Previous Section Home Page

Anti-Smoking Campaigns

Mr. Michael Brown : To ask the Secretary of State for Health what steps he is taking to monitor the effectiveness of the Health Education Authority's campaigns against smoking.

Mr. Freeman : Each of the individual projects in the Health Education Authority's smoking programme is separately evaluated by the authority. Advertising against smoking takes place within the "Look After Your Heart" campaign and this is monitored through regular tracking studies. The authority's activity in connection with national no smoking day is also monitored separately. This showed that in 1988, 92 per cent. of the population were aware of national no smoking day, with about 2.5 million smokers taking part. Follow-up to 1986 No Smoking Day suggests that up to 50,000 smokers may have given up permanently.

Mr. Michael Brown : To ask the Secretary of State for Health what is the total expenditure by the Health Education Authority on anti-smoking campaigns in the current financial year ; and what expenditure it intends to make on campaigns in this area in 1989-90.

Mr. Freeman : Expenditure by the Health Education Authority on anti- smoking campaigns in 1988-89 will be £1,334,000. No significant change of expenditure is intended for 1989-90.

Mr. Michael Brown : To ask the Secretary of State for Health what proportion of the Health Education Authority's budget is spent on anti- smoking campaigns in the current financial year ; and how he expects this to change in 1989-80.

Mr. Freeman : The Health Education Authority plans to spend about 6 per cent. of its total budget in 1988-89 on anti-smoking campaigns. No change is proposed for 1989-90.

Residential Homes

Mr. Kirkwood : To ask the Secretary of State for Health (1) what assessment he has made to the effect of the increase in mortgage rates on the manning and financing of residential homes ; and if he will make a statement ;

(2) whether his Department has any evidence as to whether the loss of nurses' posts in registered residential homes is related to the financial difficulties imposed on the management of such homes as a result of recent increases in mortgage repayments.

Mr. Freeman : We do not have information available which would enable us to assess the effects on the operation of residential homes of changes in mortgage payments. Any nursing care required in residential care homes should be provided by the local community nursing service or under its supervision ; these homes do not need to have nurses' posts.


Column 234

NHS Professional and Technical Councils

Mr. Cousins : To ask the Secretary of State for Health (1) if he will list the professions, occupations and disciplines covered by each individual committee or pay review body linked to National Health Service professional and technical councils A and B ; (2) what were the annual percentage pay awards to the National Health Service staff covered by each individual committee or pay review body linked to professional and technical councils A and B in each year since 1981 ;

(3) how many National Health Service staff are covered by each individual committee or pay review body linked to professional and technical councils A and B ;

(4) what is the starting, top and mid-point of each salary scale for National Health Service staff covered by each individual committee or pay review body linked to professional and technical councils A and B.

Mr. Mellor : The information requested has been placed in the Library.

Identity Cards

Mr. Cohen : To ask the Secretary of State for Health whether his Department has investigated, or is currently studying, the usefulness of a national identity card to his departmental responsibilities ; and whether he will make a statement.

Mr. Kenneth Clarke : Yes, but I do not believe that my departmental responsibilities are the crucial factor in determining the desirability of a national identity card. I refer the hon. Member to the reply given by my right hon. Friend the Home Secretary to the hon. Member for Edinburgh, Central (Mr. Darling) on 15 December column 1080 .

Anti-smoking Campaign

Mr. Michael Brown : To ask the Secretary of State for Health what expenditure his Department makes on anti-smoking campaigns other than in grants to Action on Smoking and Health and the Health Education Authority in the current year ; and what expenditure is planned in this area in 1989- 90.

Mr. Freeman : Other than money made available to the Health Education Authority and Action on Smoking and Health, the Department did not separately spend any money on specific anti-smoking campaigns in 1988- 89 although the "Look After Your Heart" campaign did include a component of advice on giving up smoking. Consideration is currently being given to a campaign to discourage teenage smoking. The amount of expenditure this might involve has not yet been decided.

Health Education Authority

Mr. Michael Brown : To ask the Secretary of State for Health if he will reconsider his decision not to appoint to the Health Education Authority a fund raiser to encourage an increase in the organisation's income from non-governmental sources.

