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Abortion Agencies
Ms. Richardson : To ask the Secretary of State for Health whether he will list all agencies which are currently licensed by his Department to counsel or refer women for abortions ; what are the names of the owners ; and whether they are run by a registered charity.
Mr. Freeman : The information is as follows :
Pregnancy Advisory |Name of Proprietor
Bureaux
--------------------------------------------------------------------------------------------
British Pregnancy Advisory Service |British Pregnancy
Basingstoke Branch |Advisory Service<1>
Church Grange Health Centre
Bramleys Drive
Basingstoke RG21 1QN
Birmingham Pregnancy Consultation |Fraterdrive (PAS) Ltd.
Service
848 Bristol Road
Selly Oak
Birmingham B29 6HW
British Pregnancy Advisory Service |British Pregnancy
Birmingham Branch |Advisory Service<1>
Guildhall Buildings
Navigation Street
Birmingham B2 4BT
Blackpool Pregnancy Testing and |Sister Rose Ltd.
Counselling Centre
Stanley Buildings
3 Caunce Street
Blackpool
British Pregnancy Advisory Service |British Pregnancy
Bournemouth (Pelhams) Branch |Advisory Service<1>
Pelhams Clinic
Millhams Road
Bournemouth
British Pregnancy Advisory Service |British Pregnancy
Bournemouth (Dean Park) Branch |Advisory Service<1>
23 Ophir Road
Bournemouth
British Pregnancy Advisory Service |British Pregnancy
Brighton Branch |Advisory Service<1>
Wistons Site
Chatsworth Road
Brighton
Sussex BN1 5PA
British Pregnancy Advisory Service |British Pregnancy
Chester Branch |Advisory Service<1>
98A Foregate Street
Chester CH1 1HB
British Pregnancy Advisory Service |British Pregnancy
Coventry Branch |Advisory Service<1>
Coundon Health Clinic
Baker Butts Lane
Coventry
British Pregnancy Advisory Service |British Pregnancy
Doncaster Branch |Advisory Service<1>
The Bungalow
1a Avenue Road
Doncaster
South Yorkshire
Rosslyn |Pregnancy Advisory
17 Rosslyn Road |Service Ltd.<1>
East Twickenham
Middlesex
TW1 2AR
Sister Rose Pregnancy Advisory Centre (Hull) |Sister Rose Ltd.
139 Beverley Road
Hull
British Pregnancy Advisory Service |British Pregnancy
Hull Branch |Advisory Service<1>
32 Beverley Road
Hull HU3 1YF
British Pregnancy Advisory Service |British Pregnancy
Leeds Branch |Advisory Service<1>
8 The Headrow
Leeds
Yorkshire
Sister Rose Pregnancy Advisory Centre (Leeds) |Sister Rose Ltd.
4 Albion Street
Leeds 1
Marie Stopes Centre |Population Services<1>
10 Queens Square |FP Programmes
Leeds 2 |Ltd.
British Pregnancy Advisory Service |British Pregnancy
Liverpool Branch |Advisory Service<1>
20-22 Rodney Street
Liverpool L1 2TQ
Pregnancy Advisory Service |Fraterdrive (PAS) Ltd.
Fourth Floor
Hepworth Chambers
Church Street
Liverpool L1 3BG
British Pregnancy Advisory Service |British Pregnancy
London Branch |Advisory Service<1>
7 Belgrave Road
London SW1
Birth Control and Pregnancy Counselling |Population Services
10 Coptic Street |FP<1> Programmes
London WC1 |Ltd.
London Youth Advisory Centre |London Youth
26 Prince of Wales Road |Advisory Centre
London NW5
Metropolitan Pregnancy Control Centre |Population Services
40 Mortimer Street |FP Programmes
London W1 |Ltd.<1>
Pregnancy Advisory Service |Pregnancy Advisory
11-13 Charlotte Street |Service Ltd.<1>
London W1
Preterm |Population Services<1>
40 Mortimer Street |FP Programmes Ltd.
London W1N 7RB
The Well Woman Centre |Population Services<1>
Marie Stopes House |Programmes Ltd.
108 Whitfield Street
London W1FP
The Well Woman Centre |Population Services<1>
114 Whitfield Street |FP Programmes Ltd.
London W1
London W1N 1HG |Detingen Ltd.
British Pregnancy Advisory Service |British Pregnancy
Luton Branch |Advisory Service<1>
3A Upper George Street
Luton LU1 2QY
British Pregnancy Advisory Service |British Pregnancy
Manchester Branch |Advisory Service<1>
Suite F, Ground Floor
Fourways House
57 Hilton Street
Manchester M1 2EJ
Marie Stopes |Population Services<1>
1 Police Street |FP Programmes Ltd.
Manchester M2 7LQ
Pregnancy Advisory Service-Manchester |Fraterdrive (PAS) Ltd.
