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Schools (Capital Expenditure)

Mr. Geoffrey Robinson : To ask the Secretary of State for Education and Science (1) what proportion of the education capital expenditure authorised for schools maintained by local education authorities is attributable to the need to replace and/or refurbish premises which are no longer fit for their purpose in the current planning period ; (2) what additional capital expenditure has been authorised in 1990-91 and 1991-92 in order that local


Column 432

education authorities may provide maintained schools with the accommodation and equipment required to introduce the national curriculum effectively.

Mr. Fallon : Of the £472 million of annual capital guidelines distributed to local education authorities in respect of capital expenditure at county and voluntary controlled schools in 1991-92, £109 million was distributed by formula specifically to contribute towards new replacement and refurbishment work in schools, and a substantial proportion of the balance will also cover such work. Of the £83 million available for grants for capital building work in voluntary aided and special agreement schools in 1991-92 £7.8 million is for new major improvement and replacement work, and a substantial proportion of the balance will likewise go towards such work. The substantial increases in the amount available for distribution as capital allocations and annual capital guidelines in the last two years will assist local education authorities to provide maintained schools with the accommodation and equipment they require to introduce the national curriculum effectively.

Education Costs (Northumberland)

Mr. Ronnie Campbell : To ask the Secretary of State for Education and Science what is the average cost of educating (a) a primary school pupil and (b) a secondary school pupil in the local education authorities within Northumberland.

Mr. Fallon : In 1988-89, the latest year for which information is available, information returned by Northumberland local education authority indicates that its average net institutional expenditure was £1,090 per nursery and primary pupil and £1,630 per secondary pupil. Net institutional expenditure covers the cost of salaries and wages, premises and certain supplies and services. It does not include the costs of central administration, school meals and capital expenditure.

Refugees

Ms. Armstrong : To ask the Secretary of State for Education and Science which local authorities have applied, under section 210 of the Education Reform Act 1988, for a grant to (a) finance existing provision for refugees or displaced persons living in camps or reception centres and (b) finance provision for 1991-92 ; how many of (a) and (b) have received a grant ; what is the amount of grant allocated to each local authority ; and if he will review the grant available for these purposes in the light of the increased number of asylum seekers entering the United Kingdom in 1990.

Mr. Eggar : In 1991-92 Derbyshire, Kirklees, Oxfordshire, Richmond and Surrey sought continued grant to support existing provision for refugees or displaced persons living in camps or reception centres. Camden, Hackney, Hillingdon and Lambeth applied for grant to support new work starting in 1991-92. Richmond also applied for grant to expand its existing provision. The expenditure to be supported in these authorities is as follows :


Column 433


            |£000s        

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

(a)                         

Derbyshire  |74.2           

Kirklees    |84.0           

Oxfordshire |65.9           

Richmond    |56.7           

Surrey      |40.9           

(b)                         

Camden      |36.3           

Hackney     |34.4           

Hillingdon  |19.7           

Lambeth     |77.7           

Mixed-age Classes

Miss Lestor : To ask the Secretary of State for Education and Science what proportion of third-year infants are in mixed-age classes where seven-year-olds are in a minority.

Mr. Fallon : The information requested is not available.

Conductive Education

Mr. Alfred Morris : To ask the Secretary of State for Education and Science what representations he has received from the south-east retail group of the Co-operative Wholesale Society Ltd. about the threatened closure of a positive achievement through conductive education centre ; what reply is being sent ; if any action will be taken ; and if he will make a statement.

Mr. Fallon : Representations have been received from the south-east retail group of the Co-operative Wholesale Society Ltd. concerning the positive achievement through conductive education centre. A reply has been sent which has made clear that, whilst the Government believe that conductive education for those children who are able to benefit from it should in time be made available in this country, this is a matter for local provision.

Thames Polytechnic (Merger)

Mr. Simon Hughes : To ask the Secretary of State for Education and Science for what reasons he has not approved the merger of the South West London college and Thames polytechnic.

Mr. Alan Howarth : My right hon. and learned Friend has consulted South West London college and other institutions about advice from the Polytechnics and Colleges Funding Council that student preferences should be taken into account in determining the future location of work at the college. He hopes to make a final decision about the future of the college shortly.

Voluntary Aided and Controlled Sector

Ms. Quin : To ask the Secretary of State for Education and Science what proposals he has for the voluntary aided and the voluntary controlled sector ; and if he will make a statement.

Mr. Fallon : We are firmly committed to the dual system of county and voluntary schools and we value the contribution of the churches to state education. Overall capital expenditure on church schools on a per pupil basis increased by 80 per cent. in real terms between 1979-80 and 1990-91.


