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Doncaster Healthcare Trust
Mr. Redmond : To ask the Secretary of State for Health if he will list the names, qualifications, occupation, ages, employers and addresses of the chair and non-executive directors of the Doncaster healthcare trust.
Mr. Dorrell : The names of the chairman and non-executive directors of the Doncaster healthcare trust are as follows :
Chairman
Mr. Peter Horsburgh
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Non-executive directorsMr. John Millar
Mr. John Lucas
Mr. John Liversedge
Miss Carol Fleming
Mrs. Margaret Spencer
It is not the Government's policy to disclose the private addresses and other personal information about appointees to health authorities and trusts.
Nurses
Mr. Steinberg : To ask the Secretary of State for Health if he will list the latest statistics for the number of qualified nurses who have been unable to gain full-time employment in the nursing profession.
Mrs. Virginia Bottomley : This information is not collected centrally.
Hospital Trusts
Mr. Battle : To ask the Secretary of State for Health what guidelines he has issued to the appointed chairs of hospital trusts with respect to their personal use of NHS provisions.
Mrs. Virginia Bottomley : None.
Domiciliary Care Service
Mr. Hinchliffe : To ask the Secretary of State for Health what guidance is issued by his Department to local authorities with regard to charging for domiciliary care service.
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Mrs. Virginia Bottomley : Existing guidance is contained in the Department's circular LAC(84)7, a copy of which is available in the Library. We intend to produce new guidance about the discretionary powers available to local authorities to make charges for domiciliary and day care services.
Emergency Ambulance Calls
Mr. Robin Cook : To ask the Secretary of State for Health if he will list (a) for each ambulance authority in England and (b) for each financial quarter of 1990-91 and for the first three quarters of 1991-92 the percentage of emergency calls reached (i) within seven minutes, (ii) within 14 minutes in urban areas and (iii) within 19 minutes in a rural area.
Mr. Dorrell : The information is not available in exactly the form requested.
Figures are collected centrally on a financial year basis, and the standards of seven and 14 minutes for metropolitan authorities and seven and 19 minutes for non-metropolitan authorities were not widely used until 1991-92.
The tables show the numbers and percentages of emergency calls being responded to within the standards of eight and 20 minutes for non- metropolitan authorities and seven and 14 minutes for metropolitan authorities for the financial year 1990-91 which are the latest available.
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Patient transport services: Table 1
1990-91
Quality of service
Emergency calls: Response times: Non-Metropolitan authorities
England
Ambulance authority |Total number of |Number where |Percentage of calls|Time at 50th
|emergency calls |response within |where response |percentile
|8 minutes |within 8 minutes |(minutes)
-----------------------------------------------------------------------------------------------------------------------------------
Cleveland |23,784 |15,323 |64.4 |7.0
Cumbria |14,365 |7,983 |55.6 |7.2
Durham |29,510 |15,718 |53.3 |7.4
Humberside |42,384 |31,381 |74.0 |5.6
North Yorkshire (1988-89 data) |19,241 |12,652 |65.8 |6.1
Derbyshire |36,569 |17,992 |49.2 |8.0
Leicestershire |31,498 |16,693 |53.0 |8.0
Lincolnshire |15,552 |9,967 |64.1 |7.0
Nottinghamshire |53,649 |31,306 |58.4 |8.0
Cambridgeshire |18,090 |7,628 |42.2 |8.5
Norfolk |24,856 |13,545 |54.5 |6.9
Suffolk |11,510 |5,972 |51.9 |7.3
Bedfordshire |20,641 |11,807 |57.2 |8.0
Hertfordshire |36,873 |21,386 |58.0 |8.0
Essex |62,301 |31,335 |50.3 |7.8
East Sussex |36,268 |24,122 |66.5 |7.0
Kent |56,701 |33,526 |59.1 |8.0
Surrey |46,772 |23,853 |51.0 |7.8
West Sussex |25,957 |15,547 |59.9 |7.0
Dorset |26,264 |15,096 |57.5 |7.0
Hampshire |44,148 |23,444 |53.1 |7.5
Wiltshire |14,904 |9,589 |64.3 |6.3
Isle of Wight |4,271 |2,021 |47.3 |7.5
Berkshire |27,482 |12,914 |47.0 |9.0
Buckinghamshire |18,776 |10,347 |55.1 |7.0
Northamptonshire |16,608 |9,978 |60.1 |7.1
Oxfordshire |17,891 |9,107 |50.9 |8.0
Avon |33,098 |19,693 |59.5 |7.4
Cornwall and Isles of Scilly |16,371 |6,662 |40.7 |10.0
Devon |32,681 |17,648 |54.0 |-
Gloucestershire |15,400 |9,227 |59.9 |8.0
Somerset |11,014 |6,077 |55.2 |6.8
Hereford and Worcester |19,915 |11,553 |58.0 |8.0
Shropshire |12,348 |6,269 |50.8 |8.0
Staffordshire |39,907 |19,086 |47.8 |8-10
Warwickshire |11,441 |7,016 |61.3 |7.6
Cheshire |36,718 |20,624 |56.2 |7.0
Lancashire |73,640 |49,421 |67.1 |7.6
Source: KA34-DH Statistics and Management Information (SM12B) 1991.
