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Erskine Bridge

Mr. Roy Hughes : To ask the Secretary of State for Scotland what is the latest accumulated debt on the Erskine bridge.

Lord James Douglas-Hamilton : The accumulated debt at 31 March 1988 was £73.68 million. Accounts for 1988-89 will be laid before Parliament later this spring.

Mr. Roy Hughes : To ask the Secretary of State for Scotland what steps he plans to take concerning the finances of the Erskine bridge.

Lord James Douglas-Hamilton : No decision has yet been taken on the financing of the bridge beyond the end of the tolling period in 1991.

Mr Roy Hughes : To ask the Secretary of State for Scotland what is the latest figure for the overall operating deficit on the Erskine bridge.

Lord James Douglas-Hamilton : The latest account for 1987-88 shows an operating surplus for the year of £784,763.

Mr. Roy Hughes : To ask the Secretary of State for Scotland if he has any plans to write off the accumulated debt on the Erskine bridge.

Lord James Douglas-Hamilton : Future financing arrangements for the Erskine bridge are under consideration.

Mr. Roy Hughes : To ask the Secretary of State for Scotland if he has any plans to (a) end or (b) increase tolls on the Erskine bridge.

Lord James Douglas-Hamilton : No decisions have yet been taken.


Column 313

Secondary Schools

Mr. Home Robertson : To ask the Secretary of State for Scotland, pursuant to his reply to the hon. Member for East Lothian on 14 December 1989, Official Report, column 807, in which he undertook to write to the hon. Member about the review of the staffing formula for secondary schools, if he will now write to the hon. Member.

Mr. Lang : I have written to the hon. Member.

Public Land Sales

Mr. McAvoy : To ask the Secretary of State for Scotland what rules govern the advertising for sale of public land in Scotland ; and if he will make a statement.

Mr. Michael Forsyth [holding answer 24 January 1990] : Advertising the sale of public land is carried out in accordance with instructions issued by the owning body and is general practice except in special circumstances where it is judged that the best overall benefit to the public interest is achieved without advertising. In these circumstances, it is usual for an open market value to be assessed.


Column 314

Sport 2000

Mr. Canavan : To ask the Secretary of State for Scotland when he expects to respond to the report of the Scottish Sports Council, Sport 2000 ; and if he will make a statement.

Mr. Michael Forsyth [holding answer 25 January 1990] : I discussed the Sport 2000 report with Professor Raymond Miquel, chairman of the Scottish Sports Council, on 20 October 1989. As the document points out, sport has an important contribution to make to the health, social fabric and economy of Scotland.

Hospital Spending

Mr. Dunn : To ask the Secretary of State for Scotland if he will publish in the Official Report , hospital expenditure per head for each of the regional health authorities in Scotland for each of the last five years.

Mr. Michael Forsyth [holding answer 30 January 1990] : The information is as follows :


Column 313


Health board          |1984-85     |1985-86     |1986-87     |1987-88     |1988-89                  

                      |£           |£           |£           |£           |£                        

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

Argyll and Clyde      |171         |181         |194         |215         |240                      

Ayrshire and Arran    |149         |159         |173         |191         |212                      

Borders               |150         |161         |173         |197         |233                      

Dumfries and Galloway |197         |206         |208         |236         |259                      

Fife                  |151         |165         |180         |194         |214                      

Forth Valley          |185         |200         |215         |235         |259                      

Grampian              |199         |210         |222         |243         |276                      

Greater Glasgow       |318         |336         |355         |382         |429                      

Highland              |205         |213         |231         |250         |278                      

Lanarkshire           |160         |169         |179         |192         |216                      

Lothian               |247         |260         |282         |302         |337                      

Orkney                |126         |129         |141         |158         |171                      

Shetland              |129         |137         |145         |169         |194                      

Tayside               |282         |292         |312         |332         |370                      

Western Isles         |151         |161         |170         |190         |203                      

DEFENCE

Military Nuclear Materials

Dr. Thomas : To ask the Secretary of State for Defence if the United Kingdom chiefs of defence staff revealed any details to their counterparts from the Warsaw pact of United Kingdom production capacity and stockpile of unsafeguarded military nuclear materials in the meeting in Vienna that began on 16 January.

Mr. Archie Hamilton : No.

