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Mrs. Rosie Barnes : To ask the Secretary of State for the Environment what plans his Department has to require all local housing authorities to operate approved schemes under section 129 of the Housing Act 1988.
Mr. Chope : None. Cash incentive schemes, under which existing local authority tenants are assisted to move into homes of their own and so release vacancies for reletting, cam make a valuable contribution to housing the homeless, but it is for each authority to consider whether to seek approval for a scheme for its area.
Mr. Morgan : To ask the Secretary of State for the Environment what research he has commissioned and proposes to commission on the best practice for management and after-use of large controlled household refuse tips.
Mr. Trippier [holding answer 19 January 1990] : Research into landfill practices was initiated in the early 1970s. The first major publication of results of the work was the so-called "Brown Book", the co- operative programme of research into the behaviour of wastes in landfill sites, published in 1978.
Many of the results of the research are embodied in recent waste management papers, specifically No. 26 on "Landfilling Wastes" (1986), No. 4 on "Licensing of Waste Facilities" (1988) and No. 27 on "The Control of Landfill Gas" (1989). These papers provide technical guidance to the waste management industry.
Currently my Department is funding a programme of research, costing over £1 million annually, into landfill practices. Topics covered include microbiology of landfill gas and leachate generation ; mechanisms of gas and leachate migration and attenuation ; leachate management ; modelling, risk assessment and landfill monitoring and landfill reinstatement.
My Department has arranged a conference on 1 March to present recent research results.
(2) what is his Department's estimated population for Lancashire and the amount spent by Lancashire county council per head of population, in 1989- 90 ; and if he will make a statement ; (3) what is the total rate support grant paid or to be paid, plus any other individual grants, to Lancashire county council in 1989-90.
|1989-90 |£ million ------------------------------------------------------ Rate Support Grant |321.0 Specific and Supplementary Grants |79.3 Net Revenue Expenditure<1> |783.3 Total population (June 1988)<2> |1.382 Net Revenue Expenditure per head |567.0 <1> Rate Fund Revenue net current spending on services, plus net loan charges, contributions to/from other funds and accounts of net non relevant expenditure (such as net spending on Housing Benefits). <2> Office of Population Censuses and Surveys latest estimate of total population. The aggregate of the estimated relevant populations for the districts of Lancashire used in the exemplifications placed in the Library of the House on 11 January 1990 is 1.048 million.
Mr. Steen : To ask the Secretary of State for the Environment if he will set out in the Official Report the basis of his Department's calculation that rent rises in council house property would be 95p per week as far as the housing stock in the South Hams is concerned.
Mr. Chope [holding answer 22 January 1990] : We have, for guideline purposes, assumed an increase in national rent income of 10 per cent. (£444 million). We intend to attribute this increase to councils in proportion to the value of their housing stocks, subject to adjustments to reflect existing rents and to keep guideline increases within a range from 95p to £4.50 a week. On the basis of past sales, we estimate that the value of South Hams' housing stock accounts for 0.088 per cent. of the total value of the national council housing stock. A guideline rent, calculated as a proportion of the national total without further adjustments, would be £21.37. As this is less than South Hams' current average rent of £25.75, we have assumed a guideline increase of 95p, the national minimum, which is less than would be required to keep pace with inflation. Subsidy will be paid to the authority on the assumption that its actual rent increase follows the guideline, but the council is free to determine its own rents.
Rate Support Grant-Sunderland |Cash |Real |(1979-80 |prices) |£ million|£ million ----------------------------------------- 1979-80<1> |65.6 |65.6 1980-81 |77.1 |65.2 1981-82<2> |63.8 |49.1 1982-83 |64.7 |46.5 1983-84 |65.3 |44.8 1984-85 |65.6 |42.9 1985-86 |67.1 |41.6 1986-87<3> |71.4 |42.8 1987-88 |78.1 |44.5 1988-89 |87.4 |46.4 1989-90 |86.7 |43.0 Note: The information given is not available on a comparable basis for all years ie. <1>In 1979-80 and 1980-81 no RSG payments were made to Metropolitan County Councils and Sunderland's RSG was correspondingly higher in those years. <2>In 1981-82-1985-86 inclusive RSG payments were made to Metropolitan Counties (and other upper tier authorities) and Sunderland's RSG was correspondingly lower. <3>In April 1986 the Metropolitan County Councils (and the GLC) were abolished and arrangements for paying grant changed accordingly.
