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Dr. Kim Howells : To ask the Secretary of State for Wales what savings, by district health authority in Wales, have resulted from 1989 to 1991, from the review of energy targets listed as objective 24 in the Welsh Office NHS directorate "Agenda for Action" ; and what are the estimated projected savings, by district health authority, for 1991-92 and 1992-93.
Mr. Nicholas Bennett : The Welsh Office energy efficiency monitoring and targeting exercise relates to a base year of 1984-85. Since that time, cumulative savings from enhanced efficiency have been achieved by the district health authorities in Wales as follows :
--------------------------------------------------- By 1988-89 |4.00 By 1989-90 |6.25 Expectation for 1990-91 |8.75 Target for 1991-92 |12.00 Estimated projected savings by 1992-93 |15.50 <1> Hospitals only, excluding savings arising from reduced fuel prices since 1985 and from the effects of combined heat and power schemes.
Dr. Kim Howells : To ask the Secretary of State for Wales (1) what additional costs will arise from the establishment and administration of the all Wales manpower strategy referred to in objective 18, of the Welsh Office NHS directorate, "Agenda for Action" ;
(2) what is the budgeted cost, per district authority, of the establishment and administration of the all Wales training programme, referred to in objective 20 of the Welsh Office NHS directorate "Agenda for Action" in 1991 and 1992.
Mr. Nicholas Bennett : The objectives referred to were contained in the corporate management programme
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published in 1988 and which has been superseded by "Agenda for Action". Objective 18 referred to the implementation and development of the manpower strategy published in 1987 which has been undertaken under the auspices of a manpower steering group established by the Department. The strategy outlined a comprehensive and coherent approach to manpower issues in the NHS in Wales at both all Wales and local levels. To a large extent the implementation of the strategy has brought together a number of existing initiatives as well as initiating new developments. A key element has been the integration of manpower issues into the ongoing management process of the NHS. It is not realistic, therefore, to identify separately the costs of the strategy from the mainstream costs of the service. As indicated in "Agenda for Action", it is now intended to update the strategy in the light of developments since its publication.The all Wales training programme referred to in objective 20 has been pursued by the training and development group (sub-group of MSG), and has been funded by district health authorities pro-rata to the recurrent element of their discretionary allocations. Its projected outturn for 1990- 91 and budget for 1991-92 are £1,091,000 and £1,320, 000 respectively. On a pro-rata basis the distribution by district health authority would be :
( ---------------------------------------- Clwyd |136,375|167,640 East Dyfed |87,280 |116,160 Gwent |162,559|203,280 Gwynedd |81,825 |106,920 Mid Glamorgan |189,834|260,040 Powys |39,276 |55,440 South Glamorgan |220,382|186,120 West Glamorgan |140,739|172,920 Pembrokeshire |32,730 |51,480
The future of the training and development group and the all Wales training programme and its funding, are under review in the light of revised arrangements to be implemented at the all Wales level for manpower planning, training and education.
Dr. Kim Howells : To ask the Secretary of State for Wales what recommendations have emerged from objective 8, of the Welsh Office NHS directorate "Agenda for Action", in relation to the integration of hospitals, community and primary care teams and the contribution of local authority social services in Wales.
Mr. Nicholas Bennett : A key theme of "Agenda for Action" is the need for a wide range of organisations to work together to improve the health of the people of Wales. To this end, district health authorities and family health services authorities have been asked to develop, with social services departments and other agencies, joint local strategies for health.
Local strategies will provide the appropriate framework for ensuring the substantial resources available to the NHS are deployed to best effect.
NHS (Technology)
Dr. Kim Howells : To ask the Secretary of State for Wales what systems to facilitate medical audit and monitor service quality are being considered by the Welsh Office as part of its information and information technology strategy for the NHS in Wales.
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Mr. Nicholas Bennett : Systems for both medical audit and for monitoring service quality have been indentified as priority developments in the "Technical Strategy and Implementation Programme" published in December 1990. Systems for the former will be provided shortly ; the latter will form part of a health status and performance monitoring system which is currently under consideration.
Juvenile Offenders
Mr. Michael : To ask the Secretary of State for Wales what finances he intends to make available to local authorities in Wales to enable them to provide the secure accommodation necessary to meet court requirements under the Home Secretary's proposals on the remand of alleged juvenile offenders.
