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Mr. Kenneth Carlisle : I have commissioned an extensive research programme into the causes of accidents involving young and inexperienced drivers, with a view to developing a set of measures to reduce their high accident rate. Whether those measures suggested by the hon. Member are included will depend on how their likely effectiveness is assessed by that research.
Mr. Burns : To ask the Secretary of State for Transport (1) what proportion of road accidents involved cars driven by (a) 17 to 21-year- olds, (b) 22 to 30-year-olds, (c) 31 to
Column 279
40-year-olds, (d) 41 to 64-year-olds and (e) over 64-year-olds result in (i) death or (ii) personal injuries ; and if he will make a statement ;Column 280
(2) what proportion of road accidents involved cars driven by (a) 17 to 21-year-olds, (b) 22 to 30-year-olds, (c) 31 to 40-year-olds, (d) 41 to 64-year-olds and (e) over 64-year-olds.Mr. Kenneth Carlisle : The information requested is contained in the table.
Column 279
London Ambulance
Service-Total number of
emergency calls
|Number
---------------------------
1987-88 |470,348
1988-89 |451,150
1989-90<1> |231,294
1990-91 |456,695
1991-92<2> |472,310
<1>As a result of
industrial action in this
period, the service was
unable to provide a
complete year's return.
The figure shown
represents approximately
half the calls received.
<2>Figure is provisional.
Speed Limits
Ms. Coffey : To ask the Secretary of State for Transport what plans his Department has to increase the number of residential areas with 20 mph speed limits.
Mr. Kenneth Carlisle : It is for local traffic authorities to introduce these zones where appropriate, subject to the consent of the Secretary of State. Consent has been granted to 37 zones and no application has been refused.
We have issued advice to local authorities on how to establish a 20 mph zone. Such zones are eligible for transport supplementary grant when introduced to address a road accident problem.
HEALTH
Hospital Appointments
Mr. Corbyn : To ask the Secretary of State for Health what are the latest figures available for waiting lists for hospital appointments in London, by health district ; and what are the comparable figures for 1991, 1990 and 1989.
Mr. Sackville : I refer the hon. Member to the replies I gave the hon. Member for Sheffield, Brightside (Mr. Blunkett) on 29 October 1992 at column 848 and the hon. Member for York (Mr. Bayley) on 12 November 1992 at column 951.
Morphine
Mr. Gareth Wardell : To ask the Secretary of State for Health what action she intends to take to prevent unqualified assistants of general medical practitioners dispensing a concentrated oral solution of morphine sulphate to patients.
Dr. Mawhinney : The conditions under which a dispensing doctor employs another person to dispense on his behalf is a matter for that doctor. Under the common law, he owes a duty of care to his patients to ensure that he employs a competent dispenser.
Column 280
London Ambulance Service
Ms. Jowell : To ask the Secretary of State for Health how many ambulances the London ambulance service has ; how many are less than two years old ; and, of the rest, in which years they were registered.
Mr. Sackville : The London ambulance service currently has 816 ambulances consisting of 374 accident and emergency ambulances and 442 patient transport vehicles.
Information on the age of these ambulances is not held centrally. The hon. Member may wish to contact Mr. James Harris, the chairman of the London ambulance service, for details.
Ms. Lynne : To ask the Secretary of State for Health if she will publish the number of 999 emergency calls received by the London ambulance service for the years 1980 to 1991.
Mr. Sackville : The information on emergency calls has been collected centrally since 1987-88. The available information is given in the table.
London Ambulance
Service-Total number of
emergency calls
|Number
---------------------------
1987-88 |470,348
1988-89 |451,150
1989-90<1> |231,294
1990-91 |456,695
1991-92<2> |472,310
<1>As a result of
industrial action in this
period, the service was
unable to provide a
complete year's return.
The figure shown
represents approximately
half the calls received.
<2>Figure is provisional.