Column 434

We have no proposals to make significant changes to the status of the voluntary schools sector, beyond the plans announced by my right hon. and learned Friend on 21 March to transfer voluntary sixth form colleges to a new sector of post-16 education from April 1993. These colleges will retain their voluntary status.

HEALTH

Northumberland Area Services

Mr. Ronnie Campbell : To ask the Secretary of State for Health how many children in (a) Blyth Valley and (b) Northumberland were received into local authority care where the specific cause was family homelessness, in each year since 1979.

Mrs. Virginia Bottomley : Figures for the numbers of children in care of local authorities are not available centrally for county districts. The latest figures available about children in care in Northumberland are for the year ending 31 March 1990.


Northumberland                                           

Year ending        |Number of                            

31 March           |children admitted                    

                   |to care under                        

                   |section 2 of the                     

                   |Child Care Act                       

                   |1990 where family                    

                   |homelessness was                     

                   |the specific cause                   

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

1979               |4                                    

1980               |6                                    

1981               |2                                    

1982               |3                                    

1983               |1                                    

1984               |6                                    

1985               |0                                    

1986               |0                                    

1987               |0                                    

1988               |1                                    

1989               |0                                    

1990               |2                                    

Mr. Ronnie Campbell : To ask the Secretary of State for Health what are the numbers of beds available to national health service patients within the Northumberland health authority.

Mr. Dorrell : At 31 March 1990, the latest date for which this information is held centrally, there were 3,014 such beds. Since 1979, the number of beds has fallen by 25 per cent. but the number of patients treated has increased by around 17 per cent.

Mr. Ronnie Campbell : To ask the Secretary of State for Health if he will list the names, addresses and qualifications of the directors of the Northumberland Ambulance Trust.

Mrs. Virginia Bottomley : Trust boards are made up of equal numbers of executive and non-executive directors and a chairman. The appointment of the executive directors is a matter for the trust. The chairman and non- executive members of the Northumbria ambulance national health service trust are :

Mr. Roy Stewart

Mr. P. Moth

Dr. J. Higson


Column 435

Mr. A. Ferguson

Mr. A. Knight

Mr. D. Smith

The hon. Member may wish to contact the chairman of the NHS trust for further details.

Convalescent Homes

Mr. David Nicholson : To ask the Secretary of State for Health what representations he has received on (a) the provision of residential homes for short-term post-operative surgical convalescence and (b) the availability of advice and information on the placing of patients in such homes ; and if he will make a statement.

Mr. Dorrell : We have received no such representations. Guidance on discharge procedures is provided for local health authorities in circular HC(89)5 "Discharge of Patients from Hospital" and its accompanying booklet of good practice, copies of which are available in the Library.

Voluntary Organisations

Mr. John Marshall : To ask the Secretary of State for Health if he will list the awards given to voluntary organisations under the section 64 procedure for the financial years 1990-91 and 1991-92.

Mr. Dorrell : In 1990-91 grants totalling £14.8 million were awarded under the section 64 general scheme to 262 voluntary organisations. This represents a real-terms increase of 43 per cent. over 1978-79. Details of the grants are given in the following table.

In 1991-92 we plan to increase the level of support to the voluntary sector under the section 64 general scheme by a further £1.1 million to £15.9 million. So far grants to the value of £11 million have been awarded to 238 voluntary organisations. Further grants will be awarded throughout the year. Existing "core" grants which help to fund headquarters running costs will generally be held more or less steady to enable us to extend the support which we can give to the voluntary sector through new core grants and project funding. Significant core grants have already been renewed for such bodies as Alcohol Concern, Age Concern, MIND and the Disabled Living Foundation. Major new projects funded this year under the section 64 general scheme include ones undertaken by Mental Health Foundation--Homeless in London (£80,000), National Institute for Social Work (£55,000), Stillbirth and Neonatal Death Society (£27, 000) and East London Asian Family Counselling (£24,000).

These figures and the number and range of organisations supported clearly demonstrate Ministers' commitment to the voluntary sector. They also underline the Government's recognition of the special and valuable contribution which voluntary organisations bring to the provision of health and personal social services.






