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Mrs. Virginia Bottomley : This information is not held centrally. The hon. Member may wish to contact Sir Michael Carlisle, the chairman of Trent regional health authority, for details.
Immunisation
Mr. Peter Bottomley : To ask the Secretary of State for Health what percentage of children are immunised against diphtheria, whooping cough and measles in Eltham and Greenwich together with the corresponding figures for the south-east Thames region, England and the World Health Organisation's target percentage.
Mr. Dorrell : Provisional information for the financial year 1989-90 is shown in the table. This is the latest year for which figures are available.
Childhood Immunisation
|Diphtheria|Whooping |Measles<1>
|cough
------------------------------------------------------------------
England |89 |78 |84
South East Thames RHA |89 |80 |82
Greenwich DHA |78 |68 |69
<1> A combination vaccine against measles mumps and rubella (MMR)
replaced measles-only vaccine from 1 October 1988.
The World Health Organisation's target for its European region
was 90 per cent. coverage by 1990. More recent estimates by the
COVER-Cover of Vaccination Evaluated Rapidly-programme managed by
the communicable disease surveillance centre, show that by
February 1991 the percentages for England had reached 90 for
diphtheria, and tetanus and polio, 89 for MMR and 85 for whooping
cough.
Mr. Peter Bottomley : To ask the Secretary of State for Health what percentage of general practitioners in Eltham and Greenwich have achieved their targets for child immunisation, pre-school boosters and cervical cytology in respect of their achievements on 1 October 1990.
Mr. Dorrell : The information is not available in the form requested. The percentages of GPs in the Greenwich and Bexley family health services authority area who received payments in respect of their achievements at 1 April 1990 are as follows :
Percentages of GPs receiving target
payments
|Per cent.
--------------------------------------------
Childhood immunisations |60
Pre-school booster |53
Cervical cytology |79
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National Health Service Patients (Treatment)
Mr. Ralph Howell : To ask the Secretary of State for Health how many NHS patients have received treatment in (a) Germany, (b) France and (c) elsewhere outside the United Kingdom at NHS expense in each year since 1979.
Mr. Dorrell : Under the European Community Social Security Regulations the United Kingdom is responsible for the health care costs of EC nationals resident here who travel elsewhere in the Community. Following are numbers of United Kingdom residents authorised to receive specific treatment in other EC countries :
Year |Germany |France |Elsewhere -------------------------------------------------- 1979 |3 |20 |1 1980 |6 |16 |4 1981 |6 |27 |4 1982 |8 |14 |9 1983 |11 |27 |7 1984 |15 |20 |13 1985 |13 |36 |8 1986 |17 |28 |13 1987 |23 |26 |9 1988 |17 |40 |23 1989 |44 |61 |30 1990 |69 |118 |72 <1>1991 |18 |42 |23 <1> To date.
The EC regulations also cover immediately necessary treatment for conditions arising during a temporary visit. No precise data exists on numbers of United Kingdom residents given such treatment, nor on the number of NHS patients who have been treated in those non-EC countries with which the United Kingdom has bilateral reciprocal health agreements.
Abortion (RU486 Pill)
Mrs. Maureen Hicks : To ask the Secretary of State for Health if he will take measures to ensure that the RU486 abortion pill is not marketed in the United Kingdom, in the light of recent additional evidence.
Mrs. Virginia Bottomley : Before the granting of a licence for a new drug in the United Kingdom the applicant must satisfy the licensing authority as to the safety, quality and efficacy of the drug as set out in the Medicines Act and in European directives. All relevant information, whether or not it is favourable to the application, must be made available to the licensing authority by the applicant as soon as it becomes available.
It is for the manufacturer of any drug to decide whether or not, once a product licence has been granted under the Medicines Act, to market the drug in this country.
European Seminar (Glasgow)
Mr. Wigley : To ask the Secretary of State for Health whether his Department will be represented at the European seminar of the International Federation of Social Workers to be held in Glasgow from 2 to 6 September.
Mrs. Virginia Bottomley : Since this seminar is based in Scotland, the Scottish Office has had the lead in arrangements. My hon. Friend the Minister of State at the Scottish Office is hosting a reception for delegates during the seminar. Official notifications and invitations to other
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Departments have not yet been issued. The Department of Health will look with interest at attendance once such information is received.Management Consultants (Fees)
Mr. Dobson : To ask the Secretary of State for Health what was the total sum paid out in fees by his Department to management consultants in 1979-80 and in each following year ; and what is his estimate for 1990-91 and budget for 1991-92.
