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Mr. John Patten : There are no plans at present to bring into force subsections (3), (4)(b), (5) and (6) of section 1, sections 2 to 7 and subsections (6), (7), (8)(c) and 12(a) and (b) of section 10, all of which refer to a national membership scheme. The rest of the Act is currently in force with the exception of sections 9 and 13, about which I am replying separately to specific questions tabled by the hon. Member.
Mr. Pendry : To ask the Secretary of State for the Home Department if he will list those parts of the Football Spectators Act currently in force and the dates on which they came into force.
Mr. John Patten : On 22 March 1990 the following provisions of the Act came into force :
(i) subsections (1), (2), (4) except paragraph (b), and (7) to (11) of section 1 ;
(ii) section 14, and
(iii) subsections (1), (9) and (12) of section 22.
On 24 April 1990 the following provisions of the Act came into force :
(i) sections 15 to 21 ;
(ii) subsections (2) to (8), (10) and (11) of section 22, and (iii) sections 23 to 26 and schedule 1.
On 1 June 1990 the following provisions of the Act came into force :
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(i) section 8 and schedule 2 ;(ii) subsections (1) to (5), (8) except paragraph (c), (9) to (11), (12) except paragraphs (a) and (b), and (13) to (17) of section 10 ; and
(iii) sections 11 and 12.
Mr. Pendry : To ask the Secretary of State for the Home Department when he proposes to make an order bringing into force section 9 of the Football Spectators Act 1989 ; and if he will make a statement.
Mr. John Patten : An order bringing into effect section 9 of the Football Spectators Act 1989, which creates the offence of admitting spectators to unlicensed premises, will be made as soon as the Football Licensing Authority is in a position to issue licences for football grounds at which designated football matches are played. Both we and the Football Licensing Authority are of the view that the licensing scheme should be introduced as soon as it is practicable to do so, but it would be unrealistic to expect the authority to administer such a scheme effectively before it has acquired the necessary staff and expertise to do so.
Football Licensing Authority
Mr. Pendry : To ask the Secretary of State for the Home Department what is the total amount of funding made available to the Football Licensing Authority to date ; what is his best estimate of the resources required by the Football Licensing Authority over the coming year ; and what level of funding he will make available to the Football Licensing Authority for the next year.
Mr. John Patten : The approved provision for the Football Licensing Authority for the current financial year is £670,000. We have been advised by the authority that its actual expenditure in the period to the end of March 1991 is unlikely to exceed £270,000. Provision has been made in the public expenditure survey for the 1991-92 financial year for grant in aid to the authority of a maximum of £898,000. This represents an increase of £208,000 on the PES provision originally approved for 1991-92, before the role of the authority was reviewed in the light of Lord Justice Taylor's final report on the Hillsborough stadium disaster.
Mr. Pendry : To ask the Secretary of State for the Home Department if he has any plans to increase funding for the Football Licensing Authority for fulfilling its functions under section 13 of the Football Spectators Act ; and if he will make a statement.
Mr. John Patten : No. Neither we nor the Football Licensing Authority have any reason to believe that the funding provision already made for the Football Licensing Authority will be inadequate to enable it properly to discharge all its statutory functions, including those under section 13 of the Football Spectators Act 1989, when that section of the Act is brought into force.
Conferences (Policing)
Mr. Pendry : To ask the Secretary of State for the Home Department (1) if he will call for a report as to the cost of policing the Police Federation conference for each of the past 10 years ; and how much the federation was charged for that policing (a) in actual amounts and (b) as a percentage of total policing costs ;
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(2) if he will call for a report as to the cost of policing the Association of Chief Police Officers conference for each of the past 10 years ; and how much the association was charged for that policing (a) in actual amounts and (b) as a percentage of total policing costs ;(3) if he will call for a report as to the cost of policing the Police Superintendents Association conference for each of the past 10 years ; and how much the association was charged for that policing (a) in actual amounts and (b) as a percentage of total policing costs.
Mr. Peter Lloyd : Any charges made under section 15 of the Police Act 1964 would have been a matter for the police authority concerned. No information on them is held centrally.
Mr. Pendry : To ask the Secretary of State for the Home Department (1) if he will call for a report as to the total cost of policing the Labour party conference for each of the past 10 years ; and how much the Labour party was charged for that policing (a) in actual amounts and (b) as a percentage of total policing costs ; (2) if he will call for a report as to the total cost of policing the Conservative party conference for each of the past 10 years ; and how much the Conservative party was charged for that policing (a) in actual amounts and (b) as a percentage of total policing costs.
