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reactor of a nuclear submarine in berth, at either a refit dockyard, at Z-berth, or any other port of call, with regard to the guidelines recently published by the Health and Safety Executive entitled "Tolerability of Risk."Mr. Archie Hamilton : Accident probabilities and consequences for nuclear-powered submarine reactor accidents have long been identified and evaluated. These predictions have subsequently been compared with the Health and Safety Executive guidelines on the tolerability of risk, and are consistent with these. The predictions are used in the formulation of accident response plans for the berths in question, in consultation with local civil authorities.
HEALTH
Dolls' Houses (Synthetic Foods)
Mr. Teddy Taylor : To ask the Secretary of State for Health how many children have been injured or killed by consuming synthetic foodstuffs for use in dolls' houses in each of the past five years ; and if he was consulted over the EEC directive on the issue.
Mr. Forth [holding answer 16 March 1989] : I have been asked to reply.
None. This fact, coupled with the fact that they are usually so small as to be unlikely to mislead a young child into thinking that they are food, has enabled me to exempt them from the proposed regulations, which I announced in a written answer on 14 March to my hon. and learned Friend the Member for Burton (Mr. Lawrence) at column 128 .
Governments of all member states were, of course, consulted during the preparation of the EC Dangerous Imitations Directive which the Council of Ministers adopted on 25 June 1987. It rightly outlaws products which imitate food or drink and thereby pose a hazard to the public. Products which do not pose a hazard are not banned by the directive.
Kidney Patients
Mr. McLoughlin : To ask the Secretary of State for Health (1) how many new patients per million population in England have received (a) haemodialysis, (b) continuous ambulatory peritoneal dialysis each year since 1980, and how many that is in absolute numbers ; (2) if he will show for 1988 dialysis in new patients per million population for the English regional health authorities.
Mr. Freeman : Information about new patients accepted for the treatment of end stage renal failure in England is not available in the precise form requested.
I understand that the number of new patients in England accepted for treatment since 1980 is as follows :
\ Year |Number of new patients|Per million population -------------------------------------------------------------------------------------------- 1980 |1,072 |23 1981 |1,177 |25 1982 |1,376 |29 1983 |1,534 |33 1984 |1,672 |36 1985 |1,993 |42 1986 |2,181 |46 1987 |2,330 |49
Information for 1988 is not yet available.
Psychiatric Care
Mr. Cohen : To ask the Secretary of State for Health if he will provide a table showing the amount of capital and special revenue funds allocated to each regional health authority for (i) 1988-89 and (ii) proposed for 1989-90 for the development and operation of regional secure psychiatric and interim secure facilities and the total amounts allocated for each year since 1979.
Mr. Freeman : Revenue and capital allocations in 1988-89 and initial revenue allocations for 1989-90, for regional secure units (RSU) are shown in table 1. We plan to allocate an additional £0.355 million revenue and £1.037 million capital for further RSU developments during the course of the year.
Total capital allocations for RSUs from 1978-79 to 1987-88 are shown in table 2. The total initial revenue allocation in 1978-79 was £6.5 million. It has increased in real terms as regions have opened more RSU beds and in 1987-88 at the initial allocation stage stood at £15.5 millions.