Mrs. Virginia Bottomley : We cannot apportion expenditure between the Department of Health and Social Security before 1985-86. The estimate expenditure for each succeeding financial year on fees and expenses for management consultants on health matters is as follows :
Financial year |£ million --------------------------------------------- 1985-86 |0.479 1986-87 |2.103 1987-88 |1.244 1988-89 |1.584 1989-90 |4.870 1990-91 |2.870
The figures up to and including 1988-89 are approximate as expenditure was from a joint health and social security budget. In some cases expenditure has been apportioned where consultants have been engaged on both health and social security matters.
The budget for 1991-92 is £2.9 million.
In general, external management consultants are employed by the Department when expertise in a specialist technique is necessary ; when investigations are required that extend beyond the Department's own boundary ; or when the Department's own resources are too few, or too committed on other work, to tackle an urgent problem and help cannot be obtained from within the civil service.
Spectacles
Mr. Fearn : To ask the Secretary of State for Health what has been the annual (a) uptake of and (b) expenditure on financial assistance for spectacles since 1987 under the national health service voucher scheme.
Mrs. Virginia Bottomley : Details of the number and cost of spectacle vouchers redeemed in England from 1987-88 are shown in the table.
Financial |Vouchers |Expenditure
years |redeemed |(£ millions)
|(millions)
----------------------------------------------------
1987-88 |2.524 |46.316
1988-89 |2.259 |50.134
1989-90 |2.270 |51.056
Figures for 1990-91 are not yet available.
Ophthalmic Opticians
Mr. Fearn : To ask the Secretary of State for Health what is the current fee paid to an ophthalmic optician for carrying out a national health service domiciliary visit.
Mrs. Virginia Bottomley : The fee for domiciliary visits for ophthalmic opticians as from 1 April 1991 is £20 for the first and second patients seen at one address and £10 for subsequent patients.
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Federation of Ophthalmic and Dispensing Opticians
Mr. Fearn : To ask the Secretary of State for Health when he (a) will next meet and (b) last met the Federation of Ophthalmic and Dispensing Opticians ; and what subjects were and will be discussed.
Mrs. Virginia Bottomley : I met representatives of the federation at the general ophthalmic services publicity campaign launch on 19 February. No meeting is arranged with the federation in the immediate future.
NHS Trusts (Business Plans)
Mr. Cousins : To ask the Secretary of State for Health how many staff and of what grade are in post at the Department of Health, and the national health service management executive, to monitor and manage the implementation of national health service trust business plans.
Mr. Dorrell : The preparation of NHS trust business plans is a matter for their own management boards. Certain financial parts of the business plan are monitored by the NHS trust finance branch of the NHS management executive.
The staff numbers and grades in post at present in this branch whose responsibilities are much wider than the monitoring of Trust business plans are :
|Number
----------------------
Grade 5 |0.75
PES |1.00
Grade 7 |3.50
SEO |2.00
HEO(D) |1.00
HEO |3.00
EO |2.00
AO |1.00
There are occasions when input from other branches of the NHS management executive is required.
Pergolide
Mr. Cryer : To ask the Secretary of State for Health if the drug Pergolide is available to national health service patients.
Mrs. Bottomley : This product is not currently marketed in the United Kingdom.
British Fluoridation Society
Mr. Butterfill : To ask the Secretary of State for Health, further to his answer of 19 April, Official Report, column 285, what information he has on the organisation and structure of the British Fluoridation Society ; whether it is a registered charity ; and what involvement its members have in the fluoride chemicals industry.
Mr. Dorrell : The British Fluoridation Society--BFS--is a registered limited company. It has an elected council of approximately 25 members which meets three times a year and an executive of eight honorary officers of the society, which meets five times a year. The BFS has a part-time administration officer based at its head office at 63 Wimpole street, London and a full-time information officer based at the school of dental surgery, university of Liverpool.
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The BFS is not a registered charity. We are not aware of any involvement by its members in the fluoride chemicals industry.Mr. Butterfill : To ask the Secretary of State for Health, further to his answer of 19 April, Official Report, column 285, which regional health authorities are currently considering the implementation of water fluoridation in their areas ; and if he will identify the extent of information, advice, materials and other assistance given to them in each of the last five years by the British Fluoridation Society.
