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Children at School and Problems Related to AIDS (Booklet). Issued by Department of Education and Science and Welsh Office--March 1986. AIDS--Some Questions and Answers. For Teachers, Lecturers and Youth Workers (Booklet). Issued by Department of Education and Science 1987.AIDS : HIV Infected Health Care Workers (ISBN 011 3211406). Issued by Department of Health and Social Security--March 1988.
Cervical Smears
Ms. Walley : To ask the Secretary of State for Health, pursuant to his answer to the hon. Member for Stoke-on-Trent, North, Offical Report , 8 December, columns 336-37 , what is the current average waiting period in north Staffordshire for cervical smears.
Mr. Mellor : The current average period from receipt by north Staffordshire's laboratory of a routine cervical smear to a report being sent to the doctor who submitted the smear is four to five weeks. I understand that women in north Staffordshire have no difficulty in obtaining a cervical smear as part of the district's screening programme, in line with our guidance that women aged 20-64 should be tested at least every five years.
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Residential Homes
Mr. Kirkwood : To ask the Secretary of State for Health if he will publish in the Official Report the figures for the past five year period of those in England and Wales who have applied for licences to run residential homes, shown broken down by regional health authority areas in which the homes were situated.
Mr. Freeman : We do not hold this information centrally.
Salmonella (Eggs)
Mr. Holt : To ask the Secretary of State for Health how many salmonella infected eggs were discovered during routine testing at (a) the Government's research station at Colindale and (b) other public or private testing establishments during the past two years.
Mr. Kenneth Clarke : I refer the hon. Member to my replies to the hon. Member for Gower (Mr. Wardell) and my hon. Friend for Bromsgrove (Sir H. Miller) on 20 December.
Mr. Holt : To ask the Secretary of State for Health how many cases of salmonella poisoning directly attributable to eggs have led to deaths in each of the past five years.
Mr. Kenneth Clarke : The table shows the number of cases of bacteraemia (blood poisoning) due to salmonella reported by laboratories to the public health laboratory service.
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Salmonella in humans England and Wales Year |Serotype Typhimu rium|Serotype Enteritidis |Other serotypes |Total ------------------------------------------------------------------------------------------------------------------------------------ 1986 |7,094 |4,771 |5,111 |16,976 1987 |7,660 |6,858 |6,014 |20,532 1988<1> |5,488 |13,004 |4,546 |23,038 <1> To end October.
There is no direct evidence to link these deaths with the consumption of eggs but salmonella enteritidis phage type 4 (PT4) is associated almost exclusively with chicken and eggs and we must assume that some of the deaths in the final column will have been associated with eggs.
Mr. Martyn Jones : To ask the Secretary of State for Health what evidence his Department has of infection of hens' eggs by transmission of salmonella species in the oviduct ; and what species are involved.
Mr. Kenneth Clarke : I refer the hon. Member to my reply to my hon. Friend the Member for Wealden (Sir G. Johnson Smith) on 16 December at column 766.
Mr. Martyn Jones : To ask the Secretary of State for Health how many cases of human gastroenteritis caused by species of salmonella were reported in the last three years ; what species were involved ; and how many were directly attributed to fresh hens' eggs.
Mr. Kenneth Clarke : The information available is as follows :
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Salmonella in humans England and Wales Year |Serotype Typhimu rium|Serotype Enteritidis |Other serotypes |Total ------------------------------------------------------------------------------------------------------------------------------------ 1986 |7,094 |4,771 |5,111 |16,976 1987 |7,660 |6,858 |6,014 |20,532 1988<1> |5,488 |13,004 |4,546 |23,038 <1> To end October.
It is not possible to attribute all cases to a specific food vehicle but we know that, to the end of October 1988 there were 46 reported outbreaks involving over 1,000 people in which the likely source of infection was eggs.
Mr. Ralph Howell : To ask the Secretary of State for Health how many persons, as a result of salmonella in eggs, have been (a) admitted to hospital, (b) classified as seriously ill and (c) have died, in 1988 and each of the previous 10 years ; and how many patients are currently (i) in hospital and (ii) seriously ill as a result of salmonella poisoning by eggs. Mr. Kenneth Clarke [holding answer 19 December 1988] : We cannot separately identify, from data collected centrally, the information requested on hospital admissions and the numbers of seriously ill.
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Some information is available on the numbers of cases and deaths from salmonellosis bacteraemias reported by laboratories to the Public Health Laboratory Service as follows :Column 309
Reports of salmonellosis bacteraemias (England and Wales)
Total salmonella S. enteritidis
bacteraemias<1> bacteraemias
|Cases |Deaths<2>|Cases |(PT4) |Deaths |(PT4)<2>
--------------------------------------------------------------------------------
1983 |201 |30 |14 |(4) |5 |(2)
1984 |203 |33 |17 |(1) |3 |(-)
1985 |151 |30 |30 |(9) |5 |(3)
1986 |192 |21 |43 |(19) |5 |(4)
1987 |226 |35 |61 |(26) |15 |(9)
1988<3> |237 |48 |120 |(87) |26 |(23)
<1>Excluding S. typhi/paratyphi.
