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Mrs. Ann Winterton : To ask the Secretary of State for Health what estimate he has of the total current annual cost to the National Health Service on contraceptive drugs and devices issued to patients.
Mr. Mellor : We cannot identify the cost of contraceptive drugs and devices issued at health authorities' family planning clinics or those provided by hospitals or by dispensing doctors.
The net ingredient cost of contraceptive drugs and appliances prescribed by GPs and dispensed by retail pharmacists and appliance contractors was estimated at £21 million in England in 1987, the latest full year for which figures are available. This figure is based on a sample of approximately one in 200 prescriptions.
Mrs. Ann Winterton : To ask the Secretary of State for Health (1) if he will make a statement outlining the reasons for special payments to general practitioners for contraceptive advice and prescription ;
(2) if he will make it his policy to cease to make special payments to general practitioners for contraceptive advice and prescription.
Mr. Mellor : Fees are paid to general practitioners who provide contraceptive services, in recognition of the time and effort of those doctors who choose to provide these services to patients. This is consistent with our policy that GPs' remuneration should be sensitive to the numbers of patients in their care and the range of services provided. The participation of GPs in the provision of contraceptive services gives patients a choice between practice-based services and health authority clinics. We have no plans to change the current arrangements.
Mrs. Ann Winterton : To ask the Secretary of State for Health (1) whether he has any plans to issue new guidance to general practitioners concerning the prescription of contraceptive drugs ; (2) what response his Department has made to the recent reports of increased levels of cancer in long-term users of contraceptive drugs.
Mr. Mellor : The Committee on Safety of Medicines (CSM) was provided with advance details of the recent study by Chilvers et al on oral contraceptive use and breast cancer risk in young women and was able to formulate and issue advice to doctors and pharmacists in its bulletin "Current Problems No. 26." A copy is in the Library. CSM advice was also sent to a range of other interested bodies including family planning organisations. In
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addition, officials of the Department have met representatives of pharmaceutical companies marketing oral contraceptives and have been in touch regarding this and other studies with their counterparts in the World Health Organisation and regulatory bodies in other countries. The CSM is continuing to monitor ongoing studies and cancer registration rates and will maintain close communication with all those involved. More generally the handbook of contraceptive practice issued by the Department to all general practitioners and family planning doctors includes advice on oral contraception. Work on a new edition by representatives of the Royal College of General Practitioners, Royal College of Obstetricians and Gynaecologists and Standing Medical Advisory Committee is well in hand for distribution later this year.Drug Safety
Mr. Fearn : To ask the Secretary of State for Health whether the patient information leaflets proposed under EEC directives would include contra-indications, precautions and warnings for all medicines at present prescribed in the United Kingdom.
Mr. Mellor : Present European Community (EC) law (article 6 of directive 75/319) with which United Kingdom regulations conform already requires contra-indications, warnings and precautions if a leaflet is supplied. The current proposed amendment would not affect that requirement. The change would be to make a leaflet mandatory unless the information was supplied on the label. Further developments may follow from the EC Commission study on patient information.
Benzodiazepines
Mr. Fearn : To ask the Secretary of State for Health what progress is being made on promoting alternatives to benzodiazepine prescription ; and what funds are available for this purpose.
Mr. Mellor : The Department is financing a conference on developing counselling in primary care. This was attended by over 150 general practitioners and counsellors and focused on the better identification of people needing counselling and the better organisation of services.
The Department is funding the National Association for Mental Health (MIND) to develop a directory of services for people with benzodiazepine-related problems. This will include a wide variety of agencies in both the statutory and non-statutory fields, offering alternative therapies including counselling, behavioural and psychological techniques, as well as self-help groups. In addition, central funding has been made available to provide a revised version of a leaflet for the public and professionals giving information on benzodiazepine use and alternative strategies to it.
Hospital Waiting Lists
Sir John Farr : To ask the Secretary of State for Health what percentage of patients wait for (a) plastic surgery and (b) other surgical treatment for more than one year.
Mr. David Mellor : The information requested is published in the booklet "Hospital In-Patient Waiting Lists at 30 September 1988", a copy of which is in the Library.
