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Mrs. Virginia Bottomley : This information is not held centrally. I refer the hon. Member to the reply I gave him on 5 June at column 582.
Mr. Blunkett : To ask the Secretary of State for Health if he will estimate the numbers of patients working in industrial therapy units in national health service hospitals (a) in Britain and (b) by region.
Mr. Dorrell : The information requested is not collected centrally.
Mrs. Currie : To ask the Secretary of State for Health how many (a) nurses and midwives, (b) hospital doctors, (c) general practitioners, (d) general practitioners' support staff and (e) dentists were employed by Southern Derbyshire health authority in 1984 and in the latest year for which figures are available.
Mr. Dorrell : The information requested is as follows :
|1984 |1988 -------------------------------------------------------------------- Nurses and midwives<1> |3,870|3,980 General practitioners<2> |438 |475 General practitioner support staff<1> |483 |631 Dentists<3> |190 |219 Hospital and community health service dentists<4> |13.1 |10.9 <1> Whole time equivalents. <2> Unrestricted principals in the Derbyshire family practitioner committee area. <3> Figure covers dentists in general practice in the Derbyshire family practitioner area. <4> Includes permanent paid, honorary and locum staff but excludes all consultants and senior registrars whose contracts are held by the regional health authority.
I shall write to my hon. Friend with the figures for hospital doctors, once the figures have been verified.
Mrs. Currie : To ask the Secretary of State for Health how many (a) in-patients, (b) out-patients and (c) day-cases were treated by Southern Derbyshire health authority in 1984 and the latest year for which figures are available.
Mr. Dorrell : The information requested is given in the table.
Z Southern Derbyshire District Health Authority |1984 |1988-89 |Percentage change ------------------------------------------------------------------------------------------ In-patients |53,558 |54,759 |+2 Out-patients |324,497 |<1>317,672 |-2 Day-cases |3,262 |4,977 |+52 Sources: 1984. SH3 1988-89. SH3A, KH05, KH09, KH18 <1> The 1988-89 data include 2,041 ward attenders who would previously have been classified as out-patients.
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Mrs. Currie : To ask the Secretary of State for Health what was the average general practitioner list size in Derbyshire health authority in 1984 and in the latest year for which figures are available.
Mrs. Virginia Bottomley : At 1 October 1984, the average list size of general practitioners in Derbyshire family practitioner committee's area was 2,179. At 1 October 1988, the latest year for which figures are available, the figure was 2,043.
Mr. John Browne : To ask the Secretary of State for Health if he will make a statement on the late payment by Hampshire family practitioner committee to general practitioners in Hampshire ; and what steps have been taken to remedy the shortfall in cash flow to doctors.
Mrs. Virginia Bottomley : All general practitioners in Hampshire were paid an advance by the due date of 29 June. Further advances were made to GPs on 6 July and 13 July which were designed to remedy any shortfall against the amount due. If, in any particular case, a doctor continues to experience a cash flow problem he or she should discuss the matter with the family practitioner committee. The committee will make any necessary adjustments as soon as possible.
Mr. David Young : To ask the Secretary of State for Health what is the rate of ECG testing for heart disease per 1,000 of population in each of the district health authorities in the north-west region.
Mr. Dorrell : The available information is given in the table. Patients may be referred for an electrocardiogram to a district other than the one in which they reside. The rates per thousand population may therefore have little significance.
Requests for electrocardiograms<1> (ECGs) and rates per thousand population, North Western region, 1988-89 District Health Authority |ECG |Population |Requests |request |estimates |per 1,000 |(000's) |population ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Lancaster |11,835 |131.1 |90.2 Blackpool, Wyre and Fylde |21,743 |320.0 |67.9 Preston |15,413 |128.1 |120.4 Blackburn, Hyndburn and Ribble Valley |13,381 |264.8 |50.5 Burnley, Pendle and Rossendale |7,308 |228.3 |32.0 West Lancashire |10,196 |105.4 |96.8 Chorley and South Ribble |740 |196.8 |3.8 Bolton |16,726 |263.6 |63.4 Bury |18,316 |175.0 |104.7 North Manchester |20,971 |139.7 |150.1 Central Manchester |22,401 |122.4 |183.1 South Manchester |48,424 |183.8 |263.4 Oldham |14,947 |219.5 |68.1 Rochdale |14,079 |214.2 |65.7 Salford |27,756 |235.6 |117.8 Stockport |22,894 |290.9 |78.7 Tameside and Glossop |15,908 |247.0 |64.4 Trafford |12,471 |215.8 |57.8 Wigan |27,289 |307.6 |88.7 |-------- |-------- |-------- Total |342,798 |3,989.8 |85.9
Mr. David Young : To ask the Secretary of State for Health what is the number of staff employed in ECG testing for heart disease in each district health authority in the north-west region.
