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|c|Number<1> of residential care homes at 31 March 1987: England|c| Residential care homes |Number -------------------------------------------------------------------------------- Private registered homes |7,559 Homes owned by local authority<2> |4,642 <1> Provisional. Includes homes for alcohol and drug misusers. <2> Includes unstaffed homes and hostels.
Mr. Redmond : To ask the Secretary of State for Health which hospitals are involved within the Trent regional health area in the resource management initiative ; and what information he has as to whether any will be joining the initiative in the next year.
Mr. Freeman : Pilgrim hospital in South Lincolnshire district health authority is one of the six pilot resource management sites. A decision on the next tranche of hospitals that will be joining the resource management initiative will be made shortly. Additional hospitals in Trent are expected to be involved.
Mr. Redmond : To ask the Secretary of State for Health if he will list by district health authority the services provided within the Trent regional health authority ; and what is their catchment area.
Mr. Mellor : District health authority services are the responsibility of the relevant regional health authority, in this case, Trent. The hon. Member may care to write to the chairman of Trent regional health authority to obtain the information that he seeks.
Mr. Galbraith : To ask the Secretary of State for Health into which hospitals he plans to introduce resource management initiatives ; what are the provisional dates for this ; and what consultancy firms will undertake the work.
Mr. Freeman : Future plans on the resource management initiatives were set out in the White Paper, "Working for Patients". It is planned to extend the RMI to the 260 main acute hospitals in England over a phased period starting with 20 sites in 1989-90. A decision on the first tranche of hospitals will be made shortly. Decisions on which consultancy firms to employ will be principally the responsibility of health authorities.
Sir Eldon Griffiths : To ask the Secretary of State for Health if he will publish in the Official Report a list of the number of National Health Service nursing homes at present in operation in each of the following regions and the number of beds in each (a) East Anglia, (b) North East Thames, (c) North West Thames, (d) South West Thames and (e) South East Thames.
Name |District health authority |Beds -------------------------------------------------------------------------------------------------------------------- St. Olave's |Lewisham and North Southwark|17 Meadow Lodge |Brighton |20 Brownswood Road |Hackney |22 St. Leonard's |Hackney |24
Mr Ashley : To ask the Secretary of State for Health what measures he is taking to ensure that severely physically disabled people do not remain in acute hospital beds, in an inappropriate setting for long-term care, because of a shortfall of alternative provisions.
Mr. Mellor : Responsibility for providing the most appropriate type of care for disabled people rests with health and local authorities. It is up to each authority to determine the level and pattern of services in their area in the light of local priorities and resources. The Department recently issued a Health Circular/Local Authority Circular, HC(88)43/LAC(88)14, and a Health Notice/Local Authority Social Services Letter, HN(88)26/LASSL(88)8, which drew attention to the need to promote the independence of disabled people and to use the acute, rehabilitation and continuing care services in an effective way.
Column 316to co-opt disabled people on to local authority committees under section 15 of the Chronically Sick and Disabled Persons Act 1970.
Mr Mellor : We do not hold this information centrally. The legislation to which the hon. Member refers is now reinforced by section 10 of the 1986 Disabled Persons (Services, Consultation and Representation) Act. The social services inspectorate is currently undertaking a monitoring exercise of the effect on social services departments of those sections of the 1986 Act so far implemented. This should provide some valuable information as to how local authorities are developing awareness of the rights of disabled people to be represented.
Mr. Freeman : I presume that the hon. Member is referring to proposals for re-organising the management arrangements for health services in Easington. There are no hospital closures involved. Acute psychiatric in -patient accommodation will be transferred from Winterton hospital to Cherry Knowle hospital, which will significantly improve access for patients from north Easington. Overall, the package increases expenditure on health care for the people of Easington.
Mr. Cummings : To ask the Secretary of State for Health if, as a result of the proposed reorganisation of the Durham, Hartlepool and Sunderland health authorities, he envisages that there will be a general increase in the distance travelled by patients to and from centres for treatment.
Mr. Freeman : No. I understand that for all general hospital services there is no proposed change in the centre of treatment with the exception of mental illness services for the population of north Easington where the distance travelled will be significantly reduced.
