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Post-operative Convalescence
17. Mr. Bowis : To ask the Secretary of State for Health how many health districts in London provide beds in the community or attached to hospitals for post-operative convalescence.
Dr. Mawhinney : This information is not collected centrally. It is up to each health authority to commission appropriate health care for its patients. If necessary that could include post-operative convalescent care.
Diabetic Insulin
18. Mr. Ainger : To ask the Secretary of State for Health if she will make it her policy to ensure that all diabetic insulin delivery systems, including needles, are available free of charge.
Dr. Mawhinney : Since insulin-dependent diabetics are exempt from prescription charges disposable syringes with needles are available to them on general practitioner prescription free of charge. The inclusion of insulin injection pens and needles in the GP prescribable list must, like other new additions to the list, be subject to the availability of resources.
Hospital Beds, West Midlands
19. Mr. Grocott : To ask the Secretary of State for Health what was the total number of hospital beds in the west midlands (a) in 1979 and (b) in the latest year for which figures are available.
Dr. Mawhinney : Between 1979 and 1991-92 the number of patients treated in hospital in the west midlands increased by 55 per cent. ; the number of day cases by 202 per cent. and the number of out-patients treated by 14.9 per cent.
West Midlands RHA
21. Dr. Lynne Jones : To ask the Secretary of State for Health if she will make public the reports received by her Department in the last 18 months with respect to the affairs of the South Birmingham and West Midlands regional health authorities.
Dr. Mawhinney : The Department frequently receives a wide range of reports on health and management matters from West Midlands regional health authority and districts. Where appropriate these have been made public.
28. Mr. Corbett : To ask the Secretary of State for Health what are the terms of Sir Donald Wilson's appointment as temporary chair of the West Midlands regional health authority.
Dr. Mawhinney : My right hon. Friend the Secretary of State appointed Sir Donald Wilson as chairman of the West Midlands regional health authority until 30 April 1993.
NHS Services
22. Mr. John Greenway : To ask the Secretary of State for Health if she will make a statement on her plans to improve the quality of NHS services.
Dr. Mawhinney : The Government have taken a number of measures designed to improve the quality of services to patients, and this was the driving force behind the reforms.
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My right hon. Friend the Secretary of State recently announced a continuous quality improvement initiative. As part of this we aim to take the very best examples of good quality service and disseminate them widely. The initiative will also incorporate the experiences and perspectives of service users.Mentally Handicapped Patients
24. Mr. Fabricant : To ask the Secretary of State for Health if she will make a statement regarding the quality of care given to mentally handicapped patients in mental hospitals and the quality of management in such hospitals.
Mr. Yeo : Over the years there has been a significant improvement in standards in the long-stay hospitals, but there is no room for complacency. Guidance issued last October reminded health authorities of the need to ensure that whilst these hospitals remain a satisfactory level of care must be maintained. They should aim to ensure through contracts with providers that the quality of care in these hospitals improves at least in line with improvements in the quality of care generally.
Junior Doctors
25. Mr. Hague : To ask the Secretary of State for Health whether she is monitoring the progress of the regions in implementing the new deal for junior doctors ; and if she will make a statement.
27. Mr. Duncan : To ask the Secretary of State for Health what progress has been made in reducing the hours of duty of junior doctors.
Dr. Mawhinney : The ministerial group on junior doctors' hours, which I chair, receives regular reports from regional task forces which were established to oversee and support implementation of the new deal at local level.
We have set a target date of 1 April 1993 for eliminating posts with maximum contracted hours of more than 83 per week. The latest reports from task forces show that at 31 August 1992, 3,234 junior hospital doctors and dentists, out of a total of more than 25,000 in England, were contracted for a maximum average of more than 83 hours a week. This represents a fall in the number of doctors contracted for the longest hours of more than 2,000 since last February and more than 10,000 since September 1990.
