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Column 401


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 1st April 1988:                                                                                                                                                                                
Sandwell                                                                                                                                                                                                                                                                                                                    
                                                         Numbers transferred to                                                                                                                                                                                                                                             
                                                         each new clinical grade                                                                                                                                                                                                                                            
Previous grade                |Staff in post (Whole-time|A                        |B                        |C                        |D                        |E                        |F                        |<2>G                     |H                        |I                                                  
                              |equivalents)                                                                                                                                                                                                                                                                                 
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Auxiliary             |299.10                   |253.73                   |45.37                    |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Staff Nursery Nurse           |11.59                    |0.00                     |11.59                    |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Enrolled Nurse<1>             |350.91                   |-                        |-                        |192.20                   |108.73                   |49.98                    |0.00                     |0.00                     |0.00                     |0.00                                               
Enrolled District Nurse<1>    |21.12                    |-                        |-                        |0.00                     |21.12                    |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Senior Enrolled Nurse<1>      |10.64                    |-                        |-                        |0.00                     |8.64                     |2.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Staff Nurse<1>                |156.62                   |-                        |-                        |-                        |65.12                    |88.03                    |3.47                     |0.00                     |0.00                     |0.00                                               
Staff Midwife<1>              |32.60                    |-                        |-                        |-                        |0.00                     |32.60                    |0.00                     |0.00                     |0.00                     |0.00                                               
Deputy Sister<1>              |23.20                    |-                        |-                        |-                        |0.00                     |15.81                    |7.39                     |0.00                     |0.00                     |0.00                                               
Nursing Sister II<1>          |167.06                   |-                        |-                        |-                        |-                        |-                        |74.53                    |88.53                    |3.00                     |1.00                                               
Midwifery Sister II<1>        |56.98                    |-                        |-                        |-                        |-                        |-                        |12.58                    |44.40                    |0.00                     |0.00                                               
District Nurse (Sister II)<1> |49.19                    |-                        |-                        |-                        |-                        |-                        |0.00                     |46.19                    |3.00                     |0.00                                               
Nursing Sister I              |6.19                     |-                        |-                        |-                        |-                        |-                        |0.00                     |2.53                     |0.00                     |3.66                                               
Midwifery Sister I            |0.00                     |-                        |-                        |-                        |-                        |-                        |0.00                     |0.00                     |0.00                     |0.0                                                
Health Visitor                |54.91                    |-                        |-                        |-                        |-                        |-                        |0.00                     |54.91                    |0.00                     |0.00                                               
Senior Nurse 8                |28.00                    |-                        |-                        |-                        |-                        |-                        |0.00                     |1.00                     |9.00                     |18.00                                              
Senior Nurse 8 (Midwife)      |6.00                     |-                        |-                        |-                        |-                        |-                        |0.00                     |0.00                     |1.00                     |5.00                                               
Senior Nurse 7                |11.30                    |-                        |-                        |-                        |-                        |-                        |0.00                     |1.00                     |1.00                     |9.30                                               
Senior Nurse 7 (Midwife)      |2.00                     |-                        |-                        |-                        |-                        |-                        |0.00                     |0.00                     |2.00                     |0.00                                               
Clinical Teacher              |3.00                     |-                        |-                        |-                        |-                        |-                        |0.00                     |0.00                     |3.00                     |0.00                                               
Fieldwork Teacher             |10.87                    |-                        |-                        |-                        |-                        |-                        |0.00                     |0.00                     |10.87                    |0.00                                               
Practical Work Teacher        |8.00                     |-                        |-                        |-                        |-                        |-                        |0.0                      |0.00                     |8.00                     |0.00                                               
Tutor                         |2.00                     |-                        |-                        |-                        |-                        |-                        |-                        |-                        |0.00                     |2.00                                               
Tutor Midwife                 |2.00                     |-                        |-                        |-                        |-                        |-                        |-                        |-                        |0.00                     |2.00                                               
                                                                                                                                                                                                                                                                                                                            