Sir Ian Gilmour : To ask the Secretary of State for Health whether he has any estimate of the numbers and percentages of children being brought up in (a) once-married two-parent families, (b) two-parent families where the parents are married, but one parent is not the natural parent, (c) two-parent families where the parents are not married and (d) lone- parent families, distinguishing between widowers and widows, divorced, separated and never-married lone parents.
Mr. Freeman : I regret that not all the information requested is available. The numbers and percentages of dependent children in the different types of families in Great Britain in 1986 are estimated to be as follows :
|Number of dependent |Percentage |children thousands ------------------------------------------------------------------------------------------------------------------ Dependent children in: Married couple families (includes some cohabiting couples) |11,500 |87.6 Lone mother families Single |310 |2.4 Separated |340 |2.6 Divorced |730 |5.5 Widowed |120 |0.9 Lone father families Single |10} Separated |40} Divorced |60} Widowed |40} |--- |--- All dependent children |13,140 |100 Source: General household survey and labour force survey. Notes: 1. Components do not add precisely to total, because of rounding. 2. A dependent child is one aged under 16 or from 16 to 18 and in full-time education or on one of the Government training schemes. 3. Adults with children are classified as lone parents if they did not describe themselves as either married or living together as married.
Mr. Sean Hughes : To ask the Secretary of State for Health what is the current state of progress in the negotiations for a new contract for general dental practitioners ; and whether he will make a statement.
Mr. Fearn : To ask the Secretary of State for Health what information he has on the number of people who have died from major convulsions following benzodiapine withdrawal ; and who collects and holds such information.
Mr. Mellor : There is no central register of those people taking benzodiazepine or other drugs. We do not therefore know how many people who have died of major convulsions were also suffering from withdrawal symptoms from a particular drug or drugs.
Mr. Mellor : The Department funds the free distribution to all doctors of a number of independent publications which have included general guidance on the prescribing of benzodiazepines applicable to all patients. "Prescribers' Journal" and the "British National Formulary" have referred specifically to the elderly.
Mr. Fearn : To ask the Secretary of State for Health if he will list the various places where information on the number of patients whose stay in hospital is extended due to the non-availablility of ambulance services or other transport facilities is held.
Mr. Moss : To ask the Secretary of State for Health when he intends to publish "AIDS and Drug Misuse, part 2 ; a report from the Advisory Council on the Misuse of Drugs" ; and if he will make a statement.
We are grateful to the council for producing this report and welcome its advice. We are considering carefully those
recommendations which are addressed to central Government. We will be giving this report a wide circulation to assist authorities in planning and delivering services, and to inform other interested agencies.
Mr. Nicholas Bennett : To ask the Secretary of State for Health if decisions have been taken on the central reference lists of model charges for National Health Service private patients for the year from 1 April.
Mr. Mellor : From 1 April 1987 health authorities have been able to determine their charges for private patient facilities. Action is now in hand to enable them also to determine, from 1 April 1989, charges for overseas visitors liable to pay. The Health and Medicines Act enables those authorities choosing to set their own charges to do so on a commercial basis.
The central reference lists of model charges for private patients and overseas visitors are given in the tables. Model charges from 1 April 1989 are for in-patients 6.6 per cent. higher and for out-patients 7.2 per cent. higher than those for 1988-89. The figures take account of increased costs (including capital depreciation) and, as before, reflect the fact that private patients have shorter lengths to stay than NHS patients. As in previous years charges for overseas visitors are based on those for private patients. Charges for amenity beds are increased in line with increased costs. It is intended that after 1989-90 no further reference lists will be produced.