Patient transport services: Table 2
1990-91
Quality of service
Emergency calls: Response times: Non-Metropolitan authorities England
Ambulance authority |Total number of |Number where |Percentage of calls|Time at 95th
|emergency calls |response within |where response |percentile
|20 minutes |within 20 minutes |(minutes)
---------------------------------------------------------------------------------------------------------------------------
Cleveland |23,784 |21,664 |91.1 |14.0
Cumbria |14,365 |13,126 |91.4 |23.0
Durham |29,510 |28,542 |96.7 |18.2
Humberside |42,384 |42,231 |99.6 |13.6
North Yorkshire<1> |19,241 |18,403 |95.6 |16.5
Derbyshire |36,569 |35,249 |96.4 |18.0
Leicestershire |31,498 |30,295 |96.2 |19.0
Lincolnshire |15,552 |14,886 |95.7 |20.0
Nottinghamshire |53,649 |51,747 |96.5 |18.0
Cambridgeshire |18,090 |16,103 |89.0 |19.0
Norfolk |24,856 |22,049 |88.7 |18.1
Suffolk |11,510 |10,175 |88.4 |21.6
Bedfordshire |20,641 |20,123 |97.5 |17.0
Hertfordshire |36,873 |35,103 |95.2 |20.0
Essex |62,301 |58,372 |93.7 |17.1
East Sussex |36,268 |33,297 |91.8 |15.0
Kent |56,701 |54,833 |96.7 |18.0
Surrey |46,772 |45,368 |97.0 |15.6
West Sussex |25,957 |24,288 |93.6 |25.0
Dorset |26,264 |24,568 |93.5 |17.7
Hampshire |44,148 |42,919 |97.2 |19.7
Wiltshire |14,904 |14,562 |97.7 |16.9
Isle of Wight |4,271 |3,582 |83.9 |19.5
Berkshire |27,482 |25,593 |93.1 |19.0
Buckinghamshire |18,776 |16,644 |88.6 |16.0
Northamptonshire |16,608 |16,313 |98.2 |15.9
Oxfordshire |17,891 |15,625 |87.3 |21.0
Avon |33,098 |31,885 |96.3 |15.9
Isles of Scilly |16,371 |14,806 |90.4 |22.0
Devon |32,681 |30,785 |94.2 |-
Gloucestershire |15,400 |14,606 |94.8 |19.0
Somerset |11,014 |10,143 |92.1 |20.2
Hereford and Worcester |19,915 |19,028 |95.5 |18.0
Shropshire |12,348 |11,415 |92.4 |20.0
Staffordshire |39,907 |38,986 |97.7 |17.0
Warwickshire |11,441 |10,983
19.5
Cheshire |36,718 |32,080 |87.4 |16.0
Lancashire |73,640 |72,810 |98.9 |15.7
<1> 1988-89 data.
