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Column 747
HEALTH
North Staffordshire DHA (Radiation Treatment)
Ms. Walley : To ask the Secretary of State for Health if he will give the terms of reference of each of the two inquiries into the radiation treatment at the North Staffordshire district health authority ; and when he expects each of the reports to be published.
Mr. Dorrell : The Department has assigned an inspector, appointed to enforce the Ionising Radiation (Protection of Persons Undergoing Medical Treatment) Regulations 1988, to investigate the circumstances of this incident. He will make recommendations, when he has completed his investigations, to my right hon. Friend the Secretary of State on what action, if any, is needed and what wider lessons can be learned. In addition, North Staffordshire health authority has appointed two independent experts, Dr. Ash of Cookridge hospital, Leeds and Dr. Bates of St. Thomas' hospital, London, to carry out a clinical review of all cases and West Midlands regional health authority has announced an independent inquiry, chaired by Sir Peter Baldwin, into how the incident occurred. The hon. Member may wish to contact Sir James Ackers, the chairman of West Midlands regional health authority, for the terms of reference for both these inquiries.
Computer Expenditure
Mr. Redmond : To ask the Secretary of State for Health what was (a) the capital expenditure and (b) the revenue expenditure incurred on computer hardware and software by each individual health authority in England in each year since 1987-88 ; and if he will make a statement.
Mr. Dorrell : A table showing the information requested for 1987-88, which was derived from the annual accounts of health authorities in England for that financial year, has been placed in the Library. For comparable information for the years since 1987-88 and notes on this expenditure, I refer the hon. Member to the reply I gave him on 28 January at columns 541- 43.
GPs Examination Certificates
Mr. Meacher : To ask the Secretary of State for Health (1) what is the maximum charge which a general practitioner is entitled to make to provide a doctor's examination certificate for motor insurance for a patient in receipt of invalidity benefit and mobility allowance. (2) if he will exempt claimants on disability benefits from insurance certificate charges.
Mrs. Virginia Bottomley : Under their terms of service in the NHS, general practitioners must issue free of charge only certain specified certificates needed by patients to meet statutory requirements, such as those needed to support claims for social security benefits. Doctors may make a charge for providing private certificates including those requested by insurance companies ; the amount charged in such cases is for agreement between the doctor and the patient.
Column 748
General Practice Nurses
Mr. John Marshall : To ask the Secretary of State for Health how many nurses worked for general practitioners in 1978-79, 1983-84, 1990-91 and at the latest available date, respectively.
Mrs. Virginia Bottomley : The number of GP practice
nurses--whole-time equivalent--in England were : 888 in October 1978 ; 1,657 in October 1983, and 7,698 in October 1990--the latest figure available.
Hospital Closures
Mr. Robin Cook : To ask the Secretary of State for Health what was the total number of hospitals closed in each year since 1979 ; and what information his Department has on the number of closures in the currrent financial year.
Mr. Dorrell : This information is not held centrally.
Mr. Robin Cook : To ask the Secretary of State for Health what was the total level of proceeds from the sale of closed hospital sites in each year since 1979 ; and what information his Department has on proceeds from sales in the current financial year.
Mr. Dorrell : Total capital receipts from the sale of NHS land and buildings in England since 1979 are shown in the table. The latest estimate available for the current financial year is about £200 million.
|£ million
------------------------------
1979-80 |9.9
1980-81 |15.2
1981-82 |19.4
1982-83 |18.0
1983-84 |31.5
1984-85 |48.4
1985-86 |82.3
1986-87 |145.1
1987-88 |197.8
1988-89 |265.8
1989-90 |221.0
1990-91 |159.4
All proceeds have been
reinvested in the NHS.
Television
Mr. Cohen : To ask the Secretary of State for Health what guidelines or restrictions exist covering the charging by health authorities and health trusts for the use of television by patients ; and if he will make a statement.
Mr. Dorrell : Provision of communal television sets is a matter left to the discretion of individual trusts and health authorities. Charging is considered appropriate to meet the reasonable cost involved where patients wish to have a TV facility for their own personal use.
General Practitioners
Mr. Steinberg : To ask the Secretary of State for Health if he will list by region the ratio of patients to general practitioners in the United Kingdom.
Mrs. Virginia Bottomley : The information requested is given in the table which relates to the average list sizes in England at 1 April 1991, the latest date for which figures
Column 749
are available. The information relating to Wales, Scotland and Northern Ireland is a matter for my right hon. Friends the Secretaries of State for Wales, for Scotland and for Northern Ireland.
Region |Average
|list size
--------------------------------------
Northern |1,916
Yorkshire |1,894
Trent |1,985
East Anglia |1,820
North West Thames |2,036
North East Thames |2,015
South East Thames |1,977
South West Thames |1,991
Wessex |1,824
Oxford |1,887
South Western |1,763
West Midlands |1,969
Mersey |1,992
North Western |1,778
Low Income Scheme
Mr. Meacher : To ask the Secretary of State for Health when he expects to report on the outcome of the review of the health benefits low income scheme.
Mrs. Virginia Bottomley : We are giving careful consideration to a number of proposals arising from the review. The results will be announced when this process is complete.
West Middlesex University Hospital
Mr. Jessel : To ask the Secretary of State for Health what discussions have taken place between the Houslow and Spelthorne district health authority and the North West Thames regional health authority concerning a new surgical block for the West Middlesex university hospital ; on what date the district is expected to submit the formal application to the region ; by what date the region expects to decide ; what is the expected gross capital cost ; what contribution to the cost will be made from the sale of the site of the former South Middlesex hospital following the grant of planning permission for a Tesco shop ; and whether the consent of the Secretary of State for health is required.
Mr. Dorrell : I understand that there have been discussions between the Hounslow and Spelthorne district health authority and the North West Thames regional health authority over many months concerning the use of funds of some £29 million from the sale of the former South Middlesex hospital towards the further development of the West Middlesex university hospital. A formal application was submitted in January 1992. Until the final shape and cost of the scheme is decided it is not possible to say whether the scheme will require my right hon. Friend the Secretary of State's consent.
Deaths
Mr. Speed : To ask the Secretary of State for Health how many deaths occurred in 1991 from HIV-related illnesses, measles, meningitis, whooping cough and cot death ; and what resources are being deployed by his Department to combat these diseases, respectively.
Mrs. Virginia Bottomley : In 1991, the public health laboratory service communicable disease surveillance
Column 750
centre reported the number of deaths in reported AIDS cases as 816. The actual number, not yet available because of delays in the reporting system, is estimated to be over 1,250. In addition, 46 deaths were reported in 1991 in HIV infected persons without AIDS. This number may also increase as a result of delayed reporting. In 1991 the Government allocated £11 million for the development of AIDS public education, £147.5 million to health and local authorities for the development of AIDS services including diagnosis, treatment, care and prevention, and nearly £2 million to the voluntary sector. The Medical Research Council has been allocated £31 million over five years for programmes on vaccines and drugs for treatment. Provisional reports indicate that there were no deaths from acute measles or whooping cough in England and Wales in 1991. Immunisation against both diseases is included in the national childhood immunisation programme, and at November 1991, coverage was 90 per cent. of children aged two years for measles and 88 per cent. at 18 months for whooping cough. It is not possible to give the precise cost of these vaccines, but the immunisation publicity campaign in 1991-92 has cost £1.8 million with £2.2 million planned for 1992- 93. Deaths from all forms of meningitis totalled 236 in England and Wales for the first three quarters of 1991. Figures for the final quarter are not yet available. In October a vaccine--"Hib"--against invasive haemophilus disease, one of the main causes of bacterial meningitis, will be added to the programme. A major information and education campaign will precede the launch of Hib vaccine. In 1990, the latest year for which figures are available, the number of infant deaths in England and Wales with any mention of sudden infant death on the death certificate was 1,280, a welcome reduction from the peak of 1,629 deaths in 1988. Whilst the causes of sudden infant death remain unknown, recent research showing that placing babies down to sleep on their back or side can reduce significantly the risk of cot death led to the launch of the £2 million "Back to Sleep" campaign in December 1991 and the issue of 3 million leaflets on "Reducing the Risk of Cot Death". We hope that this will lead to a continuation of the downward trend we have recently seen. Since 1979, the Government have spent £3.8 million on research into sudden infant death and respiratory distress syndromes through the Medical Research Council.Pharmacist Contractors' Fees
Mr. Speed : To ask the Secretary of State for Health what is the amount paid to pharmacist contractors in England and Wales in respect of fees and on-cost, expressed in pence per prescription and as a percentage of the total amount paid per prescription for each of the last 10 years at actual and constant prices.
