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Sir Hector Monro [holding answer 14 December 1992] : There are no new EC water standards. The EC drinking water directive (80/778/EEC) of July 1980 came into force in July 1985. The Water Supply (Water Quality) (Scotland) Regulations 1990 adopted the standards set in the directive, together with a number of additional national standards on quality.

There are over 700 water supply zones in Scotland taking water from more than 800 different surface and groundwater sources. The raw water quality varies with location and time of year. The water treatment carried out to meet the requirements of the regulations is equally varied. Water quality information is available from authorities' public registers and this is summarised in their annual reports. The Scottish Office publishes an annual overview of water quality in Scotland. The last, "Drinking Water Quality in Scotland 1990", is in the Library and a more detailed report for 1991 will be published shortly.

Scottish Natural Heritage

Mr. Morley : To ask the Secretary of State for Scotland how much Scottish Natural Heritage is paying out in the current financial year in management agreement ; and whether he will list each current management agreement and its cost.

Sir Hector Monro [holding answer 14 December 1992] : I have asked Scottish Natural Heritage to write to the hon. Member.

Mr. Morley : To ask the Secretary of State for Scotland how much Scottish Natural Heritage paid out in compensation payments in the current financial year under the Wildlife and Countryside Act 1981 ; and if he will list each individual amount.

Sir Hector Monro [holding answer 14 December 1992] : I have asked Scottish Natural Heritage to write to the hon. Member.

Mr. Morley : To ask the Secretary of State for Scotland if he will list the number of claims for compensation under the Wildlife and Countryside Act 1981 that are currently outstanding in Scotland, their county and the amount that has been claimed.

Sir Hector Monro [holding answer 14 December 1992] : I have asked Scottish Natural Heritage to write to the hon. Member.

Mr. Morley : To ask the Secretary of State for Scotland if he will list grants given by Scottish Natural Heritage for the purchase of land in Scotland for nature conservation purposes, their location and the organisations that received them in the current financial year.

Sir Hector Monro [holding answer 14 December 1992] : So far in 1992-93 Scottish Natural Heritage has paid £500 to Kilmuir Village Woodlands Association under section 9 of the Natural Heritage (Scotland) Act 1991. SNH estimates that a further £175,000 may be paid to voluntary bodies for land purchases in this financial year. The details remain confidential until negotiations are completed.

Skye Bridge

Mr. Wilson : To ask the Secretary of State for Scotland if he will place a copy of the Skye bridge toll concession agreement in the Library.


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Lord James Douglas-Hamilton [holding answer 14 December 1992] : The development agreement regulates the design and construction of the scheme and the concession agreement regulates the operation and maintenance thereafter. These are commercial agreements and as such are confidential. However, certain key provisions of the agreements are required to be made public under provisions in the New Roads and Street Works Act 1991. These were published in an assignation statement at the time of publication of draft orders for the scheme. My right hon. Friend has arranged for a copy of the published assignation statement to be placed in the Library.

Transport Users Consultative Committee

Mr. Hood : To ask the Secretary of State for Scotland what action he has taken on each of the recommendations of the Transport Users Consultative Committee for Scotland contained in its 1991 annual report.

Lord James Douglas-Hamilton [holding answer 14 December 1992] : The committee's recommendations on railway issues are a matter for my right hon. Friend the Secretary of State for Transport. The committee's recommendations on shipping issues relate directly to the operational responsibilities of Caledonian MacBrayne. I understand that the company's existing arrangements for consultation on the design of new vessels, and changes in the pattern of services or timetables are fully in accord with the committee's recommendations.

AGRICULTURE, FISHERIES AND FOOD

Foreign-owned Trawlers

Mr. Steen : To ask the Minister of Agriculture, Fisheries and Food what are the numbers and types of United Kingdom-Spanish trawlers or Spanish-owned trawlers and United Kingdom-Dutch-owned trawlers fishing within the United Kingdom quota system and the number and type of licences each of these vessels have ; if he will express this as a percentage of the United Kingdom fleet ; and if he will list the aggregate tonnage and aggregate horsepower in kilowatts of each of these vessels.