Mr. Freeman : Individual positions within the Health Education Authority are a matter for the authority itself. However, I understand that the authority has begun to


Column 235

work with industry and other bodies to bring about increased opportunities to promote health education messages and during the past year has been successful in developing a number of commercial associations. The authority has recently appointed a commercial manager to develop these areas of co-operation further.

Mr. Michael Brown : To ask the Secretary of State for Health what proportion of the budget of the Health Education Authority is funded from non-governmental sources.

Mr. Freeman : About 0.7 per cent. of the 1988-89 budget of the Health Education Authority is funded from non-governmental sources. These non-governmental funds are derived from the sale of publications and sponsorship. In 1988-89 this is likely to be about £160,000.

No Smoking Day

Mr. Michael Brown : To ask the Secretary of State for Health what he estimates will be the cost to public funds of national no smoking day 1989.

Mr. Freeman : National no smoking day is financed from a number of public and voluntary sector and international sources. Public sector support from English sources for the 1989 event is limited to a grant from the Health Education Authority of £112,000.

Disabled People

Mr. Kirkwood : To ask the Secretary of State for Health what steps he has taken to ensure that rights of representation and advocacy are being provided adequately for individuals whose cases are assessed under the Disabled Persons (Services, Consultation and

Representation) Act 1986.

Mr. Mellor : It is good practice for the views of disabled people and their carers to be taken into account when local authorities are assessing the need for services. Sections 1 and 2 of the Disabled Persons (Services, Consultation and Representation) Act 1986 seek to give this statutory force through regulations covering the appointment and rights of authorised representatives to act on behalf of a disabled person. Six key sections of the Act are already in force, but sections 1 and 2 are among those still to be implemented. We have always said that the remaining sections of the Act will be implemented as and when the resources required have been identified and made available. Discussions are taking place with the local authority associations, who have indicated that they see these provisions of the Act as having resource implications.

Organ Transplants (Donor Cards)

Mr. Home Robertson : To ask the Secretary of State for Health (1) if he will estimate the number of people whose organs are likely to be suitable for donation for transplant who are currently carrying donor cards ;

(2) if he will estimate the number of people who have died in hospital whose organs would have been suitable for transplant but where no donation was made during the last five years ; and if he will list the principal reasons for such action not being taken.

Mr. Freeman : The basic information required to form reliable estimates of the number of potential organ donors


Column 236

is not yet available. On 1 January 1989, health authorities in England will begin a survey which should provide a clearer picture of the total potential and the reasons why donation sometimes does not take place. For further details of this initiative, I refer the hon. Member to the reply given to my hon. Friend the Member for Uxbridge (Mr. Shersby) on 13 December 1988 at column 555.

Different sample surveys produce varying estimates of donor card ownership, but it appears likely that between 20 and 30 per cent. of the general public posess a donor card.

Meningitis

Mr. Holt : To ask the Secretary of State for Health how many deaths due to meningitis have been recorded in each of the past five years.

Mr. Freeman : Meningitis may be caused by many different organisms. I assume that my hon. Friend is interested particularly in meningococcal meningitis, and the table gives the number of deaths from this cause.


Number of deaths registered with underlying cause  

assigned as                                        

meningococcal meningitis (ICD(9)<1> 036.0).        

Persons, all ages                                  

England and Wales between 1983 and 1988            

Year             |Number of deaths                 

---------------------------------------------------

1983             |20                               

1984             |26                               

1985             |36                               

1986             |44                               

1987             |37                               

<2>1988          |21                               

<1>International Classification of Diseases 9th    

revision.                                          

<2>Provisional, January to June only.              

Note: Due to a change in the coding rules, deaths  

prior to 1984 may not strictly be comparable with  

those of later years.                              

Figures from 1986 exclude deaths at ages under 28  

days.                                              

Food ( Nutrition Implications)

Mr. Holt : To ask the Secretary of State for Health what guidance the Ministry has issued, or proposed to issue on the health implications of the consumption of (a) red meat, (b) poultry and turkeys, (c) nitrate fertilised vegetables, (d) fruits subject to pesticide treatment, (e) dairy products, (f) white bread and (g) sugar-based products.

Mr. Freeman : We have no plans to issue special guidance on the nutrition implications of eating the foods mentioned. Any foods, if eaten in moderation, can contribute to a healthy diet. It is the balance of the diet as a whole which matters. However it is noteworthy that in its report "Nutritional Aspects of Bread and Flour" (HMSO 1981), the chief medical officer's Committee on Medical Aspects of Food Policy recommended that

"the consumption of bread, whether white, brown or wholemeal, should be promoted".