Mrs. Virginia Bottomley : The requested information is given in the table :
Fees and oncost-Pence per prescription
|Percentage of
|Actual |Constant |total amount
Year |prices |prices<2> |paid
----------------------------------------------------------------------
1981 |76.3 |136.7 |22.4
1982 |84.6 |141.6 |22.4
1983 |88.7 |141.8 |21.5
1984 |104.1 |158.5 |23.8
1985<1> |97.8 |148.9 |21.9
1985-86 |115.6 |166.8 |23.9
1986-87 |121.9 |170.3 |23.8
1987-88 |120.6 |159.8 |21.9
1988-89 |132.0 |163.2 |21.9
1989-90 |145.7 |169.1 |22.7
1990-91 |138.7 |148.4 |20.8
<1> 1 January 1985 to 31 March 1985.
<2> Constant prices calculated using 1991-92 prices as base.
Note: Lump sum underpayments are included in the year in which
they were paid.
Mr. Speed : To ask the Secretary of State for Health what percentage of expenditure on primary health care was paid to pharmacist contractors in respect of fees and on-cost for the last 10 years.
Mrs. Virginia Bottomley : The information is shown in the table.
Total expenditure on pharmacists' fees and on-costs as a percentage
of total expenditure on primary health care services
England
|Primary |Pharmacists' |Fees, etc. as
|health care |fees, etc.
|primary
|health care
|£ million |£ million |per cent.
---------------------------------------------------------------------------
1981-82 |2,443 |232 |9.5
1982-83 |2,832 |264 |9.3
1983-84 |3,041 |282 |9.3
1984-85 |3,349 |336 |10.1
1985-86 |3,527 |359 |10.2
1986-87 |3,820 |384 |10.1
1987-88 |4,220 |409 |9.7
1988-89 |4,801 |457 |9.5
1989-90 |5,099 |477 |9.4
1990-91 |5,427 |516 |9.5
Source: Department of Health Tables (FI): Total cost of services
and sources of finance for health and personal social
services.
Note: Primary health care services are those provided by family
doctors, dentists, community pharmacists, opticians and
community nurses.
Insulin Injections
Mr. Speed : To ask the Secretary of State for Health what would be the net extra cost to his Department of supplying insulin injection pen needles for diabetics on prescription.
Column 752
Mrs. Virginia Bottomley : The addition of insulin injection pen needles to the list of items GPs may prescribe is the subject of continuing negotiations with manufacturers. The price which will be paid for needles when they become prescribable, and therefore the cost to the Department, are part of these negotiations.
English Wine
Mr. Steen : To ask the Secretary of State for Health if he will delay the implementations of all those recent environment and health regulations applying to the production of English wine in English vineries until a full assessment has been made by the deregulation unit of his Department of their impact on the industry and effect on unemployment and the industry of obligatory requirements imposed by local authority environmental health officers.
Mr. Dorrell : No new regulations have been introduced relating specifically to the safe production of wine. Wine producers are subject to the general requirements of the Food Safety Act 1990 for hygienic and safe production. As for other food businesses, their premises must be registered with local authorities under the Food Premises (Registration) Regulations 1991. Any enforcement measures should relate to the known risks of the product. In the case of wine production, the risks are generally relatively low.
Road Traffic Accidents
Mrs. Mahon : To ask the Secretary of State for Health what is the total amount charged by each health authority for treatment given to patients following road traffic accidents for each of the last 10 years ; and if he will give the comparable figures for NHS trusts.
Mr. Dorrell [holding answer 14 February 1992] : The information requested, which is derived from annual accounts submitted to the Department, is shown in the tables for the financial years to 1990-91-- the latest available. Such information is not collected in-year.
Table 1 shows the figures for the 10 years by region and table 2 for each health authority for the most recent three years. A complete analysis to each health authority for the entire 10-year period could be provided only at disproportionate cost.
Column 751
Table 1
Income from charges under the Road Traffic Acts-£000 (Cash)
Region |1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89|1989-90|1990-91
----------------------------------------------------------------------------------------------------------
Northern |216 |296 |398 |391 |424 |349 |398 |397 |384 |390
Yorkshire |351 |448 |515 |573 |618 |631 |679 |751 |680 |744
Trent |369 |519 |630 |664 |754 |716 |971 |1,005 |931 |994
East Anglia |276 |361 |386 |471 |515 |500 |467 |514 |716 |625
North West Thames |224 |285 |356 |303 |315 |384 |403 |438 |468 |333
North East Thames |271 |326 |364 |363 |390 |331 |436 |430 |391 |418
South East Thames |337 |444 |542 |548 |629 |534 |500 |513 |392 |507
South West Thames |246 |379 |348 |357 |379 |338 |461 |517 |574 |211
Wessex |316 |458 |584 |583 |775 |753 |742 |836 |861 |1,077
Oxford |217 |319 |356 |571 |558 |609 |624 |534 |729 |665
South Western |335 |473 |678 |690 |725 |691 |824 |720 |890 |741
West Midlands |488 |722 |786 |837 |780 |850 |1,020 |929 |1,040 |969
Mersey |228 |392 |399 |385 |466 |458 |491 |407 |517 |624
North Western |318 |468 |603 |584 |590 |722 |669 |753 |681 |779
SHAs |6 |4 |5 |4 |(2) |5 |2 |4 |2 |3
|-------|-------|-------|-------|-------|-------|-------|-------|-------|-------
England |4,198 |5,894 |6,950 |7,324 |7,916 |7,871 |8,687 |8,748 |9,256 |9,080
Column 753
Table 2
Income from charges under the Road Traffic Acts
|1988-89 |1989-90 |1990-91
|(£) |(£) |(£)
-----------------------------------------------------------------------------
Northern Region
Hartlepool |10,779 |18,973 |21,645
North Tees |17,948 |21,272 |22,311
South Tees |27,630 |47,551 |34,229
East Cumbria |39,031 |45,766 |51,260
South Cumbria |28,259 |29,854 |37,415
West Cumbria |12,349 |13,135 |11,410
Darlington |10,209 |10,238 |14,161
Durham |26,503 |30,837 |29,808
North West Durham |6,826 |21,562 |16,017
South West Durham |22,965 |13,040 |25,609
Northumberland |20,434 |44,926 |42,923
Gateshead |10,734 |12,570 |10,517
Newcastle |129,785 |36,664 |36,495
North Tyneside |11,842 |8,794 |12,052
South Tyneside |9,121 |8,436 |5,702
Sunderland |12,215 |19,952 |18,269
|------- |------- |-------
Total |396,630 |383,570 |389,823
Yorkshire Region
Hull |153,110 |125,621 |152,581
East Yorkshire |5,148 |4,302 |4,350
Grimsby |20,682 |31,113 |37,678
Scunthorpe |13,499 |17,120 |28,640
Northallerton |24,201 |15,932 |12,925
York |26,556 |38,971 |31,291
Scarborough |33,488 |34,655 |55,701
Harrogate |27,745 |30,428 |28,731
Bradford |47,252 |66,756 |50,563
Airedale |29,637 |37,418 |57,086
Calderdale |37,741 |25,640 |35,644
Huddersfield |66,754 |35,713 |30,219
Dewsbury |28,108 |38,417 |41,807
Leeds Western |78,784 |57,920 |38,736
Leeds Eastern |117,071 |80,582 |90,796
Wakefield |26,002 |19,155 |33,125
Pontefract |15,694 |19,835 |13,731
|------- |------- |-------
Total |751,472 |679,578 |743,604
Trent Region
North Derbyshire |63,128 |39,661 |56,000
South Derbyshire |137,672 |138,300 |108,772
Leicestershire |172,495 |79,819 |140,508
North Lincolnshire |87,372 |74,019 |134,055