Mr. Nicholas Bennett : The proposals are being taken into account in our review of secure care. I expect to receive the final report of the review team within the next few weeks and then we shall consult Welsh local authorities about it.
Flood Damage
Mr. Flynn : To ask the Secretary of State for Wales if he will introduce a policy of full compensation for grants of up to 100 per cent. to local authorities to pay for emergency remedial work on properties damaged by flooding or other natural disasters.
Mr. David Hunt : It is not my intention to introduce a policy of full compensation grants, since perfectly adequate arrangements already exist. It is for local authorities to secure the appropriate level of insurance cover towards the cost of remedial work on property damaged by flooding or other natural disasters. The Bellwin scheme of assistance provides 85 per cent. support for eligible costs incurred by local authorities in dealing with emergencies. In emergencies, such as those faced by Towyn last year, where circumstances are exceptionally severe, the Government stand ready to consider additional assistance over and above that normally available.
Press Releases
Dr. Marek : To ask the Secretary of State for Wales if he will take steps to ensure that his Department's press releases are sent to the Library at the same time that they are made available to the media.
Mr. David Hunt : It is not always practicable but, where it is, I shall.
Community Charge
Mr. Flynn : To ask the Secretary of State for Wales if he will publish the total cost of the transitional relief for community charge payers for each Welsh district council area and the average cost per head in each of the Welsh districts.
Mr. David Hunt : The amount of relief distributed to each district council area and the average cost per personal charge payer are shown in the following table. The scheme is fully financed by the Government.
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Relief 1990-91 and 1991-92
| Amount of relief to be distributed
| 1990-91 | 1991-92
|£ 000 |£ per head<1> |£ 000 |£ per head<1>
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alyn and Deeside |0 |0 |938 |17
Colwyn |39 |1 |425 |10
Delyn |13 |0 |993 |20
Glyndwr |83 |2 |1,855 |58
Rhuddlan |6 |0 |1,281 |29
Wrexham Maelor |141 |2 |4,185 |46
Carmarthen |488 |11 |1,219 |29
Ceredigion |500 |10 |800 |17
Dinwfwr |357 |12 |1,051 |36
Llanelli |625 |11 |1,797 |31
Preseli Pembrokeshire |378 |7 |946 |18
South Pembrokeshire |121 |4 |307 |10
Blaenau Gwent |1,847 |31 |3,648 |62
Islwyn |665 |13 |2,074 |42
Monmouth |0 |0 |31 |1
Newport |46 |0 |1,116 |11
Torfaen |199 |3 |1,301 |19
Aberconwy |28 |1 |215 |5
Arfon |147 |4 |1,059 |26
Dwyfor |18 |1 |529 |25
Meirionnydd |269 |9 |624 |25
Ynys Mon |4 |0 |1,345 |27
Cynon Valley |1,571 |31 |3,154 |64
Merthyr Tydfil |873 |20 |1,639 |37
Ogwr |3,163 |30 |5,197 |50
Rhondda |2,442 |40 |4,904 |82
Rhymney Valley |1,455 |19 |2,852 |37
Taff Ely |95 |1 |1,570 |22
Brecknock |41 |1 |508 |16
Montgomeryshire |5 |0 |284 |7
Radnorshire |3 |0 |104 |6
Cardiff |93 |0 |4,900 |23
Vale of Glamorgan |4 |0 |160 |2
Lliw Valley |1,072 |23 |2,069 |44
Neath |1,205 |24 |2,046 |41
Port Talbot |943 |24 |1,729 |44
Swansea |1,059 |8 |3,142 |23
|--- |--- |--- |---
Wales |20,000 |9 |62,000 |29
<1> £ per personal chargepayer.
HOME DEPARTMENT
Crime Detection
12. Mr. David Nicholson : To ask the Secretary of State for the Home Department what measures are being taken to improve the overall crime detection rate.
Mr. John Patten : The most recent figures available for 1989 show that the crime detection rate for the most serious offences, including violence against the person and sexual offences, remains high at around 75 per cent. I believe that it is important that chief officers should target their efforts on serious and other crimes of particular concern to the public, although they must decide their own priorities in the light of local circumstances. But crime cannot be dealt with by the police alone. They also need the help of the community to reduce the opportunities for crime and the Government will continue to encourage public involvement in crime prevention.