We expect to publish a COMA report on dietary sugars in the course of 1989.

With regard to the safety of particular foodstuffs, whether in relation to the use of fertilisers or pesticides in their production, or to any other factor, we shall continue to advise the public whenever necessary.


Column 237

Abortions

Mr. Amess : To ask the Secretary of State for Health how many abortions were carried out in the latest year for which figures are available at 28 weeks, 27, 26, 25, 24, 23, 22, 21, 20, 19 and 18 weeks.

Mr. Freeman : The information is shown in the table.


Notifications of abortions at 18 weeks and over gestation by age of women and statutory grounds for residents and non-residents.                     

Numbers and percentages. \$|England and Wales. 1987 (provisional)                                                                                    

-----------------------------------------------------------------------------------------------------------------------------------------------------

Statutory grounds                                                                                                                                    

All                                            |8,717|100.0|437  |5.0  |2,711|31.1 |2,887|33.1 |1,942|22.3 |712  |8.2  |27   |0.3  |1    |0.01       

1 (with any other)                             |27   |-    |2          |2          |9          |11         |3          |-    |-    |-    |-          

2 (alone)                                      |7,691|-    |429  |-    |2,599|-    |2,600|-    |1,537|-    |504  |-    |22   |-    |-    |-          

3 (with or without 2)                          |380  |-    |3    |-    |52   |-    |129  |-    |145  |-    |49   |-    |1    |-    |1    |-          

4 (alone)                                      |556  |-    |3    |-    |51   |-    |134  |-    |227  |-    |138  |-    |3    |-    |-    |-          

4 (with any other except 1, excluding 4 alone) |63   |-    |-    |-    |7    |-    |15   |-    |22   |-    |18   |-    |1    |-    |-    |-          

5 or 6                                         |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-          

Statutory grounds: Certified by two registered medical practitioners as necessary on any of the grounds:                                             

1. The continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated.              

2. The continuance of the pregnancy would involve risk of injury to the physical or mental health of the pregnant woman greater than if the          

pregnancy were terminated.                                                                                                                           

3. The continuance of the pregnancy would involve risk or injury to the physical or mental health of any existing child(ren) in the family of the    

pregnant woman greater than if the pregnancy were terminated.                                                                                        

4. There is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously             

handicapped.                                                                                                                                         

Certified by the operating practitioner as immediately necessary:                                                                                    

5. In emergency, to save the life of the pregnant woman.                                                                                             

6. In emergency, to prevent grave permanent injury to the physical or mental health of the pregnant woman.                                           

Mr. Nicholas Winterton : To ask the Secretary of State for Health if he will give a breakdown by age, including girls aged under 16 years, of the numbers and percentages of abortions performed in England and Wales in the latest year for which figures are available on pregnancies of 18 weeks or over, and indicate the statutory grounds on which the abortions were performed.

Mr. Freeman : [holding answer 13 December 1988] : The information is shown in the table.


Column 237


Notifications of abortions at 18 weeks and over gestation by age of women and statutory grounds for residents and non-residents.                     

Numbers and percentages. \$|England and Wales. 1987 (provisional)                                                                                    

-----------------------------------------------------------------------------------------------------------------------------------------------------

Statutory grounds                                                                                                                                    

All                                            |8,717|100.0|437  |5.0  |2,711|31.1 |2,887|33.1 |1,942|22.3 |712  |8.2  |27   |0.3  |1    |0.01       

1 (with any other)                             |27   |-    |2          |2          |9          |11         |3          |-    |-    |-    |-          

2 (alone)                                      |7,691|-    |429  |-    |2,599|-    |2,600|-    |1,537|-    |504  |-    |22   |-    |-    |-          

3 (with or without 2)                          |380  |-    |3    |-    |52   |-    |129  |-    |145  |-    |49   |-    |1    |-    |1    |-          

4 (alone)                                      |556  |-    |3    |-    |51   |-    |134  |-    |227  |-    |138  |-    |3    |-    |-    |-          

4 (with any other except 1, excluding 4 alone) |63   |-    |-    |-    |7    |-    |15   |-    |22   |-    |18   |-    |1    |-    |-    |-          

5 or 6                                         |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-    |-          