Mr. Peter Lloyd : I understand from the chief officers of the forces concerned that the additional costs of policing the Conservative and Labour party conferences from 1987 onwards were estimated as follows :
Conservative
Force |Year
------------------------------------------------------
Lancashire |1987
Sussex |1988
Lancashire |1989
Dorset |1990
Force |Year
Sussex |1987
Lancashire |1988
Sussex |1989
Lancashire |1990
Type of reception |Aged 15
Unsentenced |27
Sentenced |3
<1> Total receptions cannot be calculated by adding
both categories because a person received as an
unsentenced prisoner may also subsequently be
received after sentence.
<2> Usk YOI and Cardiff and Swansea prisons.
Labour
Force Year Additional cost
Sussex 1987 23,000
Lancashire 1988 61,000
Sussex 1989 4,000
Lancashire 1990 97,545
Previous figures are not held centrally. No contribution to these costs was made by the political parties concerned. The level of policing is a matter for the chief constable concerned, having regard to the threat and all other relevant circumstances.
Young Offenders
Mr. Flynn : To ask the Secretary of State for the Home Department how many youngsters of 15 and 16 years of age have been held in Welsh prisons during the past year (a) on unruly behaviour certificates or (b) in other circumstances.
Mrs. Rumbold : Statistics on certificates of unruliness are not collected centrally. The readily available information is given in the table.
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Males aged under 17 who were first received on remand or under sentence into prison service establishments in Wales : by type of reception and age, 1989Type of reception Aged 15 Aged 16
Unsentenced 27 39
Sentenced 3 11
Total receptions cannot be calculated by adding both categories because a person received as an unsentenced prisoner may also subsequently be received after sentence.
Usk YOI and Cardiff and Swansea prisons.
Mr. Maclennan : To ask the Secretary of State for the Home Department if he will take steps to end the practice of remanding 15 or 16- year-old boys to adult prisons pending trial or sentence.
Mr. Flynn : To ask the Secretary of State for the Home Department if he will make a statement on the policy of holding 15 and 16-year-olds in Welsh prisons on unruly behaviour certificates.
Mr. John Patten : I would refer the hon. Members to the reply I gave to questions from the hon. Member for Cardiff, South and Penarth (Mr. Michael) on 3 December at columns 11-12.
Goods and Services
Mr. Fisher : To ask the Secretary of State for the Home Department whether he will publish tables showing the amount spent on (a) acquiring and (b) commissioning goods and services by his Department in each of the last five years.
Mr. Kenneth Baker : Home Office purchasing information systems do not differentiate between acquiring and commissioning goods and services. However, information on departmental purchasing expenditure from 1986-87 is set out in the annual reports of the Central Unit on Purchasing, copies of which are available in the Library.
Advertising
Mr. Fisher : To ask the Secretary of State for the Home Department whether he will publish a table showing the amount spent in each of the last five years by his Department on (a) advertising in the press, (b) advertising on television and radio, (c) other advertising and promotion and (d) promotion videos and sound cassettes.
Mr. Kenneth Baker : Figures for expenditure on advertising and other promotional material for the years from 1986-87 to 1990-91 are as follows :
----------------------- 1986-87 |5.0|1.4 1987-88 |4.7|2.1 1988-89 |5.4|2.8 1989-90 |5.5|3.7 1990-91<1> |8.4|4.2 <1> Provisional.
It would not be possible to provide more detailed information on advertising expenditure except at disproportionate cost.
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Golden Globe Charitable Trust
Mr. Wilson : To ask the Secretary of State for the Home Department if he will ask the Charity Commissioners to inquire into the affairs of the Golden Globe Charitable Trust ; and if he will make a statement.
Mr. Kenneth Baker : This is a matter for the Charity Commission. I understand that the commissioners have received no complaints about the administration of the Golden Globe Charitable Trust and that they have no evidence to justify launching an investigation. If the hon. Member is aware of any matters giving cause for concern I urge him to write to the chief charity commissioner.
HEALTH
Purchasing
Mr. Devlin : To ask the Secretary of State for Health if he will make a statement about the purchasing policy of his Department.
Mr. Dorrell : The Department is bound by the Government's policy that purchasers should base all procurement of goods and services on value for money, including quality (or fitness for purpose) and delivery against price. In accordance with that policy, goods and services are acquired by competitive tendering unless there are convincing reasons to the contrary. Under EC rules, and the GATT Government procurement agreement (GPA) where appropriate, the Department is obliged to award contracts in accordance with prescribed procedures aimed at avoiding discrimination on grounds of nationality.