<2>Deaths known to have occurred among these cases.
<3>To end October.
We do not have earlier information readily available.
There is no direct evidence to link these deaths with the consumption of eggs, but salmonella enteritidis phage type 4(PT4) is associated almost exclusively with chicken and eggs and we must assume that some of the deaths shown in the final column will have been associated with eggs.
Salmonella
Sir Geoffrey Johnson Smith : To ask the Secretary of State for Health how many of the reported outbreaks of salmonella poisoning over the last eight years were in (a) the home, (b) hospitals and (c) catering establishments ; and what was the relationship of each of these outbreaks to refrigeration.
Mr. Freeman [holding answer 16 December 1988] : Between 1980 and 1985 there were 2,187 reported outbreaks of salmonella food poisoning concerning private houses ; 125 concerning hospitals and 303 concerning catering establishments--restaurants and receptions. Figures for 1986 and 1987 are not yet available in verified form. We have no information on the relationship of refrigeration to these outbreaks.
Transplants
Mr. Home Robertson : To ask the Secretary of State for Health if he will list the major countries where organ transplant surgery is practised, giving a summary of the legal provisions which apply to the donation of organs in each country.
Mr. Freeman : We do not collect comprehensive information on the legal provisions which apply to organ donation in other countries. The hon. Member may, however, wish to consult a report published in 1987 by the Council of Europe, copies of which are in the Library. The report is entitled "Organ Transplantation : current legislation in Council of Europe member states and Finland, and results of European co-operation" (reference MSN-3-4).
Mr. Home Robertson : To ask the Secretary of State for Health (1) if he will make a statement on the availability of (a) hearts, (b) livers, (c) pancreases, (d) kidneys, (e) lungs and (f) eyes for transplant surgery ;
(2) how many patients are waiting for transplant operations of (a) heart, (b) liver, (c) pancreas, (d)
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kidney, (e) lung and (f) cornea, respectively ; and what is the maximum and minimum waiting time for such operations ;(3) if he will make a statement on the shortfall between organs available for transplant and the need for such organs ; and if he will indicate how many potential recipients are likely to die because donor organs are not available, over the most convenient period.
Mr. Freeman : The number of organs available for transplant fluctuates significantly from time to time. The balance between the need for organs and the number available also varies, depending on such factors as whether a suitable match between recipient and donor can be found. In general terms, however, the shortage of cadaveric organs is most acute in the case of kidneys.
United Kingdom waiting lists, as notified to the United Kingdom transplant service (UKTS) on 25 November 1988 were :
|Number
----------------------------------
Heart or heart/lung |396
Liver |44
Kidney |3,491
Cornea |581
Transplants of pancreases or lungs are rare, except when combined with the transplant of another organ. Only a proportion of patients waiting for corneal transplants are registered with UKTS ; the waiting list does not therefore reflect the full national demand. Figures are not readily available on maximum and minimum waiting times.
The main purpose of kidney transplantation is not to save life but to improve its quality for those who would otherwise rely on dialysis. Heart and liver patients may on occasions die while waiting for a suitably matched organ but, because the availability of organs is inpredictable and the condition of individual patients awaiting transplantation will vary, no useful estimate can be made of the numbers likely to be involved in the future.
Mr. Home Robertson : To ask the Secretary of State for Health if he will quantify the benefits of transplant surgery in terms of (a) additional years lived (b) quality of life for recipients and (c) savings to the National Health Service on the treatment of continuing illness, for each of (a) heart, (b) liver, (c) pancreas, (d) kidney, (e) lung and (f) cornea.
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Mr. Freeman : I regret that we do not have available information in the form requested. Some information on heart transplants is given in "Costs and Benefits of the Heart Transplant Programmes at Harefield and Papworth Hospitals" (DHSS research report No. 12, 1985) which is available in the Library. Graft survival has steadily improved since this study was carried out.
For information on the survival of kidney transplants, I refer the hon. Member to the reply to my hon. Friend the Member for Newbury (Sir M. McNair -Wilson) on 19 December. An article by Wood, Mallick and Wing published in the British Medical Journal on 6 June 1987 (Volume 294) suggested that each successful kidney transplant saved the National Health Service £30,000 compared with the cost of renal dialysis.
We are not aware of similar studies of the costs and benefits of other forms of transplantation.
Children (Cleveland)
Mr. Holt : To ask the Secretary of State for Health what information he has as to (a) how many families in total were involved in the events in Cleveland reported on by Justice Butler-Sloss, (b) how many children were taken into care during the period examined and (c) how many of those children are still in care.
