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HOUSE OF COMMONS

Bottles and Papers

Mr. Vaz : To ask the Leader of the House what plans he has to stage collection points for bottles and papers in the House.

Mr. Wakeham : Arrangements already exist in the Palace of Westminster for the collection of bottles and papers. The Property Services Agency has commissioned a study into the effective collection and disposal of all types of waste and have had discussions with the relevant departments of both Houses. Their recommendations will be considered in due course by the relevant sub-committee of the Services Committee.

Recycled Paper

Mr. Vaz : To ask the Leader of the House what percentage of paper used in the House of Commons is recycled paper.

Mr. Wakeham : It is not possible to identify this percentage.

Mr. Vaz : To ask the Lord President of the Council what plans he has to use recycled paper in the House of Commons.

Mr. Wakeham : Her Majesty's Stationery Office already supplies the House with buff envelopes, ruled writing paper, file covers, note books, index books, lavatory paper and waste paper sacks, which all contain at least 50 per cent. recycled material. The Accommodation and


Column 69

Administration Sub-Committee has instructed the House authorities and HMSO to keep it informed of any significant developments which will enable the use of recycled paper to be extended.

Division Bells

Mr. Redmond : To ask the Lord President of the Council what information he has as to how many authorisations have been granted for the installation of Division bells in research assistants' private flats and homes.

Mr. Wakeham : I refer the hon. Gentleman to the answer I gave to the hon. Member for Workington (Mr. Campbell-Savours) on 23 March at column 696.

ATTORNEY-GENERAL

Selective Investment Brokers Limited

Sir Charles Morrison : To ask the Attorney-General what advice regarding further inquiries into the affairs of Selective Investment Brokers Limited was recommended by the Wiltshire police to the Director of Public Prosecutions in their report ; and what action was taken.

The Attorney-General : In May 1987 the Wiltshire constabulary submitted to the Director of Public Prosecutions a report regarding their inquiries into the affairs of Selective Investment Brokers Limited. That report did not disclose sufficient evidence to justify the institution of criminal proceedings. Subsequently, further evidence became available which has resulted in Mr. Anthony Wheeler, the sole director of Selective Investment Brokers Limited, being charged with theft. Investigations into the matter are continuing.

Computer Consultants

Mr. Tim Smith : To ask the Attorney-General what was the total amount spent by the Land Registry in 1988 on management and computer consultancy contracts excluding hardware and software purchases.

The Attorney-General : The total amount spent by the Land Registry in 1988 on management consultancy contracts was £1,372 and on computer consultancy contracts £13,080, excluding hardware and software purchases.

Mr. Tim Smith : To ask the Attorney-General if he will list each management or computer consultancy contract awarded by the Land Registry in 1988, giving in each case the name of the consultancy firm and the subject of the assignment.

The Attorney-General : Management and computer consultancy contracts were awarded by the Land Registry in 1988 as follows : (

(i) Management Consultancy

Roland Long Limited :

A survey designed to improve staff and management communication at one district land registry.

(ii) Computer Consultancy

IBM (UK) Limited :

A system evaluation to investigate and improve the use of the central processing unit of the department's main computer.


Column 70

Central Computer and Telecommunications Agency :

A Departmental Support Agreement to provide continuing technical advice, support and an information technology procurement service.

Mr. Tim Smith : To ask the Attorney-General what was the total amount spent by his Department in 1988 on management and computer consultancy contracts, excluding hardware and software purchases.

The Attorney-General : Nil.

Mr. Tim Smith : To ask the Attorney-General if he will list each management or computer consultancy contract awarded by his Department in 1988, giving in each case the name of the consultancy firm and the subject of the assignment.

The Attorney-General : No management or computer consultancy contract was awarded by the Law Officers' Department in 1988.

Mr. Martin Foran

Mr. Livingstone : To ask the Attorney-General whether he will prosecute for assaulting Martin Foran the four prison officers from Walton prison against whom £750 damages were awarded in favour of Mr. Foran at Newport county court.