Grants to voluntary organisations under s.64 of the Health Services           

and Public Health Act 1968-General Scheme (Subhead E2(1)A)                    

1990-91 provisional outturn                                                   

                                                  |£                        

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

Access Committee (England)                        |122,000                    

Action for Dysphasic Adults                       |16,580                     

Action for Victims of Medical Accidents           |20,000                     

Action on Smoking and Health                      |241,500                    

ADFAM                                             |18,375                     

Age Concern                                       |254,000                    

Age Exchange Theatre Company                      |10,000                     

AIDS Ahead                                        |40,000                     

AIDS Care Education and Training (ACET)           |100,000                    

Alcohol Concern                                   |583,000                    

Aied Richards Trust                               |35,100                     

Alzheimer's Disease Society                       |130,000                    

Amarant Trust                                     |13,400                     

Amnesia Association                               |8,000                      

Anna Freud Centre                                 |5,000                      

Association for Spina Bifida and Hydrocephalus    |34,919                     

Association for Stammerers                        |10,000                     

Association for the Psychiatric Study of                                      

   Adolescents                                    |20,000                     

Association of Breastfeeding Mothers              |3,775                      

Association of Disabled Professionals             |3,000                      

Association of Professions for the Mentally                                   

   Handicapped                                    |5,000                      

Association of Residential Care                   |20,000                     

Association to Aid the Sexual and Personal                                    

   Relationships of People with a Disability      |36,000                     

Association to Combat Huntington's Chorea         |10,000                     

Barnardos                                         |55,625                     

Black HIV/AIDS Network (BHAN)                     |40,000                     

Body Positive                                     |40,000                     

Breakthrough Trust                                |40,000                     

Breastcare and Mastectomy Association of Great                                

   Britain                                        |32,000                     

Bridge                                            |35,000                     

British Agencies for Adoption and Fostering       |285,000                    

British Association for Counselling               |69,470                     

British Association for Services to the Elderly   |12,000                     

British Association for the Study and Prevention                              

   of Child Abuse and Neglect (BASPCAN)           |27,500                     

British Association of Cancer United Patients                                 

   (BACUP)                                        |23,000                     

British Association of the Hard of Hearing        |60,000                     

British Council of Organisations of Disabled                                  

   People                                         |30,000                     

British Fluoridation Society                      |33,000                     

British Infertility Counselling Association       |3,200                      

British Institute of Industrial Therapy           |25,000                     

British Institute of Mental Handicap              |35,000                     

British Kidney Patient Association                |25,000                     

British Organ Donor Society                       |5,000                      

Brittle Bones Society                             |8,000                      

Brook Advisory Centres                            |65,000                     

Cancer Help Centre                                |30,000                     

Cancer Research Campaign                          |18,000                     

Cancerlink                                        |18,000                     

Care and Repair Limited                           |30,500                     

Care Resources for People Affected by AIDS/HIV                                

   (CARA)                                         |15,000                     

Carers National Association                       |105,000                    

Catholic Child Welfare Council                    |2,500                      

Catholic Marriage Advisory Council                |42,200                     

Centre for Accessible Environment                 |70,000                     

Chest Heart and Stroke Association                |71,163                     

Child Accident Prevention Trust                   |106,050                    

Child Care                                        |184,035                    

Child Migrants Trust                              |20,000                     

Child Poverty Action Group                        |18,000                     

Child Psychotherapy Trust                         |50,000                     

Childline                                         |82,200                     

Children's Legal Centre                           |45,000                     

Chinese Health Information Centre                 |16,000                     

Christian Concern for the Mentally Handicapped    |11,000                     

Coeliac Society                                   |14,500                     

Community Hygiene Concern                         |5,000                      

Compassionate Friends                             |20,000                     

Contact                                           |32,000                     

Contact a Family                                  |90,000                     

Coronary Prevention Group                         |87,500                     

Council for the Advancement of Communication                                  

   with Deaf People                               |60,000                     

Crossroads Care Attendant Scheme Ltd.             |80,000                     

Cruse                                             |142,000                    

Cry-Sis                                           |4,000                      

Cystic Fibrosis Research Trust                    |22,000                     

Dial UK                                           |45,000                     

Disability Alliance                               |45,000                     

Disabled Housing Trust                            |17,000                     

Disabled Living Centres Council                   |20,000                     

Disabled Living Foundation                        |347,255                    

Disabled Living Services Manchester               |10,000                     

Disablement Income Group                          |40,000                     

Down's Syndrome Association                       |15,000                     

Dystonia Society                                  |6,920                      

Eating Disorders Association (was Anorexic                                    

   Family Aid)                                    |24,167                     

Elizabeth Fitzroy Homes                           |25,000                     