Mr. Mellor : I regret that we do not hold the information requested centrally. My hon. Friend may like to contact Cleveland county council.
NHS Expenditure
Mr. Jessel : To ask the Secretary of State for Health when he will be in a position to announce regional allocation figures for the recent increases in National Health Service expenditure.
Mr. Kenneth Clarke : Spending in the hospital and community health service in England will increase by £1.1 billion in 1989-90, with over £1 billion going to regional health authorities as part of their initial allocations. This
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will be supplemented by some £175 million from new cost-improvement schemes and higher income generation receipts.Regional health authorities' main allocations will increase in 1989-90 by an average of 2.7 per cent. in real terms. This substantial increase will be distributed so that all regions benefit to the largest possible extent. No region will receive less than 7.7 per cent., or 2.5 per cent. in real terms, an increase well above the figures authorities have so far been using in planning next year's service growth. Some regions, especially those with growing populations, will get slightly more because otherwise they would move away from their resource allocation working party target. In addition to the increase in main allocations an extra £68 million will be provided for the fight against AIDS, bringing the total central provision to £130 million. As a result we will not only continue to underpin the cost of treatment and care but will give a major boost to work on prevention.
A total of £7.8 million will be provided separately for the costs of the new measles, mumps and rubella vaccine following the successful introductory campaign. The waiting list fund will go into its third year in 1989-90, and a further £30 million has been set aside for distribution to regional health authorities. A sum of £49 million will be provided for expenditure on specialised high technology services provided from a few national centres (supra-regional services). The breast cancer screening programme will be supported with an additional £11 million.
In addition, main capital allocations will increase by £85 million to £730 million. The increase will be distributed using the RAWP formula. Land sales are forecast to raise £290 million. Together these sums will more than sustain the hospital building and improvement programme which already includes over 500 schemes each costing over £1 million at various stages of planning, design and construction.
Details of the increases in authorities' revenue and capital allocations in 1989-90 are shown in the tables.
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Revenue allocations to regional health authorities 1989-90
(£ million)
Main allocation<1>
Regional Health Authority |Cash increase |Percentage real terms |Supra regional services |Service increment for |AIDS<3> |Measles mumps and rubella|Breast cancer |Total cash increase<6>
|increase |teaching<2> |vaccine<4> |screening<5>
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Northern |59.2 |2.5 |0.3 |0.8 |3.4 |0.5 |0.6 |64.7
Yorkshire |66.7 |2.5 |0.4 |1.1 |4.4 |0.6 |0.8 |73.9
Trent |85.3 |2.9 |0.1 |2.3 |5.3 |0.7 |1.0 |94.8
East Anglian |38.1 |3.1 |1.5 |2.3 |2.2 |0.3 |0.3 |44.7
North West Thames |64.9 |2.5 |1.1 |1.5 |4.8 |0.6 |0.7 |73.6
North East Thames |80.9 |2.5 |0.2 |2.8 |5.2 |0.7 |0.8 |90.5
South East Thames |72.4 |2.5 |0.8 |1.8 |5.4 |0.6 |0.8 |81.8
South West Thames |60.0 |2.5 |0.1 |0.8 |3.7 |0.5 |0.5 |65.5
Wessex |49.7 |2.5 |0.2 |0.5 |3.5 |0.5 |0.5 |54.8
Oxford |46.1 |3.8 |0.3 |0.4 |3.0 |0.4 |0.4 |50.7
South Western |59.2 |2.5 |0.0 |0.9 |4.3 |0.5 |0.6 |65.5
West Midlands |96.2 |2.6 |2.1 |0.8 |5.7 |0.9 |1.3 |106.9
Mersey |47.2 |2.5 |0.2 |0.4 |2.9 |0.4 |0.5 |51.6
North Western |81.1 |2.5 |0.6 |1.3 |5.2 |0.7 |0.9 |89.7
-------
Total Regional Health Authorities |907.0 |2.7 |7.8 |17.7 |58.9 |7.8 |9.7 |1,008.8
Notes:
<1>Includes share of £237 million savings resulting from the reduction in employers' superannuation contributions.
<2>Cash increase shown in 1989-90 current SIFT over actual 1988-89 SIFT.
<3>£68 million extra is available for AIDS bringing the total provision in 1989-90 to £129.53 million. The table shows the additional funds health authorities will receive above this year's allocation. Some of the additional £68 million will be allocated to other
hospital and community health services groups, for example, the Public Health Laboratory Services Board.
<4>Sum shown is each Region's share of £7.8 million available.
<5>The additional funds available for breast cancer screening total £11 million. A further £1.347 million will be allocated later.
<6>Total cash/percentage increase shown includes each Region's share of £237 million savings resulting from the reduction in employers' superannuation contributions.
<7>Real terms increases have been calculated using the forecast GDP deflator.
<8>Figures may not sum due to rounding.
