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Column 602
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Mr. Cox : To ask the Secretary of State for Health what financial help has been given to each of the regional health authorities covering the Greater London area to help in the treatment and counselling of people suffering from AIDS.
Mr. Mellor : The amounts of additional central funding allocated to the four Thames regional health authorities towards the costs of AIDS and HIV-related services for the financial years 1986-87 to 1989-90 are given in the table.
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|1985-86 |1986-87 |1987-88 |1988-89 |1989-90
|£ million|£ million|£ million|£ million|£ million
------------------------------------------------------------------------------
North West Thames |0.325 |1.096 |14.019 |31.454 |36.245
North East Thames |0.290 |1.085 |6.163 |11.417 |16.606
South East Thames |0.145 |0.565 |3.553 |5.844 |11.222
South West Thames |Nil |Nil |0.096 |1.723 |5.406
Social Work Training
Mr. Hinchliffe : To ask the Secretary of State for Health what action he is taking to improve the quality and availability of practice placements on social work training courses.
Mr. Mellor : The improvement of the quality and availability of practice placements on social work training courses is primarily a matter to be resolved by the Central Council for Education and Training in Social Work (CCETSW) together with the colleges who provide qualifying courses, local authority social services departments and other service agencies.
We have taken the view that practice placement provision is an issue requiring priority attention.
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Additional funds provided to the central council this year for improvement to qualifying training included £700,000 for improvements to planning and cooperation between colleges and employers. We shall provide further funding for practice placement improvements over the next 5 years. Our training support programme initiative will encourage local authority social services departments to appoint placements organisers and supervisors. And in the coming financial year we shall be providing funds for a research project in this area.Yorkshire Health Authorities (Staffing)
Mr. Hinchliffe : To ask the Secretary of State for Health if he will list the latest available figures for staffing levels in each of the district health authorities within the Yorkshire
Column 603
region in the following categories (a) ancillary, (b) nursing, (c) medical and dental, (d) administrative and clerical and (e) other grades, including ambulance staff and technicians ; and if he will indicate the percentage increase on or decrease which has occurred in each category within the previous year.Mr. Mellor : The latest figures available centrally are listed in the tables.
National Health Service staff in post
Yorkshire regional health authority
At 30 September of each year
Whole-time equivalent<1>
District health Hospital and community
authorities health service medical
and dental staff<2>
|1985 |1986 |Percentage change 1985-86
----------------------------------------------------------------------------------------------------------------------------------
Hull |160 |140 |-9.2
East Yorkshire |70 |70 |-2.2
Grimsby |70 |70 |-4.3
Scunthorpe |70 |70 |+6.5
Northallerton |20 |20 |+9.5
York |100 |110 |+4.7
Scarborough |50 |50 |+6.2
Harrogate |70 |70 |-2.4
Bradford |170 |180 |+2.9
Airedale |50 |60 |+24.5
Calderdale |80 |90 |+2.5
Huddersfield |110 |110 |+4.9
Dewsbury |80 |80 |+7.5
Leeds Western (T) |390 |400 |+1.2
Leeds Eastern (T) |330 |320 |-2.8
Wakefield |110 |110 |+0.1
Pontefract |60 |70 |+11.1
RHA HQ and HQ units |- |-
|------- |------- |-------
Total of region |2,930 |2,970 |+1.6
Notes:
Department of Health (SR7) Annual Census of National Health Service Medical Manpower.
<1> Whole-time equivalents are rounded to the nearest ten (10). Unrounded figures are used for percentage change calculations.
<2> Includes permanent paid, honorary and locum staff. Excludes senior registrars and consultants in non-teaching District Health
Authorities and senior registrars in teaching District Health Authorities. These staff have their contracts with the Regional
Health Authority and are included in the regional total.
(T)=Teaching districts.