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Young People (Crime)
13. Mr. Michael : To ask the Secretary of State for the Home Department what steps he intends to take to protect the public by diverting young people from criminal activity.
Mr. John Patten : The Government are developing their programmes in diverting young people from crime. The Home Office safer cities programme includes those aimed at reducing young people's involvement in criminal activity. Local activities for young people will also be an important theme of the first-ever national Crime Prevention Week, which is to be held from 15 to 20 April, and we are working with the Department of Education and Science in its consideration of measures to reduce truancy. The Government also think that some parents could do very much more to control their children's behaviour, and the emphasis on parental responsibility in the Criminal Justice Bill will encourage them to do so.
Channel 3 Licences
14. Mrs. Margaret Ewing : To ask the Secretary of State for the Home Department what representations he has received on the ownership restrictions for Channel 3 licences.
22. Mr. Andrew Welsh : To ask the Secretary of State for the Home Department what representations he has received on the ownership restrictions for Channel 3 licences.
Mr. Peter Lloyd : We have received a number of representations about our earlier proposals relating to dual ownership of Channel 3 licences, and my right hon. Friend announced on 28 January, in response to a question from my hon. Friend the Member for Westminster, North (Sir J. Wheeler), an additional temporary restriction on ownership of licences covering contiguous areas.
Local Government Finance
15. Mr. Terry Fields : To ask the Secretary of State for the Home Department how many people have now been summonsed in the Merseyside area for non-payment of the poll tax ; and if he will make a statement.
Mr. John Patten : By the end of December 1990, the six magistrates courts in the Merseyside area--Knowsley, Liverpool, St. Helens, North Sefton, South Sefton and Wirral--had issued a total of 47,360 summonses in relation to non-payment of the community charge.
Constituency Boundaries
16. Mr. Dunn : To ask the Secretary of State for the Home Department if he will give details of the timetable for the next review of boundaries for Parliamentary constituencies in the United Kingdom.
Mrs. Angela Rumbold : There are four separate and independent boundary commissions, one for each part of the United Kingdom. The next general review of constituencies in England is expected to start in 1991. The commission for Wales has not yet decided when it will commence its review, but both commissions will report within the statutory time scale. I understand that the position is similar in Scotland and Northern Ireland.
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Mr. Rooker : To ask the Secretary of State for the Home Department if he will make a statement on the level of preparations made by the Parliamentary Boundary Commission for the review of parliamentary boundaries in England following publication of the electoral register for 1991.Mrs. Rumbold : I am advised by the commission that its preparations for the next general review are well advanced. These preparations have included a policy review of their procedures and an investigation into the increasing use of information technology to support its work. A booklet that explains the commission's work, and which will be available to the public, is in the final stages of preparation.
Probation and After-care Service
17. Mr. Hinchliffe : To ask the Secretary of State for the Home Department if he will make a statement on the future of the probation and after-care service.
Mr. John Patten : The Green Paper, "Supervision and Punishment in the Community"--Cm 966--which was published in February 1990, set out options for improving the efficiency and effectiveness of the probation service in order to meet the demands of the Criminal Justice Bill. More than 160 responses have been received. The options are being carefully considered and we expect to announce our conclusions soon.
Foreign Nationals
18. Mr. Tredinnick : To ask the Secretary of State for the Home Department whether his Department plans any further action in respect of foreign nationals resident in the United Kingdom in connection with the Gulf war.
Mr. Kenneth Baker : Any foreign national who is considered a threat to national security is liable to be deported. Changes to the immigration rules introduced from 19 January provide for Iraqis to be refused visas, leave to enter and extensions of stay in the United Kingdom and an order has been made requiring all Iraqis with limited leave to remain to register with the police. I will not hestitate to take further action if this proves necessary.
Magistrates Courts
19. Mr. Speller : To ask the Secretary of State for the Home Department what representations he has received in response to his publication "Scrutiny of Magistrates Courts" ; and if he will make a statement.
Mr. John Patten : We have received views from the representative organisations of the magistrates courts committees, individual members of the service and other interested parties. No decisions have yet been reached on the reorganisation proposals in the report of the scrutiny.
Football (Policing)
20. Mr. Pendry : To ask the Secretary of State for the Home Department what stage has been reached in the issuing of the Home Office circular to police authorities on the subject of charges for policing at football matches.
