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Maternity Services
Mrs. Margaret Ewing : To ask the Secretary of State for Health (1) if he intends developing an integrated information system for maternity care data ; and if he will meet the Royal College of Midwives to discuss the subject ;
(2) if he will make a statement about the collecting of information about the maternity services with regard to working paper 11, "Framework For Information Systems : The Next Steps".
Mrs. Virginia Bottomley : Working paper 11, and "Framework For Information Systems : The Next Steps", a copy of which is available in the Library, dealt with the process of preparing information systems within the national health service, to support the changes described in the White Paper "Working for Patients". This involved wide consultation with health authorities and professional and other organisations, including the royal colleges, about information systems for services, including maternity, which will be the subject of contracts after April 1991.
"The Next Steps" identified the need to develop patient-based information systems to allow the linkage of community, in-patient and out-patient episodes. This is particularly relevant for maternity services. The service is now addressing the need for integrated systems, with the support of the Department. The views of the Royal College of Midwives will be considered with others.
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Political Advisers
Mr. Cryer : To ask the Secretary of State for Health if he will list the political advisers and public relations advisers currently employed to advise Ministers in his Department, including those persons paid by other organisations and seconded to the Government, giving in every case the source of payment, rate of salary and expenses.
Mr. Dorrell : The Department of Health employs one special adviser, Mrs. Tessa Keswick. We do not employ any outside public relations advisers. Mrs. Keswick's salary is paid from departmental running costs and she is entitled to claim expenses at normal civil service rates. It is not our practice to publicise the salaries of individual advisers as they are individually negotiated and are therefore confidential.
Elderly People
Mr. Alfred Morris : To ask the Secretary of State for Health if he will make a statement on which statutory authorities, including the national health service, and to what extent, the responsibility for institutional care of elderly people who are heavily dependent on nursing care now lies.
Mrs. Virginia Bottomley : Until the relevant sections of the National Health Service and Community Care Act 1990 are brought into force, responsibility for continuing nursing care either in hospital or nursing homes rests with district health authorities. Income support is also available to help with the cost of care for people who have made their own arrangements with private and voluntary homes.
Prescribing Costs
Mr. Michael : To ask the Secretary of State for Health what is his policy in relation to the transfer of prescribing costs from hospitals to general practitioners in those circumstances where patients attend out- patient clinics (a) on a continuing basis and (b) following treatment.
Mrs. Virginia Bottomley : Prescribing responsibility for an aspect of an out-patient's care lies with the doctor who has clinical responsibility for that aspect. If the hospital clinician is responsible for the particular element of a patient's care, it is his responsibility to prescribe ; similarly if a GP has the clinical responsibility, he has the prescribing responsibility. The decision as to which doctor has clinical responsibility for any particular aspect of a patient's treatment at any given time is for the doctors concerned to take.
The question of costs for any particular drug should not be a factor in deciding where clinical and hence prescribing responsibility lies. There are no plans to change this policy.
Dangerous Drugs (Labelling)
Mr. Flynn : To ask the Secretary of State for Health whether he is planning any new initiative to improve the labelling of dangerous drugs.
Mrs. Virginia Bottomley : I refer the hon. Member to the reply I gave him on 12 December 1989, at column 601.
The EC Commission submitted its proposal for a directive on the labelling of drugs and on package leaflets to the Council of Ministers in January. Negotiations at official level are now in progress.
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Conceptions
Ms. Richardson : To ask the Secretary of State for Health how many conceptions in 1988 (a) led to maternities and (b) were terminated under the terms of the Abortion Act 1967, among residents of England and Wales aged under 16 years, 16 to 19 years, under 20 years,
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20 to 24 years, 25 to 29 years, 30 to 34 years, 35 to 39 years, and 40 years and over ; and in each case, what was the rate per 1,000 population in each age group.Mr. Dorrell : The information requested is given in the table. All pregnancies of women usually resident in England and Wales which led to a maternity or terminated by abortion under the 1967 Act are included and those that led to a spontaneous abortion are excluded.
