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Mr. Yeo : Local authorities, national voluntary organisations, child care providers in the private and voluntary sectors and other relevant organisations were sent copies of the recommendation 92/241/EEC on 11 January together with the Department's further guidance on the day care provisions in the Children Act--LAC (93)1. Copies of the recommendation and the guidance are available in the Library.
Abortion
Mr. Alton : To ask the Secretary of State for Health if she will make a statement on her Department's definition of informed consent under her Department's guidance for dealing with patients, in the context of women consenting to an abortion.
Mr. Sackville : Patients have the right under common law to give or withhold consent prior to examination or treatment. Informed consent as such does not form part of English law. Patients are, however, entitled to receive sufficient information in a way that they can understand about the proposed treatment, the possible alternatives and any substantial risks, so that they can make a balanced judgment. A doctor will exercise his or her professional skill and judgment in deciding what information a patient is given about a particular treatment.
This principle applies to all forms of treatment, including abortion.
Mr. Alton : To ask the Secretary of State for Health what provisions exist for reporting physical complications following abortions which occur after the form notifying her Department of the abortion has been submitted.
Mr. Sackville : There is no formal procedure for reporting complications occurring after an abortion has been notified to the Chief Medical Officer, but doctors can provide additional information.
Mrs. Gorman : To ask the Secretary of State for Health if charities providing abortion services for the NHS through agency agreements with individual district health authorities may also enter into agency agreements with individual GP fund holders ; and if she will make a statement.
Mr. Sackville : Terminations of pregnancy are not included in the list of goods and services which GP fund holders may purchase. We have no plans at present to change this.
Consultants
Ms. Primarolo : To ask the Secretary of State for Health if she will make a statement on relating the system of distinction awards for consultants to their performance, with particular reference to outcomes.
Dr. Mawhinney : The leaflet "Consultants' Distinction Awards", issued in October 1990, sets out general guidelines on the criteria used in assessing consultants for
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awards. A copy of the leaflet is available in the Library. This makes clear that, in considering consultants for awards, awards committees look for performance over and above what is normally expected in respect of service to patients, teaching and the management and development of the service.Ms. Primarolo : To ask the Secretary of State for Health if she will make a statement on the reform of the system of distinction awards--merit payments--for consultants.
Dr. Mawhinney : There are at present no plans to change the distinction awards system.
Hospital Visits
Ms. Primarolo : To ask the Secretary of State for Health if she will list each ministerial visit to (a) Charing Cross, (b) Guy's, (c) London chest hospital, (d) Queen Charlotte's, (e) Queen Elizabeth hospital, Hackney, (f) Royal Brompton, (g) Royal Marsden, (h) St. Mary's, Paddington, (i) St. Thomas's, (j) St. Mark's, (k) St. Bartholomew's, (l) UCH-Middlesex, (m) the Royal National Ear, Nose and Throat, and (n) the Hospital for Tropical Diseases, since 23 October 1992 ; how long the Minister spent at each hospital to the nearest quarter hour ; and if she will indicate for each hospital whether the Minister held discussions on the Tomlinson report with (i) management, (ii) consultants, (iii) junior doctors, (iv) nurses or (v) staff side.
Dr. Mawhinney : In addition to visits by my colleagues I have either visited or had discussions with representatives of all the hospitals mentioned. I have visited St. Batholomew's twice to listen to their views on the Tomlinson report. I have also had meetings with professional, educational and trade union representatives.
NHS Trusts
Mr. Battle : To ask the Secretary of State for Health if she will make a statement on the rules relating to the making available to NHS patients of services and equipment available for private patients in NHS trusts ; and what is the position in respect of the laser treatment for myopia at St. James's hospital, Leeds.
Dr. Mawhinney : The availability of such services within the National Health Service is dependent on the decisions of purchasers, who are responsible for assessing the health care needs of their resident populations.
The corneal laser centre based at St. James's hospital, Leeds offers a service supplied by an independent company. The laser equipment will be used for the private treatment of short sight, a service currently not available under the NHS. It will also be made available to treat NHS patients with corneal scars. The revenue from leasing the premises and the royalties the trust receives from each operation provides additional funds for services for all patients at the hospital.