We look to authorities and trusts to continue their progress in eliminating these posts and then to deliver the next phase of the hours reduction programme. This involves reducing maximum average contracted hours to no more than 72 per week for those junior doctors working
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on on-call rotas in hard-pressed posts--the busiest jobs ; 64 per week for juniors working on partial shifts ; and 56 per week for juniors working on full shifts.We are determined that junior doctors will see real and demonstrable benefits from the new deal and as well as reporting progress in reducing hours I am pleased that task force reports show significant progress in improving the living and working conditions of junior doctors and dentists.
Beds Shortage (Emergencies)
29. Mrs. Roche : To ask the Secretary of State for Health if she will make a statement on the yellow bed alert issued in early January in the North East Thames health region because of a shortage of beds for emergency admissions.
Mr. Sackville : I refer the hon. Member to the replies I gave the hon. Members for Newham, South (Mr. Spearing) and for Leyton (Mr. Cohen) on Monday 18 January at columns 85-86 .
Mersey Regional Health Authority
Mrs. Dunwoody : To ask the Secretary of State for Health if she will hold an urgent inquiry into the running of the Mersey regional health authority.
Dr. Mawhinney : We have no plans to do so.
Community Care
Mr. Hall : To ask the Secretary of State for Health what assessment she has made of the implications of the creation of health trusts for the implementation of the community care changes.
Dr. Mawhinney : National health service trusts will play their full part in implementing the community care reforms, together with the rest of the NHS.
GP Fund Holders
Ms. Primarolo : To ask the Secretary of State for Health what was the management fee paid, or estimates thereof, to (a) first, (b) second and (c) third wave GP fundholders per family health service authority/regional health authority and nationally in each year since their establishment up to 1992-93.
Dr. Mawhinney : The information held centrally is in the table. The number of fourth wave fund holders is not yet available as the application period is still open. Information about numbers at FHSA level is held by regional health authorities.
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1st wave fundholders 2nd wave fundholders 3rd wave fundholders (estimate)
[NL] |Region |Number of fundholders<1>|Number of practices |Number of GPs |Number of fundholders<1>|Number of practices |Number of GPs
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Northern |27 |29 |168 |11 |11 |63 |32
Yorkshire |34 |39 |208 |25 |27 |154 |54
Trent |28 |28 |155 |28 |32 |157 |83
East Anglia |9 |9 |57 |4 |4 |27 |36
North West Thames |22 |23 |123 |21 |26 |110 |48
North East Thames |13 |13 |73 |8 |8 |43 |29
South East Thames |15 |15 |85 |15 |15 |77 |51
South West Thames |21 |21 |125 |17 |18 |100 |28
Wessex |17 |18 |98 |17 |18 |109 |25
Oxford |25 |25 |155 |21 |23 |124 |31
South Western |20 |21 |127 |18 |20 |108 |32
West Midlands |26 |26 |144 |31 |33 |178 |75
Mersey |20 |21 |107 |24 |30 |121 |60
North Western |16 |17 |88 |13 |15 |72 |37
|--- |--- |--- |--- |--- |--- |---
Totals |293 |305 |1,713 |253 |280 |1,443 |621
<1>The number of fundholders is less than the number of practices as some have joined together in groups.
Ms. Primarolo : To ask the Secretary of State for Health how many first, second, third and fourth wave fund-holding GPs and GP partnerships there are in each family health service authority and region.
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Dr. Mawhinney : The information available centrally is in the table.