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Advertising
Mr. Grocott : To ask the Secretary of State for Health how much advertising air time his Department purchased with each commercial television company in each of the last five years.
Mr. Mellor : The information requested is commercial in confidence.
Child Abuse
Mr. Allen : To ask the Secretary of State for Health if he will update his answer of 27 January, Official Report, columns 795-98, showing the total amount spent by his Department on research into the sexual abuse of children in each of the years since 1979, listing the name of each project, its cost and completion date.
Mr. Mellor : The information has been placed in the Library.
Mr. Allen : To ask the Secretary of State for Health pursuant to the reply to the hon. Member for Nottingham, North of 9 March, Official Report, column 607, how many times the inter-departmental working group on child sexual abuse has met since 9 March ; and what has been discussed.
Mr. Mellor : The group has not met since 9 March.
GPs (Trainees)
Mr. Hume : To ask the Secretary of State for Health what information is available on the sums from the statement of fees and allowance or other votes which were budgeted and the sums which were paid to general practitioner trainees and general practitioner trainers in each of the past three years, indicating the respective numbers of trainers and trainees.
Mr. Mellor [holding answer 3 May 1989] : Payments to trainers and trainees, are drawn from the voted provision for the general medical services and are not subject to separate budgets.
Expenditure in England on grants to trainers and the reimbursement of salary and other costs for trainees in the last three years for which full data are available was as follows :
|1985-86 |1986-87 |1987-88
|£ million|£ million|£ million
---------------------------------------------------------------------
Grants (trainers) |6.31 |6.345 |6.522
Other expenditure (trainees) |28.777 |30.489 |33.4555
The number of trainers and trainees in the same years (1 October) in England and Wales are as follows :--
Home Office PRS estate 1983-88
£k(£ per square foot)
|Rent |Rates |Maintenance |PSA Administration|Fuel and Utilities
--------------------------------------------------------------------------------------------------------------------------------------------------------
1983-84 |18,128 |10,870 |4,659 |1,019 |2,408
|(11.48) |(6.88) |(2.95) |(0.63) |(1.53)
|1984-85 |19,309 |11,614 |5,262 |1,159 |2,657
|(10.83) |(6.51) |(2.95) |(0.65) |(1.49)
1985-86 |20,538 |11,527 |5,719 |1,264 |3,054
|(11.98) |(6.72) |(3.34) |(0.74) |(1.78)
1986-87 |21,692 |9,329 |5,844 |1,214 |2,854
|(12.63) |(5.43) |(3.40) |(0.71) |(1.66)
1987-88 |22,401 |9,059 |5,336 |1,159 |2,086
|(13.33) |(5.9) |(3.18) |(0.69) |(1.67)
1988-89 |22,811 |9,293 |7,159 |1,587 |2,569
|(15.26) |(6.22) |(4.79) |( |.06) |(1.72)
Professional Misconduct
63. Mr. Spearing : To ask the Secretary of State for Health what assessment he has made of whether the provisions of statutory instrument 2255/88 paragraph 6.(i) concerning the reference to complaints alleging serious
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professional misconduct are being implemented by the administrative arrangements adopted by the General Medical Council.Mr. Mellor : The General Medical Council is an independent statutory body whose constitution and functions are regulated by the Medical Act 1983. Rule 6.(i) of SI 2255/88 provides that where a complaint in writing or information in writing is received by the registrar of the council and it appears to him that a question arises whether conduct of a practitioner constitutes serious professional misconduct the registrar shall submit the matter to the president. The administrative arrangements within the GMC are for the council to determine and the hon. Member should approach the registrar directly if he requires specific information.
Beef Imports
Mr. Ron Davies : To ask the Secretary of State for Health if he will detail the arrangements currently in force for the public health examination of beef imports at the port of entry to the United Kingdom of products (a) from within the EEC and (b) from outside the EEC.
Mr. Donald Thompson : I have been asked to reply.
Port health authorities have responsibility for public health examinations of beef imports to ensure their compliance with the imported food regulations 1984.
