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Regional health autNumber of dentisDifference
at 30 September
|1990 |1991
--------------------------------------------------
Northern |869 |881 |12
Yorkshire |1,094 |1,092 |-2
Trent |1,218 |1,257 |39
East Anglia |605 |604 |-1
North West Thames |1,512 |1,436 |-76
North East Thames |1,226 |1,222 |-4
South East Thames |1,341 |1,334 |-7
South West Thames |1,240 |1,242 |2
Wessex |949 |939 |-10
Oxford |826 |828 |2
South Western |1,209 |1,217 |8
West Midlands |1,395 |1,396 |1
Mersey |764 |765 |1
North Western |1,232 |1,238 |6
|-------|-------|-------
Total |15,480 |15,451 |-29
Hospitals (Crown Immunity)
Mr. Redmond : To ask the Secretary of State for Health if NHS trust hospitals are covered by Crown immunity ; and if he will make a statement.
Mr. Dorrell : Crown immunity, with the exception of a small number of limited immunities, has been removed from health service bodies, including NHS trusts. Details are contained in a health notice, HN(90)27, "The NHS and Community Care Act 1990 Removal of Crown Immunities", a copy of which is available in the Library.
Children's Homes
Mrs. Gorman : To ask the Secretary of State for Health if he will introduce legislation to ensure that local authorities employ mature women who have brought up a family, or have direct experience thereof, to supervise children's homes.
Mrs. Virginia Bottomley : We are sure that many mature women could play a more substantial role in the management of children's homes.
Column 253
It is for authorities to decide the qualifications and experience that are appropriate for posts carrying different responsibilities within a home's staff establishment and to organise recruitment and/or training accordingly.Training opportunities have been enhanced by a number of initiatives taken by the Department, including acceptance of the recommendations in Sir William Utting's report "Children in the public care" that all heads of residential children's homes should be professionally qualified.
NHS Expenditure
Mr. Ashby : To ask the Secretary of State for Health what was spent on the NHS in absolute and in real terms in 1979 ; spent on the NHS in 1991.
Mr. Dorrell : In 1978-79 gross NHS expenditure in England was £6.5 billion--£17.7 billion in today's prices,
Column 254
1991-92. This year gross expenditure on the NHS is expected to be £26.6 billion, a real-terms increase over the period of over 50 per cent.National Health Service Expenditure
Mr. Thurnham : To ask the Secretary of State for Health what is the projected capital spending in the national health service in the next three years ; and if he will make a statement.
Mr. Waldegrave [pursuant to his reply, 5 November 1991, c. 313- 14] : The amounts in column 1 of the table will be allocated to the English regional health authorities for capital spending in 1992-93. Their residents will also benefit from the capital investment which first wave national health service trusts are authorised to undertake--column 2. The regional provision for capital spending taking the main allocations for regional health authorities and national health service trusts together is shown in column 3.
Column 253
|(1) |(2) |(3)
Region |Regional |First wave |Capital
|health authority|trust capital |investment
|main allocation |in region
|£ million |£ million |£ million
--------------------------------------------------------------------------------------
Northern |92.5 |4.2 |96.8
Yorkshire |85.7 |35.0 |120.7
Trent |131.6 |17.0 |148.5
East Anglian |53.6 |7.1 |60.7
North West Thames |89.4 |12.3 |101.7
North East Thames |93.4 |21.0 |114.4
South East Thames |96.0 |14.3 |110.3
South West Thames |76.4 |20.2 |96.7
Wessex |82.4 |6.7 |89.1
Oxford |68.2 |0.4 |68.6
South Western |68.3 |39.1 |107.4
West Midlands |145.1 |16.6 |161.6
Mersey |45.4 |31.4 |76.8
North Western |106.7 |17.9 |124.6
|------- |------- |-------
All regions |1,234.8 |243.2 |1,478.0
The external financing limits for individual national health service trusts are being announced separately.
St. Stephen's Hospitals
Mr. Robert Banks : To ask the Secretary of State for Health what is the current position with the building and equipping programme of St. Stephen's hospital, London, and the expected changes in the scale of operation of other London hospitals whose patients will be treated at the new hospital.
Mr. Dorrell : The construction of the new Westminster and Chelsea hospital on the site of the former St. Stephen's hospital is proceeding on schedule. The building should be completed in November 1992 and be fully operational by April 1993. It will replace facilities currently provided by the Westminster hospital and the Westminster children's hospital. Sir Bernard Tomlinson is currently heading a study group, commissioned by my right hon. Friend the Secretary of State, which is looking into the future provision of health care across London.
Column 254
Census Information
Mr. Doran : To ask the Secretary of State for Health how many prosecutions have been brought under the provisions of the Census (Confidentiality) Act 1991 or any other enactment for the unlawful disclosure of census information.
Mr. Dorrell : No prosecutions have so far been brought with respect to unlawful disclosure of 1991 census information. One enumerator was prosecuted following the 1971 census.