Mr. Peter Lloyd : We will take a final decision on the terms of the circular as soon as possible.
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Human Rights
21. Mr. Cohen : To ask the Secretary of State for the Home Department what steps he has taken to assure himself that current procedures and practices relating to refugees meet proper human rights and civil liberties standards.
Mr. Peter Lloyd : The Government's current review of asylum arrangements is taking full account of our obligations under relevant human rights instruments. I am satisfied that current procedures are wholly consistent with our obligations to refugees under the 1951 United Nations convention.
Citizenship Applications
24. Mr. Simon Coombs : To ask the Secretary of State for the Home Department how many applications for British citizenship are currently outstanding ; and when he expects the waiting time to fall below 12 months.
Mr. Peter Lloyd : At the end of December 1990, there were 86,200 applications for citizenship outstanding. I cannot forecast when the waiting time will fall below 12 months.
The Gulf (Terrorism)
25. Mr. Trimble : To ask the Secretary of State for the Home Department how many Iraqis and other Arabs suspected of potential involvement with terrorist actions arising out of the Gulf conflict have been detained ; and how many have been deported.
Mr. Peter Lloyd : A total of 101 Iraqis and 10 others have been detained for reasons of national security since 2 August. Three Iraqis have been deported.
Police Authorities
26. Mr. Murphy : To ask the Secretary of State for the Home Department what assessment he proposes to make of the impact of poll tax capping powers in 1991-92 on the ability of police authorities to carry out their statutory duties.
Mr. Peter Lloyd : It is for each police authority to set its budget at a level which enables it to carry out its statutory duties but it must also have regard to the need for economy and the Government's intended criteria for community charge capping. Actual decisions on capping can be taken only when local authorities have set their budgets. These decisions will take account of all appropriate considerations, including the scope for greater efficiency and economy and, in the case of police authorities, their statutory responsibilities and the maintenance of manpower at the level my right hon. Friend has approved.
Crime
27. Mr. John P. Smith : To ask the Secretary of State for the Home Department whether he has any proposals for new measures to combat rising crime.
Mr. John Patten : We shall continue to pursue vigorously our policies to combat crime and protect the public. Additional people and money will be made available to the police this year. The provisions of the
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Criminal Justice Bill will enhance the courts' powers to deal effectively with offenders. We are expanding our substantial programme of crime prevention measures, with four new safer cities projects recently announced.VIPs
28. Mr. Tim Smith : To ask the Secretary of State for the Home Department what account he takes of the cost of the provision of security cover to VIPs in the Thames Valley police authority area when setting budget and manpower levels.
Mr. Peter Lloyd : In assessing the manpower requirements of Thames Vally police, my right hon. Friend takes full account of the force's protection commitments, and receives professional advice from HM Chief Inspector of Constabulary. We do not set budgets for the force ; that is the responsibility of the police authority.
Immigration Detainees
29. Mr. Fraser : To ask the Secretary of State for the Home Department how many people have been detained under the Immigration Act 1971 since July 1990 ; and if he will make a statement.
Mr. Peter Lloyd : At 28 January there were 29 people detained under the Immigration Act 1971 who had been detained since before 1 August 1990. The number of people who have been detained for any period at any time since July 1990 could not be obtained except at disproportionate cost.
Traffic Wardens
Mr. Harry Greenway : To ask the Secretary of State for the Home Department if he has any plans to increase the number of traffic wardens in London ; and if he will make a statement.
Mr. Peter Lloyd : The strength of the Metropolitan police traffic warden service has for some years remained well below the authorised ceiling because of difficulties in recruiting and retaining staff. Special pay additions were introduced in 1989 to help tackle this, and strength is now picking up, with 100 more wardens at the end of 1990 than a year before. Negotiations are currently in progress between the Metropolitan police management and traffic warden unions about a restructuring package which will improve career, pay prospects and management of the service.
My right hon. Friend has authorised an increase in the authorised ceiling for the service of 200 in 1991-92, bringing it up to 1,800.
Asylum
Mr. MacLennan : To ask the Secretary of State for the Home Department when the Dublin convention determining the state of responsibility for examining applications for asylum lodged in one of the member states of the European Community will be ratified in the United Kingdom.
Mr. Peter Lloyd : The United Kingdom intends to ratify the convention when all 12 member states have signed it. Denmark alone has yet to do so.