Mr. Curry : I refer the hon. Member to the reply that my hon. Friend the Parliamentary Under-Secretary of State for Transport gave to the hon. Member for Great Grimsby (Mr. Mitchell) on 19 October 1992 at column 200. All the vessels listed in this reply hold United Kingdom fishing licences. I also refer to the reply which I gave to the hon. Member for Great Grimsby on 24 November 1992 at column 576 on the subject of beam trawl licences held by Anglo-Dutch vessels. I regret that it is not possible to provide the other information requested except at disproportionate cost.

Mr. Steen : To ask the Minister of Agriculture, Fisheries and Food how many fishing vessels of other European community member states are operating inside the United Kingdom quota system.

Mr. Curry : Only vessels which are registered in the United Kingdom are entitled to fish against United Kingdom quotas.


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Fisheries

Mr. Steen : To ask the Minister of Agriculture, Fisheries and Food what was the cost of policing and administering fisheries in the United Kingdom for the years 1988-89, 1989-90 and 1990-91 ; and what are the expected costs for 1991-92 and 1992-93.

Mr. Curry : The cost of policing and administering sea fisheries in the United Kingdom was as follows :


           |£ million          

-------------------------------

1988-89    |20.5               

1989-90    |21.7               

1990-91    |23.4               

1991-92    |23.8               

<1>1992-93 |25.4               

<1> Forecast outturn.          

Fishermen (Effort Limitation)

Mr. Steen : To ask the Minister of Agriculture, Fisheries and Food if he will list the conservation measures and effort limitation measures which have been applied by him and which affect British fishermen only.

Mr. Curry : After consultation with the fishing industry the United Kingdom introduced on 1 June 1992 a package of conservation measures which complemented EC measures brought into force on the same day. The United Kingdom measures included a one-net rule, the use of square mesh panels in all nephrops fisheries and for whitefish in the area west of Scotland south of 56 N southwards to the southern edge of the Irish sea, and an anti- ballooning provision for all whitefish fisheries. We also, along with the Irish Republic, retained the 27 cm minimum landing size for whiting. A ban on the use of twin and multi-rig trawls in certain nephrops fisheries as requested by the industry will come into operation early next year. Also, while the EC limit in relation to cod and haddock fisheries of 135 days at sea, set for 1992, applied mainly to United Kingdom vessels, we were able to negotiate a gear option for vessels prepared to use 110 mm and 120 mm mesh nets.

Mr. Maclennan : To ask the Minister of Agriculture, Fisheries and Food what information his Department has about prevailing limitation of fishing effort by curtailment of days at sea operated by each member country of the European Community.

Mr. Curry : EC regulation 3882/91 requires certain vessels of over 10 m length, fishing for cod and haddock in the North sea and to the west of Scotland, to be tied up for 135 days during the period 1 February 1992 to 31 December 1992. Member states affected by this have been able to obtain full or partial exemptions from this requirement on the basis that they would not catch quotas, or the use of alternative arrangements.

The available information for each member state is summarised as follows :

The United Kingdom is operating limited tie-up regime under EC Reg. 3882/91, such that vessels may opt to use certain technical measures instead of tying up for the full 135 days (partial exemption from Reg 3882/91).

Belgium, Denmark, Germany and Ireland have also obtained exemptions from Reg. 3882/91.


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France, Spain and Portugal have no regime of days at sea limitation as far as we are aware.

Greece and Italy have national regimes.

Netherlands--most Dutch vessels are limited to 150-165 days at sea under national legislation.

Common Agricultural Policy Subsidies

Mr. Bayley : To ask the Minister of Agriculture, Fisheries and Food what was the value of common agricultural policy subsidies (a) in total and (b) for each agricultural product paid to United Kingdom farmers in the last financial year ; and what was (a) the average and (b) the median value of subsidy paid to each farm.