South Lincolnshire |108,796 |107,585 |131,640
Bassetlaw |11,172 |15,307 |19,860
Central Notts |61,453 |61,481 |55,035
Nottingham |123,754 |133,736 |98,694
Barnsley |21,357 |48,687 |30,990
Doncaster |81,221 |104,048 |108,534
Rotherham |50,955 |44,696 |65,161
Sheffield |85,881 |84,061 |44,535
|------- |------- |-------
Total |1,005,256|931,400 |993,784
East Anglian Region
Cambridge |46,271 |138,388 |86,301
Peterborough |47,584 |109,887 |89,459
West Suffolk |37,573 |49,872 |42,756
East Suffolk |43,814 |36,469 |31,302
Norwich |190,102 |204,360 |213,959
Great Yarmouth and Waveney |28,721 |75,331 |41,905
West Norfolk and Wisbech |95,884 |73,973 |92,552
Huntingdon |23,649 |28,080 |26,962
|------- |------- |-------
Total |513,598 |716,360 |625,196
North West Thames Region
North Bedfordshire |80,820 |86,996 |46,780
South Bedfordshire |53,266 |74,524 |68,648
North Hertfordshire |41,081 |47,942 |12,698
East Hertfordshire |4,405 |20,174 |17,618
North West Hertfordshire |58,989 |59,945 |37,027
South West Hertfordshire |20,935 |25,478 |16,912
Barnet |24,425 |33,575 |22,299
Harrow |10,547 |5,328 |10,747
Hillingdon |55,837 |40,118 |32,498
Hounslow and Spelthorne |71,732 |71,828 |51,160
Ealing |10,084 |(6,191) |10,109
Riverside |1,815 |3,529 |2,837
Parkside |4,374 |4,170 |4,162
|------- |------- |-------
Total |438,310 |467,416 |333,495
North East Thames Region
Basildon and Thurrock |20,987 |15,315 |15,306
Mid Essex |97,613 |67,113 |89,729
North East Essex |13,281 |33,168 |28,039
West Essex |54,092 |36,825 |23,204
Southend |32,672 |13,939 |24,717
Barking, Havering and Brentwood |55,163 |79,143 |56,546
Hampstead |23,128 |24,431 |23,913
City and Hackney |7,639 |28,122 |12,120
Newham |36,878 |25,319 |43,134
Tower Hamlets |27,326 |2,601 |26,073
Enfield |7,647 |5,860 |16,137
Haringey |1,683 |1,848 |2,537
Redbridge |8,909 |4,901 |16,064
Waltham Forest |16,470 |35,507 |29,963
Bloomsbury and Islington |26,787 |17,104 |10,067
|------- |------- |-------
Total |430,275 |391,196 |417,549
South East Thames Region
Brighton |36,344 |29,647 |29,915
Eastbourne |59,396 |36,938 |55,990
Hastings |7,102 |8,201 |8,926
South East Kent |21,307 |28,065 |49,105
Canterbury and Thanet |95,067 |95,510 |76,468
Dartford and Gravesham |32,325 |54,094 |21,810
Maidstone |28,501 |5,892 |26,755
Medway |35,357 |54,143 |124,693
Tunbridge Wells |95,992 |44,651 |71,635
Bexley |24,187 |(9,522) |7,358
Greenwich |15,015 |15,585 |10,575
Bromley |27,992 |5,402 |16,606
West Lambeth |30,925 |10,674 |570
Camberwell |734 |5,916 |(7,260)
Lewisham and North Southwark |2,609 |6,241 |14,304
|------- |------- |-------
Total |512,853 |391,437 |507,450
South West Thames
Region
North West Surrey |23,458 |14,503 |21,760
West Surrey and North East Hampshire |32,032 |26,611 |39,082
South West Surrey |54,672 |20,440 |44,572
Mid Surrey |16,443 |740 |8,715
East Surrey |12,679 |14,674 |12,754
Chichester |60,350 |49,988 |60,201
Mid Downs |60,609 |71,512 |90,627
Worthing |190,269 |233,194 |(17,151)
Croydon |15,465 |69,794 |32,204
Kingston and Esher |10,042 |38,429 |40,102
Richmond, Twickenham and Roehampton |(623) |930 |(804)
Wandsworth |7,898 |2,895 |4,963
Merton and Sutton |33,875 |29,760 |32,068
|------- |------- |-------
Total |517,169 |573,470 |211,093
Wessex Region
East Dorset |121,668 |107,252 |150,008
West Dorset |27,559 |33,077 |28,386
Portsmouth and South
East Hampshire |114,425 |112,389 |121,614
Southampton and South
West Hampshire |151,657 |171,367 |164,717
Winchester |85,145 |80,716 |92,925
Basingstoke |71,611 |44,390 |99,669
Salisbury |84,498 |119,673 |113,194
Swindon |59,130 |70,023 |58,485
Bath |109,021 |104,188 |212,102
Isle of Wight |11,624 |17,524 |36,046
|------- |------- |-------
Total |836,338 |860,599 |1,077,146
Oxford Region
East Berkshire |43,424 |87,948 |54,094
West Berkshire |100,400 |100,611 |142,669
Aylesbury |49,064 |57,278 |54,586
Wycombe |46,800 |64,532 |21,031
Milton Keynes |24,752 |20,647 |18,260
Kettering |62,696 |116,378 |69,867
Northampton |61,946 |69,051 |55,119
Oxfordshire |144,844 |212,922 |248,941
|------- |------- |-------
Total |533,926 |729,367 |664,567
South Western Region
Bristol and Weston |71,158 |178,126 |101,851
Frenchay |35,647 |122,324 |79,091
Southmead |40,030 |33,196 |29,645
Cornwall and Isles of
Scilly |121,422 |140,566 |120,609
Exeter |106,093 |99,823 |109,024
North Devon |21,775 |18,317 |19,311
Plymouth |83,094 |79,930 |81,415
Torbay |67,092 |55,320 |60,506
Cheltenham |37,104 |16,218 |22,466
Gloucester |42,902 |38,907 |36,811
Somerset |93,116 |107,007 |80,012
|---- |---- |----
Total |719,433 |889,734 |740,741
Bromsgrove and Redditch |14,559 |11,200 |19,453
Herefordshire |10,657 |23,033 |28,517
Kidderminster |26,017 |24,717 |19,991
Worcester |15,720 |32,890 |17,955
Shropshire |166,282 |161,089 |153,432
Mid Staffordshire |25,500 |31,674 |28,908
North Staffordshire |150,086 |131,227 |90,594
South East Staffordshire |35,257 |92,865 |41,077
Rugby |20,813 |24,222 |52,406
North Warwickshire |37,985 |34,173 |17,277
South Warwickshire |23,730 |20,974 |28,442
Central Birmingham |21,679 |6,124 |47,317
East Birmingham |37,770 |43,996 |67,506
North Birmingham |27,792 |39,839 |31,773
South Birmingham |84,783 |98,091 |75,284
West Birmingham |6,539 |5,343 |4,350
Coventry |36,022 |32,774 |35,276
Dudley |59,849 |65,359 |80,807
Sandwell |14,041 |30,883 |25,976
Solihull |16,657 |10,161 |8,533
Walsall |51,118 |36,567 |43,685
Wolverhampton |46,439 |82,686 |50,900
|---- |---- |----
Total |929,295 |1,039,887|969,459
Mersey Region
Chester |60,056 |69,636 |86,583
Crewe |62,641 |91,408 |74,816
Halton |1,605 |2,927 |3,493
Macclesfield |14,475 |16,224 |31,067
Warrington |40,127 |18,792 |59,658
Liverpool |53,831 |88,046 |143,966
St. Helens and Knowsley |14,028 |20,060 |31,466
Southport and Formby |13,979 |8,018 |12,967
South Sefton |65,363 |83,329 |105,334
Wirral |80,564 |121,217 |74,492
|------- |------- |-------
Total |406,669 |519,657 |623,842
North Western Region
Lancaster |24,361 |28,694 |19,253
Blackpool, Wyre and
Fylde |33,991 |28,575 |26,962
Preston |64,692 |67,831 |50,448
Blackburn, Hyndburn
and Ribble Valley |29,764 |24,677 |42,611
Burnley, Pendle and
Rossendale |49,985 |48,386 |45,247
West Lanchashire |37,224 |37,274 |43,768
Chorley and South
Ribble |6,820 |8,502 |10,352
Bolton |31,775 |30,248 |35,816
Bury |12,212 |12,488 |13,334
North Manchester |40,150 |20,856 |28,968
Central Manchester |43,440 |58,256 |59,019
South Manchester |45,720 |62,781 |55,148
Oldham |35,224 |19,351 |19,910
Rochdale |51,859 |19,592 |29,064
Salford |81,598 |35,670 |38,929
Stockport |89,610 |77,476 |82,642
Tameside and Glossop |30,981 |28,699 |51,028
Trafford |11,722 |12,186 |12,477
Wigan |31,587 |58,882 |114,267
|------- |------- |-------
Total |752,715 |680,424 |779,243
Hospitals for Sick
Children |15 |14 |22
Hammersmith and Queen
Charlottes Hospital |4,369 |2,246 |2,855
|------- |------- |-------
S.H.As Total |4,384 |2,260 |2,877
|------- |------- |-------
England Total |8,748,323|9,256,355|9,079,869
Source: Annual accounts of district health authorities in England and
those of the special health authorities for the London post-graduate
teaching hospitals. (Predecessor authorities for 1981-82).