The Attorney-General : No. Such proceedings would not be in conformity with the code for Crown prosecutors. I add, in the interests of accuracy, that in the civil proceedings to which the hon. Member refers the action was stayed upon terms that £750 be paid to the plaintiff, with costs. No admission of liability was made.

Middlesex Guildhall Collection

Mr. Tony Banks : To ask the Attorney-General what items from the Middlesex Guildhall collection will be on display in time for the official opening of the refurbished court house on 5 April ; and what financial contribution has been made to the London residuary body in respect of the display of such items.

The Attorney-General : The items from the Middlesex Guildhall collection which will be on display for the official opening of the refurbished court house on 5 April are :

Gilt framed oil painting of Sir Montague Sharpe by G. Spencer Watson.

Gilt framed oil painting of Sir Filfred Craig by Harold Knight. Gilt framed oil painting of Sir Ralph Littler by Beatrice Offor. Gilt framed oil painting of Thomas Forster by T. C. Dugdale. Gilt framed oil painting of the Duke of Bedford by John Collier. Gilt framed oil painting of Francis Const by unknown artist. Gilt framed oil painting of Sir Baptist Hikes attributed to Paul Van Somer.

Three framed documents commemorating the first authorisation by the British Parliament of the Establishment of Maritime Courts by the Allied and Associated Foreign Powers in the United Kingdom during the Second World War.

The Lord Chancellor's Department has agreed to meet the costs of removing these items from the county hall to Middlesex Guildhall, the hanging of the items in the Middlesex Guildhall and the cost of insuring the items against loss or damage by fire and theft.


Column 71

HEALTH

Occupational Therapists

Mr. Gow : To ask the Secretary of State for Health how many additional occupational therapists are required by the south east Thames regional health authority ; and what steps are being taken to diminish the shortage.

Mr. Freeman : I will write to my hon. Friend.

Food Poisoning

Mr. Redmond : To ask the Secretary of State for Health if he will give a breakdown of figures within the Trent regional health authority for the latest year that he has figures for food poisoning according to numbers and types of cases associated with (a) fish, (b) meat, (c) vegetables, (d) eggs and (e) other foods ; and if he will give figures for each district health authority.

Mr. Kenneth Clarke : The information is not available centrally in precisely the form requested.

The table gives the total number of notifications of food poisoning for Trent regional health authority by county for 1987, the latest year for which figures are available. No information is available centrally on the cause of infection.


                |Number         

--------------------------------

Lincolnshire    |227            

Leicestershire  |327            

Nottinghamshire |621            

Derbyshire      |400            

South Yorkshire |674            

                |-------        

Total Trent RHA |2,249          

Residential Homes

Mr. Grocott : To ask the Secretary of State for Health how many registrations have been cancelled under the provisions of section 30 of the Residential Homes Act 1984 in each year since its implementation.

Mr. Allen : To ask the Secretary of State for Health how many registrations by region have been (a) made and (b) cancelled under the provision of section 30 of the Residential Homes Act 1984 in each year since its implementation.

Mr. Mellor : The number of cancelled registrations notified to the Department in respect of each region under the provisions of section 30 of the Registered Homes Act 1984 since it came into operation on 1 January 1985 is as follows.


Column 72


Region                              |Year  |Number       

---------------------------------------------------------

Trent regional health authority     |1985  |1            

                                                         

South East Thames regional health   |1986  |1            

authority                                                

Wessex regional health authority                         

South East Thames regional health   |1987  |2            

authority                                                

Northern regional health authority                       

Yorkshire regional health authority                      

South West Thames regional health   |1988  |3            

authority                                                

Registration is a function of district health authorities and local authorities. The number of new reigstrations is not collected centrally.

Mr. Grocott : To ask the Secretary of State for Health (1) how many persons have had applications for registration rejected under the Residential Homes Act 1984 in each year since its implementation ; (2) how many unregistered residential homes have been discovered by registering authorities under the Residential Homes Act 1984 in each year since its implementation ;

(3) how many persons, on a full-time equivalent basis, are employed in inspection of residential homes under the Residential Homes Act 1984 in each of the registration authorities.