Mr. Curry : Details of public expenditure under the common agricultural policy, including expenditure on national grants and subsidies, are published in table 9.1 in "Agriculture in the United Kingdom", an annual publication produced by the Ministry of Agriculture, Fisheries and Food. Copies are placed in the Library. Statistical information is not retained recording the average and median values of subsidy received by individual farms.

Radioactive Discharges

Mr. Llew Smith : To ask the Minister of Agriculture, Fisheries and Food what division within his Department is currently dealing with the application by British Nuclear Fuels plc for the authorisation of radioactive discharges for the thermal oxide reprocessing plant.

Mr. Curry : The divisions dealing with these applications are : emergencies and food protection division, for the disposal of radioactive gaseous waste and waste oil ; and marine environmental protection division, for disposal of radioactive liquid waste. Appropriate scientific support is provided by the Ministry's food science division and directorate of fisheries research.

Surplus Butter

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, what records it is compulsory for organisations distributing EC butter to keep.

Mr. Curry : Designated organisations must ensure that records are kept of the produce received and distributed. Details of records that are required to be kept are set out in annex B of leaflet LP46 entitled "Surplus Food Scheme".

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, what methods his Department uses to contact recipients of EC surplus butter in order to carry out checks.

Mr. Curry : It is a requirement that all designated organisations receiving produce for distribution must notify the local office of the Ministry of Agriculture, Fisheries and Food at least one week in advance of a distribution to eligible recipients. This enables official visits to be made on a random basis.


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Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, whether he will consider the production by his Department of standard advertisements, posters or leaflets which could be used or adapted by voluntary organisations participating in the scheme for the distribution of EC surplus butter.

Mr. Curry : The Intervention Board executive agency produces and distributes a standard poster listing the eligible groups under this scheme. Detailed publicity of the timing and location of individual distributions is best left to designated orgnisations.

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, what checks are carried out by his Department on organisations which apply to take part in the scheme for the distribution of EC surplus butter, prior to their acceptance as distributors.

Mr. Curry : Organisations are required to certify that they are charitable or non-profit making ; preferably already involved in the provision of goods and services to the most needy ; and not concerned in the production, wholesaling, storage or retailing of butter and/or beef. Applications must also be supported by an independent referee such as a justice of the peace, minister of religion or a prominent citizen of the local community.

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, how many organisations which have participated in the scheme for the distribution of EC surplus butter have been barred from participation in a following year by his Department.

Mr. Curry : Applications from six organisations which had participated in the 1991 scheme were refused for the 1992-93 distribution.

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, how many of the voluntary organisations distributing EC surplus butter are visited by staff from his Department to observe distribution.

Mr. Curry : It is planned that 30 per cent. of the 1,300 designated organisations will be subject to official inspection on a random basis.

Mr. Gerrard : To ask the Minister of Agriculture, Fisheries and Food, pursuant to his oral answer of 3 December, Official Report, columns 384-85, what instructions are issued to voluntary organisations distributing butter as to the details of recipients of butter which they are required to record.

Mr. Curry : Designated organisations are required to keep records of the number of recipients, the quantity of butter and beef each received, and how eligibility was established. Documents that organisations may accept as proof of eligibility are listed in annex C of leaflet LP46, entitled "EC Surplus Food Scheme", copies which are available in the Library of the House.

Sellafield

Mr. Llew Smith : To ask the Minister of Agriculture, Fisheries and Food on what date his Department received applications from British Nuclear Fuels plc for


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authorisation of discharge from the thermal oxide reprocessing plant at Sellafield, of (a) low-level liquid waste from the marine pipeline, (b) gaseous waste, (c) radioactively contaminated waste oil and (d) low-level liquid waste from the facility sewer.