Rape (HIV)
Mr. Butler : To ask the Secretary of State for Health how many women in the United Kingdom are known to have tested seropositive for HIV subsequent to their being raped.
Mrs. Virginia Bottomley : Information on rape is not requested as part of the surveillance system for HIV antibody positive reporting. Information supplied spontaneously to the public health laboratory service communicable disease surveillance centre reported two women who were tested HIV antibody positive subsequent to reported rape in England and Wales. However, from the information supplied it cannot be determined whether HIV infection was acquired through rape. No such cases have been reported to the communicable disease (Scotland) unit.
Nursing and Midwifery Colleges
Mr. Cohen : To ask the Secretary of State for Health (1) what proposals are being considered for the transfer of responsibility for any colleges of nursing and midwifery to the Secretary of State for Education and Science ;
(2) what proposals are being considered for centralising colleges of nursing and midwifery on a regional basis ;
(3) if he will make it his policy to publish proposals for the protection of employment for teaching staff before any proposals are made to alter departmental responsibility for colleges of nursing and midwifery.
Mrs. Virginia Bottomley : There are no plans for transferring responsibility for colleges of nursing and
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midwifery from this Department to the Department of Education and Science, or for centralising colleges of nursing and midwifery on a regional basis. The English National Board for Nursing, Midwifery and Health Visiting has, however, encouraged the amalgamation of schools of nursing and midwifery to produce larger institutions with a wider range of resources. Schools have also been encouraged to develop links with further education and higher education institutions and in a few instances there has been full integration with such an institution. In such cases the implications for the staff of the school would be for local management to resolve.Alternative Medicine
Mr. Fearn : To ask the Secretary of State for Health to what branches of complementary and alternative medicine national health service patients have access.
Mr. Dorrell : Practitioners registered with the General Medical Council may offer their patients any form of treatment, including the use of complementary therapies. There is evidence that such practitioners are making increasing use of techniques such as osteopathy, acupuncture and homeopathy.
Mr. Fearn : To ask the Secretary of State for Health what information is available to national health service patients about access to alternative therapies and medicine.
Mr. Dorrell : Patients considering alternative therapies and medicines should first consult their general practitioner who is in the best position to make a clinical judgment on the most appropriate form of treatment.
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Southampton General Hospital
Mr. Hill : To ask the Secretary of State for Health what are the number of patients on waiting lists for the Southampton general hospital by specialty.
Mrs. Virginia Bottomley : Information by individual hospital is not available centrally. My hon. Friend may wish to contact Professor J. B. L. Howell, the chairman of Southampton and South West Hampshire health authority, for the relevant information.
National Health Service Trusts
Mr. Ron Davies : To ask the Secretary of State for Health if he will take steps to ensure that there will be no victimisation of employees of the health service who publicly opposed self-governing trusts ; and if he will make a statement.
Mrs. Virginia Bottomley : There is no question of anyone being victimised because they publicly opposed self-governing trusts.
Private Residential Homes
Mr. Steinberg : To ask the Secretary of State for Health, pursuant to his answer of 20 November, Official Report, column 99, on private residential homes, if he will break down the figures given by local authority.
Mr. Dorrell : The local authorities and health authorities which reported the cancellations of registrations of persons running residential care and nursing homes detailed in that answer were :
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Residential care homes |Nursing homes |Dually registered homes
----------------------------------------------------------------------------------------------------------------
1985
Bedfordshire 1 |Doncaster HA 1
Lancashire 1 |Fylde HA 1
|Worcester and Hereford HA 1
--- | ---
2 | 3
1986
Cambridgeshire 1 |Airedale HA 1
Devon 1 |Croydon HA 1
Dudley 1 |Doncaster HA 1
Hereford and Worcester 2 |Hastings HA 2
Hertfordshire 1
Lancashire 1
Liverpool 2
Norfolk 2
North Yorkshire 2
Sefton 1
South Tyneside 2
--- | ---
16 | 5
1987
Bromley 1 |East Dorset HA 2
Devon 1 |Plymouth HA 1
East Sussex 1 |South East Kent HA 1
Gloucestershire 1
Hampshire 2
Hertfordshire 2
Humberside 1
Lancashire 4
Leicestershire 2
Liverpool 1
Northampton 1
Sheffield 1
South Glamorgan 1
Suffolk 3
Surrey 2
Sutton 2
Warwickshire 2
--- | ---
28 | 4
1988
Avon 3 Bath and District HA 2 Kingston Upon Thames/
| Kingston and Esher 2
Bradford 5 |Clwyd HA 1
Derbyshire 4 |Eastbourne HA 2
Devon 2 |Harrogate HA 2
Dudley 1 |Northants HA 2
East Sussex 4 |Scunthorpe HA 2
Essex 8 |South Cumbria HA 1
Havering 2 |Wycombe HA 3
Hertfordshire 2
Kent 4
Lancashire 2
Liverpool 2
Manchester 2
Northamptonshire 2
North Yorkshire 2
Staffordshire 4
Suffolk 1
Tameside 2
Wirral 2
--- | --- | ---
54 | 15 |2
1989
Avon 1 |Croydon 1 |Devon CC/Exeter HA 2
Bradford 3 |Kingston and Esher HA 1
Brent 2 |Scarborough HA 1
Bromley 1
Cleveland 2
Devon 3
Essex 2
Hampshire 2
Hereford and Worcester 2
Hertfordshire 2
Humberside 1
Lancashire 4
Leicestershire 1
Liverpool 2
North Yorkshire 2
Sheffield 1
South Tyneside 1
Stockport 1
Suffolk 2
Wakefield 2
Warwickshire 4
Wirral 2
Wolverhampton 1
--- | --- | ---
44 | <1>3 | 2
<1>Includes 2 cases relating to 1989 omitted in error in the answer given on 20 November.