Notes:
1. The annual figures are for total income from charges for
emergency and further treatment under the Road Traffic Acts (RTA)
and represent sums due for the financial year but not necessarily
received.
2. The figures also reflect accounting adjustments and RTA charges
written-off as bad debts in the year of account. Such adjustments and
write-offs include RTA sums due from earlier years and a negative
income figure may occasionally result for a particular year (figures
shown in brackets in the tables).
3. The annual accounts of the fourteen regional health authorities
(RHAs) in England and six of the eight special health authorities
(SHAs) for the London post-graduate teaching hospitals record no
income from RTA in the period 1988-89 to 1990-91 and are omitted
from table 2.
Health Service Finance
Mr. Robin Cook : To ask the Secretary of State for Health if he will publish annex B of Cm 1913 adjusted for input unit costs.
Mr. Dorrell [holding answer 3 March 1992] : The information requested for the hospital and community health services, family health services and the health service as a whole for the years 1986-87 to 1990-91 is given in the table. Information is not available in this form for other parts of the programme or for later years.
Column 757
This information measures changes in total inputs at constant factor cost but ignores the continuing success of the national health service in increasing the efficiency with which it uses resources. Therefore, in order to give a complete picture, figures adjusted by the gross domestic product deflator have also been included. It has not been possible to adjust these figures for certain national health service review related changes. Figures for 1991-92 onwards are therefore not directly comparable with those for earlier years. The main points are :Column 758
(i) Sums provided for trust debt remuneration are included in hospital and community health services current in 1991-92 and 1992-93 ;(ii) Trusts' capital spending financed via health authorities' payments for services is included in hospital and community health services current for 1991-92 and 1992-93 ;
(iii) General practitioner fundholders' expenditure on drugs is included in hospital and community health services current in 1991-92 only.
Column 757
Expenditure figures as they appear in Annex B of Cm 1913 adjusted for changes in input unit costs and by the GDP deflator
(All at 1990-91 prices)
£ million
NHS hospital, community health, family health |1986-87 |1987-88 |1988-89 |1989-90 |1990-91 |1991-92 |1992-93
(cash limited) and related services
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Current expenditure
Adjusted for change in input unit cost
gross |18,790 |19,112 |19,202 |19,241 |20,073 |(a) |(a)
net |18,273 |18,602 |18,687 |18,710 |19,513 |(a) |(a)
Adjusted by the GDP deflator
gross |17,787 |18,618 |19,285 |19,434 |20,073 |21,582 |22,748
net |17,298 |18,120 |18,767 |18,898 |19,513 |21,050 |22,256
Capital expenditure
Adjusted for change in input unit cost
gross |1,703 |1,697 |1,731 |1,930 |1,864 |(a) |(a)
net |1,491 |1,420 |1,365 |1,638 |1,661 |(a) |(a)
Adjusted by the GDP deflator
gross |1,642 |1,631 |1,643 |1,878 |1,864 |1,911 |1,731
net |1,437 |1,364 |1,295 |1,594 |1,661 |1,698 |1,538
NHS family health services (non cash limited)
Current expenditure
Adjusted for change in input unit cost
gross |6,097 |6,306 |6,491 |6,460 |6,275 |(a) |(a)
net |5,454 |5,658 |5,802 |5,704 |5,574 |(a) |(a)
Adjusted by the GDP deflator
gross |5,616 |5,895 |6,222 |6,164 |6,275 |6,263 |6,535
net |5,024 |5,289 |5,561 |5,442 |5,574 |5,552 |5,803
Total health services
Current expenditure
Adjusted for change in input cost
gross |25,776 |26,300 |26,536 |26,601 |27,247 |(a) |(a)
net |24,600 |25,130 |25,325 |25,310 |25,960 |(a) |(a)
Adjusted by the GDP deflator
gross |24,221 |25,337 |26,309 |26,450 |27,247 |28,851 |30,329
net |23,117 |24,209 |25,108 |25,166 |25,960 |27,575 |29,069
Capital expenditure
Adjusted for change in input unit cost
gross |1,774 |1,744 |1,786 |1,981 |1,933 |(a) |(a)
net |1,561 |1,463 |1,394 |1,688 |1,729 |(a) |(a)
Adjusted by the GDP deflator
gross |1,710 |1,676 |1,695 |1,928 |1,933 |2,080 |1,910
net |1,505 |1,407 |1,323 |1,642 |1,729 |1,801 |1,717
Total expenditure
Adjusted for change in input cost
gross |27,572 |28,069 |28,350 |28,592 |29,180 |(a) |(a)
net |26,179 |26,616 |26,758 |27,011 |27,689 |(a) |(a)
Adjusted by the GDP deflator
gross |25,931 |27,015 |28,003 |28,377 |29,180 |30,932 |32,239
net |24,622 |25,616 |26,431 |26,809 |27,689 |29,376 |30,786
(a) Estimates are not made for changes in input unit cost until the financial year has ended.
Column 759
Agency Staff
Mr. Robin Cook : To ask the Secretary of State for Health if he will give for each district health authority, regional health authority, special health authority, and for England as a whole the amount spent on agency staff for each year since 1987 and for the latest available year.
Mr. Dorrell [holding answer 12 March 1992] : The information, which is derived from annual accounts
Column 760
submitted to the Department for the financial years 1987-88 to 1990-91--the latest available--is shown in the table.Column 759
Total revenue expenditure on non-NHS (agency, etc.) staff
|1987-88 |1988-89 |1989-90 |1990-91
|£ (cash) |£ (cash) |£ (cash) |£ (cash)
--------------------------------------------------------------------------------------------------------
Northern regional health authority |122,371 |151,306 |183,836 |96,133
Hartlepool |18,733 |5,538 |30,410 |79,736
North Tees |16,486 |27,571 |0 |15,008
South Tees |435,021 |569,875 |540,069 |360,587
East Cumbria |90,628 |97,941 |109,007 |117,503
South Cumbria |91,692 |74,880 |109,195 |60,705
West Cumbria |54,979 |64,030 |39,999 |54,571
Darlington |314,896 |154,067 |246,541 |438,420
Durham |85,031 |204,624 |19,661 |50,431
North West Durham |50,947 |91,928 |5,042 |27,855
South West Durham |0 |0 |0 |0
Northumberland |42,835 |29,114 |30,093 |12,440
Gateshead |0 |29,977 |105,435 |138,908
Newcastle |122,543 |101,775 |159,949 |968,019
North Tyneside |89,331 |65,189 |130,367 |166,277
South Tyneside |91,772 |45,475 |34,666 |80,841
Sunderland |80,465 |89,553 |156,815 |69,338
|------- |------- |------- |-------
Northern region total |1,707,730 |1,802,843 |1,900,085 |2,736,772
Yorkshire regional health authority |68,575 |82,940 |211,022 |186,881
Hull |374,644 |257,545 |270,058 |301,040
East Yorks |303,707 |242,172 |216,573 |111,846
Grimsby |290,769 |243,584 |415,612 |461,954
Scunthorpe |181,049 |228,714 |87,796 |94,472
Northallerton |0 |0 |0 |98,588
York |118,860 |288,820 |279,915 |207,812
Scarborough |492,494 |340,459 |337,421 |221,960
Harrogate |147,860 |168,457 |179,803 |228,228
Bradford |670,368 |726,030 |880,794 |1,025,534
Airedale |37,364 |19,939 |15,525 |39,647
Calderdale |462,592 |496,776 |370,302 |209,220
Huddersfield |23,119 |26,953 |66,526 |57,919
Dewsbury |33,946 |5,969 |90,955 |109,696
Leeds Western |1,869799 |2,533,830 |3,274,651 |2,629,311
Leeds Eastern |506,698 |749,710 |1,152,806 |1,334,620
Wakefield |449,460 |348,417 |431,231 |442,089
Pontefract |237,028 |147,342 |154,856 |251,802
|------- |------- |------- |-------