Mr. Mellor : We do not hold this information centrally.

Mr. Grocott : To ask the Secretary of State for Health (1) how many persons aged 65 yearsand over were in (a) local authority, (b) voluntary and (c) private residential homes in the latest year for which statistics are available ;

(2) what was the total cost of maintaining persons aged 65 yearsand over in residential homes run by local authorities in the lates year for which statistics are available ; and what was the average cost per person ;

(3) what was the total cost to local authorities of maintaining persons aged 65 years and over in private residential homes in the latest year for which statistics are available ; and what was the average cost per person.

Mr. Mellor : Information on the number of persons aged 65 years and over in homes for the elderly and younger physically handicapped 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 1986" a copy of which is available in the Library. Provisional information as at 31 March 1987 is given in the table, which also shows the available information about local authorities' gross and net expenditure on residential care homes for elderly and younger physically handicapped people for the financial year 1986-87.


Column 71


Type of home        Number of residents as                                                      Costs to LAs for year                                   

                    at 31 March 1987                                                                                                                    

                    (provisional)                                                                                                                       

                    under 65 years                        65 years and over                     1986-87                                                 

                   |supported by local|Total             |supported by local|Total             |Gross<1> £ million|Net<2> £ million                     

                   |authority                            |authority                                                                                     

--------------------------------------------------------------------------------------------------------------------------------------------------------

Local authority    |4,234             |4,234             |100,594           |100,594           |697.9             |415.7                                

                                                                                                                                                        

Private            |93                |<3>3,214          |558               |<4>84,852}                                                                 

Voluntary          |2,373             |<3>4,848          |3,277             |<4>25,068}        |<5>29.1           |<5>21.3                              

<1> Excludes expenditure on administration, training and field work.                                                                                    

<2> Of charges paid by residents.                                                                                                                       

<3> Includes residents whose age is not known in homes for younger physically handicapped people.                                                       

<4> Includes residents whose age is not known in homes for elderly people.                                                                              

<5> Includes costs for both residents fully supported by the local authority and those receiving partial support.                                       

The average annual costs per resident for local authority homes were £6,658 gross and £3,966 net. It is not possible to give average costs for private  

and voluntary homes as the cost of residents fully supported by local authorities and the cost of partial support cannot be disaggregated.              

Mr. Grocott : To ask the Secretary of State for Health how many persons have had registrations cancelled under the Residential Homes Act 1984 in each year since its implementation.

Mr. Mellor : The number of persons notified to the Department whose registrations have been cancelled, under the Registered Homes Act 1984, since it came into operation on 1 January 1985 is as follows :


                       |Residential Care Homes|Nursing Homes         |Dually Registered                            

-------------------------------------------------------------------------------------------------------------------

1985                   |2                     |3                                                                   

1986                   |16                    |5                                                                   

1987                   |28                    |4                                                                   

1988                   |54                    |15                    |2                                            

Mr. Grocott : To ask the Secretary of State for Health how much financial provision has been made by each of the registering authorities for the inspection of residential homes under the terms of the Residential Homes Act 1984.

Mr. Mellor : The latest available figures are shown in the table.


|c|Expenditure on the registration and inspection of residental  

homes|c|                                                         

|c|under Registered Homes Act 1984 in 1987-88|c|                 

(£ thousand cash)                                                