Lost Property

Mr. Rogers : To ask the Secretary of State for Defence if he will make a statement about the 112 vehicles and 25 items of plant lost over a four-year period at an Army unit outlined in the "Losses Statement of the Appropriations Account 1988-89, Class I, Vote 1" ; and what action he is taking in respect of the likely fraud or misappropriation.

Mr. Archie Hamilton : The circumstances of this loss are that the vehicles and plant were written off throughout the whole of the Falklands in the four-year period 1982 to


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1986, in the immediate aftermath of Operation Corporate when operational needs were of the highest priority and proper accounting systems had not been installed.

The lack of accounting controls at that time meant that, although there was no evidence either way, the possibility of fraud or misappropriation could not be entirely discounted. However, full stores accounting procedures and systems are now in operation and all vehicles and plant in theatre are, therefore, properly controlled and documented.

Mr. Rogers : To ask the Secretary of State for Defence if he will make a statement on the estimated sum lost by failure to make adequate charges for the use of support elements at a military establishment outlined in the "Losses Statement of the Appropriations Account 1988-89, Class I, Vote 1".

Mr. Archie Hamilton : The sum noted in the appropriation account 1988-89 is in respect of estimated losses in revenue arising from low charges levied on non-Ministry of Defence students attending courses at the Royal Military College of Science, Shrivenham in the period August 1984 to July 1988. The sum represents a proportion of the military overheads of the establishment in that period, provision for which was omitted from


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course price calculations following the contracting out of the academic and academic support task to Cranfield institute of technology in August 1984. A staged increase in course prices has been carried out in order to bring them up to the correct levels and this has been reached in the majority of cases. We anticipate that the remaining courses will reach correct price levels in the next two to three years.

Sellafield (Decommissioning)

Mr. Wigley : To ask the Secretary of State for Defence what payments have been made by his Department to British Nuclear Fuels plc over the past five years in regard to post-operational decommissioning work on facilities at Sellafield used to carry out contracts for his Department ; what proportion of the work required arose from the pre-1971 period ; and over what period of time negotiations were entered into over the payments for the work.

Mr. Alan Clark : My Department has paid £12.5 million to British Nuclear Fuels plc in respect of decommissioning work carried out on facilities at Sellafield. All the payments made so far relate to pre-1971 liabilities.

Formal discussions concerning the basis on which payments for pre-1971 liabilities would be made to the company took place in the period 1986 to 1988. Those discussions involved not only the MOD but other bodies concerned with work at Sellafield. The MOD made its first payments for decommissioning work in early 1989.

Defence Procurement

Mr. Thurnham : To ask the Secretary of State for Defence when he next expects to review the level of defence procurement.

Mr. Alan Clark : As normal, plans for all aspects of defence expenditure, including procurement, will be reviewed in the 1990 public expenditure survey.

European Fighter Aircraft

Mr. Colvin : To ask the Secretary of State for Defence if he will make a statement on the radar order for the European fighter aircraft.

Mr. Alan Clark : I have nothing to add to my reply to the hon. Member for Edinburgh, East (Mr. Strang) on 23 January 1990, at columns 869- 72.

Mr. Stern : To ask the Secretary of State for Defence how many countries have made purchase inquiries about the European fighter aircraft.

Mr. Alan Clark : My Department has already received several inquiries relating to potential future sales of the European fighter aircraft, and we expect many more closer to the aircraft's date of completion. My hon. Friend will, of course, be aware that it has been the consistent policy of successive Administrations not to comment on individual applications for defence exports.

Service Personnel (Benefits)

Mr. Cohen : To ask the Secretary of State for Defence what figures he has for the number of services personnel and their families receiving (i) social security benefits and (ii) housing benefit.


Column 316

Mr. Archie Hamilton : This information is not held by the Ministry of Defence. Any social security benefit or local authority housing benefit which a service man may receive is a private matter concerning himself and the Department of Social Security or the local authority, and does not have to be reported to the Ministry of Defence.

Defence Contracts

Mr. Allan Stewart : To ask the Secretary of State for Defence if he will list those contracts his Department has with Blue Circle Industries plc and its subsidiaries.

Mr. Neubert : We have no current headquarters contracts with Blue Circle Industries plc. Information on subsidiary companies could be provided only at disproportionate costs and, in any event, it is not our custom to release details of individual contracts for reasons of commercial confidentiality.

Mr. Allan Stewart : To ask the Secretary of State for Defence if he will make a statement on the contracts between his Department and Armitage Shanks.

