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medicines where the finished product of the active ingredient has been produced in former COMECON countries.Mrs. Virginia Bottomley : This information is not readily available and could be provided only at disproportionate cost.
Indian and Chinese Medicines
Mr. Dalyell : To ask the Secretary of State for Health if his Department has any plans to commission research into the number of traditional Indian and Chinese medicines that are available in the United Kingdom without a product licence, and the number of people who have been treated with such products.
Mrs. Virginia Bottomley : Medicinal products are evaluated for safety, quality and efficacy when an application for a product licence is made. This action would be taken on any such application in respect of a traditional Indian or Chinese medicine.
Mr. Dalyell : To ask the Secretary of State for Health what measures the Medicines Control Agency is taking to evaluate and license traditional Indian and Chinese medicines.
Mrs. Virginia Bottomley : Before a medicinal product can be marketed in the United Kingdom it must be covered by a product licence obtained under the Medicines Act 1968. All product licence applications, including any for traditional Indian or Chinese medicines, have to be evaluated for safety, quality and efficacy by the licensing authority before a product licence can be granted.
Rent Subsidies
Mr. Andrew Smith : To ask the Secretary of State for Health what powers health authorities have to subsidise the rents of tenants in their employment ; whether such subsidy can be differentiated according to income ; and whether such subsidy can exceed applicable levels of housing benefit.
Mrs. Virginia Bottomley : In many localities successful recruitment and retention of NHS staff depends on authorities providing subsidised residential accommodation. The level of the subsidy will be a matter for each individual authority.
Some staff are required to occupy NHS accommodation as a condition of employment. Where this is so, authorities abate rent or lodging charges in accordance with centrally negotiated agreements. With the lifting of Crown immunity on 1 April, staff who occupy NHS accommodation can now apply to their local authority for housing benefit in the same way as non-NHS tenants. Detailed guidance on all these matters was issued by the Department to all health authorities in March this year in HG(91)9, a copy of which is available in the Library.
The payment of housing benefit is a matter for my right hon. Friend the Secretary of State for Social Security.
Abortion
Mr. Hind : To ask the Secretary of State for Health (1) in considering granting a licence for RU486 how many studies financed by the manufacturers Roussel Uclaf were
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considered by the Medicines Control Agency ; by whom they were carried out ; how large the samples were ; what the results showed ; and if he will make a statement ;(2) if he will publish the number of independent research projects commissioned by the Medicines Control Agency into RU486, the names of the research units involved and the results ;
(3) how many of the studies commissioned by the Medicines Control Agency into RU486 included post-abortion syndrome studies and follow up studies on the mothers ; and if he will make a statement.
Mrs. Virginia Bottomley : The Medicines Control Agency does not commission research projects into drugs. The MCA's role is to evaluate the data submitted in support of an application for a licence for a drug in respect of its safety, quality and efficacy for the indication proposed. For all new drugs, the MCA seeks the advice of the Committee on Safety of Medicines and its expert
sub-committees. Section 118 of the Medicines Act 1968 precludes both Ministers and the MCA on grounds of commercial confidentiality from disclosing any information on data submitted by manufacturers in support of clinical trials or product licence applications. I would, however, draw my hon. Friend's attention to the well-documented studies in the British Journal of Obstetrics and Gynaecology, June 1990, Vol. 97, pages 480 to 486, and in the New England Journal of Medicine, 8 March 1990, Vol. 322, No. 10, pages 645 to 648, copies of which are in the Library.
Mr. Hind : To ask the Secretary of State for Health if he is setting up a special fund along the French lines to provide damages for children born deformed because their mothers have taken RU486 but then refused to take prostaglandin ; and if he will make a statement.
Mrs. Virginia Bottomley : No. Both the licence holder's data sheet for Mifegyne, for use by the doctor, and the patient information leaflet stress the importance of completing the course of treatment.
Mr. Hind : To ask the Secretary of State for Health what financial provision he is making in the budgets of regional and district health authorities for legal costs and damages against the possibility of deformed victims of RU486 suing the national health service ; and if he will make a statement.
Mrs. Virginia Bottomley : No such action is necessary.
Waiting Lists
Mr. Cousins : To ask the Secretary of State for Health if he will list the number of health authorities and hospital trusts that have received payments from the national waiting list initiative fund in the present financial year.