Mr. Curry : The dates these applications were received are as follows :


                                                    |1992                 

--------------------------------------------------------------------------

(a) low-level liquid waste from the factory sewer   |21 January           

(b) low-level liquid waste from the marine pipeline |5 May                

(c) gaseous waste                                   |5 May                

(d) radioactively contaminated waste oil            |5 May                

Farmers (Early Retirement)

Mr. Ieuan Wyn Jones : To ask the Minister of Agriculture, Fisheries and Food how many representations he has received calling for the implementation of a pension scheme to assist early retirement among farmers in the United Kingdom.

Mr. Curry : Since the EC scheme for early retirement was agreed in May, my department has received 29 representations from Members of Parliament and members of the public about its possible application in the United Kingdom.

Wool Prices

Mr. Llwyd : To ask the Minister of Agriculture, Fisheries and Food what assessment he has made of the effect of the discontinuance of the guaranteed price for wool ; and what plans he has to reconsider his decision.

Mr. Curry : Termination of the wool guarantee will give the industry financial responsibility for its own affairs, allowing it to respond more directly to market forces. Although there will be some short-term impact on producers' returns, their total returns from wool amount to only approximately 5 per cent. of the total return from sheep production. The Government have no plans to reconsider this decision, which will be implemented by means of the Agriculture Bill.

Suckler Cow Premium Scheme

Mr. Llwyd : To ask the Minister of Agriculture, Fisheries and Food what assessment he has made of the effect on the industry of the refusal of top-up payments for the suckler cow premium scheme ; and what plans he has to reconsider his decision.

Mr. Curry : Substantial increases in the EC-funded element of the suckler cow premium from 1993 onwards mean that rates of premium will be higher in 1993 than this year, despite the removal of the national top-up. I have no plans to reconsider this decision.

HEALTH

Homoeopathic Medicines

Mr. Tredinnick : To ask the Secretary of State for Health how many prescriptions for homoeopathic medicines have been made (a) in the out- patient clinic of


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hospitals, (b) in in-patient clinics, (c) from general practitioners' surgeries and (d) in total in the last calendar year.

Mr. Sackville : The number of preparations dispensed by community pharmacists, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered in England in 1991 was 161,000. The remaining information is not available centrally.

Community Health Services

Mr. Redmond : To ask the Secretary of State for Health how much funding is allocated to community health councils for training purposes in each regional health authority ; and if she will make a statement.

Dr. Mawhinney : The information requested is not held centrally. We have asked regions to ensure that adequate arrangements are made for the development of community health council staff.

Drug Abuse

Mr. Spearing : To ask the Secretary of State for Health what sums were expended by her Department in respect of European Drug Prevention Week, additional to those in existing annual programmes ; and for what specific purposes.

Dr. Mawhinney : Since 1985 the Department of Health has run a series of campaigns against drug misuse, using mass media advertising and other media. As the main thrust of the 1992-93 campaign, European Drug Prevention Week was financed using existing allocations. The purpose of the week, consistent with previous campaigns, was to raise awareness of the dangers of drug and solvent misuse, especially among young people, their parents and other concerned adults.

Warner Report

Miss Lestor : To ask the Secretary of State for Health when she intends to implement the recommendations of the Warner report ; and if she will make a statement.

Mr. Yeo : I refer the hon. Member to the reply I gave to my hon. Friend the Member for Brecon and Radnor (Mr. Evans) on 7 December at column 526. Local authorities have been asked to report progress by 8 April 1993 on the implementation of recommendations for improving employers' personnel practices. We are consulting widely on other important recommendations, for comment by 26 February 1993.

Newchurch Hospital, Warrington

Mr. Hoyle : To ask the Secretary of State for Health how much was spent on resettling the residents and patients of Newchurch hospital, Culcheth in Warrington ; on what was the money spent ; and what was the average cost per patient.

Mr. Yeo : This information is not held centrally. The hon. Member may wish to contact Mr. D. Hannah, the chairman of Warrington health authority, for details.


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Kidney Patients

Mr. Cohen : To ask the Secretary of State for Health is she will publish the number of patients in each standard age group who received kidney dialysis in the most recent available year ; and what information she has on the proportion these numbers represent of kidney patients in each age group.