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Numbers and rates of conceptions leading to maternities and abortions, 1988
England and Wales
Age of woman at cNumber of conceptions leading to Conception rates per 1,000 women
maternities and abortions in age-group
|Total |Conceptions |Conceptions |Total |Conceptions |Conceptions
|leading to | terminated by | leading to | terminated by
|maternities |abortion |maternities |abortion
--------------------------------------------------------------------------------------------------------------------------------
Total |849,549 |681,831 |167,718 |77.2 |61.9 |15.2
Under 16<1> |8,782 |4,110 |4,672 |9.4 |4.4 |5.0
16-19 |111,927 |73,346 |38,581 |75.5 |49.5 |26.0
Under 20 |120,709 |77,456 |43,253 |66.6 |42.8 |23.9
20-24 |256,041 |202,781 |53,260 |125.4 |99.3 |26.1
25-29 |267,085 |233,042 |34,043 |135.8 |118.5 |17.3
30-34 |143,142 |123,367 |19,775 |84.0 |72.4 |11.6
35-39 |51,242 |38,964 |12,278 |30.0 |22.8 |7.2
40 and over |11,330 |6,221 |5,109 |6.4 |3.5 |2.9
<1>Rate per 1,000 women aged 13-15.
Ms. Richardson : To ask the Secretary of State for Health how many conceptions in 1988 (a) led to maternities and (b) were terminated under the terms of the Abortion Act 1967, among residents of England and Wales aged under 14 years, 14 years, 15 years, 16 years,17 years, 18 years and 19 years ; and in each case, what was the rate per 1,000 population in each age group.
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Mr. Dorrell : The information requested is given in the table. All pregnancies of women usually resident in England and Wales which led to a maternity or terminated by abortion under the 1967 Act are included and those that led to a spontaneous abortion are excluded.
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Numbers and rates of conceptions leading to maternities and abortions, 1988,
England and Wales
Age of woman at cNumber of conceptions leading to Conception rates per 1,000 women
maternities and abortions in age-group
|Total |Conceptions |Conceptions |Total |Conceptions |Conceptions
|leading to | terminated by | leading to | terminated by
|maternities |abortion |maternities |abortion
--------------------------------------------------------------------------------------------------------------------------------
Under 14<1> |305 |138 |167 |1.0 |0.5 |0.6
14 |1,761 |711 |1,050 |5.7 |2.3 |3.4
15 |6,716 |3,261 |3,455 |20.4 |9.9 |10.5
16 |15,821 |8,924 |6,897 |45.1 |25.4 |19.7
17 |25,423 |15,872 |9,551 |67.6 |42.2 |25.4
18 |32,208 |21,672 |10,536 |86.9 |58.5 |28.4
19 |38,475 |26,878 |11,597 |100.0 |69.8 |30.1
<1>Rate per 1,000 women aged 13.
Births
Ms. Richardson : To ask the Secretary of State for Health how many live births and stillbirths in 1989, were (a) born within marriage, (b) jointly registered births outside marriage and (c) solely registered births outside marriage.
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Mr. Dorrell : The information requested is as follows :
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England and Wales
Outcome Total Within Outside marriage
|marriage
|registered|registered
----------------------------------------------------------------------------
Live births |687,725 |501,921 |132,267 |53,537
Stillbirths |3,236 |2,169 |623 |444
Live and stillbirths |690,961 |504,090 |132,890 |53,981
Ms. Richardson : To ask the Secretary of State for Health how many live births and stillbirths in England and Wales in 1989 were jointly registered by parents who were not married to each other but lived at the same address.
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Mr. Dorrell : The number of live births in England and Wales in 1989 jointly registered by parents who were not married to each other but lived at the same address was 95,858. These data are not yet available for stillbirths but I will write to the hon. Member shortly.