|c|Table 1|c|
Regional secure units
Region |Total revenue allocation|Initial revenue |Capital allocation
|allocation
|1988-89 |1989-90 |1988-89
|(£'000s cash) |(£'000s cash) |(£'000s cash)
-----------------------------------------------------------------------------------------------------------------------------
Northern |957 |1,005 |133
Yorkshire |1,098 |1,153 |-
Trent |1,648 |1,636 |-
East Anglian |834 |876 |24
North West Thames |1,079 |1,133 |47
North East Thames |1,161 |1,219 |205
South East Thames |1,377 |1,446 |388
South West Thames |892 |937 |-
Wessex |815 |856 |-
Oxford |763 |974 |399
South Western |1,180 |1,458 |561
West Midlands |1,608 |1,688 |-
Mersey |1,168 |1,226 |19
North Western |1,698 |1,783 |-
Bethlem and Maudsley
(SHA) |874 |918 |-
|--- |--- |---
Totals |17,152 |18,308 |1,776
Regional secure units Table 2 |c|Total capital allocations for regional secure units|c| Year |£000s (cash) --------------------------------------- 1978-79 |292 1979-80 |1,086 1980-81 |2,239 1981-82 |5,656 1982-83 |7,247 1983-84 |7,759 1984-85 |4,804 1985-86 |5,228 1986-87 |4,289 1987-88 |3,080
Surgery Costs
Mr. Dobson : To ask the Secretary of State for Health if he will give the average National Health Service costs of (a) an appendectomy, (b) a hernia operation, (c) a hysterectomy, (d) duodenal ulcer treatment, (e) a
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cataract removal, (f) a tonsillectomy, (g) a slipped disc repair, (h) gall bladder removal, (i) a varicose veins operation, (j) a bunion removal, (k) a knee cartilage operation, (l) breast lump removal, (m) a hip replacement, (n) a prostate removal, (o) a nasal polyp removal, (p) a prolapse repair and (q) a bowel resection.Mr. Freeman : Cost estimates are not available for all of these procedures. Broad estimates of the costs of the following procedures have been made (1988-89 prices) :
|£
-------------------------------------------------
Hernia operation |730
Hysterectomy |1,350
Cataract removal |790
Tonsillectomy (tonsils and adenoids) |370
Hip replacement |2,500
Secure Accommodation
Mr. Paice : To ask the Secretary of State for Health if he will list for each year 1979 to 1989 the local authorities which maintain secure units for the purpose of restricting the liberty of children in care and within each authority give (a) the type of unit provided, (b) the number of places available, (c) the number of places filled by children from outside the authority and (d) the number of places filled by children from within the authority.
Mr. Mellor [holding answer 17 March 1989] : We do not have information in the form requested for the full period. The table gives details of approved secure units as at 31 December 1988. Details of the use made of each unit by local authorities are given in "Children Accommodated In Secure Units During the Year Ending 31 March" for the years 1984 to 1987. Copies are available in the Library. Information on children in secure accommodation was not collected centrally prior to 1984.
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|c|Approved secure accommodation-31 December 1988|c|
Region and location |Local authorities |O & A or CHE<1> |Number of places<2>
------------------------------------------------------------------------------------------------------------------
Northern
New Aycliffe (Royston House) |Durham |O & A |14M
Clavering House |Newcastle |O & A |3M
Aycliffe Special Unit |Durham |CHE |36M
Netherton Park |North Humberland |O & A |5M
Yorkshire and Humberside
Kepples View |Rotherham |O & A |4M
East Moor |Leeds |O & A |9B
East Moor |Leeds |CHE |18B
North Western
Red Sands |Cheshire |CHE |6M
Derwent House |Liverpool |O & A |4G
Red Bank (Vardy House) |Lancashire |O & A |8B
Red Bank Special Unit |Lancashire |CHE |26B
Blackbrook House (Labore House) |Liverpool |CHE |5G
Briars Hey (Orchard House) |Lancashire |CHE |8G
Dyson Hall |Liverpool |O & A |8B
West Midlands
Danescourt |Wolverhampton |O & A |4M
Stoke House |Coventry |O & A |6M
St. Johns |Birmingham |O & A |4M
East Midlands
Moorfield |Derbyshire |O & A |2M
Kesteven |Lincolnshire |O & A |4M
Amberdale |Nottinghamshire |O & A |8M
Greenacres |Derbyshire |O & A |5M
Thames/Anglia
Salters |Cambridgeshire |O & A |4G
Oxenden House |Bedfordshire |O & A |6M
Woodside Young People's Centre |Hertfordshire |O & A |2M
Thornbury House |Oxfordshire |O & A |3B
Brookside |Berkshire |O & A |4M
London
Middlesex Lodge |Hilingdon |O & A |9G
Little Heath Lodge |Newham |O & A |6B
Orchard Lodge |Southwark |O & A |8B
Frant Court |Sussex |CHE |3G
Melanie Klein House |Greenwich |CHE |6G
Southern
Landsdown |East Sussex |O & A |5M
Beechfield |West Sussex |O & A |6M
The Oaks |Surrey |O & A |2M
Fairfield |Hampshire |O & A |3G
Glen House |Hampshire |O & A |8B
South Western
Atkinson Unit |Devon |O & A |12M
Kingswood |Avon |CHE |20B
<1> Observation and Assessment Centres (O & A); Community Homes with Education (CHE).
