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Mrs. Virginia Bottomley : The information requested is shown in the table :
|Number
---------------------------
1987-1988<1> |867
1988-1989 |900
1989-1990 |891
<1>(April 1-March 31)
Mr. Conway : To ask the Secretary of State for Health what is the present cost of a wholesale dealers licence from the Medicines Control Agency ; and whether any additional charges are involved in applying for and obtaining such a licence.
Mrs. Virginia Bottomley : An application for a wholesale dealers licence costs £1,105. An inspection is usually necessary in order to determine the application for pharmacy and prescription-only medicines wholesalers, for which there is an additional fee of £1, 105.
Breast Care Nurses
Ms. Walley : To ask the Secretary of State for Health what discussions he has had with the Royal College of Nursing concerning the setting of standards for breast care nurses ; and if he will make a statement.
Mrs. Virginia Bottomley : Standards of nursing care are a matter for the profession. Representatives from the NHS breast screening programme, in partnership with the Royal College of Nursing, are in the advanced stages of determining standards for nurses working in theprogramme's assessment centres. General standards for breast care nurses are being drawn up with the breast care nurses forum at the Royal College of Nursing.
Haemophiliacs
Mr. John Marshall : To ask the Secretary of State for Health how many haemophiliacs who require Factor VIII injections are given the new highly purified material from
Column 345
Armour Pharmaceuticals ; how many are given the older material from Bio Products ; and if he will provide a breakdown for each regional health authority.Mrs. Virginia Bottomley : This information is not held centrally.
Pain Relief
Mr. Ashley : To ask the Secretary of State for Health (1) what information he has regarding the number of national health service hospitals that have a pain management team for cancer patients ; and if every nationl health service hospital treating cancer patients has a pain relief consultant ;
(2) what information he has regarding the number of national health service hospitals with a specific person responsible for pain relief post- operatively ;
(3) if he will estimate the national health service personnel, time and funds available to relieve post-operative pain ;
(4) how many national health service hospitals have a policy for managing post-operative pain ;
(5) what information he has regarding the number of national health service in-patient beds allocated for pain relief investigation and management ; and by what percentage the figure has changed in the last five years ;
(6) if he will list the pain relief facilities possessed by each national health service region, including comprehensive pain clinics and hospices ;
(7) what studies have been carried out by his Department of American pain management programmes ; how many such programmes there are in national health service hospitals ; and what information he has regarding the cost effectiveness of such programmes ; (8) what information he has regarding the number of hours per week devoted to the relief of chronic pain in national health service hospitals ;
(9) what information he has on the number of national health service in- patient beds allocated for pain relief investigation and management ;
(10) if he will request national health service regions, when allocating funds to district health authorities, to require them to identify resources being used for pain relief ;
(11) what guidance he has given to the national health service regions regarding provision for pain relief ; if he monitors such provision ; and what additional funding he has provided for it.
Mrs. Virginia Bottomley : Information about numbers of beds, financial and staffing resources allocated to the investigation and management of pain including post-operative pain is not held centrally. All medical and nursing staff will wish to relieve pain experienced by their patients. It is for health authorities acting upon the advice of clinicians to determine the level of pain relief services they consider necessary to meet the needs of their populations and make suitable arrangements for such provision. In doing so, they will wish to take into account the report of the joint working party on pain after surgery published by the Royal College of Surgeons and College of Anaesthetists in September 1990, a copy of which is available in the Library. Study of American pain management programmes and evaluation and adoption of that or any other pain management programme is first for the medical profession.
Column 346
Hospices
Mr. Ashley : To ask the Secretary of State for Health what information he has regarding access for cancer patients to hospices ; and if he will list the towns that have hospices and the towns with populations over 100,000 that do not have one.
Mrs. Virginia Bottomley : The available evidence suggests that the majority of people admitted to hospices have cancer. It is for health authorities to ensure that terminally ill people and their families have access to a comprehensive range of health services. Information on hospice provision is not available in the form requested, but I understand that the St. Christopher's hospice information service regularly publishes a directory of hospice services.