Mr. Dorrell : New schemes or extensions to existing water fluoridation schemes are currently being considered in the North Western, West Midlands, Mersey, Northern, Yorkshire, Wessex and Oxford regions.
The Department does not keep information on the assistance given to regions by the British Fluoridation Society.
Mr. Butterfill : To ask the Secretary of State for Health, further to his answer of 19 April, Official Report , column 285 , what representations he has received from regional health authorities in the past five years requesting information, advice, materials and other assistance on the subject of implementing water fluoridation in their areas.
Mr. Dorrell : No record is maintained of all the occasions on which regional health authorities have approached the Department for such assistance over the past five years.
Sickle Cell Disease
Ms. Harman : To ask the Secretary of State for Health (1) what will be the terms of reference for the proposed working party on sickle cell and thalassaemia ;
(2) when the proposed working party on sickle cell and thalassaemia will report ;
(3) what progress has been made in setting up a working party on sickle cell and thalassaemia ;
(4) who will be the members of the proposed working party on sickle cell and thalassaemia ;
(5) if he will make a statement on sickle cell and thalassaemia services.
Mr. Dorrell [Holding answer 23 April 1991] : At its meeting on 24 April, the standing medical advisory committee agreed to establish a working party on the clinical and service aspects of
haemoglobinopathies. Membership and terms of reference of the working party have yet to be determined.
SCOTLAND
Pollution Research
Mr. Maxton : To ask the Secretary of State for Scotland what was the number of Government research staff employed on work relating to pollution research in Scotland in each year since 1978.
Lord James Douglas-Hamilton : The majority of Government-funded research staff working in the broad area of pollution research in Scotland are employees of research institutes and units which receive funding from United Kingdom departments and research councils.
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Scottish Office commissions research projects in this area by contracting out to other bodies, mainly the Scottish universities and river authorities.In terms of research staff directly employed by the Scottish Office to work on pollution research, almost all are located in the Agriculture and Fisheries Department's marine and freshwater laboratories. At these laboratories, approximately 65 research staff, at scientific officer and above are engaged in pollution research and this number has remained virtually constant since 1978.
Breast Care Nurses
Mrs. Margaret Ewing : To ask the Secretary of State for Scotland (1) how many breast care nurses appear on the national register of breast care nurses in Scotland ;
(2) how many breast care nurses are employed in each health board in Scotland ;
(3) what guidance has been issued from the Scottish Office to health boards on the employment of breast care nurses in Scotland ; (4) how many full- time breast care nurses are employed in each breast cancer assessment centre in Scotland.
Mr. Michael Forsyth : There is no such national register in Scotland and the term "breast care" nurse is not a recognised description. Each of the seven breast cancer assessment centres is funded to provide a nurse for counselling and other services to the patients. The nurse will also provide a link between the assessment centre and the surgical team in the hospital oncology department for those patients whose condition requires further investigation or treatment. No specific guidance has been given to health boards on employment of nurses in the screening units.
Outwith the national breast screening programme there are health visitors, midwives, district nurses and those nurses who provide care in oncology departments all of whom play a part in breat care, but information is not held centrally on the numbers involved.
Mrs. Margaret Ewing : To ask the Secretary of State for Scotland if he will give details of the budget allocation for (a) the employment of breast care nurses in Scotland and (b) the training of breast care nurses in Scotland.
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Mr. Michael Forsyth : This information is not held centrally. Nurses are part of the team of staff and their costs are included in the allocations made to the health boards concerned. The total budget of the breast screening programme for 1991-92 is £3.346 million.
Glasgow Local Health Council
Mr. David Marshall : To ask the Secretary of State for Scotland if he will publish in the Official Report the names, addresses, qualifications and nominating bodies of all the members of the new Greater Glasgow health board local health council.
Mr. Michael Forsyth : This is a matter for Greater Glasgow health board and the hon. Gentleman may wish to approach the board.
Reconstructive Surgery
Mrs. Margaret Ewing : To ask the Secretary of State for Scotland what plans he has to extend the reconstructive surgery services in Scotland.
Mr. Michael Forsyth : There are no plans to extend the reconstructive services beyond the existing centres.