<2> Girls (G); Boys (B); Mixed sex (M).
Mr. Paice : To ask the Secretary of State for Health if he will provide the total number of children in care in each local authority for each year 1979 to 1989 and list the proportion of those in care who were placed in approved secure accommodation maintained (a) by the authority and (b) elsewhere.
Mr. Mellor [holding answer 17 March 1989] : The number of children in care in each authority at 31 March is published annually in "Children in Care of Local Authorities During the Year Ending 31 March, England" for 1979-87.
The information requested for secure accommodation is not readily available in the form requested and could only be provided at disproportionate cost. However, the latest available information on the total number of children in approved secure accommodation at 31 March (including some who are not in care) is published annually in "Children Accommodated in Secure Units During the Year Ending 31 March, England" for 1984-87.
Copies of these publications are availible in the Library. No information on children in secure accommodation was collected prior to 1984 ; the current format of collection and publication was introduced in 1985.
Mr. Paice : To ask the Secretary of State for Health what proportion of approved secure places were filled by (a) juvenile offenders, (b) young persons who have been detained under section 53 of the Children and Young Persons Act 1933 and (c) children in care who have not committed any offence for each year from 1979 to 1989 ; and if he will make a statement on the availability of such places.
Mr. Mellor [holding answer 17 March 1989] : We do not collect information centrally in the form requested. However, the details available of the legal status of children in approved secure units are given in "Children Accommodated in Secure Units During the Year Ending 31 March 1987, England" for 1984-87. Copies are available in the Library. Information on children in secure accommodation was not collected centrally prior to 1984.
The provision of secure accommodation is the statutory responsibility of local authorities. There were 294 places available in 38 secure units on 31 December 1988 ; in addition, five secure units, providing 46 places, were temporarily closed on that date because of building work.
Because secure accommodation is a specialised resource there is, at times, considerable pressure on available places. The Department is always ready to consider applications from local authorities for grant aid towards the costs of providing new secure units and renovating and extending existing units.
Mr. Paice : To ask the Secretary of State for Health what has been the total cost to local authorities and directly to the Department of Health for the provision of secure accommodation in each year from 1979 to 1988 ; and what is the estimated cost for the years 1989 to 1991.
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Mr. Mellor [holding answer 17 March 1989] : We do not hold centrally information about the revenue cost to local authorities of providing secure accommodation.
Grant-aid may be made available by the Department to local authorities to meet the capital costs of providing secure accommodation and to improve security aspects of existing units. The table provides the available information :
|c|Table: Grants to local
authorities (S.81 Child
Care Act 1980).|c|
|£000s
---------------------------
1978-79 |1,024
1979-80 |1,120
1980-81 |2,000
1981-82 |1,748
1982-83 |525
1983-84 |316
1984-85 |572
1985-86 |506
1986-87 |503
1987-88 |1,205
1988-89 |<1>994
1989-90 |<2>2,500
<1> Estimate.
<2> Current budget limit.
Cot Deaths
Mr. Latham : To ask the Secretary of State for Health how many babies have died in each of the last five years through cot death syndrome ; and whether the totals reveal any statistically significant features relating to regions, proximity to strong electro-magnetic fields or any other specifically identifiable feature common to such tragedies.