5th Floor
Newton Buildings
Newton Street
Manchester M1 2EJ
Sister Rose Pregnancy |Sister Rose Ltd.
Advisory Centre (Manchester)
Fifth Floor
2 St. John Street
Manchester 3
British Pregnancy Advisory Service |British Pregnancy
Milton Keynes Branch |Advisory Service<1>
First Floor
Eaglestone Health Centre
Standing Way
Milton Keynes MK6 5AZ
East Midland Pregnancy Advisory Service |East Midlands
The Grange |Pregnancy
1 Private Road |Advisory
Sherwood |Service
Nottingham |Ltd.
British Pregnancy Advisory Service |British Pregnancy
Sheffield Branch |Advisory Service <1>
160 Charles Street
Sheffield S1 2NE
408 Young People's Consultation |408 Young People's
Centre Ltd. |Consultation
408 Ecclesall Road |Centre Ltd.
Sheffield S11 8PJ
Pregnancy Advisory Service |Dalreagh Nursing
1A George Street |Home Ltd.
Newcastle-under-Lyme
Staffordshire
British Pregnancy Advisory Service |British Pregnancy
Swindon Branch |Advisory Service<1>
Carfax Street Health Clinic
Carfax Street
Swindon
British Pregnancy Advisory Service |British Pregnancy
Leamington Spa Branch |Advisory Service<1>
Holly Walk Welfare Clinic
Holly Walk
Leamington Spa
Warwickshire
Sister Rose Pregnancy Advisory Centre |Sister Rose Ltd.
(Wolverhampton)
Second Floor
19-21 Queen Street
Wolverhampton
Marie Stopes Centre |Dr. G. Richman
North London PAB | Dr. M. Oliver
65 Shoot up Hill | Dr. S. Mitchley
London NW2
Marie Stopes Centre |Dr. S. V. Nathan
Gosburyhill Health Centre
Orchard Gardens
Chessington
Surrey
KT9 2EU
Marie Stopes Centre |Dr. G. Dunckley
The Surgery
32 Devon Road
South Darenth
Dartford
Kent
DA4 9AB
Options |Care Incorporated
Population Control Clinic |Clinic Ltd.
45 Fitzwilliam Street
Huddersfield
HD1 5LG
Pregnancy Advisory Service-Blackpool |Fraterdrive (PAS) Ltd.
93A Abingdon Street
Blackpool
FY1 1PP
Pregnancy Advisory Service-Leicester |Fraterdrive (PAS) Ltd.
120A Granby Street
Leicester
Regents Park Clinic |Mrs. B. A. Binding
184 Gloucester Place
London
NW1 6DS
<1> Registered Charities.
Pregnancy Statistics
Ms. Richardson : To ask the Secretary of State for Health whether he will list (a) the total number and rate of pregnancies to girls aged 16, 15, 14, 13, 12, 11 and 10 years for each of the years 1970 to 1988, respectively, (b) the figures broken down into stillbirths, livebirths and abortions and (c) the total figure and rate for pregnancies to all girls aged 15 years and under for each of those years.
Mr. Freeman : The information requested is given in the table. All pregnancies of women usually resident in England and Wales which led to a maternity or termination by abortion under the 1967 Act are included (pregnancies which led to spontaneous abortions are not included). The latest figures which are available relate to conceptions which occurred during 1986.
Column 157
Year and age at Number oRate perOutcome of conceptions
conception age-group
Maternities<3> Legal abortion<
|Total |Live |Still
--------------------------------------------------------------------------
1970
Under 11<1> |2 |0.0 |1 |1 |0 |1
11 |14 |0.0 |8 |7 |1 |6
12 |51 |0.1 |24 |22 |2 |27
13 |312 |0.9 |160 |157 |3 |152
14 |1,446 |4.5 |842 |823 |19 |604
15 |5,888 |18.4 |4,223 |4,181 |42 |1,665
|-------|-------|-------|-------|-------|-------
Total under 16<2> |7,713 |7.9 |5,258 |5,191 |67 |2,455
16 |16,234 |49.5 |13,250 |13,064 |186 |2,984
1971
Under 11<1> |2 |0.0 |2 |1 |1 |0
11 |6 |0.0 |2 |2 |0 |4
12 |41 |0.1 |17 |17 |0 |24
13 |302 |0.9 |158 |157 |1 |144
14 |1,763 |5.3 |952 |938 |14 |811
15 |6,711 |20.5 |4,444 |4,390 |54 |2,267
|-------|-------|-------|-------|-------|-------
Total under 16<2> |8,825 |8.8 |5,575 |5,505 |70 |3,250
16 |17,292 |54.1 |13,122 |12,956 |166 |4,170
1972
Under 11<1> |1 |0.0 |1 |1 |0 |0
11 |2 |0.0 |1 |1 |0 |1
12 |40 |0.1 |23 |22 |1 |17
13 |349 |1.0 |169 |167 |2 |180
14 |1,874 |5.4 |950 |934 |16 |924
15 |7,342 |21.9 |4,535 |4,471 |64 |2,807
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,606 |9.3 |5,679 |5,596 |83 |3,929
16 |17,612 |53.5 |12,607 |12,476 |131 |5,005
1973
Under 11<1> |1 |0.0 |0 |0 |0 |1
11 |12 |0.0 |4 |4 |0 |8
12 |38 |0.1 |20 |18 |2 |18
13 |345 |0.9 |156 |153 |3 |189
14 |1,987 |5.6 |963 |950 |13 |1,024
15 |7,409 |21.4 |4,249 |4,197 |52 |3,160
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,792 |9.2 |5,392 |5,322 |70 |4,400
16 |18,034 |53.4 |12,419 |12,282 |137 |5,615
<1> Rate per 1,000 girls aged 10.