|c|Central Reference List (Model Charges): 1989/90|c| |c|In-Patients|c| Daily charges to Daily charges to private patients not private patients paying paying consultant(s) consultant(s) separately separately and to overseas visitors |Single room |Other accommodation|Single room |Other accommodation |£ |£ |£ |£ ---------------------------------------------------------------------------------------------------------------------------------------------------- Class A (Long-Stay Hospitals) |99 |90 |93 |85 Class B (Psychiatric Hospitals) |90 |82 |85 |77 Class C1 (mainly Acute and other hospitals in non-teaching districts) |152 |138 |143 |130 Class C2 (Acute and other hospitals in non-teaching districts) |181 |164 |170 |155 Class D (Hospitals in London teaching districts (other than hospitals in Classes A and B)) |241 |219 |228 |207 Class E (Hospitals in provincial teaching districts (other than hospitals in Classes A and B)) |194 |177 |183 |167
|c|Central Reference List (Model Charges): 1989-90|c| |c|Out-Patients|c| Services Provided |Hospital Class A-E |Hospital Class F and G |£ |£ ------------------------------------------------------------------------------------------------------------------------ Consultation 1. i. Private Patients-for each attendance other than attendances associated with the procedures listed in paragraph 2-10 |7.00 |14.00 ii. Overseas Visitors-a patient on each attendance at a hospital other than attendances directly associated with the procedures listed in paragraphs 4-12 |14.50 |23.00 Day Cases 2. i. Private Patients-charges per day exclusive of charges for procedures listed in paragraphs 4-10 |30.50 |31.50 ii. Overseas Visitors-charges per day exclusive of charges for procedures listed in paragraphs 4-12 |30.50 |31.50 For Overseas Visitors only For the purpose of this item a day case is a patient who attends as a non-resident patient for investigation, treatment or operation and who occupies a bed without staying overnight. Day Patients 3. i. Private Patients-charges per day exclusive of charges for procedures listed in paragraphs 4-10 |35.50 |37.00 ii. Overseas Visitors-charges per day exclusive of charges for procedures listed in paragraphs 4-12 |35.50 |37.00 For overseas visitors only For the purpose of this item a day patient is someone who attends regularly for a course of treatment without necessarily occupying a bed or staying overnight Pathology 4. For each request |7.50 |15.50 Radiodiagnosis, nuclear medicine and ultrasound 5. i. Charges per Korner unit value |9.00 per unit |12.00 per unit (The units charged for each procedure |for first 6 |for first 6 units, are as listed at annex B of HC(88)11) |units, 1.00 for |1.25 for each |each additional |additional unit |unit over 6 |over 6 ii. CT scanning |107.00 |128.50 Radiotherapy 6. For treatment in any one day |20.00 |45.00 Physiotherapy and remedial gymnastics 7. For each attendance |6.50 |12.00 Occupational therapy 8. For treatment in any one day |10.00 |11.00 Other diagnostic procedures 9. i. Audiometry |5.50 |5.50 ii. Electrocardiography, for each testing session |10.50 |17.50 iii. Electroencephalography, for each testing session |38.50 |83.50 iv. Electromyography, for each testing session |24.00 |50.50 Use of operating theatre facilities 10. Use of operating theatre facilities: i. For less than 10 minutes |24.000 |29.50 ii. For 10 minutes to 30 minutes |46.50 |59.00 iii. For more than 30 minutes |70.00 |88.50 Dialysis (Overseas Visitors only) 11. For Haemodialysis or intermittent peritoneal dialysis: i. With training or routine at a hospital, per session. |119.00 |119.00 ii. routine, at home-per session |75.50 |75.50 iii. Minimal Care Unit-per session |97.00 |97.00 For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis) -per day. |36.00 |36.00 Supply of drugs and Medicines (Overseas Visitors only) 12. For the supply of a drug or medicine which is designed to eliminate, prevent the replication of, or in any way inhibit the mode of action of any Human Immunodeficiency Virus-for each quantity sufficient for one day's treatment. |15.50 |15.50 Amenity beds (Private Patients only) For accommodation in a single room-£14.50 per day. For accommodation in a small ward with two or more beds- £7.00 per day.
Mr. Kenneth Clarke [pursuant to his answer 23 January 1989, c. 409] : In 1988 a total of 24 outbreaks of salmonella food poisoningassociated with the consumption of chicken were reported to the Public Health Laboratory Service. In 1987, the same number (24) of such outbreaks were reported. Provisional data show that the 24 outbreaks in 1988 involved over 600 people whereas in 1987 the same number of outbreaks involved around 400 people.
Mr. Mellor [holding answer 1 March 1989] : All regional health authorities have been asked to take action to reduce waiting times for hospital treatment as part of the Government's waiting list initiative. A total of £194,300 has been made available to the Mid-Essex health authority from the waiting list fund in 1987-88 and 1988-89, and will enable them to treat an additional 794 in-patients and day cases from the waiting lists. The regional health authority also proposed to allocate funds to the district from the 1989-90 waiting list fund.