Mr. Freeman [holding answer 20 February 1989] : The following figures for the years 1983-87 (the latest available) show for each regional health authority and for Wales the number of deaths and the death rate for (a) deaths where sudden infant death or a similar term was given as the underlying cause ; (b) deaths where sudden infant death or a similar term was mentioned on the death certificate although not as the underlying cause ; and (c) for comparison, all infant deaths.
The figures illustrate what has long been known--that regional variations exist. We are aware of no statistically significant evidence that links deaths from sudden infant death syndrome (SIDS), or accounts for its geographical variations, with any specific factor. A 1988 report on infant mortality in England prepared for the chief medical officer--a copy of which was placed in the Library--noted that there has been a shift in diagnostic classification towards certifying as SIDS deaths which would previously have been assigned to diseases of the respiratory system. The recent Social Services Select Committee report on perinatal, neonatal and infant mortality recommends further research into the causes of infant deaths, particularly those attributed to SIDS. The Government will be responding shortly.
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|c|All deaths of infants aged under one year registered in England and Wales|c|
Numbers Rates per 1,000 live
births
|1983 |1984 |1985 |1986 |1987 |1983 |1984 |1985 |1986 |1987
------------------------------------------------------------------------------------
England and Wales |6,381|6,037|6,141|6,313|6,272|10.1 |9.5 |9.4 |9.6 |9.2
Northern |398 |370 |343 |394 |353 |10.2 |9.4 |8.4 |9.8 |8.7
Yorkshire |524 |499 |513 |513 |498 |11.3 |10.7 |10.7 |10.6 |10.1
Trent |591 |524 |505 |585 |553 |10.3 |9.1 |8.6 |9.9 |9.1
East Anglia |208 |195 |231 |198 |201 |9.0 |8.2 |9.4 |8.1 |7.8
North West Thames |400 |397 |429 |412 |411 |8.8 |8.6 |9.0 |8.6 |8.3
North East Thames |481 |474 |441 |491 |549 |9.6 |9.3 |8.5 |9.3 |9.9
South East Thames |413 |442 |445 |408 |463 |9.4 |9.9 |9.5 |8.6 |9.3
South West Thames |301 |298 |332 |323 |323 |8.7 |8.5 |9.1 |8.8 |8.4
Wessex |335 |329 |316 |326 |352 |10.1 |9.7 |9.0 |9.1 |9.5
Oxford |288 |270 |271 |299 |299 |9.3 |8.5 |8.2 |9.0 |8.6
South Western |349 |309 |320 |361 |342 |9.8 |8.5 |8.5 |9.5 |8.6
West Midlands |740 |771 |741 |706 |687 |10.8 |11.2 |10.5 |10.0 |9.5
Mersey |296 |252 |293 |307 |279 |9.3 |8.0 |8.9 |9.4 |8.5
North Western |607 |542 |536 |594 |535 |11.3 |10.0 |9.6 |10.7 |9.4
Wales |379 |314 |362 |352 |359 |10.7 |8.8 |9.8 |9.5 |9.5
|c|All deaths of infants aged under one year registered in England and Wales|c|
Numbers Rates per 1,000 live
births
|1983 |1984 |1985 |1986 |1987 |1983 |1984 |1985 |1986 |1987
------------------------------------------------------------------------------------
England and Wales |6,381|6,037|6,141|6,313|6,272|10.1 |9.5 |9.4 |9.6 |9.2
Northern |398 |370 |343 |394 |353 |10.2 |9.4 |8.4 |9.8 |8.7
Yorkshire |524 |499 |513 |513 |498 |11.3 |10.7 |10.7 |10.6 |10.1
Trent |591 |524 |505 |585 |553 |10.3 |9.1 |8.6 |9.9 |9.1
East Anglia |208 |195 |231 |198 |201 |9.0 |8.2 |9.4 |8.1 |7.8
North West Thames |400 |397 |429 |412 |411 |8.8 |8.6 |9.0 |8.6 |8.3
North East Thames |481 |474 |441 |491 |549 |9.6 |9.3 |8.5 |9.3 |9.9
South East Thames |413 |442 |445 |408 |463 |9.4 |9.9 |9.5 |8.6 |9.3
South West Thames |301 |298 |332 |323 |323 |8.7 |8.5 |9.1 |8.8 |8.4
Wessex |335 |329 |316 |326 |352 |10.1 |9.7 |9.0 |9.1 |9.5
