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PRIME MINISTER

Green Issues

Mr. Flynn : To ask the Prime Minister what benefits Her Majesty's Government gained from the attendance by an official of her efficiency unit at the Royal Institute for Public Administration conference on greening the way we govern at Royal Holloway college on 21-22 September.

The Prime Minister : I understand that a member of the efficiency unit accepted a personal invitation to chair a session on "Environment, accountability and value for money". No costs were incurred by Government.

Romanian Children

Mr. Flynn : To ask the Prime Minister what initiative she put forward to support Romanian children suffering from AIDS and other diseases during her visit to the United Nations conference on children in New York in September.

The Prime Minister : At the world summit for children. I signed the world declaration on the survival, protection and development of children and supported the plan of action. Both documents recognised the urgent need to accord a high priority to health care and to AIDS programmes for children in all countries, including Romania.

Statutory Instruments

Mr. Robin Maxwell-Hyslop : To ask the Prime Minister whether she will include in the 0fficial Report a table showing, for each of the last 10 Sessions, the ratio of statutory instruments introduced by the negative resolution procedure to those by the affirmative resolution procedure.

The Prime Minister : Figures for the numbers of statutory instruments laid before the House each Session are not readily available. However, all instruments laid, with the exception of Orders in Council and draft Orders


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in Council made or proposed to be made under paragraph 1 of schedule 1 to the Northern Ireland Act 1974, are considered by the Joint or Select Committee on Statutory Instruments. The following figures, derived from the sessional returns relating the delegated legislation, are based on instruments considered by these Committees during each of the last 10 full Sessions. Excluded from the figures are statutory rules of Northern Ireland, special procedure orders and all instruments which are not subject to parliamentary procedure.


                                    Instruments considered by the Joint or Select                                                                                              

                                   |Committee on Statutory Instruments                                                                                                         

Session                            |Instruments subject               |Instruments subject to            |Ratio A:B                                                            

                                   |to annulment                      | affirmative procedure                                                                                  

                                   |A                                 |B                                                                                                       

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

1979-80                            |1,010                             |235                               |4.30:1                                                               

1980-81                            |755                               |130                               |5.81:1                                                               

1981-82                            |686                               |121                               |5.72:1                                                               

1982-83                            |455                               |99                                |4.60:1                                                               

1983-84                            |863                               |180                               |4.79:1                                                               

1984-85                            |637                               |158                               |4.03:1                                                               

1985-86                            |815                               |158                               |5.16:1                                                               

1986-87                            |462                               |117                               |3.95:1                                                               

1987-88                            |1,179                             |246                               |4.79:1                                                               

1988-89                            |854                               |160                               |5.34:1                                                               

Leaks

Mr. Campbell-Savours : To ask the Prime Minister (1) how many persons elected to the office of Member of Parliament, office holders and non-office holders, other than the Chancellor of the Exchequer and the Prime Minister knew, prior to 4 pm on Friday 5 October, of the Chancellor of the Exchequer's intention to announce in October either a cut in base rates or entry into the exchange rate mechanism ;

(2) whether she will institute a full leak inquiry into how information relating to the cut in base rates and exchange rate mechanism entry was known to individuals in the City of London more than one and a half hours prior to the statement by the Chancellor of the Exchequer at 4 pm on Friday 5 October ;

(3) how many civil servants knew prior to 4 pm on Friday 5 October of the Chancellor of the Exchequer's intention to announce in October either a cut in base rate or entry into the exchange rate mechanism.

The Prime Minister : Only those with an operational need to know were informed prior to 4 pm on Friday 5 October of the Chancellor of the Exchequer's intention to announce a cut in base rates and the Government's decision to enter the exchange rate mechanism on Monday 8 October.

I have no evidence to suggest that information relating to the cut in base rates and entry in to the exchange rate mechanism was known to anyone in the City of London outside the Bank of England prior to the Chancellor of the Exchequer's statement. If the hon. Gentleman believes that he has such evidence he should make it available to the appropriate authorities.