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Juvenile Offenders
Mr. Michael : To ask the Secretary of State for the Home Department what finances he intends to make available to local authorities to enable them to provide the secure accommodation necessary to meet court requirements under his proposals on the remand of alleged juvenile offenders.
Mr. John Patten : The Government intend to discuss with the local authority associations the financial implications of the proposals in the consultation paper on the remand of alleged juvenile offenders.
Sunday Trading
Mr. Pike : To ask the Secretary of State for the Home Department whether he has given any recent guidance to local authorities regarding the enforcement of existing Sunday trading legislation.
Mrs. Rumbold : No. There is no reason to suppose that local authorities are not aware of their responsibilities under section 71 of the Shops Act 1950.
EMPLOYMENT
Pop Concerts
Mr. Janner : To ask the Secretary of State for Employment when he expects to receive the first draft of the Health and Safety Executive's guidance on pop concerts and similar events.
Mr. Forth : It is hoped that a first draft of the Health and Safety Executive's guidance on pop concerts and similar events will be available for consultation in early summer this year.
HEALTH
NHS Charity Trust Funds
Mr. Redmond : To ask the Secretary of State for Health if he will arrange to place in the Library a copy of the letter issued by Mr. Duncan Nichol in the late summer of 1990 advising general managers to make greater use of NHS charity trust funds.
Mr. Dorrell : If the hon. Member will supply the letter's reference number and its date of issue, I shall write to him.
Residential Homes
Mr. Conway : To ask the Secretary of State for Health (1) what plans he has to monitor, and to assess the relative costs of, care in a private residential nursing or care home and those within local authority control and to monitor the provision of care in the community including administrative tiers of management ;
(2) if he will monitor the policies of local authorities towards private nursing homes and residential care homes.
Mrs. Virginia Bottomley : We shall be monitoring the progress of local authorities in implementing our policy on community care. In particular, the monitoring of community care plans--to be produced from April 1992--will look at the range of provision local authorities plan
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to develop and commission. Monitoring will include looking at the resources applied to different forms of provision of care in the community and the development of a mixed economy of care. It will also include monitoring the performance of the arms-length inspection units which will be set up in April this year by local authorities to inspect residential care homes, in the public and private sectors.Hospital Fires
Mr. David Nicholson : To ask the Secretary of State for Health what information he has on the number of fires, requiring the calling of the fire service or otherwise
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classified as significant, there have been at hospitals in England including accommodation units for doctors and nurses, in each of last five years ; what casualties resulted in each year ; and if he will make a statement.Mr. Dorrell : The collection of the data requested is a matter for my right hon. Friend the Home Secretary. However, the following data, which are the latest available for England and Wales, are extracted from records published by the Home Office. There is no separate record of fires occurring in the accommodation used by doctors and nurses.
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--------------------------------------------------------------------- Number of fires |2,416|2,296|2,223|2,308|2,146 Confined to items first ignited |1,653|1,572|1,563|1,634|1,544 Spread beyond item first ignited but confined to room, compartment or area of origin |714 |699 |633 |655 |580 Spread beyond room, etc |43 |23 |27 |19 |22 Number of deaths |7 |2 |2 |3 |3 Number of casualties |80 |97 |76 |102 |55
Mr. David Nicholson : To ask the Secretary of State for Health what representations he has received over fire safety arrangements in hospitals, including doctors and nurses accommodation ; and if he will make a statement.
Mr. Dorrell : My right hon. Friend, the Secretary of State has received one letter about fire safety arrangements in hospital premises. The National Health Service management executive is in routine contact with staff of health authorities on specific issues of fire safety in health care premises. Health authorities are required to observe fire safety legislation and the provisions of the building regulations which also set standards for structural fire precautions and means of escape.
Home Office guidance established the criteria for fire precautions in existing hospitals and "Firecode" published by the Department established specific criteria for new health buildings. Most hostel-type accommodation occupied by doctors and nurses is treated as "houses in multiple occupation" under the Housing Act 1985 as amended by the Local Govermnment and Housing Act 1989. Following loss of Crown immunity enforcement will be the responsibility of the local housing authority.
Thyroid Cancer
Mr. Martlew : To ask the Secretary of State for Health how many cases of thyroid cancer have been recorded in the northern region of England in each of the last five years ; and how many deaths.