Capital allocations to regional health authorities 1989-90
Regional Health Authority |Per cent. share |Cash £ million
--------------------------------------------------------------------------------------------------------
Northern |6.5 |47.5
Yorkshire |7.9 |57.4
Trent |9.6 |70.3
East Anglian |4.1 |30.1
North West Thames |6.4 |46.7
North East Thames |7.2 |52.9
South East Thames |7.5 |54.5
South West Thames |6.2 |45.0
Wessex |6.8 |49.4
Oxford |4.7 |34.0
South Western |7.2 |52.3
West Midlands |11.6 |84.7
Mersey |4.9 |36.1
North Western |9.4 |69.0
|------- |-------
Total |100.0 |729.9
Note :
Figures in the table exclude allocations for "top sliced" funding such as support for teaching hospital schemes, supra regional services, dental hospital re-equipment, inner cities bias, and projects funded jointly by health authorities and local authorities or voluntary bodies.
Ms. Richardson : To ask the Secretary of State for Health what proportion of National Health Service expenditure was used for (a) staff wages, (b) salaries, (c) fees and (d) expenses for the latest available year.
Mr. Mellor : Following are figures for items of current and capital expenditure derived from the summarised accounts of health authorities in England for 1987-88.
At this stage the figures are provisional in that they are subject to audit.
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|Proportion of total
|current expenditure
|£'000s |Per cent.
-------------------------------------------------------------------------------------------------------------
Salaries and wages National Health Service staff |8,253,988 |73.2
Non-National Health Service
staff (agency, etc.) |211,436 |1.9
Travelling and subsistence expenses |167,952 |1.5
Removal expenses |23,290 |0.2
Capital Expenditure 1987-88
Salaries and wages, etc. of staff of
professional and technical
departments (works, etc.)
charged to capital account:
National Health Service staff |35,877 |3.6
Non-National Health Service
staff (agency, etc.) |2,449 |0.2
Professional design consultants
fees (architects, quantity
surveyors, etc.) |77,117 |7.7
Source:
Annual accounts of regional and district authorities in England and those of the special health authorities
for the London postgraduate teaching hospitals.
Nurses (Grading)
Mr. Harry Barnes : To ask the Secretary of State for Health how many nursing, midwifery and health visiting staff from each of the old grades have been assimilated to each of the new grades in the recent clinical grading structure in the Trent regional health authority.
Mr. Mellor : The information requested is given in the table.
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The new clinical grading structure for nursing, midwifery and health visitor staff
Numbers of old clinical grades assimilated to each of the new clinical grades on the basis of duties and responsibilities on 1 April 1988:
Trent RHA
Numbers transferred to
each new clinical grade
Previous grade |Staff in post<1>|A |B |C |D |E |F |<2>G |H |I
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Auxiliary |9,076.50 |8,209.54 |856.96 |10.00 |- |- |- |- |- |-
Staff Nursery Nurse |217.92 |- |208.36 |9.56 |- |- |- |- |- |-
Enrolled Nurse<3> |6,379.63 |- |- |2,749.84 |3,129.68 |499.11 |1.00 |- |- |-
Enrolled District Nurse<3> |340.97 |- |- |- |338.97 |2.00 |- |- |- |-
Senior Enrolled Nurse<3> |371.99 |- |- |4.40 |223.29 |142.09 |2.21 |- |- |-
Staff Nurse<3> |6,632.21 |- |- |- |1,544.90 |4,649.31 |438.00 |- |- |-
Staff Midwife<3> |701.90 |- |- |- |115.14 |577.67 |9.09 |- |- |-
Deputy Sister<3> |395.20 |- |- |- |- |81.84 |305.90 |6.46 |1.00 |-
Nursing Sister II<3> |3,801.63 |- |- |- |- |- |1,726.45 |1,956.47 |114.71 |4.00
Midwifery Sister II<3> |873.51 |- |- |- |- |- |261.20 |609.81 |2.50 |-
District Nurse (Sister II)<3> |1,066.06 |- |- |- |- |- |2.45 |1,054.61 |9.00 |-
Nursing Sister I |57.99 |- |- |- |- |- |3.37 |23.82 |26.80 |4.00
Midwifery Sister I |19.00 |- |- |- |- |- |1.00 |18.00 |- |-
Health Visitor |878.35 |- |- |- |- |- |- |870.75 |7.60 |-
Senior Nurse 8 |331.48 |- |- |- |- |- |2.00 |59.13 |177.35 |93.00
Senior Nurse 8 (Midwife) |38.00 |- |- |- |- |- |- |12.00 |13.00 |13.00
Senior Nurse 7 |300.40 |- |- |- |- |- |- |5.00 |37.60 |257.80
Senior Nurse 7 (Midwife) |36.93 |- |- |- |- |- |- |- |13.00 |23.93
Clinical Teacher |154.56 |- |- |- |- |- |- |3.00 |151.56 |-
Fieldwork Teacher |121.65 |- |- |- |- |- |1.00 |0.53 |120.12 |-
Practical Work Teacher |157.80 |- |- |- |- |- |- |3.00 |154.80 |-
Tutor |197.93 |- |- |- |- |- |- |- |1.00 |196.93
Tutor Midwife |45.16 |- |- |- |- |- |- |- |- |45.16
Post Basic Students
Enrolled |282.00 |- |- |282.00 |- |- |- |- |- |-
Staff Nurse |938.50 |- |- |- |882.50 |44.00 |2.00 |10.00 |- |-
Deputy Sister |8.00 |- |- |- |- |4.00 |4.00 |- |- |-
Sister II |16.00 |- |- |- |- |- |15.00 |1.00 |- |-
Others |28.11 |3.27 |1.80 |- |0.64 |4.21 |0.74 |7.45 |2.00 |8.00
|------- |------- |------- |------- |------- |------- |------- |------- |------- |-------
Totals |33,469.38 |8,212.81 |1,067.12 |3,055.80 |6,235.12 |6,004.23 |2,775.41 |4,641.03 |832.04 |645.82
<1> Whole-time equivalents.