Sellafield (Childhood Cancer)
Mr. Butler : To ask the Secretary of State for Health when he expects the Committee on Medical Aspects of Radiation in the Environment to report on its review of the incidence of childhood cancer in the vicinity of Sellafield.
Mr. Dorrell : As my hon. Friend the Member for Kettering (Mr. Freeman) announced on 10 January 1990 at column 662, and 3 May 1991 at column 369, since 1989 the Committee on Medical Aspects of Radiation in the Environment--COMARE--has been reviewing
epidemiological and dosimetric data which have become available since the publication of the Black advisory
Column 255
group's report to Government in 1984 , and of COMARE's first report in 1986 . Copies of both reports are in the Library. Much of this information has become available as a result of studies commissioned by the Government. In addition, some documents relating to radioactive discharges from Sellafield in the early 1950s have been drawn to the attention of COMARE. A preliminary review of all this information has caused COMARE to ask the National Radiological Protection Board to produce a comprehensive reassessment of dose and risk estimates in respect of the local population. I am advised that this reassessment will substantially delay COMARE's review and the completion of a final report to Government.Investigation of the Possible Increased Incidence of Cancer in West Cumbria. Report of the Independent Advisory Group. Chairman : Sir Douglas Black. HMSO (1984).
Committee on Medical Aspects of Radiation in the Environment (COMARE) First Report. The implications of the new data on the releases from Sellafield in the 1950s for the conclusions of the Report on the Investigation of the possible Increased Incidence of Cancer in West Cumbria. Chairman : Professor M. Bobrow. HMSO (1986).
Pharmaceutical Price Regulation
Mr. Speed : To ask the Secretary of State for Health if he will give the amount of money in pounds sterling repaid to his Department under the pharmaceutical price regulation scheme and the number of companies which have made these payments.
Mrs. Virginia Bottomley : The current pharmaceutical price regulation scheme was introduced from 1 October 1986. Since that date, there has been a total of 102 repayments, from 38 companies. The total amount repaid is £61,379,286.
Prescriptions
Mr. Speed : To ask the Secretary of State for Health what is the gross profit, expressed in pence per prescription, paid to pharmacist contractors in England and Wales for each of the last 10 years at actual and constant prices.
Mrs. Virginia Bottomley : The amounts due for profit which include interest on capital employed are shown in the table. The Pharmacists' Review Panel report on profit recommended that the pure profit percentage should be reduced from 2 to 1 per cent. This was implemented in 1988-89. Details are as follows :
Year Interest Pure Profit
|Actual |Constant |Actual |Constant
|Prices |Prices<2>|Prices |Prices<2>
------------------------------------------------------------
1981 |8.61 |15.43 |6.81 |12.20
1982 |8.64 |14.45 |7.49 |12.53
1983 |8.00 |12.79 |8.33 |13.32
1984 |8.50 |12.94 |8.63 |13.14
1985<1> |11.00 |16.75 |8.91 |13.57
1985-86 |11.19 |16.14 |9.60 |13.85
1986-87 |10.62 |14.84 |10.12 |14.37
1987-88 |10.37 |13.74 |11.02 |14.60
1988-89 |13.18 |16.29 |6.01 |7.43
<1> 1 January 1985 to 31 March 1985
<2> Constant Prices calculated using 1991-92 prices as the
base.
Following the new arrangements for remuneration of pharmacists from April 1989 onwards, estimates of the amounts due for profit are no longer calculated as separate items of remuneration.
Insulin Injections
Mr. Speed : To ask the Secretary of State for Health what is the comparative cost over two years of an insulin injection pen with appropriate needle and a disposable insulin syringe based upon two injections per day.
Mrs. Virginia Bottomley : It is not possible to make a detailed cost comparison in the way requested because of variations in patients' dosages and injecting habits and the types and pack sizes of insulin and their costs. On the basis of information submitted by the manufacturers to the Department, assuming no reuse of needles and a pen system that lasts for less than two years, the cost of an injection pen system would exceed the current cost of disposable syringes.
Community Care
Mrs. Ann Winterton : To ask the Secretary of State for Health what assessment he has made of the extent to which consideration by a health authority of the establishment of a village community for mentally handicapped patients is consistent with his policy on community care.
Mr. Dorrell : The Department has recently reviewed its policy on residential and other services for people with learning disabilities-- mental handicap--in the light of the community care reforms and issued draft guidance for consultation. This envisages village communities as being an acceptable but not essential part of a range of community based residential settings. We are currently considering comments received as a result of this consultation.
St. Charles Youth Treatment Centre
Mr. Maclennan : To ask the Secretary of State for Health (1) what proposals he has to change the security status of the St. Charles youth treatment centre, Brentwood ;
(2) what is the purpose of his proposal to erect a 17 ft wire fence outside the 40 ft perimeter wall of St. Charles youth treatment centre ; and if he will make a statement.