Mr. Sackville : According to information provided by the European Dialysis and Transplant Association, there were 9,087 patients in the United Kingdom receiving dialysis as at the end of 1991, the latest date for which information is available. The table shows the estimated numbers by age group and the proportion they represent of all patients receiving renal replacement therapy at that time.


P

Age                 |Dialysis numbers + |Proportion of all                      

                    |percentage of total|renal replacement                      

                                        |therapy per cent.                      

--------------------------------------------------------------------------------

Under 15            | 109  (1.2)        | 0.5                                   

15-34               |1,263 (13.9)       | 6.5                                   

35-44               |1,145 (12.6)       | 5.9                                   

45-54               |1,636 (18.0)       | 8.5                                   

55-64               |2,108 (23.2)       |10.9                                   

Over 65             |2,808 (30.9)       |14.5                                   

General Practitioners

Dr. Lynne Jones : To ask the Secretary of State for Health whether she will review the system for making deprivation factor payments to general practitioners to give a greater role to family health service authorities ; and if she will make a statement on the effectiveness of the present system in targeting resources where they are most needed.

Dr. Mawhinney : The deprivation payments system recognises the higher workload faced by doctors in deprived areas. As up-to-date data become available from the 1991 census, there will be opportunities to improve the targeting of the payments : we shall need to consider this with the profession and with national health service management, taking account of experience to date.

Health Services

Mr. Cohen : To ask the Secretary of State for Health what plans she has to encourage health providers to manage their contacts, and treatments provided, more evenly over the financial year.

Dr. Mawhinney : It is the responsibility of local managers to schedule their contracted work evenly over the financial year. The vast majority are doing this successfully. Where there are isolated problems, these are being resolved by local managers with help, where appropriate, from their regional health authority.

Sefton General Hospital, Liverpool

Mr. Alton : To ask the Secretary of State for Health if she will make a statement about the future of Sefton general hospital, Liverpool.

Mr. Yeo : On 27 October 1992, Liverpool health authority commenced public consultation on proposals to


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replace outdated in-patient services for the rehabilitation of the elderly and people with acute mental illness, currently at Sefton general hospital, with a wide range of modern, purpose built facilities at Broadgreen and Mossley Hill hospitals. The hon. Member may wish to contact Mr. D. H. Tod, the authority chairman, for more details.

Redundancies

Mr. Alton : To ask the Secretary of State for Health what is her policy on compulsory redundancies within the NHS.

Dr. Mawhinney : Employing authorities in the NHS decide their own policies on matters such as redundancy, taking into account the Advisory Conciliation and Arbitration Service code of practice, employment legislation and the procedures governing the eligibility to benefits outlined in sections 45 and 46 of the General Whitley Council handbook.

Regional Hospital Authorities

Mr. Bayley : To ask the Secretary of State for Health if she will indicate for each regional hospital authority (a) the cash allocation for hospital and community health services spending in 1993-94 and (b) the region's resident population in 1993-94 in each age band in the national capitation funding formula, and to subdivide the cash allocation for each region by the population in each age band in proportion to the age-related weightings in the capitation formula in such a way as to show the amount of money allocated per person in each age band in each region for HCHS in 1993 -94.

Mr. Sackville : Table 1 shows for each region the main revenue allocation for resident population in 1993-94. These were based on an across the board increase of 0.4 per cent. above inflation with a similar sum distributed to bring regions closer to their population shares. They do not therefore equate to weighted capitation shares.


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Table 2 shows the projected births and resident population in each age band used in the weighted capitation formula.

The formula does not make allocations in respect of specific age groups. It weights the crude population for : Age, using the expenditure weightings in table 3 ;

Standardised mortality ratio, all causes under 75 ;

London weighting and market forces factor ;

Thames regions addition.

Table 4 shows the successive effects of each of these weighting factors on each region's population shares.