Mrs. Virginia Bottomley : Allocations from the waiting list fund are made to regions, which in turn allocate sums to their constituent health authorities. Information is not available centrally on regions' allocation to districts except for the 80 target lists being investigated by Qa Business Services. The available information is shown in the tables.
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Waiting list fund 1990-91
Table 1. Allocations to regions from main waiting list fund
Region |Allocation (to 30
|June 1991)
|(£ 000)
----------------------------------------------------------------
Northern |375
Yorkshire |520
Trent |500
East Anglian |340
North West Thames |433
North East Thames |658
South East Thames |440
South West Thames |388
Wessex |380
Oxford |258
South Western |323
West Midlands |713
Mersey |575
North Western |475
|----
Total allocation to regions |6,378
Table 2. Allocations to regions from £ 9 million reserved for target lists
Region |District |Specialty |Allocation
|(£ 000)
----------------------------------------------------------------------------------------------------------------------------------
Trent |Sheffield |Trauma and Orthopaedics|123
North East Thames |Tower Hamlets |Oral Surgery |24
|Tower Hamlets |Trauma and Orthopaedics|24
|West Essex |General Surgery/Urology|9
|West Essex |Trauma and Orthopaedics|61
|City and Hackney |Ear, Nose and Throat |62
|North East Essex |General Surgery |63
South West Thames |West Surrey |Ophthalmology |31
|North West Surrey |Trauma and Orthopaedics|60
West Midlands |North Staffordshire |Trauma and Orthopaedics|50
|---
Total allocations to target lists |507
Mr. Hinchliffe : To ask the Secretary of State for Health what discussions his Department has held with the Yorkshire regional health authority about the authority's scheme with regard to the identification by general practitioners of patients on hospital waiting lists for more than 12 months ; and what is the estimate of the likely cost of this scheme.
Mrs. Virginia Bottomley : The Department has had no specific discussions with the regional health authority on this. However, I understand that as part of the drive to reduce long waiting times, the region has asked purchasing health authorities and GP fund-holders to check the details of patients who have been waiting over a year. The regional health authority has told the Department that the costs are minimal.
It is a key regional management task to ensure that purchasers know how many of their patients are waiting, at which hospitals and for how long, so that arrangements can be made, using the waiting list fund, to secure early treatment for long wait patients. The waiting list fund is expected to be used to reduce the number of long wait patients of both health authorities and GP fund-holders.
Creutzfeld-Jakob Disease
Mr. Cousins : To ask the Secretary of State for Health what was the date on which his Department, his medicine control bodies or his public health services first became aware of a possible link between growth hormone and Creutzfeld-Jakob disease.
Mr. Dorrell : On 11 April 1985 the chairman of the health services human growth hormone committee informed the Department that he had learned from the United States of America of the death from Creutzfeld-Jakob disease of three patients who had received human growth hormone therapy. A meeting of the committee was
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arranged for 9 May. At that meeting it was reported that the Untied States Federal Drugs Agency had withdrawn the use of human growth hormone therapy on 19 April. The committee decided to withdraw the therapy from use in the United Kingdom ; human growth assessment centres were notified immediately. Regional health authorities were informed of the decision and the background to it on 10 June 1985.Mr. Cousins : To ask the Secretary of State for Health when he expects the study into the incidence of Creutzfeld-Jakob disease he is funding to be completed ; and if he will make it his policy to place it in the Library.
Mr. Dorrell : It will be necessary to continue the study into the incidence of Creutzfeld-Jakob disease (CJD) for a decade or more. The author, Dr. R.G. Will, is expected to make the full results available through the usual scientific channels. We have agreed to make an annual report on the incidence of CJD available to the House. The available data on suspected cases who died in 1990 shows that 10 have been confirmed as CJD with a further nine probable and 13 possible cases, most of which are awaiting the results of neuropathology. Reliable data on the previous incidence of CJD is limited, but there is no evidence to show it is increasing.
Mr. Cousins : To ask the Secretary of State for Health what is the policy of the blood transfusion service on the donation of blood by sufferers from Creutzfeld-Jakob's disease.
Mr. Dorrell : There is no evidence that Creutzfeld-Jakob disease can be transmitted in blood or blood products, but people who suffer from CJD or are at special risk of contracting the disease are not accepted as blood donors.