Mr. Dalyell : To ask the Secretary of State for the Environment (1) how many staff of the Property Services Agency are currently working in Hastings ; and how many Property Services Agency staff it is anticipated will work in Hastings in each of the next three years ; (2) what efforts he has made to find alternative Government work for those Property Services Agency staff at Hastings whom the Property Services Agency will no longer require ; and what the results of those efforts have been so far ;
(3) whether he will make it his policy that sufficient Government work will be transferred to Hastings for Property Services Agency staff made surplus by the current reorganisation and preparation for privatisation.
Mr. Christopher Chope [holding answer 22 January 1990] : At 1 January 1990 PSA services employed 1,265 non-industrial staff at Hastings. It is not possible to forecast future staff numbers since these will depend partly on how much work the agency is able to win in competition after it is untied on 1 April 1990 and partly on decisions about where some of the agency's activities will be located.
Other Government Departments have been asked whether they have work which could be transferred to Hastings, to provide employment for the staff PSA will be releasing there. One Department has already expressed interest and we are hoping for more.
Mr. Tony Lloyd : To ask the Secretary of State for the Environment what information he has about the quantities and types of waste dumped into the Irish sea from sources in Great Britain ; and if he will make a statement.
Mr. Trippier [holding answer 22 January 1990] : Licensing the disposal of waste at sea is the responsibility of my right hon. Friend the Minister of Agriculture, Fisheries and Food and his colleagues in Scotland and Northern Ireland. No licences have been granted for the disposal of liquid and solid industrial waste in the Irish sea and information on the disposal of sewage sludge and dredged spoil is given in the Ministry's, "Report on the disposal of waste at sea--1986 and 1987", a copy of which is in the Library (a similar report giving figures for 1988 is expected to be published shortly). Information on waste inputs generally in the Irish sea is given in the status report prepared by the International Council for the Exploration of the Seas, a copy of which has been placed in the Library.
Column 65365. Mr. McLeish : To ask the Secretary of State for Health if he has yet received the results of his monitoring of the effects of charging for eyesight checks.
Mrs. Virginia Bottomley : The results of a survey of the number of sight tests in the first quarter of 1990 compared with earlier periods should be available by the early summer. A summary will be placed in the Library.
Mrs. Virginia Bottomley : The five-year trends from 1955 to 1985 have seen the excess winter mortality--that is, the number of deaths that occur in the winter quarter in excess of the numbers that occur in the summer--decrease, from about 47 per cent. from 1951 to 1955, to 26 per cent. between 1981 and 1985 in Scotland, and from 68.2 to 29.3 per cent. in England and Wales.
16. Mr. Livsey : To ask the Secretary of State for Health what is the latest figure for the number of hospitals, health districts and specialist units which have expressed an interest in becoming a self- governing National Health Service trust.
Mr. Kenneth Clarke : A total of 190 units have expressed interest in National Health Service trust status, including a number with more than one hospital. Twelve expressions of interest cover all the facilities within the relevant districts, and 19 are single specialty units. Eighty of these units are considering the preparation of applications for the first wave, which we would expect to be established in April 1991. However, applications will not be invited until Parliament has approved the necessary legislation.
38. Mrs. Rosie Barnes : To ask the Secretary of State for Health what provision his Department has made for ambulance services within district health authorities to become self-governing trusts ; and if he will make a statement.