Ambulance Service
Mr. Spearing : To ask the Secretary of State for Health what is the basis of the standards set in the citizens charter for response performance of emergency ambulance services.
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Mr. Sackville : The patients charter performance standards reflect those first recommended to the ambulance service in 1990 as a national benchmark which all services should strive to meet or better.
Care in the Community
Mr. David Porter : To ask the Secretary of State for Health what monitoring her Department is undertaking of implementation of care in the community in respect (a) of local authority variations around the United Kingdom, (b) existing proposed provision of residential facilities in the private sector and (c) the effectiveness of dialogue between interested parties over each individual client's needs.
Mr. Yeo : The social services inspectorate and regional health authorities are currently undertaking their fourth round of monitoring of the progress being made by English social services and health authorities towards the full implementation of the Government's community care reforms from April this year. This monitoring is paying particular attention to liaison between authorities and between the statutory and independent sectors. The Department routinely collects data on the number of private residential care home places in England. Arrangment in Wales, Scotland and Northern Ireland are a matter for my right hon. Friends the Secretaries of State for Scotland and Wales and my right hon. and learned Friend the Secretary of State for Northern Ireland.
West Midlands RHA
Mr. Burden : To ask the Secretary of State for Health if she will order the publication of the management letter by the district health auditor which was sent to the West Midlands regional health authority in December 1992.
Dr. Mawhinney : No. This is a management document. Its publication is a matter for West Midlands regional health authority.
Mr. Joseph Raphael
Mr. Byers : To ask the Secretary of State for Health (1) if she will make a statement concerning the escape from custody of Joseph Raphael on 19 January ;
(2) what changes she intends to make in the procedures for the transportation of remand prisoners from hospital to court ; (3) if she will make a statement on the escape by Joseph Raphael while being taken to the Old Bailey in the company of nurses from Cane Hill secure unit.
Mr. Yeo : I understand that Mr. Raphael was detained in the secure unit at Cane Hill hospital on 6 November 1992 under section 35 of the Mental Health Act 1983, which provides for an accused person to be remanded to hospital for a report on his medical condition. He was to appear at the central criminal court on 19 January 1993 on a charge of murder. He absconded from the custody of the nurses who were escorting him from the hospital to the court. He subsequently gave himself up to the police and was detained at Brixton prison. The Ravensbourne NHS Trust, which manages the Cane Hill unit, has stated that a decision was taken following clinical assessment to transport Mr. Raphael without a police escort. The trust is holding an internal
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inquiry into the incident and the events leading up to it. We will be studying the inquiry report carefully and will consider in consultation with the Home Office what further guidance might be needed for hospitals and the police about their responsibilities in this area.Managerial Staff
Mr. Milburn : To ask the Secretary of State for Health how many senior nurse manager posts there were in each region in each year since 1989.
Mr. Sackville [holding answer 18 January 1993] : Information on the number of nurse manager posts in each region is not collected centrally. The table shows the number of senior nurses in posts paid on review body pay scales in each year since 1989. There are in addition senior nurse managers on the pay arrangements for general and senior managers ; the numbers of these senior nurses cannot be disaggregated from other senior managerial staff. The fall in nurse numbers is a result of the continuing transfer of senior nursing staff to the managerial grades and the growing numbers of Project 2000 trainees who are not counted in the manpower figures.
Senior Nurses, by RHA, whole time equivalents
|September 1989|September 1990|September 1991
------------------------------------------------------------------------------
Northern |240 |150 |120
Yorkshire |200 |140 |170
Trent |250 |190 |160
East Anglian |90 |60 |60
North West Thames |300 |300 |150
North East Thames |350 |260 |210
South East Thames |240 |170 |120
South West Thames |180 |130 |110
Wessex |140 |110 |90
Oxford |130 |120 |120
South Western |140 |90 |70
West Midlands |310 |270 |240
Mersey |140 |100 |90
North Western |270 |250 |260
SHAs |50 |40 |40
OSAs |- |- |-
England |3,030 |2,370 |2,010
Source: Non Medical Manpower Census, HAP(STATS)B, NHSME
Figures are rounded to the nearest 10 wte.
Radiation
Mr. Hinchliffe : To ask the Secretary of State for Health what facilities and experienced personnel are available within the national health service to detect, study and report on the incidence of illness resulting from nuclear radiation contamination.