Community Care
Mr. Wigley : To ask the Secretary of State for Health how joint finance arrangements will be affected by the delay in implementing the community care proposals.
Mrs. Virginia Bottomley : Not at all. Current joint finance arrangements remain in force. We welcome and encourage collaborative work between health and social care providers. Health authorities and local authorities should continue to make plans to make the best possible use of joint finance for community care services.
Mr. Robin Cook : To ask the Secretary of State for Health what is the number of (a) people discharged from long mental illness hospital, (b) mentally handicapped people discharged from hospital, (c) day care places for the mentally ill available, (d) places for the mentally ill in community care homes and hostels, (e) day care places for the mentally handicapped and (f) places in community homes and hostels for the mentally handicapped, for each year since 1979.
Mr. Dorrell : The table shows the number of patients discharged to the community from national health service mental illness and mental handicap hospitals and units after a stay of one year or more, for the period 1979 to 1986.
In 1987-88 there were 3,900 finished district spells, excluding deaths, after treatment of more than a year, under a consultant for a mental illness specialty. Similarly for mental handicap there were 2, 500 finished district spells. Finished district spells include transfers to other hospitals outside the district of treatment.
Discharges<1> from mental illness
and mental handicap hospitals and units
England (1979 to 1986)
Year |Mental Illness|Mental
|Handicap
------------------------------------------------------------
1979 |3,460 |1,178
1980 |3,376 |1,120
1981 |3,516 |1,246
1982 |3,465 |1,229
1983 |3,563 |1,457
1984 |3,928 |1,919
1985 |3,441 |2,052
1986 |3,571 |2,528
<1> Excludes death and transfers.
Comprehensive information on the number of day care places provided by national health service mental illness or mental handicap hospitals in England is not collected centrally.
Information on local authority day care places and places in homes and hostels for mentally ill and mentally handicapped people in England is published in two annual statistical series : "Adult Training Centres for Mentally Handicapped People and Day Centres for Mentally Ill, Mentally Handicapped, Elderly and Younger Physically Handicapped People" (References A/F 11A/87 to A/F 11A/88) and "Homes and Hostels for Mentally Ill and Mentally Handicapped People" (References A/F 11/79 to A/F 11/86 and A/F 11A/87 to A/F 11A/88. Figures for 1989 are not yet available. Copies of all publications are in the Library.
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Mr. Meacher : To ask the Secretary of State for Health what is his estimate of expenditure already incurred by local authorities in preparation for the introduction of the Government's community care proposals, in terms of (a) staffing, (b) training, (c) planning and (d) in other ways.
Mrs. Virginia Bottomley : This information is not collected centrally.
Immunisation
Mr. Hannam : To ask the Secretary of State for Health what recent representations he has received from Action Research for the Crippled Child concerning immunisation uptake ; and what response he has given.
Mr. Dorrell : The Department received in July 1989, a copy of the Peckham report "Factors Influencing Immunisation Uptake in Childhood" prepared on behalf of Action Research for the Crippled Child, from the group's director general, Colonel A. N. Brierley-Smith. My right hon. and learned Friend the Secretary of State has replied to Colonel Brierley-Smith and I have arranged for copies of this correspondence to be placed in the Library.
My hon. Friend has also recently written to the Department about the report, to which I shall reply shortly.
Mr. Hannam : To ask the Secretary of State for Health what consultations and discussions he is having concerning the introduction of parent-held child immunisation record cards, following completion of the pilot study ; and if he will make a statement.
Mr. Dorrell : Officials are to meet members of the British Paediatric Association today.
Maternal Deaths
Ms. Richardson : To ask the Secretary of State for Health whether he will list the number of maternal deaths in 1989 from (a) all causes, (b) abortion, illegal, legal and spontaneous and (c) unknown methods of abortion ; and what percentage of maternal deaths were due to abortions of all types.