Nursery Education
Mr. John Maxton : To ask the Secretary of State for Scotland how many and what percentage of children aged three and four years were in receipt of nursery education in each (a) regional authority and (b) parliamentary constituency in Scotland in each of the years from 1978-79 to the latest date for which information is available.
Mr. Michael Forsyth : The figures for education authority nursery schools and departments at each September for which information is available are set out in the tables below. Information for 1985 and 1986 is not available.
Information by parliamentary constituency is not held centrally.
Column 241
Three and four-year-olds in education authority nursery schools
|1978 |1979 |1980 |1981 |1982 |1983 |1984 |1987 |1988 |1989 |1990<1>
----------------------------------------------------------------------------------------------------------------------
Borders |299 |313 |301 |363 |387 |394 |359 |390 |438 |447 |470
Central |1,399 |1,512 |1,681 |1,858 |1,960 |2,166 |2,210 |2,492 |2,568 |2,744 |2,732
Dumfries and Galloway |253 |257 |266 |247 |271 |287 |316 |428 |550 |625 |630
Fife |3,192 |3,235 |3,280 |3,142 |3,439 |3,805 |3,993 |4,193 |4,402 |4,329 |4,388
Grampian |2,233 |2,196 |2,222 |2,244 |2,235 |2,425 |2,433 |2,678 |2,985 |3,171 |3,391
Highland |331 |455 |484 |519 |567 |580 |618 |617 |645 |622 |730
Lothian |6,718 |6,529 |6,795 |6,799 |7,045 |7,477 |7,966 |7,965 |8,064 |7,969 |8,457
Strathclyde |14,501 |14,768 |14,841 |15,406 |16,071 |16,793 |17,376 |17,551 |17,828 |18,683 |18,911
Tayside |1,841 |1,933 |2,007 |2,014 |2,097 |2,112 |2,136 |2,344 |2,516 |2,975 |3,326
Orkney |78 |96 |93 |74 |85 |89 |92 |83 |97 |101 |102
Shetland |32 |86 |99 |91 |85 |82 |102 |110 |111 |119 |137
Western Isles |160 |151 |162 |156 |169 |146 |0 |0 |0 |0 |0
|--- |--- |--- |--- |--- |--- |--- |--- |--- |--- |---
Scotland total |31,037 |31,531 |32,231 |32,913 |34,411 |36,356 |37,601 |38,851 |40,204 |41,785 |43,274
<1> Provisional.
Percentage of three and four-year-old children in population 1978 1979 1980 1981 1982 1983 1984 1987 1988 1989 1990 Borders 12.2 12.8 13.7 17.1 17.5 16.6 15.2 16.6 18.7 19.1 19.5 Central 19.3 21.4 25.2 28.8 29.3 31.2 31.2 37.8 39.2 41.9 41.4 Dumfries and Galloway 7.0 7.4 8.4 8.0 8.1 7.9 8.7 12.7 15.8 17.9 17.8
Fife 35.4 36.3 38.3 39.3 40.8 42.2 42.8 48.5 50.4 49.6 47.6
Column 243
Percentage of three and four-year-olds in population
|1978 |1979 |1980 |1981 |1982 |1983 |1984 |1987 |1988 |1989 |1990<1>
----------------------------------------------------------------------------------------------------------------------
Borders |12.2 |12.8 |13.7 |17.1 |17.5 |16.6 |15.2 |16.6 |18.7 |19.1 |19.5
Central |19.3 |21.4 |25.2 |28.8 |29.3 |31.2 |37.8 |39.2 |41.9 |41.4
Dumfries and Galloway |7.0 |7.4 |8.4 |8.0 |8.1 |7.9 |8.7 |12.7 |15.8 |17.9 |17.8
Fife |35.4 |36.3 |38.3 |39.3 |40.8 |42.2 |42.8 |48.5 |50.4 |49.6 |47.6
Grampian |18.2 |18.0 |18.7 |19.4 |18.3 |18.6 |18.6 |21.2 |24.0 |25.5 |26.1
Highland |6.3 |8.5 |9.1 |10.2 |10.7 |10.3 |10.5 |11.6 |12.3 |11.9 |13.6
Lothian |36.0 |36.6 |40.4 |43.0 |43.3 |43.8 |45.3 |47.8 |47.9 |47.3 |45.9
Strathclyde |22.2 |23.2 |24.7 |27.7 |27.8 |27.7 |27.6 |29.6 |30.1 |31.6 |30.9
Tayside |18.5 |20.4 |22.1 |23.2 |23.5 |23.0 |22.6 |25.1 |26.5 |31.3 |34.2
Orkney |16.8 |19.4 |19.3 |14.9 |16.5 |17.9 |18.3 |18.3 |20.7 |21.5 |20.4
Shetland |4.5 |11.7 |13.2 |12.1 |12.1 |11.1 |13.6 |17.7 |18.1 |19.4 |20.5
Western Isles |19.2 |16.8 |18.4 |19.3 |19.7 |16.2 |0.0 |0.0 |0.0 |0.0 |0.0
|--- |--- |--- |--- |--- |--- |--- |--- |--- |--- |---
Scotland total |22.9 |23.8 |25.6 |27.8 |27.9 |28.0 |28.2 |30.8 |31.9 |33.1 |33.0
<1> Provisional.