<2> Rate per 1,000 girls aged 13-15.
<3> maternities which result in one or more live or still births are
counted only once. Such multiple birth maternities are classified as
"live" if at least one live birth is included and "still" if all the
births are stillbirths.
<4> Legal terminations under 1967 Abortion Act.
Year and age at Number oRate perOutcome of conceptions
conception age-group
Maternities<3> Legal abortion<
|Total |Live |Still
--------------------------------------------------------------------------
1974
Under 11<1> |0 |0.0 |0 |0 |0 |0
11 |5 |0.0 |4 |4 |0 |1
12 |45 |0.1 |24 |24 |0 |21
13 |343 |0.9 |157 |155 |2 |186
14 |1,922 |5.3 |878 |862 |16 |1,044
15 |7,056 |19.8 |3,780 |3,731 |49 |3,276
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,371 |8.5 |4,843 |4,776 |67 |4,528
16 |16,553 |47.6 |10,722 |10,603 |119 |5,831
1975
Under 11<1> |1 |0.0 |1 |1 |0 |0
11 |6 |0.0 |2 |2 |0 |4
12 |45 |0.1 |23 |22 |1 |22
13 |349 |0.9 |133 |132 |1 |216
14 |1,919 |5.1 |837 |831 |6 |1,082
15 |6,861 |18.8 |3,398 |3,359 |39 |3,463
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,181 |8.1 |4,394 |4,347 |47 |4,787
16 |15,278 |42.8 |9,447 |9,339 |108 |5,831
1976
Under 11<1> |1 |0.0 |1 |0 |1 |0
11 |8 |0.0 |2 |2 |0 |6
12 |37 |0.1 |14 |14 |0 |23
13 |331 |0.8 |136 |134 |2 |195
14 |1,898 |4.9 |782 |771 |11 |1,116
15 |6,916 |18.2 |3,363 |3,321 |42 |3,553
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,191 |7.9 |4,298 |4,242 |56 |4,893
16 |14,567 |39.7 |8,761 |8,661 |100 |5,806
1977
Under 11<1> |1 |0.0 |1 |1 |0 |0
11 |7 |0.0 |1 |1 |0 |6
12 |37 |0.1 |14 |14 |0 |23
13 |331 |0.8 |122 |121 |1 |209
14 |1,916 |4.9 |792 |775 |17 |1,124
15 |6,711 |17.2 |3,296 |3,259 |37 |3,415
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,003 |7.6 |4,226 |4,171 |55 |4,777
16 |14,940 |39.1 |8,895 |8,7882 |107 |6,045
<1> Rate per 1,000 girls aged 10.
<2> Rate per 1,000 girls aged 13-15.
<3> Maternities which result in one or more live or still births are
counted only once. Such multiple birth maternities are classified as
"live" if at least one live birth is included and "still" if all the
births are stillbirths.
<4> Legal terminations under 1967 Abortion Act.