Mr. Neubert : Following the holding reply I gave on 16 November 1989, at column 417, I wrote to my hon. Friend informing him that we were considering, with Armitage Shanks, the precise implications of the proposed closure of its Barrhead factory, and that the extent to which alternative sources of supply would be needed was not yet clear. That remains the position.

Piers Helps

Mr. Pawsey : To ask the Secretary of State for Defence when the hon. Member for Rugby and Kenilworth will receive a reply to his letter dated 4 December 1989 referring to Piers Helps.

Mr. Archie Hamilton : My noble Friend the Parliamentary Under- Secretary of State for the Armed Forces wrote to my hon. Friend on 29 January 1990.

HMS Conqueror

Mr. Dalyell : To ask the Secretary of State for Defence, pursuant to his answer of 29 January, Official Report, column 62 , on what grounds he has decided not to declassify the captain's narrative of HMS Conqueror's Falklands deployment.

Mr. Archie Hamilton : The captain's narrative contains information of current operational and technical significance.

Common Land

Mr. Benn : To ask the Secretary of State for Defence if he will list all the cases when the Land Clauses Consolidation Act 1845 has been used in combination with the Defence Acts 1842 and 1854 to extinguish commoners' rights over any common land in the United Kingdom.

Mr. Archie Hamilton [holding answer 25 January 1990] : The Land Clauses Consolidation Act 1845 has been used in combination with the Defence Acts 1842 and 1854 to extinguish rights of common on at least three occasions : at RAF Fylingdales in 1960, at RAF Lakenheath in 1961, and at RAF Woodbridge in 1964. There may have been other instances, but a comprehensive list could not be provided without disproportionate cost.


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WALES

Surgery

Mr. Rogers : To ask the Secretary of State for Wales if he will list, in order of frequency and with the estimated number of operations, the 10 most common forms of surgery for which patients are admitted to hospitals in (a) Wales and (b) each health authority in Wales.


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Mr. Grist : The available figures for 1987 are shown in the table. However, the information may understate the true position in that not all hospitals provide complete clinical details relating to patient discharges and deaths.


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OPCS operation codes<1>                                             |Type of operation                                                  |Number                                                                                                                                 

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

Wales                                                                                                                                                                                                                                                                           

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |9,937                                                                                                                                  

420, 421, 425-433, 439                                              |Operation of stomach-other                                         |9,291                                                                                                                                  

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |8,369                                                                                                                                  

770-779                                                             |Post-natal or post-abortion operations                             |7,646                                                                                                                                  

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|7,411                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |7,393                                                                                                                                  

912-914                                                             |Excision of superficial lesion                                     |7,219                                                                                                                                  

941-959                                                             |Vascular procedures and operations with ill-defined site           |5,610                                                                                                                                  

742                                                                 |Termination of pregnancy (excluding hysterotomy)                   |4,732                                                                                                                                  

230-239                                                             |Tonsillectomy and adenoidectomy                                    |4,646                                                                                                                                  

                                                                                                                                                                                                                                                                                

Clwyd                                                                                                                                                                                                                                                                           

420, 421, 425-433, 439                                              |Operation on stomach-other                                         |1,587                                                                                                                                  

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |1,135                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |1,113                                                                                                                                  

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |1,074                                                                                                                                  

468                                                                 |Sigmoidoscopy                                                      |1,052                                                                                                                                  

230-239                                                             |Tonsillectomy and adenoidectomy                                    |1,018                                                                                                                                  

912-914                                                             |Excision of superficial lesion                                     |954                                                                                                                                    

170-179                                                             |Operations on lens                                                 |927                                                                                                                                    

941-959                                                             |Vascular procedures and operations with ill-defined site           |849                                                                                                                                    

770-779                                                             |Post-natal or post-abortion operations                             |762                                                                                                                                    

                                                                                                                                                                                                                                                                                

East Dyfed                                                                                                                                                                                                                                                                      

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |1,184                                                                                                                                  

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |745                                                                                                                                    

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |664                                                                                                                                    

780-789                                                             |Treatment of fracture by operations                                |624                                                                                                                                    

170-179                                                             |Operations on lens                                                 |583                                                                                                                                    

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|576                                                                                                                                    

230-239                                                             |Tonsillectomy and adenoidectomy                                    |543                                                                                                                                    

912-914                                                             |Excision of superficial lesion                                     |542                                                                                                                                    

941-959                                                             |Vascular procedures and operations with ill-defined site           |532                                                                                                                                    