<2> Excludes some additional G posts which health authorities have indicated they intend to create in future on existing two-sister wards.
<3> Excludes Post Basic Students.
Mr. Lofthouse : To ask the Secretary of State for Health how many nursing, midwifery and health visiting staff from each of the old grades have been assimilated to each of the new grades in the recent clinical grading structure in the Pontefract district health authority.
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Mr. Mellor : The information requested is given in the table.
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The new clinical grading structure for nursing, midwifery and health visitor staff
Old clinical grades assimilated to each of the new clinical grades on the basis of duties and responsibilities on 1 April 1988: Pontefract
Numbers transferred to
each new clinical grade
Previous grade |Old code |Staff in post<1>|A |B |C |D |E |F |<2>G |H |I
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Auxiliary |NB01/11 |214.90 |204.40 |10.50 |- |- |- |- |- |- |-
Staff Nursery Nurse |NB21 |10.40 |- |10.40 |- |- |- |- |- |- |-
Enrolled Nurse<3> |NB31 |236.50 |- |- |158.00 |76.50 |2.00 |- |- |- |-
Enrolled District Nurse<3> |NB31 |12.00 |- |- |- |12.00 |- |- |- |- |-
Senior Enrolled Nurse<3> |NB61 |7.30 |- |- |- |7.30 |- |- |- |- |-
Staff Nurse<3> |NB41-61 |148.40 |- |- |- |44.40 |104.00 |- |- |- |-
Staff Midwife<3> |NB61 |43.00 |- |- |- |7.00 |36.00 |- |- |- |-
Deputy Sister<3> |NB71 |12.00 |- |- |- |- |6.00 |6.00 |- |- |-
Nursing Sister II<3> |NB81/91 |132.90 |- |- |- |- |- |52.00 |77.90 |3.00 |-
Midwifery Sister II<3> |NB91 |50.00 |- |- |- |- |- |19.00 |30.00 |1.00 |-
District Nurse (Sister II)<3> |NB91 |34.00 |- |- |- |- |- |- |34.00 |- |-
Nursing Sister I |NC01 |- |- |- |- |- |- |- |- |- |-
Midwifery Sister I |NC01 |- |- |- |- |- |- |- |- |- |-
Health Visitor |NX01 |33.50 |- |- |- |- |- |- |32.50 |1.00 |-
Senior Nurse 8 |NT01 |5.70 |- |- |- |- |- |- |- |1.70 |4.00
Senior Nurse 8 (Midwife) |NT01 |3.00 |- |- |- |- |- |- |- |1.00 |2.00
Senior Nurse 7 |NT06 |11.00 |- |- |- |- |- |- |- |1.00 |10.00
Senior Nurse 7 (Midwife) |NT06 |2.00 |- |- |- |- |- |- |- |- |2.00
Clinical Teacher |NW01 |- |- |- |- |- |- |- |- |- |-
Fieldwork Teacher |NW01 |5.00 |- |- |- |- |- |- |- |5.00 |-
Practical Work Teacher |NB91 |5.00 |- |- |- |- |- |- |- |5.00 |-
Tutor |NW11 |4.00 |- |- |- |- |- |- |- |- |4.00
Tutor Midwife |NW11 |2.50 |- |- |- |- |- |- |- |- |2.50
Post Basic Students
Enrolled |NB31 |- |- |- |- |- |- |- |- |- |-
Staff Nurse |NB61 |3.00 |- |- |- |1.00 |2.00 |- |- |- |-
Deputy Sister |NB71 |- |- |- |- |- |- |- |- |- |-
Sister II |NB91 |- |- |- |- |- |- |- |- |- |-
Others |NB00 |33.00 |- |- |- |29.00 |- |- |- |- |4.00
|------- |------- |------- |------- |------- |------- |------- |------- |------- |-------
Totals |1,009.10 |204.40 |20.90 |158.00 |177.20 |150.00 |77.00 |174.00 |18.70 |28.50
<1> Whole Time Equivalents.