Statutory grounds: Certified by two registered medical practitioners as necessary on any of the grounds:                                             

1. The continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated.              

2. The continuance of the pregnancy would involve risk of injury to the physical or mental health of the pregnant woman greater than if the          

pregnancy were terminated.                                                                                                                           

3. The continuance of the pregnancy would involve risk or injury to the physical or mental health of any existing child(ren) in the family of the    

pregnant woman greater than if the pregnancy were terminated.                                                                                        

4. There is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously             

handicapped.                                                                                                                                         

Certified by the operating practitioner as immediately necessary:                                                                                    

5. In emergency, to save the life of the pregnant woman.                                                                                             

6. In emergency, to prevent grave permanent injury to the physical or mental health of the pregnant woman.                                           

Mr. Nicholas Winterton : To ask the Secretary of State for Health (1) how many abortions were performed in England and Wales in the latest year for which figures are available ; and how many and what percentage of these abortions were performed at 18 weeks or more gestation ;

(2) how many and what percentage of the abortions performed in England and Wales in the latest year for which figures are available in pregnancies of 18 weeks or more gestation were performed (a) in the private sector, (b) in the National Health Service or (c) by the National Health Service in the private sector under agency arrangements ;

(3) how many and what percentage of the abortions performed in England and Wales in the latest year for which figures are available on pregnancies of 18 weeks or over were performed upon (a) women normally resident in the United Kingdom and (b) women from overseas ;

(4) how many and what percentage of the abortions performed in England and Wales in the latest year for which figures are available on pregnancies of 18 weeks or over were performed under each statutory ground ;

(5) if he will give a breakdown by (a) numbers of previous children and (b) numbers of previous abortions of the numbers and percentages of abortions performed in England and Wales in the latest year for which figures are available at 18 weeks or more gestation ; (6) how many and what percentage of abortions in the latest year for which figures are available were performed in England and Wales upon pregnancies of 18 weeks or


Column 238

more gestation because (a) the child was likely to be born handicapped or (b) the pregnancy had arisen as a result of rape ; (7) how many and what percentage of all abortions performed in England and Wales in the latest year for which figures are available upon pregnancies of 18 weeks or more gestation were performed under ground 2 of the Abortion Act.

Mr. Freeman : [holding answer 13 December] : The information is given in the table. Statutory ground four gives the number of notifications of abortions carried out under the Abortion Act 1967 where there is substantial risk that if the child were to be born it would suffer from such physical or mental abnormalities as to be seriously handicapped. Rape is not in itself a statutory ground for abortion, but arrangements have been made to identify separately those notification forms which mention rape. Other abortions may have been performed where rape may have occurred, but we cannot identify these in the statistics.

Notifications of abortions carried out under the Abortion Act 1967, all gestations ; 18 completed weeks and over by category of premises, area of usual residence, statutory grounds, number of previous live and still born children, number of previous abortions under the Act, with mention of rape on notification form. Residents and non-residents of England and Wales. England and Wales 1987 (provisional)


Column 239


Notifications of Abortions                                                               

                                                            Total residents and          

                                                            non-residents                

                                                           |Number   |Per cent.          

-----------------------------------------------------------------------------------------

Gesttion (completed weeks)                                                               

All                                                        |174,276  |100.0              

18 and over                                                |8,717    |5.0                

                                                                                         

Gestation 18 completed weeks and over Category of premises                               

All                                                        |8,717    |100.0              

NHS                                                        |1,235    |14.2               

Non-NHS                                                    |7,482    |85.8               

  of which Agency                                          |437      |5.0                

                                                                                         

Area of usual residence                                                                  

United Kingdom                                             |5,476    |62.8               

Elsewhere                                                  |3,241    |37.2               

                                                                                         

Statutory grounds                                                                        

1 (with any other)                                         |27       |0.3                

2 (alone)                                                  |7,691    |88.2               

3 (with/without 2)                                         |380      |4.4                

4 (alone)                                                  |556      |6.4                

4 (with any other, ex 1, 4 alone)                          |63       |0.7                

5 or 6                                                     |-        |-                  

                                                                                         

Number of previous live or still born children                                           

0                                                          |6,023    |69.1               

1                                                          |1,288    |14.8               

2                                                          |801      |9.2                

3                                                          |351      |4.0                

4 and over                                                 |200      |2.3                

 Not stated                                                |54       |0.6                

                                                                                         

