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|Number --------------------- 1978 |526 1979 |526 1980 |526 1981 |526 1982 |526 1983 |524 1984 |524 1985 |513 1986 |513 1987 |507 1988 |515
Column 307general hospital, Glangwili, Carmarthen is staffed, in terms of the number of doctors, nurses, laboratory staff and support services.
Mr. Grist : At 31 March 1989 there were 511 available staffed beds at the West Wales general hospital. This figure refers to beds which were either occupied or ready for occupation and therefore may differ from bed complement.
--------------------------------- Bronglais general |272 West Wales general |515 Llanelli general |139 Bryntirion |124 St. David's |404
Mr. Alan W. Williams : To ask the Secretary of State for Wales what is the total number of people in the catchment areas served by (a) West Wales general hospital Glangwili, Carmarthern and (b) East Dyfed health authority.
Mr. Grist : The total number of people in the catchment area served by East Dyfed health authority is approximately 220,000. The catchment population for West Wales general hospital is not available centrally.
Mr. Alan W. Williams : To ask the Secretary of State for Wales what was the number of private beds in West Wales general hospital, Carmarthen, on 1 January 1979 and on 1 January 1989 ; and what are the projected figures for 1 January 1990.
Mr. Ian Grist : An authorisation permitting a maximum of three beds in West Wales general hospital, Carmarthen, to be occupied by private patients was in effect on 1 January 1979 and remained in effect on 1 January 1989. On 1 June 1989 a group authorisation came into effect for West Wales general hospital, Carmarthen ; Bronglais hospital, Aberystwyth ; and Llanelli hospital ; this replaced the separate limits at each hospital, totalling seven beds, with an equivalent authorisation for a maximum of 2,555 bed days in one year. Authorisations for individual hospitals in East Dyfed are no longer specified.
I understand that the health authority is considering whether to seek a change to the present group authorisation. If the hon. Gentleman wishes to establish the intentions of the health authoriy in this matter he should write to the chairman.
Mr. Morgan : To ask the Secretary of State for Wales what financial compensation has been offered to South Glamorgan county council for the loss of grant from the European regional development fund for major infrastructure projects.
Mr. Peter Walker : None. Negotiations with the European Commission on the eligibility of certain categories of expenditure, including infrastructure investments, for European regional development fund support are continuing.
Mr. Peter Walker : I have concluded that Cadw should become a candidate for executive agency status within my Department with effect from April 1991. Detailed proposals will now be drawn up in full consultation with the staff involved.
Mr. Mellor : This information is published in the "Survey of Children and Young Persons on Child Protection Registers ; year ending 31 March 1988, England", copies of which are available in the Library.
Mr. Redmond : To ask the Secretary of State for Health if he will list, by year and location for the last 10 years, the number of National Health Service properties that have been sold and then purchased by a private health company.
Mr. Mudd : To ask the Secretary of State for Health when the hon. Member for Falmouth and Camborne can expect a reply to his letter of 17 July to the hon. Member for Kettering (Mr. Freeman) concerning matters raised by Mr. Richard Pearn, of 15 Chapel close, Kehelland, Camborne, Cornwall.
Mr. Cohen : To ask the Secretary of State for Health how long Whipps Cross hospital and Wanstead hospital have been on red alert ; for what reasons ; what are the implications for services to patients ; if he will ensure that the alert is lifted before the onset of the winter months ; and if he will make a statement.
Mr. Mellor : The number of emergency admissions to Whipps Cross hospital increased by up to 35 per cent. from mid-August to early October. To maintain in-patient services for emergency and urgent admissions it was necessary to restrict some planned admissions. To do this Waltham district health authority issued a red warning from 3 October to 16 October 1989. This has led to some patients experiencing delays in their planned admissions.
The health authority has plans to allocate beds flexibly to deal with the increased winter workload. This has been the procedure in the last two years.
Mrs. Maureen Hicks : To ask the Secretary of State for Health what information he has on the average time being taken by local authorities social services departments to approve the registration of child-minders.
Mr. Key : To ask the Secretary of State for Health if he will list, following the health circular HC(88)43 reference to ensuring that full use is made of family planning services as a resource in combating AIDS, those health authorities in England who have (a) allocated separate budgets for this work, (b) initiated staff training programmes and (c) plan to review both written and verbal information given to clients about HIV/AIDS.
Column 310(2) how many haemophiliacs have applied for grants from the Macfarlane trust ; how many applications have been successful ; and how many were refused because their financial resources were considered to be too high ;
(3) how much of the £10 million provided by the Government have been distributed by the Macfarlane trust to haemophiliacs who have developed AIDS ; and how much money remains.
Mr. Mellor [holding answer 19 October 1989] : It is for the trustees to allocate funds in the way which they consider best meets the needs of those eligible for assistance within the terms of the trust deed.