Oxford |288 |270 |271 |299 |299 |9.3 |8.5 |8.2 |9.0 |8.6
South Western |349 |309 |320 |361 |342 |9.8 |8.5 |8.5 |9.5 |8.6
West Midlands |740 |771 |741 |706 |687 |10.8 |11.2 |10.5 |10.0 |9.5
Mersey |296 |252 |293 |307 |279 |9.3 |8.0 |8.9 |9.4 |8.5
North Western |607 |542 |536 |594 |535 |11.3 |10.0 |9.6 |10.7 |9.4
Wales |379 |314 |362 |352 |359 |10.7 |8.8 |9.8 |9.5 |9.5
|c|All deaths of infants aged under one year registered in England and Wales|c|
Numbers Rates per 1,000 live
births
|1983 |1984 |1985 |1986 |1987 |1983 |1984 |1985 |1986 |1987
------------------------------------------------------------------------------------
England and Wales |6,381|6,037|6,141|6,313|6,272|10.1 |9.5 |9.4 |9.6 |9.2
Northern |398 |370 |343 |394 |353 |10.2 |9.4 |8.4 |9.8 |8.7
Yorkshire |524 |499 |513 |513 |498 |11.3 |10.7 |10.7 |10.6 |10.1
Trent |591 |524 |505 |585 |553 |10.3 |9.1 |8.6 |9.9 |9.1
East Anglia |208 |195 |231 |198 |201 |9.0 |8.2 |9.4 |8.1 |7.8
North West Thames |400 |397 |429 |412 |411 |8.8 |8.6 |9.0 |8.6 |8.3
North East Thames |481 |474 |441 |491 |549 |9.6 |9.3 |8.5 |9.3 |9.9
South East Thames |413 |442 |445 |408 |463 |9.4 |9.9 |9.5 |8.6 |9.3
South West Thames |301 |298 |332 |323 |323 |8.7 |8.5 |9.1 |8.8 |8.4
Wessex |335 |329 |316 |326 |352 |10.1 |9.7 |9.0 |9.1 |9.5
Oxford |288 |270 |271 |299 |299 |9.3 |8.5 |8.2 |9.0 |8.6
South Western |349 |309 |320 |361 |342 |9.8 |8.5 |8.5 |9.5 |8.6
West Midlands |740 |771 |741 |706 |687 |10.8 |11.2 |10.5 |10.0 |9.5
Mersey |296 |252 |293 |307 |279 |9.3 |8.0 |8.9 |9.4 |8.5
North Western |607 |542 |536 |594 |535 |11.3 |10.0 |9.6 |10.7 |9.4
Wales |379 |314 |362 |352 |359 |10.7 |8.8 |9.8 |9.5 |9.5
General Practitioners (Contracts)
Mr. Michael Morris : To ask the Secretary of State for Health what was the latest date on which general practitioner principals received his letter on the proposed new contract ; by what date they are required to respond ; what previous notice had been given of the proposals under consideration ; what agreement there was on the
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confidentiality of negotiations between himself and the General Medical Services Committee ; and whether this agreement was breached.Mr. Kenneth Clarke : Despatch to all GPs of my proposals for changing the GP's term of service and remuneration system, set out in the booklet "A New Contract", commenced on 23 February 1989. I have no reason to believe that the postal authorities were unable to deliver within a few days of that date. The purpose of the
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document was to inform GPs of the Goverment's plans. No specific response was called for because the contents were and continue to be the subject of consultation with the GP's representatives, the General Medical Services Committee (GMSC), although I am pleased to say that many GPs are using the "helpline" service we set up. Notice of the proposals was given in the White Paper "Promoting Better Health" (Cm 249) published in November 1987, which announced the Government's plans for improving the primary health care services. "A New Contract" is the culmination of a year's detailed consultation with the GMSC.It was agreed with the GMSC that consultation should proceed on a confidential basis on the understanding that either party could terminate the arrangement by giving the other due notice. The GMSC chose to bring the confidentiality arrangement to an end on 16 February and I was informed of this intention on 9 February by the chairman of the GMSC.
