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Column 96

NATIONAL FINANCE

NHS Reform

Mr. Dobson : To ask the Chancellor of the Exchequer whether the Central Office of Information has been asked to assess the effectiveness of the original launch of the National Health Service review.

Mr. Lilley [holding answer 19 June 1989] : COI has not been involved in what is largely a staff communications exercise.

CIVIL SERVICE

Agencies

Mr. Baldry : To ask the Minister for the Civil Service if he will make a statement on whether there have been improvements in the delivery of service to the public and in labour relations in the civil service agencies established so far.

Mr. Luce : The main aim of the next steps initiative is to deliver Government services more efficiently and effectively, within available resources, for the benefit of taxpayers, customers and staff. Developments in service delivery and in industrial relations in individual agencies are matters for the Departments and agencies concerned, (in the light of responsibilities in each agency's framework document). Our overall policy is that each agency will account for its performance on an annual basis through a published report and accounts. We are also developing a policy evaluation framework for the initiative.

SOCIAL SECURITY

Vaccine Damage

Mr. Ashley : To ask the Secretary of State for Social Security how many vaccine damage payments were made in 1980, 1981, 1982 and 1983 ; and if he will categorise these according to the age of the child when the vaccination took place, the year of vaccination and the nature of the vaccination.

Mr. Peter Lloyd : The number of payments awarded under the provisions of the Vaccine Damage Payments Act 1979 in 1980, 1981, 1982 and 1983 were 255, 74, 43 and 42, respectively. I regret that the details requested are not available for any of those made in 1980 and only some of those made in 1981 and 1982. The details that are available are in the tables.


Table 1                                                                                                                                                                                                                                                                                                                                                                      

Vaccine damage payments scheme: awards made in 1981 by age of                                                                                                                                                                                                                                                                                                                

child at date of vaccination; year of vaccination and type of                                                                                                                                                                                                                                                                                                                

vaccination                                                                                                                                                                                                                                                                                                                                                                  

Type of vaccination cited                                                |Age at date of                                                          |Year vaccine was given                                                                                                                                                                                                    

on the claim form                                                        |vaccination (months)                                                                                                                                                                                                                                                                               

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

1.                                                                       |Triple/Polio                                                            |3 to 6                                                                  |1966                                                                                                                                             

2.                                                                       |Pertussis                                                               |3 to 6                                                                  |1959                                                                                                                                             

3.                                                                       |Triple/Polio                                                            |3 to 6                                                                  |1973                                                                                                                                             

4.                                                                       |Triple/Smallpox                                                         |0 to 3                                                                  |1955                                                                                                                                             

5.                                                                       |Triple/Polio                                                            |12 to 15                                                                |1970                                                                                                                                             

6.                                                                       |Triple                                                                  |9 to 12                                                                 |1967                                                                                                                                             

7.                                                                       |Diphtheria/Tetanus                                                      |6 to 9                                                                  |1979                                                                                                                                             

8.                                                                       |Triple                                                                  |3 to 6                                                                  |1963                                                                                                                                             

9.                                                                       |Triple/Polio                                                            |3 to 6                                                                  |1968                                                                                                                                             

10.                                                                      |Triple/Polio                                                            |3 to 6                                                                  |1978                                                                                                                                             

11.                                                                      |Triple                                                                  |3 to 6                                                                  |1968                                                                                                                                             

12.                                                                      |Triple                                                                  |6 to 9                                                                  |1961                                                                                                                                             

13.                                                                      |Measles                                                                 |2 years                                                                 |1970                                                                                                                                             

14.                                                                      |Triple/Polio                                                            |3 to 6                                                                  |1979                                                                                                                                             

15.                                                                      |Triple/Polio                                                            |3 to 6                                                                  |1966                                                                                                                                             

16.                                                                      |Triple                                                                  |9 to 12                                                                 |1961                                                                                                                                             

17.                                                                      |Triple/Polio                                                            |3 to 6                                                                  |1964                                                                                                                                             

18.                                                                      |Diphtheria/Tetanus                                                      |6 to 9                                                                  |1978                                                                                                                                             

19.                                                                      |Diphtheria/Pertussis                                                    |6 to 9                                                                  |1952                                                                                                                                             

20.                                                                      |Triple                                                                  |6 to 9                                                                  |1964                                                                                                                                             

21.                                                                      |Triple                                                                  |3 to 6                                                                  |1979                                                                                                                                             

22.                                                                      |Triple                                                                  |6 to 9                                                                  |1960                                                                                                                                             

23.                                                                      |Triple                                                                  |3 to 6                                                                  |1968                                                                                                                                             

24.                                                                      |Diphtheria/Pertussis                                                    |6 to 9                                                                  |1951                                                                                                                                             

25.                                                                      |Triple                                                                  |6 to 9                                                                  |1979                                                                                                                                             

26.                                                                      |Smallpox                                                                |2 years                                                                 |1963-64                                                                                                                                          