Post Basic Students                                                                                                                                                                                                                                                                                                         
Enrolled                      |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Staff Nurse                   |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Deputy Sister                 |12.00                    |0.00                     |0.00                     |0.00                     |12.00                    |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
Sister II                     |3.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |3.00                     |0.00                     |0.00                     |0.00                                               
                                                                                                                                                                                                                                                                                                                            
Others                        |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                     |0.00                                               
                              |----                     |---                      |---                      |---                      |---                      |---                      |---                      |---                      |---                      |---                                                
Totals                        |1,328.28                 |253.73                   |56.96                    |192.20                   |215.61                   |188.42                   |100.97                   |238.56                   |40.87                    |40.96                                              
<1> Excludes Post Basic Students                                                                                                                                                                                                                                                                                            
<2> Excludes some additional "G" posts which health authorities have indicated they intend to create in future on existing two-sister wards.                                                                                                                                                                                

Tobacco

Mr. Sayeed : To ask the Secretary of State for Health what percentage of the British adult population continue to smoke any tobacco products.

Mr. Freeman : The general household survey of 1986 shows that 37 per cent. of people aged 16 and over smoked cigarettes, cigars, pipes or a combination of these.

Hospitals (Operations)

Mr. Harry Barnes : To ask the Secretary of State for Health how many (a) private and (b) National Health Service hospitals, by categories, currently operate ; and what are the comparable figures for 1979.

Mr. Freeman : The latest available information is given in the tables :


Number of National Health Service Hospitals: England                    
Classification             |1979          |1986                         
------------------------------------------------------------------------
Acute                      |563           |466                          
Mainly Acute               |149           |163                          
Partly Acute               |65            |61                           
Mainly long-stay           |71            |73                           
Long-stage                 |69            |75                           
Geriatric                  |264           |241                          
Pre-convalescent           |36            |7                            
Convalescent               |16            |6                            
Rehabilitation             |15            |13                           
Isolation                  |7             |2                            
Maternity                  |118           |61                           
Mental Illness             |177           |197                          
Mental Handicap            |250           |349                          
Orthopaedic                |21            |16                           
Tuberculosis and Chest     |15            |4                            
Tuberculosis and Chest and                                              
   Isolation               |3             |-                            
Children's (Acute)         |30            |23                           
Eye                        |20            |17                           
Other                      |130           |109                          
                           |---           |---                          
Total                      |2,019         |1,883                        
                                                                        
                                                                        
                                                                        
                                                                        
Classification             |1979          |1988<1>                      
Acute                      |134           |188                          
Psychiatric                |8             |23                           
                           |---           |---                          
Total                      |142           |211                          
Source: Independent Hospitals Association.                              
<1>To July 1988.                                                        

Number of National Health Service Hospitals: England                    
Classification             |1979          |1986                         
------------------------------------------------------------------------
Acute                      |563           |466                          
Mainly Acute               |149           |163                          
Partly Acute               |65            |61                           
Mainly long-stay           |71            |73                           
Long-stage                 |69            |75                           
Geriatric                  |264           |241                          
Pre-convalescent           |36            |7                            
Convalescent               |16            |6                            
Rehabilitation             |15            |13                           
Isolation                  |7             |2                            
Maternity                  |118           |61                           
Mental Illness             |177           |197                          
Mental Handicap            |250           |349                          
Orthopaedic                |21            |16                           
Tuberculosis and Chest     |15            |4                            
Tuberculosis and Chest and                                              
   Isolation               |3             |-                            
Children's (Acute)         |30            |23                           
Eye                        |20            |17                           
Other                      |130           |109                          
                           |---           |---                          
Total                      |2,019         |1,883                        
                                                                        
                                                                        
                                                                        
                                                                        
Classification             |1979          |1988<1>                      
Acute                      |134           |188                          
Psychiatric                |8             |23                           
                           |---           |---                          
Total                      |142           |211                          
Source: Independent Hospitals Association.                              
<1>To July 1988.                                                        

Hospital Closures (London)

Mr. Cox : To ask the Secretary of State for Health, if he will list the hospitals in each of the four health regions covering Greater London now being considered for closure.