Organ Transplants
Mr. McLoughlin : To ask the Secretary of State for Health how many kidneys, hearts, livers and other organs have been transplanted each year since 1980 ; and what proportion of each group of transplant patients survive for longer than one year.
Mr. Freeman : Information on the number of organs transplanted in the years 1980 to 1987 was provided in my reply to the hon. Member for East Lothian (Mr. Home Robertson) on 22 December 1988 at columns 397-98. I announced provisional figures for 1988 during the Adjournment debate on transplant surgery on 21 February at column 976.
My hon. and learned Friend the Minister for Health provided information on survival rates following transplant in a reply to my hon. Friend the Member for Newbury (Sir M. McNair-Wilson) on 19 December at columns 130-31.
Ethnic Minority Health
Mr. Boateng : To ask the Secretary of State for Health what progress he has made towards developing a central information resource unit for ethnic minority health following the management seminar organised by his Department on 4 November 1987.
Mr. Mellor : The report "Action not Words" by a National Association of Health Authorities working party, published in November 1988, proposed the creation of a central resource unit on ethnic minority health issues.
As I said in my reply on 9 February to the hon. Members for Brent, South (Mr. Boateng) and for Birmingham, Ladywood (Ms. Short) at column 800, we needed to consider whether establishing a separate unit was the best way forward. Officials in the Department are exploring, with a number of organisations, ways of setting up an effective system for exchange of information on ethnic minority health issues.
Prescription Costs
Mr. Butterfill : To ask the Secretary of State for Health what variations his Department is aware of in the level of costs of prescriptions between doctors' surgeries.
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Mr. Mellor : We are aware of substantial variations in the prescribing costs of practices. For example, about 10 per cent. of practices prescribe at a level of 25 per cent. or more above the average for a practice in their FPC area. We have published information on the variation between FPCs in cost per head of prescriptions and I refer my hon. Friend to my reply to my hon. Friend the Member for Beaconsfield (Mr. Smith) on 16 March.
Hazardous Waste
Mr. Shersby : To ask the Secretary of State for Health what representations he has received from the London borough of Hillingdon concerning the importation of hazardous waste through London Heathrow airport and the environmental health implications of the carriage of dangerous substances by air ; if he will review the Public Health (Aircraft) Regulations 1979 ; and if he will make a statement.
Mr. Freeman : A letter from the chief executive of the London borough of Hillingdon has been received. Copies were sent also to my right hon. Friends the Secretary of State for the Environment, the Secretary of State for Transport and the Minister of Agriculture, Fisheries and Food, to a number of hon. Friends and hon. Members and to a number of local authorities and other organisations. A reply will be sent to the chief executive as soon as is practicable and I shall write to my hon. Friend at the same time.
Child Protection Services
Mr. Anthony Coombs : To ask the Secretary of State for Health when he intends to publish the report by the social services inspectorate on child protection services in the London borough of Southwark ; and if he will make a statement.
Mr. Mellor : In response to concern about the handling of child protection cases in Southwark, the Department's social services inspectorate has examined the child protection services and reported its findings to me. Copies of the report are now available in the Library.