27.                                                                      |Tetanus/Diphtheria/Polio                                                |9 to 12                                                                 |1977                                                                                                                                             

28.                                                                      |Pertussis                                                               |9 to 12                                                                 |1974                                                                                                                                             

29.                                                                      |Triple                                                                  |3 to 6                                                                  |1965                                                                                                                                             

30.                                                                      |Measles                                                                 |12 to 15                                                                |1971                                                                                                                                             

31.                                                                      |Triple/Smallpox                                                         |3 to 6                                                                  |1960                                                                                                                                             

32.                                                                      |Triple/Polio                                                            |6 to 9                                                                  |1975                                                                                                                                             

                                                                                                                                                                                                                                                                                                                                                                             


Table 2                                                                                                                                                                                                                     

Vaccine damage payments scheme: awards made in 1982 by age of                                                                                                                                                               

child at date of vaccination; year of vaccination and type of                                                                                                                                                               

vaccination                                                                                                                                                                                                                 

Type of vaccination cited on the claim form |Age at date of vaccination (months)        |Year vaccine was given                                                                                                             

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

1.                                          |Pertussis                                  |6 to 9                                     |1978                                                                                   

2.                                          |Pertussis                                  |3 to 6                                     |1973                                                                                   

3.                                          |Polio                                      |9 to 12                                    |1960                                                                                   

4.                                          |Triple                                     |9 to 12                                    |1970                                                                                   

5.                                          |Pertussis                                  |3 to 6                                     |1980                                                                                   

6.                                          |Tetanus/Polio                              |16 years                                   |1977                                                                                   

7.                                          |Pertussis                                  |3 to 6                                     |1981                                                                                   

8.                                          |Measles                                    |15 to 18                                   |1979                                                                                   

9.                                          |Measles                                    |3 to 6                                     |1981                                                                                   

10.                                         |Triple/Polio                               |6 to 9                                     |1976                                                                                   

11.                                         |Polio                                      |32 years                                   |1979                                                                                   

12.                                         |Pertussis                                  |3 to 6                                     |1978                                                                                   

13.                                         |Triple                                     |3 to 6                                     |1970                                                                                   

14.                                         |Smallpox                                   |3 to 6                                     |1960                                                                                   

15.                                         |Pertussis                                  |3 to 6                                     |1978                                                                                   

16.                                         |Pertussis                                  |6 to 9                                     |1971                                                                                   

17.                                         |Triple/Polio                               |3 to 6                                     |1978                                                                                   

18.                                         |Triple/Polio                               |3 to 6                                     |1980                                                                                   

19.                                         |Triple/Polio                               |6 to 9                                     |1976                                                                                   

20.                                         |Smallpox                                   |0 to 3                                     |1961                                                                                   

21.                                         |*                                          |3 to 6                                     |1965                                                                                   

22.                                         |Triple/Polio                               |3 to 6                                     |1979                                                                                   

23.                                         |Triple                                     |6 to 9                                     |1976                                                                                   

24.                                         |Triple/Polio                               |6 to 9                                     |1977                                                                                   

25.                                         |Pertussis                                  |3 to 6                                     |1972                                                                                   

26.                                         |Triple/Polio                               |9 to 12                                    |1968                                                                                   

27.                                         |Triple/Polio                               |3 to 6                                     |1973                                                                                   

28.                                         |Diphtheria/Tetanus/Polio                   |2 years                                    |1971                                                                                   

29.                                         |Diphtheria/Tetanus/Polio                   |2 years                                    |1971                                                                                   

30.                                         |Triple/Polio                               |3 to 6                                     |1973                                                                                   

31.                                         |Triple/Polio                               |6 to 9                                     |1978                                                                                   

32.                                         |Triple                                     |3 to 6                                     |1972                                                                                   

Note: Details are not available for the remaining 11 awards made in 1982.                                                                                                                                                   