NHS staff in post
Yorkshire Regional Health Authority
at 30 September of each year
Whole-time equivalent<1>
Other non-medical
staff (excluding
ancillary, nursing and
administrative and
clerical)
District Health |1985 |1986 |Percentage change 1985-86
Authorities
----------------------------------------------------------------------------------------------------------------------------------
Hull |990 |1,070 |+8.0
East Yorkshire |340 |340 |+0.3
Grimsby |280 |300 |+5.8
Scunthorpe |220 |230 |+5.3
Northallerton |120 |120 |-2.1
York |740 |770 |+4.4
Scarborough |210 |220 |+1.5
Harrogate |280 |300 |+6.3
Bradford |620 |650 |+5.1
Airedale |330 |320 |-0.8
Calderdale |310 |330 |+5.2
Huddersfield |460 |460 |-0.7
Dewsbury |240 |250 |+6.2
Leeds Western<2> |1,130 |1,190 |+5.4
Leeds Eastern<2> |890 |900 |+1.5
Wakefield |440 |470 |+4.9
Pontefract |260 |270 |+5.8
RHA HQ and HQ Units |1,310 |1,220 |-6.9
------- |------- |------- |-------
Total of region |9,170 |9,410 |+2.6
<1> Whole-time equivalents are rounded to the nearest ten (10). Unrounded figures are used for percentage change calculations.
<2>Teaching districts.
Source: Department of Health (SR7) Annual Census of NHS Non-Medical Manpower.
NHS staff in post
Yorkshire Regional Health Authority
at 30 September of each year
Whole-time equivalent<1>
Other non-medical
staff (excluding
ancillary, nursing and
administrative and
clerical)
District Health |1985 |1986 |Percentage change 1985-86
Authorities
----------------------------------------------------------------------------------------------------------------------------------
Hull |990 |1,070 |+8.0
East Yorkshire |340 |340 |+0.3
Grimsby |280 |300 |+5.8
Scunthorpe |220 |230 |+5.3
Northallerton |120 |120 |-2.1
York |740 |770 |+4.4
Scarborough |210 |220 |+1.5
Harrogate |280 |300 |+6.3
Bradford |620 |650 |+5.1
Airedale |330 |320 |-0.8
Calderdale |310 |330 |+5.2
Huddersfield |460 |460 |-0.7
Dewsbury |240 |250 |+6.2
Leeds Western<2> |1,130 |1,190 |+5.4
Leeds Eastern<2> |890 |900 |+1.5
Wakefield |440 |470 |+4.9
Pontefract |260 |270 |+5.8
RHA HQ and HQ Units |1,310 |1,220 |-6.9
------- |------- |------- |-------
Total of region |9,170 |9,410 |+2.6
<1> Whole-time equivalents are rounded to the nearest ten (10). Unrounded figures are used for percentage change calculations.
<2>Teaching districts.
Source: Department of Health (SR7) Annual Census of NHS Non-Medical Manpower.
NHS staff in post
Yorkshire Regional Health Authority
at 30 September of each year
Whole-time equivalent<1>
Other non-medical
staff (excluding
ancillary, nursing and
administrative and
clerical)
District Health |1985 |1986 |Percentage change 1985-86
Authorities
----------------------------------------------------------------------------------------------------------------------------------
Hull |990 |1,070 |+8.0
East Yorkshire |340 |340 |+0.3
Grimsby |280 |300 |+5.8
Scunthorpe |220 |230 |+5.3
Northallerton |120 |120 |-2.1
York |740 |770 |+4.4
Scarborough |210 |220 |+1.5
Harrogate |280 |300 |+6.3
Bradford |620 |650 |+5.1
Airedale |330 |320 |-0.8
Calderdale |310 |330 |+5.2
Huddersfield |460 |460 |-0.7
Dewsbury |240 |250 |+6.2
Leeds Western<2> |1,130 |1,190 |+5.4
Leeds Eastern<2> |890 |900 |+1.5
Wakefield |440 |470 |+4.9
Pontefract |260 |270 |+5.8
RHA HQ and HQ Units |1,310 |1,220 |-6.9
------- |------- |------- |-------
Total of region |9,170 |9,410 |+2.6
<1> Whole-time equivalents are rounded to the nearest ten (10). Unrounded figures are used for percentage change calculations.
<2>Teaching districts.
Source: Department of Health (SR7) Annual Census of NHS Non-Medical Manpower.