<2> Excludes some additional G posts which health authorities have indicated they intend to create in future on existing two-sister wards.
<3> Excludes Post Basic Students.
Mr. Jim Marshall : To ask the Secretary of State for Health how many nursing, midwifery and health visiting staff from each of the old grades have been assimilated to each of the new grades in the recent clinical grading structure in Leicestershire district health authority.
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Mr. Mellor [holding answer 19 December 1988] : The information requested is given in the table.
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The new clinical grading structure for nursing, midwifery and health visitor staff
Old clinical grades assimilated to each of the new clinical grades on the basis of duties and responsibilities on 1 April 1988: Leicestershire
Numbers transferred to
each new clinical grade
Previous grade |Old code |Staff in post<1>|A |B |C |D |E |F |G<2> |H |I
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Auxiliary |NB01/11 |1,523.84 |1,331.68 |192.16 |- |- |- |- |- |- |-
Staff Nursery Nurse |NB21 |39.43 |- |39.43 |- |- |- |- |- |- |-
Enrolled Nurse<3> |NB31 |1,188.50 |- |- |479.61 |553.12 |155.77 |- |- |- |-
Enrolled District Nurse<3> |NB31 |97.71 |- |- |- |96.71 |1.00 |- |- |- |-
Senior Enrolled Nurse<3> |NB61 |69.08 |- |- |- |47.49 |21.59 |- |- |- |-
Staff Nurse<3> |NB41-61 |1,106.01 |- |- |- |279.74 |742.89 |83.38 |- |- |-
Staff Midwife<3> |NB61 |122.50 |- |- |- |2.32 |120.18 |- |- |- |-
Deputy Sister<3> |NB71 |112.79 |- |- |- |- |2.00 |108.18 |2.61 |- |-
Nursing Sister II<3> |NB81/91 |505.58 |- |- |- |- |- |181.46 |306.32 |17.80 |-
Midwifery Sister II<3> |NB91 |104.15 |- |- |- |- |- |6.60 |97.55 |- |-
District Nurse (Sister II)<3> |NB91 |268.36 |- |- |- |- |- |- |267.36 |1.00 |-
Nursing Sister I |NB01 |5.08 |- |- |- |- |- |0.84 |4.24 |- |-
Midwifery Sister I |NB01 |- |- |- |- |- |- |- |- |- |-
Health Visitor |NX01 |165.40 |- |- |- |- |- |- |164.40 |1.00 |-
Senior Nurse 8 |NT01 |53.00 |- |- |- |- |- |- |- |20.00 |33.00
Senior Nurse 8 (Midwife) |NT01 |10.00 |- |- |- |- |- |- |- |3.00 |7.00
Senior Nurse 7 |NT06 |49.80 |- |- |- |- |- |- |- |- |49.80
Senior Nurse 7 (Midwife) |NT06 |1.00 |- |- |- |- |- |- |- |- |1.00
Clinical Teacher |NW01 |21.19 |- |- |- |- |- |- |- |21.19 |-
Fieldwork Teacher |NW01 |31.00 |- |- |- |- |- |- |- |31.00 |-
Practical Work Teacher |NB91 |35.00 |- |- |- |- |- |- |- |35.00 |-
Tutor |NW11 |34.64 |- |- |- |- |- |- |- |- |34.64
Tutor Midwife |NW11 |5.00 |- |- |- |- |- |- |- |- |5.00
Post Basic Students
Enrolled |NB31 |94.00 |- |- |94.00 |- |- |- |- |- |-
Staff Nurse |NB61 |206.00 |- |- |- |206.00 |- |- |- |- |-
Deputy Sister |NB71 |3.00 |- |- |- |- |3.00 |- |- |- |-
Sister II |NB91 |9.00 |- |- |- |- |- |9.00 |- |- |-
Others |NQOD |7.53 |1.06 |- |- |- |3.28 |0.74 |2.45 |- |-
|------- |------- |------- |------- |------- |------- |------- |------- |------- |-------
Totals |5,868.59 |1,332.74 |231.59 |573.61 |1,185.38 |1,049.71 |390.20 |844.93 |129.99 |130.44
<1> Whole Time Equivalents.
<2> Excludes some additional G posts which health authorities have indicated they intend to create in future on existing two-sister wards.
<3> Excludes Post Basic Students.
Mr. Meale : To ask the Secretary of State for Health how many nursing, midwifery and health visiting staff from each of the old grades have been assimilated to each of the new grades in the recent clinical grading structure in the Central Nottinghamshire district health authority.
Column 318
Mr. Mellor [holding answer 19 December 1988] : The information requested is given in the table.