Foreign Troops (Training)

Mr. O'Neill : To ask the Prime Minister which Government Department is responsible for granting approval to companies seeking to provide millitary


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training for foreign military forces when such training involves the release of United Kingdom classified information.

The Prime Minister : Were any such requests for approval to be made, they would be considered by the Department or Departments which had originated the United Kingdom classified information concerned.

OVERSEAS DEVELOPMENT

European Bank for Reconstruction and Development

Mr. Tredinnick : To ask the Secretary of State for Foreign and Commonwealth Affairs when he expects the European Bank for Reconstruction and Development to open ; what discussions he has had concerning the bank recently ; and if he will make a statement.

Mrs. Chalker : The European Bank for Reconstruction and Development will be able to start operations when so authorised by the inaugural meeting of its board of governors. This will be held when the bank's articles of agreement have been ratified by members with two thirds of the total voting power, to include at least two borrowing members. The ratification process is likely to be concluded by next spring. I opened the second conference of prospective members of the European Bank for Reconstruction and Development at Lancaster house today which will review progress in developing a sound operational framework for the new bank. I am confident that the bank will soon be able to play its part in fostering private enterprise and economic development in central and eastern European countries committed to democratic principles and market economics.

Cambodia

Mr. Cryer : To ask the Secretary of State for Foreign and Commonwealth Affairs if he will list for 1988, 1989 and 1990 to the most recent practicable date the development aid given to Cambodia by the United Kingdom Government ; and if he will make a statement.

Mrs. Chalker : I refer the hon. Member to the answer I gave to my hon. Friend the Member for Broxtowe (Mr. Lester) on 15 October, at column 633. Britain has no Government-to-Government aid programme in Cambodia, but details of humanitarian aid provided to Cambodians since 1988-89 is as follows :


C.  Assistance to Cambodians on Thai/Cambodia border     

                         |1988-89|1989-90|1990-91        

                         |(£)    |(£)    |(£)            

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

UNBRO                    |350,000|500,000|<1>-           

Humanitarian Aid to non-                                 

   communist Cambodian                                   

   refugees              |100,000|100,000|-              

NGOs                     |100,000|60,000 |44,000         

ICRC                     |50,000 |-      |-              

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

                         |600,000|660,000|44,000         

<1> 1990 contribution to UNBRO made in first quarter of  

year.                                                    


C.  Assistance to Cambodians on Thai/Cambodia border     

                         |1988-89|1989-90|1990-91        

                         |(£)    |(£)    |(£)            

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

UNBRO                    |350,000|500,000|<1>-           

Humanitarian Aid to non-                                 

   communist Cambodian                                   

   refugees              |100,000|100,000|-              

NGOs                     |100,000|60,000 |44,000         

ICRC                     |50,000 |-      |-              

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

                         |600,000|660,000|44,000         

<1> 1990 contribution to UNBRO made in first quarter of  

year.                                                    


C.  Assistance to Cambodians on Thai/Cambodia border     

                         |1988-89|1989-90|1990-91        

                         |(£)    |(£)    |(£)            

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

UNBRO                    |350,000|500,000|<1>-           

Humanitarian Aid to non-                                 

   communist Cambodian                                   

   refugees              |100,000|100,000|-              

NGOs                     |100,000|60,000 |44,000         

ICRC                     |50,000 |-      |-              

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

                         |600,000|660,000|44,000         

<1> 1990 contribution to UNBRO made in first quarter of  

year.                                                    

Mrs. Mahon : To ask the Secretary of State for Foreign and Commonwealth Affairs for what reason a proposal for the repair of a water filtration plant in Cambodia was turned down.

Mrs. Chalker : Oxfam applied in 1988 for co-funding of a water distribution project in Phnom Penh under our joint funding scheme. When we told non-governmental organisations, including Oxfam, that we were prepared to support projects in Cambodia, we indicated that we would prefer to consider smaller-scale development projects with a humanitarian element and not infrastructural projects concerned with restoring or maintaining major public utilities which are more usually the concern of government rather than non-governmental organisations.