Patient transport services: Table 3
Quality of service: Emergency calls; Response times; Metropolitan authorities
England
Ambulance authority |Total number of |Number where |Percentage of calls|Time at
|emergency calls |response within |where response |50th percentile
|7 minutes |within 7 minutes |(minutes)
------------------------------------------------------------------------------------------------------------------------------------
Northumbria Metropolitan |67,309 |35,674 |53.0 |7.0
West Yorkshire Metropolitan |113,347 |39,006 |34.4 |8.2
South Yorkshire Metropolitan |64,863 |20,246 |31.2 |8.1
London Ambulance Service |456,695 |50,390 |11.0 |12.0
West Midlands Metropolitan |117,191 |60,822 |51.9 |7.3
Mersey Metropolitan |103,400 |61,618 |59.6 |7.0
Greater Manchester Metropolitan |159,130 |74,202 |46.6 |8.1
Source:
KA34 DH Statistics and Management Information (SM12B) 1991.
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Patient transport services: Table 4, 1990-91
Quality of service: Emergency calls; Response times; Metropolitan authorities
England
Ambulance authority |Total number of |Number where |Percentage of calls|Time at
|emergency calls |response within |where response |95th percentile
|14 minutes |within 14 minutes |(minutes)
------------------------------------------------------------------------------------------------------------------------------------
Northumbria Metropolitan |67,309 |61,588 |91.5 |13.0
West Yorkshire Metropolitan |113,347 |99.187 |87.5 |16.5
South Yorkshire Metropolitan |64,863 |48,877 |75.4 |16.0
London Ambulance Service |456,695 |336,734 |73.7 |21.0
West Midlands Metropolitan |117,191 |103,245 |88.1 |19.0
Mersey Metropolitan |103,400 |99,752 |96.5 |13.0
Greater Manchester Metropolitan |159,130 |150,537 |94.6 |14.3
Source:
KA34 DH Statistics and Management Information (SM12B) 1991.
National Health Service Reform
Mr. Grocott : To ask the Secretary of State for Health what was the total cost of the production and distribution of the document "NHS Reforms- -The First Six Months".
Mr. Robin Cook : To ask the Secretary of State for Health what was the total expenditure by the national health service management executive on the production and launch of the booklet "National Health Service Reforms--The First Six Months".
Mr. Dorrell : The estimated cost of producing, distributing and launching the booklet "NHS Reforms--The First Six Months" is £34,000.
Mr. Robin Cook : To ask the Secretary of State for Health if he will publish the details of the forecasts of the financial position of each district health authority and national health service trust referred to in the national health service management executive's publication "National Health Service Reforms--The First Six Months."
Mr. Dorrell : The following district health authorities are referred to in the publication "National Health Service Reforms--The First Six Months" :
Worcester
Northumberland
Riverside
North Derbyshire
West Dorset
Doncaster
Bromley
South Birmingham
The latest financial forecasts show each district health authority in surplus or balance for the year.
The following National Health Service trusts were also referred to in the report :
Southend Health Care
Northumbria Ambulance Services
United Bristol Healthcare
West Dorset Community Health
Freeman Group of Hospitals
Royal Free Hospital
Broadgreen Hospital
Each of these trusts is forecasting that it will meet its key financial duties of remaining within its external financing limit and achieving breakeven.
Press and Publicity
Mr. Grocott : To ask the Secretary of State for Health if he will list (a) the number of staff and (b) the total cost of the press and publicity section of the Department of Health for each year since July 1988.
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Mr. Dorrell : I refer the hon. Member to the replies my hon. Friend and I gave the hon. Member for Holborn and St. Pancras (Mr. Dobson) on 26 April 1991 at column 575 and 5 November 1991 at columns 103-104.
Private Care Agencies
Mr. Hinchliffe : To ask the Secretary of State for Health if he will bring forward legislation to require the registration and regulation of private agencies concerned with the domiciliary of elderly and disabled persons.
Mrs. Virginia Bottomley : There are no plans to legislate for the compulsory registration and regulation of such agencies.
Hospitals
Mr. Robin Cook : To ask the Secretary of State for Health what monitoring the national health service management executive undertakes of the state of hospital cleanliness.
Mr. Dorrell : As I explained in my reply to the hon. Member for Bradford, South (Mr. Cryer) at column 151 , specifying the required standards of hospital cleanliness and ensuring they are maintained is the responsibility of local management.
The national health service management executive would, however, intervene if there were any indication that appropriate standards were not being applied.
Mr. Robin Cook : To ask the Secretary of State for Health what assessment he has made of the adequacy of the training available to national health service staff on the prevention of hospital acquired infections.