Column 317
The new clinical grading structure for nursing, midwifery and health visitor staff
Old clinical grades assimilated to each of the new clinical grades on the basis of duties and responsibilities on 1 April 1988: Central
Nottinghamshire
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|Numbers transferred to each new clinical grade
[NL] |Previous grade |Old code |Staff in post<1> |A |B |C |D |E |F |<2>G |H
Nursing Auxiliary |NB01/11 |576.43 |550.20 |26.23 |- |- |- |- |- |- |-
Staff Nursery Nurse |NB21 |8.40 |- |8.40 |- |- |- |- |- |- |-
Enrolled Nurse<3> |NB31 |389.51 |- |- |245.25 |131.65 |11.61 |1.00 |- |- |-
Enrolled District Nurse<3> |NB31 |38.00 |- |- |- |38.00 |- |- |- |- |-
Senior Enrolled Nurse<3> |NB61 |27.45 |- |- |3.00 |15.45 |9.00 |- |- |- |-
Staff Nurse<3> |NB41-61 |391.65 |- |- |- |83.41 |270.25 |37.99 |- |-
Staff Midwife<3> |NB61 |47.42 |- |- |- |10.64 |36.78 |- |- |- |-
Deputy Sister<3> |NB71 |28.57 |- |- |- |- |1.00 |26.57 |- |1.00 |-
Nursing Sister II<3> |NB81/91 |259.02 |- |- |- |- |- |111.82 |128.20 |18.00 |1.00
Midwifery Sister II<3> |NB91 |66.63 |- |- |- |- |- |7.37 |59.26 |- |-
District Nurse (Sister II)<3> |NB91 |49.91 |- |- |- |- |- |- |49.91 |- |-
Nursing Sister I |NB01 |5.00 |- |- |- |- |- |1.00 |- |3.00 |1.00
Midwifery Sister I |NB01 |- |- |- |- |- |- |- |- |- |-
Health Visitor |NX01 |58.05 |- |- |- |- |- |- |57.05 |1.00 |-
Senior Nurse 8 |NT01 |5.00 |- |- |- |- |- |- |- |5.00 |-
Senior Nurse 8 (Midwife) |NT01 |- |- |- |- |- |- |- |- |- |-
Senior Nurse 7 |NT06 |18.00 |- |- |- |- |- |- |- |1.00 |17.00
Senior Nurse 7 (Midwife) |NT06 |3.00 |- |- |- |- |- |- |- |- |3.00
Clinical Teacher |NW01 |12.00 |- |- |- |- |- |- |2.00 |10.00 |-
Fieldwork Teacher |NW01 |7.80 |- |- |- |- |- |- |- |7.80 |-
Practical Work Teacher |NB91 |5.00 |- |- |- |- |- |- |- |5.00 |-
Tutor |NW11 |7.80 |- |- |- |- |- |- |- |- |7.80
Tutor Midwife |NW11 |2.66 |- |- |- |- |- |- |- |- |2.66
Post Basic Students
Enrolled |NB31 |29.00 |- |- |29.00 |- |- |- |- |- |-
Staff Nurse |NB61 |50.00 |- |- |- |48.00 |2.00 |- |- |- |-
Deputy Sister |NB71 |1.00 |- |- |- |- |- |1.00 |- |- |-
Sister II |NB91 |- |- |- |- |- |- |- |- |- |-
Others |NQ00 |- |- |- |- |- |- |- |- |- |-
|------- |------- |------- |------- |------- |------- |------- |------- |------- |-------
Totals |2087.30 |550.20 |34.63 |277.25 |327.15 |330.64 |186.75 |296.42 |51.80 |32.46
<1> Whole-time equivalents.
<2> Excludes some additional G posts which health authorities have indicated they intend to create in future on existing two-sister wards.
<3> Excludes Post Basic Students.
Royal Liverpool Hospital
Mr. Alton : To ask the Secretary of State for Health how many patients are currently being treated at the intensive therapy unit of the Royal Liverpool hospital ; how many patients have been refused admission to the unit in each week over the past year ; and how many staff are currently employed in the unit.
Mr. Freeman : We do not hold this information centrally. The hon. Member may therefore wish to contact the chairman of the Liverpool health authority for the information he requires.
National Health Service Beds (Nottingham)
Mr. Allen : To ask the Secretary of State for Health how many National Health Service beds were lost in (a) Nottingham district health authority and (b) England and Wales in 1979 and in the latest year for which figures are available.
Mr. Freeman : Data on net changes in average daily available beds between 1978 and 1979, and between 1986 and 1987-88 are given in the table. Information on Wales is a matter for my right hon. Friend the Secretary of State for Wales.
Changes in average daily available beds,
Nottingham and England
1978-79, 1986 to 1987-88
|Nottingham|England
--------------------------------------------
1978 |4,329 |369,235
1979 |4,198 |361,670
1986 |3,794 |315,714
<1>1987-88 |3,671 |296,777
<1> A 15-month period (January 1987 to end
March 1988).