I understand, however, that in the period up to the 31 August 1989 the trust made 1,600 single payments totalling around £0.9 million and 578 regular payments totalling around £1 million. The single grants have been made for a wide variety of purposes covering needs arising from reasons of physical health and mental stress, general living conditions, mobility and travel, accommodation, employment and education. Regular payments help with the extra cost of living with HIV, principally diet and heating. Should the right hon. Member wish to know more detail I suggest he contact the trust administrator.
Mr. Ashley : To ask the Secretary of State for Health (1) if he will request the Macfarlane trust to consider giving grants for legal fees that have arisen solely because haemophiliacs have become infected with the AIDS virus ;
(2) what advice or instructions were given to the Macfarlane trust regarding the imposition and level of means test to be applied to haemophiliac victims of AIDS ;
(3) what means test is applied by the Macfarlane trust to haemophiliac sufferers of AIDS ; and if he will publish the income and capital limits in the Official Report.
Mr. Mellor [holding answer 19 October 1989] : The Macfarlane Trust is an independent charitable trust. It is a matter for the trustees, and not the Department, to determine within the provisions of the trust deed the criteria for allocating funds. A copy of that deed is in the House Library. I understand that the trust considers it inappropriate to help with legal fees incurred by haemophiliacs with HIV who wish to pursue claims for compensation. Those who consider themselves in need of assistance can apply for legal aid in the normal way.
i. the Centre for Health and Retirement Education ;
ii. the Age Well Campaign ;
iii. the King's Fund Informal Carers Project ; and
iv. the production of a series of leaflets.
Mr. Freeman : The Department funds a number of voluntary organisations under section 64 of the Health Services and Public Health Act 1968, which in various ways promote the physical and mental well-being of elderly people. Among them is "Extend", an organisation concerned with exercise training and fitness for elderly and disabled people.
We also finance the Keep Warm Keep Well campaign, which is organised jointly by the Government and leading voluntary organisations.
Mr. Fearn : To ask the Secretary of State for Health what is the total annual cost of funding each component part of the health in old age programme ; and what is the total cost of funding the entire programme.
Mr. Freeman : The total cost of funding the entire health in old age programme in 1989-90 is £342,000. The breakdown of this is : grant to centre for health and retirement education £117,000 ; support for the King's Fund Informal Carers Project £92,000 ; funding of the Age Well campaign £83,000 ; and £50,000 for the production of leaflets. The funding for the Age Well campaign includes £30,000 from the retail price index error funds and is paid direct to Age Well by the Department of Health.
Mr. Freeman : The Government remain strongly committed to the promotion of good health in later life, and accept the Health Education Authority's view that this commitment will in future be served by ensuring that all their relevant programmes address the health education needs of elderly people.
Mr. Freeman : For 1989-90, just over 2 per cent. (£312,000) of the Health Education Authority's non-AIDS budget is allocated to the health in old age programme. This is additional to the significant contributions to a healthy and active old age made by the authority's other health education programmes.
Column 312(2) what representations he has received regarding the health in old age programme.
Mr. Freeman : The Department has received a total of 35 representations from organisations and individuals concerned with elderly people in relation to the operation and future funding of the health in old age programme.
Mr. Freeman : In its strategic plan for the next five years, the Health Education Authority (HEA) proposes to take forward the health education needs of the elderly as an integral part of its work on other programmes rather than as a separate programme. This will ensure that the needs of the elderly are taken into account at all stages of development of health education work. We have now approved HEA's strategic plan.
Mr. Terry Davis : To ask the Secretary of State for Health how many women attended (a) their general practitioner and (b) a National Health Service family planning clinic for family planning advice and treatment in England in 1987 and 1988.
Mr. Mellor : The number of women receiving contraceptive services from general medical practitioners in England is estimated at 2,555, 000 in 1987 and 2,635,000 in 1988. These figures reflect the position at the end of the calendar year and include women accepted for contraceptive services by a general practitioner other than their own.
In the financial year 1987-88 in England 1,318,800 women were seen at health authority planning clinics. We do not yet have figures for 1988-89.
Mr. Tony Lloyd : To ask the Secretary of State for Health if he will make a statement on the use of training support programme moneys for multi- disciplinary training in the context of child abuse ; to whom such moneys are paid ; and what monitoring is taking place to ensure that such moneys are financing training for all relevant disciplines.
Mr. Mellor : Grant is payable to local authorities at the rate of 70 per cent. for agreed expenditure under the training support programme (child care) which is intended primarily for training staff of social services departments. However ; local authorities are encouraged to make places available on courses funded under the training support programme to staff from other agencies (statutory or non-statutory). Local authorities may also use this grant to develop the social services department's contribution to the
multi-disciplinary training responsibilities of area child protection committees.
Arrangements have been made to monitor the use of the grant by local social services departments. Reports on achievements by social services departments are scheduled for return to the Department of Health after completion of the first year of the programme.