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Performance-related Payments
Mr. Hinchliffe : To ask the Secretary of State for Health if he will list for each year since its introduction the total amount of performance- related payments made to regional or district health authority staff and break this figure down to identify the amounts paid each year in respect of individual districts and regions.
Mrs. Virginia Bottomley : This information is not held centrally.
Nursery Places
Mr. Hinchliffe : To ask the Secretary of State for Health if he will list those health authorities which provide nursery places for use by national health service staff and detail the number of nursery places available.
Mrs. Virginia Bottomley : The information requested regarding nursery provision is not collected centrally at present.
We anticipate some information being available by the autumn and I will arrange for details to be placed in the Library.
It is our understanding that somewhere in the region of half of health authorities have some provision at present.
Patients (Contracting)
Mr. Hinchliffe : To ask the Secretary of State for Health what guidance he has given to regional and district health authorities and trusts with regard to the action which should be taken when patients from a particular purchaser require elective procedures in excess of the agreed ceiling of in-year activity.
Mrs. Virginia Bottomley : General guidance on contracting was given in "Contracts for Health Services : Operational Principles" and "Contracts for Health Services : Operating Contracts"--copies of which are in the Library.
District health authorities will lay contracts which they judge will best meet the needs of local people within the resources available. Hospitals and other units will, as in the past, have to take management action, in close consultation with clinicians, to ensure that levels of activity do not run ahead of the resources available. They may, however, be able to agree with the purchaser an extension to the contract in year to cover additional services.
Medical Manpower
Mr. Bowden : To ask the Secretary of State for Health what plans he has to review future United Kingdom medical manpower.
Mr. Waldegrave : Following my announcement to the Joint Consultants' Committee earlier this year, I am setting up a new standing advisory committee, to advise on the future balance of medical manpower supply and demand in the United Kingdom and to make recommendations as to the appropriate medical school intake. The Committee's terms of reference will be :
To advise the Secretary of State for Health on future developments in the balance of medical manpower supply and demand in the United Kingdom, taking account of
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resource assumptions and other guidance which the Secretary of State, in consultation with other Health Ministers, may give to the Committee ; andTo make recommendations about the medical school intake including the balance between home and overseas students, and the timing of any changes, taking into account the resources available within the Universities Funding Council's aggregate funding and from overseas students' fees as well as the facilities for clinical students. I have appointed Professor Colin Campbell, Vice Chancellor of Nottingham University, to be the first chairman of the Committee. The membership of the Committee will be announced shortly.
DUCHY OF LANCASTER
Duchy Visit
36. Mr. Jacques Arnold : To ask the Chancellor of the Duchy of Lancaster when he expects to pay his next visit to the Duchy.
Mr. Chris Patten : I have no plans to do so.
37. Mr. Dykes : To ask the Chancellor of the Duchy of Lancaster when he next intends to visit the Duchy of Lancaster in his official capacity.
38. Mr. Mans : To ask the Chancellor of the Duchy of Lancaster when he next plans to visit the Duchy of Lancaster.
Mr. Chris Patten : I have no plans to visit the Duchy of Lancaster in the immediate future.
Bolton
Mr. Thurnham : To ask the Chancellor of the Duchy of Lancaster if he will make an official visit to Bolton ; and if he will make a statement.
Mr. Chris Patten : I have no plans to visit Bolton in the immediate future.
SCOTLAND
Nairn Bypass
Sir Russell Johnston : To ask the Secretary of State for Scotland what progress there has been on the proposal for a bypass for Nairn.
Lord James Douglas-Hamilton : We have no proposals for a bypass of Nairn. Works are currently under way to upgrade the road within the town by a local diversion at Nairn railway bridge.
Hospital Consultants
Mr. Galbraith : To ask the Secretary of State for Scotland how many appeals have there been from hospital consultants under general Whitley council conditions of service, section 40, since 1961 ; and in each case, what was the time between the appeal board's decision and its announcement by him.
Mr. Michael Forsyth : Records are available only from 1973. In that period there have been three appeals by hospital consultants under section 40 of the general Whitley council conditions of service. In only one case was
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an independent appeal panel constituted and the time between the submission of the appeal panel's recommendations to the Secretary of State and the announcement of his decision was six months.Tayside Health Board
Mr. Galbraith : To ask the Secretary of State for Scotland what funds are available to Tayside health board to pay travel costs for re- deployed staff.