Mr. Dorrell : The information is as follows :
Number of maternal deaths in England and Wales 1989
Cause |Number of
|deaths
------------------------------------------------------------------------
(a) Spontaneous, legally induced, and illegally
induced abortions<1> |-
(b) Unknown method of abortion<2> |-
(c) Ectopic pregnancy and other abortive outcome<3> |6
(d) Total maternal deaths<4> |56
Note:
8.9 per cent. of maternal deaths were due to abortions of ally types.
<1> Assigned to the International Classification of Diseases (ICD)
codes 634-636.
<2> Assigned to ICD code 637.
<3> Assigned to ICD codes 630-633, 638-639.
<4> Assigned to ICD codes 630-676.
Abortion
Ms. Richardson : To ask the Secretary of State for Health how many legal abortions were carried out in England and Wales in 1970, 1975, 1980 and each year from 1985 onwards on women resident in (a) the Isle of Man, (b) Jersey and (c) the Bailiwick of Guernsey.
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Mr. Dorrell : The information is as follows :Column 429
Number of abortions performed in England and Wales under
the Abortion Act 1967 to residents of (a) Channel
Islands and Isle of Man for
1970, 1975, 1980 and 1985 and (b) the Isle of Man,
Jersey, Guernsey for 1986-89<1>
<2>19<2>19<2>19<2>191986 1987 1988
---------------------------------------------------------
Isle of Man |} |{148|158 |182 |221
Jersey |}165|373 |484 |515 |{290|287 |313 |322
Guernsey<3> |} |128 |139 |132 |166
<1> Provisional.
<2> Prior to 1986 number of abortions for Isle of Man,
Jersey and Guernsey are not available separately.
<3> Includes other and unspecified Channel Islands.
Table file CW900726.028 not available
Disability
Mr. Hannam : To ask the Secretary of State for Health whether he has visited any local authorities who participated in the pilot implementation of sections 1 to 3 of the 1986 Disabled Persons (Services, Consultation and Representation) Act ; and if he will make a statement.
Mrs. Virginia Bottomley : I intend to do so. Officials are in contact with representatives of the consortium "Act Now" about the appropriate time and choice of authority for a visit.
Hampstead Health Authority
Sir Geoffrey Finsberg : To ask the Secretary of State for Health what the spending per resident by Hampstead health authority was for each of the years 1978 to 1989 inclusive ; and what was the comparable national average spending over the same period.
Mr. Dorrell : Information for the Hampstead health authority and figures in aggregate for all district health authorities (DHAs) in England for the years since their establishment on 1 April 1982 are shown in the table. These figures relate expenditure on services managed by Hampstead health authority to numbers of residents. They do not show expenditure on services for Hampstead residents, since they do not take account of services provided by other districts for Hampstead residents, or services provided by Hampstead health authority for residents of other districts.
Total revenue expenditure on Hospital
and Community Health
Services (HCHS) per resident
|Hampstead|England
|Health | average
|Authority
|£ |£
|(cash) |(cash)
-----------------------------------------
1982-83 |551 |166
1983-84 |580 |175
1984-85 |610 |185
1985-86 |518 |194
1986-87 |546 |208
1987-88 |592 |227
<1>1988-89 |688 |252
<1> latest available
Sources:
(a) Annual accounts of the Hampstead
health authority and all other district
health authorities in England for the
financial years 1982-83 to 1988-89.
(b) Mid-year estimates of resident
population-1982 to 1988 (Office of
Population Censuses and Surveys).
Notes:
1. Hospital and Community health
services (HCHS) covers the total
expenditure by district health
authorities including that on hospital,
community health and where relevant
patient transport (that is, ambulance),
blood transfusion and other services.
2. District capital expenditure, all
expenditure incurred by regional health
authorities on behalf of their regions
as a whole and by special health
authorities, and so on, is excluded.
Expenditure on family practitioner
services, which is accounted for by
family practitioner committees and
cannot strictly be attributed to
particular districts, is also excluded.
