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Mr. Cousins : To ask the Secretary of State for Health, if he will estimate (a) what the allocations would have been to each English regional health authority for 1989-90 if the same national total had been distributed on the basis
Column 496of the 1988-89 allocations, (b) if he will estimate the difference between the figure and the actual allocation given to each region for 1989-90 and (c) if he will express (c) as a percentage of (b).
1989-90 allocations Difference |Main<1> Provision |Notional<2> distribution |in line with 1988-89 |allocations<3> |£ million |£ million |£ million |Percentage |column (2) and (1) |column (3) and (1) Region |(1) |(2) |(3) |(4) ------------------------------------------------------------------------------------------------------------------------------------------------------ Northern |832.4 |832.6 |0.2 |0.02 Yorkshire |937.4 |939.5 |2.2 |0.23 Trent |1,147.2 |1,143.9 |-3.3 |-0.29 East Anglian |497.1 |495.6 |-1.5 |-0.30 North West Thames |912.9 |918.5 |5.6 |0.61 North East Thames |1,137.0 |1,147.3 |10.3 |0.90 South East Thames |1,018.3 |1,019.1 |0.8 |-0.08 South West Thames |843.7 |846.0 |2.3 |0.28 Wessex |699.1 |695.9 |-3.1 |-0.45 Oxford |557.6 |546.3 |-11.3 |-2.03 South Western |832.4 |828.4 |-4.0 |-0.48 West Midlands |1,340.1 |1,342.5 |2.4 |0.18 Mersey |663.8 |663.9 |0.2 |0.02 North Wester |1,140.1 |1,139.6 |-0.5 |-0.05 |-------- |-------- |-------- |-------- Total |1,2559.1 |1,2559.1 |0.0 |0.00 <1> Excludes sums earmarked e.g. Supra regional services, AIDS, breast cancer screening. <2> Total cash 1989-90 pro rata to 1988-89 initial cash limits. <3> Excludes earmarked sums, but includes special fund of £15 million allocated to Regions who received the lowest increases under RAWP.
Mr. Redmond : To ask the Secretary of State for Health if he will list by sex and by age the number of children aged 16 years and under who have been examined and diagnosed for a sexually related disease during the last year (a) in the Trent regional health authority and (b) by district health authority, showing the type of disease ; and if he will make a statement.
Trent Regional Health Authority Age group-under 16 1986 |Male |Female|Total ----------------------------------------------------------- Primary and secondary syphilis |0 |0 |0 Post-pubertal gonorrhoea |8 |27 |35
Mr. Mellor : On 30 September 1987, there were 1,322 consultants in post in the Trent region, of these 657 were employed by the regional health authority. This figure includes permanent paid, honorary and locum staff.
(2) how many nurses are currently employed by the Trent regional health authority ;
(3) how many midwives are currently employed by the Trent regional health authority.
|No. in post WTE -------------------------------------------------- Speech Therapists |260 Physiotherapists |890 Nurses |35,800 Midwives |2,170 Of these only 100 (WTE) nurses are employed by Trent regional health authority itself.
Mr. Skinner : To ask the Secretary of State for Health how many people are waiting for treatment in the following specialties in the Trent health region at the latest available date (a) orthopaedics, (b) gynaecology, (c) ear, nose and throat, (d) plastic surgery and (e) cardiothoracic surgery.
9 In-patient waiting list for selected specialties, Trent Regional Health Authority, 31 March 1988 Specialty |Number waiting --------------------------------------------------------- Traumatic and Orthopaedics |13,097 Gynaecology |8,324 Ear, Nose and Throat |8,295 Plastic Surgery |3,706 Cardiothoracic Surgery |773
Mr. Skinner : To ask the Secretary of State for Health how many people are waiting for day treatment at hospitals in the Trent health region at the latest available date ; and what has been the percentage change in the last 12 months.
Mr. Mellor : There were 9,870 patients on the day case waiting list in Trent at March 1988. There is no comparable figure for March 1987 as day case waiting list statistics were not collected at that time.
Mr. Freeman : The information requested is not collected centrally. I would therefore suggest that the hon. Member contact the chairman of North Derbyshire health authority for an answer to his question.
Mr. Mellor : At March 1988, 720 patients on the in-patient waiting list in north Derbyshire had been waiting over one year. This compares with 1,280 at March 1979. Provisional figures, currently being validated, indicate that the number reduced still further in the six months to September 1988.
Mr. Andrew Bowden : To ask the Secretary of State for Health (1) what was the incidence of breast cancer in women aged (a) 50 to 64 years and (b) 65 years and over in each of the last 10 years ; (2) what was the incidence of cervical cancer in women aged (a) 50 to 64 years and (b) 65 years and over in each of the last 10 years.