Ms. Lynne : To ask the Secretary of State for Health if she will publish the number of ambulances used by the London ambulance service for the years (a) 1970, (b) 1975, (c) 1980 and (d) each year from 1986 to 1991.
Mr. Sackville : This information is not held centrally. The hon. Member may wish to contact Mr. James Harris, the chairman of the London ambulance service, for details.
Column 281
Ms. Lynne : To ask the Secretary of State for Health at what level the decision was taken for the purchase of the Leyland DAF vehicles as currently used by the London ambulance service.
Mr. Sackville : The decision to purchase these particular vehicles was taken by the London ambulance service board following the evaluation of competitive tenders and field trials.
Land Sales
Mr. Blunkett : To ask the Secretary of State for Health what was the estimated income from land sales by each regional health authority in England in 1989-90, 1990-91 and 1991-92 ; and what is the projected income for 1992-93.
Mr. Sackville : Total capital receipts, for each regional health authority, from all sales of land and property in 1989-90 and 1990-91 are shown in the table. Provisional estimates of receipts for 1991-92 and projected receipts for 1992-93 are also shown.
Receipts from disposal of land and property by RHAs
£ million
|Estimates |
-------------------------------------------------------------------------
Northern |3.7 |2.7 |4.8 |5
Yorkshire |11.5 |5.0 |4.1 |2
Trent |18.2 |25.6 |4.7 |9
East Anglia |4.5 |1.3 |2.7 |2
North West Thames |45.2 |17.2 |32.0 |24
North East Thames |22.0 |14.0 |21.9 |21
South East Thames |21.0 |7.6 |10.1 |20
South West Thames |9.0 |15.2 |19.2 |10
Wessex |15.5 |5.8 |5.2 |6
Oxford |5.1 |9.5 |6.6 |13
South Western |14.4 |20.3 |10.9 |18
West Midlands |9.0 |4.0 |8.0 |11
Mersey |15.0 |14.9 |4.5 |10
North Western |7.9 |16.3 |1.0 |5
<1> Provisional.
<2> Projected.
It should be noted that provisional figures and projections may change.
Private Detectives
9. Mr. Cohen : To ask the Secretary of State for Health what use her Department has made of private detectives in each of the last five years ; at what cost ; and if she will list the firms involved.
Mr. Denham : To ask the Secretary of State for Health on how many occasions since 1979 her Department has engaged private detective agencies to investigate the activities of British citizens ; and if she will list the date and purpose of each investigation.
Mr. Sackville : The Department's records do not show any use of private investigators during the period in question.
Hospital Beds
Mr. Redmond : To ask the Secretary of State for Health what is the bed complement at (a) the Doncaster royal infirmary and Montagu hospital trust and (b) the
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Doncaster healthcare trust ; and how many bed days have been lost since 1 April to date through (i) maintenance, (ii) refurbishment and (iii) lack of financial resources.Mr. Sackville : The average number of beds available daily at the Doncaster royal infirmary and Montagu hospital NHS trust at the end of March 1992 was 886. The remaining information is not held centrally. The hon. Member may wish to contact Mr. C. Bryant, chairman of Doncaster royal infirmary and Montagu hospital NHS trust, and Mr. P. Horsburgh, chairman of Doncaster healthcare NHS trust, for details.
Mr. Cohen : To ask the Secretary of State for Health what plans she has for the creation of a class of community bed for treatment of patients outside the acute hospital sector ; and what proportion of patients in such beds she envisages will be treated by (a) general practitioners, (b) district nurses and (c) other categories of carers ; and if she will specify what other categories are contemplated.
Mr. Sackville : Community hospitals have played an important role in the national health service for many years. It is for each health authority to determine, through contracts with the providers of health care, the pattern of local services best suited to the needs of the communities they serve.
Charity Trust Funds
Mr. Redmond : To ask the Secretary of State for Health if she will list by regional and district health authority and health service trusts the charity trust fund balances at31 March.