Yorkshire region total |6,268,332 |6,907,657 |8,435,846 |8,012,619
Trent regional health authority |294,698 |300,236 |325,810 |202,386
North Derbyshire |31,738 |98,581 |234,532 |176,156
South Derbyshire |595,635 |477,658 |512,592 |333,341
Leicestershire |530,858 |763,651 |1,242,231 |806,257
North Lincolnshire |105,119 |120,848 |160,367 |133,818
South Lincolnshire |583,200 |623,673 |621,831 |544,590
Bassetlaw |0 |42,215 |170,314 |220,211
Central Nottinghamshire |65,002 |40,657 |63,406 |232,172
Nottingham |501,317 |454,044 |455,369 |757,044
Barnsley |65,465 |63,308 |112,928 |117,057
Doncaster |224,243 |206,050 |195,525 |259,518
Rotherham |146,223 |259,528 |429,098 |590,632
Sheffield |1,277,009 |1,849,679 |3,484,517 |3,155,054
|------- |------- |------- |-------
Trent region total |4,420,507 |5,300,128 |8,008,520 |7,528,236
East Anglian regional health authority |475,878 |802,505 |1,374,541 |1,846,612
Cambridge |1,521,781 |1,656,476 |2,179,186 |1,565,006
Peterborough |676,536 |619,743 |589,200 |509,803
West Suffolk |410,296 |491,299 |602,125 |837,760
East Suffolk |303,075 |533,803 |655,222 |1,014,282
Norwich |1,875,080 |1,555,447 |1,482,742 |1,342,194
Great Yarmouth and Waveney |436,536 |359,775 |377,276 |400,635
West Norfolk and Wisbech |388,409 |452,406 |497,413 |397,316
Huntingdon |90,488 |132,924 |198,498 |764,506
|------- |------- |------- |-------
East Anglian region total |6,178,079 |6,604,378 |7,956,203 |8,678,114
North West Thames regional health
authority |2,299,214 |727,892 |729,071 |884,125
North Bedfordshire |591,093 |538,398 |519,366 |424,593
South Bedfordshire |820,269 |1,022,665 |1,243,620 |1,621,391
North Hertfordshire |1,071,328 |1,206,162 |1,555,862 |1,911,468
East Hertfordshire |951,014 |882,852 |675,886 |752,335
North West Hertfordshire |1,567,927 |1,719,755 |1,919,530 |1,991,275
South West Hertfordshire |1,261,893 |1,721,574 |1,729,753 |2,114,156
Barnet |3,409,043 |4,372,478 |5,084,348 |5,064,702
Harrow |2,289,898 |2,429,707 |2,906,290 |3,269,381
Hillingdon |2,796,748 |3,742,080 |4,190,196 |3,348,431
Hounslow and Spelthorne |3,179,646 |3,830,287 |4,547,753 |3,907,046
Ealing |1,597,487 |2,372,980 |3,143,666 |3,253,397
Riverside |9,905,227 |13,590,643 |15,020,274 |11,040,240
Parkside |7,785,034 |9,436,938 |11,277,056 |9,863,888
|------- |------- |------- |-------
North West Thames region total |39,525,821 |47,594,411 |54,542,671 |49,446,428
North East Thames regional health
authority |738,317 |859,563 |937,619 |721,659
Basildon and Thurrock |1,576,965 |2,059,683 |2,393,580 |1,363,868
Mid Essex |1,206,645 |1,204,844 |1,148,747 |1,007,351
North East Essex |393,908 |752,040 |971,582 |861,628
West Essex |1,205,271 |1,025,548 |1,371,384 |1,245,951
Southend |1,980,270 |2,296,332 |2,120,877 |2,006,720
Barking, Havering and Brentwood |2,812,714 |2,788,896 |2,186,979 |1,793,355
Hampstead |3,137,349 |4,238,981 |5,072,956 |4,440,927
City and Hackney |4,854,313 |6,802,822 |7,436,144 |7,102,272
Newham |3,112,504 |3,232,217 |3,619,816 |4,278,542
Tower Hamlets |3,193,918 |4,342,609 |5,293,025 |4,762,839
Enfield |2,218,174 |2,022,592 |1,981,352 |2,064,315
Haringey |2,737,355 |2,468,426 |3,569,347 |3,493,981
Redbridge |2,281,034 |2,486,399 |2,996,419 |2,079,569
Waltham Forest |3,979,398 |4,682,746 |5,206,875 |5,673,948
Bloomsbury and Islington |14,014,663 |17,711,380 |18,564,424 |16,152,205
|------- |------- |------- |-------
North East Thames region total |49,442,798 |59,011,078 |64,871,126 |59,049,130
South East Thames regional health authority |1,019,536 |1,462,288 |796,115 |590,079
Brighton |1,497,134 |2,111,328 |2,600,706 |2,154,798
Eastbourne |989,148 |1,052,220 |937,118 |894,674
Hastings |765,009 |732,564 |967,282 |817,694
South East Kent |596,850 |534,040 |600,897 |357,573
Canterbury and Thanet |1,105,938 |1,229,828 |1,225,943 |1,000,535
Dartford and Gravesham |2,370,141 |2,177,132 |2,099,310 |1,098,097
Maidstone |1,221,563 |965,653 |844,706 |773,787
Medway |787,278 |923,396 |1,080,877 |1,912,306
Tunbridge Wells |1,515,017 |2,198,385 |2,549,673 |1,364,468
Bexley |1,037,467 |1,057,577 |1,311,721 |1,157,721
Greenwich |2,220,621 |2,674,043 |2,670,592 |2,444,405
Bromley |1,734,511 |2,550,508 |3,098,195 |2,138,229
West Lambeth |4,044,238 |5,240,423 |6,131,448 |3,710,181
Camberwell |4,381,014 |4,787,608 |6,135,868 |7,039,915
Lewisham and North Southwark |4,165,801 |5,631,563 |5,187,217 |4,945,197
|------- |------- |------- |-------
South East Thames region total |29,451,266 |35,328,556 |38,237,668 |32,399,659
South West Thames regional health
authority |4,125,246 |3,442,085 |4,090,940 |1,767,941
North West Surrey |1,416,863 |1,418,310 |2,547,056 |2,255,178
West Surrey and North East Hampshire |1,311,438 |1,584,613 |1,665,467 |1,176,231
South West Surrey |1,427,241 |1,938,917 |1,866,119 |1,525,951
Mid Surrey |856,057 |1,255,626 |1,566,838 |1,273,307
East Surrey |1,880,246 |2,439,164 |2,888,940 |1,900,255
Chichester |450,957 |591,739 |805,124 |645,371
Mid Downs |1,150,744 |1,384,841 |1,556,396 |1,288,472
Worthing |1,311,811 |1,392,828 |1,702,995 |1,540,308
Croydon |1,446,044 |2,384,516 |3,467,328 |2,649,097
Kingston and Esher |1,666,994 |2,437,871 |3,049,237 |1,748,899
Richmond, Twickenham and Roehampton |2,687,663 |3,097,592 |3,299,278 |3,397,120
Wandsworth |5,245,180 |6,200,298 |7,310,733 |4,883,203
Merton and Sutton |2,114,184 |2,913,701 |2,852,301 |2,419,863
|------- |------- |------- |-------
South West Thames region total |27,090,668 |32,482,101 |38,668,752 |28,471,196
Wessex regional health authority |538,495 |359,860 |214,285 |667,732
East Dorset |1,483,282 |1,703,900 |2,034,615 |1,812,459
West Dorset |298,835 |366,168 |461,944 |527,303
Portsmouth and South East Hampshire |667,152 |1,023,047 |1,253,703 |1,415,997
Southampton and South West Hampshire |678,522 |610,280 |1,127,391 |1,053,254
Winchester |569,488 |764,819 |702,203 |584,851
Basingstoke |832,146 |1,234,165 |1,395,171 |1,071,689
Salisbury |433,641 |336,344 |418,191 |437,442
Swindon |353,095 |460,172 |711,407 |804,305
Bath |268,719 |346,062 |827,694 |979,203
Isle of Wight |232,666 |442,206 |974,080 |827,582
|------- |------- |------- |-------
Wessex region total |6,356,041 |7,647,023 |10,120,684 |10,181,817
Oxford regional health authority |129,673 |327,235 |735,085 |527,375
East Berkshire |1,964,409 |2,135,708 |2,440,727 |1,997,510
West Berkshire |1,259,707 |1,474,065 |1,754,567 |1,790,170
Aylesbury |1,057,468 |1,215,867 |1,187,034 |1,041,672
Wycombe |587,818 |647,502 |645,455 |522,144
Milton Keynes |370,248 |603,210 |690,050 |375,893
Kettering |194,847 |223,515 |287,835 |285,144
Northampton |284,477 |518,735 |762,548 |630,322
Oxfordshire |624,718 |978,589 |1,361,879 |1,084,462
|------- |------- |------- |-------
Oxford region total |6,473,365 |8,124,426 |9,865,180 |8,254,692
South Western regional health authority |484,000 |498,941 |679,450 |835,586
Bristol and Weston |870,341 |1,427,086 |1,964,462 |2,086,772
Frenchay |191,581 |378,586 |758,969 |1,229,122
Southmead |385,695 |405,633 |520,437 |556,042
Cornwall and Isles of Scilly |261,374 |263,452 |281,408 |350,875
Exeter |493,777 |647,282 |1,028,593 |666,534
North Devon |222,920 |193,294 |249,417 |261,510