                       |Administration Costs                     

-----------------------------------------------------------------

Avon                   |92                                       

Bedfordshire           |n/a                                      

Berkshire              |n/a                                      

Buckinghamshire        |n/a                                      

Cambridgeshire         |174                                      

Cheshire               |n/a                                      

Cleveland              |28                                       

Cornwall               |164                                      

Cumbria                |3                                        

Derbyshire             |72                                       

Devon                  |260                                      

Dorset                 |97                                       

Durham                 |13                                       

East Sussex            |176                                      

Essex                  |182                                      

Gloucestershire        |33                                       

Hampshire              |157                                      

Hereford and Worcester |84                                       

Hertfordshire          |77                                       

Humberside             |n/a                                      

Isle of Wight          |60                                       

Kent                   |61                                       

Lancashire             |280                                      

Leicestershire         |52                                       

Lincolnshire           |64                                       

Norfolk                |75                                       

Northamptonshire       |58                                       

Northumberland         |n/a                                      

North Yorkshire        |94                                       

Nottinghamshire        |58                                       

Oxfordshire            |20                                       

Shropshire             |34                                       

Somerset               |n/a                                      

Staffordshire          |57                                       

Suffolk                |42                                       

Surrey                 |83                                       

Warwickshire           |62                                       

West Sussex            |95                                       

Wiltshire              |25                                       

Isles of Scilly        |n/a                                      

                                                                 

Bolton                 |27                                       

Bury                   |9                                        

Oldham                 |21                                       

Rochdale               |n/a                                      

Salford                |n/a                                      

Stockport              |20                                       

Tameside               |n/a                                      

Trafford               |39                                       

Wigan                  |23                                       

Knowsley               |n/a                                      

Liverpool              |31                                       

St. Helens             |n/a                                      

Sefton                 |79                                       

Wirral                 |59                                       

Barnsley               |8                                        

Doncaster              |29                                       

Rotherham              |n/a                                      

Sheffield              |n/a                                      

Gateshead              |17                                       

Newcastle-upon-Tyne    |21                                       

North Tyneside         |n/a                                      

South Tyneside         |14                                       

Sunderland             |9                                        

Birmingham             |78                                       

Coventry               |1                                        

Dudley                 |n/a                                      

Sandwell               |12                                       

Solihull               |n/a                                      

Walsall                |27                                       

Wolverhampton          |n/a                                      

Bradford               |62                                       

Calderdale             |20                                       

Kirklees               |16                                       

Leeds                  |n/a                                      

Wakefield              |21                                       

                                                                 

City of London         |n/a                                      

Camden                 |9                                        

Greenwich              |n/a                                      

Hackney                |n/a                                      

Hammersmith and Fulham |n/a                                      

Islington              |8                                        

Kensington and Chelsea |20                                       

Lambeth                |n/a                                      

Lewisham               |33                                       

Southwark              |n/a                                      

Tower Hamlets          |n/a                                      

Wandsworth             |8                                        

Westminster            |n/a                                      

                                                                 

Barking and Dagenham   |n/a                                      

Barnet                 |48                                       

Bexley                 |2                                        

Brent                  |6                                        

Bromley                |40                                       

Croydon                |38                                       

Ealing                 |n/a                                      

Enfield                |38                                       

Haringey               |n/a                                      

Harrow                 |n/a                                      

Havering               |20                                       

Hillingdon             |33                                       

Hounslow               |n/a                                      

Kingston-upon-Thames   |n/a                                      

Merton                 |13                                       

Newham                 |n/a                                      

Redbridge              |15                                       

Richmond-upon-Thames   |9                                        

Sutton                 |21                                       

Waltham Forest         |17                                       

n/a=not available.                                               


Column 76

Mr. Grocott : To ask the Secretary of State for Health how many residential homes are currently registered under the Residential Homes Act 1984 in each of the registering authorities.

Mr. Mellor : The latest available figures for the number of residential care homes registered with each local authority are given in the table.