London Ambulance Services
Mr. Spearing : To ask the Secretary of State for Health if, pursuant to his answer of 28 January, Official Report, column 425, which person or body authorised the reduced standard of response time applicable to ambulances in Greater London ; what consultations he had and with which bodies or persons concerning the adoption of this standard ; and on what date it will be adopted.
Mr. Dorrell : As indicated in my reply to the hon. Member on 21 January, at column 75, the management executive advised health authorities of the adjusted recommended response times. Consultations took place with representatives of regional general managers and regional ambulance officers. It is for individual ambulance authorities to decide whether to adopt the recommended standards.
Mr. Spearing : To ask the Secretary of State for Health (1) what is the number of (a) emergency and (b) non-emergency ambulance vehicles allocated to each of the ambulance stations of the London ambulance service, or held in servicing or reserve, as at 31 December 1990 ; and where such statistics are publicly available ; (2) what is the number of (a) trainee ambulance personnel and (b) qualified ambulance personnel in the employ of the London ambulance service at the latest convenient date ; and how many with para-medical qualifications receive gross salaries of £13,000 per annum or more ;
(3) if he will list the names of any ambulance stations of the emergency service of the London ambulance service which were unmanned for any period in the month of January, together with the total period and number of occasions of any such occurrence ;
(4) what was the number of emergency ambulances of the London ambulance service manned and on duty for each of the shifts on each day of the week 7 to 13 January.
Mr. Dorrell : The information requested is not held centrally. The management of the London ambulance service is the responsibility of the London ambulance service board. The hon. Member may wish to write to Mr. James Harris, the chairman of board, for details.
Mr. Spearing : To ask the Secretary of State for Health what is the number of (a) emergency and (b) non-emergency ambulance vehicles in the ownership of the London ambulance service ; what was the number of vehicles constructed in each category in each year since 1981 ; and where such information is publicly available.
Column 347
Mr. Dorrell : The table shows the number of emergency and non-emergency vehicles in the ownership of the London ambulance service. Data are not collected centrally on the number of vehicles constructed/commissioned in each category. The management of the London ambulance service is the responsibility of the London ambulance service board. The hon. Member may wish to contact Mr. James Harris, the chairman, for details.Column 347
Ambulance service vehicles for London ambulance
service
|1985-86|1986-87|1987-88|1988-89
----------------------------------------------------------------------------------------------------
Ambulances
2-trolley emergency |358 |360 |387 |360
2-trolley dual purpose |- |- |- |-
Sitting case seats only (under 14) |396 |338 |286 |265
Sitting case stretcher capacity |- |- |- |-
Sitting case seats plus lift mechanism |210 |240 |248 |269
Car (with or without stretcher or wheelchair
capacity) |- |- |- |-
Bus-14 or more seats with or without stretcher
or wheelchair capacity |- |- |- |-
|-------|-------|-------|-------
Total ambulance service vehicles |966 |938 |921 |894
used to transport patients
Other ambulance service vehicles
Major incident vehic~les, radio and/or equipment
vehicles (trailers, caravans, etc.) |7 |7 |8 |5
Recovery vehicles (Land Rover type or
converted ambulance) |7 |7 |8 |6
Other ambulance service vehicles |50 |54 |57 |58
|-------|-------|-------|-------
Total other ambulance service vehicles |64 |68 |73 |69
|-------|-------|-------|-------
|-------|-------|-------|-------
Total ambulance service vehicles |1,030 |1,006 |994 |963
Mr. Spearing : To ask the Secretary of State for Health what was the percentage of emergency calls received by the London ambulance service which showed response times within a period of 14 minutes for each day of December 1990.
Mr. Dorrell : Data are only available centrally on a financial year basis. In 1989-90 the London ambulance service responded to 78.8 per cent. of emergency calls within 14 minutes. The management of the London ambulance service is the responsibility of the London ambulance service board. The hon. Member may wish to write to Mr. James Harris, the chairman, for details.
Mr. Spearing : To ask the Secretary of State for Health what inflation factor was applied to the funding of the London ambulance service between each of the financial years 1979-80 and 1989-90 ; and on what basis each was calculated.