Mr. Freeman : The information requested is not held centrally.

Food Poisoning

Ms. Walley : To ask the Secretary of State for Health what information he has as to how many outbreaks of food poisoning were investigated by environmental health departments, and as to in how many cases the source of the outbreak was identified.

Mr. Freeman : Comprehensive information is not held centrally in the form requested. Cases of food poisoning are routinely reported to the communicable disease surveillance centre, which collects, analyses and interprets epidemiological data for those involved in the prevention of communicable deseases including food poisoning.

Food Production Premises (Inspections)

Ms. Walley : To ask the Secretary of State for Health (1) what information he has as to how many food production premises were inspected by local authority environmental health departments in 1986-87 ; and how many were found to be unsatisfactory ;

(2) if he will list by year since 1985 and by authority the number of food inspections carried out by environmental health officers.

Mr. Freeman : This information is not held centrally.

Food Handling Training

Ms. Walley : To ask the Secretary of State for Health if he will introduce compulsory food handling training for all involved in the processing and retailing of food.

Mr. Freeman : I refer the hon. Member to the reply to the right hon. Member for Stoke-on-Trent, South (Mr. Ashley) on 14 December at column 601.

Royal National Orthopaedic Hospital, Stanmore

Mr. Dykes : To ask the Secretary of State for Health if he will make a statement on the future of the royal national orthopaedic hospital, Stanmore.

Mr. Mellor : The royal national orthopaedic hospital at Stanmore provides an unrivalled centre of orthopaedic expertise, and we are anxious to safeguard its national role


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and to ensure that it continues to maintain the standards of excellence for which it is world famous. The hospital draws most of its patients from the area in which it is situated, and so, in order to improve its links with the local community, I have asked the regional health authorities concerned to seek the views of all interested parties with a view to moving the management responsibility for the hospital from Bloomsbury to Harrow.

Elderly People (Deaths)

Mr. Nellist : To ask the Secretary of State for Health how many people over 75 years died in each of the last 12 months.

Mr. Freeman [pursuant to the reply, 2 December 1988, c. 441-42] : I regret that there were errors in the previous reply.

The figures for female deaths for November 1987 should read 15,537 and for January 1988 total deaths should read 30,669.

Day Admissions

Mr. Dobson : To ask the Secretary of State for Health if he will give for each district, region and special health authority the total waiting list for day admissions in March 1988 and September 1987.

Mr. Mellor [holding answer 20 December 1988] : The national, regional and combined special health authority waiting list figures for day admissions for September 1987 and March 1988 were published in Department of Health statistical bulletins 2/6/88 and 2/12/88 on 27 April and 26 October 1988 respectively. Copies are in the Library. The figures for district and individual special health authorities have also been placed in the Library.

Hospital Beds

Mr. Dobson : To ask the Secretary of State for Health if he will give for each region, each district, each special health authority and for the nation as a whole (a) the number of acute beds available for each year from 1979 to 1987 and (b) the number of non-acute beds available from 1979 to 1987.

Mr. Freeman [holding answer 25 November 1988] : The information requested has been placed in the Library and I have written to the hon. Member with a copy of such information.

PRIME MINISTER

Rating Reform

Q71. Mr. Ron Brown : To ask the Prime Minister what information she has as to how many organisations in Scotland are organising means of opposition to the poll tax ; and if she will make a statement.

The Prime Minister : Attempts to organise opposition to the community charge in Scotland are--as we expected--proving to be utterly futile and a waste of time.

Wilmington, Kent

Q86. Mr. Dunn : To ask the Prime Minister if she has any plans to visit Wilmington, Kent.


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The Prime Minister : I have at present no plans to do so.

Denmark

Q103. Mr. Cryer : To ask the Prime Minister when she next expects to pay an official visit to Denmark

The Prime Minister : I have at present no plans to do so.