Mrs. Virginia Bottomley : This information is not held centrally.
Mr. Michael : To ask the Secretary of State for Health if he will place in the Library a copy of all the professional publications his Department has provided to national health service doctors containing advice about drug prescribing, including those referred to in his reply of 16 July Official Report, column 411, together with any departmental cover letters sent with such documents.
Mrs. Virginia Bottomley : The professional publications containing advice about drug prescribing which are provided to NHS doctors at the Department's expense are as follows :
British National Formulary
Drug and Therapeutics Bulletin (including adverse
Drug Reactions Bulletin)
Prescriber's Journal
Current Problems
Copies of each edition of these publications are already sent routinely to the Library.
Mr. Michael : To ask the Secretary of State for Health further to his answer of 16 July Official Report, column 411, if he will list the specific circulars, documents and advice notes issued by his Department over the past 10 years in respect of (a)
over-prescribing and (b) under-prescribing ; and if he will place copies of all such documents in the Library.
Mrs. Virginia Bottomley : The Department issued comprehensive guidance to family practitioner committees' on the management of the general medical services under the White Paper "Promoting Better Health", including prescribing, in November 1989. FPCs are now concentrating their efforts on preparing for the introduction of the indicative prescribing scheme in April 1991. To assist them we issued on 23 May 1990 "Improving Prescribing" a working paper on the operation of the scheme. Copies of "Promoting Better Health" and "Improving Prescribing" were placed in the Library at the time of their issue. We intend to issue further guidance on financial and other matters relating to the scheme in the autumn.
Mr. Andrew Welsh : To ask the Secretary of State for Health how many people have (a) suffered from and (b) died from asthma in each of the last five years for which
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figures are available ; how many family practitioner committees curently fund asthma clinics run by their general practitioners ; and whether the Government intends to continue their support for asthma screening clinics in general practice.Mrs. Virginia Bottomley : Information on the number of people suffering from asthma is not available. The information requested on deaths from asthma is set out in the table. Information on the number of family practitioner committees making sessional payments to GPs running health promotion clinics for asthma sufferers is not collected centrally. It is for family practitioner committees to determine which clinics will qualify for sessional payments as health promotion clinics. In principle, and provided the FPC is satisfied that the other criteria--duration, numbers attending, and so on--are met, there is no reason why asthma clinics should not qualify for payments.
Number of deaths due to asthma<1>, England and Wales 1985-89 Year |Males |Females|Total ---------------------------------------- 1985 |828 |1,144 |1,972 1986 |827 |1,163 |1,990 1987 |803 |1,095 |1,898 1988 |832 |1,174 |2,006 <2>1989 |782 |1,175 |1,957 Note: From 1986 onwards an underlying cause of death was not assigned to deaths occurring to those aged 28 days. 1986<2> data therefore relate to those deaths occurring at 28 days<2>. <1>International Classification of Disease Code 493. <2>Provisional.
Sir Michael McNair-Wilson : To ask the Secretary of State for Health how many cases of campylobacter food poisoning have been reported to his Department over the last 12 months ; and whether any health warnings about the bacteria have been published.
Mr. Dorrell : Laboratory reports to the public health laboratory service communicable disease surveillance centre of campylobacter for England and Wales are :--
1989 = 32,745
1990 to week 26 (that is, week ending 29 June) = 15,768
Provisional.
In May 1989, 14 million copies of the food safety leaflet--a copy is available in the Library--jointly published by the Department of Health and the Ministry of Agriculture, Fisheries and Food were distributed to the general public. This leaflet gave advice on how food could be handled safely to avoid the human health risks posed by some types of bacteria, including campylobacter.