Column 75


|c|Number of residential care homes registered with local authorities as at 31 March 1987 (provisional)|c|         

Registering local      |Homes for elderly and |Homes for other client|Total homes                                  

authority              |younger physically    |groups                                                              

                       |handicapped people                                                                         

-------------------------------------------------------------------------------------------------------------------

Cleveland              |31                    |2                     |33                                           

Cumbria                |75                    |5                     |80                                           

Durham                 |37                    |1                     |38                                           

Northumberland         |40                    |3                     |43                                           

Gateshead              |9                     |3                     |12                                           

Newcastle upon Tyne    |27                    |3                     |30                                           

North Tyneside         |37                    |9                     |46                                           

South Tyneside         |11                    |2                     |13                                           

Sunderland             |23                    |0                     |23                                           

Humberside             |166                   |21                    |187                                          

North Yorkshire        |234                   |30                    |264                                          

Barnsley               |11                    |1                     |12                                           

Doncaster              |22                    |1                     |23                                           

Rotherham              |6                     |7                     |13                                           

Sheffield              |22                    |9                     |31                                           

Bradford               |91                    |3                     |94                                           

Calderdale             |28                    |1                     |29                                           

Kirklees               |36                    |3                     |39                                           

Leeds                  |55                    |9                     |64                                           

Wakefield              |21                    |7                     |28                                           

Cheshire               |76                    |13                    |89                                           

Lancashire             |483                   |26                    |509                                          

Bolton                 |28                    |0                     |28                                           

Bury                   |14                    |1                     |15                                           

Manchester             |56                    |8                     |64                                           

Oldham                 |28                    |2                     |30                                           

Rochdale               |15                    |0                     |15                                           

Salford                |15                    |3                     |18                                           

Stockport              |42                    |1                     |43                                           

Tameside               |21                    |1                     |22                                           

Trafford               |48                    |8                     |56                                           

Wigan                  |13                    |2                     |15                                           

Knowsley               |4                     |0                     |4                                            

Liverpool              |45                    |12                    |57                                           

Sefton                 |133                   |9                     |142                                          

St. Helens             |6                     |0                     |6                                            

Wirral                 |65                    |20                    |85                                           

Hereford and Worcester |149                   |34                    |183                                          

Shropshire             |82                    |7                     |89                                           

Staffordshire          |118                   |5                     |123                                          

Warwickshire           |74                    |30                    |104                                          

Birmingham             |130                   |34                    |164                                          

Coventry               |49                    |15                    |64                                           

Dudley                 |40                    |12                    |52                                           

Sandwell               |10                    |3                     |13                                           

Solihull               |11                    |5                     |16                                           

Walsall                |19                    |3                     |22                                           

Wolverhampton          |29                    |3                     |32                                           

Derbyshire             |130                   |5                     |135                                          

Leicestershire         |96                    |26                    |122                                          

Lincolnshire           |114                   |12                    |126                                          

Northamptonshire       |88                    |15                    |103                                          

Nottinghamshire        |89                    |61                    |150                                          

Bedfordshire           |54                    |7                     |61                                           

Berkshire              |90                    |23                    |113                                          

Buckinghamshire        |47                    |17                    |64                                           

Cambridgeshire         |63                    |11                    |74                                           

Essex                  |228                   |24                    |252                                          

Hertfordshire          |96                    |6                     |102                                          

Norfolk                |184                   |56                    |240                                          

Oxfordshire            |36                    |5                     |41                                           

Suffolk                |103                   |19                    |122                                          

Camden                 |11                    |3                     |14                                           

Greenwich              |4                     |2                     |6                                            

Hackney                |3                     |5                     |8                                            

Hammersmith            |2                     |0                     |2                                            

Islington              |2                     |4                     |6                                            