210, 211, 215-224                                                   |Operations on nose (excluding nasal septum)                        |505                                                                                                                                    

                                                                                                                                                                                                                                                                                

Pembrokeshire                                                                                                                                                                                                                                                                   

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|450                                                                                                                                    

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |420                                                                                                                                    

770-779                                                             |Post-natal or post-abortion operations                             |401                                                                                                                                    

780-789                                                             |Treatment of fracture by operations                                |393                                                                                                                                    

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |343                                                                                                                                    

400-409                                                             |Operation on abdominal wall, peritoneum, and mesentery             |323                                                                                                                                    

941-959                                                             |Vascular procedures and operations with ill-defined site           |317                                                                                                                                    

912-914                                                             |Excision of superficial lesion                                     |286                                                                                                                                    

742                                                                 |Other termination of pregnancy (excluding hysterotomy)             |241                                                                                                                                    

440-445                                                             |Operations on appendix                                             |226                                                                                                                                    

                                                                                                                                                                                                                                                                                

Gwent                                                                                                                                                                                                                                                                           

912-914                                                             |Excision of superficial lesion                                     |2,067                                                                                                                                  

770-779                                                             |Post-natal or post-abortion operations                             |1,905                                                                                                                                  

607-608                                                             |Cystoscopy (with destruction of lesion)                            |1,635                                                                                                                                  

703-706                                                             |Dilatation, curettage, biospy, and excision of lesion of cervix    |1,588                                                                                                                                  

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |1,331                                                                                                                                  

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|1,189                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |1,058                                                                                                                                  

764-769                                                             |Caesarian section                                                  |742                                                                                                                                    

410, 411                                                            |Inguinal hernia operations                                         |632                                                                                                                                    

210, 211, 215-224                                                   |Operations on nose (excluding nasal septum)                        |616                                                                                                                                    

                                                                                                                                                                                                                                                                                

Gwynedd                                                                                                                                                                                                                                                                         

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |1,091                                                                                                                                  

703-706                                                             |Dilatation, curettage, biopsy, and excision of lesion of cervix    |1,082                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |600                                                                                                                                    

400-409                                                             |Operations of abdominal wall, peritoneum, and mesentery            |584                                                                                                                                    

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |581                                                                                                                                    

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|571                                                                                                                                    

170-179                                                             |Operations on lens                                                 |460                                                                                                                                    

440-445                                                             |Operations on appendix                                             |457                                                                                                                                    

468                                                                 |Sigmoidoscopy                                                      |397                                                                                                                                    

764-769                                                             |Caesarian section                                                  |371                                                                                                                                    

                                                                                                                                                                                                                                                                                

Mid Glamorgan                                                                                                                                                                                                                                                                   

703-706                                                             |Dilatation, curettage, biopsy, and excision of lesion of cervix    |2,228                                                                                                                                  

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |1,725                                                                                                                                  

770-779                                                             |Post-natal or post-abortion operations                             |1,602                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |1,601                                                                                                                                  

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|1,601                                                                                                                                  

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |1,424                                                                                                                                  

912-914                                                             |Excision of superficial lesion                                     |1,293                                                                                                                                  

651                                                                 |Ligation of vasectomy of vas deferens                              |1,145                                                                                                                                  

941-959                                                             |Vascular procedures and operations with ill-defined site           |971                                                                                                                                    

764-769                                                             |Caesarian section                                                  |931                                                                                                                                    

                                                                                                                                                                                                                                                                                

Powys                                                                                                                                                                                                                                                                           

703-706                                                             |Dilatation, curettage, biopsy, and excision of lesion of cervix    |106                                                                                                                                    

651                                                                 |Ligation or vasectomy of vas deferens                              |93                                                                                                                                     

770-779                                                             |Post-natal or post-abortion operations                             |78                                                                                                                                     

410, 411                                                            |Inguinal hernia operations                                         |76                                                                                                                                     

230-239                                                             |Tonsillectomy and adenoidectomy                                    |50                                                                                                                                     

742                                                                 |Other termination of pregnancy                                     |40                                                                                                                                     

890-898                                                             |Operations on veins                                                |40                                                                                                                                     

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|36                                                                                                                                     

754-757, 763                                                        |Forceps delivery                                                   |35                                                                                                                                     

400-409                                                             |Operations on abdominal wall, peritoneum, and mesentery            |30                                                                                                                                     

                                                                                                                                                                                                                                                                                

