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Mr. Freeman : For details of the United Kingdom heart transplant programme I refer my hon. Friend to the statement made by my right hon. and learned Friend the Secretary of State for Health on 14 December 1988 at column 602. I regret that we do not collect statistics on heart transplantation in other countries in the European Community.
There is evidence that some people do not eat a balanced diet. For instance the Government accept that the current rates of cardiovascular disease might be lessened if people's intakes of fat and particularly saturated fatty acids, were to be reduced. Further information about the national diet is emerging from the results of the dietary and nutritional survey of British adults, undertaken by OPCS in association with the Department of Health and the Ministry of Agriculture, Fisheries and Food, which are now being analysed.
Mr. Wray : To ask the Secretary of State for Health what type of information is centrally gathered by his Department regarding the impact in National Health Service hospitals in (a) England, (b) Scotland and (c) Wales of the privatisation of cleaning services ; and whether such information refers to (i) the present standards of cleaning works, (ii) savings for health boards in England, Scotland and Wales and for the United Kingdom as a whole and (iii) working conditions of the cleaning staff of such private contractors.
Mr. Mellor : Since the launch of the competitive tendering initiative in 1983, health authorities in England have been required to put their cleaning services out to tender. Information collected centrally, following the initiative, concerned the progress made by authorities in implementing the policy, the award of contracts and the savings generated. Virtually all domestic services have now been tendered with about 80 per cent. of the tenders being won in-house. Savings on these services total over £80 million.
No information is held centrally on standards, which is a matter for health authorities, or on conditions of service for staff of private contractors, which is a matter for the companies concerned and their employees.
Information about Scotland and Wales is a matter for my right hon. and learned Friend the Secretary of State for Scotland and my right hon. Friend the Secretary of State for Wales.
Ms. Walley : To ask the Secretary of State for Health what National Health Service post-operative treatment is available, similar to that found in other European countries ; in which areas post-operative treatment can be obtained under the National Health Service ; and if he will make a statement.
Mr. Freeman : Any post-operative treatment which the responsible doctors deem to be clinically necessary is normally provided on the National Health Service. If the hon. Member knows of difficulties which have been experienced with any particular form of such treatment perhaps she would let me know.
Mrs. Gillian Shephard : To ask the Secretary of State for Health what was the median level of earnings for nurses expressed as a proportion of average earnings in each year from 1983-84 to the most recent available date.
Column 298district health authorities in England have now implemented computerised call and recall systems. All women aged 20 to 64 are to be invited for screening by March 1993--unless their general practitioner has indicated that they should be excluded--and recalled at least every five years. We shall continue to monitor progress.
Mr. Freeman : None. Nevertheless we recognise the importance of minimising the anxieties women might have about participation in the cervical cancer screening programme. We have asked health authorities to aim their local health education programmes at encouraging women to respond positively to their screening invitations and to ensure that women who require treatment following their test are offered counselling and support.
Mr. Mellor : The salaries of nurses employed in the National Health Service are determined by reference to national salary scales, with appropriate supplements for staff working in London. These are set in the light of the recommendations of the independent nurses pay review body and health authorities currently have no discretion to vary these salary scales.
Mr. Mellor : Information about the number of children removed to a place of safety is collected centrally on an annual basis only. The number in 1988 in Northumberland was 25 and is given in the provisional feedback "Children removed to a place of safety, year ending 31 March 1988, England" ; copies are available in the Library of the House.
Mr. Cousins : To ask the Secretary of State for Health how many nurses are engaged in educational medicine and the care of children in hospitals ; and if he will give similar figures for the last five years.
Year |Wholetime equivalents ------------------------------------------------------------------ 1983 |2,890 1984 |2,910 1985 |2,920 1986 |2,810 1987 |2,790 Note: These figures exclude nursing staff employed in special schools.