This project fell into that second category and was therefore rejected. Since 1988-89 we have committed £565,000 to co-fund 12 projects in Cambodia carried out by non-governmental organisations, including five from Oxfam, and are currently considering five new proposals, including three from Oxfam.

Developing Countries (Conference)

Mr. Flynn : To ask the Secretary of State for Foreign and Commonwealth Affairs what contribution his Department made to the 11th review conference of CAB


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International on technological assistance and ecological protection in developing countries, held in London at the end of July.

Mrs. Chalker : I gave the opening address at CAB International's 11th review conference. My Department represented the dependent territories at the conference and one of my senior officials was a member of the United Kingdom delegation. Following the conference we are considering with CAB International possible forms of assistance during its transition to a more commercial footing. My Department was also represented at CAB International's workshop on the ecological foundations of sustainable agriculture which was held a few days before the review conference.

Brazil

Mr. Flynn : To ask the Secretary of State for Foreign and Commonwealth Affairs what discussions he or officials in his Department have had with Ministers or officials of the Brazilian Government in regard to technical and planning assistance available from the United Kingdom to support RIMA environment impact studies, in particular on the development of ecologically balanced projects in the Amazonian rain forests.

Mrs. Chalker : There have been discussions between officials about assistance for training in environmental impact assessment. A proposal for British support for a joint review of Brazil's environmental impact assessment needs is at a preliminary planning stage and requires detailed discussions with the Brazilian Government. All project proposals for British support in Brazil are of course assessed for their likely environmental impact. Under our bilateral programmes we can support Brazilians to undertake in the United Kingdom training in environmental assessment techniques.

South America

Dr. Kim Howells : To ask the Secretary of State for Foreign and Commonwealth Affairs if the Government have plans to discuss further the rescheduling of the external debts of those countries in South America which are currently allocating significant resources to the task of preserving remaining areas of natural rain forest.

Mrs. Chalker : The Government recognise that many of those countries in South America with large areas of rain forest face serious debt problems.

The Paris club is always ready to discuss, where necessary, the rescheduling of official debt for countries pursuing IMF-agreed economic reform programmes.

Much of the South American countries' debt belongs to commercial banks : arrangements for dealing with this debt are a matter for negotiation between the debtor countries and the banks within the framework of the strengthened debt strategy.

Pergau Hydro-electric Project

Mrs. Clwyd : To ask the Secretary of State for Foreign and Commonwealth Affairs how much aid has been offered under the aid and trade provision to support contracts between the Malaysian Government and Balfour Beatty, General Electric Company, and Trafalgar House for the Pergau hydro- electric project.


Column 25

Mrs. Chalker : An offer of a grant of up to £68.25 million from the aid and trade provision, based on an estimated contract value of £316 million, was made on 17 April 1989. An extension of this offer expired on 17 October 1990. A further extension remains a possibility, but no decisions have been taken.

WALES

Lorries (Magor and Undy)

Mr. Roy Hughes : To ask the Secretary of State for Wales what action he proposes concerning the petition from the No Lorries Through Magor and Undy Action Group presented at the Welsh Office, Cardiff on Friday 12 October.

Sir Wyn Roberts : The petition is being taken into account in the consideration of construction traffic routes in Gwent.

Young People (Secure Accommodation)

Mr. Michael : To ask the Secretary of State for Wales (1) if he will list for each local social services authority in Wales for each of the years 1975, 1980, 1985, 1987, 1988 and 1989 the number of placements made in facilities providing secure accommodation and indicate what proportion of those children in the care of the home authority such a number represents ;

(2) if he will list for each facility in Wales providing secure accommodation for young persons for each of the years 1975, 1980, 1985, 1987, 1988 and 1989 the number and proportion of young persons so accommodated on behalf of a local social services authority other than that providing the secure accommodation.

Mr. Grist : I refer the hon. Gentleman to the answer I gave on Thursday 18 October.