Mr. Michael Forsyth : Tayside health board receives an annual allocation of revenue to meet recurrent expenditure. In 1991-92 £204.066 million was made available to Tayside health board for this purpose. These resources are not allocated centrally to specific areas of expenditure and it is for the health board to decide how they should be deployed.
Meigle Cottage Hospital
Mr. Galbraith : To ask the Secretary of State for Scotland what is the cost per bed for keeping and treating an in-patient at Meigle cottage hospital for the last five years for which figures are available.
Mr. Michael Forsyth : The cost of keeping and treating an in-patient for one week at Meigle cottage hospital for the last five years is as follows :
Year |Actual cost
|per In-Patient
|Week
---------------------------------------------
1990-91 |549.09
1989-90 |517.96
1988-89 |452.37
1987-88 |410.61
1986-87 |401.00
Greater Glasgow Health Board (Children)
Mr. Galbraith : To ask the Secretary of State for Scotland if he will give for each general dental practice within the Greater Glasgow health board area the number of children registered under capitation arrangements.
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Mr. Michael Forsyth : The information is not available centrally.
Blairgowrie Cottage Hospital
Mr. Galbraith : To ask the Secretary of State for Scotland what is the cost per bed for keeping and treating an in-patient in the acute ward/geriatric wing at Blairgowrie cottage hospital for the last five years for which figures are available.
Mr. Michael Forsyth : The cost of keeping and treating an in-patient for one week at Blairgowrie cottage hospital for the last five years is as follows :
-
Year |Actual cost
|per in-patient
|week
|£
---------------------------------------------
1990-91 |383.82
1989-90 |367.46
1988-89 |337.42
1987-88 |330.00
1986-87 |333.00
Community Care
Mr. Dewar : To ask the Secretary of State for Scotland if he will list the agencies and professional organisations which have been given details about the bridging finance awards that have been made under the announcement of 12 June concerning care in the community.
Mr. Lang : On 11 June 1991, each health board general manager was notified of the details of approved projects in their board area.
Mr. Dewar : To ask the Secretary of State for Scotland if he will list the successful bridging finance applications announced on 12 June to develop and expand care in the community, broken down by revenue and capital in each health board area and for each of the three years 1991-92, 1992-93 and 1993-94.
Mr. Lang : The information is included in the following table.
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Bridging Finance for Community Care
£ 's
--------------------------------------------------------------------------------------------------
Argyll and Clyde
Elderslie |195,000 |22,000 |125,000 |254,000 |0 |168,000
Bute Day Hospital |185,000 |175,000 |0 |175,000 |0 |175,000
Community MHT |2,100 |126,416 |0 |126, 416 |0 |126,416
Inverclyde Phys Dis |150,000 |0 |0 |0 |0 |95,577
Dumbarton and Dunoon |32,875 |42,545 |0 |42,545 |0 |42,545
|------- |------- |------- |------- |------- |-------
Total |564,975 |365,961 |125,000 |597,961 |0 |607,538
Ayrshire and Arran
None at present
Borders
St. Mary's |47,100 |86,250 |0 |103,250 |0 |16,750
Galashiels |50,000 |0 |0 |0 |0 |0
|------- |------- |------- |------- |------- |-------
Total |97,100 |86,250 |0 |103,250 |0 |16,750
Dumfries and Galloway
Sheltered Housing |32,000 |85,000 |0 |58,000 |0 |62,000
Community Home |0 |95,000 |0 |0 |0 |0
|------- |------- |------- |------- |------- |-------
Total |32,000 |180,000 |0 |58,000 |0 |62,000
Fife
None at present
Forth Valley
Mental Illness |216,000 |137,000 |0 |0 |0 |0
Mental Handicap |0 |50,000 |30,000 |30,000 |100,000 |0
|------- |------- |------- |------- |------- |-------
Total |216,000 |187,000 |30,000 |30,000 |100,000 |0
Grampian
Richmond Fellowship |24,000 |0 |0 |0 |0 |0
Peterhead Supp Acc |5,000 |0 |0 |0 |0 |0
Inverurie Supp Acc |10,000 |0 |0 |0 |0 |0
Room to care |0 |15,000 |0 |0 |0 |0