Dr. Mawhinney : Information derived from 1991-92 annual accounts submitted to the Department will be available later in the year.
Assisted Conception Unit, Walsgrave Hospital
Mr. Robert Ainsworth : To ask the Secretary of State for Health what fee the assisted conception unit at Walsgrave hospital pays to the Human Fertilisation and Embryology Authority each time a cycle of treatment is conducted ; and if she will make a statement.
Mr. Sackville : Assisted conception units which carry out certain infertility treatments and embryo research have, under the terms of the Human Fertilisation and Embryology Act 1990, to be licensed by the Human Fertilisation and Embryology Authority. During the passage of the Human Fertilisation and Embryology Bill it was accepted that applicants for licences should pay a significant part of the cost of licensing. The authority is therefore required to raise 50 per cent. of its costs through fees to licensed centres.
Licences are issued annually, with an initial fee on application of £250 for treatment licences and £100 for research or storage licences. Additional fees are charged to centres based on the numbers of treatment cycles performed in the year prior to application. The current figures are £30 per IVF--in vitro fertilisation--cycle and £7 per donor insemination cycle. Further details of the authority's licensing structure are contained in its annual report, a copy of which is available in the Library.
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Brain-damaged Children
Mr. Redmond : To ask the Secretary of State for Health if she will review the facilities and services provided for brain-damaged children by health authorities ; and if she will issue instructions on minimum standards for the treatment of these children.
Mr. Yeo : District health authorities are responsible for assessing the health needs of their residents and purchasing a comprehensive range of services to meet those needs. These include a wide range of services, equipment and support for children with brain damage including child health surveillance, primary care, therapy services, wheelchairs and other equipment. Health authorities have a duty to ensure that they obtain the highest quality and most cost-effective care for all their residents, taking into account appropriate professional advice. We also expect them to collaborate with other service providers such as local education authorities and social services departments.
Waiting Lists
Mr. Redmond : To ask the Secretary of State for Health if she will publish by health authority and specialty the waiting lists for in-patient and out-patient treatment for31 March 1992 and for 31 March 1989.
Mr. Sackville : Information about waiting times for in-patients by district health authority and specialty, is given in "Hospital Waiting List, In-Patients and Day Cases" published every six months, copies of which are available in the Library.
Information about waiting times for first out-patient appointment is not collected centrally. However, all health authorities are required under the patients charter to publish information on the local standards they have set for first out-patient appointments and on performance against targets.
Mr. Redmond : To ask the Secretary of State for Health (1) what guidelines she has issued to health authorities regarding the appropriate waiting time for a first opthalmic out-patient appointment ;
(2) if she will introduce into the patients charter a standard for waiting time for a first out-patient appointment.
Mr. Sackville : Under the patients charter, health authorities are already setting local standards for waiting times for first out-patient appointments and regional health authorities have been asked to set targets to build on this progress.
Dentistry
Mr. Gordon Prentice : To ask the Secretary of State for Health what was the number and percentage of pupils in Lancashire inspected and re- inspected by the school dental service in 1979 and the most recent year for which figures are available.
Dr. Mawhinney : The number of inspections and re-inspections by the community dental services in Lancashire in the year ending 31 March 1990 were 81,017 and 11,684 respectively. Comparable figures are not available for 1979. Information relating to the number of pupils in the county of Lancashire is a matter for my right hon. Friend the Secretary of State for Education.
Column 284
Mr. Redmond : To ask the Secretary of State for Health what assessment she has made of the comparative productivity of salaried and contractual dentists ; and what information she has on the costs of treatments in each case.
Dr. Mawhinney : The monitoring of the cost effectiveness and productivity of salaried dentists is the managerial responsibility of those family health services authorities concerned. Data held centrally are not sufficiently detailed to permit a
treatment-by-treatment comparison between general dental practitioners and salaried dentists.