Mr. Ashley : To ask the Secretary of State for Health (1) how many companies failed to report serious adverse drug reactions to the Committee on Safety of Medicines or licensing authority since 1972 ; and what penalties were imposed ;
Column 322(2) if he will list the penalties which can be imposed under the Medicines Act on a company failing to report serious adverse drug reactions.
Mr. Mellor [holding answer 1 March 1989] : Because information on suspected under-reporting is held on files relating to specific products and containing full licensing information, a count of all possible instances of under-reporting since 1972 cannot be made without disproportionate cost. However, we believe the number to be very small. The vast majority of licensed medicinal products are subject to EC directives. Where, in such cases, there has been a breach of the licensing conditions under the Medicines Act and there is concern about safety, quality or efficacy, the licensing authority can suspend, revoke or vary a product licence, subject to the procedures laid down in the Act. In the case of medicinal products not subject to EC directives, such action can be taken whether or not there is a concern. Other options available to the licensing authority, where appropriate, include giving oral or written admonition to the chairman or managing director of the pharmaceutical company as well as requiring a written undertaking by the company that it will observe the licensing conditions in future.
Mr. Mellor [holding answer 1 March 1989] : Residential care is funded by local authorities and not directly by central Government, other than through contribution made by social security benefits which are, of course, a matter for my right hon. Friend the Secretary of State for Social Security. About half of local authority service expenditure on the personal social services goes on residential care.
Mr. Ashley : To ask the Secretary of State for Health (1) if he will consider including information on the development of community care provision for people with physical disabilities in his annual report to Parliament under section 11 of the Disabled Persons (Services, Consultation and Representation) Act 1986, when implemented ;
(2) if he will consider proposing amendments to section 7 of the Disabled Persons (Services, Consultation and Representation) Act 1986 to include people with physical disabilities.
Mr. Mellor [holding answer 1 March 1989] : No. Section 11 of the Act requires that an annual report be laid before Parliament containing information about the development of health and social services in the
Column 323community for people with mental illness or mental handicap, and about the numbers of such people who are receiving treatment in hospital. Section 7 provides for the identification of people discharged from hospital after treatment of six months or more for a mental disorder, and for the assessment of their needs for welfare services. We accepted the need to include these particular provisions when the Bill was going through Parliament, but are not convinced that a similar need arises for other types of disability.
Mr. Ashley : To ask the Secretary of State for Health what measures he is taking to ensure that people with progressive disabilities are not discharged from acute hospital beds without appropriate community support services.
Mr. Mellor [holding answer 1 March 1989] : A circular "Discharge of Patients from Hospital" is being issued to health and local authorities this week. Health authorities are asked to ensure that patients are not discharged until appropriate arrangements for after-care have been made with social services departments, primary health care teams and others. Health notice/local authority social services letter, HN(88)26/LASSL(88)8 which was issued by the Department last November also emphasised the need for co-operation between the relevant agencies to ensure that services for people with disabilities were planned before discharge.
Mr. Corbett : To ask the Secretary of State for Health (1) whether he will list by district health authority for the West Midlands region for the past five financial years the numbers of permanent and contract staff employed by category ; and what in each year was the cost by category ;
(2) what, in each of the past five financial years, was the number of agency staff employed by category or job-title in each of the West Midlands district health authorities by name ; what was the cost by category each year ; and what proportion this represented of permanent staff in each category.
Mr. Mellor [holding answer 1 March 1989] : Information about individual district health authorities is best obtained from the relevant regional health authority. The hon. Member may wish to write to the chairman of the West Midlands regional health authority who should be able to provide much of the information requested.
Mr. Kirkwood : To ask the Secretary of State for Health what is the general practitioner list size that corresponds to the average number of night visits, new registrations and age of patients used to work out general practitioners' pay in the examples contained in the document "General Practice in the National Health Service--A New Contract".