All meat entering the United Kingdom must come from export-approved plants, other member states, or from plants in third countries which have been approved by the EC Commission. Consignments must be accompanied by a health certificate signed by a veterinarian authorised by the Government of the exporting country confirming that the strict hygiene standards of the appropriate EC directive have been fully satisfied.
Port health authorities inspect all consignments from third countries in accordance with Community provisions and make sample examination of those from other member states.
HOME DEPARTMENT
Departmental Property
Mr. Cousins : To ask the Secretary of State for the Home Department if he will list the property costs, including rent, asset replacement and rates of his Department in total, in each standard both in total and per square foot for each year since 1983.
Mr. Douglas Hogg : Information in the precise form requested is not available. Home Office properties are divided into three separate estates for property management purposes, each of which is treated differently : the property repayment services (PRS) estate, comprising properties for which the Property Services Agency is responsible ; the prisons estate, which is directly managed by the prison department ; and the non-PRS estate, comprising mainly the directorate of telecommunications and centrally provided police research and training establishments. Accommodation and property costs information available for each of the three estates since 1983 is as follows :
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Home Office PRS estate 1983-88
£k(£ per square foot)
|Rent |Rates |Maintenance |PSA Administration|Fuel and Utilities
--------------------------------------------------------------------------------------------------------------------------------------------------------
1983-84 |18,128 |10,870 |4,659 |1,019 |2,408
|(11.48) |(6.88) |(2.95) |(0.63) |(1.53)
|1984-85 |19,309 |11,614 |5,262 |1,159 |2,657
|(10.83) |(6.51) |(2.95) |(0.65) |(1.49)
1985-86 |20,538 |11,527 |5,719 |1,264 |3,054
|(11.98) |(6.72) |(3.34) |(0.74) |(1.78)
1986-87 |21,692 |9,329 |5,844 |1,214 |2,854
|(12.63) |(5.43) |(3.40) |(0.71) |(1.66)
1987-88 |22,401 |9,059 |5,336 |1,159 |2,086
|(13.33) |(5.9) |(3.18) |(0.69) |(1.67)
1988-89 |22,811 |9,293 |7,159 |1,587 |2,569
|(15.26) |(6.22) |(4.79) |( |.06) |(1.72)
Home Office-Prisons estate 1983-88£k Year |Rent |Rates |Maintenance |Heating fuels|Utilities -------------------------------------------------------------------------------------------------- 1983-84 |524 |4,179 |22,290 |13,272 |11,300 1984-85 |375 |4,461 |25,183 |15,724 |11,673 1985-86 |246 |5,177 |22,535 |13,375 |13,205 1986-87 |547 |6,758 |20,474 |8,294 |15,982 1987-88 |520 |7,724 |24,129 |8,042 |15,878 1988-89 |577 |8,750 |27,344 |9,643 |16,528
Home Office-Non PRS Miscellaneous estate 1983-88£k
|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89
-----------------------------------------------------------------------------
Total property costs |3,196 |3,214 |3,312 |4,942 |5,376 |5,594
Departmental Plant and Equipment
Mr. Cousins : To ask the Secretary of State for the Home Department when the last revaluation of plant and equipment employed by his Department was carried out ; and what plant and equipment asset replacement charges are incurred by his Department.
Mr. Douglas Hogg : It is not the general Home Office practice to revalue its plant and equipment, or to calculate asset replacement charges, although a depreciation charge is calculated in certain parts of the Department where trading accounts are produced.
Gaelic Broadcasting
Mr. Macdonald : To ask the Secretary of State for the Home Department (1) what is his response to Communn na Gaidhlig's report on Gaelic broadcasting, in particular, its call for a Gaelic broadcasting council ;
(2) what conclusions he has reached on the report by Dr. Cento Veljanovski entitled "The Case for a Gaelic Broadcasting Service".
Mr. Renton : We are considering carefully all the representations made in response to the White Paper on broadcasting.
Bail
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many bail hostel places are available in England and Wales.