Mr. Cousins : To ask the Secretary of State for Health what pay enhancements were offered to nurses acquiring the certificate of school nursing in each of the last five years, and before and after the recent grading review.
Mr. Mellor : The new clinical grading structure is designed to recognise and reward the possession of post basic nursing qualifications, including the certificate of school nursing. The Department's guidance to health authorities is that the minimum grade appropriate for posts which require first level registration and the school nursing certificate is scale E.
Possession of the certificate was not a factor in grading prior to the introduction of the new structure. No additional allowances are or were payable to those who have acquired the certificate.
microbiologically confirmed as being food associated. No vector was identified in the other cases.
Mr. Freeman : Apart from regular liaison with the food industry and enforcement agencies, action is being taken on a number of fronts. The Department of Health and the Ministry of Agriculture, Fisheries and Food have a number of studies under way on a range of subjects ; the public health laboratory service, in addition to its routine monitoring of laboratory reports, also has in train a number of specific studies. The Department is working with the manufacturing and retail sectors of the food industry on the prevention and control of contamination in foods.
On a wider front, the Department is jointly responsible with the Ministry of Agriculture, Fisheries and Food for the Food Act and legislation made under it. A review of both the Act and the food hygiene regulations is under way.
Column 300We are considering what further action is necessary.
Mrs. Mahon : To ask the Secretary of State for Health what was the total cost, and to which Government Departments, of funding private and voluntary homes for the elderly in Calderdale in each year from 1979.
Mrs. Mahon : To ask the Secretary of State for Health how many places there were in (a) local authority elderly persons homes and (b) private homes for elderly persons in Calderdale in each year since 1979.
Mr. Freeman : The information readily available for the period relates to the number of places in homes for elderly people and younger physically handicapped people. Information for the years ending 31 March 1981 to 1986 is published in "Residential Accommodation for Elderly and Younger Physically Handicapped People : All Residents in Local Authority, Voluntary and Private Homes Year ending 31 March 1981 to Year ending 31 March 1986 England", a copy of which is available in the Library. The information for the year ending 31 March 1980, and provisional information for the year ending 31 March 1987, is given in the table.
Number of places in residential care homes in Calderdale local authority for elderly people and for younger physically handicapped people, as at 31 March, 1980 and 1987 Year |Local authority homes|Voluntary homes |Private homes |All homes ------------------------------------------------------------------------------------------------------------------------------------ 1980 |656 |91 |131 |878 1987<1> |702 |32 |438 |1,172 <1> Provisional.
Mrs. Mahon : To ask the Secretary of State for Health how many people waiting for operations (a) nationally and (b) in Calderdale, have been removed from waiting lists because they became ill, in each year since 1979.
Mrs. Mahon : To ask the Secretary of State for Health how many private beds were available, and how many consultant hours were worked, in the private health sector in Calderdale in each year since 1979.
Number of beds in private hospitals, homes and clinics registered under section 33 of the Registered Homes Act 1984-Calderdale health authority Year |Total beds --------------------------------- 1982 |141 1983 |145 1984 |168 1985 |272 1986 |340
Mr. Hinchliffe : To ask the Secretary of State for Health what steps his Department has taken to ensure the public can safely consume cook-chill food from supermarkets that store such food in systems that contravene his Department's 1980 guidelines.
Mr. Freeman : This Department, in consultation with the Ministry of Agriculture, Fisheries and Food and the food industry, is drawing up guidelines for cooked-chilled manufactured food sold from retail outlets. The proposed guidelines will cover storage and display conditions and will take account as appropriate of the
recommendations in the Department's existing guidelines on pre-cooked chilled catering foods.
Mr. Hinchliffe : To ask the Secretary of State for Health what action he is taking following the publication of the results of a survey into food hygiene in National Health Service hospitals in England and Wales undertaken by the Institution of Environmental Health Officers which indicated that the cook-chill processes in 19 per cent. of the hospitals surveyed between 1 April 1987 and 31 March 1988 did not comply with his Department's 1980 guidelines.