Dr. Mawhinney [holding answer 18 January 1993] : Currently, there is no known method of directly identifying disease in an individual which has been induced wholly or in part by exposure to low levels of radiation in the environment. In order to establish whether an excess incidence of disease in a given population is associated in some way with external factors, accepted public health practice is to subject the available data to epidemiological study. The national health service employs public health professionals in each region and district whose responsibilities include monitoring the health of the local population and investigating unusual patterns of disease. Statistics on disease are also monitored at the national
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level. In addition, the Department has established the small area health statistics unit which is concerned with the assessment of any risk to the health of the population from point source contamination. In relation to environmental radiation, the results ofepidemiological studies are referred to the Committee on Medical Aspects of Radiation in the Environment, a group of independent experts which was set up to assess and advise the Government on the health effects of natural and man-made radiation in the environment, and to assess the adequacy of the available data and the need for further research.
Mrs. Tracey Evans
Mr. Alton : To ask the Secretary of State for Health if she will order a public inquiry into the circumstances which led to the discharge of Mrs. Tracey Evans from Brighton general hospital ; what social services involvement occurred in this case ; and what assessment has been made of the implications for the treatment of schizophrenics arising out of the case of Tracey Evans.
Mr. Yeo [holding answer 22 January 1993] : No. The reports I have received from the local agencies involved indicated that there was nothing untoward which suggested that Mrs. Evans would harm her children.
This is a tragic case and is one that will fall within the remit of the inquiry which the Government have asked the Royal College of Psyschiatrists to establish in consultation with the other relevant professional groups to
"Inquire into the circumstances leading up to and surrounding homicides and suicides committed by people under the care of or recently discharged by the specialist psychiatric services, to identify factors in the patients' management which may be related to the deaths, and to recommend measures designed to reduce the number of such incidents".
EDUCATION
Lingua Programme
Mr. Viggers : To ask the Secretary of State for Education if pupils at independent schools are eligible to participte in the programme of exchanges under the Lingua programme ; and what are the reasons for these arrangements.
Mr. Boswell Under the terms of the Council of Education Ministers' decision of 28 July 1989, upon which the Lingua programme is based, eligibility for support for pupil exchanges is limited to pupils attending educational establishments supported with public funds. In line with this, pupils at independent schools in the United Kingdom are not eligible for support under the current programme.
Socially Responsible Parenthood
Mr. Win Griffiths : To ask the Secretary of State for Education what steps he has taken to develop a post-school education strategy aimed at promoting socially responsible parenthood as recommended in the Elton report on discipline in schools.
Mr. Boswell : The Government's general policy for further and higher education is to create a framework to enable institutions to meet the widely differing needs of students. It is for institutions to decide which courses to
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offer, and to help students to select those courses which meet their needs. The Government would expect institutions, including local authority adult centres, to take account of the need for education about parenthood, building on that provided in school in collaboration with other appropriate agencies, including the youth service.School Management
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities have schools which take formal account of the views of pupils on matters relating to school management ; and whether these arrangements meet the standards expected by his Department.
Mr. Forth : This information is not collected centrally. Pupil participation in school management is a matter for individual schools and their governing bodies.
School Governors
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities provide regular training courses for school governors which meet the standards expected by his Department.
Mr. Forth : All LEAs arrange for training for school governors. The 1991 HMI report "The Quality of Training and Support for Governors in Schools and Colleges" found that 81 per cent. of training sessions inspected were sound or very good. Training and support were reaching a high proportion of governors.
Pupil Exclusions
Mr. Steinberg : To ask the Secretary of State for Education what are the latest available figures for the number of pupils excluded from school (a) permanently and (b) temporarily.
Mr. Forth : The Department has been monitoring permanent exclusions at maintained schools over a two-year period starting with summer term 1990 under the national exclusions reporting system--(NERS). Some preliminary findings from NERS were incorporated in our recently published discussion paper on exclusions. Some 3,000 pupils were permanently excluded in the first year of the NERS exercise. Information on temporary exclusions is not collected by the Department.
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities have schools with conditional re-entry agreements as a means of readmitting excluded pupils to schools ; and what assessment he has made of their effectiveness.