NHS staff in post
Yorkshire Regional Health Authority
at 30 September of each year
Whole-time equivalent<1>
Other non-medical
staff (excluding
ancillary, nursing and
administrative and
clerical)
District Health |1985 |1986 |Percentage change 1985-86
Authorities
----------------------------------------------------------------------------------------------------------------------------------
Hull |990 |1,070 |+8.0
East Yorkshire |340 |340 |+0.3
Grimsby |280 |300 |+5.8
Scunthorpe |220 |230 |+5.3
Northallerton |120 |120 |-2.1
York |740 |770 |+4.4
Scarborough |210 |220 |+1.5
Harrogate |280 |300 |+6.3
Bradford |620 |650 |+5.1
Airedale |330 |320 |-0.8
Calderdale |310 |330 |+5.2
Huddersfield |460 |460 |-0.7
Dewsbury |240 |250 |+6.2
Leeds Western<2> |1,130 |1,190 |+5.4
Leeds Eastern<2> |890 |900 |+1.5
Wakefield |440 |470 |+4.9
Pontefract |260 |270 |+5.8
RHA HQ and HQ Units |1,310 |1,220 |-6.9
------- |------- |------- |-------
Total of region |9,170 |9,410 |+2.6
<1> Whole-time equivalents are rounded to the nearest ten (10). Unrounded figures are used for percentage change calculations.
<2>Teaching districts.
Source: Department of Health (SR7) Annual Census of NHS Non-Medical Manpower.
Radiation Overdoses (Compensation)
Sir Michael McNair-Wilson : To ask the Secretary of State for Health what formula is being used by the assessors deciding on levels of compensation for patients in the Royal Devon and Exeter hospital who received overdoses of radiation ; what considerations will be taken into account ; and whether the payments are a de facto acceptance of negligence.
Mr. Freeman : It is for Exeter health authority to decide the levels of compensation in the light of its own independent advice on the clinical effects of the overdose of radiation on individual patients.
The health authority has accepted that the treatment of patients on the miscalibrated machine amounted to a breach of its duty of care towards those patients.
Mr. Speller : To ask the Secretary of State for Health what assessment he has made of the implications for health care services within the district of the obligation to make
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compensation payments to those damaged by excessive radiation at the Royal Devon and Exeter hospital funded from within their own resources.Mr. Freeman : All health authorities are expected to budget for contingencies. It is too soon to judge the likely provision to meet the costs of compensation arising from the radiation incident at Exeter. No adverse effect on health care services is expected.
Salmonella
Mr. Devlin : To ask the Secretary of State for Health how many cases of salmonella enteritidis have been reported on a monthly basis for the last two years ; and how many of those cases were phage 4.
Mr. Freeman : Monthly statistics are not available. Provisional figures by quarter are as follows :
Salmonella reports (cases and excreters) reported to the
Communicable Disease Surveillance Centre by quarter
|Total salmonella |Total phage type 4
|enteritidis
----------------------------------------------------------------------------
1986
Q1 |337 |108
Q2 |707 |357
Q3 |1,684 |1,009
Q4 |1,292 |797
1987
Q1 |607 |324
Q2 |1,108 |771
Q3 |2,365 |1,557
Q4 |1,946 |1,209
1988
Q1 |842 |598
Q2 |2,241 |1,429
Q3 |5,271 |3,555
Q4 |4,889 |3,480
Mr. Home Robertson : To ask the Secretary of State for Health if he will list the cases of salmonella food poisoning connected with eggs which were referred to in his Department's recent press advertisements, giving the number of people affected and the most likely source of the eggs in question in each case.
Mr. Kenneth Clarke : The number of reported cases of salmonella food poisoning connected with eggs in the first 10 months of 1988 is as follows :
|Number of people affected
------------------------------------------------------------------------------
January |27
February |-
March |-
April |60
May |302
June |159
July |207
August |145
September |114
October |127
Information is not available on the most likely source of the eggs in question in each case.
Column 607
St. Bartholomew's Eye Hospital
Mr. Fearn : To ask the Secretary of State for Health whether St. Bartholomew's eye hospital is able to operate on children with eye cancer ; and if he will make a statement.
Mr. Freeman : St. Bartholomew's eye hospital is able to operate on children with eye cancer. Last year there were 325 surgical admissions and 267 day cases. There were 64 new out-patient referrals and 378 follow-up attendances.
Water Pollution
Mr. Fearn : To ask the Secretary of State for Health what is his latest information as to whether the public's health was in any danger in July in Cornwall due to polluted water supplies.