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GP fundholders management allowance payments
£000s
FHSA |1990-91 |1991-92 |1992-93 |1992-93
-------------------------------------------------------------------------------------------
Cleveland |146,685 |189,966 |173,000 |69,000
Cumbria |31,999 |115,423 |173,000 |86,000
Durham |111,900 |308,000 |380,000 |172,000
Northumberland |210,674 |231,010 |236,000 |3,000
Gateshead |32,098 |82,498 |103,000 |104,000
Newcastle |33,968 |49,500 |69,000 |35,000
North Tyneside |16,000 |49,454 |35,000 |35,000
South Tyneside |16,000 |33,000 |35,000 |0
Sunderland |16,000 |33,000 |52,000 |0
|----- |----- |----- |-----
Northern RHA |615,324 |1,091,851 |1,256,000 |504,000
Humberside |112,000 |339,563 |483,000 |259,000
North Yorkshire |65,977 |247,500 |345,000 |207,000
Bradford |120,847 |138,182 |207,000 |69,000
Calderdale |44,296 |99,000 |102,000 |36,000
Kirklees |0 |16,493 |35,000 |86,000
Leeds |146,072 |338,273 |483,000 |189,000
Wakefield |121,720 |310,578 |414,000 |86,000
|----- |----- |----- |-----
Yorkshire RHA |610,912 |1,489,589 |2,069,000 |932,000
Derbyshire |138,179 |445,500 |656,000 |535,000
Leicestershire |85,044 |276,995 |380,000 |127,000
Lincolnshire |48,000 |196,449 |310,000 |190,000
Nottinghamshire |59,201 |166,179 |217,000 |114,000
Barnsley |0 |0 |0 |51,000
Doncaster |64,000 |132,000 |109,000 |56,000
Rotherham |14,328 |49,500 |56,000 |45,000
Sheffield |35,892 |95,829 |101,000 |127,000
|----- |----- |----- |-----
Trent RHA |444,644 |1,353,452 |1,829,000 |1,245,000
Cambridgeshire |37,170 |71,000 |190,000 |69,000
Norfolk |75,318 |165,000 |207,000 |276,000
Suffolk |42,197 |107,650 |380,000 |0
|----- |----- |----- |-----
East Anglian RHA |154,685 |343,650 |777,000 |345,000
Bedfordshire |76,000 |148,500 |173,000 |155,000
Hertfordshire |208,640 |549,754 |872,000 |327,000
Barnet |0 |0 |17,000 |70,000
Brent and Harrow |16,000 |33,000 |35,000 |155,000
Ealing, Hammersmith and Hounslow |46,028 |118,598 |138,000 |52,000
Hillingdon |32,000 |99,478 |138,000 |0
Kensington, Westminster and Chelsea |16,000 |81,542 |165,000 |50,000
|----- |----- |----- |-----
North West Thames RHA |394,668 |1,030,872 |1,538,000 |809,000
Essex |80,646 |287,164 |449,000 |345,000
Barking and Havering |16,000 |49,500 |121,00 |17,000
Camden and Islington |19,310 |78,489 |69,000 |0
City and East London |32,000 |66,000 |69,000 |17,000
Enfield and Haringey |30,812 |75,061 |100,000 |50,000
Redbridge and Waltham Forest |12,241 |33,000 |35,000 |17,000
|----- |----- |----- |-----
North East Thames RHA |191,009 |589,214 |843,000 |446,000
East Sussex |39,197 |126,422 |173,000 |414,000
Kent |174,880 |363,000 |552,000 |328,000
Greenwich and Bexley |46,699 |82,500 |104,000 |69,000
Bromley |32,000 |66,000 |69,000 |0
Lambeth, Southwark West and
Lewisham |43.346 |99,000 |156,000 |0
|----- |----- |----- |-----
South East Thames RHA |336,122 |736,922 |1,054,000 |811,000
Surrey |226,684 |453,467 |604,000 |224,000
West Sussex |97,404 |217,862 |310,000 |138,000
Croydon |0 |33,000 |69,000 |35,000
Kingston and Richmond |78,274 |143,868 |209,000 |0
Merton, Sutton and Wandsworth |49,989 |146,286 |173,00 |69,000
|----- |----- |----- |-----
South West Thames RHA |452,351 |994,483 |1,365,000 |466,000
Dorset |18,461 |172,400 |311,000 |86,000
Hampshire |443,176 |467,458 |621,000 |242,000
Wiltshire |41,195 |49,000 |102,000 |102,000