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Mr. John Patten : There are 18 specialist bail hostels providing 243 places. In addition, there are 81 hostels providing 1,647 places either for persons subject to a probation order for bailees. Over the next two years, 440 bail hostel places will be created.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department (1) what percentage of all defendants who appeared before the courts in England and Wales in 1987 and 1988 were bailed (a) with and (b) without conditions ;
(2) how many persons during 1987 and 1988 who were remanded into custody in England and Wales at a first hearing were subsequently bailed ;
(3) how many persons who had been charged with a summary offence were remanded in custody in England and Wales during the latest year for which figures are available.
Mr. John Patten : The available information, which may be incomplete, relates to those remanded on bail or in custody during magistrates courts hearings or at committal to the Crown court and is shown in tables 8.5 and 8.7 of "Criminal Statistics, England and Wales, 1987", respectively. Reliable information is not available centrally on whether conditions were attached to bail or on how many of those initially remanded in custody were subsequently bailed.
Remand Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department what percentage of persons who
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were remanded in custody during 1987 and 1988 in gaol in England and Wales emanated from an ethnic minority ; and what percentage was eventually acquitted, not proceeded against or given a non- custodial sentence.Column 94
Mr. Douglas Hogg : Information for 1988 is not a reliable guide because for a large proportion of the prisoners the outcome of court proceedings is not yet recorded.
The latest available information for 1987 is given in the table.
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Persons received into prison service establishments in England and Wales as unsentenced prisoners, by outcome of court
proceedings and ethnic
origin 1987.
Percentage<1>
Outcome |White |West Indian |Indian |Chinese |Other, |All persons
|Guyanese |Pakistani |Arab |not recorded,
|African |Bangladeshi |Mixed Origin |refused
-----------------------------------------------------------------------------------------------------------------------------
Found not guilty or not
proceeded against |4 |9 |6 |6 |6 |5
Non-custodial or freed on
rising<2> |30 |25 |26 |31 |28 |29
Received under sentence |52 |45 |47 |47 |24 |51
Ultimate disposal not
recorded |13 |21 |21 |16 |42 |15
|------- |------- |------- |------- |------- |-------
Total |100 |100 |100 |100 |100 |100
(Number of receptions) |(56,154) |(6,506) |(1,317) |(1,423) |(1,198) |(66,598)
(Percentage of receptions) |(84.3) |(9.8) |(2.0) |(2.1) |(1.8) |(100.0)
<1>Provisional figures; as later information is now available the figures for all persons have been revised from those
published in table 2.6 of Prison statistics, England and Wales (Cm. 547).
<2>Persons freed on rising are those who were sentenced to immediate custody of such a length, that it had already been
served on remand.
Mr. Ieuan Wyn Jones : To ask the Secretary for State of the Home Department what percentage of males and females who were remanded in custody in England and Wales in 1987 and 1988 were eventually either acquitted, not proceeded against or given a non-custodial sentence.
Mr. Douglas Hogg : The latest available information for 1987 is given in the table. Information for 1988 is not a reliable guide because for a large proportion of the prisoners the outcome of court proceedings is not yet recorded.
Persons received into prison service establishments in England and
Wales as unsentenced prisoners by outcome of court proceedings and
sex 1987.
<1>Percentage
Outcome |Males |Females
----------------------------------------------------------------------
Not guilty or not proceeded against |5 |5
Given a non-custodial sentence or freed on
rising<2> |29 |39
Received under sentence |52 |36
Ultimate disposal not recorded |15 |20
|--- |---
Total |100 |100
(Number of receptions) |(63,349)|(3,249)
<1>Provisional figures, as later information is now available the
figures have been revised from those published in table 2.6 of Prison
statistics, England and Wales (Cm. 547).
<2>Persons freed on rising are those who were sentenced to immediate
custody of such length that it had already been served on remand.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department what changes have been made to remand prisoners' rights and privileges since 1979.
Mr. Douglas Hogg : From 1983 all unconvicted prisoners have been allowed to send two letters a week at public expense (previously they had to pay for them if they had private cash). In 1986 regional directors were given discretion to approve variations at particular establishments in arrangements for daily visits by relatives and friends, provided that an aggregate entitlement of at least one and half hours' visiting time per week was maintained
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for each unconvicted prisoner and that weekend visits were available at least fortnightly. In 1988 the unconvicted prisoners' privilege of having food and drink brought in by relatives or friends was withdrawn.Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many persons committed suicide in gaol in England and Wales during a period of remand during 1987 and 1988.
