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Mortgage Protection Insurance
Mr. Cousins : To ask the Secretary of State for Social Security whether the proceeds of mortgage protection insurance are counted as general income, or as a specific offset to any entitlement for mortgage interest support in the calculation of income support ; and what are the relevant regulations or orders or guidance to adjudication officers.
Mr. Burt : Income from a mortgage protection insurance policy intended and used to meet payments on a loan that is eligible for help from income support is counted as general income, but the following amounts are ignored :
the amount of the capital repayments, or the endowment premiums on an endowment mortgage ;
the amount of interest not being met in income support because of the 50 per cent. restriction during the first 16 weeks of the claim ;
the amount of the premiums due on the policy.
The relevant regulation is paragraph 29 of schedule 9 to the Income Support (General) Regulations 1987--SI 1987-1967. Guidance on this for adjudication officers is at paragraphs 29663-29666 of the Adjudication Officers' Guide. The Benefits Agency issued additional guidance on the assessment of cases involving mortgage protection policies in a bulletin to all income support staff on 9 June 1992.
Housing Benefit
Mr. George Robertson : To ask the Secretary of State for Social Security if he will provide for each metropolitan, borough and district council in England and Wales, for each year from 1987-88 (a) the number of tenancies held by each local authority, (b) the numbers of housing benefit claimants, split into rent rebate and rent allowance categories and the total amount paid under each heading, (c) the percentage rise in expenditure by each local authority's total housing benefit over the year before, (d) the numbers and amounts of housing benefit backdated payments and the amount as a percentage of each authority's housing benefit expenditure, (e) the numbers, amounts and percentage relative to total housing benefit expenditure of discretionary payments and (f) a breakdown of the categories of housing benefit overpayments, with the numbers and amounts and as a percentage of housing benefit expenditure.
Mr. Burt : The information requested could be obtained only at disproportionate cost.
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Disability Living Allowance
Mr. Ieuan Wyn Jones : To ask the Secretary of State for Social Security what is the average time for processing claims for disability living allowance.
Mr. Scott : The administration of disability living allowance 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 Library and the Public Information Office.
Ankylosing Spondylitis
Mr. David Porter : To ask the Secretary of State for Social Security what study his Department has done into the effects of ankylosing spondylitis on the body with a view to amending its importance in considering social security benefits ; and if he will make a statement.
Mr. Scott : No such study has been carried out by the Department. In general, social security benefits for disabled people are awarded on the basis of the level and effects of illness or disability, rather than on the basis of the medical condition.
Invalidity Benefit
Mr. Flynn : To ask the Secretary of State for Social Security what plans the Government have to make invalidity benefit wholly or partially subject to a means test or to replace any part of it with means-tested provision in the foreseeable future.
Mr. Scott : We have no such plans.
Maxwell Pension Funds
Mr. Win Griffiths : To ask the Secretary of State for Social Security, pursuant to the answer of 23 June, Official Report, column 140, if he will publish the information he has available on the number of people, other than those in the Maxwell pension schemes, whose pensions are threatened because of these schemes not being able to meet the pension payments and future commitments.
Miss Widdecombe : I refer the hon. Member to my answers to him on 12 June at column 315 and on 23 June at column 140. I have nothing further to add to the previous answers.
Market Testing
Mr. Terry Davis : To ask the Secretary of State for Social Security who has been appointed as a consultant to his Department for market testing.
Miss Widdecombe : Price Waterhouse was contracted by this Department to advise on potential areas for market testing. No further market-testing consultancy appointments have been made.
Social Fund
Mr. Frank Field : To ask the Secretary of State for Social Security if he will list those local offices whose allocation of social fund moneys has now been reduced following the discovery of a computer error ; and if he will detail the amount of the reduction for each office.
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Mr. Scott : The information requested is in the table. The table also shows the level of extra allocation districts were allowed to retain over and above allocations due to them under the national formula in order to minimise any disruption that might otherwise have occurred.