Table file CW901211.027 not available
The corrected figures for the reasons for the cancellations reported in 1989 are :
the fitness of persons involved in running the home : 38 cases the fitness of premises, or their staffing : 6 cases
the conduct of the home or services or facilities provided : 24 cases
conviction of an offence under the Registered Homes Act 1984 : 1 case
urgent closure on application to a Justice of the Peace : 7 cases In a number of cases, more than one reason was cited.
Column 360
General Practitioners
Mr. Hill : To ask the Secretary of State for Health if he will list, by regional health authority area, those general practitioner practices which have been granted fund-holding status.
Mrs. Virginia Bottomley : Formal granting of fund-holding status by regional health authorities is not expected to begin before January 1991.
Mr. Allen : To ask the Secretary of State for Health whether general practitioners are required to balance their budgets by March 1991.
Mrs. Virginia Bottomley : At present general practitioners do not have "budgets". The general practitioner
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fund-holding scheme, which commences on 1 April 1991, will allow eligible practices to volunteer to receive a sum of money to purchase a range of services for their patients. Non fund-holding practices, from 1 April 1991, will be assigned an indicative prescribing amount which will relate to their drug expenditure. The indicative prescribing amount will, however, be a financial benchmark and not a cash limit.Mr. Allen : To ask the Secretary of State for Health what evidence he has indicating trends in expenditure from general practitioners' budgets for drugs.
Mrs. Virginia Bottomley : The indicative prescribing scheme under which general practitioners will be set amounts for anticipated expenditure on drugs comes into operation on 1 April 1991. Since the introduction of PACT (prescribing analyses and cost system) in August 1988 there has been a slowdown in the rate of increase of the cost of drugs prescribed by general practitioners.
Occupational Health Services
Mr. Ieuan Wyn Jones : To ask the Secretary of State for Health what arrangements exist for the provision of an occupational health service for employees within his Department, stating (a) how many staff are employed to provide occupational health services, (b) how many of those staff are qualified nurses and (c) how many employees work in his Department in total.
Mr. Dorrell : All civil service departments and agencies have access to the services of the Civil Service Occupational Health Service which employs some 100 fully qualified occupational health professionals, doctors, nurses and hygiene and safety advisers. It operates through a network of regional offices throughout the United Kingdom. On 1 November 1990 the Department had 5,002 employees.
Grading Appeals
Mr. Allen : To ask the Secretary of State for Health what advice has been given or will be given to health authorities in respect of successful outstanding clinical grading appeals where there is an existing overspend.
Mrs. Virginia Bottomley : The costs of successful clinical grading appeals are one of many factors which health authorities recognise in managing their budget for the year. The Department is not intending to issue specific guidance on this.
Patient Transport
Mr. Cousins : To ask the Secretary of State for Health how many health or ambulance service authorities are known to be generating income by charging for patient transport services ; and in each case, how much income is so generated.
Mr. Dorrell : In the year 1989-90, 31 ambulance authorities showed figures for income from charging for patient transport services. The figure for each authority is shown in the table. All figures are subject to audit and are therefore provisional.