Column 313(2) if he will list private clinics in each region which offer in vitro fertilisation ;
(3) if he will list those private clinics, in each region, which offer artificial insemination by donor or husband ;
(4) in which regions an in vitro fertilisation service is provided ;
(5) which health authorities (a) provide a service for artificial insemination by donor or by husband and (b) do not.
Mr. Mellor : No. Decisions about the priority and resources to be given to infertility services should be left to individual health authorities. This is the case with nearly all NHS services, since health authorities are in the best position to determine priorities in the light of local needs and circumstances.
Mr. Fearn : To ask the Secretary of State for Health (1) if he intends to introduce legislation which will require married couples, partners or unmarrid women to go through strict vetting procedures, similar to those carried out prior to adoption, before treatment by artificial insemination ;
(2) whether he has any proposals for regulations to cover full and extensive medical examination of would-be donors of sperm for artificial insemination.
Mr. Mellor [holding answer 19 October 1989] : The Government's proposals for the regulation of certain infertility treatments, including artificial insemination by donor, were set out in the White Paper "Human Fertilisation and Embryology : A Framework for Legislation". We intend to introduce legislation to deal with these matters at the earliest opportunity.
Mr. Mellor : The Government's proposals for dealing with the issue of embryo research are set out in the White Paper "Human Fertilisation and Embryology : A Framework for Legislation". We intend to bring forward legislation in this area at the earliest opportunity.
Ms. Harman : To ask the Secretary of State for Health which clinics have had their licence from the voluntary licensing authority for embryo research withdrawn or suspended ; and what were the reasons given in each case.
Mr. Michael Morris : To ask the Secretary of State for Health what proportion of generic medicines dispensed in National Health Service hospitals were (a) manufactured in the United Kingdom, (b) manufactured within the European Community and (c) manufactured outside the European Community, in respect of each of the years from 1980 onwards.
(2) what proportion of spectacle lenses were imported in 1979 and each succeeding year.
Mr. Freeman : Information is not available in the precise form requested. However, the value of imports of spectacle glass and frames in the period from 1979 to 1988--the latest year for which figures are available--is shown in the table.
|£ million ------------------------------ 1979 |29.0 1980 |29.0 1981 |26.6 1982 |36.6 1983 |37.8 1984 |47.4 1985 |61.1 1986 |63.2 1987 |76.8 1988 |81.9
Mr. Butler : To ask the Secretary of State for Health what was the spending per head of the population served by Warrington district health authority in the latest available year ; and, what is the figure per head, on the most nearly comparable basis for (a) England and (b) the United Kingdom as a whole.
Revenue expenditure per head of resident population-hospital and community health services (HCHS)<1> |£ ------------------------------------------------------------ Warrington district health authority |265 England-average for all district health authorities |227 United Kingdom |238 <1> Includes hospital, community health, patient transport ( i.e. ambulance), blood transfusion and other services. Sources (a) 1987-88 annual accounts of district health authorities in England and those of the analogous health authorities, boards and agencies in Scotland, Wales and Northern Ireland-as submitted to the central health department in each country. (b) Mid-year estimates of populations-1987 (Office of Population Censuses and Surveys) Notes to the table 1. Capital expenditure on HCHS is excluded. Expenditure on family practitioner services (which cannot be strictly attributed to particular districts) and expenditure on personal social services (which in Northern Ireland is accounted for by health and social services boards) is also excluded. 2. Comparisons between the figures are influenced by a number of factors including:- (a) people travel across district boundaries for treatment and resource allocations reflect the pattern of service provision locally; (b) the population figures used make no allowance for people resident in one district who receive treatment in another or for differences in morbidity and age sex structure of particular populations.
Mr. Mellor [holding answer 19 October 1989] : The committee reported in July and its main recommendations were accepted by the Government. Given the speed of recent developments in the field we decided to promulgate its new code of practice on the use of foetal tissue for research and treatment without delay. We are now taking forward the committee's other recommendations.
Mr. Hardy : To ask the Secretary of State for Health how many grading appeals have so far been considered by the Trent regional health authority ; how many remain to be heard ; and what is his estimate of the date by which the hearing of those appeals will be completed.
Mr. Mellor [holding answer 19 October 1989] : Requests for regional appeals are handled by the regional appeals committee secretariat of the general Whitley council in accordance with an agreement of the general Whitley council. I presume the hon. Member is referring to appeals about nurse clinical grading. I understand that to date 346 appeals for hearing by the Trent regional health authority have been lodged with the secretariat. As soon as full statements of case are to hand, hearings can be arranged by the regional health authority. I understand that no cases are yet ready for hearing. I can offer no estimate of how long it will take for any particular regional appeal to be heard, but I know that regional health authorities will make every effort to operate the appeals process as quickly as they are able.
Mr. Hardy : To ask the Secretary of State for Health if he has considered the effect of the changes in the composition of health authorities in regard to the hearing of appeals against decisions in regard to the grading of nurses.