Mr. Freeman : Anyone drinking the polluted water immediately after the incident last July may have experienced a range of unpleasant symptoms, but these should have abated rapidly and completely. There is no reason to expect any long-term adverse effect to health. However, in view of some continuing anxiety within the local population, we will be asking independent experts to look at the evidence, and publish the resulting conclusions and advice.
Pay Beds
Mr. Fearn : To ask the Secretary of State for Health if he will make a statement on his policy on use of National Health Service pay beds in the light of the report, a copy of which has been sent to him, entitled "Laing's Review of Private Health Care."
Mr. Mellor : Policy remains unchanged on NHS pay beds authorisation, which is made only when a demand is demonstrated, and after wide local consultation. Pay beds are not reserved for the exclusive use of private patients.
Until the introduction of the Health and Medicines Act, charges for private patients were set at a level sufficient to recover the full cost of treatment. The Act allows charges to be set at commercial rates to increase income available to health authorities for further improving the health service.
Column 608
Drug Prices
Mr. Sayeed : To ask the Secretary of State for Health what information he has on (a) the over-the-counter price in Spain of 5ml of the drug Otosporin, (b) the price charged to the National Health Service and (c) the price charged by pharmacists when the drug is obtained by private prescription.
Mr. Mellor : The price reimbursed by the NHS when a community pharmacist or dispensing doctor supplies Otosporin is £4.09 for a 5ml bottle, before any account is taken of discounts obtained by dispensers. Hospitals may buy at prices negotiated separately with the manufacturer. When the medicine is obtained by private prescription, the price is not controlled by the Department ; it is set by the pharmacy.
We have no information on prices paid in Spain.
Mr. Sayeed : To ask the Secretary of State for Health if he will make it his policy to require all drug companies supplying drugs listed in the British National Formulary to inform his Department of the prices that they charge for those drugs in other European Community countries.
Mr. Mellor : The European Commission has announced that it intends to compile a data bank containing the prices of medicines in each member state, and we shall study this with interest.
Electoral Statistics
Mr. Harry Greenway : To ask the Secretary of State for Health how many electors per right hon. or hon. Member there were in (a) England, (b) Scotland, (c) Wales and (d) Northern Ireland in each of the last 30 years ; how many right hon. and hon. Members were returned by each country in the same period ; and if he will make a statement.
Mr. Freeman : The information requested is given in the table.
Column 607
Year (a) England (b) Scotland (c) Wales (d) Northern Ireland
|MP's |Average electors per MP|MP's |Average electors per MP|MP's |Average electors per MP|MP's |Average electors per MP
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
1959 |511 |57,345 |71 |48,081 |36 |50,158 |12 |72,895
1960 |511 |57,565 |71 |48,093 |36 |50,105 |12 |73,350
1961 |511 |57,670 |71 |47,922 |36 |50,049 |12 |73,346
1962 |511 |57,905 |71 |47,946 |36 |50,125 |12 |73,641
1963 |511 |58,092 |71 |47,857 |36 |50,095 |12 |74,041
1964 |511 |58,326 |71 |47,794 |36 |50,153 |12 |74,254
1965 |511 |58,759 |71 |47,745 |36 |50,367 |12 |74,952
1966 |511 |59,072 |71 |47,686 |36 |50,460 |12 |75,553
1967 |511 |59,278 |71 |47,523 |36 |50,489 |12 |75,820
1968 |511 |59,825 |71 |47,717 |36 |50,769 |12 |76,406
1969 |511 |60,311 |71 |47,865 |36 |51,176 |12 |77,212
1970<1> |511 |64,502 |71 |51,537 |36 |54,767 |12 |85,435
1971 |511 |64,943 |71 |51,905 |36 |55,280 |12 |86,150
1972 |511 |65,199 |71 |51,986 |36 |55,483 |12 |86,134
1973 |511 |65,387 |71 |51,946 |36 |55,715 |12 |86,003
1974 |516 |64,908 |71 |52,178 |36 |56,021 |12 |86,824
1975 |516 |65,418 |71 |52,581 |36 |56,471 |12 |86,760
1976 |516 |65,753 |71 |53,017 |36 |56,846 |12 |86,103
1977 |516 |66,056 |71 |53,336 |36 |57,088 |12 |86,076
1978 |516 |66,434 |71 |53,649 |36 |57,362 |12 |86,142
1979 |516 |67,076 |71 |54,043 |36 |57,883 |12 |86,709
1980 |516 |67,504 |71 |54,374 |36 |58,293 |12 |87,456
1981 |516 |67,961 |71 |54,725 |36 |58,753 |12 |87,778
1982 |516 |68,534 |71 |55,118 |36 |59,109 |12 |88,105
1983 |523 |68,011 |72 |54,642 |38 |56,273 |17 |62,423
1984 |523 |68,452 |72 |54,962 |38 |56,539 |17 |63,389
1985 |523 |68,714 |72 |55,110 |38 |56,384 |17 |63,683
1986 |523 |69,137 |72 |55,370 |38 |56,825 |17 |63,965
1987 |523 |69,585 |72 |55,485 |38 |57,241 |17 |64,889
1988 |523 |69,689 |72 |55,102 |38 |57,576 |17 |65,236
<1> Reduction in voting age from 21 to 18.