District |Reduction|Retained
|£ |£
------------------------------------------------------------
Bankside |51,860 |27,287
Bradford (Grants) |84,083 |38,028
City East |44,564 |24,855
Euston (Grants) |47,358 |25,786
Euston |26,629 |18,876
Liverpool, North (Grants) |46,247 |25,416
Liverpool, North |54,440 |28,147
Liverpool, South (Grants) |77,811 |35,937
Newham (Grants) |23,303 |17,768
Newham |36,946 |22,315
Lothian, West |75,659 |35,220
Neasdon (Grants) |95,735 |41,912
Neasdon |118,178 |49,393
Oldham (Grants) |7,145 |12,382
Staffordshire, North (Grants) |40,735 |23,578
Swansea (Grants) |10,945 |13,648
Worcestershire, North |69,712 |33,237
Amounts refer to the loans budget unless otherwise
indicated.
Mr. Peter Bottomley : To ask the Secretary of State for Social Security whether he will introduce further regulations to amend the law concerning occupational and personal pension schemes.
Mr. Lilley : I have today laid before Parliament regulations which make a number of amendments in the field of occupational and personal pension schemes.
The regulations tighten existing regulations relating to the disclosure of information by trustees and administrators of occupational and personal pension schemes. The new regulations lay down time limits within which information must be disclosed to members, prospective members, beneficiaries and trade unions. They require schemes to disclose additional information following the introduction of provisions to the Social Security Act 1990, in particular, schemes must disclose :
the functions and address of the Pensions Ombudsman ;
the role and address of the Occupational Pensions Advisory Service Ltd. ;
whether an independent trustee has been appointed by an insolvency practitioner in relation to the sponsoring employer, who he is, and, if not, why not ;
whether the scheme has registered with the registrar of occupational and personal pension schemes ;
whether trustees have access to guidance published by the Occupational Pensions Board on "Pension Trust Principles". The regulations make a number of technical amendments to definitions in the Disclosure of Information Regulations and to the form of the actuary's statement.
The regulations also extend the circumstances in which small amounts of pension may be commuted to a lump sum and make a number of technical amendments to the Preservation Regulations, the Levy Regulations and the Register of Occupational and Personal Pension Schemes Regulations.
The amendments in relation to commutation and to the Levy and Register Regulations will come into force on 20 July 1992 ; the remainder of the regulations will come into effect on 28 September 1992.
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Mr. Peter Bottomley : To ask the Secretary of State for Social Security when he intends to respond to the report of the Social Security Select Committee on the operation of pension funds.
Mr. Lilley : The Government's response to the Select Committee's report is published today. We have accepted the main recommendation of the Committee :
"the Government should establish an inquiry operating within a strict timetable to collect evidence from the public on what the detailed structure of a new Pensions Act should be".
As I announced to the House on 8 June, I have set up a committee to examine the administration and regulation of pension schemes under the chairmanship of Professor Goode of Oxford university. Most of the Select Committee's recommendations fall within the terms of reference of the Goode committee. The Government's response to the Select Committee therefore deals specifically with those areas not covered by the review.
Social Fund
Mrs. Ewing : To ask the Secretary of State for Social Security how many applications for discretionary social fund awards were refused on the grounds that the applicant had insufficient funds to repay the loan ; and if he will provide a breakdown by (a) region and (b) local DSS office.
Mr. Scott [holding answer 17 June 1992] : The most recent available figures, based on information for April 1992 from Benefits Agency districts, is in the table.