Hospital Incinerators
Ms. Walley : To ask the Secretary of State for Health what steps he has taken to ensure that the money made available for the improvement of hospital incinerators will be spent solely for that purpose regardless of any change in the status of hospital incinerators and their currently being subjected to Crown immunity.
Mr. Freeman : It is for health authorities to determine the allocation of the resources available to them by relating local circumstances to the Government's strategic priorities for the National Health Service. The Department will, however, be monitoring health authorities' progress on the upgrading-replacement of
Column 320
incinerators required to meet new controls on emissions to the atmosphere planned to come into force next year. We shall be neither seeking, nor would expect, Crown immunity from these controls for the National Health Service.Insulin
Mr. Blair : To ask the Secretary of State for Health (1) from which pharmaceutical companies the National Health Service purchased (i) animal insulin, and (ii) human insulin ; and what was the cost of transaction with each company for each financial year since 1983-84 ;
(2) what was the cost to the National Health Service of purchasing (i) animal insulin and (ii) human insulin for each of the financial years since 1983-84.
Mr. Mellor : The information requested is set out in the table for the calendar years 1983 and 1987. Information for the intervening years can be provided only at disproportionate cost.
Net Ingredient Cost of prescriptions dispensed
by retail pharmacy in England (£000)
1983 1987
|Animal|Human |Animal|Human
------------------------------------------------------
Boots |125 |- |92 |-
CP Pharmaceuticals |407 |- |3,505 |-
Eli Lilly |- |197 |- |2,791
Novo |8,925 |269 |5,984 |4,093
Wellcome/Nordisk |5,595 |- |3,481 |3,601
Evans/generics |3,778 |- |828 |-
|--- |--- |--- |---
Total |18,831|465 |13,889|10,485
Notes:
1. Figures are estimates based on a sample of
approximately 1 in 200 prescriptions dispensed by
retail pharmacy contractors within the Family
Practitioner Service. The figures do not include
details of insulin dispensed by the hospital service
or of prescriptions dispensed by Dispensing Doctors.
2. The figure for generics relate to prescriptions
written by their generic name.
Insulin
Mr. Blair : To ask the Secretary of State for Health which pharmaceutical companies produce (i) animal insulin, (ii) human insulin, and (iii) both.
Mr. Mellor : The following companies supply insulin in the United Kingdom :
(i) animal insulin
CP Pharmaceuticals Ltd.
Evans Medical Ltd.
(ii) human insulin
Column 321
Eli Lilly and Co., Ltd.(iii) human and animal insulin
Novo Laboratories Ltd.
Nordisk/Wellcome
Mr. Blair : To ask the Secretary of State for Health what information he has on how many diabetics used (i) animal insulin, and (ii) human insulin for each year since 1983.
Mr. Mellor : We do not collect centrally information about patients and their drugs, but the number of prescriptions for animal and human insulin dispensed by community pharmacists in each of 1983 and 1987 is shown in the table. Information for the intervening years can be provided only at disproportionate cost. Information from the hospital services indicates that in 1987-88 approximately 350,000 units of insulin were supplied of which 75 per cent. were human based.
Number of perscriptions for
insulin dispensed by retail
pharmacy in
England (Thousands)
|Animal|Human
----------------------------
1983 |930 |19
1987 |525 |418
Note:
1. Figures are estimates
based on a sample of
approximately 1 in 200
prescriptions dispensed by
retail pharmacy contractors
within the Family
Practitioner Service. The
figures do not include
details of insulin
dispensed by the hospital
service or of prescriptions
dispensed by Dispensing
Doctors.
2. The figure for generics
relate to prescriptions
written by their generic
name.
Single Market
Mr. Barry Field : To ask the Secretary of State for Health what effect the removal of barriers and frontiers will have in 1992 on the movement of bodies from one European Economic Community member state to another.
Mr. Mellor : None that I am aware of.
Food Poisoning
Mr. Ashley : To ask the Secretary of State for Health if he will place in the Library the report on salmonella food poisoning by Dr. Bernard Rowe, the director of enteric pathogens in the central public health laboratory.
Mr. Freeman : The report referred to is in fact a paper prepared by Dr. Rowe for use by the current working group on salmonella and eggs comprising representatives of the egg industry, the Ministry of Agriculture, Fisheries and Food and the public health laboratory service acting for this Department. The report of the working group is still being prepared.
Disability Survey
Mr. Redmond : To ask the Secretary of State for Health what action he is taking in relation to the OPCS disability survey commissioned by him.
Mr. Mellor : Primary responsibility for this lies with my right hon. Friend the Secretary of State for Social Security. But the Department of Health will be alert to any findings that relate to health or social services. It will not be possible to draw any firm conclusions, however, until all the reports are available.
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