The age weightings reflect past estimated national spending on these age bands and cannot be used in isolation to produce meaningful information in the form requested.


Table 4                                                             

1993 Resident populations weighted for age, standardised mortality  

ratios, London weighting/market forces and Thames factors           

£000s                                                               

                  |A        |B        |C        |D                  

--------------------------------------------------------------------

Northern          |3,048.91 |3,328.67 |3,249.16 |3,221.23           

Yorkshire         |3,681.55 |3,819.52 |3,728.29 |3,696.24           

Trent             |4,714.81 |4,806.27 |4,691.47 |4,651.14           

East Anglia       |2,179.86 |2,025.40 |1,977.02 |1,960.02           

North West Thames |3,391.76 |3,254.29 |3,472.10 |3,576.27           

North East Thames |3,666.10 |3,642.04 |3,951.61 |4,070.16           

South East Thames |3,830.33 |3,752.51 |3,924.84 |3,964.09           

South West Thames |3,116.76 |2,890.84 |3,017.93 |3,048.11           

Wessex            |3,170.32 |2,978.07 |2,906.93 |2,881.94           

Oxford            |2,432.17 |2,272.94 |2,223.46 |2,204.35           

South Western     |3,586.37 |3,407.04 |3,325.66 |3,297.07           

West Midlands     |5,167.32 |5,323.30 |5,196.14 |5,151.48           

Mersey            |2,382.59 |2,544.67 |2,483.89 |2,462.54           

North Western     |3,985.34 |4,308.63 |4,205.71 |4,169.56           

                  |-------  |-------  |-------                      

England           |48,354.20|48,354.20|48,354.20|48,354.20          

Resident populations (including births) weighted for:               

A = Age                                                             

B = Standardised mortality ratios                                   

C = London weighting and market forces                              

D = Thames factors                                                  


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Table 4                                                             

1993 Resident populations weighted for age, standardised mortality  

ratios, London weighting/market forces and Thames factors           

£000s                                                               

                  |A        |B        |C        |D                  

--------------------------------------------------------------------

Northern          |3,048.91 |3,328.67 |3,249.16 |3,221.23           

Yorkshire         |3,681.55 |3,819.52 |3,728.29 |3,696.24           

Trent             |4,714.81 |4,806.27 |4,691.47 |4,651.14           

East Anglia       |2,179.86 |2,025.40 |1,977.02 |1,960.02           

North West Thames |3,391.76 |3,254.29 |3,472.10 |3,576.27           

North East Thames |3,666.10 |3,642.04 |3,951.61 |4,070.16           

South East Thames |3,830.33 |3,752.51 |3,924.84 |3,964.09           

South West Thames |3,116.76 |2,890.84 |3,017.93 |3,048.11           

Wessex            |3,170.32 |2,978.07 |2,906.93 |2,881.94           

Oxford            |2,432.17 |2,272.94 |2,223.46 |2,204.35           

South Western     |3,586.37 |3,407.04 |3,325.66 |3,297.07           

West Midlands     |5,167.32 |5,323.30 |5,196.14 |5,151.48           

Mersey            |2,382.59 |2,544.67 |2,483.89 |2,462.54           

North Western     |3,985.34 |4,308.63 |4,205.71 |4,169.56           

                  |-------  |-------  |-------                      

England           |48,354.20|48,354.20|48,354.20|48,354.20          

Resident populations (including births) weighted for:               