Mr. Freeman : Health authorities have been asked to provide information on standards of hygiene in their kitchens including those involving cook-chill and this will be carefully considered for further action.
Mr. Hinchliffe : To ask the Secretary of State for Health (1) how many members of the Yorkshire regional health authority have declared a pecuniary interest in cook-chill catering ; and when these interests were declared ;
(2) how many members of the Wakefield district health autority have declared a pecuniary interest in cook-chill catering ; and when these interests were declared.
Mr. Freeman : None. But as recorded in the DHA minutes, one member of Wakefield health authority gave notice on 25 November that he had received an invitation to join/advise a company specialising in 100 per cent. sterile food. I understand the company currently operates on the continent but has plans to undertake marketing trials in the United Kingdom.
Mr. Freeman : The advice contained in the 1970 guidelines on cook- freeze catering, as amended by the guidelines on pre-cooked chilled foods published in 1980, is still operational. As my right hon. and learned Friend the Minister of Health said in his reply of 14 December to the hon. Member for Stoke-on-Trent, South (Mr. Ashley) at column 601 we are satisfied that provided these guidelines are carefully followed, microbiologically sound food will be produced.
Mr. Hinchliffe : To ask the Secretary of State for Health, if it is possible for cook-chill food to be supplied from the private sector to National Health Service hospitals with food production units within the requirements of his Department's 1980 guidelines on cook-chill food.
Mr. Hinchliffe : To ask the Secretary of State for Health if, pursuant to his answer to the hon. Member for Wakefield of 16 January 1988, the public health laboratory service of cook-chill food has included food supplied to hospital patients.
Mr. Fatchett : To ask the Secretary of State for Health (1) what action his Department intends to take in the light of the proposals by the Severn-Trent water authority to give notice to terminate the agreement by which fluoridated water is supplied from the Elan valley reservoir to Birmingham, Solihull and adjacent areas unless by 1 February his Department and the Water Authorities Association resolve the current dispute over the terms of the indemnity granted to water suppliers ;
(2) what are the terms of the indemnity granted to water suppliers who have previously agreed to requests for fluoridation schemes ; how the indemnity offered to water suppliers for new schemes has been implemented since the Water (Fluoridation) Act 1985 ; how such indemnities were implemented before that Act ; and what extensions to the existing indemnity have been offered to the Water Authorities Association in recent negotiations with his Department.
Mr. Freeman : I refer the hon. Member to my reply to the hon. Member for Birmingham, Perry Barr (Mr. Rooker) on 16 January at columns 41-42 which said that a copy of the terms of the indemnity for water undertakers had been placed in the Library. The only major change to the indemnity since the passage of the Water Fluoridation Act 1985 has been the withdrawal of cover in the event of a legal challenge to the powers of water undertakers to add fluoride to the water supply. This is because the Act itself removed any doubt about these powers.
We are considering the terms of the indemnity following representations from the Water Authorities Association.
Mr. Mellor : On 7 June 1988 Ministers approved a grant of £6 million to the Cyclotron trust as a contribution towards the charitable funds it is raising to install a Cyclotron at St. Thomas's hospital. The decision was made on the understanding that the Neutron therapy the cyclotron can provide, can give relief from the effects of certain cancers. Ministers decided to support the voluntary fund raisers in order to make such treatment more widely available to NHS patients.
Mr. Fearn : To ask the Secretary of State for Health if he will list, by regional health authority the number of vacant posts in 1988 for hospital pharmacists grade 1 and grade 2 and pharmacy technicians.
Mr. Allen : To ask the Secretary of State for the Environment if he will make available to hon. Members any evidence collected from local authorities which supports his answer of 19 December, Official Report, column 42, that his proposals on housing finance will not significantly affect council house rents either in Nottingham or nationally.
