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43. Mrs. Margaret Ewing : To ask the Secretary of State for Health what representations he has received from organisations on the new arrangements for community care ; and if he will make a statement.
48. Mr. Sillars : To ask the Secretary of State for Health what representations he has received from organisations on the new arrangements for community care ; and if he will make a statement.
56. Mr. Livsey : To ask the Secretary of State for Health if he will make a statement on the time scale for the introduction of the community care reforms.
60. Mr. James Lamond : To ask the Secretary of State for Health what representations he has received from voluntary organisations regarding the implementation of the National Health Service and Community Care Act 1990.
73. Mr. Morley : To ask the Secretary of State for Health what progress has been made on the implementation of the community care proposals contained in the National Health Service and Community Care Act 1990.
77. Mr. Leighton : To ask the Secretary of State for Health what representations he has received from voluntary organisations regarding the implementation of the National Health Service and Community Care Act 1990.
97. Mr. Hood : To ask the Secretary of State for Health what representations he has received from local authorities regarding the Government's proposed changes in the organisation of community care.
101. Mr. Morgan : To ask the Secretary of State for Health what representations he has received from voluntary organisations regarding the implementation of the National Health Service and Community Care Act 1990.
Mrs. Virginia Bottomley : I refer the right hon. and hon. Members to the reply I gave the hon. Members for Barnsley, Central (Mr. Illsley) for Normanton (Mr. O'Brien), for Cumbernauld and Kilsyth (Mr. Hogg) and for Angus, East (Mr. Welsh) earlier today.
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28. Mr. Andrew Smith : To ask the Secretary of State for Health what representations he has received concerning the timetable for the implementation of his community care proposals.
Mrs. Virginia Bottomley : Many such representations have been received, from local authorities, health authorities, voluntary organisations and other interested bodies.
Mr. Wigley : To ask the Secretary of State for Health how many representations he has received from local authorities on the implementation of community care arrangements since the commencement of the Parliamentary summer recess.
Mrs. Virginia Bottomley : We have received many such
representations.
Indicative Prescribing
26. Mr. Sumberg : To ask the Secretary of State for Health what progress is being made in implementing the measures outlined in his further working paper on the indicative prescribing scheme for general practitioners ; and if he will make a statement.
Mrs. Virginia Bottomley : Since the publication of "Improving Prescribing" on 23 May further progress has been made towards implementation of the scheme. Arrangements have been made to hold a series of six seminars in different parts of the country for key NHS personnel who will be closely involved in operating the scheme. Their purpose is to update these personnel on the development of the scheme. The first two seminars were held at Leicester on 5 October and Birmingham on 12 October.
We propose to issue to regional health authorities and family health services authorities later this month further detailed guidance on the financial framework of the scheme and the setting of indicative prescribing amounts.
The introduction and development of the necessary information systems at the Prescription Pricing Authority is also progressing smoothly.
Consultants
32. Mr. David Evans : To ask the Secretary of State for Health how many of the 100 additional consultant posts announced in the White Paper, "Working for Patients", are now in place or have been allocated ; and when he expects the process to be complete.
Mrs. Virginia Bottomley : All the 100 new posts have now been allocated. I announced the first 35, to be appointed in 1989-90, on 30 October 1989 at column 124 and I announced the allocation of the remaining 65 posts, for appointment in 1990-91 and 1991-92, on 27 February 1990 at columns 125-26 . Districts are expected to complete the appointment process for the last of the new consultants by early in 1991-92.
NHS Inflation
33. Mr. Vaz : To ask the Secretary of State for Health what were the levels of health service inflation for each of the last five financial years.
78. Mr. Stott : To ask the Secretary of State for Health what were the levels of health service inflation for each of the last five financial years.
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90. Mr. Turner : To ask the Secretary of State for Health what were the levels of health service inflation for each of the last five financial years.Mr. Dorrell : Changes in input unit costs in the national health service over the last five financial years are as follows:
|Changes
------------------------
1984-85 |6.0
1985-86 |5.2
1986-87 |6.4
1987-88 |7.9
1988-89 |9.9
1989-90 |<1>7.2
<1> estimate
Children Act
35. Mr. Buckley : To ask the Secretary of State for Health what progress has been made on the implementation of the Children Act 1989.
36. Mr. Bradley : To ask the Secretary of State for Health what progress has been made on the implementation of the Children Act 1989.