Mr. Dorrell : For the years 1979-80 to 1989-90 the Department used the resource allocation working party formula--RAWP--to allocate resources to regions. The allocation included an element for service development and inflation as measured by the gross domestic product deflator. The South West Thames regional health authority has overall responsibility for the London ambulance service. The hon. Member may wish to write to Baroness Cumberlege, the chairman of South West Thames regional health authority, for details.
Smoked Salmon
Mr. Steen : To ask the Secretary of State for Health if he will publish notices in the press explaining the present legal position with regard to the posting of smoked salmon.
Column 348
Mr. Dorrell : An advertising campaign to raise awareness on the new temperature controls generally is planned for the end of February.
Mr. Steen : To ask the Secretary of State for Health (1) if he will make a statement on the provisions which apply to the posting of smoked salmon (a) in England to European destinations and (b) from points in Europe to destinations in England ;
(2) what steps he intends to take to intercept smoked salmon being sent into this country by post from Europe.
Mr. Dorrell : The Food Hygiene (Amendment) Regulations 1990 apply to food businesses in England and Wales. Foods specified in the regulations posted to destinations in Europe are covered by the regulations while in England and Wales. Relevant foods posted in Europe to England and Wales would similarly need to comply with the regulations. Securing compliance with the regulations is a matter for local enforcement agencies.
Mr. Steen : To ask the Secretary of State for Health if he will delay the implementation of the Food Hygiene (Amendment) Regulations 1990 as they affect smoked salmon, until the results of the Ministry of Agriculture, Fisheries and Food research at Torry are known.
Mr. Dorrell : We shall be considering the Torry research very shortly.
Romanian Babies
Mr. Rooker : To ask the Secretary of State for Health what information he has about Romanian babies being brought into the United Kingdom and subsequently returned to Romania by adults not wishing to pursue adoption procedures.
Column 349
Mrs. Virginia Bottomley : We are not aware of any case where this has happened. Adoption law provides that Romanian children are given the same protection as any other child who is subject to adoption proceedings.Stolen Equipment
Mr. Menzies Campbell : To ask the Secretary of State for Health if he will publish a list of the equipment stolen from his Department in the last three years for which information is available ; and what was the approximate value of each item.
Mr. Dorrell : The tables show the official equipment that has been stolen from the Department of Health's London headquarters buildings only, together with its approximate value. The buildings are also occupied by the Department of Social Security's London headquarters staff and the lists include equipment stolen from both Departments' London headquarters. The information for the financial year 1988-89 is not comprehensive, as records were not kept in all buildings at that time.
Period: 1 April 1988 to 31 March 1989
Description of item(s) |Approximate
|value
|£
-----------------------------------------------------------------------------------
One calculator |15.00
Two answering machines-at £ 80 each |160.00
|---
Total |175.00
Period: 1 April 1989 to 31 March 1990
Description of item(s) |Approximate
|value
|£
------------------------------------------------------------------------------------------------------------
Eight answering machines-at £ 65 each |520.00
Five telephones-at £ 42 each |210.00
One telephone handset |10.00
Three electric fans-at £ 20 each |60.00
Three video recorders-at £ 333 each approximately |1,000.00
Two packs of computer ribbons-at £ 12.50 each |25.00
Nine dictating machines plus tape-at £ 32 each approximately |290.00
Two paper weights-at £ 5 each |10.00
Two computers-at £ 2,000 each |4,000.00
Seven calculators-at £ 15 each |105.00
One battery |5.00
One extension lead |25.00
One heater |30.00
|----
Total |6,290.00
Period 1 April 1990 to 31 January 1991
Description of item(s) |Approximate
|Value
|£
------------------------------------------------------------------------------------------------
Four answering machines at £ 65 each |260.00
Two loudspeakers at £ 50 each. |100.00
One mains adaptor |5.00
Three dictaphones at £ 30 each |90.00
One computer keyboard |150.00
Various computer software |100.00
Two fax machines at £ 700 each |1,400.00
Three two-way radios + battery charger kit |800.00
Computer hardware tool kit |500.00
Five computers at £ 2,000 each |10,000.00
Two "Liberator" portable computers at £ 700 each |1,400.00
|-----
Total |£ 14,805.00
South East Thames RHA
Mr. Dunn : To ask the Secretary of State for Health if he will publish in the Official Report a list of major and minor capital projects undertaken or initiated in each district health authority in the South East Thames regional health authority area since 1979 ; and if he will make a statement.