Mr. Forth : This information is not collected centrally.
School Closures
Mr. Steinberg : To ask the Secretary of State for Education on what occasions he has used his powers under the Education Reform Act 1988 to close schools whose governing bodies were deemed to be failing in the performance of their statutory duties.
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Schools (Communication Systems)
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities have formal systems of communication within their schools and between schools and parents, governors, their communities and outside agencies, as recommended in the Elton report on discipline in schools ; what percentage of schools have such systems of communication ; and to what extent they meet the standards expected by his Department.
Mr. Forth : This information is not collected centrally.
Health Education
Mr. Rathbone : To ask the Secretary of State for Education (1) what plans he has to monitor the response of local education authorities to the ending of grants for education support and
training--GEST--funding for health education co-ordination and the impact on the employment of dedicated health education staff ; (2) what plans he has to monitor the continued provision of drugs education in schools from 1 April.
Mr. Forth : The monitoring arrangements for the GEST preventive health education programme were set out in the original draft circular inviting bids, which issued on 1 July 1991. Amongst other things, this made clear that LEAs would be asked to provide by July 1993 a brief report on the work undertaken in 1992-93 and its effectiveness. My right hon. Friend will look to the Office for Standards in Education to provide him with information and advice about all aspects of education provision in schools. This will include provision made for preventive health education, aspects of which are included in the national curriculum and must be studied by all pupils.
Educational Psychologists
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities have developed working relationships between schools and educational psychologists to provide advice on the management of behaviour in groups and in schools as a whole which meet with the standards expected by his Department.
Mr. Forth : This information is not collected centrally.
St. Mary's School, Hendon
Mr. John Marshall : To ask the Secretary of State for Education when he expects to determine the application by St. Mary's school, Hendon, to become a grant-maintained school.
Mr. Forth : No application for grant-maintained status from St. Mary's school, Hendon, has yet been received. Following the positive ballot result at the school in favour of grant-maintained status on 7 December, the governors must publish proposals within six months from that date and submit them to the Secretary of State for determination.
Schools (Arson Attacks)
Mr. Steinberg : To ask the Secretary of State for Education what are the latest available figures for the incidence of arson attacks in schools ; and if he will make a statement.
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Mr. Forth : The number of incidents of arson in schools in England is not collected centrally. Information on the number of incidents of deliberate--or probably deliberate--fires in maintained primary and secondary schools in England is collected as part of the Department's annual survey of security in schools. In the financial year 1990-91 there were an estimated 3,100 such fires.
Schools (Lunch-time Supervision)
Mr. Win Griffiths : To ask the Secretary of State for Education how many local education authorities provide lunch-time supervision ; what percentage of schools in each local education authority provide such supervision ; how much is spent ; and what assessment he has made of the extent to which this supervision meets the standards expected by his Department.
Mr. Forth : This information is not collected centrally.
Schools Police Liaison
Mr. Win Griffiths : To ask the Secretary of State for Education what steps he has taken to monitor the way in which local education authorities have assessed the number of schools in their areas which would particularly benefit from school-police liaison projects ; and what percentage of such schools in each local education authority have these projects.
Mr. Forth : This information is not collected centrally. Under the Education (No. 2) Act 1986, school governing bodies are required to report annually to parents on steps taken to strengthen links with the community, including the police. Advice on good practice in police/school liaison was contained in HM inspectorate's publication "Our Policeman" published in 1989. The Elton report on "Discipline in Schools", distributed to
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all LEAs and schools in March 1989, also gave advice on links with the police. The Department is currently funding a research project by the National Association for the Care and Resettlement of Offenders on the role of the education service in youth crime prevention. My right hon. Friend will wish to review the general question of links between schools and the police in the light of the outcomes of that project.Funding
Mr. Cox : To ask the Secretary of State for Education how many local education authorities have made representations to him on the funding of education services in the last three months.
Mr. Forth : My right hon. Friend has received representations from a number of local education authorities.
Surplus School Places, Hampshire
Mr. Denham : To ask the Secretary of State for Education what is the total number of surplus school places in each district council area in Hampshire in (a) primary schools and (b) secondary schools ; and what was the basis on which these figures were calculated.