Sources:
British Electoral Facts 1932-1980, FWS Craig
Electoral Statistics 1974-88, OPCS (Series EL Nos. 1-15).
Abortions
Mr. Alton : To ask the Secretary of State for Health if he will list the number of abortions by method for the North East Thames regional health authority for the latest period for which figures are available.
Mr. Freeman : The table shows the provisional number of notifications received in respect of abortions performed on women usually resident in North East Thames regional health authority by method for the June quarter of 1988 (the latest period for which data are available), and the final figures for 1987, which were published on 15 December 1988.
Notifications of abortions carried out under the Abortion Act 1967
to usual residents of North East Thames regional health authority
(RHA) by procedure
1987 and June quarter 1988
Procedure Area of usual
residence North East
Thames RHA
|1987 |June quarter 1988<1>
---------------------------------------------------------------------------------------------------
All |18,903 |5,116
Hysterotomy (only) |8 |1
Hysterectomy (only) |- |-
Vacuum aspiration (only) |11,756 |3,005
Vacuum aspiration
with D & C or D & E |6,252 |1,852
D & C or D & E
(including menstrual aspiration) |453 |109
Other surgical |5 |1
Prostaglandins (only) |203 |65
Prostaglandins with other agents |138 |34
Other medical |17 |27
Other and combined methods |71 |22
<1> provisional (includes notifications received up to the end of October 1988).
Cancer Screening
Mr. Nellist : To ask the Secretary of State for Health why the report into cervical cancer screening at the Women's hospital, Liverpool, was issued with pages 3 to 22 omitted ; if he will cause those pages now to be published ; whether he will now authorise an independent public inquiry into the original incident ; and if he will make a statement.
Mr. Freeman : The report to which the hon. Member refers was commissioned by and is the property of the Liverpool health authority. In order to obtain the full
Column 610
co-operation of those involved, the authority gave an undertaking that their evidence would remain confidential. The unfortunate incidents in Liverpool have already been investigated extensively by an internal review, the facts established and action taken locally to ensure that there is no repetition of the occurrence. In the circumstances we are not convinced that a further inquiry is warranted.Hepatitis B
Mr. Pike : To ask the Secretary of State for Health if he proposes to conduct a survey of health authorities regarding provision of vaccination for hepatitis B and the estimated costs involved.
Mr. Freeman : We have no plans to do so. As my hon. and learned Friend the Minister for Health indicated previously to the hon. Member on 12 December 1988 at column 450 we have asked health authorities to use their occupational health services to decide on priorities for this vaccination in the light of the advice issued to them last summer. Our understanding is that many authorities have taken the necessary steps, and others are following suit.
Alexander Fleming House
Mr. Corbyn : To ask the Secretary of State for Health at what cost work on the re-cladding of Alexander Fleming house has been carried out ; and what architectural advice was obtained before the decision to re-clad was taken.
Mr. Freeman : The re-cladding of Alexander Fleming house, which is a rented building, forms part of a proposed major refurbishment planned by the landlord. Costs and architectural advice are matters for him and final decisions have yet to be taken about the plan.