Endometriosis Society                             |10,000                     

Ethnic Study Group                                |66,000                     

Extend                                            |25,000                     

Family Planning Association                       |165,000                    

Family Policy Studies Centre                      |100,000                    

Family Rights Group                               |36,000                     

Family Service Units                              |245,000                    

Family Welfare Asssociation                       |136,000                    

First Key                                         |118,832                    

Foundation for Conductive Education               |45,579                     

Foundation for the Study of Infant Deaths         |25,000                     

Foundation for Women's Health Research and                                    

   Development (FORWARD)                          |20,000                     

Friends for the Young Deaf                        |10,000                     

Frontliners                                       |50,000                     

Gingerbread                                       |84,500                     

Good Practice in Mental Health                    |80,000                     

Graves Medical Audiovisual Library                |10,000                     

Haemophilia Society                               |15,500                     

Headway Association                               |40,000                     

Heartline Association                             |5,000                      

Herpes Association                                |15,000                     

Holiday Care Service                              |15,000                     

Home Farm Trust                                   |20,000                     

Home Start Consultancy                            |70,000                     

Homes for Homeless People                         |48,000                     

Horticultural Therapy                             |58,300                     

Housing Campaign for Single Homeless              |36,500                     

Hypogammaglobulinaemia Society                    |4,500                      

In Touch                                          |3,000                      

Institute for the Study of Drug Dependence        |348,000                    

Institute of Transcultural Health Care            |1,000                      

International Social Service                      |53,208                     

Iris Fund                                         |2,500                      

Jewish Welfare Board                              |5,000                      

Joint Committee on Mobility for the Disabled      |1,100                      

Jubilee Sailing Trust                             |20,000                     

Kids                                              |25,000                     

Kids Clubs Network                                |88,500                     

Kings Fund Centre for Health Services                                         

   Development                                    |30,000                     

La Leche League of Great Britain                  |8,000                      

Landmark South London HIV Centre                  |79,000                     

L'Arche Ltd.                                      |12,000                     

Leisure Link                                      |7,500                      

Leonard Cheshire Foundation                       |18,750                     

London Black Womens Health Action Project         |3,000                      

London Chinese Health Resource Centre             |30,000                     

London Lighthouse                                 |300,000                    

MacFarlane Trust                                  |140,000                    

Mainliners                                        |40,000                     

Making Space (was North West Fellowship)          |30,000                     

Manic Depression Fellowship                       |10,000                     

Marfan Association                                |5,000                      

Marie Curie Memorial Foundation                   |20,000                     

Maternity Alliance                                |37,000                     

MENCAP                                            |250,000                    

Menieres Society                                  |5,000                      

Mental After Care Association                     |50,000                     

Mental Health Foundation                          |50,000                     

Mental Health Media Council                       |30,000                     

Migraine Trust                                    |8,000                      

Mildmay Mission Hospital                          |130,000                    

Miscarriage Association                           |4,000                      

Mobility Information Service                      |8,000                      

Motor Neurone Disease Association                 |10,000                     

Myalgic Encephalomyelitis Association             |10,000                     

NAFSIYAT                                          |15,000                     

National AIDS Trust                               |211,000                    

National Association for Maternal and Child                                   

   Welfare                                        |15,000                     

National Association for Mental Health (MIND)     |454,960                    

National Association for Patient Participation    |7,000                      

National Association for the Care and                                         

   Resettlement of Offenders (NACRO)              |270,000                    

National Association for the Childless            |39,300                     

National Association for the Limbless Disabled    |22,500                     

National Association for the Welfare of Children                              

   in Hospital                                    |91,914                     

National Association of Family Based Respite                                  

   Care                                           |4,000                      

National Association of Leagues of Hospital                                   

   Friends                                        |24,000                     

National Asthma Campaign                          |15,000                     

National Back Pain Association                    |21,000                     

National Childbirth Trust                         |64,000                     

National Childminding Association                 |130,000                    

National Children's Bureau                        |364,488                    

National Citizens Advocacy                        |20,000                     

National Community Health Resource                |55,000                     

National Council for One parent Families          |150,000                    

National Council for Voluntary Organisations                                  

   (NCVO)                                         |135,390                    

National Counselling and Welfare Service for Sick                             

   Doctors                                        |1,700                      

National Federation of Kidney Patients            |10,000                     

National Fostercare Association                   |100,000                    

National Information for Parents of Prematures                                

   (NIPPERS)                                      |11,000                     

National Information Forum                        |16,000                     

National Institute for Social Work                |165,500                    