|c|Number of refusals classified as inability to repay|c| District name |Number ------------------------------------------------------------------- Bankside |47 Barking and Havering |15 Barnet |16 Barnsley DMU |16 Bedfordshire |13 Berkshire |20 Birmingham Chamberlain |29 Birmingham Heartlands |23 Birmingham North West |31 Birmingham South East |7 Birmingham South West |32 Blackburn and Accrington |34 Blackpool |13 Bolton |14 Bradford |60 Bristol Severnside |32 Brunel |23 Buckinghamshire |21 Burnley/Pendle/Rossendale |3 Cambridgeshire |30 Canterbury and Thanet |9 Central Derbyshire |19 Central Staffordshire |11 Channel |4 Cheshire North West and Central |13 Cheshire East |8 Chesterfield and Worksop |11 City East |12 Clyde Coast and Cowal |20 Clyde Valley |46 Coatbridge |88 Cornwall |78 Coventry |28 Cumbria North |16 Cynon Merthyr Rhymney Valley |19 Derbyshire South |13 Devonia |9 Doncaster DMU |12 Dorset |28 Durham North |13 Durham South |46 Ealing |21 East Lowlands |22 East Nottinghamshire |14 East Sussex |8 Essex South East |25 Essex South West |21 Euston |25 Fife |32 Forth Valley |22 Fulham |32 Glamorgan South |18 Glasgow South West |102 Glasgow Anniesland |35 Glasgow City |16 Glasgow East |116 Glasgow Laurieston |78 Gloucester |18 Grampian and Shetland |14 Gwent North and Brecon |15 Gwyneddigion |5 Hackney and Islington |33 Halifax |25 Hampshire North |23 Harrow and Hillingdon |12 Hereford and Worcester |26 Highlands and Islands |13 Hounslow and Kingston |6 Hull |34 Irvine |15 Kent North |12 Kirklees MDU |15 Knowsley |21 Lancaster |9 Lea Roding |10 Leaside |27 Leeds North |22 Leeds South |19 Leicestershire North |19 Lewisham and Brixton |65 Lincolnshire |2 Liverpool Central |17 Liverpool North |32 Liverpool South |19 Lomond and Argyll |17 London Central |3 Lothian Central |33 Lothian West |36 Manchester Central |25 Manchester North |12 Mid Wales and Maelor |31 Neasden |30 Newcastle upon Tyne |25 Newham |27 North and East Hertfordshire |12 North Essex |14 North Staffordshire |25 North Tyneside |20 North Wales Coast |8 North Yorkshire |18 Northamptonshire |9 Northumberland |7 Norwich |25 Nottinghamshire North |3 Nottinghamshire West |12 Ogwr Afan Nedd |9 Oldham |14 Oxfordshire |19 Preston |19 Renfrew |28 Rother and Dearne |14 South East Hampshire and Isle of Wight |17 Salford |13 Sandwell |12 Sefton |23 Sheffield East |11 Sheffield West |62 Shropshire |16 Solent and Forest |19 Somerset |8 South Cheshire |27 South Devon |46 South Downs |27 South Gwent and Islwyn |10 South Humberside |12 South Leicestershire |27 South Manchester |29 South West Lancs |15 South West Scotland |41 South West Thames |24 Springburn |67 Stockport |21 Suffolk |22 Surrey Downs |16 Surrey North |16 Swansea |25 Taff Rhondda |4 Tameside |12 Tayside |28 Tees North |38 Tees South |24 Thameside |13 Tyneside |19 Wakefield |20 Wales West |2 Walsall |6 Warwickshire |19 Wearside |31 West Herts |11 West Kent |2 West Lincolnshire |21 West Pennine |15 West Sussex |8 Wigan and Leigh |5 Wiltshire |12 Wirral |42 Wolverhampton |21 Worcestershire North |22 Yorkshire East |14
HEALTH
Market Testing
Mr. McAllion : To ask the Secretary of State for Health if she will list all those functions and areas in her Department and associated agencies that have been identified for market testing in the wake of the White Paper "Competing for Quality".
Mr. Sackville : The Department has already embarked on market- testing exercises for office services in its new buildings at Quarry house, Leeds and 80 London road, London and will be extending testing programme for this year to include a number of other areas of the Department's work.
Health Statistics
Mr. David Atkinson : To ask the Secretary of State for Health what is her estimate of the percentage of the population who are (a) HIV positive (b) suffering from heart disease and (c) suffering from drug abuse related illnesses ; and if she will make a statement.
Mr. Sackville : It is not possible to provide an accurate estimate of the percentage of the population infected with HIV as only those who perceive themselves to be at risk will seek a test. Up to March 1992 there had been 15,424 reports of people infected with HIV in England and Wales
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to the Public Health Laboratory Service's communicable disease surveillance centre. Anonymised HIV studies began in 1990 to obtain more accurate information about the prevalence of HIV.Due to their nature, it is not possible to give reliable estimates of the incidence of coronary heart disease and drug abuse related illness within the population.
Dentistry
Ms. Eagle : To ask the Secretary of State for Health how many orthodontic practitioners there are in the Wirral ; what was the volume of treatments they have given in each of the last five years ; and how many of such orthodontic treatments cost over £200, expressed both numerically and as a percentage of the whole.