Mr. Trippier : My earlier reply explained that my right hon. Friend's proposals for capital expenditure and finance were not expected to have any impact on council house rents. We have made separate proposals on housing finance, suggesting new machinery for subsidising local authority housing revenue accounts. The effect these proposals will have on council rents will depend partly on the way we choose to operate the system year by year, and partly on the decisions taken by individual local authorities, who will retain ultimate responsibility for setting their own rents.
Mr. Wigley : To ask the Secretary of State for the Environment (1) if he will list the directions made by his Department under section 30 of the Water Act 1973 since the implementation of the Act, giving the date of each such direction, the authority to which it applied and the nature of the change to which the direction referred ; (2) what directions he has made for the charges schemes under the provisions of section 31(3) of the Water Act 1973 since that Act came into force, giving the date and the authorities subject to such directions in each instance.
Mr. Moynihan : No directions were given under section 30(5) and none have been given under section 3(4) of the Public Utility Transfers and Water Charges Act 1988 which has replaced it. No directions have been given under section 31(3).
Mr. Wigley : To ask the Secretary of State for the Environment on what dates since the implementation of the Water Act 1973 he has made regulations under section 32(2) of that Act with respect to the installation of meters.
Mr. Moynihan : No regulations were made under section 32(2) of the Water Act 1973, which was repealed by the Public Utility Transfers and Water Charges Act 1988. Two sets of regulations have been made under section 5 of the 1988 Act : the Water (Meters) Regulations 1988 No. 1048 and the Water (Meters) (Amendments) Regulations 1988 No. 1288. These were made on 14 June 1988 and 25 July 1988 respectively.
(2) if he has any plans to list Alexander Fleming house, Elephant and Castle, London SE1 under the Town and Country Planning Acts as a building of architectural significance.
Mr. Chope : Alexander Fleming house is a leased building and the landlord has yet to take a final decision about a major refurbishment. I have no plans to list this building under the Town and Country Planning Acts.
Mr. Heddle : To ask the Secretary of State for the Environment what steps he proposes to take to encourage local authorities to use simplified planning zones to facilitate private sector investment in inner city regeneration.
Mr. Chope : My Department has already issued advice on the preparation of SPZ schemes (PPG5), on the statutory procedures (circular 25/87), and on the application of environmental assessment procedures in these areas (circular 24/88). Promotional literature has been widely circulated to local planning authorities, businesses and other organisations involved in regenerating inner city areas. SPZ schemes have already been established at Derby and Corby and other schemes in preparation include those at Birmingham, Enfield, Rotherham, Cleethorpes and Glanford/Scunthorpe.
Mr. Boateng : To ask the Secretary of State for the Environment if the proposed new economic development power will contain restrictions to prevent local authorities assisting in providing wages or salaries for staff in economic development projects.
Mrs. Virginia Bottomley : Restrictions on the use of the new power will be set out in regulations on which we shall consult local government. The Government do not believe that local authorities should be giving long- term direct subsidies to wages and salaries of private-sector firms.
Mr. John Evans : To ask the Secretary of State for the Environment what plans his Department has developed to ensure adequate investment in the sewage system infrastructure after the privatisation of the water supply industry.
Mr. Moynihan : Capital programmes costing £900 to £1,000 million have been developed by water authorities, aimed at bringing substandard sewage treatment works into compliance with their discharge consents by March 1992. It will be for the proposed National Rivers Authority to ensure that these programmes are satisfactorily implemented, and to monitor the performance of sewage treatment works to ensure an acceptable standard of continuing performance.
Mr. Trippier : The management of their rented housing stock is entirely a matter for new town development corporations. The decision to offer a management agency agreement to anyone is taken by the board of the development corporation. The Government have no standing in these matters.
Area |per cent. --------------------------------------- Greater Manchester |4.3 Merseyside |2.9 South Yorkshire |3.9 Tyne and Wear |4.4 West Midlands |3.4 West Yorkshire |4.8