Column 98


Table 3                                                                                                  

Vaccine damage payments scheme: awards made in 1983 by age of                                            

child at date of vaccination; year of vaccination and type of                                            

vaccination                                                                                              

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

1.                   |Triple/Polio        |6 to 9              |1979                                     

2.                   |Pertussis           |3 to 6              |1981                                     

3.                   |Pertussis           |3 to 6              |1980                                     

4.                   |Triple              |9 to 12             |1971                                     

5.                   |Triple/Polio        |3 to 6              |1971                                     

6.                   |Triple/Polio        |6 to 9              |1970                                     

7.                   |Measles             |12 to 15            |1980                                     

8.                   |Triple/Polio/Measles|6 to 9              |1976                                     

9.                   |Pertussis           |3 to 6              |1980                                     

10.                  |Smallpox            |21 to 24            |1962                                     

11.                  |Triple/Polio        |6 to 9              |1976                                     

12.                  |Triple/Polio        |9 to 12             |1970                                     

13.                  |Triple              |6 to 9              |1971                                     

14.                  |Triple              |3 to 6              |1972                                     

15.                  |Pertussis           |6 to 9              |1972                                     

16.                  |Pertussis           |6 to 9              |1968                                     

17.                  |Triple              |3 to 6              |1971                                     

18.                  |Triple              |3 to 6              |1980                                     

19.                  |Triple/Polio        |9 to 12             |1973                                     

20.                  |Polio               |3 to 6              |1981                                     

21.                  |Pertussis           |3 to 6              |1982                                     

22.                  |Triple/Polio        |3 to 6              |1968                                     

23.                  |Pertussis           |6 to 9              |1971                                     

24.                  |Pertussis           |6 to 9              |1973                                     

25.                  |Measles             |2 years             |1971                                     

26.                  |Pertussis           |9 to 12             |1978                                     

27.                  |Pertussis           |6 to 9              |1968                                     

28.                  |Polio               |12 to 15            |1959                                     

29.                  |Pertussis           |3 to 6              |1967                                     

30.                  |Pertussis           |6 to 9              |1975                                     

31.                  |Polio               |6 to 9              |1975                                     

32.                  |Pertussis           |3 to 6              |1980                                     

33.                  |Measles/Triple      |3 to 6              |1981                                     

34.                  |Triple              |3 to 6              |1972                                     

35.                  |Triple/Polio        |6 to 9              |1969                                     

36.                  |Triple/Polio        |6 to 9              |1975                                     

37.                  |Pertussis           |6 to 9              |1972                                     

38.                  |Triple/Polio        |6 to 9              |1965                                     

39.                  |Diphtheria/Polio    |3 years             |1968                                     

40.                  |Pertussis           |3 to 6              |1980                                     

41.                  |Pertussis           |3 to 6              |1981                                     

42.                  |Pertussis           |9 to 12             |1978                                     

Mobility Allowance

Mr. Boyes : To ask the Secretary of State for Social Security (1) if he can state the percentage of successful claimants at each of the following stages (a) the examining medical

practitioner/adjudicating officer, (b) the medical board and (c) the medical appeal tribunal of (i) deaf-blind and (ii) mentally handicapped claimants of mobility allowance in the survey which is being carried out by his Department ; and if he will clarify the methods being used to obtain these figures :

(2) what progress has been made by his Department on the analysis that they are carrying out on a sample of deaf-blind and mentally handicapped claimants of mobility allowance ; and if he will make a statement ;

(3) when he expects the results of his Department's analysis of a sample of deaf-blind and mentally handicapped claimants of mobility allowance to be published.


Column 99

Mr. Scott : Random samples of claims made by either mentally or visually handicapped people were examined, after the decision had been given, for each of the three stages of the medical adjudication system. The size of the samples and the outcome of the claims is shown as follows :


Adjudication stage for  |Sample size           |Percentage successful                        

medical questions                                                                            

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

Mentally handicapped                                                                         

Adjudication Officer    |100                   |36                                           

Medical Board           |100                   |38                                           

Medical Appeal Tribunal |100                   |46                                           

                                                                                             

Visually handicapped                                                                         

Adjudication Officer    |100                   |32                                           

Medical Board           |75                    |31                                           

Medical Appeal Tribunal |25                    |36                                           

The samples of cases have been analysed by the type of claim, the availability of additional evidence, and their outcome. Further analysis has been made of the nature of the findings on behavioural and balance problems, as appropriate. In practice it has proved difficult to isolate the effect of visual or mental handicap on the individual decisions about entitlement to mobility allowance, because of the frequent incidence of multiple handicap. The results must therefore be treated with caution. We do not therefore propose to publish detailed findings, but we shall use the information which has been collected when the guidance for examining doctors is being revised.

Pensions

Mrs. Beckett : To ask the Secretary of State for Social Security whether he will amend paragraph 10 of schedule 2 to the Income Support (General) Regulations 1987 to extend entitlement to the higher pension premium to men aged 60 to 64 years who satisfy the condition of paragraph 12(1)(b) that they have provided evidence of incapacity for 28 weeks.

Mr. Peter Lloyd : We have no plans to do so.

HEALTH

Drugs

Mr. Wilson : To ask the Secretary of State for Health if he will publish the total cost of the drug bill for the family practitioners service for the years 1978 to 1988 and the amount deducted from chemists' remuneration in respect of discounts for the same period.

Mr. Mellor : The basic cost of prescriptions dispensed by pharmacies in England and Wales and the amounts deducted in respect of discounts for the years 1978 to 1988 were :


Year                    |Basic cost             |Deduction for discounts                        

                        |£ million              |£ million                                      

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

1978                    |557.0                  |15.0                                           

1979                    |636.8                  |18.3                                           

1980                    |769.9                  |12.0                                           

1981                    |896.4                  |33.9                                           

1982                    |1,048.9                |57.2                                           

1983                    |1,176.2                |66.1                                           

1984                    |1,266.7                |109.0                                          

<1>1985                 |343.2                  |21.4                                           

1985-86                 |1,340.8                |82.8                                           

1986-87                 |1,505.7                |117.2                                          

1987-88                 |1,703.3                |134.0                                          

1988-89                 |1,885.0                |154.7                                          

<1>1 January 1985 to 31 March 1985.                                                             

Trent Regional Health Authority

Mr. Redmond : To ask the Secretary of State for Health how many hospital wards in the Trent regional health authority are not in use ; and if he will list the reasons why in each case.