Plymouth |265,221 |336,871 |665,431 |1,106,159
Torbay |150,855 |179,697 |221,672 |283,306
Cheltenham |175,424 |366,690 |603,368 |545,015
Gloucester |70,231 |106,558 |112,332 |157,212
Somerset |1,219,532 |1,144,346 |1,275,176 |1,459,015
|------- |------- |------- |-------
South Western region total |4,790,951 |5,948,436 |8,360,715 |9,537,148
West Midlands regional health authority |730,773 |755,235 |791,136 |1,152,371
Bromsgrove and Redditch |336,575 |187,481 |215,171 |327,382
Herefordshire |129,256 |156,257 |285,567 |398,690
Kidderminster |100,275 |107,993 |120,621 |165,699
Worcester |535,924 |615,610 |1,197,012 |1,622,959
Shropshire |184,187 |104,640 |263,915 |488,022
Mid Staffs |87,262 |201,680 |259,417 |357,971
North Staffs |246,491 |295,718 |280,954 |359,734
South East Staffs |169,574 |197,927 |254,502 |255,658
Rugby |275,708 |333,652 |369,078 |295,023
North Warwickshire |226,802 |181,189 |240,086 |281,029
South Warwickshire |386,444 |313,797 |346,493 |493,518
Central Birmingham |1,096,622 |1,176,816 |1,926,228 |4,113,048
East Birmingham |623,485 |728,890 |1,393,344 |1,504,775
North Birmingham |468,028 |286,357 |340,191 |323,158
South Birmingham |939,572 |744,906 |982,011 |854,728
West Birmingham |686,553 |1,248,416 |1,550,390 |1,367,969
Coventry |421,659 |612,652 |861,914 |635,468
Dudley |226,484 |541,503 |851,751 |807,849
Sandwell |330,893 |477,915 |447,402 |205,281
Solihull |315,479 |201,299 |186,268 |342,793
Walsall |445,706 |443,617 |533,675 |610,182
Wolverhampton |666,328 |634,398 |791,357 |465,332
|------- |------- |------- |-------
West Midlands region total |9,630,080 |10,547,948 |14,488,483 |17,428,639
Mersey regional health authority |244,866 |271,163 |253,517 |288,395
Chester |110,888 |24,224 |229,033 |67,143
Crewe |496,125 |350,167 |519,320 |639,719
Halton |217,425 |353,701 |369,752 |267,952
Macclesfield |276,859 |285,794 |538,806 |613,345
Warrington |227,261 |219,578 |264,482 |30,584
Liverpool |770,672 |375,875 |2,094,580 |2,510,559
St. Helens and Knowsley |96,422 |44,602 |81,166 |133,408
Southport and Formby |284,061 |258,126 |247,071 |315,320
South Sefton |163,903 |439,085 |668,066 |491,794
Wirral |92,277 |157,465 |269,355 |285,823
|------- |------- |------- |-------
Mersey region total |2,980,759 |2,779,780 |5,535,148 |5,644,042
North Western regional health authority |18,969 |4,552 |100,542 |94,215
Lancaster |43,603 |57,988 |43,165 |74,386
Blackpool, Wyre and Fylde |249,381 |286,763 |267,094 |340,762
Preston |287,932 |388,428 |335,075 |493,246
Blackburn, Hyndburn and Ribble Valley |0 |0 |118,621 |114,180
Burnley, Pendle and Rossendale |57,073 |276,988 |116,619 |138,652
West Lancashire |118,769 |177,447 |570,483 |741,067
Chorley and South Ribble |19,142 |27,648 |14,863 |57,141
Bolton |526,670 |700,095 |586,073 |413,544
Bury |115,890 |71,054 |178,085 |300,077
North Manchester |150,309 |320,374 |446,372 |993,235
Central Manchester |372,029 |494,026 |816,384 |1,152,637
South Manchester |90,689 |675,087 |589,147 |1,245,214
Oldham |344,533 |353,911 |273,386 |171,600
Rochdale |100,777 |50,608 |60,548 |65,388
Salford |363,522 |355,484 |255,378 |525,580
Stockport |139,237 |152,253 |163,522 |187,236
Tameside and Glossop |212,375 |213,735 |214,070 |166,320
Trafford |202,788 |242,912 |112,842 |192,333
Wigan |29,689 |42,892 |209,149 |228,576
|------- |------- |------- |-------
North Western region total |3,443,377 |4,892,245 |5,471,418 |7,695,389
Hospitals for Sick Children |3,007,397 |3,929,924 |5,655,215 |5,364,730
National Hospital for Neurology and
Neurosurgery |1,886,045 |2,145,783 |2,706,325 |2,286,274
Moorfields Eye Hospital |1,192,738 |1,697,004 |1,580,001 |1,204,326
Bethlem Royal and Maudsley Hospitals |1,146,088 |1,351,302 |2,316,199 |1,530,689
National Heart and Lung Hospitals |1,409,469 |2,272,109 |2,804,712 |3,682,776
Royal Marsden Hospital |1,394,752 |1,783,790 |2,295,757 |1,926,012
Hammersmith and Queen Charlottes
Hospital |3,367,977 |3,675,845 |3,280,373 |3,472,062
Eastman Dental Hospital |271,154 |339,793 |380,587 |394,333
|------- |------- |------- |-------
SHA total |13,675,620 |17,195,550 |21,019,169 |19,861,202
England |211,435,394|252,166,560|297,481,668|274,925,083
Source:
Annual accounts of regional and district health authorities in England and those of the special health
authorities for the London postgraduate
teaching hospitals.
Notes:
1. The table excludes the similar but comparatively small costs of staff wholly or mainly concerned
with capital projects and which are
charged to capital expenditure by the health authorities. Such costs totalled as follows:
|£000 (cash)
------------------------------------
1987-88 |2,449
1988-89 |2,876
1989-90 |4,612
1990-91 |4,899
2. The table also excludes any
expenditure incurred by special
health authorities other than those
for the London postgraduate
teaching
hospitals.
DEFENCE
Nuclear Scientists
Dr. Thomas : To ask the Secretary of State for Defence if he will make it his policy to establish a United Kingdom body to retrain nuclear scientists and weapon designers from the Atomic Weapons Establishment in civil development projects.
Column 766
Hydrographic Office
Mr. David Nicholson : To ask the Secretary of State for defence what changes he proposes in the budget of the Hydrographic Office defence support agency from 1 April ; what consequences for staffing he expects to result ; and what consultations have taken place with representatives of the employees.
Mr. Archie Hamilton : The 1992-93 business plan for the Hydrographic Office defence support agency is still being prepared, and consequently the budgetary allocation and any staffing implications have yet to be finalised by the
Column 767
chief executive. Discussions between the management and representatives of Hydrographic Office staff will continue by means of well-established local Whitley committee machinery.Mr. David Nicholson : To ask the Secretary of State for Defence what representations he has had over the prospect of the Hydrographic Office defence support agency achieving metrication of charts on a world basis by 1999 ; and if he will make a statement.
Mr. Archie Hamilton : A number of representations have been received concerning the metrication of charts by the Hydrographic Office defence support agency, including some from hon. Members. One of the key targets set for the chief executive of the Hydrographic Office is to reduce the number of imperial unit charts in the inventory by at least 90 per year. This will allow the metrication programme to be completed by 2005. By 1999 all imperial charts relating to EC waters will have been converted to metric units of measurement in accordance with an EC directive covering the territories of EC member states and their territorial waters.
Mr. David Nicholson : To ask the Secretary of State for Defence what representations he has received on the adequacy of staff numbers employed on marketing by the Hydrographic Office defence support agency.
Mr. David Nicholson : To ask the Secretary of State for Defence if he will make a statement on the automation programme of the Hydrographic Office defence support agency and the likely staff savings (a) before 1995 and (b) after 1995.