Mrs. Virginia Bottomley : Local management is considering the need for an open facility to support secure units on the Brentwood site, but the Department has yet to receive recommendations. We are having exploratory discussions with local managers about whether or not to build a fence and if so how extensive that should be. The local planning authority has been approached about an option to enclose the site entirely. Its views are awaited.
North East Thames Regional Health Authority
Mr. Burns : To ask the Secretary of State for Health if he will make a statement on the level of funding of the North East Thames regional health authority broken down by region between 1978-79 and 1991-92 ; and the projected funding for 1992-93.
Mr. Dorrell [holding answer 11 December 1991] : Information derived from the annual accounts of the health authorities comprising the North East Thames region is shown in table 1.
Column 257
Over a period expenditure figures will exceed fundings allocated because in meeting their expenditure health authorities have the use of additional resources such as local receipts. Basic revenue allocations for the region for 1991-92 and 1992-93 are currently £1, 332.5 million and £1,448.2 million respectively. Allocations to district health authorities within the region are a matter for the North East Thames regional health authority.Table II shows analysis of the region's total expenditure figures to authority levels for the years since the establishment of district health authorities--1 April 1982.
Column 258
Table I
North East Thames region total revenue expenditure on Hospital and
Community Health Services (HCHS)
|£ thousands |£ thousands
|(cash) |(at 1991-92 prices)
--------------------------------------------------------------------------------
1978-79 |413,284 |1,114,783
1979-80 |488,198 |1,128,601
1980-81 |636,251 |1,243,024
1981-82 |700,172 |1,247,517
1982-83 |800,677 |1,332,015
1983-84 |841,130 |1,337,524
1984-85 |881,326 |1,333,686
1985-86 |914,188 |1,311,915
1986-87 |976,100 |1,354,445
1987-88 |1,048,946 |1,380,297
1988-89 |1,178,457 |1,445,224
1989-90 |1,276,820 |1,472,084
1990-91<1> |1,373,232 |1,469,359
<1> Latest available year. Provisional figure (as yet subject to audit).
Column 257
Table II
North East Thames region
Total revenue expenditure on hospital and community health services (HCHS)
1982-83 1983-84 1984-85
|Cash |At 1990-91|Cash |At 1991-92|Cash |At 1991-92
|prices |prices |prices
|£ '000s |£ '000s |£ '000s |£ '000s |£ '000s |£ '000s
-----------------------------------------------------------------------------------------------------------------
North East Thames RHA |22,442 |37,335 |23,393 |37,198 |26,531 |40,149
Basildon and Thurrock DHA |42,407 |70,549 |44,495 |70,754 |47,215 |71,449
Mid Essex DHA |35,555 |59,150 |38,426 |61,103 |40,099 |60,681
North East Essex DHA |48,242 |80,256 |51,301 |81,576 |56,123 |84,929
West Essex DHA |29,864 |49,682 |30,831 |49,026 |32,568 |49,284
Southend DHA |35,085 |58,368 |38,422 |61,097 |40,589 |61,422
Barking, Havering and Brentwood DHA |62,219 |103,508 |65,669 |104,424 |68,424 |103,544
Hampstead DHA |58,525 |97,363 |61,308 |97,489 |65,016 |98,387
Bloomsbury DHA |107,685 |179,146 |112,417 |178,760 |116,946 |176,971
Islington DHA |42,185 |70,179 |42,928 |68,262 |44,185 |66,864
City and Hackney DHA |70,791 |117,769 |75,294 |119,729 |78,683 |119,069
Newham DHA |30,613 |50,928 |32,282 |51,333 |34,180 |51,724
Tower Hamlets DHA |60,464 |100,589 |64,197 |102,083 |64,748 |97,981
Enfield DHA |30,392 |50,560 |32,088 |51,025 |33,473 |50,654
Haringey DHA |36,483 |60,693 |37,498 |59,627 |38,127 |57,696
Redbridge DHA |32,058 |53,332 |33,491 |53,256 |35,347 |53,490
Waltham Forest DHA |55,667 |92,608 |57,090 |90,782 |59,072 |89,392
|------- |------- |------- |------- |------- |-------
Total |800,677 |1,332,015 |841,130 |1,337,524 |881,326 |1,333,686
1985-86 1986-87 1987-88
|Cash |At 1991-92|Cash |At 1991-92|Cash |At 1991-92
|prices |prices |prices
|£ '000s |£ '000s |£ '000s |£ '000s |£ '000s |£ '000s
-----------------------------------------------------------------------------------------------------------------
North East Thames RHA |28,508 |40,911 |30,859 |42,820 |17,678 |23,262
Basildon and Thurrock DHA |43,163 |61,941 |47,975 |66,571 |52,061 |68,507
Mid Essex DHA |42,665 |61,227 |53,145 |73,745 |57,589 |75,781
North East Essex DHA |55,571 |79,748 |54,641 |75,820 |61,447 |80,857