Number of previous abortions under the Act                                               

0                                                          |7,426    |85.2               

1                                                          |1,078    |12.4               

2                                                          |125      |1.4                

3                                                          |24       |0.3                

4 and over                                                 |10       |0.1                

 Not stated                                                |54       |0.6                

                                                                                         

Mention of rape on notification form                       |1        |0.0                

Statutory grounds.                                                                       

Certified by two registered medical practitioners as necessary on any of the grounds:    

1. The continuance of the pregnancy would involve risk to the life of the pregnant woman 

greater than if the pregnancy were terminated.                                           

2. The continuance of the pregnancy would involve risk of injury to the physical or      

mental health of the pregnant women greater than if the pregnancy were terminated.       

3. The continuance of the pregnancy would involve risk or injury to the physical or      

mental health of any existing child(ren) in the family of the pregnant woman greater     

than if the pregnancy were terminated.                                                   

4. There is a substantial risk that if the child were born it would suffer from such     

physical or mental abnormalities as to be seriously handicapped.                         

Certified by the operating practitioner as immediately necessary:                        

5. In emergency, to save the life of the pregnant women.                                 

6. In emergency, to prevent grave permanent injury to the physical or mental health of   

the pregnant women.                                                                      

Mr. Nicholas Winterton : To ask the Secretary of State for Health how many abortions have so far been performed in England and Wales under the terms of the Abortion Act 1967.

Mr. Freeman [holding answer 13 December] : The total number of notifications of abortions carried out under the Abortion Act 1967 received by the end of August 1988 for terminations performed in England and Wales from 27


Column 240

April 1968 to 30 June 1988 is 2,899,405. A small number of notifications received after statistics have been compiled for each year are excluded.

Doctors (Discipline)

Mr. Holt : To ask the Secretary of State for Health how many doctors have been (a) struck off, (b) suspended and (c) disciplined in each of the past 10 years.

Mr. Mellor : The General Medical Council has supplied the following figures :


                        |Registrations erased   |Registrations suspended|Total<1>                                       

                        |(a)                    |(b)                    |(c)                                            

------------------------------------------------------------------------------------------------------------------------

1987                    |7                      |11                     |53                                             

1986                    |6                      |12                     |49                                             

1985                    |13                     |8                      |45                                             

1984                    |10                     |10                     |52                                             

1983                    |10                     |9                      |36                                             

1982                    |5                      |6                      |30                                             

1981                    |5                      |9                      |26                                             

1980                    |5                      |10                     |23                                             

1979                    |7                      |7                      |30                                             

1978                    |4                      |6                      |28                                             

<1>Total number of cases considered by the General Medical Council professional conduct committee (formerly the         

disciplinary committee).                                                                                                

I understand that the General Medical Council would be willing to provide a more detailed breakdown of the result of disciplinary proceedings heard by the professional conduct committee (column (c) ) if my hon. Friend wishes to write to it.

Orthoptists (Nottingham)

Mr. Allen : To ask the Secretary of State for Health how many orthoptists thre are in the Nottingham district health authority.

Mr. Mellor : We do not hold this information centrally. The hon. Member may care to write to the chairman of Nottingham health authority for the information.

Abortion (Tower Hamlets)

Mr. Alton : To ask the Secretary of State for Health if he will give the number of abortions in Tower Hamlets' health authority by method for the latest period for which figures are available.

Mr. Freeman : Statistics relating to legal abortions by district health authority of termination are not published in order to maintain confidentiality.

Medical Accidents

Mr. Cousins : To ask the Secretary of State for Health when the working party between his Department and the British Medical Association on alternative forms of compensation for victims of medical accidents was set up ; how many times it has met ; and when he expects it to report.


Column 241

Mr. Mellor : No working party to consider alternative forms of compensation for victims of medical accidents has been set up between the Department and the British Medical Association.

AIDS

Mr. Butler : To ask the Secretary of State for Health if he will now update his estimate contained in his answer of 16 November 1987, Official Report, column 433, of the proportion of people infected with HIV who will go on to develop AIDS in the light of the Cox report on HIV infection.

Mr. Mellor : We accept the statement in the Cox report that "The proportion of people infected with HIV who will eventually develop AIDS is uncertain. Some of the recent evidence suggests it is higher than originally thought and may be as high as 80 per cent., or even greater".