Isle of Wight |46,486 |111,193 |138,000 |0
|----- |----- |---- |-----
Wessex RHA |549,318 |800,051 |1,172,000 |430,000
Berkshire |295,270 |318,394 |380,000 |259,000
Buckinghamshire |178,924 |410,731 |552,000 |190,000
Northamptonshire |31,371 |205,434 |311,000 |86,000
Oxfordshire |194,878 |251,660 |347,000 |33,000
|----- |----- |----- |-----
Oxford RHA |700,443 |1,186,219 |1,590,000 |568,000
Avon |47,998 |165,000 |242,000 |207,000
Cornwall and Isles of Scilly |26,221 |97,007 |138,000 |86,000
Devon |110,786 |317,783 |449,000 |155,000
Gloucestershire |145,071 |142,000 |207,000 |86,000
Somerset |63,961 |198,000 |276,000 |17,000
|----- |----- |----- |-----
South Western RHA |394,037 |919,790 |1,312,000 |551,000
Hereford and Worcestershire |130,952 |336,354 |449,000 |259,000
Shropshire |17,670 |98,849 |173,000 |138,000
Staffordshire |153,279 |282,537 |345,000 |423,000
Warwickshire |58,486 |205,740 |311,000 |207,000
Birmingham |81,420 |130,734 |207,000 |121,000
Coventry |0 |33,000 |69,000 |69,000
Dudley |0 |0 |0 |69,000
Sandwell |31,981 |117,537 |190,000 |0
Solihull |93,991 |169,500 |242,000 |225,000
Walsall |16,000 |33,000 |35,000 |86,000
Wolverhampton |0 |0 |0 |0
|------- |------- |------- |-------
West Midlands RHA |583,779 |1,407,251 |2,021,000 |1,597,000
Cheshire |282,834 |604,622 |725,000 |431,000
Liverpool |12,220 |124,000 |173,000 |113,000
St. Helens and Knowsley |99,140 |172,931 |207,000 |103,000
Sefton |131,139 |261,532 |276,000 |86,000
Wirral |8,000 |111,897 |138,000 |121,000
|------- |------- |------- |-------
Mersey RHA |533,333 |1,274,982 |1,519,000 |854,000
Lancashire |75,268 |250,259 |276,000 |138,000
Bolton |48,000 |115,227 |138,000 |86,000
Bury |0 |0 |0 |87,000
Manchester |22,253 |42,000 |34,000 |35,000
Oldham |0 |16,494 |35,000 |17,000
Rochdale |25,564 |84,242 |104,000 |17,000
Salford |5,900 |97,382 |172,000 |0
Stockport |32,000 |66,000 |104,000 |115,000
Tameside |69,552 |82,500 |103,000 |35,000
Trafford |0 |0 |34,000 |69,000
Wigan |26,422 |0 |0 |35,000
|------- |------- |------- |-------
North Western RHA |304,959 |754,104 |1,000,000 |634,000
|------- |------- |------- |-------
England |6,265,584 |13,972,430|19,345,000|10,192,000
Ms. Primarolo : To ask the Secretary of State for Health if she will make it her policy that the full details of the budget allocations to general practitioner fund holders will be published annually.
Dr. Mawhinney : The total amount of resources allocated to fund holders forms part of the annual financial statement of each regional health authority and family health services authority, which are public documents.
Mr. Milburn : To ask the Secretary of State for Health if she will introduce legislation to make general practitioner fund holders legally liable in the event of inadequate community care services being provided to their clients after 1 April.
Dr. Mawhinney : General practitioner fund holders will be responsible for purchasing within the resources available a range of community health services, including district nursing and health visiting. Regional health authorities will be required to set budgets for this purpose and ensure that the level of services purchased is consistent with the level of funding. Local authorities and district health authorities will be responsible for purchasing other community care services.