Mr. Dorrell : According to information held centrally, 40 capital projects each costing more than £1 million have been started since 1 January 1980. These are set out in the table. Information on smaller schemes is not held centrally.
Column 349
District health authority |Project
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bexley |Queen Mary's, Sidcup-Extension to Maternity Department
|Queen Mary's, Sidcup-Pathology
Brighton |Royal Sussex County Boiler House
|Royal Sussex County Tower Block-Lift/Ass Works
|RSCH Tower Block South Lift
Bromley |Bassetts Residential Centre MH Services
|Orpington Phase 1
Camberwell |Crystal Palace (Bowley Close) MH Centre
|Kings College Hospital-Childrens Ward
|Kings Day Surgery and Office Accommodation
Canterbury and Thanet |Faversham Hospital Geriatric Wards
|Isle of Thanet DGH-Margaret Wing Interim Development
Dartford and Gravesham |Archery House-MH Unit
Eastbourne |Crowborough Community Base and Day Hospital
|Seaford Health Centre
|Eastbourne New DGH Phase 2
Greenwich |Thamesmead Main Health Centre
Hastings |Hastings DGH Main Phase 1
|Hastings DGH Pre-Phase Works
|St. Anne's ESMI Unit
Lewisham and North Southwark |Guys Phase 3 Redevelopment of Engineering Services Facility
|Guys Phase 3 Renal Unit
|Guys Phase 3 Substructure
|Guys Replacement Telephone System
|Lewisham DGH Phase 1A
|Lewisham DGH Phase 1B
Maidstone |Coxheath EMI (John Day House)
|Maidstone DGH Phase 1 (Nucleus)
|Maidstone DGH Phase 1A (Nucleus)
|Maidstone DGH Staff Residences
|Regional Distribution Centre
Medway |Keycol EMI Unit and Day Hospital
|Medway DGH Phase 3B
|Medway DGH Residential
South East Kent |Buckland DGH
|RVH Folkestone Phase 2
|William Harvey
Tunbridge Wells |Kent and Sussex, Phase 1
|Kent and Sussex Phase 2
West Lambeth |St. Thomas' Hospital South Wing
We are building the health service not just for today, but for the next century, so the Government attach the highest priority to improving and modernising health buildings on which about £1 billion will be spent in England this year. Some 470 schemes each costing over £1 million are at various stages of planning, design and construction.
Residential Care Homes
Mr. Rooker : To ask the Secretary of State for Health what mechanism there is to link levels of state funding and the quality of care elderly residents can expect.
Mr. Dorrell : The Government determine the amount of aggregate external finance each local authority will receive on the basis of standard spending assessments. It is for each authority to determine its own priorities including appropriate care for the elderly residents it supports.
Liverpool Health Authority (Chairman)
Mr. Parry : To ask the Secretary of State for Health what qualifications are required for appointment to the post of chairman of Liverpool health authority.
Mr. Dorrell : Chairmen of health authorities are appointed for the personal skills and experience they can bring to the strategic and management issues facing the authority. They are expected to either live or work or have other links with the community they serve.
General Practitioner Budgets
Mr. Dunn : To ask the Secretary of State for Health if he will publish in the Official Report the number of general practitioners who have opted to become budget holders in each district health authority area under the South East Thames regional health authority area, and the number of budget holders as a percentage proportion of the total number of general practitioners in each district ; and if he will make a statement.
Column 352
Mr. Waldegrave : I intend to make a statement to the House on the recognition of general practitioner fundholders throughout the country in the next few weeks. I will then write to my hon. Friend with the detailed information he seeks.
