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Head Injury Deaths

Mr. Galbraith : To ask the Secretary of State for Health how many people have died from head injuries in England and Wales in each year since 1980.

Mr. Sackville : The information is shown in the table.


Numbers of deaths from  

head injuries (ICD      

800-804 and 850-854)    

in England and Wales,   

1980 to 1991            

Year    |Persons        

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

1980    |4,385          

1981    |3,910          

1982    |4,064          

1983    |4,129          

1984    |4,172          

1985    |4,065          

1986    |4,022          

1987    |4,091          

1988    |3,856          

1989    |3,994          

1990    |4,156          

1991    |3,754          

Condoms

Mr. Thurnham : To ask the Secretary of State for Health what plans she has to extend the Bolton project for the distribution of free condoms, to the rest of England and Wales.

Mr. Yeo : There are about 30 similar projects, evaluating the provision of sexual health counselling and


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free condoms by general practitioners, currently being conducted around England and Wales. In the 1992 "Allocation for HIV and AIDS work" letter (EL(92)18), the Department suggested that health authorities consider using HIV prevention money for such schemes. The Department is keeping in close touch with many of the pilot projects and awaiting further results with interest.

Mr. Thurnham : To ask the Secretary of State for Health what progress is being made in the project to distribute free condoms via general practitioners in Bolton.

Mr. Yeo : This project is currently the subject of local consultation. It is hoped to begin a pilot scheme on 1 April 1993. My hon. Friend may wish to contact the chairman of Bolton family health services authority, Mr. A. J. Pettengell, for details.

Hospital Patients

Ms. Primarolo : To ask the Secretary of State for Health how many patients were treated in directly managed units and trusts (a) from NHS purchasers and (b) from non-NHS purchasers in 1991-92.

Mr. Sackville : The information requested is not held centrally and could be obtained only at disproportionate costs.

Hospices

Ms. Primarolo : To ask the Secretary of State for Health what was the total government funding to voluntary hospices in the last 10 years.

Mr. Sackville : The Government greatly appreciate the contribution which the voluntary hospice movement makes to the provision of specialised care and support for the terminally ill and their families. Our commitment to the movement has been shown by the allocation of funds to regional health authorities to enable them to increase their support.

In 1988-89, and 1989-90, there were one-off payments to voluntary hospices. Funds were allocated to the hospice movement, through the charity Help the Hospices' as a one-off award to help hospices facing financial dificulties. In 1988-89, payments were made to help with the costs of nurses' pay awards. Since 1990-91, the Government have allocated funds annually to regional health authorities specifically to enable them to increase the support they give to voluntary hospices. Since 1991-92, funds have also been provided to ensure the supply of drugs to hospices without charge.

Funding since 1988 is as follows :


          |£ million          

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

1988-89   |1.4                

1989-90   |0.4                

1990-91   |8.0                

1991-92   |20.2               

1992-93   |38.2               

1993-94   |42.9               

Dentists (North Devon)

Mr. Harvey : To ask the Secretary of State for Health (1) how many adult and child patients have been de-registered by their dentists for national health service treatment in north Devon to date ;


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(2) how many dentists in North Devon have become private practitioners since the alteration to their contracts ; and if she will make a statement.

Dr. Mawhinney : Information about numbers of patients de-registered by dentists has been collected only since 3 July 1992. By 22 January 1993, 11,491 adults and 272 children were reported by Devon FHSA as de-registered by their dentist. On 1 July 1992 there were 514,766 adults and 156,443 children registered by Devon FHSA. By 30 November, the latest date available, these totals were 511,987 and 167,228 respectively.

Information on the number of dentists who have become private practitioners since the alteration to their contracts is not held centrally.

Monkton Nursery, Liverpool

Mr. Alton : To ask the Secretary of State for Health, pursuant to her answer of 27 January, Official Report, column 723, what representations she has received about Monkton nursery, Liverpool ; and if she will make a statement.

Mr. Yeo : We have received 13 letters from the hon. Member on behalf of his constituents. The Department's social services inspectorate is making inquiries about the matter.

Sight Tests (Sandwell)

Mr. Spellar : To ask the Secretary of State for Health how many people had sight tests in Sandwell in each financial year since 1987.

Dr. Mawhinney : The numbers of National Health Service sight tests paid for in each financial year by the Sandwell family health services authority are shown in the table.