Health Service, Doncaster
Mr. Redmond : To ask the Secretary of State for Health what consideration was given to the appointment of the chairman and non- executive directors of Doncaster healthcare trust to appointing a greater proportion of persons living within Doncaster or south Yorkshire.
Dr. Mawhinney : The area where chairmen and non-executive directors live is a factor in appointing chairmen and non-executive directors of NHS trusts. Those appointed are expected to live or work in the area served by the trust, or to have connections with it.
Computers
Mr. Redmond : To ask the Secretary of State for Health if she will set up a public inquiry into the investment in computers by the national health service since 1986, into their appropriateness and robustness, and into whether the contracts were issued in accordance with standing orders.
Mr. Sackville : No. The National Audit Office published a report of its inquiry into the management of national health service computer projects in 1990 and we accepted its recommendations. The Audit Commission plans a further inquiry in 1994. It is for the local general manager to ensure, and auditors to be satisfied, that staff letting contracts comply with standing orders.
Guidelines
Mr. Redmond : To ask the Secretary of State for Health if she will issue revised guidelines as to the matters with which health authorities should deal in public.
Dr. Mawhinney : There are no current plans to do so.
Mr. Redmond : To ask the Secretary of State for Health what recent guidance she has issued to health authorities on purchasing.
Mr. Sackville : The NHS management executive's priorities and planning guidance for 1993-94 issued in July 1992 (EL(92)47), a copy of which is available in the Library, required regions to take a range of actions to develop the purchasing role of health authorities. Over the last two years the NHS management executive has also issued good practice guidance on several purchasing and contracting issues.
Health Authorities
Mr. Redmond : To ask the Secretary of State for Health on what basis annual remuneration for NHS chairmen and non-executive directors was calculated ; and what is the minimum time each would be expected to contribute to their duties each month.
Column 285
Dr. Mawhinney : The remuneration of health authority and trust chairmen is determined by the Secretary of State with the consent of the Treasury ; the level of remuneration depends on a number of factors including the level of duties and responsibilities. Chairmen are expected to spend between two and a half and three and a half days per week on their duties, depending on the nature of the authority or trust. Non-executive members and directors are expected to spend two to three days per month on their duties.
Mr. Redmond : To ask the Secretary of State for Health what disciplinary action has been taken against (a) officers, (b) chairmen, (c) members and (d) non-executive directors in respect of the recent contractural problems in Wessex and the West Midlands regional health authorities.
Dr. Mawhinney : Disciplinary action taken against officers is a matter for the regional health authorities concerned. Formal disciplinary procedures are not appropriate for chairmen, members or non-executive directors as they are not NHS employees.
Mr. Redmond : To ask the Secretary of State for Health what plans there are to change the nature or extent of the current duties and responsibilities of (a) the Doncaster health authority and (b) the Doncaster family health services authority.
Dr. Mawhinney : This is a matter for Trent regional health authority. The hon. Member may wish to contact Sir Michael Carlisle, the chairman of the authority, for details.
Food Supplements
Ms. Abbott : To ask the Secretary of State for Health if she will make a statement on the proposals for the restriction on the sale of food supplements manufactured by Foresight.
Mr. Sackville : My right hon. Friend the Minister for Agriculture, Fisheries and Food received comments from Foresight earlier this year on the Government's proposal for an EC framework directive on dietary supplements.
A proposal for a draft directive has not yet been made by the EC Commission.
Hospital Trusts
Mr. Morley : To ask the Secretary of State for Health whether she will permit those hospital trusts approved in the most recent wave to alter the management structure submitted in the application before the trusts begin operating on 1 April 1993.
Dr. Mawhinney : National health service trusts are free to create their own management structures. Before 1 April 1993 third wave trusts may appoint staff and do anything reasonably necessary to prepare for their operational date.
Manchester Royal Infirmary
Ms. Coffey : To ask the Secretary of State for Health if she will increase the funding of the Manchester royal infirmary for renal services.