Aberdeen Supp Acc |80,000 |39,123 |80,000 |45,995 |80,000 |45,995
Forensic Rehab |0 |39,208 |0 |47,050 |0 |47,050
Rehab/Outreach |0 |59,508 |0 |62,290 |0 |62,290
Rehab/Day centre |0 |166,666 |0 |250,000 |0 |250,000
SAMH Supp Housing |20,000 |19,583 |0 |23,500 |0 |23,500
SAMH Rehab |50,000 |32,792 |0 |78,700 |0 |78,700
Woodlands Hospital |0 |50,000 |0 |17,800 |0 |17,800
Moray |100,000 |80,000 |0 |165,239 |0 |165,239
Manor |21,000 |0 |0 |0 |0 |0
|------- |------- |------- |------- |------- |-------
Total |310,000 |501,880 |80,000 |690,574 |80,000 |690,574
Greater Glasgow
Mental Handicap II |71,000 |296,000 |0 |107,000 |0 |0
Comm MH Team Bases |150,000 |0 |0 |0 |0 |0
Comm MHT Dom Ser |0 |100,000 |0 |100,000 |0 |0
Mental Illness II |345,000 |901,000 |0 |173,000 |0 |0
EMI |12,000 |52,000 |0 |0 |0 |0
Comm MH Team Bases |50,000 |0 |0 |0 |0 |0
Comm MHT Dom Ser |0 |90,000 |0 |90,000 |0 |0
|------- |------- |------- |------- |------- |-------
Total |628,000 |1,439,000 |0 |470,000 |0 |0
Highland
None at present
Lanarkshire
Mental Handicap |314,000 |353,514 |0 |707,028 |0 |707,028
Mental Illness |120,000 |95,200 |0 |190,400 |0 |190,400
|------- |------- |------- |------- |------- |-------
Total |434,000 |448,714 |0 |897,428 |0 |897,428
Lothian
Hopetoun House |0 |15,000 |0 |20,000 |0 |20,000
Penumbra |375,000 |64,000 |375,000 |64,000 |0 |0
|------- |------- |------- |------- |------- |-------
Total |375,000 |79,000 |375,000 |84,000 |0 |20,000
Orkney
No schemes submitted
Shetland
No schemes submitted
Tayside
Fresh Start |60,000 |125,000 |30,000 |125,000 |0 |0
Western Isles
Mental Handicap |45,000 |112,700 |0 |0 |0 |0
Mental Illness |0 |39,118 |0 |0 |0 |0
|------- |------- |------- |------- |------- |-------
Total |45,000 |151,818 |0 |0 |0 |0
1991-92 1992-93 1993-94
|Capital |Revenue |Capital |Revenue |Capital |Revenue
Total of all schemes |2,762,075 |3,537,623 |640,000 |3,056,213 |180,000 |2,294,290
Total per year |6,299,698 |3,696,213 |2,474,290
Grand Total |12,470,201
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Mr. Dewar : To ask the Secretary of State for Scotland what consultation took place on the proposals for bridging finance announced on 12 June to develop and expand community care.
Mr. Lang : In assessing applications for bridging finance from health boards, prior to allocation on 12 June 1991, the Government took into account the extent to which the proposals had been agreed with local authorities and voluntary agencies involved.
Tourist Signposting
Mr. Kirkwood : To ask the Secretary of State for Scotland (1) what progress has been made in the review of signposting for tourist purposes ; and if he will make a statement ;
(2) when he expects to publish his Department's circular on tourist signposting ;
(3) if he will publish a list of those individuals and bodies who were consulted and who submitted evidence to the body undertaking the review of signposting for tourist purposes ;
(4) on what date did the review of signposting for tourist purposes commence ; and what are the reasons for the delay in producing the circular.
Lord James Douglas-Hamilton : A range of new signs for tourist attractions was first proposed in 1988 in the context of the review of the Traffic Signs Regulations and General Directions 1981. The bodies who were consulted in Scotland included local roads authorities, the Scottish tourist board, the Highlands and Islands development board, police forces, motoring organisations, road safety organisations and bus and transport associations. Comments received were mostly from regional and islands councils, but also from the STB, the HIDB, the AA and bus interests. Subsequently, a review of tourist signposting was taken forward in seminars arranged respectively by the Scottish Office (in October 1989), the Scottish tourist board (in February 1990) and the Highlands and Islands development board, in conjunction with Highland regional council (in September 1990). Close to 250 delegates attended these seminars in total, representing the widest possible range of interests in the tourism sector.