Year and age at Number oRate perOutcome of conceptions
conception age-group
Maternities<3> Legal abortion<
|Total |Live |Still
--------------------------------------------------------------------------
1978
Under 11<1> |3 |0.0 |2 |2 |0 |1
11 |8 |0.0 |1 |1 |0 |7
12 |43 |0.1 |18 |18 |0 |25
13 |341 |0.8 |142 |140 |2 |199
14 |1,822 |4.5 |810 |803 |7 |1,012
15 |6,886 |17.5 |3,439 |3,410 |29 |3,447
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,103 |7.6 |4,412 |4,374 |38 |4,691
16 |15,770 |40.3 |9,422 |9,343 |79 |6,348
1979
Under 11<1> |7 |0.0 |5 |5 |0 |2
11 |16 |0.0 |7 |7 |0 |9
12 |39 |0.1 |16 |15 |1 |23
13 |319 |0.8 |116 |115 |1 |203
14 |1,904 |4.7 |760 |756 |4 |1,144
15 |6,823 |16.8 |3,175 |3,153 |22 |3,648
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,108 |7.5 |4,079 |4,051 |28 |5,029
16 |16,106 |40.6 |9,307 |9,220 |87 |6,799
1980
Under 11<1> |14 |0.0 |11 |0 |11 |3
11 |5 |0.0 |2 |0 |2 |3
12 |35 |0.1 |13 |0 |13 |22
13 |298 |0.8 |99 |0 |99 |199
14 |1,714 |4.3 |669 |6 |663 |1,045
15 |6,513 |16.0 |3,140 |3,107 |33 |3,373
|-------|-------|-------|-------|-------|-------
Total under 16<2> |8,579 |7.2 |3,934 |3,113 |821 |4,645
16 |15,210 |37.4 |8,600 |8,536 |64 |6,610
1981
Under 11<1> |3 |0.0 |0 |0 |0 |3
11 |11 |0.0 |3 |3 |0 |8
12 |65 |0.2 |22 |21 |1 |43
13 |356 |0.9 |146 |145 |1 |210
14 |1,817 |4.6 |684 |682 |2 |1,133
15 |6,309 |15.8 |2,839 |2,811 |28 |3,470
|-------|-------|-------|-------|-------|-------
Total under 16<2> |8,561 |7.3 |3,694 |3,662 |32 |4,867
16 |15,410 |37.7 |8,782 |8,713 |69 |6,628
<1> Rate per 1,000 girls aged 10.
<2> Rate per 1,000 girls aged 13-15.
<3> Maternities which result in one or more live or still births are
counted only once. Such multiple birth maternities are classified as
"live" if at least one live birth is included and "still" if all the
births are stillbirths.
<4> Legal terminations under 1967 Abortion Act.
Column 163
Year and age at Number oRate perOutcome of conceptions
conception age-group
Maternities<3> Legal abortion<
|Total |Live |Still
--------------------------------------------------------------------------
1982
Under 11<1> |0 |0.0 |0 |0 |0 |0
11 |4 |0.0 |2 |2 |0 |2
12 |39 |0.1 |15 |15 |0 |24
13 |385 |1.0 |121 |120 |1 |264
14 |1,868 |4.9 |702 |693 |9 |1,166
15 |6,703 |17.1 |3,035 |3,013 |22 |3,668
|-------|-------|-------|-------|-------|-------
Total under 16<2> |8,999 |7.8 |3,875 |3,843 |32 |5,124
16 |15,030 |37.6 |8,331 |8,285 |46 |6,699
1983
Under 11<1> |0 |0.0 |0 |0 |0 |0
11 |3 |0.0 |3 |3 |0 |0
12 |29 |0.1 |12 |12 |0 |17
13 |335 |0.9 |133 |133 |0 |202
14 |2,034 |5.4 |790 |781 |9 |1,244
15 |6,968 |18.3 |3,108 |3,085 |23 |3,860
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,369 |8.3 |4,046 |4,014 |32 |5,323
16 |15,229 |38.7 |8,431 |8,370 |61 |6,798
1984
Under 11<1> |1 |0.0 |0 |0 |0 |1
11 |1 |0.0 |1 |1 |0 |0
12 |30 |0.1 |15 |15 |0 |15
13 |346 |0.9 |135 |135 |0 |211
14 |2,018 |5.5 |794 |790 |4 |1,224
15 |7,253 |19.1 |3,333 |3,312 |21 |3,920
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,649 |8.6 |4,278 |4,253 |25 |5,371
16 |15,995 |41.9 |8,842 |8,788 |54 |7,153
1985
Under 11<1> |0 |0.0 |0 |0 |0 |0
11 |1 |0.0 |0 |0 |0 |1
12 |22 |0.1 |13 |13 |0 |9
13 |302 |0.9 |126 |126 |0 |176
14 |2,063 |5.5 |836 |828 |8 |1,227
15 |7,018 |19.1 |3,194 |3,169 |25 |3,824
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,406 |8.6 |4,169 |4,136 |8 |1,413
16 |16,146 |42.4 |9,107 |9,040 |67 |7,039
1986
Under 11<1> |2 |0.0 |2 |2 |0 |0
11 |1 |0.0 |1 |1 |0 |0
12 |24 |0.1 |10 |10 |0 |14
13 |265 |0.8 |107 |107 |0 |158
14 |1,980 |5.7 |809 |805 |4 |1,171
15 |6,922 |18.5 |3,293 |3,280 |13 |3,629
|-------|-------|-------|-------|-------|-------
Total under 16<2> |9,194 |8.7 |4,222 |4,205 |17 |4,972
16 |15,425 |41.9 |8,933 |8,898 |35 |6,492
<1> Rate per 1,000 girls aged 10.