66. Mr. Boyes : To ask the Secretary of State for Health what progress has been made on the implementation of the Children Act 1989.
Mrs. Virginia Bottomley : I refer the hon. Members to the reply I gave the hon. Member for Middlesbrough (Mr. Bell) earlier today.
Junior Doctors
37. Mr. Dunnachie : To ask the Secretary of State for Health what progress has been made in negotiations on proposals for a reduction in the hours worked by junior doctors.
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81. Mr. Doran : To ask the Secretary of State for Health what progress has been made in negotiations on proposals for a reduction in the hours worked by junior doctors.
90. Mr. Terry Fields : To ask the Secretary of State for Health what progress has been made in negotiations on proposals for a reduction in the hours worked by junior doctors.
Mrs. Virginia Bottomley : The Government are very concerned to reduce the hours worked by some junior hospital doctors. For this reason I held a meeting earlier this year with representatives of the medical profession at consultant and junior level, the royal colleges, and NHS management to discuss the way forward. A working group was set up at that meeting to take forward a detailed examination of the issues.
After a second meeting on 20 September, I am delighted to report that excellent progress is being made. The working group has covered a considerable amount of ground in examining both the precise nature of the problem and what can be done further to reduce the long hours still being worked by some junior hospital doctors. As work loads and staffing patterns vary so much between different hospitals, specialties and grades of doctor, the intention is to produce a package of practical measures from which those concerned locally can choose the solutions best suited to their particular circumstances. All parties are aiming to reach broad agreement in principle on specific changes by the end of the year. This will then be followed by a detailed plan for implementation.
All those concerned should face up to the true nature of the problem so that further progress can follow.
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Eye Tests
38. Mr. Ronnie Campbell : To ask the Secretary of State for Health what is his latest information on the impact of charging for eyesight checks on attendances for examinations.
69. Mr. Clay : To ask the Secretary of State for Health what is his latest information on the impact of charging for eyesight checks on attendances for examinations.
87. Mr. Caborn : To ask the Secretary of State for Health what is his latest information on the impact of charging for eyesight checks on attendances for examinations.
94. Mr. Clelland : To ask the Secretary of State for Health what is his latest information on the impact of charging for eyesight checks on attendances for examinations.
Mrs. Virginia Bottomley : The independent NOP survey, supported by evidence from other similar surveys, suggests that demand for sight tests is now broadly in line with the expected trend.
Patient Care
39. Mr. Franks : To ask the Secretary of State for Health what steps are being taken to promote quality of care for patients.
58. Mr. David Davis : To ask the Secretary of State for Health what assessment he has made of the effects of the National Health Service and Community Care Act on the quality of services to patients ; and if he will make a statement.
Mrs. Virginia Bottomley : I refer my hon. Friends to the reply I gave to my hon. Friend the Member for Gedling (Mr. Mitchell) earlier today.
Hospital Facilities (North-west)
50. Mr. Favell : To ask the Secretary of State for Health if he will make a statement on plans to improve hospital facilities in the north- west.
Mr. Dorrell : The North Western regional health authority has recently published a statement of its plans to improve hospital services in 1990-91 in the region, a copy of which has been placed in the Library.
Family Planning
57. Ms. Short : To ask the Secretary of State for Health if he will bring forward proposals to improve family planning services.
72. Mrs. Wise : To ask the Secretary of State for Health if he will bring forward proposals to improve family planning services.
Mrs. Virginia Bottomley : I refer the hon. Members to the replies I gave my hon. Friend the Member for Bournemouth, East (Mr. Atkinson) on 19 June at column 508 and on 27 June at columns 249-50.
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Communicable Diseases
61. Mr. Knapman : To ask the Secretary of State for Health what progress has been made in implementing the recommendations on the management of communicable diseases contained in the chief medical officer's report, "Public Health in England".
Mr. Dorrell : In December 1988, circular HC (88) 64 was issued to health authorities. The circular asked health authorities to review the arrangements for the discharge of their responsibilities to improve the health of the population including the control of communicable disease and infection. Health authorities were reminded of the need for effective measures to prevent and control infection and, for example, asked to move towards management arrangements which assigned executive responsibility for the surveillance, prevention and control of communicable disease and infection to a named medical practitioner of consultant status, the consultant in communicable disease control--CCDC.