National Joint Emergency Executive Committee                                  

   (Red Cross/St. John Ambulance)                 |25,000                     

National Meningitis Trust                         |15,000                     

National Organisation for Counselling Adoptees &                              

   Parents (NORCAP)                               |8,093                      

National Osteoporosis Society                     |20,000                     

National Playbus Association                      |54,000                     

National Schizophrenia Fellowship                 |140,860                    

National Self Help Support Centre                 |40,000                     

National Society for the Prevention of Cruelty to                             

   Children (NSPCC)                               |150,000                    

National Stepfamily Association                   |20,000                     

National Toy Libraries                            |45,000                     

National Youth Bureau                             |69,000                     

Neurofibromatosis Association (LINK)              |5,000                      

New Horizons Trust                                |10,000                     

Newcastle upon Tyne Council for the Disabled      |5,500                      

North Regional Association for the Blind          |67,619                     

Northern Schizophrenia Fellowship                 |27,500                     

Outset                                            |25,000                     

Overseas Doctors Association                      |17,000                     

Pain Relief Foundation                            |8,500                      

Parent to Parent Information on Adoption                                      

   Services                                       |6,500                      

Parentline Opus                                   |40,000                     

Parents Against Injustice (PAIN)                  |35,000                     

Parents for Children                              |48,500                     

Partially Sighted Society                         |10,000                     

Patients Association                              |20,000                     

Phobic Action                                     |20,000                     

Phobics Society                                   |7,500                      

Physically Handicapped and Able Bodied            |30,000                     

Positively Women                                  |40,000                     

Pre-School Playgroups Association                 |420,000                    

Prince of Wales Advisory Group on Disability      |75,000                     

Queen Elizabeth Foundation for the Disabled       |36,000                     

Rainer Foundation                                 |26,700                     

Rape Counselling and Research Project             |20,000                     

Raynaud's Association Trust                       |6,000                      

Research Trust for Metabolic Diseases             |5,000                      

Restricted Growth Association                     |12,500                     

Richmond Fellowship                               |97,000                     

Royal Association for Disability and                                          

   Rehabilitation (RADAR)                         |225,000                    

Royal National Institute for the Blind            |200,000                    

Royal National Institute for the Deaf             |40,000                     

Royal Society for the Prevention of Accidents                                 

   (ROSPA)                                        |5,000                      

Samaritans                                        |155,000                    

Save the Children Fund                            |71,000                     

Scoliosis Association UK                          |1,000                      

Sense (NADBRH)                                    |65,000                     

Sequal                                            |25,000                     

Sickle Cell Society                               |35,000                     

Skills for People                                 |11,000                     

South Regional Association for the Blind          |127,577                    

St. Katherine Housing Trust                       |18,000                     

Standing Committee on Sexual Abuse of Children                                

   (SCOSAC)                                       |20,000                     

Standing Conference on Drug Abuse (SCODA)         |277,500                    

Stillbirth and Neonatal Death Society (SANDS)     |30,000                     

Streetwise Youth                                  |10,000                     

Support After Termination for Abnormality         |5,000                      

Tacade                                            |10,000                     

Tavistock Clinic Foundation                       |14,070                     

Tay Sachs and Allied Diseases Association         |5,000                      

Terence Higgins Trust                             |450,000                    

Thalassamenia Society                             |15,000                     

Tibble Trust                                      |1,500                      

Tracheo Oesophageal Fistula Support (TOFS)        |3,000                      

Tripscope                                         |4,000                      

Tuberous Sclerosis Association                    |2,000                      

Turning Point                                     |110,000                    

Twins and Multiple Births Association (TAMBA)     |7,750                      

United Response                                   |25,000                     

Values Into Action (was Campaign for Mentally                                 

   Handicapped)                                   |20,000                     

Vitiligo                                          |4,000                      

Vocal                                             |15,000                     

Voice for the Child in Care                       |10,000                     

Voluntary Council for Handicapped Children        |60,000                     

Voluntary Organisations Liaison Committee for                                 

   Under Fives (VOLCUF)                           |36,000                     

Walsingham Community Homes                        |10,000                     

Wessex Rehabilitation Association                 |7,500                      

Westminster Pastoral Foundation                   |60,000                     

Widows Advisory Trust                             |18,000                     

Winged Fellowship Trust                           |15,000                     

Women's Aid Federation (England)                  |130,000                    

Women's Health Concern                            |20,000                     

Women's National Cancer Control Campaign          |32,000                     

Womens Therapy Centre                             |15,000                     

Working Mothers Association                       |15,000                     

Young Minds                                       |10,000                     

                                                  |------                     

Total paid<1>                                     |£14,771,124              

<1> This total includes £50,000 paid to Voluntary Organisations for         

Europe Against Cancer.                                                        

Gulf Casualties

Mr. Redmond : To ask the Secretary of State for Health, pursuant to his answer of 23 April, Official Report, column 397, when he expects to receive and validate the final figures from regional health authorities in respect of Gulf casualties.