Mr. Archie Hamilton : This is a matter for the chief executive of the Hydrographic Office. I have asked him to write to my hon. Friend.
Mr. David Nicholson : To ask the Secretary of State for Defence if he will list (a) the running costs and (b) the incomes from sales in request of the Hydrographic Office defence support agency in each year since 1971 (i) at current prices and (ii) at 1990-91 prices.
Mr. Archie Hamilton : This is a matter for the chief executive of the Hydrographic Office. I have asked him to reply to my right hon. Friend.
Mr. David Nicholson : To ask the Secretary of State for Defence if he will make it his policy that the savings required under current proposals from the Hydrographic Office defence support agency should be based on net rather than total running costs ; and if he will make a statement.
Mr. Archie Hamilton : The Hydrographic Office defence support agency has been required to achieve a number of economy measures as a contribution to savings needed throughout the fleet support area. The chief executive has been given certain freedoms and flexibilities to deal with these savings measures and will be considering how best to implement them while ensuring that the Hydrographic Office continues to respond effectively to the needs of its customers.
Nuclear Weapons
Mr. Flynn : To ask the Secretary of State for Defence what figures he has been given by the military authorities of the Commonwealth of Independent States forces for
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(a) the total number of nuclear warheads in the CIS stockpile and (b) the total amount of nuclear explosive material in warheads or in store in the CIS.Mr. Archie Hamilton : The Russian authorities have indicated that the former Soviet nuclear arsenal contains in excess of 27,000 warheads but have given no details of the amount of fissile material they possess.
Plymouth Development Corporation
Mr. Home Robertson : To ask the Secretary of State for Defence from which defence vote and subhead he proposes to make funds available to the proposed new urban development corporation in Plymouth ; how much he proposes to make available ; and what value has been placed on the amounts of development land surplus to his Department's requirements which he proposes to hand over to the proposed corporation.
Mr. Kenneth Carlisle : The Ministry of Defence has undertaken to provide £20 million and some surplus land to support the proposed Plymouth urban development corporation announced by my right hon. Friend the Secretary of State for the Environment on the 6 March ; this forms part of a package for the disposal of the Royal William yard.
Low Flying
Mr. Steen : To ask the Secretary of State for Defence when he hopes to pay Mr. W. Martin of Blackdown Goat farm, Loddiswell, near Kingsbridge, south Devon, compensation as a result of a low-flying service helicopter on 5 February ; if he will make a full investigation into the circumstances ; and if he will make a statement.
Mr. Kenneth Carlisle : Mr. Martin has only recently submitted a claim to my Department for compensation. The matter will be fully investigated and dealt with as quickly as possible.
SOCIAL SECURITY
Income Support
Mr. Maxton : To ask the Secretary of State for Social Security how many children in Scotland were growing up in households dependent on income support or supplementary benefit ; and what share of the Scottish population aged 16 years and under this represented, in each year since 1974.
Miss Widdecombe : The answer is given in the table. The information requested is not available for the years prior to 1977 and could be obtained only at disproportionate cost.
The figures in the table largely reflect the increased numbers of lone parent families that is a characteristic of Great Britain as a whole and the fact that 60 per cent. of lone parents are either separated or divorced. Members of this group tend to become dependent on income support because of the problems that they face in obtaining appropriate levels of maintenance for their children and also in entering the labour market. This situation will be helped by the two changes in family credit that are to take effect from April ; the definition of remunerative work is to be reduced to 16 hours and a £15 disregard is to be
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introduced for child maintenance from absent parents. In the longer term the Child Support Agency will help lone parents obtain the child maintenance that is due to them.
(A) |(B) |(C)
Year |Number of children |(B) expressed as a
|in Scotland aged 16 |percentage of the
|or under dependent |total number of
|on income support |children in Scotland
|aged 16 or under
|(000's)
------------------------------------------------------------------------------------
1977 |122 |8.6
1978 |121 |8.8
1979 |111 |8.2
1980 |121 |9.2
1981 |158 |12.3
1982 |186 |14.9
1983 |180 |14.7
1984 |200 |17.1
<1>1986 |216 |18.9
1987 |221 |19.6
1988 |232 |21.0
1989 |229 |21.0
1990 |222 |20.4
Note: Figures are rounded to the nearest thousand.
Sources: Supplementary benefit/income support annual statistical
inquiries for 1977 to 1990. Population statistics branch. General
Register Office, Scotland.
<1> There was no annual statistical inquiry in 1985: the one due in
December that year was deferred until February 1986.
Mr. Allen : To ask the Secretary of State for Social Security what proportion of income support recipients are responsible for a mortgage or home loan and are (a) not in arrears with their payments, (b) more than three months in arrears and (c) more than six months in arrears.
Miss Widdecombe : The information is not available in the form requested. The Benefits Agency is currently
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undertaking an exercise to identify claimants in difficulties with their mortgage interest payments and to make those payments direct to lenders. From April all claimants receiving help with mortgage interest will have payments made automatically to qualifying lenders.Benefit Expenditure
Mr. Ralph Howell : To ask the Secretary of State for Social Security what would be the reduction in overall expenditure in all welfare benefits, with the exception of child benefit, if all the adult working population including those currently classified as unemployed were deemed to have earned £100 per week.
Mr. Jack : The outcome of the proposal outlined in the question would not result in a benefit saving.
Mr. Meacher : To ask the Secretary of State for Social Security what has been the average expenditure per claimant for each social security benefit at 1991-92 prices for each year since 1979 ; and what was the percentage increase or decrease each year.
Miss Widdecombe : The available information is in the tables. In considering this data, it must be borne in mind that wholly beneficial benefit enhancements can, by increasing beneficiary numbers, produce an apparent fall in real average payments whereas in reality household real income from social security can be higher--for example, the growing number of married women receiving pensions in their own right. For income-related benefits, amounts paid reflect other income and other benefits, and changes from year to year are the consequence of increases in various benefits made to reflect the Government's concern to help elderly and sick people and families.
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Table 1
Average payment (at 1991-92 prices) (£ per annum)<1>
|1978-79|1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89|1989-90|1990-91|1991-92
-----------------------------------------------------------------------------------------------------------------------------------------------------
Retirement Pension<2> |2,400 |2,360 |2,330 |2,410 |2,490 |2,540 |2,490 |2,550 |2,590 |2,550 |2,450 |2,450 |2,450 |2,570
Widows' Benefit<2> |2,770 |2,670 |2,640 |2,690 |2,730 |2,800 |2,810 |2,820 |2,880 |2,890 |2,840 |2,640 |2,720 |2,810
Unemployment Benefit |3,010 |2,760 |2,620 |2,500 |2,300 |2,350 |2,360 |2,400 |2,410 |2,390 |2,280 |2,270 |2,190 |2,320
Sickness Benefit |3,370 |3,110 |2,950 |2,140 |2,350 |2,490 |2,360 |2,490 |2,500 |2,440 |2,260 |2,260 |2,200 |2,230
Statutory Sick Pay<3> |- |- |- |- |- |3,330 |3,220 |3,210 |3,300 |3,230 |3,040 |3,060 |2,840 |2,620
Invalidity Benefit<2> |3,800 |3,730 |3,640 |3,720 |3,810 |3,940 |3,950 |3,920 |3,990 |3,890 |3,770 |3,740 |3,750 |3,970
Industrial Disablement |2,170 |2,100 |2,080 |2,170 |2,160 |2,230 |2,230 |2,220 |2,160 |2,070 |1,890 |1,850 |1,820 |1,820
Benefit
Industrial Death Benefit |2,890 |2,790 |2,750 |2,810 |2,840 |2,880 |2,790 |2,790 |2,840 |2,970 |2,430 |2,280 |2,570 |2,600
Maternity Allowance |2,850 |2,530 |2,440 |2,260 |2,030 |2,050 |2,040 |2,060 |2,130 |2,250 |2,220 |1,740 |1,820 |1,950
Statutory Maternity Pay |- |- |- |- |- |- |- |- |- |3,200 |3,860 |3,690 |4,200 |4,050
Non-contributory RP |1,540 |1,520 |1,490 |1,400 |1,490 |1,640 |1,700 |1,690 |1,290 |1,400 |1,270 |1,160 |1,100 |1,060
War Pension |2,400 |2,360 |2,310 |2,490 |2,550 |2,660 |2,720 |2,840 |2,940 |2,940 |2,850 |2,810 |2,970 |3,100
Attendance Allowance |1,720 |1,640 |1,620 |1,690 |1,730 |1,780 |1,790 |1,780 |1,800 |1,770 |1,700 |1,690 |1,690 |1,760
Invalid Care Allowance<4> |2,170 |1,860 |1,960 |2,150 |1,340 |1,600 |1,670 |1,880 |5,810 |3,050 |2,140 |1,860 |1,650 |1,690
Severe Disablement |1,250 |1,200 |1,210 |1,290 |1,320 |1,390 |1,470 |1,570 |1,500 |1,470 |1,450 |1,430 |1,580 |1,940
Allowance
Mobility Allowance |1,340 |1,310 |1,330 |1,480 |1,490 |1,540 |1,390 |1,450 |1,560 |1,530 |1,490 |1,530 |1,520 |1,610
Income Support/ |2,030 |1,940 |2,000 |2,330 |2,510 |2,020 |2,100 |2,230 |2,180 |2,100 |2,170 |2,140 |2,270 |2,470
Supplementary
Benefit<5>
Child Benefit (per child)<6> |360 |490 |440 |460 |470 |500 |520 |520 |520 |510 |460 |440 |400 |430
One Parent Benefit |210 |270 |280 |290 |300 |320 |320 |330 |340 |330 |310 |310 |320 |300
Family Credit/FIS<7> |770 |780 |870 |950 |950 |980 |940 |910 |1,050 |1,080 |1,740 |1,620 |1,650 |1,760
Rate Rebate<5> |150 |150 |160 |180 |170 |280 |270 |300 |310 |320 |320 |310 |- |-
Rent Allowance<5> |460 |420 |390 |470 |480 |840 |910 |890 |1,130 |1,120 |1,330 |1,420 |1,590 |1,770
Rent Rebate<5><8> |460 |460 |470 |560 |510 |850 |840 |870 |880 |890 |1,010 |1,080 |1,070 |1,080
Community Charge Benefits<9> - - - - - - - - - - - 250 330 190
Notes:
<1> Cash values revalued by use of the GDP deflator.