Food Hygiene
Mr. Steen : To ask the Secretary of State for Health what restriction will now apply to the sending of Patum Peperium, a gentleman's relish, and similar products through the post in light of the Food Hygiene (Amendment) Regulations 1990 ; and if he will make a statement.
Mr. Dorrell : The foods covered by temperature controls are listed in the Food Hygiene (Amendment) Regulations 1990, copies of which are available in the Library. Food businesses will need to consider whether their products are required to be temperature controlled or whether the exemptions for foods which have been processed or packaged to prevent the growth of pathogenic micro-organisms at ambient temperatures apply.
Patum Peperium may well have a high enough salt content to prevent the growth of pathogenic micro-organisms without the need for temperature control but this will depend on the particular recipe used and is for the manufacturer to determine.
Pensioners (Sight Tests)
Mr. Churchill : To ask the Secretary of State for Health how many pensioners had sight tests in the year 1988-89 and in the most recent 12- month period for which figures are available.
Mrs. Virginia Bottomley : This information is not available centrally.
Column 353
Eggs
Mr. Morgan : To ask the Secretary of State for Health if, pursuant to his reply of 22 January, Official Report , column 162, he will now recirculate to NHS district general managers a copy of the letter of 31 July 1988 advising against the use of unpasteurised egg in recipes where the egg is unlikely to be cooked thoroughly.
Mr. Dorrell : The existing guidance to all NHS district managers, given in the letter issued on 29 July 1988 remains extant. The Department keeps this matter under regular review and will issue reminders or revised guidance as necessary.
Tobacco
Mr. Teddy Taylor : To ask the Secretary of State for Health if he will raise at the Council of Health Ministers the impact on health in the third world and eastern Europe of the dumping of high tar tobacco produced in the EC ; and if he will make a statement.
Mr. Dorrell : We will continue to ensure that the health issues arising from the EC tobacco regime are given full consideration in Europe.
Column 354
NHS Costs
Mr. David Porter : To ask the Secretary of State for Health what is the average cost per ambulance emergency call out, and the average cost per day of an ambulance on non-emergency work for the last year for which figures are available ; and if he will make a statement.
Mr. Dorrell : The information collected centrally relating to the costs of ambulance services does not allow apportionment between emergency and non-emergency uses.
Immunisation and Cervical Screening
Mr. Robin Cook : To ask the Secretary of State for Health what proportion of general practitioners in each family health services authority received target payments for childhood immunisation and cervical screening in the first six months of 1990-91.
Mrs. Virginia Bottomley : The table shows the proportion of GPs in each family health services authority qualifying for target payments at 1 April 1990. GPs received these target payments at the end of September 1990.
Column 353
Target Payments: By Family Health Services Authority (FHSA)