A survey of training needs for CCDCs was commissioned in 1989 and the resulting report was issued to health authorities. A total of £164,000 has been allocated to health authorities to meet the cost of course fees for CCDC training in the 1990-91 financial year. In addition £119,000 has been made available to the communicable disease surveillance centre to enable it to develop a practical communicable disease control training module for CCDCs.
A consultation document "Review of the Law on Infectious Disease Control" was published in October 1989 inviting comments on proposals to change the relevant legal provision in England and Wales. The responses to this consultation document are currently being considered.
Copies of documents mentioned are available in the Library.
Social Work
62. Ms. Armstrong : To ask the Secretary of State for Health what steps are taken by his Department to monitor the ability of individual local authorities to carry out their statutory social work functions.
67. Mr. Battle : To ask the Secretary of State for Health what steps are taken by his Department to monitor the ability of individual local authorities to carry out their statutory social work functions.
76. Mr. Bidwell: To ask the Secretary of State for Health what steps are taken by his Department to monitor the ability of individual local authorities to carry out their statutory social work functions.
Mrs. Virginia Bottomley : I refer the hon. Members to the reply I gave to the hon. Member for Derbyshire, North-East (Mr. Barnes) earlier today.
Regional Health Authorities
63. Mr. Colin Shepherd : To ask the Secretary of State for Health what advice he gives to regional health authorities in planning their capital expenditure programmes.
Mr. Dorrell : Regional health authorities plan their capital expenditure programme according to their needs
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within the resources available to them. Advice is available centrally to health authorities on the integration of service provision, manpower, finance and estate management in the planning of capital programmes.Community Health Councils
64. Mr. Steinberg : To ask the Secretary of State for Health if he will bring forward proposals to increase the powers of community health councils.
85. Mr. John P. Smith : To ask the Secretary of State for Health if he will bring forward proposals to increase the powers of community health councils.
92. Mr. Rees : To ask the Secretary of State for Health if he will bring forward proposals to increase the powers of community health councils.
95. Mr. Rogers : To ask the Secretary of State for Health if he will bring forward proposals to increase the powers of community health councils.
Mrs. Virginia Bottomley : There are no plans to change the fundamental role of community health councils. Their main interest should be the quality of care and personal attention given to patients by the health service in their locality. The NHS management executive issued guidance on the role of CHCs in the post-reform NHS on 19 September with departmental press notice 90/462, a copy of which is in the Library.
Competitive Tendering
70. Mr. David Martin : To ask the Secretary of State for Health what are the estimated annual savings generated from competitive tendering within the national health service.
Mr. Dorrell : Up to 1988-89, health authorities in England had achieved savings worth £110 million from competitive tendering of domestic, catering and laundry services. In 1989-90, authorities reported a further £10 million worth of savings from these and other services put out to tender. The anticipated new savings for 1990-91 are £10 million.
Hospital Construction
74. Mr. Irvine : To ask the Secretary of State for Health how many hospitals have been built in the past 11 years ; and how many more are being planned.
Mr. Dorrell : Almost 500 health building schemes, each costing over £1 million, have been completed in the national health service in the last 11 years. A further 462 schemes are currently at various stages of planning, design and construction in a programme worth about £5 billion. This represents the largest sustained building programme in the history of the NHS.
Nurse : in-patient Ratio
Mr. David Porter : To ask the Secretary of State for Health what was the nurse : in-patient ratio in 1979 and the latest date for which figures are available.
Mrs. Virginia Bottomley : Manpower statistics cover staff working in hospitals and are collected at a particular
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time ; they do not show what activities within the hospital the staff engaged upon--for example, whether they are providing treatment to in-patients, out-patients, or accident and emergency patients. By contrast, activity statistics show the number of cases treated during the year in national health service hospitals. It is possible however, to give a ratio in terms of the population being served. At 30 September 1979, the number of qualified nursing and midwifery staff, measured in whole-time equivalents, was 438.6 per 100,000 population for England. At 30 September 1988, the number of qualified nursing and midwifery staff, measured in whole-time equivalents, was 508.9 per 100,000 population. These ratios have been adjusted to take account of the change in nurses' working hours, from 40 to 37.5 hours per week, during 1980-81. The average number of in-patients treated in a week was 103,848 in 1979 and 126,654 in 1988.Out-patient Departments
88. Mr. Janman : To ask the Secretary of State for Health whether any initiatives are being taken to improve out-patient departments.