Mrs. Gorman : To ask the Secretary of State for Social Security if he will commission a study on the disincentive effects of specific welfare benefits in relation to the encouragement of single mothers to return to work.
Mrs. Gillian Shephard : Social security benefits are structured so that, while not requiring lone parents with children up to the age of 16 to be available for work, they
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contain measures which help lone parents who wish to work. In income support lone parents have the first £15 of their earnings disregarded ; this is higher than for most single people and couples. In family credit loan parents get the same adult credit as two- parent families and one-parent benefit is disregarded in calculating their income. In addition, in October the earnings disregard in housing benefit and community charge benefit for lone parents not on income support will be raised from £15 to £25 a week. We keep these arrangements under continuing review to ensure they work in the way intended, and commission independent research where appropriate.Mr. Meale : To ask the Secretary of State for Social Security (1) if he will provide details of the agreed timetables for the introduction of new local office reorganisation, region by region ; (2) if he will make it his policy that the full range of social security benefits and levels of services provided by local offices of his Department, in particular that located at Hill House, Mansfield, will continue after the implementation of his Department's organisation review.
Mrs. Gillian Shephard : I am happy to confirm that it is our policy that local offices should continue to provide the full range of social security benefits and current or improved levels of service following implementation of our network review. Once local managers have been appointed later this year they will start detailed planning, the principal aim of which will be to ensure that the best possible service to local customers is provided.
The timetable for implementation of the new network will depend on many local and national factors including the availability of resources. Final decisions have yet to be taken.
I refer the hon. Member to the reply given to the hon. Member for Rochdale (Sir C. Smith) on 11 July at columns 242-43 for more details of the network review.
Ms. Mowlam : To ask the Secretary of State for Social Security how many applications for review were received during the period April 1989 to March 1990 inclusive in respect of (a) social fund community care grants, (b) social fund budgeting loans and (c) social fund crisis loans, by each of his Department's local offices at Eston, Hartlepool, Middlesbrough, Redcar and Stockton, and how many of each of these applications for review resulted in revised decisions.
Mr. Scott : The following tables show the number of applications for review that were made at the Eston, Hartlepool, Middlesbrough, Redcar and Stockton local offices in the period April 1989 to March 1990 and the number of revised decisions in that period.
|Applications|Decisions | received | revised --------------------------------------------------------------- Eston Community care grants |180 |23 Budgeting loans |493 |53 Crisis loans |9 |2 Hartlepool Community care grants |265 |36 Budgeting loans |444 |55 Crisis loans |9 |3 Middlesbrough Community care grants |1,137 |144 Budgeting loans |1,483 |288 Crisis loans |77 |12 Stockton Community care grants |1,016 |153 Budgeting loans |1,076 |169 Crisis loans |30 |6 Redcar Community care grants |239 |47 Budgeting loans |282 |48 Crisis loans |8 |2
Some of the revised decisions will refer to review applications made in a previous period and decisions may not have been made on some of the review applications made in the period shown.
Ms. Mowlam : To ask the Secretary of State for Social Security how many applications for review of social fund decisions were received by the office of the social fund inspectors during the period April 1989 to March 1990 inclusive in respect of (a) social fund community care grants, (b) social fund budgeting loans and (c) social fund crisis loans, relating to decisions made by each of his Department's offices at Eston, Hartlepool, Middlesbrough, Redcar and Stockton ; and how many of these applications for social fund inspectors review resulted in (i) decisions substituted by the social fund inspectors, (ii) decisions referred back to the social fund office and (iii) decisions confirmed by the social fund inspectors.