Kensington             |10                    |8                     |18                                           

Lambeth                |18                    |11                    |29                                           

Lewisham               |19                    |3                     |22                                           

Southwark              |9                     |2                     |11                                           

Tower Hamlets          |3                     |1                     |4                                            

Wandsworth             |15                    |10                    |25                                           

Westminster            |2                     |9                     |11                                           

Barking                |2                     |0                     |2                                            

Barnet                 |57                    |4                     |61                                           

Bexley                 |5                     |0                     |5                                            

Brent                  |13                    |3                     |16                                           

Bromley                |43                    |11                    |54                                           

Croydon                |60                    |10                    |70                                           

Ealing                 |33                    |5                     |38                                           

Enfield                |31                    |5                     |36                                           

Haringey               |18                    |14                    |32                                           

Harrow                 |30                    |2                     |32                                           

Havering               |18                    |1                     |19                                           

Hillingdon             |8                     |0                     |8                                            

Hounslow               |3                     |3                     |6                                            

Kingston upon Thames   |26                    |3                     |29                                           

Merton                 |21                    |2                     |23                                           

Newham                 |6                     |0                     |6                                            

Redbridge              |21                    |1                     |22                                           

Richmond upon Thames   |13                    |7                     |20                                           

Sutton                 |25                    |1                     |26                                           

Waltham Forest         |16                    |2                     |18                                           

Dorset                 |352                   |13                    |365                                          

Hampshire              |429                   |26                    |455                                          

Isle of Wight          |85                    |8                     |93                                           

Kent                   |185                   |50                    |235                                          

Surrey                 |180                   |25                    |205                                          

East Sussex            |378                   |44                    |422                                          

West Sussex            |320                   |32                    |352                                          

Wiltshire              |97                    |26                    |123                                          

Avon                   |198                   |59                    |257                                          

Cornwall               |183                   |23                    |206                                          

Devon                  |618                   |68                    |686                                          

Gloucestershire        |97                    |11                    |108                                          

Somerset               |96                    |9                     |105                                          

                       |---                   |---                   |---                                          

England                |7,968                 |1,190                 |9,158                                        

Note: Figures include certain homes which are exempt from registration under Section 1(5)(i) of the Registered     

Homes Act, including homes managed by bodies incorporated by royal charter.                                        

Mr. Grocott : To ask the Secretary of State for Health what steps he has taken to ensure that the level of inspection of residential homes provided by registering authorities under the provisions of the Residential Homes Act 1984 is sufficient.

Mr. Mellor : From 1 August 1988 the fees payable in respect of registration and inspection of residential care homes were substantially increased to enable local authorities to carry out their duties effectively. The minimum number of inspections was increased from one to two a year. In addition, the Department, in conjunction with the Welsh Office has commissioned training material for registration and inspection staff of authorities from the centre for environmental and social studies in aging at the polytechnic of north London. This material should be available later this year. The Department's social services inspectorate has carried out a study of the implementation of the Registered Homes Act 1984 by local authorities. Its report "Certain Standards" was published last year. The Wagner report, "Residential Care : A Positive Choice" which was also published last year, contained recommendations on


Column 78

the regulation of these homes. Both reports are in the Library. We are giving careful consideration to the findings of these reports before deciding whether any change is desirable in the current arrangements.

School Medicine

Mr. Redmond : To ask the Secretary of State for Health if he will list for each of the last five years for the Trent regional health authority, the number of nurses engaged in school medicine and related care of children.

Mr. Mellor : The numbers of staff in post working in school health and special schools are shown in the table.


|c|National Health Service staff in post in     

Trent regional health|c|                        

|c|authority|c|                                 

|c|Nursing staff in primary health care at 30   

September|c|                                    

Whole-time equivalents<1>                       

                  |1983|1984|1985|1986|1987     

------------------------------------------------

School health     |350 |360 |340 |340 |320      

Special schools   |20  |20  |20  |10  |20       

School health and                               

 special schools  |370 |380 |360 |350 |340      

Source: Department of Health (SR7) annual       

census of National Health Service non-medical   

manpower.                                       

<1> Figures independently rounded to nearest 10 

whole-time equivalents.                         

Some nursing staff working in hospitals and the community will be engaged in the care of children as part of their general nursing duties. These staff cannot, however, be identified centrally.

Trent Regional Health Authority

Mr. Redmond : To ask the Secretary of State for Health if he will list the services provided by the Trent regional health authority ; and what is the catchment area.

Mr. Mellor : Provision of local services is a matter for the health authorities concerned. I am sending the hon. Member a copy of Trent regional health authority's latest annual report which contains the information he seeks.