West Essex DHA |36,868 |52,908 |40,300 |55,921 |44,206 |58,170
Southend DHA |42,657 |61,215 |46,608 |64,674 |52,045 |68,485
Barking, Havering and Brentwood DHA |72,033 |103,372 |76,018 |105,483 |85,557 |112,584
Hampstead DHA |55,633 |79,837 |59,334 |82,332 |64,957 |85,476
Bloomsbury DHA |122,450 |175,723 |128,901 |178,864 |138,578 |182,353
Islington DHA |49,194 |70,596 |51,459 |71,405 |56,266 |74,040
City and Hackney DHA |81,517 |116,982 |87,558 |121,496 |92,785 |122,095
Newham DHA |41,765 |59,935 |42,995 |59,660 |46,803 |61,588
Tower Hamlets DHA |67,183 |96,412 |71,231 |98,841 |77,089 |101,441
Enfield DHA |38,144 |54,739 |39,918 |55,391 |43,485 |57,221
Haringey DHA |46,312 |66,460 |49,277 |68,377 |52,246 |68,750
Redbridge DHA |37,799 |54,244 |40,890 |56,739 |44,391 |58,414
Waltham Forest DHA |52,726 |75,665 |54,991 |76,306 |61,763 |81,273
|------- |------- |------- |------- |------- |-------
Total |914,188 |1,311,915 |976,100 |1,354,445 |1,048,946 |1,380,297
Column 259
1988-89 1989-90 1990-91
|Cash |At 1990-91|Cash |At 1991-92|Cash |At 1991-92
|prices |prices |prices
|£ '000s |£ '000s |£ '000s |£ '000s |£ '000s |£ '000s
-----------------------------------------------------------------------------------------------------------------
North East Thames RHA |20,723 |25,414 |22,791 |26,276 |26,710 |28,580
Basildon and Thurrock DHA |59,287 |72,708 |65,015 |74,958 |69,265 |74,114
Mid Essex DHA |63,732 |78,159 |68,785 |79,304 |73,806 |78,972
North East Essex DHA |68,573 |84,096 |74,673 |86,093 |79,182 |84,725
West Essex DHA |50,079 |61,415 |55,172 |63,609 |59,231 |63,377
Southend DHA |58,464 |71,698 |64,492 |74,355 |71,078 |76,053
Barking, Havering and Brentwood DHA |93,995 |115,273 |98,707 |113,802 |106,172 |113,604
Hampstead DHA |74,566 |91,445 |80,152 |92,410 |89,477 |95,740
Bloomsbury DHA<1> |155,397 |190,574 |164,928 |190,150 |- |-
Islington DHA<1> |62,884 |77,119 |69,701 |80,360 |246,389 |263,636
City and Hackney DHA |104,893 |128,638 |112,469 |129,669 |119,894 |128,287
Newham DHA |52,457 |64,332 |56,489 |65,128 |62,356 |66,721
Tower Hamlets DHA |87,743 |107,605 |96,389 |111,130 |102,350 |109,515
Enfield DHA |48,861 |59,922 |52,316 |60,317 |56,467 |60,420
Haringey DHA |56,426 |69,199 |64,093 |73,895 |70,016 |74,917
Redbridge DHA |50,488 |61,917 |54,559 |62,903 |57,580 |61,611
Waltham Forest DHA |69,889 |85,710 |76,089 |87,725 |83,259 |89,087
|------ |------ |------ |------ |------ |------
Total |1,178,457 |1,445,224 |1,276,820 |1,472,084 |1,373,232 |1,469,359
<1>Bloomsbury and Islington DHA from 1990-91.
Source:
Annual accounts of the regional Health Authority and the district health authorities comprising the North East
Thames region.
Notes to the table:
1. 1990-91 figures are provisional (as yet subject to audit).
2. Figures have been expressed at 1991-92 prices by the use of Gross Domestic Product deflators.
3. Expenditure on HCHS covers all services directly managed by the health authorities including hospital,
patient transport (i.e. ambulance),
blood transfusion and other services.
4. The pattern of expenditure at district levels varies between 1984-85 and 1985-86 reflecting a change in the
methodology for determining
the fundings and the accounting arrangements for long-stay patients in the region.
NHS Trusts
Mr. Roger King : To ask the Secretary of State for Health if he will make a statement on national health trust hospitals.
Mr. Waldegrave [pursuant to his reply, 3 December 1991, c. 111] : The external financing limits for 1992-93 for the 57 NHS trusts which have been operational since 1 April 1991 and 98 NHS trusts which are to become operational on 1 April 1992 are set out in the tables. The limits do not include provision for 1991-92 outturn adjustments, resource management funding, or supra-regional developments which will be added subsequently.
Capital expenditure by NHS trusts forms part of the public expenditure provision in the health programme. The NHS and Community Care Act 1990 provides no power for the NHS management executive to fund NHS trusts directly or to give them cash limits. NHS trusts can obtain funding only from the income they receive from purchasers or from borrowing. An annual external financing limit--EFL--controls access by NHS trusts to external finance. The EFL is a net financing concept measured by the new loans taken out by the NHS trust less loans repaid plus or minus changes in deposits.