Mr. Scott : I am advised by the Social Fund Commissioner that, between 1 April 1989 and 31 March 1990, a total of 430 applications for review were received at the office of the social fund inspectors from the Department's offices at Eston, Hartlepool, Middlesbrough, Redcar and Stockton. The social fund inspectors have reached decisions in 358 cases from these offices in this period. The information, as requested, is shown in the following table
Numbers of applications for review received at the office of the social fund inspector April 1989 to March 1990 |Budgeting |Crisis loans|Community |loans |care grants ------------------------------------------------------------------ Eston Received |37 |0 |15 Confirmed |7 |0 |5 Referred back |22 |0 |8 Substituted |2 |0 |0 Hartlepool Received |8 |1 |13 Confirmed |2 |1 |2 Referred back |4 |0 |8 Substituted |2 |0 |0 Middlesbrough Received |75 |9 |120 Confirmed |24 |1 |18 Referred back |32 |4 |65 Substituted |8 |1 |16 Redcar Received |9 |1 |16 Confirmed |5 |0 |4 Referred back |2 |1 |6 Substituted |0 |0 |2 Stockton Received |41 |0 |85 Confirmed |7 |0 |17 Referred back |26 |0 |40 Substituted |3 |0 |13
Mr. Ashley : To ask the Secretary of State for Social Security what information he has as to which countries in the EEC pay a pension equivalent to the invalid care allowance ; and what are the rates paid to people who receive this pension (a) before 60 years of age and (b) after 60 years of age in each country.
Mrs. Gillian Shephard : The United Kingdom is the only country in the European Community which pays a benefit to a carer, in the form of invalid care allowance--as distinct from any other benefit paid to an invalid person.
Mr. Fatchett : To ask the Secretary of State for Social Security how many families with children in full-time education (a) 16 years, (b) 17 years and (c) 18 years were in receipt of (i) income support, and (ii) family credit, in 1989-90 ; and how many families lost the child allowance in the benefit during the course of that year because the child, even though in full-time education, reached the age of 19 years.
Mrs. Gillian Shephard : The information requested is set out in the table. Families appear in each age category in which they have a child.
Families with children |On income |On family |support<1> |credit<2> -------------------------------------------------------------------------------------------- Aged 16 years |66,000 |20,000 Aged 17 years |26,000 |9,500 Aged 18 years |15,000 |5,000 <1> Source: annual statistical inquiry May 1989. <2> Figures relate to awards current at 31 March 1990 and refer to the age of the child at the beginning of the 26-week award.
I regret that information on the number of families on income support where the child's personal allowance was lost during 1989-90 is not available. Family credit awards have regard to the age of the child at the start of the award and the amount payable remains unchanged throughout the period of the 26-week award, even if the 19th birthday falls in that period. No information is available about the number of 19-year-olds still in full- time, non-advanced education at the expiry of the last family credit award in which they were included as a dependant.
Mr. Meacher : To ask the Secretary of State for Social Security what was the average contribution record, including credits for home responsibility of women retiring in each of the last 10 years.
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Mrs. Gillian Shephard : I regret that the information is not available in the form requested and could be obtained only at disproportionate cost.Mr. Meacher : To ask the Secretary of State for Social Security what percentage of women retiring in each of the last 10 years received a full category A pension.
Mrs. Gillian Shephard : The information requested is set out in the table.
Percentage of awards of retirement pension to women at the full category A rate Period ending |Per cent. -------------------------------------------------------- 12 months to May 1980 |16.4 13 months to June 1981 |16.9 11 months to May 1982 |20.3 10 months to March 1983 |17.1 12 months to March 1984 |15.8 12 months to March 1985 |17.5 12 months to March 1986 |16.1 6 months to September 1986 |16.3 12 months to September 1987 |16.9 6 months to March 1988 |16.9 12 months to March 1989 |16.7 Source: Departmental statistics.
Mr. Patchett : To ask the Secretary of State for Social Security if he will bring forward proposals to amend section 37A(5)(a) of the Social Security Act 1975, to ensure disabled under-fives have an entitlement to mobility allowance.
Mr. Scott : We have no plans to do so.
Mr. Allen : To ask the Secretary of State for Social Security what is the estimated (a) gross cost and (b) net cost to the Exchequer of increasing the present severe disablement allowance to the full rate of invalidity benefit ; and how many people will be affected by this.
Mr. Scott : I refer the hon. Member to my reply to my hon. Friend the Member for Cambridgeshire, South-East (Mr. Paice) on 12 June at column 164. The current number of recipients of severe disablement allowance is 274,500.