Mrs. Virginia Bottomley : I refer my hon. Friend to the reply I gave my hon. Friend the Member for Wyre Forest (Mr. Coombs) on 1 May at column 532 . A further series of projects to be set up in 1990-91 has recently been announced. They will be at Hillingdon, Stockport, Canterbury and Carlisle.
Liver Transplants
89. Mr. French : To ask the Secretary of State for Health how many liver transplants were carried out in the United Kingdom in each year from 1979 to 1989.
Mr. Dorrell : According to information provided by the United Kingdom transplants service the number of liver transplants performed in NHS hospitals in the United Kingdom each year from 1982, the first year that figures were available, was as follows :
|Numbers
------------------------
1982 |21
1983 |20
1984 |51
1985 |88
1986 |127
1987 |172
1988 |241
1989 |295
NHS Management
93. Mr. Hague : To ask the Secretary of State for Health what progress is being made in the streamlining of management within the national health service.
Mrs. Virginia Bottomley : Our aim is to streamline the management of the national health service to ensure that it is better able to bring about improvements in health of the population, through services provided effectively, efficiently and economically. Our reforms have ensured a maximum devolution of functions and NHS authorities are now smaller, lines of accountability are clearer and primary health care is becoming better integrated with the hospital and community health service. Under the
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leadership of its chief executive, Duncan Nichol, the NHS management executive is working closely with health service managers to clarify and simplify their tasks, so that they focus on their core functions and on outcomes. The national programme of health targets which my right hon. and learned Friend the Secretary of State announced on 9 October underlines this new focus.Dentists
96. Mr. John Greenway : To ask the Secretary of State for Health what recent discussions he has held with the British Dental Association about the future for general dental practitioners' services.
Mr. Kenneth Clarke : I met the general dental services committee of the British Dental Association on 12 July, when we agreed that the new contract for general dental practitioners would be introduced on 1 October, and that the proposals were in the best interests of patients, dentists and dentistry.
Family Doctors
Mr. Hardy : To ask the Secretary of State for Health if he will take steps to ensure that the reimbursement rate for the cost of baby sitters whose employment is necessary to allow a family doctor to attend to his patients is set at a level which takes account of the prevailing level of charges made for such services.
Mrs. Virginia Bottomley : No specific payment can be claimed by a family doctor for employing a baby sitter.
Mr. Hardy : To ask the Secretary of State for Health what is his estimate of the hourly cost of employment of a locum to assist or to substitute for a family practitioner ; and if the cost is fully reflected in the financial arrangements made by his Department.
Mrs. Virginia Bottomley : As independent contractors, general medical practitioners make their own arrangements for locum cover. Where a locum is employed due to specific circumstances such as sickness or confinement, family health services authorities may make a direct contribution to the cost of a locum up to £328 for a five-day week. Similar payments can be made in certain circumstances where the GP is absent from the practice for educational purposes. Locum costs in addition to this direct payment, or incurred for reasons unconnected with the circumstances described above, are reimbursed indirectly through the generality of fees and allowances payable in respect of all patients on the GP's list. By these means all locum costs are reimbursed to the profession.
Mr. Hardy : To ask the Secretary of State for Health if allowances and capitation fees paid to family doctors under the new arrangements are more or less than the previous out-of-hours allowances.
Mrs. Virginia Bottomley : The only fee payable for out-of-hours services is the night visit fee. Since April 1990, this fee has been split into two with a much higher fee--£43.35 compared to £20.25-- payable if the family doctor does the visit himself and a lower fee-- £14.45--payable if a deputising service doctor makes the visit. This change was made as part of the performance-related pay introduced under the new contract.
Before April 1990 supplementary capitation fees and a supplementary basic practice allowance were paid for
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out-of-hours services. These have been abolished and the money redistributed amongst other fees and allowances, in particular by way of capitation fees. These have gone up by some 30 per cent. for patients under 75 and by some 110 per cent. for patients aged 75 and over.Mr. Hardy : To ask the Secretary of State for Health what reimbursement is permitted for family doctors for service between 7 and 10 pm in weekdays or during the period to 10 pm on Saturdays, Sundays and bank holidays.