FHSA Name Childhood Immunisation Pre-School Booster Cervical Cytology
Percentage Qualifying Percentage Qualifying Percentage Qualifying
|Higher Payment|Lower Payment |Total |Higher Payment|Lower Payment |Total |Higher Payment|Lower Payment |Total
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Northern Region
Cleveland |50 |28 |78 |41 |25 |66 |61 |27 |88
Cumbria |85 |10 |95 |77 |18 |95 |66 |31 |97
Durham |67 |20 |87 |61 |23 |84 |53 |43 |96
Northumberland |91 |5 |97 |90 |7 |97 |87 |13 |100
Gateshead |45 |46 |90 |38 |49 |87 |43 |49 |91
Newcastle |48 |40 |88 |29 |53 |82 |57 |31 |87
North Tyneside |56 |20 |76 |35 |21 |56 |43 |51 |94
South Tyneside |45 |50 |95 |51 |38 |89 |51 |50 |100
Sunderland |40 |53 |93 |31 |50 |81 |35 |65 |100
Yorkshire Region
Humberside |46 |42 |88 |34 |44 |78 |51 |43 |94
North Yorkshire |76 |14 |90 |78 |11 |89 |79 |19 |99
Bradford |42 |37 |79 |34 |32 |66 |48 |31 |79
Calderdale |63 |24 |86 |49 |25 |74 |70 |28 |98
Kirklees |39 |56 |95 |33 |51 |84 |77 |24 |100
Leeds |59 |28 |87 |53 |25 |78 |48 |40 |87
Wakefield |11 |10 |21 |9 |8 |17 |90 |9 |99
Trent Region
Derbyshire |80 |18 |98 |72 |25 |97 |78 |21 |100
Leicestershire |65 |28 |93 |59 |25 |84 |61 |35 |96
Lincolnshire |70 |25 |95 |64 |26 |90 |68 |30 |98
Nottinghamshire |72 |20 |91 |61 |27 |88 |61 |29 |90
Barnsley |35 |65 |100 |21 |75 |96 |93 |8 |100
Doncaster |29 |53 |82 |19 |49 |68 |80 |18 |97
Rotherham |29 |57 |86 |21 |48 |69 |67 |22 |89
Sheffield |60 |28 |89 |50 |29 |79 |63 |31 |94
East Anglia Region
Cambridgeshire |68 |27 |95 |35 |54 |89 |57 |32 |89
Norfolk |89 |7 |96 |90 |6 |96 |86 |12 |98
Suffolk |20 |4 |24 |18 |6 |24 |89 |12 |100
North West Thames Region
Bedfordshire |75 |16 |91 |61 |25 |85 |73 |25 |98
Hertfordshire |77 |13 |90 |67 |20 |88 |68 |23 |91
Barnet |29 |33 |62 |24 |29 |52 |3 |59 |62
Brent and Harrow |36 |17 |52 |30 |15 |45 |7 |45 |52
Ealing, Hammersmith, Hounslow |27 |33 |60 |18 |23 |41 |8 |39 |46
Hillingdon |33 |46 |79 |18 |33 |51 |23 |67 |89
Kensington, Chelsea, Westminster |19 |8 |28 |11 |14 |25 |3 |17 |20
North East Thames Region
Essex |74 |15 |89 |73 |16 |89 |61 |29 |90
Barking and Havering |34 |38 |72 |26 |36 |62 |32 |70 |100
Camden and Islington |13 |23 |36 |5 |16 |21 |1 |21 |22
City and East London |19 |7 |26 |6 |6 |12 |7 |20 |27
Enfield and Haringey |31 |16 |47 |30 |14 |43 |26 |20 |47
Redbridge and Waltham Forest |34 |14 |48 |27 |12 |39 |19 |26 |45
South East Thames Region
East Sussex |77 |14 |92 |61 |27 |88 |51 |42 |93
Kent |76 |20 |96 |57 |35 |92 |43 |35 |78
Greenwich and Bexley |35 |25 |60 |21 |32 |53 |37 |42 |79
Bromley |59 |19 |78 |50 |9 |59 |33 |65 |98
Lambeth, Southwark and Lewisham 21 23 43 13 19 31 10 23 33
South West Thames Region
Surrey |63 |29 |93 |18 |47 |65 |52 |44 |96
West Sussex |85 |11 |96 |77 |18 |95 |64 |29 |94
Croydon |52 |26 |78 |10 |41 |51 |25 |53 |78
Kingston and Richmond |50 |35 |85 |24 |52 |76 |17 |65 |82
Merton, Sutton and Wandsworth |29 |29 |58 |22 |22 |44 |7 |41 |47
Wessex Region
Dorset |85 |13 |98 |80 |17 |97 |79 |20 |99
Hampshire |85 |13 |98 |81 |16 |98 |69 |30 |98
Wiltshire |59 |39 |98 |53 |42 |95 |83 |16 |99
Isle of Wight |67 |33 |100 |44 |51 |96 |87 |13 |100
Oxford Region
Berkshire |79 |16 |95 |65 |24 |90 |58 |40 |97
Buckinghamshire |83 |7 |90 |74 |15 |89 |94 |5 |100
Northamptonshire |86 |13 |99 |58 |41 |100 |78 |20 |98