Mr. Freeman : I regret that the information requested is not held centrally. The hon. Member may care to write to the chairman of Trent regional health authority for the information he seeks.

Mr. Redmond : To ask the Secretary of State for Health if he will give details for the Trent regional health authority of each capital project costing more than £1 million (a) actually under construction and (b) at the proposal or planning stage ; and if he will give the estimated date of completion for each project.

Mr. Freeman : The information held centrally is given in the table ; estimated completion dates are not held for all the schemes at the planning stages.


Concise 1-Developed by Department of Health                                                                                                                 

Health Building Directorate                                                                                                                                 

Trent Regional Health Authority schemes                                                                                                                     

£1 million and over                                                                                                                                         

Ref.                                   |Scheme                                |Estimated completion                                                         

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

Schemes under construction                                                                                                                                  

3.67                                   |Bassetlaw DGH Phase 2                 |1 December 1989                                                              

3.51                                   |Doncaster Royal Infirmary Phase 2     |16 June 1989                                                                 

                                       |  Pathology Laboratory                                                                                              

3.15                                   |Glenfield DGH Phase 2                 |7 April 1990                                                                 

3.41                                   |Kendray-Sub Phase 2B-Mental           |7 August 1989                                                                

                                       |  Illness Unit-ESMI                                                                                                 

3.23                                   |Kings Mill DGH Phase 3                |29 November 1991                                                             

3.11                                   |Leicester Royal Infirmary Phase 4B    |1 July 1990                                                                  

3.76                                   |North Hykeham ESMI Facilities         |17 September 1989                                                            

3.54                                   |Northern General Renal Unit           |9 October 1989                                                               

3.70                                   |Notts City Replacement and            |1 March 1991                                                                 

                                       |  Extension of X-Ray Department                                                                                     

3.64                                   |St. George's ESMI Facilities          |16 October 1989                                                              

                                                                                                                                                            

Schemes at proposal or planning stage                                                                                                                       

3.46                                   |Bassetlaw DGH Phase 3                 |August 1995                                                                  

3.29                                   |Chesterfield and North Phase 3        |September 1993                                                               

                                       |  Geriatric Provision                                                                                               

3.114                                  |Derby City ESMI Day Unit              |July 1992                                                                    

3.112                                  |Derby City Hospital Mental Illness    |June 1992                                                                    

                                       |  Unit                                                                                                              

3.47                                   |Derby City Hospital Paediatrics       |April 1994                                                                   

3.118                                  |Doncaster Royal Infirmary West        |October 1994                                                                 

                                       |  End Redevelopment Phase 2                                                                                         

3.115                                  |Dukeries Community Hospital           |August 1993                                                                  

3.84                                   |Fulwood ESMI Unit                     |March 1993                                                                   

3.73                                   |Gedling/Eastern Local Hospital        |May 1993                                                                     

3.103                                  |Glenfield DGH MI Department Inc       |January 1994                                                                 

                                       |  ESMI                                                                                                              

3.28                                   |Glenfield DGH Phase 3                 |March 1995                                                                   

3.94                                   |Grantham and Kesteven-Phase 6         |February 1994                                                                

                                       |  Mental Illness Department                                                                                         

3.48                                   |Hallamshire Acute Unit for the        |November 1992                                                                

                                       |  Elderly                                                                                                           

3.108                                  |Highbury Local Hospital for the       |February 1994                                                                

                                       |  Elderly                                                                                                           

3.59                                   |Hincley Hospital Facilities for       |December 1991                                                                

                                       |  Elderly Phase 1                                                                                                   

3.92                                   |Hinkley Development Phases 2, 3       |July 1994                                                                    

                                       |  and 4                                                                                                             

3.116                                  |Kendray Phase 3 Mental Ilness         |February 1994                                                                

3.96                                   |Kings Mill Phase 4 Acute Wards                                                                                      

3.101                                  |Leicester Royal Infirmary Phase 4C    |September 1992                                                               

                                       |  Post Main Phase                                                                                                   

3.45                                   |Lincoln County Phase 3A               |June 1994                                                                    

3.110                                  |Mansfield Victoria Community          |October 1993                                                                 

                                       |  Hospital                                                                                                          

3.85                                   |Middlewood MI Rehabilitation-         |November 1994                                                                

                                       |  Community Centre                                                                                                  

3.82                                   |North East Unit L/S Facilities for    |July 1993                                                                    

                                       |  the Elderly                                                                                                       

3.107                                  |Northern General Phase 3              |February 1996                                                                