Handbook of Environmental Health
Mr. Tony Banks : To ask the Secretary of State for Health if he will give details of the outside consultant involved in the preparation of the "Handbook of Environmental Health" ; what is the extent of the consultation exercise being carried out ; if he will identify local authority organisations and professional associations invited to provide comments ; and what is the likely publication date of the handbook.
Mr. Freeman : A handbook of practical guidance about environmental health in war has been prepared in draft form by a retired senior army medical officer from an earlier document written by a former medical officer of environmental health.
Column 611
The consultation exercise now being carried out involves a number of Government Departments with related responsibilities. Thereafter, local authority associations and medical and professional organisations with emergency planning interest will be consulted. The publication date of the document will depend upon completion of the consultation process.Water Supply
Mr. Rooker : To ask the Secretary of State for Health if he will list the regional and district health authorities at whose request additional chemicals are currently being added to the public water supply.
Mr. Freeman : The Department does not hold such information centrally.
Mr. Rooker : To ask the Secretary of State for Health what amount of his Department's budget is set aside to meet the liabilities of health authorities in respect of effects of chemicals added to the public water supply at their request.
Mr. Freeman : None. My right hon. and learned Friend the Secretary of State has, however, indemnified water authorities carrying out fluoridation at the request of health authorities against the unlikely event of damages being awarded in respect of adverse effects on a person's health caused by fluoridation.
Vaccination
Ms. Harman : To ask the Secretary of State for Health if MMR is available for individual clinicians in (a) the Lewisham and North Southwark district health authority area and (b) in the Camberwell district health authority area if they decide to vaccinate a child who is not 15 months old or four to five years old.
Mr. Freeman : Yes. The ages quoted by the hon. Member are those which we have recommended should receive MMR vaccine in the advice that we have issued to health authorities and individual doctors. I understand that Camberwell and Lewisham and North Southwark are among those also making the vaccine available for other children on request from the doctor concerned.
Railway Signalling
Mr. Spearing : To ask the Secretary of State for Transport what requests or instructions he has made to London Regional Transport or London Underground Limited which has resulted in changes in the methods of maintenance, or replacement, of signalling equipment on their railways ; what changes in practice have already taken place ; and what further changes are now planned.
Mr. Portillo : My right hon. Friend the Secretary of State has made no requests nor given instructions to London Regional Transport or London Underground Limited about signalling equipment. Any change in practice involving either maintenance or replacement of such equipment is a matter for London Regional Transport, bearing in mind that undertaking's statutory duty to provide services with due regard to efficiency, economy and safety of operation.
Column 612
Emissions
Mrs. Clwyd : To ask the Secretary of State for Transport whether he intends to introduce legislation setting emission standards for vehicle exhausts at least as stringent as those prevailing in the United States for nitrogen oxides, carbon monoxide, hydrocarbon and particulates.
Mr. Peter Bottomley : We shall be implementing the revised standards for all these pollutants recently agreed in the European Community. For large vehicles over 2,000 cc, the new limits are equivalent to United States standards. For cars under 2,000 cc, the standards are slightly less stringent. They will require the fitting of at least an oxidation catalyst to most cars. We believe that the Community, in adopting these standards, has struck the right balance between environmental, consumer and industrial concerns.
Fuel Economy
Mrs. Clwyd : To ask the Secretary of State for Transport what measures his Department has been taking and intends to take to improve the fuel economy of cars.
Mr. Peter Bottomley : Between 1978 and 1987 (the latest figures available) fuel economy improved by over 20 per cent. We expect this trend to continue.
To help buyers the Department publishes six monthly the booklet "New Car Fuel Consumption--The Official Figures" listing the fuel economy of the majority of new cars as determined by the official test. The booklet also provides advice on how to drive for fuel economy. The official fuel consumption figures have to be displayed on all new cars offered for sale and quoted in advertisements which refer to fuel economy.
Inland Waterways (Freight Grants)
Mr Spearing : To ask the Secretary of State for Transport if he will state the total number of applicants for grants and the number of grants made under section 36 of the Transport Act 1981 in respect of facilities for freight transport on inland waterways and the date, purpose and amount of the last grant made ; and if he will make a statement concerning any changes made in the terms and conditions applicable to such grants since their introduction.
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