South Glamorgan                                                                                                                                                                                                                                                                 

250, 251                                                            |Drainage of abscess and simple dental extraction                   |1,831                                                                                                                                  

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |1,643                                                                                                                                  

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |1,609                                                                                                                                  

770-779                                                             |Post-natal or post-abortion operations                             |1,471                                                                                                                                  

912-914                                                             |Excision of superficial lesion                                     |1,431                                                                                                                                  

300-329                                                             |Operations on heart and intrathoracic vessels                      |1,218                                                                                                                                  

607, 608                                                            |Cystoscopy (with destruction of lesion)                            |1,163                                                                                                                                  

252-259                                                             |Operations on teeth, gums and jaw-other                            |1,145                                                                                                                                  

780-789                                                             |Treatment of fracture by operations                                |1,069                                                                                                                                  

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|957                                                                                                                                    

                                                                                                                                                                                                                                                                                

West Glamorgan                                                                                                                                                                                                                                                                  

941-959                                                             |Vascular procedures and operations with ill-defined site           |2,016                                                                                                                                  

742                                                                 |Other termination of pregnancy                                     |1,784                                                                                                                                  

752, 753, 758-762                                                   |Delivery operations-excluding normal, Caesarian section and forceps|1,485                                                                                                                                  

703-706                                                             |Dilation, curettage, biopsy, and excision of lesion of cervix      |1,209                                                                                                                                  

880-889                                                             |Operation on arteries                                              |1,049                                                                                                                                  

703-706                                                             |Cystoscopy (with destruction of lesion)                            |964                                                                                                                                    

780-789                                                             |Treatment of fracture by operations                                |928                                                                                                                                    

420, 421, 425-433, 439                                              |Operations on stomach-other                                        |870                                                                                                                                    

680-683, 685-689                                                    |Operations involving oviduct-excluding division and ligation       |840                                                                                                                                    

770-779                                                             |Post-natal or post-abortion operations                             |811                                                                                                                                    

<1> Based on a condensed list of the Office of Population Censuses and Surveys classification of surgical operations, 3rd revision.                                                                                                                                             

Health Authority Income

Mr. Rogers : To ask the Secretary of State for Wales if he will publish for each health authority (a) the net income from private patients and clinics and (b) the amounts written off as bad debts in each year since 1979.


Column 320

Mr. Grist : The information requested is shown in the following tables :


Column 319



Net income from private patients<1>                                                              

£ thousands                                                                                      

                 |1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88        

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

Clwyd            |120.1  |171.2  |202.7  |156.6  |251.8  |305.4  |363.4  |358.9  |419.2          

East Dyfed<2>    |63.7   |111.6  |117.4  |106.8  |90.9   |139.5  |153.4  |194.4  |220.9          

Gwent            |3.2    |2.2    |0.9    |0.4    |-      |7.0    |16.1   |13.2   |16.8           

Gwynedd          |69.6   |98.4   |99.4   |97.9   |107.4  |104.5  |201.1  |209.8  |203.8          

Mid Glamorgan    |11.9   |14.3   |22.0   |14.5   |29.5   |20.4   |27.2   |51.5   |52.2           

Pembrokeshire<2> |-      |-      |-      |40.0   |46.1   |58.4   |62.2   |84.8   |87.1           

Powys            |-      |-      |-      |-      |-      |-      |0.3    |-      |-              

South Glamorgan  |41.4   |26.5   |18.2   |30.3   |29.0   |45.4   |91.2   |101.5  |85.6           

West Glamorgan   |12.7   |19.0   |33.4   |35.0   |47.5   |59.4   |86.3   |100.7  |141.5          

WHCSA            |-      |-      |-      |-      |-      |-      |-      |-      |-              

                 |---    |---    |---    |---    |---    |---    |---    |---    |---            

Total Wales      |332.6  |443.2  |494.0  |481.5  |602.2  |740.0  |1,001.2|1,114.8|1,226.6        

Source: Health authorities annual accounts.                                                      

<1>Consists of private in-patients (section 65), private non-resident patients (section 65) and  

accommodation and services provided under section 58 of the National Health Service Act 1977.    