Mr. Allen : To ask the Secretary of State for Social Security how many people have (a) 40 per cent. or more disability and (b) 80 per cent. or more disability ; and how many in each category are aged (i) 60 to 65 years, (ii) 65 to 70 years (iii) 70 to 75 years and (iv) over 75 years.
Mr. Scott : Information is not available in the form requested. Available details for people receiving industrial injuries disablement benefit and war disablement pension are in the table.
(a) Industrial Injuries Disablement Benefit |35 per cent. |75 per cent. |disablement and over|disablement and over ------------------------------------------------------------------------------------ Total (all ages) |49,950 |6,780 Age 60-64 |7,710 |820 65-69 |7,700 |1,140 70-74 |5,400 |670 75 and over |6,460 |860
(b) War Disablement Pension |40 per cent. |80 per cent. |disablement and over|disablement and over ------------------------------------------------------------------------------------ Total (all ages) |<1>71,460 |19,527 <1> Of these about 48,000 are aged 65 or over.
Mr. Hannam : To ask the Secretary of State for Social Security if his Department intends to issue a consultative document based on the proposals for a disability employment credit published in the White Paper entitled "The Way Ahead".
Mr. Scott : When we announced our proposals in "The Way Ahead : Benefits for Disabled People" (Cm 917) on 10 January we made it clear that we would continue to welcome views and comments whilst work was progressing on the two new benefits, disability allowance and disability employment credit.
Mr. Meacher : To ask the Secretary of State for Social Security if he will give the latest estimate of the cost of the operational strategy, indicating how and why this differs from the original estimate.
Mrs. Gillian Shephard : The latest available estimate is in the order of £1,800 million up to the end of March 1999. The reasons for the difference between this figure and the estimate made in 1982 were examined by the Committee of Public Accounts in its 24th report--HC 179. I refer the hon. Member to that report.
Mr. Nicholas Brown : To ask the Secretary of State for Social Security what is the latest estimate of the saving to the Exchequer of each 100,000 reduction in the number of people unemployed.
Mrs. Gillian Shephard : The latest estimate is contained in table 14.22 of Cm 1014. The figure for 1990-91 is £265 million.
Mr. Nicholas Brown : To ask the Secretary of State for Social Security how many pensioners there are over the age of 75 years, divided into males and females ; and what is (a) their average income from all sources and (b) the income distribution of such pensioners.
Mrs. Gillian Shephard : It is estimated in March 1989 that there are 1.33 million male pensioners and 2.58 million female pensioners over the age of 75.
(Source : Retirement Pension statistics March 1989).
The average net income of pensioners over 75 from all sources was £87.70 per week in 1987. The income distribution was as follows :
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Mr. John Hughes : To ask the Secretary of State for Social Security how many people suffering from epilepsy have been refused attendance allowance benefit.
Mr. Scott : The information requested is not available.
Mr. Andrew Welsh : To ask the Secretary of State for Social Security if he will make a statement concerning the Government's intention to commission independent research into the operation of benefit and youth training provision for 16 and 17-year-olds ; and if the research will include an examination of the appropriateness or suitability of the training for the young people's needs and the size of the sample.
Mrs. Gillian Shephard : Further details of the proposed research into the operation of arrangements for 16 and 17-year-olds, announced by my noble Friend in another place on 2 July, will be given shortly.
Mr. John Hughes : To ask the Secretary of State for Social Security what differences apply between the rights of European Community students and European Community non-students in claiming social security benefits.
Mrs. Gillian Shephard : Students and non-students who are nationals of other EC member states and have a right of residence in the United Kingdom have the same social security benefit rights as their counterparts who are United Kingdom nationals. In addition EC nationals who are workers, whether or not they are also students, are covered by the provisions of Social Security Regulations (EEC) No. 1408/71--co-ordination of member states' social security schemes for migrant workers and their families.
Mr. Meacher : To ask the Secretary of State for Social Security if he will give full details of the expenditure implications for his Department of delaying full implementation of the community care proposals.
Mrs. Gillian Shephard : The public expenditure White Paper--Cm. 1014 --contains the present planning totals for social security expenditure. These totals do not take account of the community care benefit changes now planned for 1993. Adjustments to these totals for any reason will be made in this year's public expenditure survey in the usual way.