Oxfordshire |88 |9 |97 |74 |23 |97 |78 |21 |99
South Western Region
Avon |71 |21 |92 |74 |13 |87 |72 |26 |98
Cornwall and Isles of Scilly |77 |13 |90 |89 |3 |92 |77 |23 |100
Devon |86 |13 |99 |80 |14 |95 |75 |26 |100
Gloucestershire |74 |23 |98 |60 |27 |87 |89 |9 |98
Somerset |91 |8 |99 |98 |2 |100 |91 |9 |100
West Midlands Region
Hereford and Worcester |66 |25 |91 |66 |26 |93 |81 |15 |96
Shropshire |53 |44 |97 |48 |50 |98 |76 |23 |99
Staffordshire |54 |31 |85 |47 |32 |79 |69 |33 |100
Warwickshire |56 |31 |88 |41 |39 |80 |79 |21 |100
Birmingham |49 |24 |73 |43 |26 |69 |34 |39 |73
Conventry |44 |41 |85 |45 |22 |67 |55 |34 |89
Dudley |53 |29 |83 |70 |20 |90 |55 |42 |98
Sandwell |37 |45 |82 |29 |31 |61 |23 |77 |100
Solihull |63 |29 |91 |46 |33 |79 |53 |47 |100
Walsall |53 |24 |76 |49 |18 |67 |50 |46 |95
Wolverhampton |17 |21 |39 |9 |18 |27 |25 |74 |99
Mersey Region
Cheshire |69 |29 |97 |61 |30 |91 |74 |25 |99
Liverpool |28 |26 |54 |14 |13 |27 |15 |80 |96
St. Helens and Knowsley |44 |33 |77 |28 |21 |50 |21 |77 |98
Sefton |56 |29 |85 |47 |28 |75 |40 |54 |94
Wirral |63 |26 |88 |63 |18 |80 |41 |59 |100
North Western Region
Lancashire |49 |30 |79 |60 |23 |83 |48 |38 |87
Bolton |37 |39 |77 |26 |47 |73 |49 |47 |96
Bury |60 |33 |94 |63 |24 |87 |70 |27 |97
Manchester |10 |40 |50 |4 |6 |10 |13 |57 |70
Oldham |54 |38 |92 |22 |34 |56 |47 |46 |92
Rochdale |51 |34 |85 |35 |33 |67 |52 |40 |92
Salford |27 |51 |78 |8 |31 |39 |38 |59 |98
Stockport |70 |28 |97 |59 |34 |93 |61 |36 |98
Tameside |31 |50 |81 |21 |64 |85 |68 |24 |92
Trafford |63 |26 |90 |46 |35 |81 |64 |32 |97
Wigan |14 |18 |32 |4 |10 |14 |59 |39 |98
|------- |------- |------- |------- |------- |------- |------- |------- |-------
England |59 |23 |82 |50 |25 |75 |56 |32 |88
Note:
Figures for higher and lower payments may not add to TOTAL because of rounding error.
For childhood immunisations, the higher target--£1,737 per annum for the average list size--is paid for 90 per cent. coverage and the lower target--£579--for 70 per cent. coverage. The necessary coverage levels are the same for the pre-school booster targets--the higher target is worth £579 and the lower target £193. For cervical cancer screening, the higher target--£2,202--necessitates 80 per cent. coverage and the lower target--£734--necessitates 50 per cent. coverage.
Mr. David Porter : To ask the Secretary of State for Health what is the average cost per pint of blood used in the health service in the last year for which figures are available ; and if he will make a statement.
Mr. Dorrell : Blood is donated by volunteer donors and no charge is made to NHS hospitals for it. The average cost of collecting, processing and transporting a unit of blood in 1989-90 was £29.25.
Mr. David Porter : To ask the Secretary of State for Health what is the average cost (a) per general practitioner appointment and (b) per general practitioner home visit, in the last year for which figures are available ; and if he will make a statement.
Mr. Dorrell : This information is not held centrally.
Mr. David Porter : To ask the Secretary of State for Health what is the average cost in the last year for which figures are available for the supply of a new (a) general hospital, (b) ambulance, (c) general practitioner surgery, (d) dental surgery and (e) prescription.