<2>Dyfed health authority until 1982-83.                                                         


Bad debts and claims abandoned: Private patients<3>                                                      

£ thousand                                                                                               

                 |1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89        

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

Clwyd            |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |2.9    |2.2    |1.4    |1.4            

East Dyfed<4>    |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |0.5    |2.7    |1.1    |0.5            

Gwent            |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |-      |-      |-      |-              

Gwynedd          |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |0.1    |2.9    |1.2    |0.7            

Mid Glamorgan    |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |0.6    |1.0    |0.4    |0.7            

Pembrokeshire<4> |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |2.2    |1.7    |0.4    |1.9            

Powys            |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |-      |-      |-      |-              

South Glamorgan  |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |0.0    |0.2    |1.2    |0.2            

West Glamorgan   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |-      |1.0    |2.2    |4.2            

WHCSA            |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |-      |-      |-      |-              

Wales            |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |n.a.   |6.3    |11.7   |7.9    |9.6            

<3>Consists of private in-patients (section 65) and private non-resident patients (section 66). Private  

patients' bad debts and claims abandoned were not separately identified until 1985-86.                   

<4>Dyfed health authority until 1982-83.                                                                 

Source: Health authorities annual accounts.                                                              


Bad debts and claims abandoned: total  £ thousand                                                        

                 |1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89        

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

Clwyd            |0.9    |3.7    |3.3    |4.2    |1.0    |37.1   |12.6   |9.3    |11.2   |3.0            

East Dyfed<5>    |0.6    |1.0    |3.2    |2.1    |28.8   |3.8    |4.4    |200.4  |7.0    |6.2            

Gwent            |0.5    |1.7    |0.7    |1.2    |0.4    |2.1    |2.7    |4.2    |5.1    |12.1           

Gwynedd          |0.1    |1.3    |1.9    |4.8    |4.0    |6.3    |12.2   |5.4    |14.9   |22.8           

Mid Glamorgan    |0.5    |0.4    |0.3    |1.0    |3.8    |9.1    |6.8    |16.0   |19.0   |12.1           

Pembrokeshire<5> |-      |-      |-      |0.3    |0.3    |11.1   |2.2    |1.7    |1.9    |3.9            

Powys            |1.1    |0.9    |0.2    |0.2    |0.5    |1.4    |0.7    |0.7    |1.2    |1.1            

South Glamorgan  |1.2    |2.1    |1.6    |2.8    |8.3    |37.5   |6.5    |17.2   |117.1  |9.5            

West Glamorgan   |0.8    |51.9   |3.1    |4.2    |8.5    |107.9  |12.7   |33.8   |19.8   |13.2           

WHCSA            |-      |-      |-      |-      |-      |17.4   |246.2  |253.9  |-      |-              

Wales            |5.7    |63.0   |14.3   |20.8   |55.6   |233.7  |307.0  |542.6  |197.3  |83.9           

<5>Dyfed health authority until 1982-83.                                                                 

Source: Health authorities annual accounts.                                                              

Wintech

Mr. Morgan : To ask the Secretary of State for Wales (1) if he will make available to the public the correspondence between his Department and the chairman of the Welsh Development Agency regarding the future of Wintech ;

(2) if he will make it his policy to expand the work of Wintech ; and if he will make a statement ;

(3) if he will place copies of correspondence between his Department and the chairman of the board of the Welsh Development Agency regarding the future of Wintech in the Library ;

(4) if he will review the provision of technological and scientific support services to industry by the Welsh Development Agency ; (5) what representations he has (a) had and (b) proposes to have about the future of Wintech.

Mr. Peter Walker : It is agency policy to keep its operations under continuous review in order to respond more effectively to the changing demands of industry. A review of the agency's technology development activities was completed last year and changes announced in September 1989. These were directed to focusing the agency's technology activities more closely on improving service to high technology businesses in Wales and increasing efforts to secure technology transfer through the attraction of key research and development operations to Wales, in order to enhance Wales' technological base.

Apart from the hon. Gentleman's questions, I have received no representations concerning the future of the


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agency's technology development activities ; nor do I intend to elicit any. It is not my policy to publish such correspondence as I may have with the chairman of the Welsh Development Agency.

Drainage

Sir John Stradling Thomas : To ask the Secretary of State for Wales what steps he proposes to deal with the question of drainage rates and the relationship of the internal drainage boards' finance and membership in relation to district councils.

Mr. Peter Walker : The Internal Drainage Board (Finance) Regulations 1990, which came into force on 24 January, make provision both for the financing arrangements for internal drainage boards and for the membership of these boards. Each internal drainage board is given power to raise its expenses by means of a drainage rate on the agricultural sector, and special levies on the charging authorities, within its area. The regulations provide that the composition of each board should broadly reflect the relative financial contributions of the agricultural and non- agricultural sectors to its expenditure. Members representing the agricultural sector will continue to be elected or otherwise qualify as at present. Those representing the non-agricultural sector will be appointed by the district councils.