<2> Rate per 1,000 girls aged 13-15.
<3> Maternities which result in one or more live or still births are
counted only once. Such multiple birth maternities are classified as
"live" if at least one live birth is included and "still" if all the
births are stillbirths.
<4> Legal terminations under 1967 Abortion Act.
Maternal Deaths
Ms. Richardson : To ask the Secretary of State for Health whether he will list the number of maternal deaths each year from 1968 to 1988 from (a) all causes, (b) abortion, illegal, legal and spontaneous and (c) unknown methods of abortion ; and what are the percentages for the same years of maternal death due to abortions of all types.
Mr. Freeman : The information for England and Wales is set out in the table.
Column 164
Year |A |B |C |D |B as per cent. of A -------------------------------------------------------------------------------------------------------------------------------------------- 1968 |200 |49 |39 |10 |24.5 1969 |155 |35 |33 |2 |22.6 1970 |145 |32 |28 |4 |22.1 1971 |132 |26 |22 |4 |19.7 1972 |112 |26 |19 |7 |23.2 1973 |88 |12 |10 |2 |13.6 1974 |81 |9 |8 |1 |11.1 1975 |77 |8 |7 |1 |10.4 1976 |78 |7 |4 |3 |9.0 1977 |74 |6 |6 |0 |8.1 1978 |68 |5 |5 |0 |7.3 1979 |74 |5 |3 |2 |6.8 1980 |70 |3 |2 |1 |4.3 1981 |57 |3 |2 |1 |5.3 1982 |42 |3 |3 |0 |7.1 1983 |54 |2 |2 |0 |3.7 1984 |52 |3 |1 |1 |5.8 1985 |46 |5 |4 |1 |10.9 1986 |45 |1 |1 |0 |2.2 1987 |46 |1 |1 |0 |2.2 1988 |41 |3 |3 |0 |7.3 A = All maternal deaths 1968-78/ICD* 630-678 1979-88/ICD 630-676 B = All abortion deaths 1968-78/ICD 640-644 1979-88/ICD 634-638 C = Spontaneous, illegal, legal abortion deaths 1968-78/ICD 640-643 1979-88/ICD 634-636 D = Unspecified abortion deaths 1968-78/ICD 644 1979-88/ICD 637 *ICD - International Classification of Diseases 9th Revision.
Abortion
Ms. Richardson : To ask the Secretary of State for Health whether he will state for each of the past five years, the cost to his Department of replying to parliamentary questions about or related to abortion.
Mr. Freeman : The Department does not maintain a record of expenditure on replies to parliamentary questions and any attempt at retrospective estimation would be disproportionately expensive. The cost varies widely according to the nature of the question, the availability of the information requested and, where statistics are involved, the amount of computer time required.
Self-governing Hospitals
Mr. Kirkwood : To ask the Secretary of State for Health if he will define locality as it relates to the provision of core services by self- governing hospitals under the terms of his White Paper "Working for Patients."
Mr. Mellor : "Self-Governing Hospitals : an Initial Guide", published yesterday, gives further information about factors to be considered by DHAs in deciding what services should be core services. It explains that a decision on what is acceptable as a definition of local will vary from place to place depending on geography (especially urban versus rural), historic patterns of referral, and social factors such as travelling time and cost.
Working for Patients"
Mr. Kirkwood : To ask the Secretary of State for Health under the proposals contained in his White Paper "Working for Patients" what role patients will have in influencing the placing of contracts.
Mr. Mellor : Providing patients with better health care and a greater choice of service should be the overriding consideration in the placing of contracts. The ability of hospitals which are popular with patients, and in demand, to win further contracts and expand their service will be a
Column 166
major factor in increasing the patient- responsiveness of the NHS. It will be supported by the close involvement with GPs either as budget holders or as users of DHA contracts.Mr. Kirkwood : To ask the Secretary of State for Health under the proposals contained in the White Paper "Working for Patients" what role community health councils will have in the placing of contracts.
Mr. Mellor : We are still considering the overall role of community health councils in relation to contract funding. They will however continue to be consulted on substantial developments or variations in health care provision.
Mr. Kirkwood : To ask the Secretary of State for Health what element of additional cost required for the administration of the placing of contracts he has estimated is needed to ensure that district health authorities, hospitals and doctors have the knowledge and expertise to negotiate satisfactory contracts under his White Paper proposals.