Mr. Dorrell : The average gross cost of a prescription dispensed by community pharmacists or dispensing doctors in England in 1989-90 was £6.36. For the other items mentioned, the cost will vary according to the specification adopted and no meaningful average cost can be given.
Mr. David Porter : To ask the Secretary of State for Health in the last year for which figures are available, what is the average cost to the taxpayer per adult and per child visit to the dentist ; and if he will make a statement.
Mr. Dorrell : Data are collected centrally only on numbers of courses of treatment, not individual patient visits. The estimated average cost of an NHS adult course of treatment in England in 1989-90, net of patient charges, was £18. The estimated average cost of a course of treatment for a child in the same period was £17.
Mr. David Porter : To ask the Secretary of State for Health what is the average cost per adult and per child patient for treatment by general practitioner and hospital service for asthma for the last year for which figures are available ; and if he will make a statement.
Mr. Dorrell : This information is not collected centrally.
Column 358
Electoral Statistics
Mr. John D. Taylor : To ask the Secretary of State for Health what is the largest, smallest and average electorate for constituencies in (a) England, (b) Wales, (c) Northern Ireland and (d) Scotland.
Mr. Dorrell : The information requested is shown in the table in respect of the 1990 electoral registers.
|Parliamentary
|electors (1990)
--------------------------------------------------------------------------------
England
Largest constituency: Milton Keynes |109,839
Average size of 523 constituencies |69,577
Smallest constituency: Surbiton |43,607
Wales
Largest constituency: Pembroke |72,981
Average size of 38 constituencies |58,093
Smallest constituency: Meirionnydd Nant Conwy |32,805
Northern Ireland
Largest constituency: East Londonderry |75,407
Average size of 17 constituencies |66,506
Smallest constituency: Belfast South |53,516
Scotland
Largest constituency: Gordon |77,974
Average size of 72 constituencies |54,676
Smallest constituency: Western Isles |23,084
Numbers on the 1991 registers are currently being collected from electoral registration officers.
GPs (Deprived Area Payments)
Dame Jill Knight : To ask the Secretary of State for Health if he is satisfied with the working of the special deprived area payments for general practitioners.
Mrs. Virginia Bottomley [holding answer 8 February 1991] : We are satisfied that our policy objective of targeting the payments on those practices that service areas of highest deprivation is being met. We have received a number of representations about the scheme and we have agreed that officials will discuss these with the British Medical Association.
Hospital Food
Mr. Fatchett : To ask the Secretary of State for Health whether his Department has issued any guidance about the introduction of charging patients for food in hospital trusts ; and if he will make a statement.
Mr. Dorrell [holding answer 8 February 1991] : No. The provision of meals to NHS hospital in-patients is not subject to compulsory charges. Hospitals may offer a wider choice of menu and charge for the additional services provided.
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SCOTLAND
Flat-finding Agencies
Mr. Nigel Griffiths : To ask the Secretary of State for Scotland if he will consider licensing flat-finding agents or take other steps to ensure that they are suitable people to conduct this work.
Lord James Douglas-Hamilton : I do not believe such action to be necessary.
Mr. Nigel Griffiths : To ask the Secretary of State for Scotland what representations he has received on the activities of Lothian Rentals flat-finding agency in Edinburgh and their implications for the law governing the regulations of such activities.
Lord James Douglas-Hamilton : I have received no such representations.
Clinical Physics and Bioengineering
Mr. Galbraith : To ask the Secretary of State for Scotland if he will give the percentage change in the salary costs as a result of the change to the medical technical officer grade in those staff administered by the Department of Clinical Physics and Bioengineering, West Graham street, Glasgow ; and what are the equivalent figures for those staff in Lothian, Fife, Grampian and Tayside health boards.
Mr. Michael Forsyth : The costs of introducing the medical technical officer grade arose from the transfer of staff to a common pay spine and from the assignment of individuals to particular grades within the new structure following local review. These costs are not available centrally and could not be obtained without
disproportionate costs.
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