Mr. Douglas Hogg : A total of 27 in 1987 and 18 in 1988. In addition, the inquest on the apparent suicide of one remand prisoner in 1988 remains to be held.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many persons died in gaol in England and Wales during a period of remand during 1987 and 1988.
Mr. Douglas Hogg : A total of 33 in 1987 and 25 in 1988. In addition, in 1987 six and in 1988 seven remand prisoners died in outside hospitals to which they had been transferred because of serious illness.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many psychiatric reports were prepared on remand prisoners in England and Wales in 1988 or for the latest year in which figures are available.
Mr. Douglas Hogg : The available information relates only to reports made under sections 47 and 48 of the Mental Health Act 1983 recommending transfer to psychiatric or special hospitals, and does not distinguish between sentenced and unsentenced prisoners. In the year ending 31 March 1988, 206 such reports were prepared.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many persons deemed psychiatrically ill were remanded in custody in England and Wales for the latest date available.
Mr. Douglas Hogg : The available information relates only to populations and not to numbers received. On 30
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September 1988 a total of 158 unsentenced prisoners in England and Wales were considered by medical officers to meet the criteria for detention in hospital under the Mental Health Act 1983. Of these, 150 were considered to be mentally ill, five were considered to be mentally impaired and three were considered to be suffering from psychopathic disorder, as defined in the Act.Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department how many persons were remanded in gaols in England and Wales for the latest year in which figures are available.
Mr. Douglas Hogg : In 1988, the provisional number of receptions into prison service establishments was 58,300 for untried prisoners and 17,300 for convicted unsentenced prisoners. These figures exclude those received into police cells and not subsequently received into a prison service establishment.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department (1) what was the average time spent waiting for trial for male and female remand prisoners in gaols in England and Wales for 1986, 1987 and 1988 ;
(2) what was the average time spent waiting for trial for male and female remand prisoners in gaols in England and Wales for the latest date available.
Mr. Douglas Hogg : The latest readily available information was published in table 2.1 of Prison Statistics England and Wales 1987 (Cm. 547), a copy of which is in the Library. Provisional data for 1988 indicate very little change for males but a further increase for females.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department what was the average remand population of gaols in England and Wales during 1988.
Mr. Douglas Hogg : On average there were 8,797 untried and 1,664 convicted and unsentenced prisoners in prison service establishments in England and Wales in 1988. In addition 982, most of whom were untried, were held in police cells. Further information was published in tables 3 and 4 of "The Prison Population in 1988" ( Home Office Statistical Bulletin issue 12/89), a copy of which is in the Library.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department what was the remand population in gaols in England and Wales for the latest date available and for a similar date in 1986, 1987 and 1988.
Mr. Douglas Hogg : The information requested is given in the following table :
Remand population in custody in England and Wales
on 31 March 1986 to 1989
|1986 |1987 |1988 |1989
------------------------------------------------------------------
Prison service establishments:
Untried |8,115 |8,770 |8,387 |8,939
Convicted unsentenced |1,339 |1,611 |1,602 |1,760
Prison cells<1> |62 |380 |1,078 |71
|--- |--- |--- |---
Total |9,516 |10,761|11,067|10,770
<1> On 31 March 1986, 1987 and 1989 all those held in police
cells are assumed to be remand prisoners; it is estimated that on
31 March 1988 a further 230 were held in police cells.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for the Home Department what measures he is taking to reduce the remand population in England and Wales ; and if he will make a statement.
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Mr. John Patten : I refer the hon. Member to the reply given to a question from the hon. Member for Newport, West (Mr. Flynn) on 23 January 1989 at column 393.
Hillsborough Disaster
Mr. Patchett : To ask the Secretary of State for the Home Department if he has yet completed his further consideration as to who will bear the cost of the West Midlands police inquiry into the Hillsborough disaster.
Mr. Douglas Hogg : I refer the hon. Member to the answer that I gave to the hon. Member for Sheffield, Brightside (Mr. Blunkett) on 12 May at column 569.
