on farms.
Mr. Kenneth Clarke : Throughout the post-war years, reports on food poisoning and salmonella infection in England and Wales have indicated that poultry has been a significant source of this infection in humans.
Mr. Meale : To ask the Secretary of State for Health if he will list the occasions since 1979 when consultation documents have been issued by district health authorities on properties in use by them which have been closed on a temporary basis by the district health authorities prior to the expiry date of consultation.
Mr. Meale : To ask the Secretary of State for Health if he will introduce legislation in line with that contained within the Health Authorities (Access to Information) Bill, introduced in the last Session of Parliament, at the earliest opportunity.
Mr. Meale : To ask the Secretary of State for Health if he will list all temporary closures of National Health Service premises by regional health authorities and district health authorities area since 1979, showing which facilities are currently open.
Mr. Meale : To ask the Secretary of State for Health if he will indicate the difference between the categories of (a) temporary and (b) provisional when it is applied to closures of facilities or services within the National Health Service.
Mr. Mellor : The Community Health Council Regulations 1985, which prescribe procedures to be followed when a health authority wishes to substantially vary the services it provides, do not identify different categories of variations in services.
Mr. Meale : To ask the Secretary of State for Health if he will consider making extra funding available for the purpose of producing and distributing a regular national publication for community health councils, to be edited under their control.
Mr. Mellor : Such a publication exists. It is produced by the Association of Community Health Councils for England and Wales who are funded mainly by member community health councils and by a grant from this Department.
Mr. Speller : To ask the Secretary of State for Health whether he has received any requests from health authorities in the south-west for assistance in funding the compensation to be paid to patients who were damaged by excessive radiation during treatment at the Royal Devon and Exeter hospital.
Mr. Fearn : To ask the Secretary of State for Health how many National Health Service family planning clinics have been closed in each of the last three years ; by what amount staffing levels have changed ; and if he will make a statement.
Mr. Mellor : We do not hold information centrally in the form requested. National figures for the number of health authority family planning clinics and sessions provided in the last three years for which figures are available are set out in the table.
Family Planning Clinic Service-England Community and hospital clinics<1> |1984 |1985 |1986 -------------------------------------------------------- Premises regularly used for family planning sessions |1,768 |1,746 |1,756 Sessions (all types)<2> |197,127|196,075|195,700 <1> The table covers all clinic services including any provided by voluntary bodies or others on an agency basis. <2> If more than one nurse was present at a "nurse only" session it has been included as one session unless each nurse was advising a separate group.
Mr. Ashley : To ask the Secretary of State for Health what information he has from research conducted by his Department or by external researchers about the quality of medical records, and in particular about the extent to which hospitals notify general practitioners about the treatment their patients receive in hospital.
Mr. Ashley : To ask the Secretary of State for Health if he will meet with representatives of the Dalkon Shield Association to discuss the problems that women who contacted them have encountered in obtaining information about their past medical treatment.
Mr. Mellor : If a request for a meeting is received we shall consider it. I refer, however, the right hon. Member to earlier replies on 28 November 1988 at column 139, which give the basis of our response to inquiries. In particular, it is our long-standing advice to health authorities to be as helpful as possible to patients seeking this kind of information.
Mr. Mellor : Expert advice is that there are a few studies in which HIV has been isolated from the saliva of a small miniroty of HIV seropositive patients studied. The presence of HIV in saliva from these individuals was demonstrated by techniques involving in-vitro transmission of the virus to mononuclear cells.
However, epidemiological studies show no evidence for the transmission of HIV through saliva.
Sir Michael McNair-Wilson : To ask the Secretary of State for Health when he expects to receive the report from the Committee on Medical Aspects of Radiation in the Environment about the incidence of lymphatic cancer and leukaemia in young children living close to atomic weapons research establishment Aldermaston and atomic weapons research establishment Burghfield.
Mr. Sims : To ask the Secretary of State for Health (1) what steps he is taking to implement the recommendations of the section in the fourth report of the Independent Scientific Committee on Smoking and Health relating to the health hazards of passive smoking ; and if he will make a statement ;
Column 134(2) if he will make a statement on the recommendations in the fourth report of the Independent Scientific Committee on Smoking and Health that every workplace with smoking and non- smoking employees should have a properly negotiated smoking police ; and what steps he is taking to ensure that a workplace smoking policy is the norm rather than the exception.
"Consideration should be given to ways of ensuring that in the work and leisure environments, in public transport and in other public enclosed spaces smokers can be segregated from non-smokers". The Government support the voluntary extension of smoke-free areas, including in the workplace. We have been actively encouraging Action on Smoking and Health in its development of a consultancy service to assist employers in the designing of workplace smoking policies. The Health and Safety Executive has recently published a free booklet entitled "Passive smoking at work" which suggests ways of reducing the exposure of non-smokers to tobacco smoke at work and answers some of the questions about the health risks of passive smoking. The fourth report made a number of other recommendations on the subject of passive smoking. The Health Education Authority has publicised the risk of lung cancer associated with passive smoking. The role of environmental tobacco smoke in the occurrence of respiratory illness in children will be kept under review.
Mr. Sims : To ask the Secretary of State for Health what steps he is taking on the recommendation of the chief medical officer that a clear commitment to a smoke-free environment for all Health Service staff and in all health premises should be made ; and if he will make a statement.
Mr. Mellor : In May 1985, a circular was issued to NHS authorities offering general anti-smoking advice and asking them to draw up policy statements with a view to making non-smoking normal practice on Health Service premises and for Health Service staff.
Recent surveys have shown that, while a number of authorities have developed comprehensive policies, some still have scope for further progress. We are currently engaged in drafting a revised version of that circular which will draw upon the latest evidence of the damage to health done by passive smoking.
Mr. Rooker : To ask the Secretary of State for Health when he expects to publish the survey on the provision of care in supported lodgings and unregistered homes conducted by the Office of Population Censuses and Surveys.
Mr. Mellor : The results of the Office of Population Censuses and Surveys study of supported lodgings and residential homes are included in two reports. The first report on supported lodgings also includes some results on unregistered homes and was published by Her Majesty's Stationery Office in November. The second report, on residential homes and nursing homes, will include the remaining results on unregistered homes. That report is in preparation, and OPCS hopes to publish it in the summer of next year.
Column 135Children's Home during each of the past 10 years ; and what funds he proposes to make available to the National Children's Home for the year 1989.