First wave external financing limits 1992-93
|External
|financing
|limit
NHS Trust |£ 000
------------------------------------------------------------------------
Anglian Harbours |5,235
Norfolk Ambulances |1,082
Broadgreen Hospital |-763
Chester and Halton Community |-54
Crew Mid Cheshire Hospitals |-68
Cardio/Thor. Cen. Liverpool |118
Royal Liverpool Childrens |-900
Royal Liverpool University Hospital |437
St. Helens and Knowsley |5,771
Wirral Hospital |2,961
Royal London Hospital |5,198
North Middlesex Hospital |-1,396
Royal Free Hampstead |-780
Royal National Orthopaedic |381
Royal National Nose, Throat and Ear |964
Southend Hospital |1,504
Freeman Hospital |-1,516
Newcastle Mental Health |-422
Northumbria Ambulance |809
Central Manchester Hospital |5,235
Christie Hospital |768
Hillingdon Hospital |495
Mount Vernon Hospital |4,270
Central Middlesex Hospital |-1,994
North Herts Acute and Community |60
Nuffield Orthopaedic |-600
Guys and Lewisham |35,937
United Bristol Healthcare |2,622
Cornwall Community |-333
Cornwall Mental Health |100
East Gloucestershire |3,166
East Somerset |-920
South Devon Health Care |4,563
West Somerset Acute and Comm. |6,259
Weston Area |2,087
Northern Devon |1,418
Croydon Community |873
Croydon Mental Handicap |362
Kingston Hospital |1,455
Epsom Health Care |-411
Royal Surrey |1,019
Homewood |1,042
St. Helier |2,268
Doncaster Royal and Montagu |1,129
Lincolnshire Ambulance |855
Northern General Sheffield |6,584
Royal National Rheumatic |479
West Dorset Community |895
West Dorset General |1,553
West Dorset Mental Health |1,831
Mid Staffs (1st) Community |1,557
Mid Staffs Mental Health |-4,116
Rugby District |9,655
Walsall Hospital |1,709
Bradford Hospitals |10,812
Leeds General Infirmary |-4,384
St. James's University |8,963
Hinchingbrooke Hospital |381
Kings Lynn and Wisbech Hospitals |-2,553
East Suffolk Community (Allington) |92
Clatterbridge Centre for Oncology |-758
Liverpool Community and Priority |414
Mersey Ambulance |-218
Southport And Formby Hospital |-1,168
Aintree Hospitals (Walton and Fazakerly) |243
Liverpool Obstetrics and Gynaecology |3,946
St. Helens and Knowsley Community |635
The Walton Centre for Neurosciences |-700
Basildon and Thurrock Acute |-3,347
Forest Healthcare |-1,954
North Essex (Rivers) Healthcare |-3,982
Essex Ambulance |-89
Mid Essex Hospital |-3,908
Southend Community |-705
North East Essex Services for Learning Difficulties |-264
North East Essex Mental Health Severalls
Hospital |-1,341
Cleveland Ambulance |62
North Tees Health |-1,626
Northgate Unit Morpeth |209
Royal Victoria Hospital, Newcastle |1,597
Gateshead Community |-163
South Tees Acute Hospitals |-1,477
Burnley Health Care |-175
Lancaster Priority |-360
Wrightington Health |-351
Lancaster Acute |164
Royal Oldham Hospital/Community |-1,891
Bedford Hospital |-915
Ealing Hospital |-1,255
Parkside Community |-1,836
Wellhouse Edgware and Barnet |-1,796
Ashford Hospital |-998
East Hertfordshire |-1,793
Harrow Community |272
Hillingdon Community |-269
Luton and Dunstable |-1,773
Barnet Community |-3,946
North West Herts Mental Health (Horizon) |-2,987
South Bedfordshire Comm and Mental Health |-511
North West Herts Priority Unit (Dacorum and St.