3.89                                   |Nottingham City Catering              |March 1991                                                                   

                                       |  Department                                                                                                        

3.105                                  |Notts City ESMI Assessment Unit       |November 1991                                                                

                                       |  St. Francis Wing                                                                                                  

3.104                                  |Notts City Extension to Theatres      |2 October 1992                                                               

3.97                                   |Notts City Medical Unit                                                                                             

3.91                                   |Notts City Psychiatric Centre         |February 1993                                                                

3.95                                   |Pilgrim Hospital{em rule}Phase 4 ESMI-|June 1992                                                                    

                                       |  Geriatric                                                                                                         

3.86                                   |Sheffield Genetics Etc. Department                                                                                  

3.44                                   |Sheffield Obstetric-Gynaecology-                                                                                    

                                       |  Elderly Services                                                                                                  

3.117                                  |St. George's Local Community          |January 1996                                                                 

                                       |  Hospital for Elderly                                                                                              

3.88                                   |Walkley ESMI Unit                                                                                                   

3.93                                   |Bassetlaw DGH Phase 2A                |June 1992                                                                    

3.74                                   |Clay Cross Community Hospital         |November 1993                                                                

3.106                                  |Commonside ESMI Unit Sheffield        |June 1992                                                                    

3.100                                  |Doncaster Royal Infirmary West        |October 1992                                                                 

                                       |  End Development Phase 1                                                                                           

3.98                                   |Leicester Health Authority Cook       |April 1990                                                                   

                                       |  Chill Catering                                                                                                    

3.55                                   |Rotherham DGH Phase 3B-               |October 1994                                                                 

                                       |  Geriatric Unit                                                                                                    

3.72                                   |Rushcliffe Hospital Development       |May 1992                                                                     

3.113                                  |Wharncliffe Long Stay Facilities for  |June 1992                                                                    

                                       |  Elderly                                                                                                           

3.109                                  |Ashfield Community Hospital           |November 1991                                                                

3.81                                   |Beighton Local Hospital for Elderly   |September 1991                                                               

3.66                                   |Charles Clifford District Hospital                                                                                  

                                       |  New Extension                                                                                                     

3.25                                   |Derby City Phase 2 Geriatrics         |30 April 1991                                                                

3.37                                   |Grantham and Kesteven Phase 5B        |August 1991                                                                  

3.26                                   |Lincoln County Phase 2                |October 1992                                                                 

3.27                                   |Loughborough Phase 1 Geriatric        |February 1992                                                                

                                       |  and ESMI Provision                                                                                                

3.43                                   |Northern General Phase 2              |February 1992                                                                

3.71                                   |Notts City Renal/Radiotherapy         |July 1992                                                                    

3.57                                   |Rotherham DGH Phase 3A                |15 March 1991                                                                

Food Hygiene

Mr. Robin Cook : To ask the Secretary of State for Health when he now expects to lay before Parliament statutory instruments on standards of food hygiene.

Mr. Freeman : The Food Hygiene (General) Regulations 1970 already provide strict standards of food hygiene in food premises, and related regulations provide the same in respect of markets, stalls and delivery vehicles.

We are currently considering amending the regulations so as to extend temperature controls to food intended for retail sale. We anticipate that these amending regulations will be laid before Parliament in the autumn of this year.


Column 102

Bio-Plan Ltd.

Mrs. Dunwoody : To ask the Secretary of State for Health if he will list the extra facilities provided by Bio-Plan Ltd. to the National Health Service patients of Leighton hospital with the date of their inception and the number of patients in the National Health Service who have had access to them.

Mr. Mellor : We do not hold this information centrally. The hon. Member may care to contact the chairman of the Crewe health authority.

NHS Reform

Mrs. Dunwoody : To ask the Secretary of State for Health what consultations will be held with (a) the staff and (b) the local authority representing the catchment area of any general district hospitals that apply to opt-out.

Mr. Mellor : Self-governing trusts will not opt out but will remain fully within the NHS. When a unit decides to submit an application, the RHA will seek the views of those with an interest, particularly the health authority concerned, staff at the hospital, GPs, CHCs and the local community. The Secretary of State will consider any responses alongside the application.

Mr. David Porter : To ask the Secretary of State for Health what representations he has had from general practitioners and others on the effects of the proposals in "Working for Patients" on rural practices ; and if he will make a statement.

Mr. Mellor [holding answer 19 June 1989] : We have received a number of representations from doctors about the possible effects on rural practice of our proposal to increase to 60 per cent. the proportion of a GP's income represented by capitation payments. A number of features of the new contract will be of benefit to GPs serving rural areas, including the new payments linked to the provision of specific services such as health promotion clinics, minor surgery and child health surveillance and the higher level of night visit fee. The new weighting of basic practice allowance will also benefit GPs with small lists including GPs in rural areas. In particular, the inclusion of home visits in the 26 hours a week availability, and the scope for GPs to fulfil this requirement over four rather than five days where the fifth day is spent on health-related activities in the public sector, will be welcomed by such GPs.