Mr. Mellor : The administrative cost of contract funding cannot be assessed until detailed plans for implementation have been drawn up. Over time any extra costs will be offset by the improved efficiency that contracts will bring. In the meantime the Government have made it clear that the cost of implementing the White Paper proposals will not be met at the expense of patient care. Over £82 million has been made available to cover implementation work in the current financial year.
Mr. Kirkwood : To ask the Secretary of State for Health what role community health councils will have in influencing the decisions of new district health authorities and the running of hospital trusts as envisaged in his White Paper "Working for Patients."
Mr. Mellor : Community health councils will as now have the opportunity to comment on the overall pattern of services which district health authorities will secure on behalf of their residents, including in future any provided by NHS hospital trusts.
Mr. Kirkwood : To ask the Secretary of State for Health what role local people will have in influencing the decisions of the new district health authorities and the running of hospital trusts as envisaged in his White Paper "Working for Patients."
Mr. Mellor : The non-executive members of health authorities will normally live, work or have some other connection with the area covered by the health authority. At least two of the non-executive directors of NHS hospital trusts will be drawn from the local community. Community health councils will continue to play an important role in representing the views of the local community on health service matters, while health authorities themselves will be encouraged periodically to test consumer opinion and to act on the findings. Health authority meetings will remain open to the public as now and NHS hospital trusts will be required to hold at least one public meeting a year.
Mr. Kirkwood : To ask the Secretary of State for Health what role patients will have in influencing the decisions of the new district health authorities and the running of hospital trusts as envisaged in his White Paper "Working for Patients."
Column 167
Mr. Mellor : Under our proposals the role of health authorities will be enhanced as they switch from the provision of care to the identification of the health needs of their resident population and the purchase of care and services to meet that need. This enhanced role will enable them to focus on the needs of patients. Individual GPs--especially those with practice budgets--will be involved in the direct placement of contracts to meet their patients needs. This brings the provision of care closer to the level of the individual patient, whose agent the GP is. In the future patients will have more say in choosing and changing their GP.
Hospital Trusts
Mr. Kirkwood : To ask the Secretary of State for Health whether any element of quality of care or accessibility of services will be built into a contract between a hospital trust and a district health authority or general practitioner's practice.
Mr. Mellor : "Self-Governing Hospitals : an Initial Guide" sets out the minimum contents of contracts and makes it clear that they will specify the measures of quality, relating to both the process and outcome of treatment that will be applied. District health authorities and general practitioners will be expected to use contracts to ensure that patients get the best quality of services available and that where necessary standards are raised. Among measures of accessibility waiting times in particular will be an important aspect or quality.
NHS Policy Board
Mr. Kirkwood : To ask the Secretary of State for Health which members of his new policy board for the National Health Service were chosen to represent patients' interests.
Mr. Mellor : The policy board is not a representative body ; every member will be aiming to promote patients' interests.
Private Health Care
Mr. Gareth Wardell : To ask the Secretary of State for Health what representations he has received asking him to extend the proposed tax relief on insurance cover for the private health needs of over 65-year-olds to support elderly people living in their own homes purchasing supported lifelines to connect them with back-up facilities ; and if he will make a statement.
Mr. Freeman : I am not aware of any such representations, which would be for my right hon. Friend the Chancellor of the Exchequer to consider.
Medical Scientists
Mr. Hardy : To ask the Secretary of State for Health in how many relevant hospitals there are vacancies for medical scientists ; and how many such vacancies existed 10 years ago.
Mr. Mellor : We do not collect this information centrally.
Column 168
Blind Persons
Mr. Evennett : To ask the Secretary of State for Health how many registered blind persons there are in England.
Mr. Mellor : At 31 March 1988 there were 126,828 people registered as blind with local authority social services departments in England. This figure is provisional.
TRADE AND INDUSTRY
Consumer Rights
12. Mr. Boyes : To ask the Chancellor of the Duchy of Lancaster if he now has plans to bring forward legislation affecting consumer rights.
47. Mr. Parry : To ask the Chancellor of the Duchy of Lancaster if he now has plans to bring forward legislation affecting consumer rights.
Mr. Forth : We intend to improve the protection given to consumers in a number of ways including the introduction of regulations under the Consumer Protection Act 1987 on price indications at bureaux de change and changes to other legislation affecting consumers' interests.
Financial Services Act
17. Mr. McCrindle : To ask the Chancellor of the Duchy of Lancaster when he last met the chairman of the Securities and Investments Board to discuss the progress in implementation of the Financial Services Act.
Mr. Maude : I met the chairman of the Securities and Investments Board on 24 May. The discussion ranged widely over a number of topics concerning the regulation of financial services.