Registrations of newly diagnosed cases of malignant neoplasm of (a) female breast (b) cervix uteri, and rates per 100,000 population, ages 50-64, 65 and over, England and Wales, 1975-84. ICD 174 (Breast ICD 180 (Cervix Cancer)<1> Uteri)<1> Number Rate<2> Number Rate<2> |50-64 |65+ |50-64 |65+ |50-64 |65+ |50-64 |65+ ---------------------------------------------------------------------- 1975 |6,943 |9,592 |155 |223 |1,654 |1,197 |37 |28 1976 |7,146 |9,419 |160 |217 |1,604 |1,150 |36 |26 1977 |7,107 |9,779 |160 |222 |1,578 |1,200 |36 |27 1978 |7,071 |9,814 |161 |220 |1,402 |1,173 |32 |26 1979 |6,604 |9,738 |152 |216 |1,343 |1,193 |31 |26 1980 |6,928 |9,846 |161 |216 |1,347 |1,203 |31 |26 1981 |6,751 |10,132|158 |221 |1,248 |1,229 |29 |27 1982 |7,094 |10,055|166 |220 |1,218 |1,193 |29 |26 1983 |6,834 |10,174|160 |224 |1,152 |1,139 |27 |25 1984 |6,979 |10,100|163 |223 |1,124 |1,158 |26 |26 <1> International Classification of Diseases 9th Revision. <2> Rates per 100,000 population.
Mrs. Dunwoody : To ask the Secretary of State for Health if he will list the names of every private company that has entered into any contract with Crewe district health authority in the past five years, with the addresses of their registered offices and the names of their directors.
Mr. Goodlad : To ask the Secretary of State for Health if he will list the names of each private company that has entered into any contract with Halton district health authority in the past five years, together with the addresses of their registered offices and the names of their directors.
Mr. Mellor : We do not hold details of such arrangements centrally. The hon. Member and my hon. Friend may wish to contact the chairman of the appropriate district health authority for the information.
Mr. Jim Marshall : To ask the Secretary of State for Health what plans he has to secure the delivery of specialist haemoglobinopathy services in districts where they are currently not on offer ; and if he will make a statement.
Mr. Freeman : The Department recently issued a questionnaire to all district health authorities on haemoglobinopathy services and is currently analysing the responses. The analysis will form the basis for decisions about action that might be needed centrally on these services.
Mr. Mellor : Department of Health Ministers and/or officials represent the United Kingdom at the world health assembly, at meetings of the World Health Organisation's regional committee for Europe and at other meetings arranged by the WHO ; the United Kingdom's assessed contribution to the organisation's regular budget--amounting in the current financial year to £7.559 million--is paid by the Department of Health. Departmental officials also represent the United Kingdom at meetings of the European Pharmacopoeia Commission and of other committees concerned with public health and with rehabilitation organised by the Council of Europe, but whose membership comprises only some members of the Council of Europe ; the United Kingdom's contribution to the work of these committees-- amounting to £287,000 in the current financial year--is made by the Department.
Departmental Ministers and/or officials also represent the United Kingdom at meetings of a number of international organisations dealing with health and personal social service issues, to which the United Kingdom's contribution is not primarily a charge on Department of Health votes--for example, councils and working groups of the European Community, and ministerial meetings and steering groups of the Council of Europe and of the OECD.
The cost of attendance at meetings of these bodies are not separately identified.
Mr. Nicholas Winterton : To ask the Secretary of State for Health whether he has yet received the final copy of the report of the study conducted by the Royal College of General Practitioners into the psychological sequelae of abortion.
Mr. Freeman : Information held centrally about Alzheimer's disease relates to those cases which received treatment in an NHS hospital. The data which are based on a 10 per cent. sample of patient discharge records, revealed no such cases in the under 15 age group. We are not aware of any cases of babies or children with Alzheimer's disease.
Organisation/World Health Organisation joint expert committee on food additives set a provisional tolerable weekly intake--PTWI--for aluminium of 7 mg per kilogram bodyweight. This figure was based on the effects on laboratory animals of very much greater intakes of aluminium compounds. The aluminium intakes of babies in the United Kingdom are well below this PTWI.
Mr. Freeman : The Department recently issued a questionnaire to all district health authorities on screening and counselling services for sickle cell and thalassaemic diseases. Although this did not ask about the employment of full-time specialist counsellors it did ask who was responsible for counselling. The replies to the questionnaire are currently being analysed.
Column 502Service announced on 31 January, he will make it his policy to allow the local community to have a vote prior to a hospital with more than 250 beds deciding to operate on an independent basis.