European Commission

Q119. Mr. Dalyell : To ask the Prime Minister if she will make a statement on her communications with President Delors about the portfolio of the right hon. and learned Member for Richmond, Yorks (Mr. Brittan) to the European Commission.

The Prime Minister : The allocation of portfolios is a matter for the President and the new Commission to decide. I have not had any communication with him on this matter.

Correspondence

Mr. Livingstone : To ask the Prime Minister (1) on how many occasions following requests from the hon. Member for publication in the Official Report , she has refused to publish the texts of letters from herself to hon. Members, between (a) 1979 to 1983, (b) 1983 to 1987 and (c) 1987 to the current date ;

(2) pursuant to her reply to the hon. Member for Brent, East, Official Report , 15 December, column 654, if she will state on what basis publication of the letter to the hon. Member was refused ;

(3) what is her policy concerning the publication of exchanges of letters between hon. Members and herself in the Official Report.

The Prime Minister : I have nothing to add to the reply which I gave the hon. Gentleman on 15 December 1988 at column 654.

Engagements

Mr. Kirkwood : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Cohen : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mrs. Margaret Ewing : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Gill : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Devlin : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Hind : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Stern : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. McGrady : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.

Mr. Jack : To ask the Prime Minister if she will list her official engagements for Thursday 22 December.


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The Prime Minister : This morning I presided at a meeting of the Cabinet and had meetings with ministerial colleagues and others. I shall be having further meetings later today.

TRANSPORT

Roads (Cumbria)

Mr. Franks : To ask the Secretary of State for Transport how much his Department spent on roads in Cumbria in (a) 1978-79, (b) 1983-84 and (c) 1987-88 ; and what is the proposed expenditure for the financial years 1989-90 and 1990-91.

Mr. Peter Bottomley : We spent £11.9 million in 1983-84 and £10.1 million in 1987-88 on building, improving and maintaining trunk roads and motorways in Cumbria. Figures for 1978-79 are not available by country. Proposed expenditure levels for 1989-90 and 1990-91 have not yet been determined.

We also support expenditure on the county council's more important local roads through the transport supplementary grant system.

Rail Accidents

Mr. Prescott : To ask the Secretary of State for Transport (1) what was the total amount of significant collisions on the railways recorded for the years 1982 and 1987 ; and what percentage change this represents ;

(2) what is the total of significant derailments on the railway recorded for the years 1982 and 1987 ; and what percentage change it represents.

Mr. Channon : The information requested is available in tables 2 and 3 of the chief inspecting officer of railways' annual report for 1987. There were 54 significant collisions in 1982 and 64 in 1987 ; an increase of 18.5 per cent. In 1982 there were 129 significant derailments, and 136 in 1987 : an increase of 5 per cent. Comparison of individual years can be misleading because, with the relatively small numbers involved, wide fluctuations from year to year can occur. The number of collisions in 1987 was actually three less than in 1986, the number of derailments three more. A clearer picture can be obtained by comparing the number of accidents in a year with the average over the previous five years. The average number of collisions given in table 2 is 61 ; and of derailments (table 3), 134.

Other factors can also influence the number of accidents. Because of the railway strike in that year, 1982 is not a good year for comparison. In 1982 the number of train miles (263 million) was 7 per cent. less than in 1987 (283 million). The average for the years 1982 to 1986 was 281 million train miles.

Rail Casualties

Mr. Prescott : To ask the Secretary of State for Transport what are the total casualties killed and major injuries for accidents on British Railways for the years 1982 and 1987 ; and what percentage change it represents.

Mr. Channon : A breakdown of accident statistics in the form the hon. Member has requested for British Rail as distinct from railways generally is not immediately available. I am having inquiries made as to what further


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information could be made available. The figures for railways as a whole from 1983 to 1987 are set out in the appendices to the annual report on railway safety during 1987, of which a copy is in the Library. 1982 is not a good year for comparison because there was a railway strike in that year and as a result rail travel was about 8 per cent. lower than normal.