3. The figures for Hampstead and certain
other districts within the North East
Thames region were influenced by a
change in the pattern of sub-regional
resource allocations for long-stay
patients in the period 1984-85/1985-86.
Hampstead, in common with other
districts within London, incurs the cost
of London weighting allowances payable
to staff. In addition, Hampstead incurs
additional costs through the provision
of service support for medical education
and research.
4. Prior to 1 April 1982 the Hampstead
health authority's predecessor health
district formed part of a larger area
health authority and in those cases
district-based figures were not
collected centrally.
Family Planning
Ms. Richardson : To ask the Secretary of State for Health if he will list for each district health authority in Greater London (a) the total number of family planning clinic sessions held in 1982 and 1988-89 and (b) the total number of family planning clinic premises in 1982 and 1988-89.
Mrs. Virginia Bottomley : The information requested for 1982 is shown in the tables. From 1988-89 the data are no longer collected centrally, following a recommendation of the steering group on health services information.
Number of family planning clinic premises
|1982
----------------------------------------------------
Barnet |15
Harrow |7
Hillingdon |13
Hounslow and Spelthorne |20
Ealing |11
Riverside |15
Parkside |21
Barking/Havering/Brentwood |22
Hampstead |6
Bloomsbury |7
Islington |10
City and Hackney |13
Newham |8
Tower Hamlets |12
Enfield |10
Haringey |11
Redbridge |6
Waltham Forest |8
Dartford and Gravesham |7
Bexley |11
Greenwich |12
Bromley |11
West Lambeth |<1>
Camberwell |9
Lewisham and North Southwark |24
Croydon |11
Kingston and Esher |8
Richmond, Twickenham and Roehampton |11
Wandsworth |11
Merton and Sutton |12
|-------
Greater London total |342
<1>Not available.
Table file CW900726.031 not available
Table file CW900726.032 not available
Beverley Lewis
Mr. French : To ask the Secretary of State for Health whether his Department has completed its consideration of the reports from the health and social services authorities and the coroner's report on the death of Beverley Lewis ; and what further action he intends to take.
Mr. Dorrell : Following the death of Beverley Lewis on 17 February 1989 the Gloucester health and social services authorities both launched internal inquiries into the circumstances surrounding Beverley's death. The two inquiries made joint recommendations which were submitted to the coroner at the inquest. The coroner delivered a verdict of death by natural causes. The health and social services authorities' reports identified three areas where improvement in procedure are necessary and they are acting upon them :
(a) An "at risk" procedure is being introduced for adults with a physical or mental handicap or who are suffering from mental illness.
(b) Management of the community mental health teams is being strengthened.
(c) Individual programme plans are being implemented for each individual with a mental handicap.
I have reviewed the reports of both the health and social services authorities as well as the coroner's findings. The
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social services inspectorate will work with the local health and social services and education authorities to learn, apply and disseminate the lessons of this tragic case and I have asked the Law Commission to consider and advise on the coroner's view that the relevant legislation needs to be clarified. In view of the extensive local inquiries, the coroner's verdict, the continuing involvement of the SSI, and the need for local management to concentrate on implementing the changes that have now been agreed, I have decided not to establish a further inquiry into the circumstances of Beverley Lewis's death.Children Act 1989
Ms. Armstrong : To ask the Secretary of State for Health if he will make it his policy to take into account the deliberations of the committee set up in 1989 relating to services for the under-fives, in relationship to quality in preparing guidelines for part III of the Children Act 1989.
Mrs. Virginia Bottomley : Yes. The conclusions of the report of the Department of Education and Science, "Committee of Inquiry into the Quality of Educational Experience of Under Fives", will be taken into account in the Children Act guidelines on day care services for pre-school children.
Ms. Armstrong : To ask the Secretary of State for Health what consultations his Department has held in relationship to quality in the guidance relating to part III of the Children Act 1989.