A = Age                                                             

B = Standardised mortality ratios                                   

C = London weighting and market forces                              

D = Thames factors                                                  


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Table 4                                                             

1993 Resident populations weighted for age, standardised mortality  

ratios, London weighting/market forces and Thames factors           

£000s                                                               

                  |A        |B        |C        |D                  

--------------------------------------------------------------------

Northern          |3,048.91 |3,328.67 |3,249.16 |3,221.23           

Yorkshire         |3,681.55 |3,819.52 |3,728.29 |3,696.24           

Trent             |4,714.81 |4,806.27 |4,691.47 |4,651.14           

East Anglia       |2,179.86 |2,025.40 |1,977.02 |1,960.02           

North West Thames |3,391.76 |3,254.29 |3,472.10 |3,576.27           

North East Thames |3,666.10 |3,642.04 |3,951.61 |4,070.16           

South East Thames |3,830.33 |3,752.51 |3,924.84 |3,964.09           

South West Thames |3,116.76 |2,890.84 |3,017.93 |3,048.11           

Wessex            |3,170.32 |2,978.07 |2,906.93 |2,881.94           

Oxford            |2,432.17 |2,272.94 |2,223.46 |2,204.35           

South Western     |3,586.37 |3,407.04 |3,325.66 |3,297.07           

West Midlands     |5,167.32 |5,323.30 |5,196.14 |5,151.48           

Mersey            |2,382.59 |2,544.67 |2,483.89 |2,462.54           

North Western     |3,985.34 |4,308.63 |4,205.71 |4,169.56           

                  |-------  |-------  |-------                      

England           |48,354.20|48,354.20|48,354.20|48,354.20          

Resident populations (including births) weighted for:               

A = Age                                                             

B = Standardised mortality ratios                                   

C = London weighting and market forces                              

D = Thames factors                                                  


Table 4                                                             

1993 Resident populations weighted for age, standardised mortality  

ratios, London weighting/market forces and Thames factors           

£000s                                                               

                  |A        |B        |C        |D                  

--------------------------------------------------------------------

Northern          |3,048.91 |3,328.67 |3,249.16 |3,221.23           

Yorkshire         |3,681.55 |3,819.52 |3,728.29 |3,696.24           

Trent             |4,714.81 |4,806.27 |4,691.47 |4,651.14           

East Anglia       |2,179.86 |2,025.40 |1,977.02 |1,960.02           

North West Thames |3,391.76 |3,254.29 |3,472.10 |3,576.27           

North East Thames |3,666.10 |3,642.04 |3,951.61 |4,070.16           

South East Thames |3,830.33 |3,752.51 |3,924.84 |3,964.09           

South West Thames |3,116.76 |2,890.84 |3,017.93 |3,048.11           

Wessex            |3,170.32 |2,978.07 |2,906.93 |2,881.94           

Oxford            |2,432.17 |2,272.94 |2,223.46 |2,204.35           

South Western     |3,586.37 |3,407.04 |3,325.66 |3,297.07           

West Midlands     |5,167.32 |5,323.30 |5,196.14 |5,151.48           

Mersey            |2,382.59 |2,544.67 |2,483.89 |2,462.54           

North Western     |3,985.34 |4,308.63 |4,205.71 |4,169.56           

                  |-------  |-------  |-------                      

England           |48,354.20|48,354.20|48,354.20|48,354.20          

Resident populations (including births) weighted for:               

A = Age                                                             

B = Standardised mortality ratios                                   

C = London weighting and market forces                              

D = Thames factors                                                  

Camberwell Health Authority

Mr. McCartney : To ask the Secretary of State for Health if she will review the appointment of the chairman of Camberwell district health authority.

Dr. Mawhinney : No.

Medicine Expenditure

Mr. Dalyell : To ask the Secretary of State for Health, pursuant to her answer of 26 November, Official Report, column 810, what assessment she has made as part of her Department's review of the measures being taken throughout Europe to limit medicine bills of the current spend per head on medicines in European countries ; and if she will give the figure for the United Kingdom and the corresponding figures for Germany, Italy, France, Belgium and Holland.

Dr. Mawhinney : The Department monitors the range of measures being taken in all countries to limit spending on


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medicines and notes the different factors in each country which influence levels of spending. These include countries' different policies on the range of drugs for which reimbursement of cost is available, making simple per capita comparisons potentially misleading.

The latest year for which figures are available for all the countries mentioned is 1989.

In that year, spending on drugs per capita was converted into sterling on the basis of purchasing power parity :


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