In recognition of the strength of feeling among rural GPs against our earlier proposal to introduce a new rural supplement, we agreed with the general medical services committee's negotiators on 4 May that the rural practice payments scheme will continue pending its revision by the central advisory committee on rural practice payments.

Sir David Price : To ask the Secretary of State for Health what change in administrative arrangements he intends to introduce for those specialised regional units in teaching hospitals where a close working relationship between the basic scientific research and developing clinical practice is common practice.

Mr. Mellor : The Government are still developing the details necessary for the implementation of "Working for Patients", but they recognise the value of the links between basic scientific research and developing clinical practice, and are taking these into account as their plans develop.


Column 103

Mr. Harry Greenway : To ask the Secretary of State for Health if he will detail those points where a substantial number of general practitioners are understood to support the National Health Service White Paper ; and if he will make a statement.

Mr. Kenneth Clarke : A substantial number of general practitioners support our proposals for :

retaining the principles on which the NHS was based ;

better management in the NHS and the greater involvement of doctors in it ;

clinically led medical audit ;

extending resource management and better information systems so that the costs and results of decisions can be taken fully into account and so that the health service, for the first time, knows what it is doing, why, at what cost and to what standards ; the need for a comprehensive health service ;

the vital role of a high standard of medical education and of an effective research programme ;

the need to build on the excellent track record of the NHS to meet the changing demands of the coming decade ;

the principle of money following patients ; and

many general practitioners have expressed interest in practice budgets.

We are continuing discussions with representatives of the medical profession on the implementation of these and our other proposals.

General Practitioners

Mr. John Marshall : To ask the Secretary of State for Health if he will make a statement about the trend in the number of general practitioners since 1979.

Mr. Mellor : The table gives the number of general medical practitioners in England for each year between 1979 and 1988 (the latest year for which figures are available). The figures show that the number of general medical practitioners in England has risen steadily since 1979, with an overall increase of nearly 19 per cent. between 1979 and 1988.


Number of unrestricted        

principals (England)          

Year      |Number             

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

1979      |21,357             

1980      |21,812             

1981      |22,304             

1982      |22,786             

1983      |23,254             

1984      |23,640             

1985      |24,035             

1986      |24,460             

1987      |24,922             

1988      |<1>25,322          

<1> Provisional.              


Column 104

NHS Scientists

Dr. Kim Howells : To ask the Secretary of State for Health (1) what action he intends to improve the pay and morale of medical physicists in the National Health Service ;

(2) what action he intends to take to improve the pay and working conditions of scientists in the National Health Service ; (3) what action he intends to take to reduce the loss of National Health Service scientists to the private sector.

Mr. Mellor : The pay of medical physicists, non-medical scientists and clinical psychologists is a matter for negotiation between the management side of the Scientific and Professional Staffs Council and the staff side representing scientists employed in the NHS. Negotiations are continuing on the staff side pay claim for 1989-90. The management side has set up a working party to investigate the recuitment and retention of scientists in the NHS and is currently considering its findings.

Toxoplasmosis

Mr. Gerald Bowden : To ask the Secretary of State for Health whether he has any plans to publish and distribute, through the Health Education Authority, any information and advice for pregnant women about toxoplasmosis.

Mr. Mellor : We are currently giving consideration to the most effective ways in which messages about toxoplasmosis can be transmitted to pregnant women.

Immunisation

Mr. Gareth Wardell : To ask the Secretary of State for Health, if he will publish in the Official Report any preliminary figures for the uptake of measles, mumps and rubella immunisation in each health authority in England during the first three months of the measles, mumps and rubella vaccines being available.

Mr. Freeman : Uptake of the measles, mumps and rubella combined vaccine is being monitored monthly in selected district health authorities. Early reports suggest an increase in uptake of 10 per cent. compared to matching cohorts of children vaccinated with measles vaccine one year previously.

Population Statistics

Mr. Ieuan Wyn Jones : To ask the Secretary of State for Health what are his Department's estimates for the numbers of people aged 65 to 74 years, 75 to 79 years and over 80 years in the years 2000 and 2020 in England ; and what percentage increase this represents in each category over the actual figures for the last year in which they are available.

Mr. Freeman : The data requested are in the table.


Column 103


Population of England, thousands                                        

1987-based projections                                                  

Age group    Mid-1987 e2000ates  2020      Per cent change              

                                           projected                    

                                          |1987-2000|1987-2020          

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

65-74       |4,218    |4,007    |5,112    |-5       |21                 

75-79       |1,555    |1,657    |1,716    |7        |10                 

80 and over |1,634    |2,038    |2,281    |25       |40                 

BNFL, Sellafield

Dr. Kim Howells : To ask the Secretary of State for Health what evidence he has of health problems, in particular those related to tissue and blood cancers, among children living within 10 miles of the British Nuclear Fuels plc's Sellafield facility ; and if he will make a statement.