Mrs. Virginia Bottomley : Guidance under part III of the Children Act 1989 will be the subject of a wide-ranging consultation exercise. This process has commenced and comments will be welcome on any aspects of the draft guidance within the next three months.
Social Services
Mr. Robin Cook : To ask the Secretary of State for Health what was the last year in which his Department produced local authority profiles containing indicators of key social services.
Mr. Dorrell : Key indicators of local authority social services 1987 -88 were published on 19 July 1990. Local authority profiles covering 1981- 82 to 1985-86 were published in April 1989 ; copies are available in the Library. The 1983-84 to 1987-88 versions are due to be released in autumn 1990.
Mr. Robin Cook : To ask the Secretary of State for Health what information he has for each social services authority in England of the number of (a) telephones installed, (b) people assisted with telephone rentals, (c) aids provided (d) housing adaptations provided and (e) holidays provided ; and if he will express this both as a total figure and at a rate per 1,000 of the population for the years 1981-82 to 1988-89.
Mr. Dorrell : The information available is published in the statistical services' "Domiciliary Services, Meals, Aids and Adaptations" (reference A/F 18), copies of which are in the Library. Those data have not been collected centrally since the year ended 31 March 1987.
Mr. Robin Cook : To ask the Secretary of State for Health (1) what was the percentage increase in expenditure
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on the personal social services since 1980, adjusted by the gross domestic product deflator, for each social services authority in England ;(2) if he will rank all social services authorities by their expenditure per 1,000 of the population on the personal social services for (a) 1978-79 at current prices and (b) the latest year for which figures are available.
Mr. Dorrell : I will write to the hon. Member.
Capital Funding
Mr. Michael : To ask the Secretary of State for Health (1) if he will outline the process following the implementation of the National Health Service and Community Care Act whereby a service procurer or purchasing body would apply to the regional health authority for capital funding, ; what conditions will determine eligibility for capital funding ; and what continuing conditions will attach to such funding should an allocation be made ;
(2) if he will outline the process, following implementation of the National Health Service and Community Care Act, whereby a service provider within a district health authority would make application to the regional health authority for capital funding ; what conditions will determine eligibility for capital funding ; and what continuing conditions will attach to such funding should an allocation be made.
Mr. Dorrell : Implementation of the National Health Service and Community Care Act will not in itself change the means by which capital is allocated to units that remain under the management of district health authorities. Capital will be allocated by regional health authorities to the authority with management responsibility for the service or facility requiring capital investment. In assessing priorities for capital schemes, regions will take account of a range of factors including the needs and priorities of purchasing authorities, and the efficiency and effectiveness of alternative ways of meeting those needs. It will be a requirement of receiving funds that proposed schemes provide evidence that they will attract sufficient purchaser income to cover their revenue costs, including capital charges.
Mr. Michael : To ask the Secretary of State for Health if he will list the sources of capital funding that will be available to any hospital trust or any other self-governing trusts ; what process of approval such trusts would have to go through following implementation of the National Health Service and Community Care Act in respect of such capital projects ; what conditions will determine eligibility for any public contributions towards such projects ; and what continuing conditions will attach to such funding should an allocation be made.
Mrs. Virginia Bottomley : Capital spending by national health service trusts will be funded from internally generated resources or by borrowing from the Government or private sector. Spending will need to be contained within external financing limits which will be set annually for each trust. Trusts will set out their proposals for capital spending in their annual business plans which will be discussed with the Department. In the case of major projects, they will be required to submit plans to the Department for approval in principle.
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Private Residential Homes
Mr. Robin Cook : To ask the Secretary of State for Health what is the entitlement of residents in private residential homes to paramedical services from the national health service.
Mr. Dorrell : Residents in private residential care homes have the same entitlement to paramedical services from the national health service as people living in their own homes.
Voluntary Organisations
Mr. Wigley : To ask the Secretary of State for Health if, in the light of the delay in the implementation of the community care proposals, local authorities will be expected to begin to arrange contractual agreements with voluntary organisations as from April 1991.