Tobacco Advertising
Mrs. Dunwoody : To ask the Secretary of State for Health, pursuant to her answer to the hon. Member for Cambridgeshire, South-East (Mr. Paice) of 28 October 1992, Official Report, column 728, what estimate she has made of the direct effect of tobacco advertising on consumption.
Dr. Mawhinney : The Department's discussion document on the effect of tobacco advertising on tobacco consumption was published on 28 October 1992. Comments on the report have been invited before 29 January 1993. It is unclear whether additional restrictions on tobacco advertising in the United Kingdom would contribute to a further reduction in tobacco consumption given the fall in smoking in the United Kingdom from 45 per cent. of the population in 1974 to 30 per cent. in 1990, and the existing controls on tobacco advertising through the voluntary agreement on tobacco advertising and promotion.
Smoking
Mrs. Dunwoody : To ask the Secretary of State for Health whether she will introduce legislation to protect non-smokers against passive smoking in public places and at work.
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Dr. Mawhinney : No. The "Health of the Nation" White Paper sets targets of 80 per cent. of public places being covered by effective no- smoking policies by 1994 and for the large majority of employees to be covered by a no-smoking policy by 1995. Good progress is being made by voluntary means, but, if this does not continue, we will consider taking statutory powers.
Mrs. Dunwoody : To ask the Secretary of State for Health how many working days are lost to British industry, per year, from smoking-related sick leave ; and how much this costs.
Dr. Mawhinney : In its report "Smoking or Health" published in 1977, the Royal College of Physicians estimated that as many as 50 million working days may be lost in industry every year as a consequence of cigarette smoking. No current estimate is available.
Tuberculosis
Mrs. Bridget Prentice : To ask the Secretary of State for Health what provisions are made for regional health authorities that have terminated the universal BCG immunisation programme of children to inform parents of their rights to have their children vaccinated against tuberculosis.
Mr. Sackville : Local arrangements for childhood immunisations, and for providing information on their availability, are the responsibility of individual health authorities.
Mrs. Bridget Prentice : To ask the Secretary of State for Health how many regional health authorities have informed her Department that they have terminated the blanket immunisation programme for children against tuberculosis due to lack of resources ; and if she will name those regional health authorities which no longer offer the BCG vaccination to children on a universal basis.
Mr. Sackville : No regional health authority has terminated the BCG immunisation for school children although an anonymised study by the public health laboratory service published in the "British Medical Journal" on 29 August 1992, reported that a small number of district health authorities are no longer routinely immunising children.
Children in Care
Dame Jill Knight : To ask the Secretary of State for Health (1) what assessment she has made of the working of the Children Act 1989 as it relates to young persons leaving local authority care ;
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(2) what reports she has prepared under section 83(6) of the Children Act 1989 relating to research and returns of information.Mr. Yeo : We are closely monitoring how local authorities are exercising their powers and duties under the Act as a whole, including their responsibilities to young people leaving care. This has been achieved through special commissioned research, new statistical returns and a number of surveys, including a national monitoring survey of all local authorities undertaken by the social services inspectorate. Information derived from these sources will form the basis of the Government's first report to Parliament on the working of the Act in England and Wales. We expect to publish the report next month.
There will be a further response under section 83(6) later in 1993 which will draw more extensively on the regular statistical sources and provide the first in the statistical abstracts reporting the position after the Act was implemented. These will replace the reports covering children in care of local authorities for periods before the Act was implemented. The report of the year ending 31 March 1990 was published in July 1992 under section 83(6) and the last of these reports, for the year ending 31 March 1991, will be published this week under section 83(6).
Dame Jill Knight : To ask the Secretary of State for Health if she will take steps to ensure that all young people leaving local authority residential care are monitored until social services departments are confident they are housed and able to manage by themselves.
Mr. Yeo : Local authorities have a statutory duty under the Children Act 1989 to prepare all children for the time when they are to leave care, and have a range of powers and duties to provide aftercare support to care leavers who seek their help. Comprehensive guidance has been issued on ways in which these powers and duties might best be exercised. The implementation of the Act will continue to be kept under review.