Mrs. Virginia Bottomley : The Government regard all hospitals and a number of other services, including ambulance services, as potentially eligible to apply for National Health Service trust status when Parliament has approved the necessary legislation. A number of ambulance services currently provided by health authorities have already expressed an interest in becoming National Health Service trusts.
Mr. Kenneth Clarke : Core or "designated services" are simply those which can be provided only in a particular locality by a particular hospital which has become an NHS trust and to which district health authorities and GPs have no reasonable accessible alternative. This will vary in the light of local circumstances and the services available in each district. There is no basis upon which a national list could be compiled at this stage of all those local situations which will give rise to some services in some places being described as "designated services" when the first NHS trusts are established.
Column 655Mr. Freeman : The first returns of information about the stock of National Health Service property, under the Korner requirements, are now being collected, but complete information will not be available until the figures for 1989-90 are received. Estimates have been received from 133 health authorities in respect of the year 1988-89. This indicates that in those authorities the total cost of bringing the estate to an overall condition which exhibits only minor deterioration amounts to about £1.2 billion.
Mrs. Virginia Bottomley : This information is not available centrally, but I am aware that dedicated helicopter ambulances are now operating in the London area out to the M25 and also South East Thames and
Column 656South Western (Cornwall) RHAs. In addition, there are joint police/ambulance service helicopter projects in operation in Sussex, Wiltshire and the Thames valley.
22. Mr. Stanbrook : To ask the Secretary of State for Health if he will make a statement about the proposal of Bromley health authority to centralise all the acute services of the district in one purpose-built hospital.
Mr. Freeman : Following the offer by the London borough of Bromley of a greenfield site in the geographical centre of the district, Bromley health authority is developing plans to centralise most of its acute inpatient services. The authority believes that in this way the best service will be offered to local people and the best use made of staff resources. Because of their scale, these proposals will need to be submitted to the RHA and, in due course, to Ministers for a final decision.
23. Mr. James Lamond : To ask the Secretary of State for Health how much has been spent by his Department, health authorities and family practitioner committees to prepare for the implementation of the National Health Service and Community Care Bill.
35. Mr. Leadbitter : To ask the Secretary of State for Health how much has been spent by his Department, health authorities and family practitioner committees to prepare for the implementation of the National Health Service and Community Care Bill.
74. Mr. Buckley : To ask the Secretary of State for Health how much has been spent by his Department, health authorities and family practitioner committees to prepare for the implementation of the National Health Service and Community Care Bill.
106. Mr. Bidwell : To ask the Secretary of State for Health how much has been spent by his Department, health authorities and family practitioner committees to prepare for the implementation of the National Health Service and Community Care Bill.
Mr. Kenneth Clarke : In this financial year we expect to spend a total of £85 million on preparation for implementation of the Government's proposals to improve the National Health Service. This sum includes expenditure on such items as the creation of new consultant posts in expensive specialties and on staff training in better financial management.
Mr. Vaz : To ask the Secretary of State for Health when he last met representatives of the black and Asian community to discuss the National Health Service and Community Care Bill ; and which groups he met.
Mr. Freeman : I met representatives of the Overseas Doctors Association on 11 July 1989, when we discussed a variety of subjects related to the black and Asian community, including the Government's proposals to improve the Health Service.
On 31 January I shall be meeting representatives from the King's Fund for Health Services Development to discuss their work with ethnic minority groups. I shall also be visiting the National Community Health Resource on 7 February, again to discuss its activities in this field. I expect that during these meetings our proposals for the NHS and community care will be considered. There are also discussions taking place at the moment about the possibility of a conference with the Overseas Doctors Association specifically to consider the effects of the White Paper proposals for ethnic minority groups.
69. Mr. Corbyn : To ask the Secretary of State for Health how many local authority places will be removed from health authorities in each district in Greater London, after the enactment of the National Health Service and Community Care Bill in its present form.