Mr. Forth : The information is not available in the form requested. We estimate that in 1991 there were 24,719 surplus primary places and 10,373 surplus secondary places in Hampshire, representing 17 per cent. and 16 per cent. of total capacity respectively. These figures derive from the Department's survey of school capacity which was carried out during the 1990-91 academic year. Surplus place figures were calculated by comparing the capacity derived from the more open enrolment formula with the number of pupils on roll at each school.
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Schools Expenditure, Hampshire
Mr. Denham : To ask the Secretary of State for Education what was the capital expenditure on (a) nursery schools, (b) primary schools and (c) secondary schools in Hampshire in each of the years since 1987, expressed in 1987 values.
Mr. Forth : The table shows the information requested :
Capital spending by Hampshire LEA on schools, expressed in cash
terms and in 1987 values
|Nursery and Primary|Secondary Schools
|Schools
|£'000 |£'000
--------------------------------------------------------------------------------
1987-88 |11,407 |7,306
1988-89 |15,169 |7,015
1989-90 |12,588 |5,846
1990-91 |11,412 |7,438
Notes:
1. 1990-91 is the latest year for which data are available.
2. Capital expenditure on nursery and primary schools is not identified
separately in the returns made by local authorities.
3. Real value figures were derived by applying the GDP deflators announced with
the Autumn Statement.
Nursery Education, Hampshire
Mr. Denham : To ask the Secretary of State for Education what proportion of three and four-year-old children attended nursery school or nursery classes in Hampshire in each year since 1987.
Mr. Forth : In each year between 1987 and 1991--the latest year for which information is available--approx-imately 5 per cent. of the local three and four-year-old population attended maintained nursery schools and classes in Hampshire.
Mandatory Awards
Mr. Don Foster : To ask the Secretary of State for Education if he will review the arrangements for the provision of mandatory awards.
Mr. Boswell : These arrangements are already kept under periodic review.
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Maths and Physics
Mr. Dalyell : To ask the Secretary of State for Education what progress he is making in standards of teacher training in maths and physics.
Mr. Forth : All courses of initial teacher training for primary teachers in England, Wales and Northern Ireland must include at least 100 hours devoted to maths and 100 hours devoted to science. A number of courses for secondary teachers now provide for "balanced" science, including physics. Postgraduate teacher training courses in "balanced" science enable students whose initial degree was in one science to spend part of the course extending their knowledge of the others.
Under the programme of grants for educational support and training, the Department for Education supports 20-day designated courses of in-service training to enhance the subject knowledge of primary maths and science teachers. They make a valuable contribution to improving teaching standards.
Capital Expenditure
Mr. Pickthall : To ask the Secretary of State for Education if he will list the bids for capital expenditure for education from shire counties in 1993-94 and 1992-93 and the annual capital guideline notified by the Department for Education for 1993-94 and 1992-93.
Mr. Forth : The figures in the table represent the bids and annual capital guidelines--ACGs--for county and voluntary controlled schools in 1992-93 and 1993-94. They do not include capital work at sixth form, tertiary and further education colleges, the responsibility for which will transfer on 1 April 1993 to the Further Education Funding Council, or capital work at voluntary-aided schools.
The allocation figures also exclude resources issued during the current year by means of supplementary credit approvals--SCAs. No SCAs have yet been issued for 1993-94.