Mr. Livsey : To ask the Secretary of State for Social Security what measures he proposes to implement in order to increase the take-up of attendance allowance among members of the social security disabled persons register.
Mr. Scott [pursuant to his reply of 11 July 1990, c. 243] : The reply should have read :
"We have no plans to mount such a campaign. The number of people receiving attendance allowance has more than doubled from 286,000 in 1979 to 763,000 in 1989".
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Mr. Madden : To ask the Secretary of State for Social Security if he will provide for the Bradford and Keighley social security offices comparable information to that provided in his answer of 6 July to the hon. Member for Islington, North, (Mr. Corbyn) Official Report, column 721, together with the same information for the years 1985-86 and 1986-87.
Mr. Scott [holding answer 17 July 1990] : The tables show the comparative single payments and social fund expenditures for the Bradford East, Bradford South, Bradford West and Keighley Department of Social Security offices as reckoned by the gross domestic product deflator.
£ millions |Expenditure ------------------------------------------------ Bradford East 1985-86 Single Payments |1.6 1986-87 Single Payments |1.2 1987-88 Single Payments |0.6 1988-89 Social Fund: Gross |0.5 Net |0.2 1989-90 Social Fund: Gross |0.5 Net |0.2 Bradford South 1985-86 Single Payments |1.0 1986-87 Single Payments |0.9 1987-88 Single Payments |0.6 1988-89 Social Fund: Gross |0.4 Net |0.2 1989-90 Social Fund Gross |0.5 Net |0.2 Bradford West 1985-86 Single Payments |1.4 1986-87 Single Payments |1.1 1987-88 Single Payments |0.6 1988-89 Social Fund: Gross |0.5 Net |0.2 1989-90 Social Fund: Gross |0.5 Net |0.2 Keighley 1985-86 Single Payments |0.5 1986-87 Single Payments |0.5 1987-88 Single Payments |0.3 1988-89 Social Fund Gross |0.2 Net |0.1 1989-90 Social Fund Gross |0.2 Net |0.1 Figures are rounded to the nearest £100,000.
Mr. Frank Field : To ask the Secretary of State for Social Security if he will now publish the 1987 data on households below average income.
Mrs. Gillian Shephard [pursuant to her reply, 20 July, 1990 ] : We are today publishing the new edition of "Households Below Average Income", copies of which I am placing in the Library. I am also placing in the Library
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copies of my right hon Friend the Secretary of State's response to the Social Services Select Committee's fourth report, on low-income statistics.Mr. Allen : To ask the Secretary of State for Employment when he next plans to visit Nottingham training and enterprise council.
Mr. Eggar : My right hon. and learned Friend visited Nottingham on 15 June and was delighted to be able to confirm the award of development funding to the Greater Nottingham training and enterprise council (TEC). He has no immediate plans to make a further visit to the TEC.
Mr. McLeish : To ask the Secretary of State for Employment what assistance his Department has given to the fraud squad in its investigation into the Mutual Aid Centre Managing Agency ; and if he will make a statement.
Mr. Eggar : Every assistance requested was given by my Department to the fraud squad, to help them with their investigations relating to the Mutual Aid Centre Managing Agency.
As always, it is the policy of my Department where there are cases of alleged misuse of public funds or fraud, to carry out investigations and to provide every assistance to the appropriate authorities.
Mr. McLeish : To ask the Secretary of State for Employment if he will provide the total funding given to each of (a) Mutual Aid Centre Managing Agency, North London Managing Agency, South London Managing Agency, East London Managing Agency, Birmingham Managing Agency and Chilterns Managing Agency, (b) Inner City Training Ltd., (c) City Training Link, (d) Electronics Aids Workshop and (e) High Wycombe (Brass Tacks) Workshop Ltd.
Mr. Eggar : I regret that the information could be obtained only at disproportionate cost.
Mr. McLeish : To ask the Secretary of State for Employment if the Training Agency receives annual accounts and lists of company shareholders for all training agents and managers involved in the delivery of employment training/community project and youth training.
Mr. Nicholls : My Department receives annual accounts from training providers contracted with the Training Agency for the delivery of employment training/youth training. Under the former community programme, managing agents provided audited accounts on an annual basis. Lists of company shareholders are not received.
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