Mrs. Virginia Bottomley : Many local authorities already have contractual agreements or service arrangements with voluntary organisations. There is nothing to prevent them from continuing or developing such arrangements. Contractual agreements will not be a requirement from April 1991, but encouragement to local authorities to move towards their enabler role will continue as part of taking forward our community care proposals.
Mental Hospitals
Mr. Robin Cook : To ask the Secretary of State for Health if he will list those mental handicap and mental illness hospitals that have firm dates for closure with the dates by which each is to be closed ; and what was the number of in-patients at 31 December in each.
Mr. Dorrell : The information requested is not collected centrally.
Hospital Buildings
Mr. Nellist : To ask the Secretary of State for Health if he will update his Department's answer to the hon. Member for Coventry, South-East of 15 May 1987, Official Report, column 428 , concerning the average age of hospital buildings, showing appropriate percentage changes.
Mr. Dorrell : The information previously provided was taken from an exercise which has not been repeated.
General Practice
Mr. Michael : To ask the Secretary of State for Health if he will instruct family practitioner authorities to exclude from their consideration, when determining the indicative budget or prescribing amount for a particular practice or general practitioner, any sum likely to arise from the transfer of prescribing costs from hospital consultants to general practitioners in those circumstances where patients attend hospital out- patient clinics on a continuing basis and to make separate provision for such amounts.
Mrs. Virginia Bottomley : It is not necessary to introduce such a procedure.
It has been the policy of successive Governments that where a hospital doctor has clinical responsibility for a particular aspect of an out- patient's treatment, he should
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prescribe, where a GP has that responsibility, he should prescribe, and where the two doctors share care they should decide between them who should prescribe, bearing in mind the patient's convenience. As announced in working paper 4 of the national health service review series, regional health authorities will be expected to examine out-patient prescribing policies within their region, to take a view of what is properly hospital or GP prescribing, and to establish budgets for their district health authorities and family health services authorities on the basis of conformity with the Government's policy. The amount set for each practice under the indicative prescribing scheme will cover the needs of all its patients including prescriptions initiated by a hospital doctor where the GP has taken over or agreed to share care.Waiting Lists
Mr. Nellist : To ask the Secretary of State for Health if he will update his Department's answer to the hon. Member for Coventry, South East of 18 January 1988, Official Report, columns 569-72, concerning the breakdown, by specialty, of the waiting lists for operations at each of the Coventry hospitals.
Mrs. Virginia Bottomley : Information by individual hospitals is no longer collected centrally. The hon. Member may wish to contact the chairman of Coventry health authority for the relevant information.
District Health Authorities
Mr. Janman : To ask the Secretary of State for Health what percentage of annual revenue was spent on management, administrative and secretarial costs in each of the English district health authorities in 1985-86, 1988-89 and 1989-90.
Mr. Dorrell [holding answer 2 July 1990] : No accurate information on national health service NHS management costs is available. Tables recording expenditure on district health authority headquarters administration and expressing that figure as a percentage of total revenue expenditure for the years 1985-86 and 1988-89 have been placed in the Library. Equivalent information for 1989-90 will be available in the autumn.
Food Poisoning
Dr. David Clark : To ask the Secretary of State for Health (1) if he will list the number of cases notified to him for 1989 and 1990 until the latest date for which figures are available, of cases of (a) food poisoning in general, (b) salmonella, (c) salmonella enteriditis, (d) salmonella enteriditis P4, (e) salmonella typhimurium, (f) campylobacter and (g) listeriosis ;
(2) if he will list the number of cases notified to him for each year since 1980 until the latest date for which figures are available by region for (a) food poisoning in general, (b) salmonella, (c) salmonella enteriditis, (d) salmonella enteriditis P4, (e) salmonella typhimurium, (f) campylobacter and (g) listeriosis.
Mr. Dorrell [holding answer 19 July 1990] : The information requested has been placed in the Library.
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