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Schools ACGS: 1992-93 and 1993-94 (£000s)
LEA |Total Schools ACG|Total Schools ACG|Total Schools ACG|Total Schools ACG
|Bid 1992-93 |1992-93 |Bid 1993-94 |1993-94
-----------------------------------------------------------------------------------------------------------------
Avon |8.904 |4,269 |13,012 |4,780
Bedfordshire |7,840 |3,789 |4,788 |2,827
Berkshire |21,703 |5,238 |22,707 |4,421
Buckinghamshire |12,412 |5,289 |13,016 |5,869
Cambridgeshire |26,667 |6,380 |21,740 |7,638
Cheshire |24,991 |8,605 |30,688 |9,676
Cleveland |6,760 |3,788 |9,396 |3,657
Cornwall |18,476 |4,443 |16,000 |2,864
Cumbria |19,115 |10,024 |20,260 |8,298
Derbyshire |41,748 |15,997 |40,245 |12,885
Devon |19,165 |9,855 |21,406 |10,592
Dorset |20,581 |4,735 |19,980 |5,196
Durham |27,504 |7,001 |40,197 |5,306
East Sussex |51,441 |17,076 |41,132 |11,020
Essex |56,032 |17,954 |44,992 |11,643
Gloucestershire |16,446 |6,980 |29,223 |8,598
Hampshire |17,377 |12,086 |26,375 |9,605
Hereford and Worcester |10,884 |3,331 |10,640 |2,396
Hertfordshire |23,519 |5,677 |17,980 |4,009
Humberside |21,275 |9,049 |24,479 |6,936
Isle of Wight |6,425 |1,584 |6,015 |1,939
Kent |39,229 |20,229 |38,444 |15,820
Lancashire |31,926 |20,456 |37,631 |11,129
Leicestershire |25,919 |8,372 |16,310 |6,859
Lincolnshire |26,435 |12,263 |21,646 |10,471
Norfolk |9,347 |2,811 |9,457 |3,987
North Yorkshire |12,236 |6,222 |10,883 |5,296
Northamptonshire |8,087 |4,107 |8,603 |4,558
Northumberland |7,343 |2,516 |3,782 |2,199
Nottinghamshire |20,549 |5,182 |11,267 |2,989
Oxfordshire |20,179 |5,681 |25,525 |3,301
Shropshire |10,398 |4,109 |4,485 |3,842
Somerset |9,071 |5,134 |14,762 |4,207
Staffordshire |18,048 |7,805 |17,790 |6,041
Suffolk |18,343 |9,169 |21,070 |7,494
Surrey |17,976 |5,482 |26,031 |10,167
Warwickshire |10,802 |1,988 |12,011 |2,058
West Sussex |10,950 |3,645 |18,801 |4,277
Wiltshire |12,175 |4,137 |7,055 |2,518
Notes:
1. The figures do not include capital work at FE, sixth form or tertiary colleges as, from 1 April 1993,
responsibility for the funding of capital work in such institutions will transfer to the Further Education
Funding Council.
2. The figures are ACGs only and do not include any schools supplementary credit approvals issued in year. No
supplementary credit approvals for 1993-94 have yet been issued.
3. The figures do not include work related to the technology schools initiative as these allocations are made
via supplementary credit approvals.
4. The figures do not include bids or capital allocations for work at voluntary aided schools.
DUCHY OF LANCASTER
Civil Research and Development
36. Mr. Bowis : To ask the Chancellor of the Duchy of Lancaster what was the Government's spending on civil research and development in the latest available year ; and what were the comparable figures for the United States of America and Japan.
Mr. Robert Jackson : Data in the 1992 annual review of Government- funded research and development show that Government spent £2,772.8 million--0.51 per cent. of GDP--in 1990-91 and an estimated £2,830 million in 1991-92 on civil research and development. In calendar year 1990, the latest year for which comparable figures are available, Government expenditure on civil research and development in the United States of America and in Japan was £14,524 million--0.44 per cent. of GDP--and £5,651 million--0.43 per cent. of GDP--respectively.
Departments of Physics
37. Mr. Dalyell : To ask the Chancellor of the Duchy of Lancaster what steps he is taking to maintain the dual support system in respect of departments of physics, not currently considered to be in the top research rank, to ensure that they have the funds to develop ideas that may move them up the scale.
Mr. Robert Jackson : All university departments can apply for research council grants to support projects. Applications are considered on their merits. Institutions are free to use their block grants from the higher education funding councils to foster promising departments.
KPMG Management Consultants
Ms. Mowlam : To ask the Chancellor of the Duchy of Lancaster if he will list the contracts awarded by his Department to KPMG Management Consultants over the past 12 months.
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Mr. Waldegrave : Contracts were awarded by the Office of Public Service and Science and its agencies to KPMG Management Consultants during the past 12 months for the following :
CCTA--the Government Centre for Information Systems
Distributed information technology infrastructure scoping study. Information systems strategy study.
Infrastructure management scoping study.
Speaker for managing change workshop.
Business transformation scoping study.
Office of Science and Technology
Financial management survey of costing Research Council contracts with other Government Departments.
Civil Service College
Study of future financial structures.
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