Prisoners
Mr. Tony Lloyd : To ask the Secretary of State for the Home Department what factors he takes into account when allocating a prisoner to a particular prison.
Mr. Douglas Hogg : Allocation decisions are taken in the light of information relating to the nature of the prisoner's offence, sentence length, previous prison record if relevant, suitability for particular types of accommodation and regime, home area or that of likely visitors, educational and training needs or potential and any special needs which are identified. The aim is to make the best use of the prison accommodation available at the time while meeting the requirements of security and control and the needs of the individual prisoner.
Public Order (Football Grounds)
Mr. Corbett : To ask the Secretary of State for the Home Department how many males over the age of 65 years and females over the age of 60 years have been (a) arrested, (b) charged and (c) convicted of offences relating to public order at football grounds in each of the last five years.
Mr. John Patten : Information in the form requested is not available as the location of alleged offences is not recorded centrally. However, records available to me show no convictions for indictable public order offences in 1987 for males over 65 or females over 60. To provide such figures for earlier years would involve disproportionate costs. Information is not available centrally on the age of adult offenders convicted of summary public order offences. Nor is corresponding information available on those arrested or charged with public order offences.
Race Equality Programme (Brent)
Mr. Livingstone : To ask the Secretary of State for the Home Department when approval will be given to the payment of the section 11 grant for the funding of the Brent development programme for race equality.
Mr. John Patten : Following Sir David Lane's inquiry into Brent's development programme for racial equality, the Home Office wrote to the London borough of Brent on 26 May 1988 requiring a number of undertakings to be given before a decision on whether grant under section 11 of the Local Government Act 1966 could be reached. The local authority replied to that letter on 30 September 1988, indicating that the council required clarification of some of the undertakings. These were discussed at a meeting between Home Office officials and Brent officers on 30
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November. As a result the director of education wrote to the Home Office on 9 January 1989 with the authority's first detailed response to the undertakings. On 6 April the Home Office wrote again seeking explanation of a number of points in that response. The authority's reply was received in the Home Office on 10 May. It is at present being considered and the authority will be informed when a decision has been reached.Overseas Residents (Voting)
Mr. John Marshall : To ask the Secretary of State for the Home Department when he expects to announce proposals to alter the franchise qualifications for Britons resident abroad ; and whether these changes will be introduced in time for those affected to register to vote in the next general election.
Mr. Douglas Hogg : I refer my hon. Friend to the reply given to his question of 2 February 1989 at column 383.
Political Asylum (Kurds)
Mr. Sedgemore : To ask the Secretary of State for the Home Department how many Kurds from Turkey have entered Britain in the past 14 days seeking political asylum or refugee status ; what steps he is taking to deal with the cases ; and if he intends to give financial or other help to the London borough of Hackney and other boroughs to provide temporary or permanent accommodation and maintenance.
Mr. Renton : We received 456 applications for asylum for Turkish nationals arriving at ports in the 14 days to 11 May. It is not yet clear how many of the applicants are Kurds. Arrangements are in hand for them to be interviewed individually so that the merits of their asylum claims can be assessed and decisions reached as soon as possible.
The Home Office has no plans to reimburse local authorities for provision that they have decided to incur.
Electronic Surveillance
Mr. Cran : To ask the Secretary of State for the Home Department what he treats as legitimate uses to which electronic surveillance devices may be put.
Mr. Hurd : The Younger report on privacy reported on the widely accepted view that there was a vast range of unobjectionable uses for technical surveillance devices. Examples include their use by shops and other enterprises in order to prevent crime.
Mr. A (Passport)
Mr Tony Lloyd : To ask the Secretary of State for the Home Department when the Minister of State the hon. Member for Mid-Sussex (Mr. Renton) will reply to the letters from the hon. Member for Stretford concerningM. A. Home Office reference A 429590 ; and if he will make a statement on the delay in replying and the delays in returning Mr. A's passport.
Mr. Renton : The delay in this case has been caused by the need to make a detailed investigation. I shall be writing to the hon. Member shortly. The two passports in the case to which he has referred have been returned to the holder and his settled immigration status confirmed.
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