Nurses Grading

Mr. Michael : To ask the Secretary of State for Wales (1) how many clinical regrading appeals by nurses in Wales were still awaiting a decision on 1 October or on the nearest date for which this information is available ; and how many appeals were dealt with in each month in 1990 ;

(2) how many clinical regrading appeals by nurses were still awaiting a decision in each health authority area in Wales on 1 October or on the nearest date for which this information is available ; and how many appeals were dealt with in each health authority area in Wales in each month in 1990.

Mr. Grist : The latest information available is as shown in the table :


Number of appeals outstanding (October 1990)                                  

District health authority |Number                                             

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

Clwyd                     |209                                                

East Dyfed                |112                                                

Gwent                     |588                                                

Gwynedd                   |-                                                  

Mid Glamorgan             |699                                                

Pembrokeshire             |79                                                 

Powys                     |57                                                 

South Glamorgan           |396                                                

West Glamorgan            |42                                                 

                          |-------                                            

Total-Wales               |2,182                                              

Details of numbers of appeals dealt with each month are not held centrally.

Intensive Care Beds

Mr. Michael : To ask the Secretary of State for Wales what was the number of designated intensive care beds in (a) each district health authority in Wales and (b) in each district general hospital in Wales in each of the years 1980 to 1990.

Mr. Grist : Details of the beds allocated to intensive therapy units for the years 1980 to 1988-89 are published in the relevant issues of "Hospital Bed Use Statistics", copies of which are in the Library. Beds allocated to ITUs as at 31 March 1990 are given in the table :


Authority/hospital           |Beds                                 

                             |allocated                            

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

Clwyd                                                              

Ysbyty Glan Clwyd            |6                                    

Ysbyty Maelor                |6                                    

                             |--                                   

Total                        |12                                   

                                                                   

East Dyfed                                                         

Bronglais                    |4                                    

West Wales General           |3                                    

                             |--                                   

Total                        |7                                    

                                                                   

Gwent                                                              

Nevill Hall                  |6                                    

Royal Gwent                  |7                                    

                             |--                                   

Total                        |13                                   

                                                                   

Gwynedd                                                            

Ysbyty Gwynedd               |7                                    

                                                                   

Mid Glamorgan                                                      

Princess of Wales            |8                                    

East Glamorgan General       |6                                    

Prince Charles               |4                                    

                             |--                                   

Total                        |18                                   

                                                                   

South Glamorgan                                                    

University Hospital of Wales |16                                   

Cardiff Royal Infirmary      |6                                    

Llandough                    |4                                    

                             |--                                   

Total                        |26                                   

                                                                   

West Glamorgan                                                     

Morriston                    |7                                    

Neath General                |9                                    

                             |--                                   

Total                        |16                                   

                                                                   

Pembrokeshire                                                      

Withybush                    |2                                    

Infertility

Mr. Wigley : To ask the Secretary of State for Wales if he will publish the most recent figures available showing the number of clinics in Wales offering (a) IVA, GIFT and other procedures and (b) GIFT and other procedures but excluding IVA ; and if he will also publish the total numbers of (i) single, (ii) twin, (iii) triplet, (iv) quadruplet, (v) quintuplet and (vi) sextuplet pregnancies following GIFT procedures in each category of clinic.


Column 27

Mr. Grist : The information requested is not available centrally. However, some information on these matters is published in the annual report of the Interim Licensing Authority, a copy of which is available in the Library. The Interim Licensing Authority was established by the Medical Research Council and the Royal College of Obstetricians and Gynaecologists in 1985.

It is expected that in future some of the data requested will be available from the IVF register, which has been set up by the Office of Population Censuses and Surveys with funding from the Department.

European Regional Development Fund

Mr. Win Griffiths : To ask the Secretary of State for Wales if he will list the annual sums of money committed since the inception of the European regional development fund to each recipient local authority and the annual amount paid to each from the fund.

Mr. David Hunt : The information requested is not readily available and could be provided only at disproportionate cost.