Mr. Sackville : Renal services at Manchester royal infirmary are funded by North Western regional health authority. The hon. Member may wish to contact Sir Bruce Martin, the chairman of the authority, for details.
Column 286
Ms. Coffey : To ask the Secretary of State for Health how many patients (a) at Manchester royal infirmary, (b) in the North West regional health authority and (c) in England are currently on the waiting list for (i) renal disconnect systems and (ii) all renal treatment.
Mr. Sackville : Waiting time information by individual procedure is not collected centrally. However, patients who are suffering from end stage renal failure are not placed on waiting lists but are treated immediately by means of haemo-dialysis or kidney transplant.
Ms. Coffey : To ask the Secretary of State for Health how many patients at the Manchester royal infirmary have been treated under (a) conventional and (b) renal disconnect systems in each of the past three years.
Mr. Sackville : The information is not collected centrally. Manchester royal infirmary is part of the Central Manchester hospitals and community care NHS trust. The hon. Member may wish to contact Mr. K. Collis, chairman of the trust, for details.
Expenditure
Mr. Blunkett : To ask the Secretary of State for Health (1) what was the level of capital spending on hospital and community health services in net terms after deducting proceeds from land and property sales, in each year since 1974-75 (a) in cash terms, (b) adjusted using the gross domestic product deflator and (c) adjusted using the relevant index of NHS prices ;
(2) what was the level of (a) total NHS expenditure, (b) current expenditure on the hospital and community health services, (c) capital expenditure on the hospital and community health services, (d) expenditure on the family practitioner services, (e) expenditure on centrally funded NHS services and (f) expenditure on personal social services, in each year since 1974-75, (i) in cash terms, (ii) adjusted using the relevant pay and prices index and (iii) adjusted using the gross domestic product deflator.
Mr. Sackville [holding answer 11 November 1992] : The information requested is given in the table. In addition, a net increase in 1993-94 of £1.066 million for the national health service as a whole was announced in the "Autumn Statement"--a real increase of 1 per cent. over 1992-93.
NHS expenditure: gross (excludes trust debt remuneration)
Year |Cash |Adjusted by the GDP|Adjusted for input
|1990-91 prices |unit cost 1990-91
|prices
----------------------------------------------------------------------------------------------------
1974-75 |3,426 |15,577 |18,194
1975-76 |4,511 |16,339 |18,599
1976-77 |5,149 |16,428 |18,771
1977-78 |5,689 |15,965 |19,044
1978-79 |6,525 |16,514 |19,767
1979-80 |7,755 |16,821 |19,578
1980-81 |10,103 |18,520 |20,131
1981-82 |11,329 |18,938 |20,805
1982-83 |12,353 |19,277 |21,281
1983-84 |13,114 |19,559 |21,537
1984-85 |14,102 |20,031 |21,828
1985-86 |14,923 |20,088 |21,957
1986-87 |16,044 |20,909 |22,207
1987-88 |17,653 |21,819 |22,624
1988-89 |19,599 |22,591 |22,814
1989-90 |21,112 |22,831 |23,075
1990-91 |23,632 |23,632 |23,632
1991-92 |26,739 |24,931 |-
1992-93 |29,379 |26,276 |-
Column 287
HCHS current gross expenditure