District Health Authority |Local authority |members ---------------------------------------------------------------------------------------- Barnet |4 Ealing |4 Harrow |4 Hillingdon |4 Hounslow and Spelthorne |5 Parkside |5 Riverside |5 Barking, Havering and Brentwood |5 Bloomsbury |5 City and Hackney |5 Enfield |4 Hampstead |4 Haringey |4 Islington |4 Newham |4 Redbridge |4 Tower Hamlets |4 Waltham Forest |4 Croydon |4 Kingston and Esher |4 Merton and Sutton |4 Richmond, Twickenham and Roehampton |4 Wandsworth |4 Bexley |4 Bromley |4 Camberwell |5 Greenwich |4 Lewisham and North Southwark |5 West Lambeth |4
49. Mr. Roy Hughes : To ask the Secretary of State for Health what representations he has received from professional bodies and trades unions concerning the National Health Service and Community Care Bill.
36. Mr. Andrew Bowden : To ask the Secretary of State for Health if it is his intention that health circular 89(5) on the discharge of patients from hospitals will apply when in-patient services are contracted under the provisions of the National Health Service and Community Care Bill.
Mrs. Virginia Bottomley : Yes. It is intended that this circular will continue to be implemented by district health authorities and by NHS trusts. In securing good quality services for their residents when placing contracts, district health authorities will need to consider monitoring the performance of those providing the service.
Column 659local needs and priorities. I understand that the Royal College of Obstetricians and Gynaecologists has just put proposals for funding a medical audit unit to the Department and that this will include a programme of work aimed at auditing the delivery of infertility services with a view to encouraging improvements.
Mrs. Virginia Bottomley : The total number of staff qualifying for direct reimbursement under the ancillary staff scheme in Kent increased by 78 per cent. from 1,109 (660 whole-time equivalents) in 1979 to 1,975 (1,116 whole-time equivalents) in 1988. A few general practitioners employ support staff outside the scope of the present scheme ; information about these staff is not collected centrally.
Mr. Freeman : It is for health authorities to devote appropriate resources to the maintenance of cooking and beverage preparation areas in hospitals from the funds allocated to them. Health authorities have a duty to comply with the provisions of the Health and Safety at Work etc Act 1974, and it is Government policy that they should comply with all other relevant statutes and regulations. The Department issues building guidance on the standards that it expects in new and upgraded food preparation areas.
Mrs. Virginia Bottomley : Spending on care for AIDS patients is not separately identified. The specific provisions made available to health authorities in England as a contribution towards the costs of work to prevent the spread of HIV infection and the provision of diagnostic, treatment care and support services for people infected with the virus, including those with AIDS, were £58.74 million in 1988-89 and £121.90 million in 1989-90. In addition, an AIDS support grant allocation to local authorities of £7 million was introduced in 1989- 90.
Mr. Freeman : The annual data on dental examinations in England and Wales from 1984-85 to 1988-89 show a gently rising trend and we expect this to continue. As might be expected, however, attendances increased in the months prior to the introduction of the examination charge in January 1989 and fell immediately afterwards. It is too early to form a definitive view about any longer-term effects.
Mrs. Virginia Bottomley : The Government's proposals to improve the Health Service are based on a full recognition of the importance of the consumer of health care--the patient. Our proposals put patients first and give hospitals and their staff incentives to take account of the individual patient's needs. District health authorities will work closely with local interest groups and consider the views of users of services. Complaint procedures will be made easier. The interests of the local community will continue to be represented by community health councils, which will act as a channel for consumer views to health authorities and the family service authorities. The delegation of decision-making powers to hospital and GP level will ensure that local staff will have responsibility for responding to local needs. At least two non-executive members of each NHS hospital trust will be drawn from the local community. This all adds up to a package of measures designed to ensure that NHS consumers benefit from improved, better directed, more patient-responsive services.
Column 66195. Mr. Pendry : To ask the Secretary of State for Health if he will make a statement on the future of social work training.
Mr. Thurnham : To ask the Secretary of State for Health what representations he has received about the role of voluntary organisations in providing care in the community ; and if he will make a statement.