Local Tax Liability
Mr. Maxton : To ask the Secretary of State for Scotland if, under his new local tax proposals, improvements to a house result in its value rising and crossing the threshold into a higher band, he envisages that this change in the property's valuation will be reflected at any time in the local tax liability.
Mr. Allan Stewart : The treatment of houses which are the subject of such alterations is a matter for consultation.
Road Improvements
Mr. Kennedy : To ask the Secretary of State for Scotland if he will express the amount of money available to Highland regional council for spending on road improvements per mile of road ; if he will further express the sum relevant to the equivalent total for the other Scottish regional councils ; and if he will make a statement.
Lord James Douglas-Hamilton : Capital allocations to Scottish regional councils for roads and transport are not project-specific and take into account expenditure proposed both on new roads and on improving existing roads ; and the allocation issued to Strathclyde region additionally takes into account capital expenditure proposed on rail projects by the Strathclyde passenger transport executive. Final capital allocations for roads and transport to regional councils for 1991-92 are as follows :
Council |Total |Allocation
|allocation |£ per mile
|(£ million)|of road<1>
----------------------------------------------------------
Highland |12.5 |3,014
Borders |4.2 |2,364
Central |4.4 |3,734
Dumfries and Galloway |6.3 |2,535
Fife |8.3 |6,335
Grampian |12.0 |2,621
Lothian |14.4 |6,681
Strathclyde |75.6 |9,818
Tayside |9.5 |3,347
<1> Road lengths at 1 April 1989. Direct comparisons of
allocations per road length can be misleading as road
widths and levels of use vary considerably.
Out-migration
Mr. Maxton : To ask the Secretary of State for Scotland what was the net out-migration from Scotland in each year since 1970 to the most recent available figure.
Mr. Michael Forsyth : The information is given in the following table :
Column 244
Estimated net civilian out-migration 12 months ending June of year shown Year |000s --------------------------- 1971 |<1>21.7 1972 |28.6 1973 |11.7 1974 |3.0 1975 |20.0 1976 |5.8 1977 |10.8 1978 |17.3 1979 |14.6 1980 |16.3 1981 |23.1 1982 |14.9 1983 |17.8 1984 |9.1 1985 |12.6 1986 |16.1 1987 |15.0 1988 |24.7 1989 |6.2 1990 |<2>-13.5 <1>The estimate for 1970-71 was compiled on a slightly different basis to those for later years. <2>There was net in-migration in the 12 months to June 1990.
Local Tax
Mr. Maxton : To ask the Secretary of State for Scotland if he envisages that his planned local tax will require a transfer of staff from local authority assessors departments to the district valuer's office.
Mr. Allan Stewart : Consultations are continuing on the arrangements for valuing properties for the council tax and a final decision has still to be taken.
Mr. Maxton : To ask the Secretary of State for Scotland if he envisages that the new local tax will necessitate a new valuation roll, itemising each property as the charging basis.
Mr. Allan Stewart : There will be a need for some form of record. The nature of this will be a matter for consultation.
Mr. Gordon Brown : To ask the Secretary of State for Scotland what was the total cost of (i) producing and (ii) distributing the Scottish Office booklet "You and the Community Charge--A Step by Step Guide".
Mr. Allan Stewart : The cost of preparing, printing and distributing this booklet was £246,367, comprising production costs of £159,800, distribution costs of £70,567 and the agent's management fee of £16,000.