Mrs. Virginia Bottomley : Family doctors are responsible for their patients 24 hours a day for seven days a week. In recognition of this responsibility family doctors receive a capitation fee for each patient on their NHS list. This amounts to £11.95 per annum for each patient under 65, £15.75 per annum for each patient aged 65 to 74 and £30.35 for each patient aged 75 and over. These amounts are to be increased, from 1 January 1991, to £12.40, £16.30 and £31.45 respectively. Home visits between the hours of 10 pm and 8 am attract additional payments of £43.35--£45 from 1 January 1991--if the doctor undertakes the visit himself or the visit is made by another doctor in the same group, and £14.45--£15 from 1 January 1991--if a deputising service doctor makes a visit.
Accident and Emergency Units
Mr. Janman : To ask the Secretary of State for Health what is the population served of each district health authority ; and how many accident and emergency centres each district has.
Mr. Dorrell [ pursuant to his reply, 24 May 1990, c. 341-46] : I regret that the tables published contained inaccuracies.
The corrected infromation is as follows :
Resident population estimates, by District Health Authority, as at
30 June 1988, and numbers of NHS hospital sites having Accident &
Emergency Departments, by Health Authority, as at 31 March 1989
Health Authority |Resident |Number of
population |hospital sites
|(thousands) |having A and E
|departments
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Northern RHA
Hartlepool |88.4 |1
North Tees |176.8 |1
South Tees |287.9 |5
East Cumbria |179.4 |5
South Cumbria |172.6 |2
West Cumbria |137.2 |4
Darlington |124.5 |1
Durham |233.9 |1
North West Durham |85.9 |1
South West Durham |152.5 |1
Northumberland |301.4 |7
Gateshead |206.2 |1
Newcastle |279.6 |2
North Tyneside |192.9 |2
South Tyneside |155.7 |2
Sunderland |296.1 |2
Yorkshire RHA
Hull |297.6 |3
East Yorkshire |198.8 |3
Grimsby |157.5 |1
Scunthorpe |196.6 |3
Northallerton |117.2 |3
York |264.7 |3
Scarborough |145.8 |3
Harrogate |135.8 |2
Bradford |337.0 |2
Airedale |176.7 |2
Calderdale |195.9 |1
Huddersfield |211.5 |1
Dewsbury |163.8 |1
Leeds Western |365.3 |2
Leeds Eastern |344.3 |2
Wakefield |145.2 |1
Pontefract |166.4 |2
Trent RHA
North Derbyshire |363.2 |4
Southern Derbyshire |530.8 |5
Leicestershire |885.5 |8
North Lincolnshire |273.2 |5
South Lincolnshire |309.4 |6
Bassetlaw |104.8 |1
Central Nottinghamshire |289.2 |2
Nottingham |613.7 |1
Barnsley |220.9 |1
Doncaster |291.6 |2
Rotherham |251.8 |1
Sheffield |528.3 |3
East Anglian RHA
Cambridge |275.6 |1
Peterborough |208.5 |3
West Suffolk |228.1 |2
East Suffolk |322.6 |3
Norwich |472.4 |5
Great Yarmouth and Waveney |200.1 |4
West Norfolk and Wisbech |191.4 |3
Huntingdon |135.7 |1
North West Thames RHA
North Bedfordshire |251.6 |1
South Bedfordshire |279.1 |1
North Hertfordshire |186.0 |2
East Hertfordshire |294.6 |1
North West Hertfordshire |261.4 |2
South West Hertfordshire |243.9 |1
Barnet |301.4 |3
Harrow |197.1 |1
Hillingdon |231.7 |2
Hounslow and Spelthorne |276.6 |3
Ealing |297.3 |1
Riverside |276.0 |4
Parkside |373.7 |4
North East Thames RHA
Basildon and Thurrock |282.0 |2
Mid Essex |290.8 |1
North East Essex |311.6 |3
West Essex |249.9 |5
Southend |325.3 |1
Barking, Havering and Brentwood |453.1 |2
Hampstead |108.4 |1
Bloomsbury |126.7 |1
Islington |169.2 |1
City and Hackney |193.3 |2
Newham |207.0 |1
Tower Hamlets |161.8 |2
Enfield |260.9
|Haringey |192.3
Redbridge |230.8 |1