Mr. Heppell : To ask the Secretary of State for Health how many children in care have been child migrants in each year from 1967 up until the present ; from which areas of the country they came ; and what countries were their destinations.
Mr. Yeo : This information is not collected centrally.
Abortion
Mr. Alton : To ask the Secretary of State for Health what was the number of recorded (a) perforations and ruptures of the uterus following abortion and (b) ectopic pregnancies for 1967, 1972, 1977, 1982, 1987 and the last year for which figures are available.
Mr. Sackville : Figures relating to perforation of the uterus following abortion are shown in table 1 for the years 1972, 1977, 1982, 1987 and 1991. Table 2 shows the available data relating to ectopic pregnancies for the years 1982, 1987-88 and 1990-91. The number of ectopic pregnancies increased gradually between 1987-88 and 1990-91 due in part to the improvement in data recording in the hospital episodes statistics (HES) system. Data for 1967, before legal abortions were performed, and the full time series requested for ectopic pregnancies cannot be provided without incurring disproportionate cost.
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Table 1 Recorded cases of perforation of the uterus following abortion England and Wales Residents and non-residents Year |Number --------------------- 1972 |226 1977 |131 1982 |202 1987 |186 1991 |138 Source: Abortion notifications. Figures supplied by OPCS.
Table 2 Estimated number of episodes where ectopic pregnancy (ICD 633) is the principal diagnosis England Year |Number --------------------------- 1982 |<1>4,344 1987-88 |<2>4,941 1990-91 |<2>7,674 <1> Source: Hospital in-patient enquiry ordinary admissions only. <2> Source: Hospital episode statistics-ordinary and day case admissions in NHS hospitals. Figures are provisional based on incomplete ungrossed data and may be subject to revision following analysis.
Prescriptions
Mr. Pike : To ask the Secretary of State for Health if she will list the items listed on schedule 10 which cannot be prescribed on a national health service prescription and the date of which such item was first placed on that schedule.
Dr. Mawhinney : These items are listed in schedule 10 to the National Health Service (General Medical Services) Regulations 1992. A copy of this list with the dates on which the relevant entries were made has been placed in the Library.
Orthopaedic Services
Mr. Hoon : To ask the Secretary of State for Health if she will list the total number of people currently on the waiting list for orthopaedic services in the Ashfield area.
Mr. Sackville : This information is not available centrally. The hon. Member may wish to contact the chairman of the Nottingham health authority for details. Information about waiting times by district health authority and specialty is given in the publication "Hospital Waiting List, In-Patients and Day Cases" (ISBN 1 85839 003 6), a copy of which is available in the Library.
Hospital Waiting Lists
Mr. Meale : To ask the Secretary of State for Health what plans she has to compensate patients waiting for admission to hospital until the new financial year, for the pain and suffering which will result from deferral of their treatment.
Mr. Sackville : This year some hospitals have exceeded contracted levels of performance. This means patients are being treated earlier than would otherwise have been possible.
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Mental Illness
Mr. Harry Greenway : To ask the Secretary of State for Health what action she is taking to protect those released into the community from psychiatric institutions ; and if she will make a statement.
Mr. Yeo : From 1 April 1991 all district health authorities were required to initiate, in collaboration with local social services departments, explicit individually tailored care programmes for all in- patients about to be discharged from mental illness hospitals and all new patients accepted by the specialist psychiatric services. Under this initiative, known as the care programme approach, the needs of each patient should be systematically assessed and the appropriate arrangements made. These include the appointment of a key worker to keep in close touch with the patient and to monitor that the agreed health and social care is given.
The rescources being devoted to the care of mentally ill people in the community have increased significantly in recent years. Gross spending on local authority social services for mentally ill people increased by 86 per cent. in real terms between 1978-79 and 1990-91 to £116.5 million. National health service provision in the community has also increased, for example, the number of community psychiatric nurses rose by 227 per cent. between 1981 and 1991, from 1,100 to 3, 600.