<2> Includes additional pensions.
<3> 80 per cent. reimbursement in 1991-92 grossed up to 100 per cent.
<4> Data for 1986-87 and 1987-88 distorted by major increase in numbers of beneficiaries and extensive arrears payments following the extension of
entitlement to married women, first announced in 1985-86.
<5> Changes in 1983-84 reflect the transfer of support for housing costs from supplementary benefit to housing benefit.
<6> Increase in 1979-80 reflects the full introduction of child benefit and abolition of most child tax allowances.
<7> Increase in 1988-89 reflects the introduction of family credit.
<8> Includes expenditure on Department of the Environment and Welsh Office programmes in 1990-91 and 1991-92.
<9> Reduction in 1991-92 reflects effects of the community charge rebate and reduction schemes.
Table 2
Percentage change over preceding year
|1979-80|1980-81|1981-82|1982-83|1983-84|1984-85|1985-86|1986-87|1987-88|1988-89|1989-90|1990-91|1991-92
---------------------------------------------------------------------------------------------------------------------------------------------
Retirement Pension<2> |-2 |-1 |3 |3 |2 |-2 |2 |2 |-2 |-4 |0 |0 |5
Widows Benefit<2> |-3 |-1 |2 |1 |3 |0 |0 |2 |0 |-2 |-7 |3 |3
Unemployment Benefit |-8 |-5 |-5 |-8 |2 |0 |2 |0 |-1 |-4 |-1 |-3 |6
Sickness Benefit |-8 |-5 |-7 |-14 |6 |-5 |5 |0 |-3 |-7 |0 |-2 |1
Statutory Sick Pay<3> |- |- |- |- |- |-3 |0 |3 |-2 |-6 |1 |-7 |-8
Invalidity Benefit<2> |-2 |-2 |2 |2 |3 |0 |-1 |2 |-3 |-3 |-1 |0 |6
Industrial Disablement
Benefit |-3 |0 |4 |0 |3 |0 |-1 |-3 |-4 |-9 |-2 |-1 |0
Industrial Death Benefit |-4 |-1 |2 |1 |1 |-3 |0 |2 |4 |-18 |-6 |12 |1
Maternity Allowance |-11 |-3 |-7 |-10 |1 |0 |1 |4 |6 |-1 |-22 |4 |7
Statutory Maternity Pay |- |- |- |- |- |- |- |- |- |21 |-5 |14 |-4
Non-contributory RP |-1 |-2 |-6 |6 |10 |4 |0 |-24 |8 |-9 |-9 |-5 |-4
War Pension |-2 |-2 |8 |3 |4 |2 |5 |4 |0 |-3 |-1 |6 |4
Attendance Allowance |-5 |-1 |4 |2 |3 |1 |0 |1 |-1 |-4 |0 |0 |4
Invalid Care Allowance<4> |-14 |8 |9 |-38 |19 |5 |12 |210 |-48 |-30 |-13 |-11 |3
Severe Disablement
Allowance |-4 |1 |7 |2 |5 |6 |7 |-4 |-2 |-2 |-1 |10 |23
Mobility Allowance |-2 |1 |11 |1 |4 |-10 |4 |8 |-2 |-3 |2 |0 |5
Income Support/
Supplementary
Benefit<5> |-4 |3 |16 |8 |-20 |4 |6 |-2 |-4 |4 |-1 |6 |9
Child Benefit (per child)<5> |36 |-10 |5 |3 |6 |4 |-1 |-1 |-2 |-8 |-6 |-8 |6
One Parent Benefit |31 |3 |4 |3 |6 |2 |1 |3 |-3 |-4 |0 |3 |-8
Family Credit/FIS<7> |2 |11 |9 |1 |3 |-5 |-2 |14 |4 |60 |-7 |2 |7
Rate Rebate<5> |4 |4 |16 |-6 |61 |-2 |9 |4 |4 |-1 |-4 |- |-
Rent Allowance<5> |-8 |-7 |19 |2 |77 |8 |9 |13 |0 |18 |7 |12 |11
Rent Rebate<5><8> |-1 |2 |20 |-9 |86 |-1 |3 |2 |1 |14 |6 |0 |1
Community Charge
Benefit<9> |- |- |- |- |- |- |- |- |- |- |- |30 |-44
Note: For footnotes see Table 1.
Cold Weather Payments
Mr. Pike : To ask the Secretary of State for Social Security which areas of Lancashire have received cold weather payments in the 1991-92 winter ; and for what relevant dates.
Mr. Scott : Such information is available in the Library.
Kidderminster Local Office
Mr. Meacher : To ask the Secretary of State for Social Security if the full cost of temporary accommodation with regard to the closure of the Kidderminster integrated local benefit office will be funded centrally ; and if a new integrated local office will be established in Kidderminster.
Miss Widdecombe : The provision of benefit offices is a matter for Mr. Michael Bichard, the chief executive of the Benefits Agency. He will write to the hon. Member and copies will be placed in the Libary and the Public Information Office.
Social Fund
Mr. Meacher : To ask the Secretary of State for Social Security what is the estimated full cost of implementing all of the Social Security Advisory Committee's recommendations on the social fund in Great Britain in 1992-93.
Mr. Scott : The recommendations of the Social Security Advisory Committee propose wide-ranging changes to the social fund. The full information needed to produce a reliable estimate of the cost is not readily available. We are considering this report carefully, including the basis on which sound estimates might be constructed.
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Contributions Agency
Mr. Meacher : To ask the Secretary of State for Social Security (1) how many (a) posting query cases, (b) receivership cases and (c) refund requests are currently outstanding at Contributions Agency central operations in Newcastle ; and when they will be cleared ; (2) what are the (a) benefit entitlement implications and (b) revenue implications of the current posting query and receivership cases backlog at Contributions Agency central operations in Newcastle.
Mr. Jack : The current state of processing work at Newcastle and the implications this has on benefits and revenue is a matter for Miss Ann Chant, the chief executive of the Contributions Agency. She will write to the hon. Member and copies will be placed in the Library and the Public Information Office.
Benefits Statistics
Mr. Meacher : To ask the Secretary of State for Social Security if he will set out (a) the number of claimants, (b) the number of claimants' partners and (c) the number of dependants on supplementary benefit and income support in each year from 1979 to the latest available.
Miss Widdecombe : This information is published annually in the supplementary benefits or income support statistics, copies of which are available in the Library.
It is regretted that there was a transcription error in one figure of a previous answer to a similar question, on 5 November 1991, columns 85-86 . The number of claimants in May 1987 should have read 4,895,525 not 4,095,525.
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