Sex Change Operations

Mr. Redmond : To ask the Secretary of State for Health if he will list the number of sex change operations performed by the National Health Service in the Trent regional health authority for (a) male to female and (b) female to male, for the last 20 years ; and what has been the cost to public funds in each case.

Mr. Freeman : I refer the hon. Member to my reply to him on 22 February at column 674 .

Electors

Mr. Harry Barnes : To ask the Secretary of State for Health pursuant to his answer to the hon. Member for Derbyshire, North-East 28 February, Official Report, column 134 , if he will supply a pre-publication list of the numbers of electors registered for each constituency in England and Wales for 1989-90.

Mr. Freeman : Statistics from the electoral registers for 1989-90 are still being assembled centrally. Figures relating to local government areas will be published in an OPCS Monitor (EL 89/1) at the end of April ; those relating to parliamentary constituencies in "Electoral Statistics : 1989" (Series EL No. 16) at the end of May. I do not propose to supply pre- publication lists of numbers of electors.

Glenside Hospital

Mr. Allen : To ask the Secretary of State for Health if, with reference to his answers to the hon. Member for Livingston (Mr. Cook), Official Report, 9 June 1988, columns 666-68 and to the hon. Member for Eddisbury (Mr. Goodlad), Official Report, 5 December 1988, column 88 , he will now clarify the status of Glenside hospital in the South West regional health authority.

Mr. Freeman : The future role of Glenside hospital together with all other mental health units in Avon is being reviewed in the light of the White Paper "Working for Patients" and an Avon-wide mental health paper. A regional secure unit, Fromeside clinic, was opened in October 1988 on the Glenside site.


Column 80

Psychogeriatrics

Mr. Tom Clarke : To ask the Secretary of State for Health how many consultants there are working full-time in psychogeriatrics in the United Kingdom ; and how many people over the age of 65 years there are per consultant.

Mr. Mellor : We do not hold this information centrally at present. Psychogeriatrics has been established recently as a separate specialty and there are plans to collect manpower figures in the future. In a joint report published in February this year, the Royal Colleges of Psychiatrists and Physicians estimated that there are currently 243 consultants working in old-age psychiatry and that at the end of 1986 about 70 per cent. of the United Kingdom elderly population had a specialist psychogeriatric service available to them. These figures represent a considerable advance in recent years.

Heart Disease

Mr. Tom Clarke : To ask the Secretary of State for Health what information he has on the cost to the National Health Service of health problems due to heart disease ; and whether he will take the initiative to develop policy on the prevention of the disease.

Mr. Mellor : The cost to the National Health Service in this country of the treatment of coronary heart disease is estimated to be over £500 million a year.

It was the Government's concern about the high incidence of disease and premature death caused by coronary heart disease that led to the launch in April 1987 of the "Look After Your Heart" campaign, promoted jointly by the Department of Health and the Health Education Authority. This campaign has the long-term objective of contributing to a substantial reduction in the incidence of coronary heart disease in England by the year 2000. The campaign, which adopts a multi-faced approach involving mass media publicity and community and workplace strategies, is, we believe, proving highly successful in raising awareness of risk factors and stimulating widespread activity at national and local level aimed at encouraging and supporting the adoption of healthier lifestyles on smoking, alcohol, nutrition and exercise.

In addition, the Standing Medical Advisory Committee has been asked to look at the cost-effectiveness of cholesterol screening. The primary care White Paper has emphasised the enhanced role of general practitioners in health promotion and prevention. The reports to be produced by the new local and regional directors of public health will provide each district and region with an epidemiological overview of the health of the local population, from which districts will be better able to identify the main health problems (including coronary heart disease) which their policies and programmes need to address.

New Parent-Infant Network Charity

Mr. Tom Clarke : To ask the Secretary of State for Health when his Department expects to complete its study of the New Parent-Infant Network charity.

Mr. Freeman : My hon. and learned Friend the Minister for Health expects to reach a decision on the New Parent-Infant Network's application for grant aid within the next few weeks.