The Royal College of Psychiatrists has recommended that the Mental Health Act 1983 be amended to incorporate a community supervision order. Following discussions with the college and other professional and
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voluntary organisations, we are urgently considering whether new powers are needed to ensure mentally ill people in the community get the care they need. We will also consider whether the present legal powers in the Mental Health Act 1983 are being used as effectively as they can be, and what action could be taken in advance of any new legislation to ensure that they are.Engagements
Mr. Harry Greenway : To ask the Secretary of State for Health if she will list her official engagements for Tuesday 26 January
Mrs. Virginia Bottomley : This morning I had a meeting with ministerial colleagues and others. Later in the morning I launched the patients charter regional health information service at the BT Telecom tower. Earlier this afternoon I answered first order questions and attended Prime Minister's questions. Later today I will be answering an Opposition motion in the House.
Malaria
Mr. Dalyell : To ask the Secretary of State for Health what statistics she has about the incidence of malaria in Britain.
Mr. Sackville : Imported malaria cases reported to the public health laboratory service's malaria reference laboratory as occurring in the United Kingdom are shown in the table :
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Malaria Plasmodium species Year |Falciparum|Vivax |Malariae |Ovale |Mixed |Unstated |Total |Deaths -------------------------------------------------------------------------------------------------------------- 1972 |134 |167 |12 |13 |2 |8 |336 |? 1973 |145 |309 |21 |13 |19 |34 |541 |5 1974 |138 |434 |29 |14 |25 |21 |661 |2 1975 |174 |471 |32 |17 |42 |13 |749 |5 1976 |229 |903 |29 |15 |32 |12 |1,220 |3 1977 |236 |1,203 |29 |20 |32 |9 |1,529 |7 1978 |349 |1,370 |19 |42 |14 |115 |1,909 |10 1979 |435 |1,469 |20 |33 |8 |88 |2,053 |6 1980 |405 |1,131 |12 |31 |18 |73 |1,670 |9 1981 |370 |1,110 |13 |21 |18 |44 |1,576 |2 1982 |442 |931 |20 |24 |26 |28 |1,471 |12 1983 |535 |937 |22 |30 |17 |170 |1,711 |6 1984 |680 |943 |20 |42 |43 |206 |1,934 |6 1985 |654 |1,344 |23 |63 |33 |95 |2,212 |5 1986 |719 |1,404 |30 |64 |22 |70 |2,309 |4 1987 |696 |1,005 |13 |64 |29 |9 |1,816 |7 1988 |1,028 |530 |22 |67 |24 |3 |1,674 |7 1989 |1,072 |734 |33 |101 |47 |- |1,987 |4 1990 |1,057 |831 |17 |149 |41 |1 |2,096 |4 1991<1> |1,268 |863 |21 |133 |47 |- |2,332 |12 1992<2> |- |- |- |- |- |- |1,630 |11 <1> Provisional figures only. Source: Annual tables from the PHLS Malaria Reference Laboratory.
Revenue and Capital Allocations for RHAs in 1993-94
Mr. David Martin : To ask the Secretary of State for Health what are the revenue and capital allocations for regional health authorities in 1993 -94.
Mrs. Virginia Bottomley [pursuant to her reply, 8 December 1992, columns 635-36.] : I am pleased to announce how the regional totalsfor the national health service main capital spending for 1993-94 will be allocated.
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The main capital planning total of £1,543 million will be deployed as follows : £880 million for spending by national health service trusts ; and £663 million for spending by regional health authorities.In addition £289 million has been earmarked for central budgets, the majority of which will also be allocated to health authorities and national health service trusts. The central budgets provide for national priorities including regional secure units, day surgery facilities, advanced
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diagnostic equipment, information technology, and community health facilities jointly financed with local government.Taking these amounts together, a total of £1,832 million, the highest figure ever, will be allocated in 1993-94 for national health service capital spending. In addition over £150 million of receipts from the disposal of surplus assets will be available to trusts and health authorities.