As a consequence of all the input obtained from the exchanges of views at these seminars and thereafter, comprehensive guidelines have been drawn up in close consultation with the Scottish tourist board, the Scottish Confederation of Tourism and Highlands and Islands Enterprise. These guidelines will be sent out in draft for comment by the various interests in the very near future. It has been a long process, but the subject is complex and the views are many, and often conflicting.
Residential Care Allowance
Mr. Kirkwood : To ask the Secretary of State for Scotland if he will list all those regional and island authorities that top up care costs for residents in receipt of residential care allowance and who stay in residential accommodation for people with learning difficulties.
Mr. Michael Forsyth : The information requested is not held centrally.
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Tranent-Macmerry Bypass
Mr. Home Robertson : To ask the Secretary of State for Scotland if he will make a statement on the fatal accident on the
Tranent-Macmerry bypass on 6 July ; and if he will take further steps to warn motorists that that section of the A1 road is not a dual carriageway.
Lord James Douglas-Hamilton : This appalling accident took place in the early morning of 6 July in darkness and fog on a stretch of the A1 between Tranent and Haddington. It is too early to draw conclusions as to the causes of the accident or the factors which may have contributed to its exceptional severity. A report on the accident will be made by the police to the procurator fiscal. The stretch of road in question has a good safety record with an accident rate well below the national average for a road of its type. The signs and road markings provided exceed national standards. The steering group which I set up to carry out a programme of improvements to the A1 as part of a route action plan has been examining the whole length of the route between Edinburgh and Newcastle to identify accident remedial measures which might be taken. Their examination has included this and other single carriageway sections of the route. I am now asking the group to re-examine these sections in the light of this accident to consider whether there are any signing or other remedial measures which could further improve the safety of these sections and which could be implemented at an early date.
I have asked the police to advise me of any issues relevant to road safety relating to this section of the road which have become apparent from their investigation of the accident and I will, of course, give urgent consideration to any recommendations they may make.
My hon. Friend the Parliamentary Under-Secretary of State for Transport has already indicated that following the accident his Department will also be reviewing the requirements relating to the seating for passengers carried in vans.
Electoral Register
Mr. Wray : To ask the Secretary of State for Scotland what is, for each year since 1975, the number of people on the electoral register in (a) Greater Glasgow, (b) Strathclyde and (c) Scotland.
Lord James Douglas-Hamilton : Information on the number of people on the electoral register in Scotland by parliamentary constituency is contained in the annual series "Electoral Statistics" compiled by the Office of Population Censuses and Surveys. Copies of the entire series since 1974 are available in the House Library.
A1
Mr. Home Robertson : To ask the Secretary of State for Scotland if he will make a statement on the programme for dualling the A1 road from Musselburgh to Haddington and onwards to Dunbar, giving projected start and completion dates, and the relevant financial details from his Department's capital programme for roads.
Lord James Douglas-Hamilton : Following our routes south of Edinburgh study, I announced that consultants would be appointed to prepare the A1 dualling scheme from Bankton (Tranent) to Haddington and the further
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dualling to Dunbar. The necessary preparatory work is progressing well and we are on course to meet the commitment given for a start to construction of the Bankton to Haddington dualling scheme by the mid-1990s. I expect the consultants to report later this summer on selected route options. The consultants report on the further dualling scheme between Haddington and Dunbar is expected in the latter part of 1992. In view of the uncertainty surrounding the time needed to complete the necessary statutory procedures start and completion dates are not available at this stage in the preparation of the schemes. Scheme costs will depend upon the complexity of the works and the line followed which cannot be predicted with any certainty at this stage.Erskine Bridge
Mr. Graham : To ask the Secretary of State for Scotland what is the cost of maintaining the Erskine bridge.
Lord James Douglas-Hamilton : The latest published accounts show that the operating and maintenance costs of the bridge were £326,247 in 1989-90.
Mr. Graham : to ask the Secretary of State for Scotland how much was taken in tolls on the Erskine bridge each year since the bridge was opened.
Lord James Douglas-Hamilton : The latest published accounts are for 1989-90. The tolls collected each year since the bridge was opened are as follows :
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