Dr. Mawhinney : There are four orthodontic practitioners on the Wirral family health services authority's dental list. More detailed information could be provided only at disproportionate cost.
Mr. Terry Davis : To ask the Secretary of State for Health what is the total cost of establishing a salaried dental practice within the framework of a family health services association ; and what are its cost components.
Dr. Mawhinney : The main elements involved in employing a salaried dentist are the salaries of the dentist and the auxiliary dental staff and the cost of the premises. The salary scales for a salaried dentist and dental auxiliaries range from £18,755 to £27,305 and from £6,118 to £18,039 respectively. The cost of premises varies from area to area.
Mr. Terry Davis : To ask the Secretary of State for Health how many patients were treated by salaried dentists in the last convenient yearly period in each of the regional health authorities in England and Wales ; and what percentage of the total number of patients treated this represents in each region.
Dr. Mawhinney : Information collected about the number of patients treated is not distinguished by region. For the financial year 1991-92 there were 16,029 courses of treatment undertaken by salaried dentists in England and Wales. This represents 0.06 per cent. of the total.
Mr. Terry Davis : To ask the Secretary of State for Health how many salaried dentists have been appointed during the last three-year period.
Dr. Mawhinney : In the three-year period to April 1992, 47 salaried dentists were appointed by family health services authorities.
Mr. Terry Davis : To ask the Secretary of State for Health how many salaried dentists currently operate within the national health service ; and what is their distribution on a family health services association basis.
Dr. Mawhinney : Information available at the end of April 1992 is shown in the table :
Family health services authority |Number of
|dentists
------------------------------------------------------------------------------------------------------
Derbyshire |1
Kensington, Chelsea and Westminster |3
Essex |2
City and East London |6
Kent |1
Greenwich and Bexley |7
Lambeth, Southwark and Lewisham |29
West Sussex |1
Merton, Sutton and Wandsworth |1
Cornwall and Isles of Scilly |1
Sandwell |1
Liverpool |2
Total |55
Mr. Terry Davis : To ask the Secretary of State for Health what machinery is in place to monitor the cost-effectiveness and productivity of salaried dentists currently practising within the NHS.
Dr. Mawhinney : This is the managerial responsibility of each family health services authority employing a salaried dentist.
Hydatid Disease
Mr. Tyler : To ask the Secretary of State for Health what are the figures for the incidence of hydatid disease for each area health authority in England and Wales, for the most recent three years that they are available ; and what steps she is taking to eradicate this disease.
Mr. Meale : To ask the Secretary of State for Health (1) if she will make additional Government funds available for an education programme in order to alert the public to the dangers of hydatidosis ;
(2) how many people have been infected with hydatidosis in each of the past nine years ;
(3) what advice she gives to the public regarding the dangers, particularly to children, of contact with dogs fed on uncooked meat and offal.
Mr. Sackville : Interim results from a Public Health Laboratory survey of the disease show the following estimated numbers of cases known to have originated in England and Wales, by year of diagnosis :
|Numbers
-------------------------------
1984 |13
1985 |26
1986 |11
1987 |8
1988 |7
1989 |6
1990 |1
Year not known |2
Thirty-nine of these cases were resident in Wales at time of diagnosis and 30 in England. The place of residence of the remaining five is unknown.
The apparent decline in incidence is welcome. When the full results of the PHLS are available, consideration will be given to whether any specific action is called for, such as a public education programme.
Pacemakers (Removal)
Mr. Gordon Prentice : To ask the Secretary of State for Health (1) what is the cost to relatives in each district health authority and NHS trust in England of removing a pacemaker from a deceased patient ;
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(2) if she will consider whether the surgical procedure of removing a pacemaker from a cadaver could be carried out by undertakers.Mr. Sackville : Guidance on the removal of pacemakers from deceased persons is in health notice (83)6, a copy of which is in the Library ; this makes it clear that funeral undertakers may carry out the removal and that the cost in all cases should be met by the national health service.
Grading Appeal Panels
Mr. Connarty : To ask the Secretary of State for Health what is the expected overall cost of payments for fees and expenses to management side members who sit on nurses', midwives' and health visitors' national grading appeal panels.
Mr. Sackville : The overall cost of payments is not known at this stage, as there is no way of anticipating how many appeals will be lodged at national level. The decision to refer appeals to national level rests with the staff side organisations and trade unions.