Mr. Dorrell : Regional health authorities have been asked to submit final figures for the costs they incurred in making preparations to treat casualties. We expect that final figures will be received and validated within a few weeks.

Nurses' Grading

Mr. Ronnie Campbell : To ask the Secretary of State for Health when he expects nursing clinical grading appeals in Northumberland health authority to be completed ; and if he will make a statement.


Column 440

Mr. Dorrell : Information is not held centrally on district level appeals.

Creuzfeldt-Jakob Disease

Miss Emma Nicholson : To ask the Secretary of State for Health (1) what steps his Department is taking to establish a counselling service for those individuals who may have been infected with Creuzfeldt-Jakob disease by the use of contaminated growth hormone, and the families of those individuals ;

(2) what steps his Department has taken to notify all those individuals who may have been infected with Creuzfeldt-Jakob disease from injections of contaminated growth hormones of the nature of their position ;

(3) if his Department has successfully identified all those individuals who may have become infected with Creuzfeldt-Jakob disease from injection of contaminated growth hormone.

Mr. Dorrell : Those at risk were the 1,908 patients treated with human pituitary derived growth hormone in clinical trials conducted between 1959 and 1985. From records kept of these trials, 1,699 patients have been identified as currently resident in Great Britain. Of these, 80 per cent. have been traced and their general practitioner notified. We expect that a substantial number of the remaining patients will be traced over the next few weeks. The GPs are asked if they wish to advise their patients of the risk or if they would prefer the approach to be made by hospital specialists. If the doctors requested further help with counselling we would consider what additional assistance we could provide.

Miss Emma Nicholson : To ask the Secretary of State for Health what regulations and practices have been instituted since 1985 to ensure that those infected with diseases such as Creuzfeldt-Jakob disease through the use of contaminated products are informed at the earliest possible opportunity of their condition.

Mr. Dorrell : These instances are rare and the complex clinical and ethical issues that determine how best to proceed need to be considered in each instance. Generally, we believe that the doctors involved in treatment are best placed to decided when and how to convey such information.

Miss Emma Nicholson : To ask the Secretary of State for Health how many individuals have been infected with Creuzfeldt-Jakob disease by the use of contaminated growth hormone.

Mr. Dorrell : At present, there is no specific test for Creuzfeldt- Jakob disease (CJD) in the living patient and diagnosis can be confirmed only in post-mortem histological examination. Post-mortems carried out on 110 patients treated in the trials of human-derived growth hormone show that six died with CJD. I am advised that the great majority of the remaining patients treated in the trials are unlikely to have been infected.

Miss Emma Nicholson : To ask the Secretary of State for Health if his Department has successfully identified all those batches of growth hormone that were infected by Creuzfeldt-Jakob disease.

Mr. Dorrell : On the basis of current knowledge it is not possible to identify which batches of human-derived


Column 441

growth hormone used in the clinical trials conducted between 1959 and 1985 were infected with Creutzfeldt Jakob disease. Human-derived material has not been used since 1985, when a genetically engineered hormone treatment became available.

General Practitioners

Mr. Geoffrey Robinson : To ask the Secretary of State for Health (1) how many general practitioners in Britain with over 3,000 patients on their list are working single-handed ;

(2) how many general practitioners in Britain have over 3,000 patients on their list.

Mrs. Virginia Bottomley : At 1 October 1990, the latest date for which figures are available, there were 2,585 general practitioners in England with a personal list size of over 3,000 patients, of whom 373 are working single-handed. The information relating to Wales, Scotland and Northern Ireland is a matter for my right hon. Friends the Secretaries for State for Wales, for Scotland and for Northern Ireland.

Mr. Geoffrey Robinson : To ask the Secretary of State for Health if he will consider amending the regulations to provide that the maximum number of patients for whom any doctor can receive payment is 2,500.

Mrs. Virginia Bottomley : No. List sizes have been falling steadily for a number of years, with the average now below 2,000.

Eye Tests

Mr. Steinberg : To ask the Secretary of State for Health if he will list the number of eye tests taken by men over 65 years and women over 60 years for each year since 1987.

Mrs. Virginia Bottomley : Information is not collected on the age of adults receiving national health service sight tests.

Medical Products (Contamination)

Miss Emma Nicholson : To ask the Secretary of State for Health what steps his Department has taken since 1985 to screen all products such as growth hormones for contamination by serious disease.

Mr. Dorrell : The Medicines Control Agency, which is responsible for the grant of licences under the Medicines Act 1968, requires that applicants for licences supply scientific information to support the application. The agency has issued guidance on the selection of human and animal-derived materials used in the manufacture of medicinal products. Manufacturers are expected to apply appropriate criteria for selecting the sources of such material including screening tests so that contaminated material may be excluded. The agency evaluates data submitted in support of applications with advice, when required, from expert advisory committees set up under the Medicines Act.