Childbirth Statistics

Mr. Wigley : To ask the Secretary of State for Wales if he will publish figures for 1988 and 1989 showing the estimated percentage of women delivering in Wales (a) whose labours were induced, (b) whose labours were of spontaneous onset and (c) who had elective caesarean section.

Mr. Grist : The available information is given in the table. Information for 1989 is not yet available.


Estimated percentages of hospital deliveries by type of onset of        

labour: Wales 1988                                                      

Type of onset of labour |Percentage                                     

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

Induced                 |4                                              

Spontaneous             |84                                             

Elective caesarean      |5                                              

Other caesarean         |7                                              

Note: The information is based on OPCS 4th revision codes for the       

classification of surgical operations and procedures which were         

introduced in 1988.                                                     

Sewage

Mr. Michael : To ask the Secretary of State for Wales what consideration he has given to setting special requirements in respect of the treatment of sewage from hospitals in Wales in general and particularly in regard to Ysbyty Gwynedd ; what factors were taken into account ; and what conclusions were reached.

Mr. Grist : Under the Water Act 1989, the setting of discharge consents is a matter for the National Rivers Authority.

Rents to Mortgages

Mr. Morgan : To ask the Secretary of State for Wales how many sales have been completed under the rents to mortgages scheme.

Mr. Grist : Out of some 60 applications, 10 sales have been completed under the flexi-ownership scheme. The Development Board for Rural Wales estimates that by the end of the first year of the scheme about 5 per cent. of the eligible stock will have been sold to flexi-owners.


Column 28

Grant-maintained Schools

Dr. Kim Howells : To ask the Secretary of State for Wales how many applications have been received by his Department from schools wishing to opt out of local authority control in order to attain grant-maintained status.

Sir Wyn Roberts : Two.

Cot Deaths

Mr. Alex Carlile : To ask the Secretary of State for Wales how many deaths by sudden infant death syndrome were recorded in Wales in each of the years 1980 to 1989 ; and if he will make a statement as to measures which he proposes to take to reduce the incidence of sudden infant death syndrome in Wales.

Mr. Grist : Recommendations to secure improvements in the quality of care for new-born babies and their mothers, including the establishment of a regional perinatal intensive care service and a regional paediatric pathology service at University hospital of Wales--UHW--Cardiff, were made in the perinatal mortality initiative report in 1986. Subsequently, the Secretary of State decided that an expert advisory group would be set up to consider the operational structure of the proposed regional centre and its relationship to other perinatal services in Wales. That group, chaired by Sir Eric Stroud, professor of child health at Kings College school of medicine and dentistry, produced a report "Perinatal Intensive Care Services in Wales", which was widely distributed to interested authorities and professional bodies in Wales in February this year.

The report makes a number of recommendations for the improvement of services and identifies in detail the manpower and other requirements for the development of the regional centre at UHW which will be associated with a number of regional sub-centres strategically located throughout the Principality.

Action has been put in hand to secure, by central funding, the appointment of a consultant paediatric pathologist for the regional centre at UHW. Pending this appointment part-time consultant sessions are being funded centrally. Funds are also to be made available to South Glamorgan health authority in the coming financial year to secure the services of a consultant neonatologist and a registrar in paediatrics in line with the recommendations of the report. It is also intended to establish, over the coming five-year period, a programme of developments which will lead to the provision of an integrated service of excellence. As the first stage, health authorities have been asked to prepare proposals to achieve a rationalisation of services in relation to the numbers of special care costs and neo-natal intensive care costs which the report considers necessary to meet the needs in those areas.