The inspection revealed a number of features which require attention. The number of children registered is distorted by the present cumbersome registration system, but even if efficient registration systems were operated there would still be a large number of children on the register.
It is always unacceptable for child protection cases to be without social work intervention when they have been assessed as needing it, and the number of such cases in Southwark is disturbingly high. However, on the brighter side, action taken in one area of the borough has been effective in reducing the number of unallocated cases, and this action must be repeated elsewhere if this authority is to deserve public confidence in a crucial area of its operations. Overall, there was considerable activity on child protection cases but the quality of the social work done needs to be improved to enable sound judgments to be made on cases.
It is clear that determined management action is needed on a number of fronts to ensure that the position improves. In view of this I am asking SSI to agree a plan of action with Southwark Council and to monitor progress closely.
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Southwark council has asked Lambeth, Southwark and Lewisham area review committee to establish an independent inquiry into the handling of the case of Doreen Mason. That inquiry is being chaired by an independent lawyer. I understand that the inquiry should be completed by the early summer and that the outcome will be made public. I will then determine whether further action is needed on my part.Expenditure
Mr. Fearn : To ask the Secretary of State for Health if he will give the definitions for the purposes of statistics collection of the national United Kingdom expenditure on health care provision (a) for total public expenditure on health services, (b) for private sector health care provision and (c) for voluntary sector health care provision.
Mr. Freeman : The United Kingdom national accounts, prepared by the Central Statistical Office, define the components of net public expenditure on health care as follows :
(a) Total final consumption on the NHS.
(b) Public sector gross domestic fixed capital formation on health.
(c) Current grants to the personal sector.
(d) Current grants abroad.
(e) Capital grants to the private sector.
Private expenditure on health is defined as the sum of : (f) Payments to the NHS, ie "charges".
(g) Consumers' expenditure on medicines.
(h) Consumers' expenditure on private medicalinsurance. (i) Consumers' expenditure on spectacles.
(j) Consumers' expenditure on medication.
(k) Private sector gross domestic fixed capital formation. The voluntary sector is not separately identified in the United Kingdom national accounts.
Mr. Fearn : To ask the Secretary of State for Health if he will give the national United Kingdom expenditure on voluntary sector health care provision in money terms, for the latest 10 financial years for which figures are available.
Mr. Freeman : Expenditure by the voluntary sector on health care provision is not separately identified in the United Kingdom national accounts prepared by the Central Statistical Office.
Column 492
Mr. Fearn : To ask the Secretary of State for Health if he will give the total national United Kingdom expenditure on private sector health care provision from National Health Service funds in money terms, for the latest 10 financial years for which figures are available ; and whether this includes the voluntary sector.
Mr. Freeman : None. NHS funded health care is, by definition, NHS health care.
Mr. Fearn : To ask the Secretary of State for Health if he will give figures for, or an estimate of, the amount of double counting of expenditure on health care provision when amounts are aggregated for national United Kingdom statistics on total national expenditure on health.
Mr. Freeman : We are not aware of any double counting either in the health expenditure figures for England which this Department prepares or in the summary figures for the United Kingdom which are prepared by the Central Statistical Office for the United Kingdom national accounts.
Mr. Fearn : To ask the Secretary of State for Health if he will give the national United Kingdom expenditure on voluntary sector health care provision from National Health Service funds in money terms, for the latest 10 financial years for which figures are available.
Mr. Freeman : The United Kingdom national accounts prepared by the Central Statistical Office do not separately identify voluntary health care provision from National Health Service funds.
Registered Homes Tribunal
Ms. Harman : To ask the Secretary of State for Health if he will list (a) the chairs of the registered homes tribunal and (b) the wing members and their occupations.
Mr. Mellor : A list giving the Lord Chancellor's panel of chairmen has been placed in the Library.
A separate list giving the Lord President's panel of members has also been placed in the Library.
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