Osteopathy
Ms. Walley : To ask the Secretary of State for Health if he will meet with the principal of the British School of Osteopathy to discuss the school's future.
Mr. Sackville : We have no plans to do so.
Asthma
Ms. Lynne : To ask the Secretary of State for Health what figures her Department holds for the incidence of asthma in each of the last 10 years among (a) the whole population and (b) under 16-year-olds ; and if she will make a statement.
Mr. Sackville : This information is not held centrally.
Abortions
Mr. Barry Field : To ask the Secretary of State for Health what was the total number of abortions under the Abortion Act 1967 performed in England and Wales in 1991 ; what information is available about the number of such abortions at 25 weeks and over ; and if she will make a statement.
Mr. Sackville : The total was 179,522 compared with 186,912 in 1990, an overall decrease of 4 per cent.
A total of 60 abortions were notified in England and Wales in 1991 at 25 weeks or more, of which eight were in the first quarter before the law on abortion changed on 1 April 1991. A more detailed analysis of these is as follows :
Number of |Number of weeks |abortions gestation ------------------------------ 25 |18 26 |17 27 |9 28 |6 29 |5 30 |2 31 |1 33 |1 36 |1
Since 1 April 1991, for all terminations performed after the pregnancy had exceeded 24 weeks, the operating surgeon has been required to provide a full statement of the medical condition of the pregnant woman-foetus.
Of the 52 abortions performed at over 24 weeks between 1 April and 31 December 1991, one was under ground A--that the continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated--and the remaining 51 were under ground E- -that there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped.
Of the ground E cases, 43 per cent. were central nervous system abnormalities, 22 per cent. were genetic abnormalities, 17 per cent. were multiple system abnormalities, 11 per cent. were renal abnormalities and 7 per cent. were cardiac abnormalities. Examinations of the notification forms in respect of these ground E cases confirms that severe abnormalities had been diagnosed as present in all the foetuses.
It is our intention to publish similar information about post-24-week abortions on a routine basis in the annual Office of Population Censuses and Surveys publication "Abortion Statistics". It will not, for reasons of confidentiality, be possible to give more detailed information.
Mrs. Ann Winterton : To ask the Secretary of State for Health what action she has taken in the case referred to her by the hon. Member for Congleton in her letter of 22 June about midwives seeking to exercise their conscientious objection to participation in abortion ; and if she will make a statement.
Mr. Sackville : The letter referred to was received on 23 June. It is being considered and a reply will be sent as soon as possible.
Mrs. Ann Winterton : To ask the Secretary of State for Health what action she is taking to prevent hospital managers taking disciplinary action against nursing and midwifery personnel who seek to exercise a conscientious objection to being involved in preparing women for abortion ; and if she will make a statement.
Mr. Sackville : We have no reason to believe the current arrangements for conscientious objections are not in general working well. The Department has received very few letters on this subject. With goodwill and sensitive management it should be possible to overcome any difficulties for people with genuine conscientious objection to abortion without recourse to administrative action or further legislation.
Mrs. Ann Winterton : To ask the Secretary of State for Health whether she will now make it her policy to consult with interested parties with a view to reviewing the conscience clause of the Abortion Act 1967.
Mr. Sackville : We have no plans to do so.
Mrs. Ann Winterton : To ask the Secretary of State for Health what guidance is given by her Department about the right of general practitioners conscientiously to object to making arrangements for abortions when they do not believe it is in the best interests of their patients ; and if she will make a statement.
Mr. Sackville : A doctor should always act in the best interests of his/her patients. Section 4 of the Abortion Act
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1967 sets out the position which applies to GPs who have a conscientious objection to participation in treatment authorised under that Act.Mrs. Ann Winterton : To ask the Secretary of State for Health what guidance is given by her Department about the right of general practitioners under the terms of the Abortion Act 1967
conscientiously to object to (a) prescribing the morning after pill and (b) fitting intra-uterine contraceptive devices on the basis that they may function as abortifacients ; and if she will make a statement.
Mr. Sackville : There is no obligation on GPs to provide contraceptive services if they do not wish to do so.