Available data on deaths of children resident in Wales in the years 1980 to 1989 are given as follows :


Column 29


                              Deaths of children in Wales                                                           

                             |where the term Sudden Infant                                                          

                             |Death' (ICD 798.0) was:                                                               

                             |Mentioned                   |Recorded as                                              

                             |on the death                |the underlying                                           

                             |certificate                 |cause                                                    

Year                         |(Column A)                  |(Column B)<1>                                            

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

1980                         |75                          |53                                                       

1981                         |56                          |59                                                       

1982                         |66                          |49                                                       

1983                         |65                          |51                                                       

1984                         |51                          |45                                                       

1985                         |76                          |68                                                       

1986                         |74                          |<2>68                                                    

1987                         |98                          |<2>90                                                    

1988                         |83                          |<2>71                                                    

1989                         |67                          |<2>64                                                    

<1>Column B included in Column A.                                                                                   

<2>The introduction in 1986 of a separate death certificate for the neonatal period, that is within the period 28   

days after birth, means that it is not appropriate for the practitioner to assign a single underlying cause to such 

deaths. These data therefore exclude deaths occurring within the first 28 days after birth.                         

Hospice Movement

Mr. Ieuan Wyn Jones : To ask the Secretary of State for Wales when he intends to announce the level of funding for the hospice movement in Wales.

Mr. Grist : An announcement will be made as soon as possible.

HEALTH

Haemophiliacs

Sir David Steel : To ask the Secretary of State for Health if, in light of the remarks made by Mr. Justice Ognall, he will reconsider his position on compensating haemophiliac HIV sufferers who contracted the disease by way of contaminated blood products.

Mrs. Virginia Bottomley : I refer the right hon. Member to the reply my right hon. and learned Friend the Secretary of State gave the right hon. Member for Manchester, Wythenshawe (Mr. Morris) on 15 October at columns 664-66 .

Mr. Allen : To ask the Secretary of State for Health what is the annual cost to the National Health Service in the Nottingham district health authority for staff who have been employed through agencies as nurses, operating department assistants, ancilliary and other staff.

Mrs. Virginia Bottomley : Nottingham health authority has provided the following breakdown of costs to the health authority for non-NHS (agency) staff :


1989-90                                                                                 

Non NHS Staff (Agency etc)        |£                                                    

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

Nursing                           |71,455                                               

Ancillary Staff                   |50,953                                               

All other Staff                   |410,761                                              

                                  |-------                                              

TOTAL: NON NHS STAFF (AGENCY ETC) |533,169                                              

The cost for operating department assistants is incorporated in the figure for "all other staff".


Column 30

Alternative Therapies

Mr. Atkinson : To ask the Secretary of State for Health if he has any plans to recompense qualified medical practitioners using alternative therapies under the National Health Service ; and if he will make a statement.

Mr. Dorrell : There are no such plans. Registered medical practitioners may, within the services they provide to NHS patients, offer to use any of the complementary therapies if they consider it to be in the interests of their patients.

Physiotherapy

Mr. Robin Cook : To ask the Secretary of State for Health what was the number of places available annually for training students in physiotherapy in each of the last 10 years ; and what assessment he has made of the adequacy of the number of existing places.

Mrs. Virginia Bottomley : Information on the number of pre- registration training places for physiotherapists was not collected before 1986. The available figures are for Great Britain and are as follows :


Year   |Number       

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

1986   |987          

1987   |970          

1988   |994          

1989   |1,048        

The responsibility for ensuring an adequate supply of training places is a matter for regional health authorities in consultation with units providing a service. Guidance has been issued which clearly places a responsibility on regional health authorities to assess demand for training and to ensure that training places are available to meet such a demand.

Air Ambulances

Mr. Moate : To ask the Secretary of State for Health which hospital regions of the United Kingdom have the use of air ambulances ; what is the basis of funding this service ; and if he will institute a study into the possible provision of such a service on a nationwide basis.

Mr. Dorrell : This information is not collected centrally. A study is being carried out into the services in two areas and the results will be considered in due course. The services provided in Scotland, Wales and Northern Ireland are the responsibility of my right hon. and learned Friend the Secretary of State for Scotland and my right hon. Friends the Secretaries of State for Wales and for Northern Ireland.

Residential Homes

198. Mr. David Nicholson : To ask the Secretary of State for Health whether he will introduce guidelines indicating the attitude local authority social services departments should take over the size, unit bed limits and staffing of registered care homes.