World Trade
18. Mr. Jim Marshall : To ask the Chancellor of the Duchy of Lancaster which industrial countries have lost a larger share of world trade in the last 10 years than the United Kingdom.
Mr. Forth : The most recent information available for OECD countries is for the first three quarters of 1988. Since 1978 the Netherlands, France, Greece and Norway recorded larger reductions than the United Kingdom in their shares of world trade.
82. Mr. Ted Garrett : To ask the Chancellor of the Duchy of Lancaster what was the United Kingdom share of world trade 10 years ago ; and what it is at present.
Mr. Alan Clark : The latest figures of world trade refer to the first three quarters of 1988, when the United Kingdom share of total world visible exports was 5.2 per cent. In 1979 the United Kingdom share was 5.3 per cent.
Information Technology
19. Dr. Moonie : To ask the Chancellor of the Duchy of Lancaster what was the balance of trade in information technology in 1979 and 1988.
Mr. Forth : The United Kingdom had a trade deficit in electronics and information technology manufactured goods of £440 million in 1979. Provisional figures indicate a deficit of £2,460 million last year.
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25. Mr. McCartney : To ask the Chancellor of the Duchy of Lancaster what further representations he has received on his response to the Select Committee on Trade and Industry's report on information technology.
Mr. Forth : I have received only one written representation on the White Paper.
64. Mr. Eastham : To ask the Chancellor of the Duchy of Lancaster if he will make a statement on progress of implementation of the Government's policy for information technology.
Mr. Forth : My Department continues to pursue a wide range of activities within the policy framework for IT set out in the Government's response to the Trade and Industry Select Committee report on IT (Cm 646).
New initiatives within the last two months have included : -- the launch of a programme to stimulate greater business awareness of the benefits of open IT systems
-- a new LINK R&D programme in opto-electronic systems supported by £15 million of DTI and SERC funding ; and
-- the announcement of the £20 million second call for proposals under the information engineering advanced technology programme.
78. Mr. Battle : To ask the Chancellor of the Duchy of Lancaster when he expects Britain to have a trade surplus in information technology.
85. Mr. Win Griffiths : To ask the Chancellor of the Duchy of Lancaster when he expects Britain to have a trade surplus in information technology.
Mr. Alan Clark : I refer the hon. Gentleman to the reply my right hon. Friend the Chancellor of the Duchy of Lancaster gave on 19 April, at column 332 to the hon. Member for Midlothian (Mr. Eadie).
Communications Infrastructure (Report)
21. Mr. Turner : To ask the Chancellor of the Duchy of Lancaster what representations he has received on the Macdonald report on communications infrastructure.
Mr. Atkins : My Department has received a number of representations on the communications steering group report "The Infrastructure for Tomorrow", sometimes referred to as the Macdonald report. The report sets out the conclusions of the group which was established to advise Ministers on ways in which the United Kingdom electronic communications infrastructure may be expected to develop over the next two decades. The report represents the views of the group and not necessarily those of the Government.
National Engineering Laboratory
22. Ms. Armstrong : To ask the Chancellor of the Duchy of Lancaster what representations he has received on his recent proposals for the future of the national engineering laboratory.
Mr. Newton : To date, I have not received any representations on the proposals for the laboratory, which I announced on 17 May. However, there will shortly be a further meeting of the departmental Whitley council with the Department of Trade and Industry council of Civil Service unions to discuss the proposals.
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North East Shipbuilders
23. Mr. Mullin : To ask the Chancellor of the Duchy of Lancaster when he last met the chairman of British Shipbuilders to discuss the future of North East Shipbuilders.
Mr. Newton : I met the chairman of British Shipbuilders on 5 June. A number of matters of current interest were discussed, including the disposal of the assets of North East Shipbuilders Ltd.
Aerospace Industry (Output)
24. Mr. Jack : To ask the Chancellor of the Duchy of Lancaster what, in the north-west of England, was the value of the output of the aerospace industry in 1979 and the last full year for which information is available.
Mr. Atkins : In 1979 the gross value added (at factor cost) by the aerospace equipment manufacturing and repairing industry in the north-west (standard region) was £276 million. The corresponding figure for 1987, the last year for which data is available, was £682 million.
Inflation
26. Mr. Wilson : To ask the Chancellor of the Duchy of Lancaster what representations he has received on the effects of the level of inflation on industry.
Mr. Atkins : A number of representations which I receive refer to inflation. The great majority of these recognise that the control of inflation must remain the prime objective of economic policy.
Competitiveness
27. Mr. Tom Clarke : To ask the Chancellor of the Duchy of Lancaster what recent representations he has received from industry on matters affecting competitiveness.
72. Mr. Darling : To ask the Chancellor of the Duchy of Lancaster what recent representations he has received from industry on matters affecting competitiveness.