(excluding trusts' capital expenditure)
Year Cash Adjusted by GDAdjusted input
1990-91 prices unit costs 1990-91
prices
|A |B |A |B |A |B
---------------------------------------------------------
1974-75 |- |2,346 |- |10,667|- |12,613
1975-76 |- |3,073 |- |11,131|- |12,828
1976-77 |- |3,508 |- |11,192|- |12,868
1977-78 |- |3,925 |- |11,015|- |13,257
1978-79 |- |4,509 |- |11,412|- |13,896
1979-80 |- |5,375 |- |11,659|- |13,747
1980-81 |- |7,072 |- |12,964|- |14,130
1981-82 |- |7,804 |- |13,045|- |14,411
1982-83 |- |8,403 |- |13,113|- |14,570
1983-84 |- |8,842 |- |13,187|- |14,587
1984-85 |- |9,344 |- |13,272|- |14,570
1985-86 |- |9,852 |- |13,262|- |14,603
B:
1985-86 |10,053|- |13,533|- |14,901|-
1986-87 |10,820|- |14,101|- |15,003|-
1987-88 |11,960|- |14,783|- |15,284|-
1988-89 |13,268|- |15,294|- |15,331|-
1989-90 |14,222|- |15,380|- |15,459|-
1990-91 |16,027|- |16,027|- |16,027|-
1991-92 |18,232|- |17,000|- |- |-
1992-93 |19,818|- |17,725|- |- |-
Column 287
HCHS capital gross expenditure
(including trusts' capital expenditure)
Year Cash Adjusted by Adjusted input
1990-91 prices unit costs 1990-9
prices
|A |B |A |B |A |B
--------------------------------------------------
1974-75 |- |242 |- |1,100|- |1,043
1975-76 |- |326 |- |1,181|- |1,075
1976-77 |- |355 |- |1,133|- |1,046
1977-78 |- |314 |- |881 |- |809
1978-79 |- |365 |- |924 |- |842
1979-80 |- |402 |- |872 |- |768
1980-81 |- |552 |- |1,012|- |838
1981-82 |- |666 |- |1,113|- |980
1982-83 |- |695 |- |1,085|- |1,006
1983-84 |- |718 |- |1,071|- |1,019
1984-85 |- |810 |- |1,151|- |1,104
1985-86 |- |881 |- |1,186|- |1,133
1985-86 |964 |- |1,298|- |1,240|-
1986-87 |1,041|- |1,357|- |1,275|-
1987-88 |1,103|- |1,363|- |1,286|-
1988-89 |1,186|- |1,367|- |1,307|-
1989-90 |1,423|- |1,539|- |1,436|-
1990-91 |1,551|- |1,551|- |1,551|-
1991-92 |1,635|- |1,524|- |- |-
1992-93 |2,001|- |1,790|- |- |-
Column 287
FHS gross expenditure
Year Cash Adjusted by Adjusted input
1990-91 prices unit costs 1990-9
prices
|A |B |A |B |A |B
--------------------------------------------------
1974-75 |- |697 |- |3,169|- |3,736
1975-76 |- |925 |- |3,350|- |3,862
1976-77 |- |1,078|- |3,439|- |4,047
1977-78 |- |1,220|- |3,424|- |4,218
1978-79 |- |1,473|- |3,728|- |4,499
1979-80 |- |1,731|- |3,755|- |4,469
1980-81 |- |2,173|- |3,983|- |4,583
1981-82 |- |2,504|- |4,186|- |4,767
1982-83 |- |2,894|- |4,516|- |5,087
1983-84 |- |3,112|- |4,641|- |5,205
1984-85 |- |3,432|- |4,875|- |5,349
1985-86 |- |3,615|- |4,866|- |5,366
B:
1985-86 |3,376|- |4,544|- |5,011|-
1986-87 |3,631|- |4,732|- |5,123|-
1987-88 |4,019|- |4,967|- |5,300|-
1988-89 |4,554|- |5,249|- |5,474|-
1988-90 |4,811|- |5,203|- |5,451|-
1990-91 |5,304|- |5,304|- |5,304
1991-92 |6,013|- |5,607|- |- |-
1992-93 |6,458|- |5,776|- |- |-
P
Central health and miscellaneous services gross expenditure
Year |Cash |Adjusted by the GDP
|1990-91 prices
--------------------------------------------------------------------------------
1987-88 |404 |499
1988-89 |411 |474
1989-90 |464 |502
1990-91 |506 |506
1991-92 |618 |576
1992-93 |633 |566
PSS expenditure
Year |Cash |Adjusted by GDP |Adjusted for input
|deflator |unit cost
-----------------------------------------------------------------------------------------------
1974-75 |602 |3,062 |3,262