Mr. Luce : Figures for South Yorkshire are not available. However, latest figures for Yorkshire as a whole show that 75 companies, 57 of which are first-time sponsors, have supported the arts under the scheme. Over £1 million in new money has been generated, nearly £700, 000 in new sponsorship which has been matched by over £332,000 in Government awards.
Mr. Atkinson : To ask the Minister for the Arts if he will make a statement of progress on the introduction of information technologies to facilitate internal communications in his office and the provision of information to the public concerning those areas for which he is responsible ; and if he has any further plans to apply the newest technologies in these fields.
Mr. Luce : The introduction of information technologies in my Department is undertaken within an overall strategy for information technology which covers the Office of Arts and Libraries, the Cabinet Office and the Office of the Minister for the Civil Service. This group of Departments has about 120 computers, and a large proportion of them is connected to the Government offices, Horse Guards road, local area network. A total of eight are, or will shortly be, installed in the Office of Arts and Libraries.
The introduction of this equipment has facilitated communications within and between Departments, and has assisted the preparation of information in response to wider inquiries.
Mr. Luce [holding answer 15 February 1989] : There are currently 750 staff employed at the Victoria and Albert museum. A total of 125 staff are in administrative grades and 171 are in curatorial grades A- G. The remaining staff are in the following groups :
Professional and Technology
Mr. Atkinson : To ask the Minister for the Civil Service if he will make a statement of progress on the introduction of information technologies to facilitate internal communications in his office, and the provision of information
Column 325to the public concerning those areas for which he is responsible ; and if he has any further plans to apply the newest technologies in these fields.
Mr. Luce : The introduction of information technology (IT) in the Office of the Minister for the Civil Service (OMCS) is subject to an IT strategy. This includes a directive that installed IT equipment should be capable of attachment to a local area network (LAN), with the objectives of improving internal communications and information management.
LANs have been installed in five buildings, the largest of which now has about 100 connected computers. My office and the press office are on this LAN.
The press office was one of the first contributors to the recently announced Central Office of Information news distribution service, which is designed to speed the provision of information to the news media. The OMCS deals mainly with other Government Departments and public bodies. It has few direct dealings with the public. Future plans incude the provision of communications between LANs, better information retrieval using the latest indexing software, and desk-top publishing.
Mr. Andrew Bowden : To ask the Secretary of State for Social Security what proportion of all pensioners receive a state additional pension ; what is the average amount received ; and what is the average amount of state additional pension received by those retiring now.
Mr. Peter Lloyd : As at 31 March 1988, approximately 20 per cent. of all pensioners were in receipt of state additional pension ; the average weekly amount received net of guaranteed minimum pension was £2.96 (men), and £2.42 (women on their own contributions). The average weekly payments to men aged 65 and women aged 60 (on their own contributions) were £4.72 and £3.13 respectively.
Mr. Andrew Bowden : To ask the Secretary of State for Social Security if he will give (a) the overall increase in pensioner incomes in real terms between 1979 an 1986 by quintile group and (b) the overall increase in pensioner incomes in real terms between 1983 and 1986 by quintile group.
Percentage increase |1979-86|1983-86 --------------------------------------------- 5 (highest quintile) |27 |8 4 |20 |4 3 |21 |3 2 |23 |4 1 (lowest quintile) |20 |2
Column 326in 1988-89. This represents a real terms increase of 22 per cent. A total of 51 per cent. of benefit expenditure goes to the elderly.
Mr. Matthew Taylor : To ask the Secretary of State for Social Security if he will list for each of his Department's offices in Cornwall total expenditure on (a) social fund grants and (b) social fund loans from 11 April 1988 to 31 January 1989 or 28 February 1989.
Sir Ian Gilmour : To ask the Secretary of State for Social Security, further to his reply to the hon. Member for Chesham and Amersham of 1 February, Official Report, column 295, what assessment he has made of the reasons for the increase in the proportion of expenditure on families with children since 1981-82.
Mr. Peter Lloyd : The number of lone parent families increased slightly as a proportion of families with children over the period (from 12 per cent. in 1981 to 14 per cent. in 1987. ( Source : General Household Survey)) but, in addition, the proportion of lone parent families dependent on benefit has increased at a much greater rate. In 1981 about 45 per cent. of lone parents were claiming supplementary benefit, but in 1986 this had risen to about 60 per cent.