Waltham Forest |213.3 |1
South East Thames RHA
Brighton |308.2 |4
Eastbourne |235.2 |2
Hastings |169.3 |3
South East Kent |268.4 |3
Canterbury and Thanet |309.3 |5
Dartford and Gravesham |217.2 |2
Maidstone |199.3 |2
Medway |330.2 |2
Tunbridge Wells |196.0 |6
Bexley |220.4 |1
Greenwich |214.5 |2
Bromley |298.2 |2
West Lambeth |158.6 |1
Camberwell |210.5 |1
Lewisham and North Southwark |316.3 |3
South West Thames RHA
North West Surrey |206.9 |3
West Surrey and North East Hants |277.6 |1
South West Surrey |181.1 |4
Mid Surrey |165.2 |2
East Surrey |182.6 |4
Chichester |182.6 |na
Mid Downs |276.8 |3
Worthing |244.0 |2
Croydon |317.2 |2
Kingston and Esher |177.2 |2
Richmond, Twickenham and Roehampton |229.7 |1
Wandsworth |188.2 |2
Merton and Sutton |332.3 |4
Wessex RHA
East Dorset |451.7 |5
West Dorset |203.9 |6
Portsmouth and South East Hampshire |527.9 |6
Southampton and South West Hampshire |419.7 |2
Winchester |212.3 |2
Basingstoke and North Hampshire |220.9 |1
Salisbury |121.0 |2
Swindon |234.2 |2
Bath |407.0 |12
Isle of Wight |129.8 |1
Oxford RHA
East Berkshire |362.1 |2
West Berkshire |454.2 |3
Aylesbury Vale |145.4 |2
Wycombe |268.2 |3
Milton Keynes |177.6 |1
Kettering |258.3 |1
Northampton |312.0 |1
Oxfordshire |545.9 |12
South Western RHA
Bristol and Weston |367.7 |4
Frenchay |221.8 |2
Southmead |232.3 |2
Cornwall and Isles of Scilly |460.6 |9
Exeter |308.6 |10
North Devon |135.6 |7
Plymouth |334.3 |8
Torbay |242.6 |11
Cheltenham |212.4 |7
Gloucester |315.1 |6
Somerset |405.0 |7
West Midlands RHA
Bromsgrove and Redditch |167.1 |2
Herefordshire |157.3 |6
Kidderminster and District |102.6 |2
Worcester and District |243.9 |5
Shropshire |400.8 |14
Mid Staffordshire |313.8 |2
North Staffordshire |461.5 |3
South East Staffordshire |257.6 |4
Rugby |86.3 |1
North Warwickshire |175.1 |1
South Warwickshire |223.2 |3
Central Birmingham |180.2 |2
East Birmingham |196.9 |1
North Birmingham |164.0 |1
South Birmingham |246.1 |2
West Birmingham |206.6 |2
Coventry |306.2 |2
Dudley |304.3 |1
Sandwell |296.3 |1
Solihull |204.9 |1
Walsall |262.3 |1
Wolverhampton |249.4 |2
Mersey RHA
Chester |176.7 |1
Crewe |248.5 |2
Halton |143.6 |1
Macclesfield |179.9 |4
Warrington |187.7 |1
Liverpool |469.6 |7
St. Helens and Knowsley |346.0 |2
Southport and Formby |120.1 |1
South Sefton |177.5 |2
Wirral |354.3 |2
North Western RHA
Lancaster |131.1 |1
Blackpool, Wyre and Fylde |320.0 |4
Preston |128.1 |1
Blackburn, Hyndburn and Ribble Valley |264.8 |2
Burnley, Pendle and Rossendale |228.3 |1
West Lancashire |105.4 |1
Chorley and South Ribble |196.8 |1
Bolton |263.6 |2
Bury |175.0 |2
North Manchester |139.7 |2
Central Manchester |122.4 |4
South Manchester |183.8 |2
Oldham |219.5 |1
Rochdale |214.2 |1
Salford |235.6 |1
Stockport |290.9 |1
Tameside and Glossop |247.0 |1
Trafford |215.8 |2
Wigan |307.6 |2
Special Health Authorities
The Hospitals for Sick Children |- |1
Moorfields Eye Hospital |- |1
Bethlem Royal and Maudsley Hospitals |- |1
Hammersmith and Queen Charlotte's |- |1
The Eastman Dental Hospital |- |1
GPs (Budgets)
Mr. Butler : To ask the Secretary of State for Health if he will make a statement on the progress of the general practitioners' budget- holding initiative.
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Mr. Kenneth Clarke : I refer my hon. Friend to the reply I gave my hon. Friends the Members for Isle of Wight (Mr. Field) and for Gravesham (Mr. Arnold) earlier today.
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