Mr. Maude : Most contacts which my Department has with industry and commerce involve matters having a bearing on United Kingdom competitiveness.
Civil Research and Development
28. Mr. Allen McKay : To ask the Chancellor of the Duchy of Lancaster which countries in the Organisation for Economic Co-operation and Development have reduced the share of gross domestic product spent on civil research and development between 1983 and 1986 ; and which countries have increased it.
Mr. Forth : The available information relates to gross expenditure on research and development in the fields of science, technology, social science and humanities as a percentage of gross domestic product. On this basis, of the OECD countries for which the information is available in both years only Turkey shows reduction in the percentage.
79. Mr. Faulds : To ask the Chancellor of the Duchy of Lancaster in which OECD countries the proportion of gross domestic product spent by Government on civil research and development has fallen since 1983.
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87. Mr. Rogers : To ask the Chancellor of the Duchy of Lancaster in which OECD countries the proportion of gross domestic product spent by Government on civil research and development has fallen since 1983.
Mr. Forth : I refer the hon. Member to the answer I gave to the hon. Member for Tyne Bridge (Mr. Clelland) on 15 March at column 265.
Japanese Overseas Investment
29. Mr. Raffan : To ask the Chancellor of the Duchy of Lancaster what has been Britain's share of total Japanese overseas investment in Europe since 1979.
Mr. Forth : Based on information published by the Japanese Ministry of Finance on overseas investment projects notified to them, the United Kingdom received a third by value of Japanese overseas investment projects in Europe over the period 1980 to 1988 inclusive.
Beer (Supply)
30. Mr. Janman : To ask the Chancellor of the Duchy of Lancaster how near he is to forming his conclusions about the Monopolies and Mergers Commission report on the supply of beer.
46. Mr. Ashton : To ask the Chancellor of the Duchy of Lancaster when he expects to implement the Monopolies and Mergers Commission report on the supply of beer.
48. Mr. Riddick : To ask the Chancellor of the Duchy of Lancaster when he expects to make a decision relating to the Monopolies and Mergers Commission report on the supply of beer ; and if he will make a statement.
52. Mr. Matthew Taylor : To ask the Chancellor of the Duchy of Lancaster when he next expects to be able to respond to the Monopolies and Mergers Commission report on the supply of beer.
65. Mr. Andrew MacKay : To ask the Chancellor of the Duchy of Lancaster if he will make a further statement on the Monopolies and Mergers Commission report on the brewing industry.
83. Mrs. Maureen Hicks : To ask the Chancellor of the Duchy of Lancaster when he will make his response to the Monopolies and Mergers Commission report on the supply of beer.
Mr. Maude : We are anxious to bring this matter to a satisfactory conclusion as soon as possible. I made a statement on our preliminary intentions in a written answer on 8 June and my right hon. and noble Friend the Secretary of State for Trade and Industry developed this in a statement in another place on 14 June.
CBI
31. Mr. Anthony Coombs : To ask the Chancellor of the Duchy of Lancaster when he last met the Confederation of British Industry ; and what matters were discussed.
Mr. Newton : I last met the Confederation of British Industry on 5 June 1989 at the launch of the CBI's initiative 1992 series of seminars on information technology.
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Trade Balance
32. Mr. Sean Hughes : To ask the Chancellor of the Duchy of Lancaster when he now expects Britain's trade to be in balance.
54. Mr. Geoffrey Robinson : To ask the Chancellor of the Duchy of Lancaster when he now expects Britain's trade to be in balance.
66. Mr. Harry Barnes : To ask the Chancellor of the Duchy of Lancaster what forward estimate he has made of the monthly trade deficit over the next nine months.
Mr. Alan Clark : Forecasts of Britain's trade have been made up to the end of the first half of 1990. The results are in the Financial Statement and Budget report.
Base Rates
33. Mr. Livsey : To ask the Chancellor of the Duchy of Lancaster what has been the estimated cost to industry of the rise in base rates since April 1988 ; and if he will make a statement.
Mr. Atkins : The cost to industrial and commercial companies to date of the changes in bank base rates since April 1988, compared with the cost if bank base rates had remained the same since April 1988, is estimated to be about £1.5 billion. The hon. Member should bear in mind, however, that a one percentage point increase in interest rates, even if sustained for a full year, costs companies far less than a one percentage point increase in pay settlements.
Export Credits Guarantee Department (Report)
34. Mr. Colin Shepherd : To ask the Chancellor of the Duchy of Lancaster when he expects to publish his response to the Kemp report on the Export Credits Guarantee Department.
Mr. Alan Clark : An inter-departmental working group of officials, chaired by ECGD, has been established to provide advice to Ministers on the options examined by Mr. Kemp. This will report to Ministers as soon as possible.
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