Mr. Freeman : I refer the hon. Member to the report of the independent advisory group, chaired by Sir Douglas Black (1), and to the published results of the birth and school cohort studies, recommended by the group and funded by Government (2). The results of the associated case- control study are expected later this year. In addition, the report on cancer incidence and mortality in the vicinity of nuclear installations in England and Wales (3) is also relevant.

(1) Investigation of the Possible Increased Incidence of Cancer in West Cumbria. Report of the Independent Advisory Group. (HMSO 1984). (

(2) Gardner, M. J., et al (1987). Follow up studies of children born to mothers resident in Seascale, and those born elsewhere but attending schools in Seascale. British Medical Journal 295, 822 and 819.


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(3) Cook-Mozaffari, P. J. et al. Cancer incidence and mortality in the vicinity of nuclear installations. England and Wales 1959-80. (Office of Population, Censuses and Surveys. Studies on Medical and Population Subjects No. 51 HMSO).

NSPCC

Dr. Godman : To ask the Secretary of State for Health (1) if he will list the sums of money given to the National Society for the Prevention of Cruelty to Children in each of the past 10 years ; for what purpose these sums were provided by Her Majesty's Government ; what percentage of the NSPCC's annual general income these sums represented ; and if he will make a statement ;

(2) what sums of money have been given to the National Society for the Prevention of Cruelty to Children for the purposes of training NSPCC personnel in each of the past 10 years ; how much money is to be provided to the society by Her Majesty's Government in each of the next three years for this purpose ; and if he will make a statement.

Mr. Mellor [holding answer 19 June 1989] : Details are provided in the table.


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Details of grants awarded to the NSPCC for each of the past 10 years                                                                                        

Year                      |Section 64 grants towards|Grants towards the cost  |Total of columns (b) and |Totals in column (d) as                            

                          |headquarters             |of seconding NSPCC staff |(c)                      |percentage of NSPCC's                              

                          |administrative           |on to social work                                  |total income                                       

                          |expenditure              |qualifying courses                                                                                     

(a)                       |(b)                      |(c)                      |(d)                      |(e)                                                

                          |£                        |£                        |£                        |Per cent.                                          

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

1979-80                   |86,500                   |-                        |86,500                   |2.22                                               

1980-81                   |132,450                  |25,000                   |157,450                  |3.18                                               

1981-82                   |200,000                  |25,000                   |225,000                  |4.06                                               

1982-83                   |168,000                  |25,000                   |193,000                  |3.14                                               

1983-84                   |113,000                  |35,000                   |148,000                  |1.39                                               

1984-85                   |167,000                  |35,000                   |202,000                  |1.84                                               

1985-86                   |167,000                  |35,000                   |202,000                  |1.38                                               

1986-87                   |167,000                  |35,000                   |202,000                  |1.10                                               

1987-88                   |125,000                  |35,000                   |160,000                  |0.82                                               

1988-89                   |125,000                  |-                        |125,000                  |<1>-                                               

<1>Details of total income are not yet available.                                                                                                           

The NSPCC received from the Department of Health £5,300 in the year 1987-88 and £39,198 in 1988-89 for a project it is undertaking to develop child         

protection training materials for child abuse consultants in local health authorities.                                                                      

In addition the Prime Minister has announced that the Department of Health will be making a grant of £800,000 over three years towards the cost of the      

NSPCC's new national training centre in Leicester.                                                                                                          

Dangerous Food Products

Dr. David Clark : To ask the Secretary of State for Health whether he has notified the EC under the rapid notification scheme for dangerous food products about (a) salmonella in eggs, (b) bovine products and bovine spongiform encephalopathy, (c) listeria in cheese and (d) mineral hydrocarbons.

Mr. Freeman [holding answer 19 June 1989] : Yes, where appropriate the Department has notified the EC. However, questions relating to bovine products and bovine spongiform encephalopathy and mineral hydrocarbons are the responsibility of my right hon. Friend the Minister of Agriculture, Fisheries and Food.

Tuberculosis Vaccine

Mr. Terry Davis : To ask the Secretary of State for Health when Evans Medical, the British supplier of tuberculosis vaccine, moved the production of this vaccine to a new site ; what effect this transfer has had on the


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production of tuberculosis vaccine ; and when he expects health authorities to be able to resume their routine school immunisation programmes.

Mr. Freeman [holding answer 19 June 1989] : Evans Medical began production of tuberculosis vaccine at its new site in November 1988 and technical difficulties emerged earlier this year. Health authorities will be advised as soon as possible when regular supplies for the routine immunisation of schoolchildren can be resumed.

EMPLOYMENT

Enterprise Allowance

15. Mr. Eastham : To ask the Secretary of State for Employment what is the most recent total number of filled enterprise training places in the Greater Manchester area, by scheme type.

Mr. Cope : At the beginning of June there were 578 filled enterprise training places in the Greater Manchester area.