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Improvement Grants

Mr. Michael : To ask the Secretary of State for Wales whether he will make it his policy that individuals who had applied for housing improvement and repair grants and (a) were told that there was no hope of money being forthcoming and therefore had to go ahead without help but (b) would now have received money under the recently announced open-ending of grant money, should be compensated for at least a part of what they have lost.

Mr. Grist : The priority given to home renovation grants must be a matter for individual local authorities to determine. There is no justification for compensation for those who have undertaken work without grant.

Hospital Services

Mr. Michael : To ask the Secretary of State for Wales (1) against what criteria he intends to advise health authorities in Wales to judge the advisability of contracting a particular service to a hospital outside the authority's own area ;

(2) how he intends to assess the impact on journeys for patients and their families of any decisions by a health authority in Wales to contract particular services to a hospital outside that authority's own area ;

(3) whether he will instruct health authorities in Wales to assess the likely impact on travel for patients and their families of contracting any service to a hospital outside the health authority's own area and to weigh that assessment in the balance with other relevant criteria before letting any contract.

Mr. Grist : It will be the responsibility of district health authorities to secure an adequate range, quality and depth of services for their local populations through appropriate contractual arrangements. The document "Contracts for Health Services : Operations Principles", which was circulated to the National Health Service in Wales on 20


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October 1989, stated that, in determining the content of the contracts they seek to let, district health authorities will need to reconcile need for service, quality of access to service, and value for money in the mode of provision. As now, the majority of services will be provided in local hospitals. However, referrals already take place to hospitals in other districts and health authorities will therefore wish to make some contracts for such referrals. In considering these contracts, authorities will carefully consult general practitioners to establish anticipated patterns of referral and will take into account the impact of travelling on patients and their families. We should emphasise that in all cases the object will be to secure the patterns of referral preferred by referrers themselves and that no patients will be forced to travel against their will for treatment. The arrangements made by health authorities to secure services for their populations will be subject to scrutiny in the annual reviews of performance chaired by director, National Health Service (Wales).

Consultants (Distinction Awards)

Mr. Barry Jones : To ask the Secretary of State for Wales (1) if he will list the amount of distinction awards paid to consultants in each of the area health authorities of Wales for the last five years ;

(2) what sums have been made available for top-up bonuses to hospital consultants in each health authority in Wales in the financial year 1988-89 and in the current financial year ; and how much will be budgeted for each authority for the 1990-91 financial year ;

(3) what total sum has been made available for distinction awards to hospital consultants in Wales in the financial year 1988-89 and in the current financial year ; and how much will be made available in the 1990-91 financial year.

Mr. Grist : The information is as follows :


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Payments of Distinction Awards to Consultants<1>                                                                       

Health Authority |1984-85         |1985-86         |1986-87         |1987-88         |1988-89                          

                 |£               |£               |£               |£               |£                                

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

Clwyd            |151,435         |169,892         |176,187         |166,838         |328,862                          

East Dyfed       |85,265          |113,465         |93,683          |87,044          |94,720                           

Gwent            |193,194         |216,255         |257,142         |321,938         |343,278                          

Gwynedd          |58,123          |70,186          |95,904          |115,189         |113,659                          

Mid Glamorgan    |111,784         |86,101          |121,133         |127,622         |164,590                          

Pembrokeshire    |26,317          |30,106          |30,559          |51,174          |54,734                           

Powys            |4,489           |9,780           |10,700          |5,717           |12,364                           

South Glamorgan  |1,146,812       |1,360,037       |1,621,917       |1,814,516       |1,906,649                        

West Glamorgan   |197,253         |217,700         |210,540         |8,752           |253,742                          

                 |-------         |-------         |-------         |-------         |-------                          

Wales            |1,974,672       |2,273,522       |2,617,765       |2,698,790       |3,272,598                        