Miss Emma Nicholson : To ask the Secretary of State for Health if he will make a statement regarding the nature and extent of screening of blood products by the blood transfusion service for contamination by highly infectious diseases.


Column 442

Mr. Dorrell : In the interests of maintaining the safety of the blood supply, all potential donors are advised not to donate blood or plasma if they consider that they are in one of the high-risk groups for infectious diseases. Additional specific groups are also excluded--such as recipients of human growth hormone, although there is no evidence that Creutzfeldt-Jakob disease infection is transmitted by blood or blood products.

In addition, all blood and plasma donations collected by the National Blood Transfusion Service are routinely tested for HIV 1 and HIV 2, hepatitis B and syphilis. These arrangements are kept under review in the light of any new developments. The Blood Transfusion Service is currently evaluating tests for the hepatitis C antibody and it is expected that routine tests for hepatitis C will be introduced from September 1991.

All factor VIII and IX produced from screened and tested donations are heat treated to inactivate HIV and other viruses. Blood itself cannot be heat treated.

Schoolchildren (Blood Lead Levels)

Mr. Battle : To ask the Secretary of State for Health if he will list by place and date all his Department's surveys into lead levels in the blood of schoolchildren since 1979.

Mr. Dorrell : The Department has not carried out any such surveys. However, surveys have been commissioned by the Department of the Environment (DOE) and the Medical Research Council (MRC) which is the main agency through which the Government support bio-medical and clinical research in the United Kingdom.

The DOE has published the results of the surveys it has commissioned in its Pollution Report Series "United Kingdom Blood Lead Monitoring Programme, 1984-1987". Report No. 28 (1990) summarises all the results for 1984-87. Details of the results for 1984-1986 are given in reports 22, 24 and 26. Copies of all these reports are available in the Library.

The surveys show a progressive fall in children's blood lead levels.

Agency Status

Mr. Cash : To ask the Secretary of State for Health if he will list those bodies currently with agency status within his Department under the "next steps" initiative ; and whether he has identified any further candidates for agency status under the initiative within his Department.

Mr. Dorrell : The NHS Estates Agency was launched on 1 April 1991. In a reply to my hon. Friend the Member for Nuneaton (Mr. Stevens) on 17 April at column 204, my right hon. Friend the Secretary of State announced that the Medicines Control Agency had been identified as a candidate for executive agency status. Further candidates are being considered.

Romanian Children

Mr. David Martin : To ask the Secretary of State for Health how many children from Romania his Department has recommended for entry clearance for adoption in the United Kingdom.

Mrs. Virginia Bottomley : Since December 1989, the Department has recommended to the Home Office that entry clearance should be authorised in respect of 206


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Romanian children for adoption in England. Information relating to Northern Ireland, Scotland and Wales is a matter for my right hon. Friends the Secretaries of State for Northern Ireland, for Scotland and for Wales.

Cleveland Child Abuse Inquiry

Mr. Wallace : To ask the Secretary of State for Health which categories of persons or bodies received funding from his Department in respect of the inquiry into child abuse in Cleveland in 1987 ; what were the purposes for which funding was made available ; what was the total amount of expenditure incurred by his Department ; and if he will make a statement.

Mrs. Virginia Bottomley : The Department gave funds of £300,000 each to the Cleveland county council and the Northern regional health authority in respect of the inquiry into child abuse in 1987. The payments were made in recognition of the exceptional length of the inquiry to assist the local authority and health authority with the costs which they incurred ; the total expenditure incurred by the Department including these payments which can be separately identified was about £1.25 million.

NHS Trusts

Mr. Robin Cook : To ask the Secretary of State for Health what information on the salaries of the executive directors of national health service trusts will be included in the trusts' annual reports.

Mr. Waldegrave [holding answer 20 May 1991] : Annual financial statements for each trust will show the number of employees, including executive directors, receiving remuneration of over £40,000 in bands of £5,000. These statements will also show the emoluments of the highest paid board member separately and the number of board members receiving emoluments in bands of £5,000 with no lower limit.

SOCIAL SECURITY

Benefits and Allowances

Mr. Ralph Howell : To ask the Secretary of State for Social Security what would be the saving if no social security, housing, or welfare benefits other than child benefit were paid to any single person whose income was more than £65 per week and to couples married or otherwise whose income was more than £130 per week.