Mr. Dorrell : It is the responsibility of the relevant professional bodies, the Royal College of Pathologists and the English National Board for Nursing, Midwifery and Health Visiting to assess the adequacy of training for specialist staff in hospital acquired infection. These staff are in turn expected to provide the necessary training for non-specialist colleagues and it is the responsibility of local management to see that this happens.
Mr. Robin Cook : To ask the Secretary of State for Health what information his Department has on hospital readmissions resulting from hospital acquired infections.
Mr. Dorrell : This information is not held centrally.
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Health Authority Finance
Mr. Robin Cook : To ask the Secretary of State for Health if he will list those health authorities receiving allocations from their regional health authorities risk money reserves.
Mr. Dorrell : Comprehensive information about allocations to district health authorities from regional health authorities' reserves is not held centrally.
Guardians Ad Litem
Mr. Hinchliffe : To ask the Secretary of State for Health on what basis his Department is calculating the formula for distributing the specific grant for guardians ad litem.
Mrs. Virginia Bottomley : We are discussing with the local authority associations a formula based on the number of children aged under 18 and the number of care orders for each local authority averaged over the three years 1988-90.
Care Homes (Restraint)
Mr. Hinchliffe : To ask the Secretary of State for Health if he will specify which forms of restraint in care homes are (a) acceptable and (b) unacceptable to his Department ; and what guidance has been given to registration officers.
Mrs. Virginia Bottomley : Residents of residential care homes have a right to dignity, independence and choice.
The Residential Care Homes Regulations require that the owners and managers of homes should both safeguard and promote the welfare of residents and take proper account of their wishes and feelings. This is emphasised in "Home Life"--a code of practice for residential care published in 1984 and endorsed by my right hon. Friend the Secretary of State. This is also emphasised in "Homes are for Living In", the social services inspectorate's model for evaluating care and the quality of life in homes for the elderly, and the inspectorate's current series of standards publications relating to homes for other client groups.
This guidance has been made available to those running homes and to local authority inspectors. Copies are also available in the Library.
Children's Homes
Mr. Hinchliffe : To ask the Secretary of State for Health what is his latest estimate of the number of unqualified officers in charge and deputy officers in charge of children's homes in England.
Mrs. Virginia Bottomley : A recent survey of 106 English local authorities indicated that 380 officers in charge and 926 deputy officers in charge of local authority maintained and controlled residential homes for children were not qualified to CQSW/CSS/DipSW standard.
Following the recommendation in Sir William Utting's report "Children in the Public Care", a copy of which is available in the Library, that all heads of homes should be suitably qualified, a special training initiative is being introduced from 1992-93 as a part of the training support programme to help local authorities ensure that this is achieved by 1995- 96.
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Hospital-acquired Infections
Mr. Robin Cook : To ask the Secretary of State for Health (1) if national health service providers will be required to publish details of their record for incidences of hospital-acquired infections ; (2) what statistics are held centrally on the incidence of hospital-acquired infection.
Mr. Dorrell : Provider units are responsible for monitoring hospital -acquired infection (HAI) as part of their infection control procedures. It is for provider units to consider whether and in what form to make available the results of such monitoring, as it is for purchasing authorities to determine the measures of quality of service that they specify in contracts. However it is clear that factors leading to HAI and the methods used to record it are so many and varied that it would be impossible for health authorities to publish tables on the overall incidence of HAI which would be both accurate and comparable, and such figures are not collected centrally. In a reply to my hon. Friend the Member for Sherwood (Mr. Stewart) on 16 January at column 627, my right hon. Friend the Secretary of State announced that the clinical standards advisory group in its forthcoming study, may wish to address the possibility of encouraging a greater degree of standardisation of data on HAI.
Fund Holding
Mr. Robin Cook : To ask the Secretary of State for Health what has been the expenditure by his Department on the general practitioner fund- holding scheme.
Mr. Dorrell : In the first year of the scheme 306 practices representing 1,720 GPs are managing a total budget of £397,600,000 to purchase health care for their patients. The benefits of fund holding are now widely recognised.
Risk Money Reserves
Mr. Robin Cook : To ask the Secretary of State for Health if he will outline the criteria being used by the national health service management executive and regional health authorities in allocating money from the risk money reserves.
Mr. Dorrell : The reserves are there to provide health authorities with flexibility in managing risk throughout the year.