Allocations to Health Authorities for Consultant Distinction Awards                  

Health Authority |1988-89         |1989-90<2><3>   |1990-91<2><3>                    

                 |£ million       |£ million       |£ million                        

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

Clwyd            |0.599           |0.348           |0.231                            

East Dyfed       |0.142           |0.127           |0.138                            

Gwent            |0.418           |0.382           |0.412                            

Gwynedd          |0.281           |0.216           |0.231                            

Mid Glamorgan    |0.344           |0.168           |0.181                            

Pembrokeshire    |0.095           |0.065           |0.069                            

Powys            |0.014           |0.006           |0.007                            

South Glamorgan  |2.092           |2.108           |2.277                            

West Glamorgan   |0.522           |0.320           |0.343                            

                 |-------         |-------         |-------                          

Total all Health |4.507           |3.740           |3.889                            

   Authorities                                                                       

Notes:                                                                               

<1> Medical and dental consultants, NHS staff and honorary contract holders          

<2> Allocation in 1989-90 takes account of overprovision in 1988-89.                 

<3> Further funding may be made available in the light of any recommendation for     

increases in the numbers of consultant distinction awards by the Review Body on      

Doctors and Dentists Remuneration.                                                   

Mr. Michael : To ask the Secretary of State for Wales if he will set out the procedure by which distinction awards are allocated for senior hospital consultants in Wales.

Mr. Grist : Distinction awards are made on the recommendation of the Advisory Committee on Distinction Awards. That committee approaches its


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regional network of committees, the Royal College and Faculties, the public health laboratory service, the Medical Research Council and regional specialist advisers for nominations. The chairman of the committee then visits each regional committee between May and September to discuss their recommendations and all the nominations received from other sources in order to draw up a provisional list for the consideration and final decision of the advisory committee.

Mr. Michael : To ask the Secretary of State for Wales what are the criteria against which distinction awards are made to senior hospital consultants in Wales.

Mr. Grist : There are no formal objective criteria of award worthiness. General guidelines only are used by the awards committees which look for performances

"over and above the call of duty."

Principally these can be indicated by (a) clinical excellence and recognition of leadership in a specialty ; (b) research, innovation and improvement in the service ; and (c) hard work and outstanding service to the NHS.

Mr. Michael : To ask the Secretary of State for Wales what was the number of hospital consultants who received top-up bonuses in each health authority in Wales in the financial year 1988-89 and in the current financial year.

Mr. Grist : The numbers of practitioners who received distinction awards in 1988-89 in each health authority are as follows :


                |Number       

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

Clwyd           |35           

East Dyfed      |17           

Gwent           |35           

Gwynedd         |23           

Mid Glamorgan   |24           

Pembrokeshire   |6            

Powys           |4            

South Glamorgan |127          

West Glamorgan  |36           

Notes:                        

Although practitioners are    

eligible for only one         

distinction award, some are   

included more than once in    

the above list because they   

work for more than one health 

authority.                    

Figures for 1989-90 are not   

available because the awards  

for this financial year have  

not yet been announced.       

Mr. Michael : To ask the Secretary of State for Wales what is the period of years for which any distinction awards will operate when awarded to any hospital consultant in Wales.

Mr. Grist : Distinction awards are, at present, paid to consultants until they retire. The White Paper "Working for Patients" proposes a number of changes which would result in the new awards being reviewable every five years and new or increased awards being pensionable only if the practitioner works for another three years in the NHS.

Mr. Michael : To ask the Secretary of State for Wales who is involved in deciding the allocation of distinction awards to senior hospital consultants in Wales and who takes the final decision.

Mr. Grist : Consultant distinction awards in Wales are made by the Secretary of State on the recommendation of the Advisory Committee on Distinction Awards.


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Mr. Barry Jones : To ask the Secretary of State for Wales what is the maximum salary of National Health Service consultants in Wales, inclusive of distinction awards.

Mr. Grist : The maximum salary of NHS consultants is currently £38, 340. In addition to this, a consultant may be in receipt of one of the following distinction awards A £36,420 ; A £26,840 ; B £15,340 or C £6,760. The current maximum compares with a maximum of £15,279 in 1979, an increase in real terms of 36 per cent.

Truancy

Mr. Barry Jones : To ask the Secretary of State for Wales (1) if he will make a statement on truancy in each of the local education authorities in Wales ;

(2) what is his estimate of truancy as a percentage in the (a) fourth and (b) fifth years in high schools in (i) Clwyd, (ii) Powys, (iii) Gwynedd, (iv) Mid Glamorgan, (v) South Glamorgan, (vi) West Glamorgan, (vii) Gwent ; and if he will make a statement ; (3) what measures he proposes to lessen truancy concerning the schools of Wales ; and if he will make a statement.


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