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This figure comprises 413 places via enterprise training within the employment training scheme and 165 places on the business enterprise programme, outside ET.

Health and Safety Inspectors (Sunderland)

16. Mr. Mullin : To ask the Secretary of State for Employment if he will make a statement on the outcome of the recent visit of health and safety inspectors to employers in Sunderland.

Mr. Nicholls : During the week commencing 5 June 1989 a team of inspectors from the Health and Safety Executive's north-east area office concentrated their efforts on a planned campaign of inspections to factories, construction sites and other workplaces in Sunderland. The aims were to raise employers' awareness of health and safety, to give advice to small firms, to publicise HSE's guidance and to identify firms with poor standards.

The campaign was a success. Inspectors carried out 358 inspections, giving advice on a wide range of health and safety matters. Where necessary they used their formal enforcement powers to deal with serious health and safety risks, issuing 58 enforcement notices.

Training and Enterprise Councils

17. Mr. Corbett : To ask the Secretary of State for Employment how he intends to monitor the efficiency of the training and enterprise councils.

Mr. Fowler : Each of the training and enterprise councils will operate under a contract with my Department which will set out the specific targets that they are to achieve. Their progress in meeting these targets will be monitored by the Training Agency.

110. Mrs. Ann Winterton : To ask the Secretary of State for Employment if he will make a further statement on the role of training and enterprise councils in the provision of employment training.

Mr. Cope : Training and enterprise councils will deliver and develop employment training, YTS and other Government programmes and tailor these programmes to meet local needs. They will also stimulate enterprise and economic growth in the locality and provide practical help to local employers wishing to improve their own training efforts.

99. Mr. Aspinwall : To ask the Secretary of State for Employment if he will make a statement on the role of training and enterprise councils in the provision of small business counselling.

Mr. Cope : As TECs are established in England they will contract with the Training Agency to take responsibility for the counselling currently provided through the Training Agency's small firms service along with the appropriate share of the counselling budget. Each TEC will decide whether counselling will be provided through direct contracts with counsellors or through local enterprise agencies or other appropriate organisations. In Wales counselling for small firms will continue to be provided by the Welsh Development Agency.

95. Sir Marcus Fox : To ask the Secretary of State for Employment if he will make a statement on the role of training and enterprise councils in the provision of YTS.


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Mr. Cope : Training and enterprise councils will have responsibility for the operation of YTS in their area, within the framework set out by the Secretary of State for Employment. The councils will deliver the Government's guarantee of a training place for all young people under the age of 18 who cannot find a job, and help to achieve the aim that every young person should have access to relevant education or training leading to higher levels of attainment, nationally recognised qualifications and to a job.

72. Mr. Malcolm Bruce : To ask the Secretary of State for Employment how many training and enterprise councils have been established ; and what progress has been made in attracting two thirds board membership from the private sector.

Mr. Cope : Twenty-two applications have been received by the national training task force which is reviewing these proposals and will forward its recommendations to me. I will announce which TECs have been awarded development funding shortly thereafter. The response from private sector employers has been excellent.

36. Mr. McFall : To ask the Secretary of State for Employment when the handbook for the training and enterprise councils will be published ; and whether there will be an opportunity for the public to suggest amendments.

Mr. Cope : A training and enterprise council (TEC) prospectus was published in early March and circulated widely. A draft TEC operating manual for England and Wales was published in mid-April, aimed specifically at people intending to run a TEC, with the intention that it would be expanded and updated as TECs evolve. A copy of the manual was placed in the Library and copies are available to other interested parties on request. The Training Agency will take into account any comments received.

26. Mr. Tom Clarke : To ask the Secretary of State for Employment how many applications he has received from parties interested in setting up training and enterprise councils ; and if he will make a statement.

49. Mr. Soames : To ask the Secretary of State for Employment which areas have put forward proposals for establishing training and enterprise councils ; and if he will make a statement.

94. Mr. Gill : To ask the Secretary of State for Employment if he will report on progress in establishing the first training and enterprise councils ; and if he will make a statement.

98. Mr. Ieuan Wyn Jones : To ask the Secretary of State for Employment if he will make a statement on the progress being made in establishing training and enterprise councils.

105. Mr. Evennett : To ask the Secretary of State for Employment how many expressions of interest his Department has received from groups of employers wishing to form training and enterprise councils ; and if he will make a statement.

Mr. Cope : Twenty-two applications have been received by the national training task force, which is reviewing


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these proposals and will forward its recommendations to me. This is an excellent response. The table lists the areas from which applications have been received.

List of TECS that have applied for development funding : Oldham

Dorset

Warwickshire

Essex

Rochdale

Tyneside

North West Midlands

Sheffield

Calderdale and Kirklees

Teesside

Kingston

Devon and Cornwall

Birmingham

East Lancashire

Walsall

Milton Keynes

Hertfordshire

Isle of Wight

Hampshire

North, West and South Norfolk

South and East Cheshire

Cumbria


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