The previous reply of 16 November 1987 was in respect of people with haemophilia and HIV infection. It is still not known what proportion of these people with HIV infection will develop AIDS.

Eggs

Mr. Gareth Wardell : To ask the Secretary of State for Health what is the total number of eggs sampled (i) between 1 January and 31 October and (ii) since 31 October ; and what were the results regarding the incidence of salmonella enteriditis.

Mr. Kenneth Clarke : Preliminary information collected by the public health laboratory service in 1988 showed that in an examination of about 2,000 eggs from sources suspected of being associated with salmonella food poisoning, salmonella enteritidis PT4 was cultured from the shells of only seven eggs ; from the content only of two eggs and from both shell and contents of two eggs. Because these eggs were selected from suspect flocks they are not representative and no inference can be drawn from these findings about the extent of salmonella contamination of eggs in this country.

In addition, the Agricultural Development and Advisory Service have examined eggs for a number of individual producers on a contractual basis. Individual results are commercially confidential. However, in total around 4,000 eggs were examined to date without any positive results for salmonella.

Births and Deaths (Registration)

Mr. Alton : To ask the Secretary of State for Health what action he has taken in the light of the Register General's inquiries into the application of the legislation governing the registration of births and deaths to the case of the Carlisle baby ; and if he will make a statement.

Mr. Freeman : None. I have no powers in this respect.

Mr. Alton : To ask the Secretary of State for Health if he will list his responsibilities under the Births and Deaths Registration Act 1953, and for action in respect of non-compliance with the terms of the Births and Deaths Registration Act 1953.

Mr. Freeman : The Home Secretary has no responsibilities under the Births and Deaths Registration Act 1953.


Column 242

My right hon. and learned Friend the Secretary of State for Health's responsibilities under the Act are confined to approving regulations made by the Registrar General prescribing anything which by that Act is required to be prescribed.

Mr. Alton : To ask the Secretary of State for Health, if he has received a report from the Registrar General into application of the Births and Deaths Registration Act in the case of the Carlisle baby.

Mr. Freeman : Yes.

Infant Feeding

Mr. McLoughlin : To ask the Secretary of State for Health when he expects to publish the guidelines on infant feeding based on the health report entitled "Present Day Practice in Infant Feeding : Third Report from the Chief Medical Officer's Committee on Medical Aspects of Food Policy".

Mr. Freeman : This was published on 19 December and is available from Her Majesty's Stationery Office (ISBN 0 11 321181 3).

Unemployment (Mortality)

Mr. Dobson : To ask the Secretary of State for Health why it was decided to exclude the table linking unemployment to mortality from the 1986 "Social Trends", published by the Office of Population Censuses and Surveys.

Mr. Mellor [holding answer 25 November 1988] : No such table was proposed for "Social Trends" 16 by the Central Statistical Office, which edits this publication.

Operations (Waiting Lists)

Mr. Robert McCrindle : To ask the Secretary of State for Health if he will estimate the numbers of people on waiting lists for hip operations, kidney transplants, eye operations, varicose vein operations, cosmetic surgery, heart operations and heart and lung transplants in England and Wales, at the latest time for which statistics are available ; what was the comparable figure for the same period last year ; and if he will make a statement.

Mr. Freeman [holding answer 20 November 1988] : We collect waiting list information centrally by specialty rather than by type of operation. This is available in the Library. However, separate figures for patients waiting for kidney, heart or combined heart and lung transplants are notified to the United Kingdom transplant service, for the United Kingdom as a whole. This information is provided in the table.

Questions about waiting lists in Wales are for my right hon. Friend the Secretary of State for Wales.


Patients waiting for Transplants in the United Kingdom                 

                    |25 November 1987|25 November 1988                 

-----------------------------------------------------------------------

Kidney              |3,271           |3,491                            

Heart or heart/lung |338             |396                              

The number of transplants of these organs carried out from 1 January to 25 November 1988 is approximately 9 per cent. higher than in the comparable period in 1987.


Column 243

Diet

Mr. Meale : To ask the Secretary of State for Health what advice his Department issues on the eating of (a) chips and (b) eggs and as to whether they constitute part of a healthy diet.