Haemodialysis Machines
Sir Michael McNair-Wilson : To ask the Secretary of State for Health how many haemodialysis machines are currently owned by the NHS.
Mr. Dorrell : Based on information from a sample of regions the estimated total is 2,500.
ENERGY
Non-Fossil Fuel Order
Mr. Morgan : To ask the Secretary of State for Energy if the extension beyond the current 1998 limit for renewable energy generation projects qualifying for a premium price under the Non-Fossil Fuel Order, which he
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is negotiating with the European Commission will apply to wind energy-projects alone, or to all renewable projects qualifying under the Non-Fossil Fuel Order.Mr. Moynihan : The Government wishes to see an extension of the fossil fuel levy for renewables beyond 1998, which would apply to all relevant renewable technologies, not just wind.
Natural Gas
Mr. Alan W. Williams : To ask the Secretary of State for Energy what is his Department's estimate of the percentage of natural gas that is lost to the environment during its production, transmission from the North sea, processing, distribution to the consumer, and during combustion.
Mr. Moynihan : It is currently estimated that losses of natural gas during production, transmission from the North sea, processing and distribution to the customer amount to about 2 per cent. of production. No official estimates of losses during combustion are available.
HOUSE OF COMMONS
Pass Holders
Mr. Douglas : To ask the Lord President of the Council if he will list the names of right hon. and hon. Members, together with the number of researchers and staff pass holders, and their names, accredited to them.
Mr. MacGregor [holding answer 25 November 1991] : It has been the policy of my predecessors not to give the names of staff working for right hon. and hon. Members. However the latest pass office figures show that
(a) 165 hon. Members have one full researcher's pass ;
(b) 2 hon. Members have two full researcher's passes ;
(c) 12 hon. Members are on the waiting list ;
(d) 4 Front Bench Members are on the waiting list for a full researcher's pass ;
(e) 57 Members have places on the research assistants list which are currently not filled.
TRADE AND INDUSTRY
INWARD Group
Mr. Thurnham : To ask the Secretary of State for Trade and Industry (1) how much money his Department has given this year to INWARD and how much in each of the last 10 years ; and which local authorities within the INWARD group have not supported INWARD ;
(2) If he will make a statement on INWARD's achievements over the last 10 years.
Mr. Redwood : Since INWARD was established in 1985 my Department has provided grant in aid for its overseas inward investment activities, details of which are set out in the table.
DTI grants to INWARD since 1985
|DTI grant aid|Total funding|Grant
|£000 |£000 |Percentage
----------------------------------------------------------------------
1985-86 |187 |407 |46
1986-87 |263 |488 |54
1987-88 |380 |620 |61
1988-89 |450 |718 |63
1989-90 |541 |918 |59
1990-91 |840 |1,243 |67
1991-92 |990 |1,566 |63
In 1991-92, my Department will provide £990,000 grant in aid, representing an 83 per cent. increase over the last two years. This reflects the Government's continued commitment towards INWARD and acknowledges its valuable contribution to the overall success of the United Kingdom in attracting inward investment. According to information notified to my Department's Invest in Britain Bureau since INWARD's formation in 1985, 225 decisions have been made by foreign companies to invest in the region. At the time these decisions were announced they were expected to create or safeguard 36,000 jobs. INWARD's activities on behalf of the region have contributed to this recent level of success.
As to local authority support, I understand that 29 out of the 47 local authorities within INWARD's region are currently paid up members of INWARD. Those currently not in membership are Manchester, Salford, Bury, Thameside, Wigan, Stockport, Congleton, St. Helens, Sefton, Ellesmere Port and Neston, Fylde, Preston, Pendle, Allerdale, Barrow-in-Furness, Carlisle, Copeland and South Lakeland.
Furniture (Safety)
Mr. Callaghan : To ask the Secretary of State for Trade and Industry what representations he has made recently to the EC regarding regulations on the safety of furniture.
Mr. Leigh : The Commission decided to suspend further work on its draft directive on the fire behaviour of upholstered furniture in May last year pending further research into the burning behaviour of upholstery materials and into test methods. We made it clear to the Commission that the United Kingdom will retain its regulations until a regime consistent with the level of protection in the United Kingdom is available under the directive.
Officials from my Department and from the Home Office are participating in discussions with the Commission in drawing up proposals for research.
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