Dearne Towns Link Road

Mr. Illsley : To ask the Secretary of State for Transport whether he will make additional funding available to the south Yorkshire local authorities of Rotherham, Barnsley and Doncaster to enable them to construct the Dearne towns link road.

Mr. Bottomley : The Dearne towns link road is a local road scheme for which Barnsley and Doncaster metropolitan councils are responsible as local highway authorities. Rotherham borough council is not involved. The normal procedure for a local authority to obtain Government grant aid toward such a scheme is through the transport supplementary grant system. Both authorities have indicated their intention to apply for this grant based on a start of construction in the 1990s.

Barnsley borough council has exceptionally applied to the Secretary of State for 100 per cent. grant under section 272 of the Highways Act 1980 in respect of the new road section of the link, that is, between M1 and Darfield. The application is under consideration.

West London Assessment Study

Mr. Soley : To ask the Secretary of State for Transport which of the options listed in the west London assessment study stage 2a report he has instructed Sir William Halcrow and Partners to develop during stage 2b.

Mr. Peter Bottomley : We have not yet taken any view on the preliminary options produced by the study consultants. This must await the submission of the consultant's report in the summer 1989.

Nuclear Waste (Transport)

Mr. Battle : To ask the Secretary of State for Transport (1) how often nuclear waste is transported by train through Kirkstall in west Leeds ;

(2) how long trains transporting nuclear waste stop and park in the Kirkstall area of Leeds.

Mr. Portillo : The timing and routing of radioactive consignments are a matter for British Rail. I am informed that irradiated nuclear fuel from power stations would not normally travel via Leeds. All such consignments must comply with the internationally agreed safety requirements.

Mr. Battle : To ask the Secretary of State for Transport what emergency plans are in existence and able to be brought into effect in the event of a major accident resulting from the transportation of nuclear waste by rail through Kirkstall in west Leeds.

Mr. Portillo : In the event of an emergency the plans provide for British Rail staff to alert the civil emergency services, which are able to call upon any necessary specialised advice and assistance.


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Train Guards

Mr. Meacher : To ask the Secretary of State for Transport how many trains have run in each of the last 10 years without a guard in the guard's van at the rear ; and what percentage this is of all trains running in each year.

Mr. Portillo : This information is not held by my Department. The hon. Gentleman should approach the British Railways Board for such details.

Signalmen

Mr. Meacher : To ask the Secretary of State for Transport how many signalmen in each of the last three years have been working less than (a) 40 hours per week, (b) 40 to 44 hours per week, (c) 45 to 49 hours per week, (d) 50 to 54 hours per week, (e) 55 to 59 hours per week and (f) over 60 hours per week, and what percentage of the total is that in each case.

Mr. Portillo : This information is not held by my Department. The hon. Gentleman should approach the British Railways Board for such details.

15

Cyprus (Air Routes)

Mr. Butler : To ask the Secretary of State for Transport if he will meet the chairman of the Civil Aviation Authority to discuss the possibility of licensing a direct air route from London to Ercan airport, Cyprus.

Mr. Peter Bottomley : No. The Government of the Republic of Cyprus do not authorise flights to Ercan.

Parliamentary Under-Secretary (Correspondence)

Mr. Alfred Morris : To ask the Secretary of State for Transport if he will place in the Library the letter sent on 14 December by Commissioner Stanley Clinton Davis to the Parliamentary Under-Secretary of State, about his visit to Strasbourg ; what reply is being sent ; and if he will make a statement.

Mr. Peter Bottomley : The categories of driver licensing proposed by the European Commission would mean a second test and tougher health standards for non-commercial minibus drivers. This would cause immense problems for community and voluntary organisations. The important groups they serve would suffer as a result.

The visit to Strasbourg at the invitation of United Kingdom community transport operators enabled me to discuss with MEPs of all parties and nationalities the best means of reconciling the key objectives of safety and mobility, particularly for the old and disabled. I advised Commissioner Clinton Davis of this. A copy of the correspondence has been placed in the Library.