Mrs. Virginia Bottomley : There are no plans to do so at present. "Home Life"--a code of practice for residential care--already gives general guidance on such matters.


Column 31

199. Mr. David Nicholson : To ask the Secretary of State for Health what representations he has received protesting at the interpretation of the provisions in the Registered Homes Act 1984 regarding unit size and bed limits by certain local authority social services departments.

Mrs. Virginia Bottomley : A small number of letters about this has been received in the Department.

Baby Milk

Mr. Fearn : To ask the Secretary of State for Health if midwives are regarded as one of the groups of relevant health professionals which should be consulted by district health authorities about the purchase of baby milk formulas.

Mrs. Virginia Bottomley : Midwives, because of their key role in the provision of maternity care, should be among the health care professionals from whom advice is sought.

Mr. Fearn : To ask the Secretary of State for Health what assessment he has made of the problems which could arise from purchasing baby milk from only one manufacturer ; and what guidance he has given to health authorities.

Mrs. Virginia Bottomley : All supplies personnel are aware of the problems that may arise by purchasing any vital product from only one manufacturer.

Junior Doctors

Mr. Cryer : To ask the Secretary of State for Health if he intends to introduce legislation to limit the working week of junior doctors to 72 hours ; or to recommend such a maximum ; and if he will make a statement.

Mrs. Virginia Bottomley : The group on junior doctors' hours, which I chair, is considering a variety of changes in working practices in order to reduce onerous hours of work.

All parties on the ministerial group are aiming to reach broad agreement in principle on specific changes by the end of the year. The Government have accepted an average 72-hour week for junior hospital doctors as a sensible long-term objective.

Secure Accommodation

Mr. Michael : To ask the Secretary of State for Health if he will list for each facility providing secure accommodation for young persons for each of the years 1975, 1980, 1985, 1987, 1988 and 1989, and the number and proportion of young persons so accommodated on behalf of a local social services authority other than that providing the secure accommodation.

Mrs. Virginia Bottomley : I refer the hon. Member to the reply I gave him on 18 October at column 891.

Mr. Michael : To ask the Secretary of State for Health if he will list for each local social services authority for each of the years 1975, 1980, 1985, 1987, 1988 and 1989 the number of placements made in facilities providing secure accommodation ; and what proportion of those children in the care of the home authority such a number represents.


Column 32

Mrs. Virginia Bottomley : The number of placements made in facilities providing secure accommodation for the years 1985 to 1988 is published in "Children accommodated in secure units during the year ended 31 March", copies of which are available in the Library. Figures for 1989 will be available shortly. This information was not collected centrally prior to 1985. Figures on proportions could be obtained only at disproportionate cost.

Adoption

Mr. Harry Barnes : To ask the Secretary of State for Health when he intends to issue a report on adoption procedures ; which categories of people have and will be consulted in the process of drawing up the report ; and whether procedures for adoption of children from Romania are under consideration.

Mrs. Virginia Bottomley : Three discussion papers were issued in September in connection with the inter-departmental review of adoption law. The papers have been circulated widely for comment among groups and individuals with an interest in adoption ; and are freely available to all interested parties. Further papers in the series will follow, including a discussion paper on inter-country adoption.

New guidance was issued in September to social services departments on inter-country adoption, including adoption of Romanian children. Copies of the adoption law review papers and of the guidance on inter-country adoption have been placed in the Library.

Incontinence Pads

Mr. Harry Barnes : To ask the Secretary of State for Health (1) if he will list district health authorities in England and Wales, showing which of these charge private residential nursing homes for the use of incontinence pads for national health service patients who are their residents ;

(2) how many representations he has received in the current year concerning district health authorities charging private residential nursing homes for incontinence pads for national health service patients who are their residents and if he will make a statement. (3) if he will list the standard charges by district health authorities to private residential nursing homes for the use of incontinence pads for national health service patients who are their residents.


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