Mr. Jack : The estimated savings in the income-related benefits are in the table.


                 |Savings                    

                 |(£ million)              

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

Income Support   |5                          

Family Credit    |210                        

Housing Benefit  |240                        

Community Charge                             

   Benefit       |60                         

Comparable details are not held for benefits which are not income related and it is not therefore possible to give estimates for them.


Column 444

Benefits Agency

Mr. Cohen : To ask the Secretary of State for Social Security what are the total anticipated costs of the Benefits Agency, including uniforms and office alterations.

Miss Widdecombe : The information requested is a matter for Mr. Michael Bichard, the chief executive of the Benefits Agency. He will write to the hon. Member with such information as is available and copies will be placed in the Library and the Public Information Office.

Marginal Tax Rates

Mr. Squire : To ask the Secretary of State for Social Security if he will publish a table showing the numbers of lower-paid families with and without children showing one and two-parent families with children separately, whose marginal tax rates, including benefit withdrawal, will be (a) 90 to 100 per cent., (b) 80 to 90 per cent., (c) 70 to 80 per cent., (d) 60 to 70 per cent., (e) 50 to 60 per cent. and (f) 40 to 50 per cent., taking into account the tax changes for 1991-92.

Mr. Jack : The information requested is set out in the table.


Marginal deduction rates including Social Security                         

Numbers with marginal deduction rates within each range                    

(thousands) Great Britain                                                  

Per cent.      |Couples with  |Single parents|Others                       

               |children                                                   

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

90 to 99       |25            |30            |0                            

80 to 89       |95            |35            |15                           

70 to 79       |80            |55            |50                           

60 to 69       |-<1>          |-<1>          |-<1>                         

50 to 59       |0             |0             |0                            

40 to 49       |5             |0             |15                           

Figures are based on pooled Family Expenditure Survey data.                

Calculated for benefit units in receipt of income-related benefits         

where at least one partner works 24 hours per week or more.                

<1> Denotes less than 5,000.                                               

Claimants, Blyth Valley

Mr. Ronnie Campbell : To ask the Secretary of State for Social Security how many adults in (a) Blyth Valley or (b)

Northumberland over the age of 18 years were in receipt of income support for 1990-91.

Miss Widdecombe : The administration of income support is a matter for Mr. Michael Bichard, the chief executive of the Benefits Agency. He will write to the hon. Member with such information as is available and copies will be placed in the Library and the Public Information Office.

Mr. Ronnie Campbell : To ask the Secretary of State for Social Security how many poll tax payers in the Blyth Valley district council area will lose rebate arising out of the proposed reduction in the poll tax.

Miss Widdecombe : This information is not available.

Mr. Ronnie Campbell : To ask the Secretary of State for Social Security how many people are receiving family credit in the areas covered by his Department's Blyth Valley offices.

Mr. Jack : The administration of family credit is a matter for Mr. Michael Bichard, the chief executive of the


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Benefits Agency. He will write to the hon. Member and copies will be placed in the Library and the Public Information Office.

Income Support

Mr. Clay : To ask the Secretary of State for Social Security how many income support claimants had direct deductions for gas, electricity, rent arrears, poll tax arrears, water rates and social fund loans in 1990.

Miss Widdecombe : Figures for May 1989 are contained in table 10 of the "Department of Social Security Income Support Statistics Annual Statistical Inquiry, May 1989", a copy of which is in the Library. There were no deductions for community charge at that time. Figures for the numbers of claimants with deductions in May 1990 will be published shortly.

Mr. Clay : To ask the Secretary of State for Social Security how many families with children were in receipt of income support in each year since 1979.

Miss Widdecombe : Income support was introduced in April 1988 when it replaced supplementary benefit. The numbers of families with children under the age of 16 years receiving those benefits since 1979 is in the table :


              |Thousands          

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

November 1979 |477                

December 1980 |567                

December 1981 |777                

December 1982 |907                

December 1983 |948                

December 1984 |1,031              

February 1986 |1,137              

May 1987      |1,138              

May 1988      |1,119              

May 1989      |1,106              

Source: Annual Statistical        

Enquiries.                        

Note:  There was no Annual        

Statistical Enquiry in 1985: the  

one                               

due in December that year was     

deferred until February 1986.     

Social Fund

Dr. Godman : To ask the Secretary of State for Social Security if he will publish a table showing the gross and net budgets of the social fund for each year since its introduction for (a) the Greenock and Port Glasgow local offices, (b) local offices in Strathclyde and (c) local offices in Scotland ; and if he will break down these budgets into (i) crisis loans, (ii) budgeting loans and (iii) community care grants and showing the change in real terms since 1988-89.


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