The Government's position on this issue is clear. We want to support a modified directive. We want to maintain and enhance mobility for special needs and common interest groups. We want to maintain and enhance safety. We do not want additional driving and medical tests for non-commercial drivers of minibuses.

Tyres

Mr. Cryer : To ask the Secretary of State for Transport if he will introduce legislation to prohibit the sale of part-worn remould tyres ; and if he will make a statement.


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Mr. Peter Bottomley : There is no reason to prohibit the sale of part-worn new or remoulded tyres. We are reviewing the Tyres (Safety) Regulations in the light of the recently amended British standard.

Train Cabs (Radios)

Mr. Dalyell : To ask the Secretary of State for Transport if he will meet the chairman of British Rail to discuss the safety implications of the installation of two-way radios in engine cabs on busy railway routes.

Mr. Portillo : I discuss a variety of matters including safety questions at regular meetings with the BR chairman. BR rolling stock for driver-only operation will be fitted with radios, and BR is currently fitting radios to existing main line locomotives and high-speed trains.

Roads (North-west)

Mr. Thurnham : To ask the Secretary of State for Transport what is the current estimate for roadbuilding work in the north-west during 1988-89 ; and if he will make a statement.

Mr. Peter Bottomley : We expect to spend some £90 million this year on building, improving, and maintaining trunk roads and motorways in the north-west. This includes £39 million on the seven major contracts I mentioned when answering my hon. Friend's question of 28 November 1988 at column 425 .

We are also supporting expenditure on the region's more important local roads through some £25 million of transport supplementary grant.

British Transport Police

Mr. Evennett : To ask the Secretary of State for Transport when he last met the chief constable of the British transport police ; and what was discussed.

Mr. Portillo : In recent days I have met assistant chief constables Palmer and MacGregor and the main subjects have been the Clapham rail crash and the increase in numbers of officers policing the Underground.

Aircraft (Alcohol)

Mr. David Marshall : To ask the Secretary of State for Transport if he has any plans to seek to prohibit the consumption of alcohol on board aircraft within British air space.

Mr. Peter Bottomley : No.

Concessionary Fares

Mr. Snape : To ask the Secretary of State for Transport whether London Regional Transport has requested his agreement to the imposition of the reserve free travel scheme despite agreement between all London boroughs to continue the present voluntary concessionary fares scheme.

Mr. Portillo : No. There is no requirement for LRT to do so.

Mr. Snape : To ask the Secretary of State for Transport if, in view of the disagreement between London Regional


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Transport and the London boroughs, he will direct London Regional Transport to continue the existing concessionary fares scheme.

Mr. Portillo : No. The provision of travel concessions in and in the vicinity of London is governed by sections 50 to 53 of the London Regional Transport Act 1984.

Mr. Snape : To ask the Secretary of State for Transport under what circumstances London Regional Transport would be able to impose the reserve free travel scheme on the London boroughs.

Mr. Portillo : Section 51 of the London Regional Transport Act 1984 provides that the reserve free travel scheme for London residents will come into effect if immediately before 1 January in any accounting year of London Regional Transport it appears to LRT that there are not in force arrangements, which will apply throughout the following accounting year, for the provision of concessions which satisfy the requirements of section 53 as to scope and uniformity, and for reimbursement by the London boroughs of the cost of those concessions to LRT. In such circumstances LRT is under a statutory duty to implement the reserve scheme.

Bicycle Lights

Mr. Iain Mills : To ask the Secretary of State for Transport if he has any plans to tighten the regulations governing the fitment of front and rear lights on bicycles ; and if he will make a statement.

Mr. Peter Bottomley : Front and rear lamps have had to be fitted and used on pedal cycles at night for many years. It is important for cyclists to see and to be seen. We are currently consulting about requiring compliance with a British standard for front lamps. One already applies to rear lamps.


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