Mr. Dorrell : The information is shown in the table. The latest available data year for the number of newly diagnosed cases is 1985.
Number of (a) cases and (b) deaths from malignant neoplasm of the thyroid gland<1>, Northern Regional Health Authority, 1981-89 Year |Number of cases |Number of deaths -------------------------------------------------------------------- 1981 |48 |27 1982 |50 |14 1983 |39 |21 1984 |38 |22 1985 |38 |24 1986 |<2>- 1987 |<2>- |14 1988 |<2>- |16 1989 |<2>- |33 <1> International Classification Disease code 193. <2> Figures not yet available.
Drug Prescriptions
Mr. Blunkett : To ask the Secretary of State for Health (1) what guidelines have been provided to district health authorities and family health authorities in respect of which drugs should be (a) provided from hospital pharmacies and (b) prescribed by general practitioners ; and under what circumstances a hospital pharmacy would refuse to provide a prescription in circumstances where a referral had been made from a general practitioner ;
(2) if, in connection with the three-day rule for the prescriptions provided for patients discharged from hospital, he will indicate what regulations exist in respect of obtaining a continuation through the local general practitioner, taking into account weekends ; and if he will make a statement ;
(3) what exemptions exist to the restrictions placed on the prescribing of drugs from hospital pharmacies for those discharged from hospital treatment who are given a prescription for any three days prior to attending their local medical practice.
Mrs. Virginia Bottomley : It has been the policy of successive Governments that responsibility for prescribing should rest with the doctor who has clinical responsibility for that particular aspect of an out- patient's treatment, whether that is the hospital consultant or the general practitioner. Where two doctors share care they should decide between them who should prescribe, bearing in mind the patient's best interests. A general practitioner may also ask advice on treatment from a consultant but still retain clinical, and hence prescribing, responsibility for the patient.
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There are no central rules on the quantity of a medicine to be supplied to a patient on discharge from hospital. Hospital out-patient prescribing policies are determined locally, but are expected to be consistent with the general policy on prescribing. We would expect out-patients on discharge to be supplied with a quantity of medicine which allows them sufficient time to make appointments with their general practitioners and enables a proper handover of the patient from the hospital to the general practitioner.In accordance with working paper 4 of the National Health Service review series, regional health authorities have been asked to examine out-patient prescribing policies within their region, to take a view of what is properly hospital or general practitioner prescribing, and to establish budgets for their district health authorities and family health services authorities on the basis of conformity with the Government's policy.
DHAs (Cross-boundary Funding)
Mr. Blunkett : To ask the Secretary of State for Health what advice has been given to the district health authorities on meeting shortfalls arising from reductions in cross-boundary funding ; and if he will make a statement.
Mr. Dorrell : From 1 April 1991, health authorities will be funded to purchase health care for their resident populations rather than funded for their catchment populations. In 1991-92, all district health authorities will be funded to enable them to purchase broadly the same volume of service as is currently being used by their population, whether in their own district or elsewhere.
The old system of allocation often worked to the disadvantage of districts with hospitals which attract patients from outside. Movement of patients across boundaries was reflected only retrospectively and was based on average costs. Now such districts will be paid directly and in full for all services they provide to non residents.
Liverpool Health Authorities (Property)
Mr. Campbell-Savours : To ask the Secretary of State for Health (1) what valuations have been placed on (a) the Liverpool maternity hospital, (b) the seamen's dispensary, (c) land at 118-164 Woolton road, Liverpool, (d) land at 140 Woolton road, Allerton, Liverpool, (e) 126 Woolton road, Allerton, Liverpool, (f) 120 Woolton road, Allerton, Liverpool, (g) 128 Woolton road, Allerton, Liverpool and (h) district health authority offices at 1 Myrtle street, Liverpool, by the district health authority and by independent valuers ;
(2) what were the first valuation and subsequent valuations placed on the Newsham general hospital by Liverpool district health authority prior to its disposal ; and whether the hospital was the subject of an independent estate agent's valuation prior to disposal ;
(3) whether (a) Liverpool maternity hospital, (b) Liverpool woman's hospital, (c) Park hospital, Liverpool and (d) the seamen's dispensary at Liverpool are to be sold at a price as set by an independent estate agent ;
(4) to what extent the valuation of building materials was considered in the decision to sell the Newsham general hospital site in Liverpool.
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