Mr. Kenneth Clarke : The White Paper published on 31 January outlines plans for self-governing hospitals within the NHS. Proposals will be given local publicity but I see no merit in making management changes within the NHS subject to a vote by the residents of a particular locality.
Percentage of Heads of Households according to length of residence at current address: Great Britain Length of residence Years |Percentage ------------------------------------------------------------ Under 1 |10 1 but under 3 |14 3 but under 5 |12 5 to 10 |22 11 to 15 |11 16 to 20 |10 21 to 30 |11 31 or more |10 Note: The information is derived from a question on length of residence of the Head of Household in the General Household Survey. (General Household Survey 1986, OPCS/SSD, Series GHS number 16, page 70, Her Majesty's Stationery Office.
Mr. Mellor : We do not have information in the form requested. The total number of AIDS cases reported from district health authorities in Greater London at the end of 1988 was 1,318, of whom 671 have died. The eight health authorities which had the greatest numbers of reports were :
Mr. Alfred Morris : To ask the Secretary of State for Health if Sonia Cabey, aged 18 years, from the dependency of Montserrat now in the Brompton hospital, London, awaiting heart surgery not available in the dependency, will be treated under the National Health Service ; and if he will make a statement about the funding of this case.
Mr. Fearn : To ask the Secretary of State for Health how many hospitals charge transport costs to patients of out-patient clinics and those patients admitted after referral by their general practitioner ; what is the average charge ; and if he will make a statement.
Mr. Freeman : Ambulance service transport is provided free of charge for those patients considered by a clinician to be medically unfit to travel by any other means. Patients who do not have a medical need but who have difficulty in finding other means of attending hospital may also be carried by the ambulance service but a charge may be made.
Information on the level and extent of such charges is not centrally available.
(2) what evidence he has on the number of accidents (a) in the home and (b) elsewhere caused to elderly people by taking benzodiazepines ;
(3) what evidence he has on the incidence of structural brain damage causesd by long-term use of benzodiazepines.
Column 504drug education co-ordinators in every local education authority, covers the use and misuse of a wide range of substances, including prescribed drugs.
Mr. Fearn : To ask the Secretary of State for Health what is his estimate of the number of people prescribed benzodiazepines since January 1988 who have taken them for longer than the period laid down by the Committee on Safety of Medicines.
Mr. Fearn : To ask the Secretary of State for Health what is his latest estimate of the number of chronic users of benzodiazepines in the United Kingdom ; and what percentage of these are addicted to the drug.
Mr. Shersby : To ask the Secretary of State for Health if he has any plans to introduce regulatory provisions governing the temperature at which cook-chill foods are stored and displayed by retailers and the length of time during which such products are on sale from the time that they leave the manufacturer ; and if he will make a statement.
Mr. Kenneth Clarke [holding answer 23 January 1989] : Proposed changes to the Food Hygiene Regulations 1970, including requirements for the temperature of retailed chilled food, have been the subject of consultations by my Department and discussions continue. The Food Labelling Regulations 1984 already require pre-packed perishable foods to carry a date of minimum durability.
Mr. Ashley : To ask the Secretary of State for Health (1) how many people are estimated to suffer burns or scalding accidents annually ; what is the best estimate of those seriously burned or scalded and likely to have been thickly sprayed with neomycin ;
(2) how many people are known to have been deafened by the use of neomycin sprays after being treated for burns or scalds ; and what is the best estimate of the number at risk of being deafened in this way ;
(3) when neomycin was first used in National Health Service hospitals in spray form ; what Government safety health checks it had received prior to that date ; for what purposes it was recommended ; and what warnings of side effects were given ;
(4) at what date neomycin was available to National Health Service hospitals ; what Government safety health checks it had received before use within the National Health Service ; for what purposes it was recommended ; and what warnings of side effects were given ; (5) what is his best estimate of the number of people known to have been deafened by neomycin used in conventional form ;
(6) when were the first research reports that neomycin could cause deafness ; who they were by ; and what action was taken by his Department to warn those using the drug ;
(7) if he will set up an inquiry to investigate (a) the number of adults and children deafened by the use of neomycin sprays to treat burns and scalds, (b) the
Column 505possibility of identifying them, (c) the possibility of giving publicity to the fact that, in some circumstances compensation may be possible, (d) the difficulties that people deafened in this way have in getting access to medical records and (e) the effectiveness of procedures which transmit information about the side effects of drugs ;
(8) what information he has as to when research first established that compounds applied to the skin could be absorbed into the bloodstream and as to what action was taken to link this information to known hazards of drugs taken intravenously ; and what action was taken by his Department to ensure that this information was known by those likely to treat burns.