Albans) |-1,696
Harefield Hospital |-900
Aylesbury Vale Priority |127
Heatherwood and Wexham Park |528
Milton Keynes General |-819
Milton Keynes Community |-80
East Berkshire Mental Health |-297
Eastbourne Acute |-2,345
Brighton Community and Mental Health |-855
Maidstone Priority |-69
Thameslink Dartford Priority |-358
West Lambeth Priority |4,010
Hastings and Rother Healthcare |3,080
Optimum Community Lewisham and Southwark |-278
Ravensbourne Priority |247
Avon Ambulance |-52
Exeter Community |449
Southmead Health |8,271
Frenchay Healthcare |1,872
Plymouth Community |646
Devon Ambulance |316
Royal Cornwall Hospital |4,203
Phoenix Trust |204
Gloucestershire Ambulance |-111
Frimley Park Hospital |10,484
St. Peters Hospital, Chertsey |-691
(Weybourne) North West Surrey Community |2,809
Mulberry Trust (South Lincolnshire Mental
Health) |-407
Weston Park Hospital |-442
City Nottingham Hospital |7,981
Nottingham Community |-361
Children's Hospital, Sheffield |-860
Doncaster Priority |-730
Central Sheffield University Hospitals |-1,254
Bassetlaw Hospital and Community |2,968
Barnsley Community and Priority |-833
South Yorkshire Ambulance |-332
Wiltshire Healthcare |956
Poole Hospital |649
Royal United Hospital, Bath |1,434
Bath Mental Health |3,145
Bath and Wells Healthcare (Avon and Somerset) |-301
Bournemouth and Christchurch Acute |-1,392
East Dorset Community |2,272
Walsgrave Hospital, Coventry |-2,273
Staffordshire Ambulance |-368
East Birmingham Hospital |4,207
Herefordshire Community |-917
Premier South East Staffordshire Community and
Mental Health |-723
South Warwickshire Community |-679
Harrogate Health |2,542
Airedale Health Services |-898
Northallerton Health |-1,317
Bradford Community |89
York Hospitals and Community |-577
Scarborough Healthcare |-1,036
Regional Health Authorities (Revenue Allocation)
Mr. Squire : To ask the Secretary of State for Health if he will announce regional health authorities' revenue allocations for 1992-93 ; and if he will make a statement.
Mr. Waldegrave [pursuant to his reply, 5 December 1991, c. 199- 200] : The cash-limited general medical services provision for 1992 -93 will be £659 million. This covers direct reimbursement to GPs of their expenses on practice staff and premises improvements, the development of computerisation in general practice, and the management of practice funds. I am making today allocations to regional health authorities covering £628 million of that total. The allocations to regions are :
GMS cash-limited allocations 1992-93
Allocation Real
|1991-92 |1992-93 |growth
|£ million|£ million|per cent.
------------------------------------------------------------------
Northern |33.314 |36.414 |4.60
Yorkshire |44.458 |47.237 |1.68
Trent |55.520 |59.193 |2.02
East Anglian |32.366 |34.427 |1.79
North West Thames |44.999 |48.657 |3.47
North East Thames |44.549 |48.688 |4.58
South East Thames |47.454 |51.144 |3.14
South West Thames |36.902 |39.865 |3.38
Wessex |38.773 |41.552 |2.55
Oxford |34.305 |36.627 |2.17
South Western |49.454 |52.886 |2.33
West Midlands |54.318 |59.060 |4.05
Mersey |28.246 |30.208 |2.34
North Western |39.381 |42.717 |3.80
|------- |------- |-------
Total |584.039 |628.675 |3.01
WALES
GPs (Prescribing)
Mr. Gwilym Jones : To ask the Secretary of State for Wales what information he has as to what variations are to be found in the prescribing patterns of general practitioners in Wales ; what is the average inpatient and cash terms ; what are the highest and lowest variations of any individual practice ; and what variations can be found between similar practices with similar demographic compositions.
Mr. Nicholas Bennett : Information on GP prescribing is provided by the prescription pricing division of the Welsh Health Common Services Agency to family health services authorities, which, as part of their responsibilities, examine the cost of GP prescribing, including reasonsfor variations between GP practices with similar characteristics. However, the information is not collated in such a way as to provide the information my hon. Friend requires, except at disproportionate cost.
I have put work in hand to refine the information system so that it will supplement the standard reports with a faster, more efficient and more detailed service for those who require information to be analysed according to their individual needs.
Vacant Council Properties
Mr. Gwilym Jones : To ask the Secretary of State for Wales if he will publish the latest available numbers of vacant council-owned properties for each district council in Wales.
Mr. Nicholas Bennett : The information my hon. Friend requires is given in the table :
Local authority vacant dwellings, by
district, 1991<1>
|Total
|vacant
|dwellings
------------------------------------------
Clwyd
Alyn and Deeside |31
Colwyn |34
Delyn |20
Glyndwr |47
Rhuddlan |17
Wrexham Maelor |204
Dyfed
Carmarthen |14
Ceredigion |41
Dinefwr |14
Llanelli |104
Preseli Pembrokeshire |63
South Pembrokeshire |15
Gwent
Blaenau Gwent |56
Islwyn |150
Monmouth |92
Newport |81
Torfaen |147
Gwynedd
Aberconwy |16
Arfon |60
Dwyfor |11
Meirionnydd |15
Ynys Mon |60
Mid Glamorgan
Cynon Valley |122
Merthyr Tydfil |71
Ogwr |68
Rhondda |26
Rhymney Valley |85
Taff Ely |99
Powys
Brecknock |-
Montgomeryshire<2> |42
Radnorshire |9
South Glamorgan
Cardiff |190
Vale of Glamorgan |37
West Glamorgan
Lliw Valley |42
Neath |72
Port Talbot |171
Swansea |104
|-------
Wales |2,430
<1> At 1 April.