Column 362
Income from the non-NHS use of ambulance services-1989-90
|Regional |£
|indicator
-------------------------------------------------------------------
Northern RHA |A00 |119,078
South Tees |A03 |295
East Cumbria |A04 |12,640
Durham |A08 |8,876
Yorkshire RHA |B00 |11,918
Hull |B12 |331
York |B23 |62,379
Trent RHA |C00 |1,274
Nottingham |C08 |23,629
East Suffolk |D04 |2,591
Great Yarmouth and Waveney |D07 |15,407
Huntingdon |D09 |14,606
Eastbourne |G02 |38,234
South West Thames RHA |H00 |67,983
Southampton and South West Hampshire |J22 |60
Swindon |J32 |24,316
Aylesbury |K21 |831
Kettering |K31 |285
Northampton |K32 |4,222
Southmead |L13 |<1>(230)
Cornwall and Isles of Scilly |L21 |4,346
Torbay |L34 |2,012
West Midlands RHA |M00 |18,156
Worcester |M04 |663
Shropshire |M05 |419
Mid Staffordshire |M06 |8,911
South Warwickshire |M11 |1,581
Chester |N11 |2,303
South Sefton |N42 |59,108
North Western RHA |P00 |11,517
Preston |P03 |26,349
|-------
Total |544,090
<1>Bracket indicates a negative income.
Hormone Replacement Therapy
Mr. Cousins : To ask the Secretary of State for Health what is the cost of general practitioner-prescribed hormone replacement therapy treatments in each of the standard regions ; and if he will express this cost as a figure per head of female population over 40 years.
Mrs. Virginia Bottomley : The information requested is as follows :
1. The estimates are based on a sample of prescriptions of
Net ingredient cost (NIC) of hormone replacement therapy
treatments in 1989
Regional health authority |NIC |Female |Cost/Head
|thousands |population
|£ |40 and over |£
----------------------------------------------------------------------------------------------------------------------------------
Northern |1,419 |742,946 |1.91
Yorkshire |1,749 |866,771 |2.02
Trent |1,912 |1,111,981 |1.72
East Anglia |935 |489,630 |1.91
North West Thames |2,025 |788,292 |2.57
North East Thames |1,823 |867,000 |2.10
South East Thames |2,020 |906,652 |2.23
South West Thames |1,919 |740,340 |2.59
Wessex |1,928 |711,776 |2.71
Oxford |1,566 |546,621 |2.86
South Western |1,838 |876,943 |2.10
West Midlands |2,788 |1,213,442 |2.30
Mersey |1,405 |576,683 |2.44
North Western |2,174 |943,210 |2.30
England |25,501 |11,382,287 |2.24
Notes:
1. The estimates are based on a sample of prescriptions of approximately 1 in 200 in England which were dispensed by community
pharmacists.
2. The population data has been extracted from OPCS estimates.
Mr. Cousins : To ask the Secretary of State for Health when he expects to reach conclusions about the costs and benefits of long-term hormone replacement therapy.
Mrs. Virginia Bottomley : The Department is funding a research project by Professor Martin Vessey of Oxford university, who is examining the costs and benefits of hormone replacement therapy in relation to the menopause. Professor Vessey's study is expected to be completed in early 1992.
Life Insurance
Mr. Frank Field : To ask the Secretary of State for Health what steps the Government have taken since the publication in November 1989 of their response to the seventh report of the Select Committee on Social Services, Session 1988-89, to consider with the insurance industry the effect of asking proposers for life insurance whether they have ever had an HIV test.
Mrs. Virginia Bottomley : Since we published our response to the Select Committee report, officials have had a number of meetings with representatives of the Association of British Insurers (ABI,) to discuss the effect of HIV test questions on proposal forms for life insurance. I met Michael Pickard, the chairman of the Life Insurance Council of the ABI, and his colleagues on 12 November. We discussed the possible effects of the ABI's recommended procedures and the need to ensure that people were not dissuaded from coming forward for testing, help and advice about HIV infection. We have, jointly with the ABI, commissioned the British Market Research Bureau (BMRB) to carry out a survey of public perceptions of the effect of the questions. The BMRB is currently in the process of interviewing experts, advice workers, the general public and young adults. We expect to receive the results early in the new year, when further meetings with the ABI are planned.
Advertising
Mr. Fisher : To ask the Secretary of State for Health whether he will publish a table showing the amount spent in each of the last five years by his Department on (a) advertising in the press, (b) advertising on television and radio, (c) other advertising and promotion and (d) promotion videos and sound cassettes.
Mr. Dorrell : The Department of Health's budget for communications and publicity includes provision for nurse recruitment, blood donor recruitment and drug misuse campaigns.
Information for the years 1985-86 to 1987-88 is not available in the form requested.
Expenditure by the Department's information division for 1988-89 is as follows :
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