Mr. Freeman [holding answer 13 December] : Any food, in moderation, can constitute part of a healthy diet. It is the balance that matters. The Department issues no specific nutritional advice about chips and eggs. However, chips may contribute substantially to dietary fat. The Chief Medical Officer's Committee on Medical Aspects of Food Policy advise, and we accept, that consumption of fat by the population as a whole should be reduced.

With regard to the risk of salmonella and eggs I refer the hon. Member to the statement made to the House by my right hon. and learned Friend, the Secretary of State, on 5 December at column 19 .

Smoking

Mr. Amos : To ask the Secretary of State for Health what percentage of deaths from lung cancer he attributes to smoking ; and how many such deaths occurred in people under 65 years, and in all age groups, in the last 10 years for which figures are available.

Mr. Freeman [holding answer 16 December 1988] : It is not possible to be precise, but it is estimated that at least 90 per cent. of deaths from cancer of the lung is attributable to smoking . The table gives the remaining information requested. The death rate for all males is falling, whilst that for all females is rising.


Column 244


Number of deaths with underlying cause as malignant         

neoplasm of                                                 

trachea, bronchus and lung (ICDÉ 8, 9 162) at ages under 65 

years                                                       

and at all ages-England and Wales 1978-1987.                

Year            Number of deaths                            

               |Under 65 years|All ages                     

------------------------------------------------------------

1978           |11,847        |34,348                       

1979           |11,701        |34,760                       

1980           |11,355        |35,168                       

1981           |11,132        |34,727                       

1982           |10,957        |34,832                       

1983           |11,021        |35,572                       

<2>1984        |11,070        |35,739                       

1985           |10,665        |35,792                       

<3>1986        |10,094        |35,257                       

1987           |9,549         |35,138                       

<1>International Classification of Diseases 8th and 9th     

revisions.                                                  

<2>Due to a change in coding rules, deaths prior to 1984    

are not strictly comparable with those of later years.      

<3>Statistics for 1986 and 1987 exclude deaths at age under 

28 days.                                                    

Mr. Amos : To ask the Secretary of State for Health what proportion of acute beds in National Health Service hospitals and the total number of in-paitent bed days per annum he estimates are used by patients who are suffering from smoking-induced illnesses ; and if he will make a statement.

Mr. Freeman [holding answer 16 December 1988] : The available information for the main diseases associated with smoking is given in the table. Not all illness from these diseases is attributable to smoking. In particular, smoking is only one of a number of causes of ischaemic heart disease.


Column 243


Estimated average daily number of occupied beds and total in-patient days, by selected diagnoses, NHS acute sector, England 1985                     

Main diagnosis                                           |ICD<1>                |Average number of beds|Total in-patient days                        

                                                                                |occupied daily<2>     |(thousands)                                  

-----------------------------------------------------------------------------------------------------------------------------------------------------

Malignant Neoplasm of:                                                                                                                               

  Trachea, Bronchus and Lung                             |162                   |1,765                 |644.2                                        

  Lip, Oral cavity and Pharynx                           |140-149               |271                   |98.9                                         

  Oesophagus                                             |150                   |344                   |125.6                                        

  Larynx                                                 |161                   |160                   |58.4                                         

                                                                                                                                                     

Diseases of Circulatory system:                                                                                                                      

  Ischaemic heart disease                                |410-414               |5,511                 |2,011.5                                      

  Chronic Pulmonory heart disease                        |416                   |91                    |33.2                                         

  Aortic Aneurysm                                        |441                   |213                   |77.7                                         

                                                                                                                                                     

Diseases of the Respiratory system:                                                                                                                  

  Bronchitis and Emphysema                               |490-492               |916                   |334.3                                        

  Chronic Airways Obstruction (not elsewhere classified) |496                   |1,572                 |573.8                                        

All diseases listed above                                                       |10,843                |3,957.7                                      

All acute specialties                                                           |100,659               |36,740.5                                     

Smoking related diagnoses as a percentage of total       |-                     |10.8                  |10.8                                         

Notes:                                                                                                                                               

<1> International classification of diseases, ninth revision.                                                                                        

<2> Based on the hospital in-patient inquiry and SH3 1985.                                                                                           

Mr. Amos : To ask the Secretary of State for Health if he will estimate the percentage of out-patients at chest clinics who attend as a result of smoking-induced illnesses ; and if he will make a statement.


Next Section

  Home Page