<2> Excludes Newtown which is designated
as a New Town.
Homelessness
Mr. Gwilym Jones : To ask the Secretary of State for Wales if he will publish the latest available numbers for those registered as homeless for each district council in Wales ; and what information he has to show separately those who are sleeping rough.
Mr. Nicholas Bennett : No information is available centrally as to the cause and location of any persons who may be sleeping rough. The number of cases accepted as homeless, within the terms of the Housing Act 1985 and the number of persons associated with these cases, is given in the table :
Incidence of homelessness-quarter ending 30 September 1991
Welsh districts |Cases |Persons
|accepted |involved
|in cases
|accepted
----------------------------------------------------------------------
Aberconwy |8 |21
Alyn and Deeside |42 |114
Arfon |9 |20
Blaenau Gwent |73 |176
Brecknock |37 |114
Cardiff |518 |1,180
Carmarthen |23 |56
Ceredigion |45 |106
Colwyn |18 |67
Cynon Valley |96 |261
Delyn |71 |169
Dinefwr |48 |107
Dwyfor |18 |48
Glyndwr |11 |19
Islwyn |51 |115
Llanelli |52 |149
Lliw Valley |27 |77
Meirionnydd |26 |72
Merthyr Tydfil |32 |84
Monmouth |32 |88
Montgomeryshire |32 |74
Neath |79 |140
Newport |237 |628
Ogwr |158 |428
Port Talbot |24 |69
Preseli Pembrokeshire |29 |70
Radnorshire |6 |17
Rhondda |51 |134
Rhuddlan |14 |48
Rhymney Valley |28 |71
South Pembrokeshire |21 |45
Swansea |191 |429
Taff-Ely |57 |161
Torfaen |135 |276
Vale of Glamorgan |113 |323
Wrexham Maelor |94 |179
Ynys Mon |8 |21
|------- |-------
Wales total |2,514 |6,156
Plas Newydd (Grants)
Mr. Wilson : To ask the Secretary of State for Wales if he will list the grants awarded by the Historic Buildings Council of Wales to (a) the Marquess of Anglesey and (b) the National Trust in respect of Plas Newydd during the last 10 years.
Sir Wyn Roberts : The Department grant aids the costs of restoring eligible historic buildings on the advice of the Historic Buildings Council for Wales. The council itself does not make grants. In the last 10 years the following grants have been awarded :
(a) Marquess of Anglesey--1987--£892 (repair of Nelson Monument). (
(b) National Trust (for Plas Newydd--1985--£102,100 (repair of roof, rainwater goods and chimney heads).
Sunday Trading
Mr. Geraint Howells : To ask the Secretary of State for Wales what recent representations he has received from Wales about Sunday trading ; and if he will make a statement.
Mr. Nicholas Bennett : Seven letters have been received by the Welsh Office on this subject.
Chernobyl (Lambs)
Mr. Morgan : To ask the Secretary of State for Wales what area of Gwynedd remains restricted as regards lamb sales to market as a consequence of the Chernobyl nuclear power station explosion in 1985 ; what the total cost in compensation has been since in each year since 1985 ; and what is the scientific prognosis for 1992 grass growth and saleable lamb meat production in Gwynedd.
Column 266
Mr. David Hunt : As the question refers to the post-Chernobyl situation in Wales, I am responding to the hon. Gentleman. The area of Gwynedd currently under restriction comprises approximately 75,483 hectares --about 186,519 acres. This compares to about 300,890 hectares--about 743,500 acres--when restrictions were first introduced in June 1986. A copy of a map illustrating the current restricted area which accompanied a recent press release was placed in the Library of the House on 16 December 1991.
The total cost in compensation paid to farmers in the restricted area of North Wales, in each of the years since the introduction of restrictions is as follows :
|£
-------------------------------
1986-87 |2,638,691
1987-88 |679,228
1988-89 |578,868
1989-90 |620,069
1990-91 |613,548
<1>1991-92 |460,452
|-------
Total |5,590,856
<1> (to 29 November).
Grass growth within the restricted area has not been affected to any significant degree by the Chernobyl deposition. However, the amount of radiocaesium in the root matt and surrounding soil which is taken up by vegetation can vary from year to year. This is due to the complex interactions of several factors such as weather, soil type, drainage and sheep grazing habits which are still the subject of research. It is not possible therefore to forecast the radiocaesium levels for 1992.
The arrangements operated from the movement and marketing of sheep from the restricted area have proved to be a satisfactory way of enabling farmers to continue with normal husbandry and marketing practices whilst ensuring the safety of the food chain. This year fewer than 2 per cent. of sheep leaving the Gwynedd restricted area for movement and marketing have recorded above the safety level of 1, 000 Bq/Kg.