Column 245
Pupil Testing
Mr. Wallace : To ask the Secretary of State for Scotland what information he has on the proportion of parents who have withdrawn their children from sitting the primary 4 and primary 7 tests in each education authority area in Scotland.
Mr. Michael Forsyth : This information is not available.
Forestry Commission
Mr. Dobson : To ask the Secretary of State for Scotland if he will give for each year from 1979-80, including 1991-92, the number of staff actually employed on 1 April
Column 246
and the full complement of staff including vacant posts, by grade, in the statistical divisions in the Forestry Commission ; and if he will differentiate between staff in statistical posts and staff in administrative posts.Mr. Michael Forsyth : The Forestry Commission has two statistical branches in its research division which employs scientists and supporting staff. The scientists are employed on computer programming and systems analysis as well as statistical work, and it is not possible to provide a breakdown of the time they spent solely on statistical duties. In addition, a statistician is employed in the Forestry Commission's headquarters office.
Column 245
Staff in post (SIP) and complement (C) on 1 April
ResearcHQdivision Q
Scientists EOs AAs<1> Typists Foresters SSOs
|SIP |C |SIP |C |SIP |C |SIP |C |SIP |C |SIP |C
--------------------------------------------------------------------------------------------------
1979 |11 |12 |1 |1 |7 |7 |1 |1 |1 |1 |0 |0
1980 |9 |12 |1 |1 |6 |6 |1 |1 |1 |1 |<2>1 |1
1981 |13 |13 |1 |1 |6 |6 |1 |1 |2 |2 |1 |1
1982 |13 |13 |1 |1 |6 |6 |1 |1 |1 |1
1983 |13 |13 |6 |6 |1 |1 |1 |1
1984 |13 |13 |6 |6 |1 |1 |1 |1
1985 |13 |14 |5 |5 |1 |1 |1 |1
1986 |12 |14 |5 |5 |1 |1 |1 |1
1987 |16 |16 |5 |5 |1 |1
1988 |16 |16 |5 |5 |1 |1
1989 |17 |17 |4 |4 |1 |1
1990 |17 |17 |4 |4 |1 |1
1991 |17 |17 |4 |4 |<3>0.5|0.5
EO=Executive Officer.
AA=Administrative Assistant.
SSO=Senior Scientific Officer.
<1> Includes the former grades of clerical assistant and data processor.
<2> The grade of the HQ statistician in 1980 was senior statistician.
<3> Part-time.
Scottish Development Agency
Mr. Dobson : To ask the Secretary of State for Scotland if he will give for each year from 1979-80, including 1991-92, the number of staff actually employed on 1 April and the full complement of staff, including vacant posts, by grade, in the statistical divisions in the Scottish Development Agency ; and if he will differentiate between staff in statistical posts and staff in administrative posts.
Mr. Allan Stewart : This is an operational matter for Scottish Enterprise, and I have asked the Chairman to write to the hon. Member.
Nuclear Waste
Mr. Home Robertson : To ask the Secretary of State for Scotland, pursuant to his answer to the hon. Member for East Lothian on 24 April, Official Report , column 458 , if he will make it his policy to order a public inquiry into any proposal to establish a dry store for waste nuclear fuel at any site in Scotland.
Lord James Douglas-Hamilton : Scottish Nuclear's consideration of the dry storage of spent AGR fuel in preference to its immediate reprocessing remains at a relatively early stage. Any application to build such a dry store would be made in the first instance to the planning authority ; it would be premature at this juncture to anticipate how it might be handled.
Column 246
Foxes
Mr. Meale : To ask the Secretary of State for Scotland, what is the cost to the Forestry Commission of killing foxes in Scotland, England and Wales for each of the past five years.
Mr. Michael Forsyth : I refer the hon. Member to the reply I gave him on 1 November 1990, Official Report , column 723 .
Disabled People
Mr. Alfred Morris : To ask the Secretary of State for Scotland what is his estimate of the cost of implementation of sections 1, 2 and 3 of the Disabled Persons (Services, Consultation and Representation) Act 1986 in Scotland ; and if he will make a statement.
Mr. Michael Forsyth [holding answer 15 April 1991] : It is estimated that the cost of implementation would be about £3 million. As in the rest of the United Kingdom, it has been decided not to implement these sections at present ; but the position will be reviewed carefully when the impact of the wider community care reforms set out in the White Paper "Caring for People" can be assessed.
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