The following table shows the main capital allocations for each regional health authority and the regional totals for main capital spending by national health service trusts. Details of the central budget allocations will be announced separately.
Apportionment of main capital planning total for 1993-94
between
RHAs and trusts
£ millions
|RHA |NHS trusts|Total
--------------------------------------------------------------
Northern |63.995 |40.751 |104.746
Yorkshire |26.869 |94.772 |121.641
Trent |45.790 |108.112 |153.902
East Anglia |19.472 |47.412 |66.884
North West Thames |61.196 |40.958 |102.154
North East Thames |43.213 |71.408 |114.621
South East Thames |39.327 |79.691 |119.018
South West Thames |41.153 |50.232 |91.385
Wessex |42.880 |54.167 |97.047
Oxford |43.622 |31.408 |75.030
South West |13.251 |97.775 |111.026
West Midlands |125.281 |44.775 |170.056
Mersey |15.891 |64.030 |79.921
North West |80.703 |54.731 |135.434
England |662.643 |880.222 |1,542.865
Disabled People
Mr. Alfred Morris : To ask the Secretary of State for Health what discussions she has had recently with the Association of Metropolitan Authorities and the Association of County Councils on the new arrangements for providing personal assistance services to people who would previously have been eligible for funding from the independent living fund ; and if she will make a statement.
Mr. Yeo : I last met the Association of Metropolitan Authorities and the Association of County Councils on 17 December 1992. The subject of the independent living fund was not raised.
Officials from the Department and the Department of Social Security will be meeting officials of the local authority associations shortly to discuss the new arrangement.
Neurosurgery
Mr. Hinchliffe : To ask the Secretary of State for Health how many patients underwent neurosurgical operations between 1979 and the change in regulations in 1981 governing the disposal of surgical equipment.
Mr. Yeo : Guidance on the disposal of surgical equipment was issued by the Department of Health in
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November 1981 and has recently been updated. The figures in the table are for the three years 1979, 1980 and 1981. Parts of years cannot be identified separately.Estimated number of neurosurgical operations in NHS hospitals in England Year |Number --------------------- 1979 |5,310 1980 |6,510 1981 |6,330 Source: Hospital In-Patient Enquiry 1979, 1980, 1981. The data refer to all skull and closed brain operations listed in the 3rd revision of the Classification of Surgical Operations ( Office of Population Censuses and Surveys) 1975.
EC Funding
Mr. Spearing : To ask the Secretary of State for Health what support she expects to receive from EC institutions, including finance, under the proposed article 129 of the treaty of Rome, in respect of public health, including finance ; whether private or national health service trust hospitals in the United Kingdom will be eligible ; and what benefits over existing arrangements she has assessed as, accruing from paragraphs 2, 3 and 4 of article 129, respectively.
Dr. Mawhinney : We expect the benefits to be greater co-operation between member states and between the community and competent international organisations in the sphere of public health. Budget lines already exist for particular programme areas within public health, but it is too early to predict the extent to which any funding from the EC would flow into the United Kingdom as a result of this new article.
Dentistry
Ms. Lynne : To ask the Secretary of State for Health what studies her Department has conducted into the role of dentists in the detection and prevention of oral cancer, thyroid-related illness, gum disease and other health problems.
Dr. Mawhinney [holding answer 22 January 1993] : The Department provides funding for studies relating to oral cancer. The Eastman dental hospital is currently in the second year of a three-year research programme examining the validity of screeing for oral cancers and pre-cancers. The United Kingdom working group on screening for oral cancers and pre-cancers, also based at the hospital, has been reviewing the literature and examining the feasibility of national screening. Its report is expected before Easter.
Dentists are fully trained in the detection and treatment of gum diseases. They are also trained in the recognition of oral manifestations of systemic diseases and other health problems.
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