Mrs. Ann Winterton : To ask the Secretary of State for Health what guidance is given by her Department about the right of (a) midwives and nurses and (b) laboratory and other technicians under the terms of the Abortion Act 1967 conscientiously to object (i) to the taking of blood specimens and (ii) the processing of test results, respectively, which will lead to mothers being offered abortions if they are carrying babies with a minor handicap ; and if she will make a statement.
Mr. Sackville : Before decisions can be taken about any treatment or care, the full diagnostic process needs to be completed. In the case of pregnancy, if a serious problem is diagnosed, there will be a number of options to be considered. They may or may not include abortion. It must be in the best interests of all concerned that any decisions are made in the light of the fullest possible range of information. The expectation must therefore be that professional staff with the relevant experience will be involved in the diagnostic tests, to which an individual patient has consented, irrespective of the outcome.
Mr. Day : To ask the Secretary of State for Health what has been the total number of abortions performed in the Stockport health authority under the Abortion Act 1967 since its implementation ; and how many and what percentage of these abortions were performed in emergency to save the life of the mother.
Mr. Sackville [holding answer 15 June 1992] : The number of abortions carried out in Stockport district health authority (DHA) is not released for reasons of confidentiality. However, 7,182 abortions have been performed, under the Abortion Act 1967, on residents of Stockport DHA during the period 1 January 1983 to 30 September 1991. The period in question refers to the first complete year for which data were collected for the Stockport DHA since its constitution on 1 April 1982, and to the latest date for which figures are available. None of these abortions was performed in an emergency "to save the life of the pregnant woman" (ground 5).
Mr. Bowis : To ask the Secretary of State for Health how many abortions have been carried out under the Abortion Act 1967, since its coming into force, in the South West Thames region and the Wandsworth district, respectively ; and how many and what percentage of these were carried out in an emergency to save the life of the mother.
Mr. Sackville [holding answer 17 June 1992] : A total of 209,785 abortions have been performed, under the Abortion Act 1967, in the South West Thames regional
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health authority (RHA) for the period 1 January 1975 to 30 September 1991. The period in question refers to the first complete year for which data were collected for the South West Thames RHA since its constitution on 1 April 1974, and to the latest date for which figures are available. Of these, three (0 per cent.) were performed in an emergency "to save the life of the pregnant woman" (ground 5).The number of abortions carried out in Wandsworth district health authority (DHA) is not released for reasons of confidentiality. However, 13,199 abortions have been performed, under the Abortion Act 1967, on residents of Wandsworth DHA during the period 1 January 1983 to 30 September 1991. The period in question refers to the first complete year for which data were collected for the Wandsworth DHA since its constitution on 1 April 1982, and to the latest date for which figures are available. None of these abortions was performed in an emergency "to save the life of the pregnant woman" (ground 5).
Mr. Cormack : To ask the Secretary of State for Health what has been the total number of abortions performed in each district health authority in Birmingham under the Abortion Act 1967 since its implementation ; and how many and what percentage of these abortions were performed in emergency to save the life of the mother.
Mr. Sackville [holding answer 18 June 1992] : The number of abortions carried out in each of the Birmingham district health authorities (DHAs) is not released for reasons of confidentiality. However, the numbers of abortions which have been performed, under the Abortion Act 1967, on residents of the Birmingham DHAs during the period 1 January 1983 to 30 September 1991 are listed in the table. The period in question refers to the first complete year for which data were collected for the Birmingham DHAs since the constitution on 1 April 1982, and to the latest date for which figures are available.
(1) Total number of abortions ; (2) number and percentage of abortions performed in an emergency "to save the life of the pregnant woman" (ground 5), 1 January 1983 to 30 September 1991. Central, North, South, East and West Birmingham DHAs of residence.
|c|Birmingham DHAs of residence|c|
|Total |Ground 5 |Ground 5 as a
|percentage of the total
------------------------------------------------------------------------------------------------------------------------
Central<1> |6,153 |1 |0
North |5,226 |0 |0
South<1> |7,225 |1 |0
East |6,415 |0 |0
West |9,467 |0 |0
<1>As Central and South Birmingham DHAs were merged in 1991, the numbers of abortions for these two authorities in 1991
are not included in the above table. In the newly formed DHA for the period 1 January to 30 September 1991 there was a
total of 1,406 abortions, none of which was performed under ground 5.
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