My Department will continue to study the results from the monitoring of sheep under the movement and marketing arrangements, and from regular monitoring of sheep at selected sites throughout the area. Assessment of these results has enabled suitable areas to be identified for intensive monitoring, which has made it possible to lift restrictions in two small areas this year. Work will continue to be carried out to achieve further derestriction as soon as it is safe to do so.
Schools Inspectors
Mr. Morgan : To ask the Secretary of State for Wales if he will give the date of commissioning and terms of reference of the Adams report on the future of Her Majesty's inspectors of schools service in Wales.
Sir Wyn Roberts : The report was commissioned on 24 May with the following terms of reference :
To review the role and organisation of HM Inspectorate in Wales in the light of the Government's policies for Education, and the particular character and needs of educational provision in Wales to secure that ;
(i) the public at large can be informed about the quality of the education provided by Schools and Colleges ;
(ii) funding agencies (including the Funding Councils and Local Education Authorities) can have access to
Column 267
independent quality assurance advice on which they can rely, drawn from inspection of and reporting upon those institutions and forms of provision to which HMI statutorily have access ;(iii
the management of Schools and, for the foreseeable future, Colleges in the Further Education sector, are supported by a system of quality assurance derived from inspecting and reporting on which they can draw in the exercise of their responsibilities ;
(iv
officials, both in the Welsh Office Education Department (WOED) and in other parts of the Welsh Office as necessary and Ministers continue to receive independent advice on education policy issues derived from the evidence of objective inspection.
(The review should take into account the existence and future development of other quality audit or assurance arrangements at departmental, local authority funding council--as envisaged in the White Papers--and institutional level and report on how HMI might relate to and interact with them. The review should also consider a widening of the role of HMI to include managerial and value-for-money issues in addition to educational and professional ones.
To examine the feasibility and desirability of different organisational models which could deliver these objectives, assessing and comparing their advantages and disadvantages, considering in particular HMI :
(i) being established wholly independent of Government ; (
(ii) becoming a Next Steps Agency accountable to the Secretary of State ;
(iii) remaining part of the Welsh Office in the way it is now. As part of that examination to identify for each model : (
(i) the implications for staffing (including numbers and grading), for support services and for accommodation ;
(ii) its costs ;
(iii) the earliest date when it could be implemented and the steps and timetable which would need to be followed (including any changes in legislation which would be required) in order to achieve it. And in undertaking this review :
(i) to take account of the separate review being undertaken in England ;
(ii) to consult WOED and HMI within the Welsh Office ;
(iii) to seek guidance as need arises from Ministers, the Permanent Secretary and Deputy Secretaries ;
(iv) to submit a preliminary report of progress to the Permanent Secretary within two months, for discussion with him and Deputy Secretaries ;
(v) to report to the Permanent Secretary with recommendations within three months.
Cardiff Bay Development Corporation
Mr. Morgan : To ask the Secretary of State for Wales if he will extend the period for consultation on groundwater in relation to the Cardiff Bay barrage for a period equivalent to that during which the advertising campaign by the development corporation adjudicated to be misleading by the Advertising Standards Authority was on display. Mr. David Hunt : No.
Mr. Morgan : To ask the Secretary of State for Wales what assurances he has given the Wales region of the National Rivers Authority regarding control of the Blackweir diversion and feeder canal during periods of drought ; what discussions he has had with the Cardiff Bay development corporation and Associated British Ports regarding the necessary legal and financial arrangements flowing therefrom ; when he anticipates the completion of these agreements ; and if he will make a statement.
Column 268
Mr. David Hunt : The Cardiff Bay Barrage Bill requires the development corporation, before it commences construction of the barrage, to submit for the approval of the rivers authority details of the steps which it proposes to take to enable it to comply with the authority's water flow requirements. As I explained to the hon. Gentleman on 4 December detailed negotiations between Cardiff Bay development corporation and Associated British Ports are a commercial matter for the two parties.
Mr. Morgan : To ask the Secretary of State for Wales by what date he expects Cardiff Bay development corporation to have complied with the ruling of 6 December 1991 by the Advertising Standards Authority.
Mr. David Hunt : The ASA reported to CBDC's advertising agents on 6 December on complaints about a CBDC poster. The authority considered that using the word "creating" in the phrase "Cardiff Bay--creating a superb waterfront environment", had given the impression that construction of the Cardiff Bay barrage was assured when this was not the case. At the time the poster appeared the barrage had yet to be put forward to Parliament in the form of a Bill. The advertisers were requested to ensure that no implication that the barrage would certainly be built should be given until it had achieved the necessary parliamentary approval. The authority also criticised the breach of confidentiality by which some complainants made public the conclusion of the case before it had been ratified by the ASA council.
The corporation has already complied with the ruling. Its advertising agency have proposed to the ASA an amendment to the copy of the magazine advertisement to read
"The proposed construction of a barrage would create a 500 acre freshwater lake".
The advertising agency has reported to the corporation that the ASA are content for it to continue to use the words
"Creating a superb waterfront environment".
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