Column 81

Operating Theatres

Mr. Gordon Brown : To ask the Secretary of State for Health what is the available theatre operating time in the National Health Service in England in each year since 1979.

Mr. Freeman : I regret that the information is not collected centrally.

Mr. Gordon Brown : To ask the Secretary of State for Health what is the number of theatre sessions available for operating in the National Health Service in England in each year since 1979.

Mr. Freeman : Information on the use of operating theatres was not collected centrally prior to 1987-88. In 1987-88 the total number of sessions held in NHS hospitals in England was 692,804.

Ambulances (Emergency Calls)

Mr. Gordon Brown : To ask the Secretary of State for Health if he will give the average response times for emergency ambulance calls in 1979 and the latest year available in (a) London, (b) Birmingham, (c) Liverpool, (d) Glasgow, (e) Cornwall and (f) East Anglia.

Mr. Freeman : The information available on response times is not precisely in the form requested. Data are collected about the times within which (a) 50 per cent. and (b) 95 per cent. of calls are responded to, rather than the average response times.

The latest figures relate to the financial year 1987-88, and are shown in the table. Figures for 1979 were not collected centrally. Figures relating to the financial years 1983-84 to 1986-87 are included in the package of health service indicators provided by the Department, which is in the Library. Information concerning provision of services in Glasgow is the responsibility of my right hon. and learned Friend, the Secretary of State for Scotland.


|c|Patient Transport Services|c|                                                         

|c|Response times within which 50 per cent. and 95 per cent. of calls|c|                 

|c|are responded to|c|                                                                   

                             |50 per cent.       |95 per cent.                           

Ambulance authority          |Minutes            |Minutes                                

-----------------------------------------------------------------------------------------

London                       |10.00              |19.00                                  

Mersey Metropolitan          |6.50               |13.80                                  

West Midlands Metropolitan   |7.60               |13.80                                  

Cornwall and Isles of Scilly |9.00               |25.00                                  

Cambridgeshire               |8.00               |18.00                                  

Norfolk                      |6.40               |17.70                                  

Suffolk                      |7.50               |20.50                                  

Source: DH form KA34                                                                     


Column 82

Hospital Closures

Mr. Gordon Brown : To ask the Secretary of State for Health if he will give the number of (a) hospitals, (b) casualty units and (c) ante- natal units that have been closed since 1979 in (i) London, (ii) Birmingham, (iii) Manchester, (iv) Coventry, (v) Derby, (vi) Reading, (vii) Glasgow, (viii) Leicester, (ix) Leeds and (x) Edinburgh.

Mr. Freeman The following table gives the numbers of hospitals or units which we are aware have been approved for total closure from 1979--end 1987, the latest date for which figures are available. Information on casualty units and ante-natal clinics is not collected centrally.


           |Number       

-------------------------

London     |63           

Birmingham |3            

Manchester |3            

Coventry   |1            

Derby      |8            

Reading    |1            

Leicester  |6            

Leeds      |6            

Information on hospitals 

in Glasgow and Edinburgh 

is the responsibility of 

my hon. and learned      

Friend the Secretary of  

State for Scotland.      

Ms. Harman : To ask the Secretary of State for Health if he will publish a list of all National Health Service hospitals (a) closed and (b) agreed for closure each year since 1979, for each regional health authority in England.

Mr. Freeman : I have placed in the Library a list of all hospitals or facilities approved for total closure for the period 1979--to the end of 1987. Many of these hospitals were closed in conjunction with the opening of new hospitals or facilities in the area.

Mortality Rates

Mr. Gordon Brown : To ask the Secretary of State for Health if he will provide (a) perinatal, (b) neonatal and (c) infant mortality rates for each year since 1979 in Scotland, England and Wales separately with comparable figures for Germany, Sweden, France and the United States of America.

Mr. Freeman The information for each year for England, Wales and Scotland is shown in the tables, which also give comparable data for the other countries. These latter data have been taken from a number of international publications as indicated . Where no figure is given, this indicates that insufficient data were available from these publications.


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