1975-76 |798 |3,233 |3,595
1976-77 |905 |3,230 |3,599
1977-78 |988 |3,101 |3,584
1978-79 |1,115 |3,156 |3,735
1979-80 |1,375 |3,336 |3,907
1980-81 |1,703 |3,492 |4,026
1981-82 |1,879 |3,513 |3,695
1982-83 |2,051 |3,580 |3,764
1983-84 |2,218 |3,700 |3,861
1984-85 |2,361 |3,751 |3,949
1985-86 |2,453 |3,694 |3,886
1986-87 |2,727 |3,974 |4,122
1987-88 |3,073 |4,249 |4,326
1988-89 |3,421 |4,411 |4,512
1989-90 |3,893 |4,709 |4,772
1990-91 |4,390 |4,909 |4,944
1991-92 |4,809 |5,025 |5,061
1992-93 |5,186 |5,186 |5,186
Column 289
HCHS capital net expenditure(including trusts'
capital expenditure)
Year Cash Adjusted by Adjusted input
1990-91 prices unit costs 1990-9
prices
|A |B |A |B |A |B
--------------------------------------------------
1974-75 |- |242 |- |1,100|- |1,043
1975-76 |- |326 |- |1,181|- |1,075
1976-77 |- |355 |- |1,133|- |1,046
1977-78 |- |314 |- |881 |- |809
1978-79 |- |357 |- |904 |- |824
1979-80 |- |392 |- |850 |- |749
1980-81 |- |536 |- |983 |- |814
1981-82 |- |646 |- |1,080|- |950
1982-83 |- |676 |- |1,055|- |979
1983-84 |- |685 |- |1,022|- |972
1984-85 |- |760 |- |1,080|- |1,035
1985-86 |- |796 |- |1,072|- |1,024
1985-86 |888 |- |1,195|- |1,142|-
1986-87 |892 |- |1,162|- |1,093|-
1987-88 |902 |- |1,115|- |1,051|-
1988-89 |906 |- |1,044|- |998 |-
1989-90 |1,191|- |1,288|- |1,202|-
1990-91 |1,372|- |1,372|- |966 |-
1991-92 |1,427|- |1,331|- |- |-
1992-93 |1,856|- |1,660|- |- |-
Note:
(a) All figures in HCHS, capital and current, and
CHMS have been adjusted to reflect the transfer
of public health laboratory services from the
HCHS to CHMS.
(b) Figures in column A have been adjusted to
reflect the transfer of the family health service
administration, the family health services cash
limited spending and the Disablement Services
Authority partly to the HCHS and partly to CHMS, (
and also take account of changes since 1990-91
relating to the NHS reforms). Figures in column B
do not reflect these transfers and are therefore
not comparable with those for later years.
(c) CHMS figures only available from 1987-88
onwards. There is no pay and price index for the
CHMS.
(d) 1991-92 figures are provisional and 1992-93
figures are estimated outturn.
Column 291
Hospital Patients (Segregation)
Mr. Jon Owen Jones : To ask the Secretary of State for Health what guidelines his Department has issued to hospitals about segregating elderly patients from other patients.
Mr. Yeo : There is no policy of segregation for acute medical treatment ; but some health problems in elderly people are best treated by specialist teams, which will usually be concentrated in one part of a hospital designed to cater for the special needs of elderly people. Decisions
Column 292
about the most appropriate type and place of treatment are for local clinical judgment. The Department has no proposals to issue guidelines.NHS Pensions
Mr. Byers : To ask the Secretary of State for Health if she will amend the NHS pension scheme to allow unmarried members of the scheme to nominate a person to receive the benefit of the scheme after their death.
Dr. Mawhinney : The scheme already provides entitlement to lump sum death benefit to be paid to the estate of an unmarried member. We are reviewing the provisions of the scheme.
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