Year            |Number of sight                

                |tests                          

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

1987-88         |90,020                         

1988-89         |92,230                         

<1>1989-90      |44,830                         

1990-91         |34,860                         

1991-92         |40,570                         

Note: The Department does not collect           

information on the number of private sight      

tests carried out.                              

<1>From April 1989, NHS sight tests were        

restricted to certain groups in the population. 

The sight tests paid for in 1989-90 include     

some conducted prior to 1 April 1989, when      

sight tests were universally                    

available. The remainder paid for in 1989-90 do 

not represent a full year under the new system, 

because of the delay in payments. The figure    

for 1989-90 is not, therefore, directly         

comparable with that for 1990-91.               

Hospital Waiting Lists

Ms. Primarolo : To ask the Secretary of State for Health how many people were on waiting lists for under one year, one to two years, and two years or more in March and September of the last five years.

Mr. Sackville : The information requested is given in the table. This shows that at September 1992 the number of patients waiting over a year was 60 per cent. lower than in March 1988. In 1991-92 alone, the number of over-one-year waiters fell by almost 90,000. Today, regions no longer have any patients waiting two years or more for any in-patient or day case treatment.


Number of people on waiting lists in the last five years                                                 

England                                                                                                  

In-patients and day  |Waiting 0 to 1 year |Waiting one to two  |Waiting two years or                     

cases                                     |years               |more                                     

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

1988                                                                                                     

March                |668,300             |120,100             |87,900                                   

September            |680,100             |128,100             |91,900                                   

                                                                                                         

1989                                                                                                     

March                |699,400             |131,100             |92,200                                   

September            |710,900             |130,000             |88,100                                   

                                                                                                         

1990                                                                                                     

March                |751,100             |127,000             |80,900                                   

September            |754,800             |131,600             |71,100                                   

                                                                                                         

1991                                                                                                     

March                |778,500             |118,700             |51,100                                   

September            |789,300             |115,000             |43,500                                   

                                                                                                         

1992                                                                                                     

March                |837,100             |78,900              |1,700                                    

September<1>         |859,156             |80,039              |651                                      

<1> Provisional figures from Regional Health Authorities.                                                

Ms. Primarolo : To ask the Secretary of State for Health what was the number of private beds available in each regional health authority in the last 10 years.

Mr. Sackville : The requested information, which is the latest available, is given in the table.


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Number of authorised pay beds in NHS hospitals                                                                                                                   

Regions           |1979      |1980      |1981      |1982      |1983      |1984      |1985      |1986      |1987-88   |1988-89   |1989-90   |1990-91              

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

Northern          |56        |56        |78        |103       |103       |105       |95        |101       |96        |99        |97        |97                   

Yorkshire         |140       |140       |154       |182       |199       |199       |193       |193       |187       |192       |188       |188                  

Trent             |130       |130       |150       |143       |143       |143       |138       |136       |128       |136       |136       |136                  

East Anglian      |90        |90        |94        |106       |106       |108       |108       |108       |96        |108       |108                             

                  |North West                                                                                                                                    

  Thames          |339       |339       |352       |292       |292       |292       |287       |285       |271       |285       |283       |283                  

North East Thames |278       |278       |286       |398       |404       |410       |413       |411       |347       |393       |411       |411                  

South East Thames |263       |263       |302       |332       |337       |337       |339       |341       |322       |333       |333       |333                  

South West Thames |156       |156       |168       |180       |182       |194       |182       |180       |141       |180       |180       |180                  

Wessex            |99        |99        |106       |117       |120       |120       |116       |116       |105       |115       |116       |116                  

Oxford            |164       |164       |180       |180       |180       |180       |183       |193       |188       |193       |194       |194                  

South Western     |78        |78        |82        |102       |104       |104       |104       |102       |96        |100       |100       |100                  

West Midlands     |181       |181       |217       |258       |267       |276       |273       |270       |209       |281       |276       |276                  

Mersey            |67        |67        |92        |112       |123       |123       |123       |129       |123       |129       |129       |129                  

North Western     |170       |170       |214       |231       |244       |245       |243       |237       |207       |233       |233       |227                  

Special Health                                                                                                                                                   

  Authorities and                                                                                                                                                

  Boards of                                                                                                                                                      

  Governors       |194       |194       |202       |183       |183       |183       |178       |178       |177       |160       |178       |178                  

                                                                                                                                                                 

England           |2,405     |2,405     |2,677     |2,919     |2,987     |3,019     |2,975     |2,980     |2,693     |2,937     |2,962     |2,956                

Dentistry

Ms. Primarolo : To ask the Secretary of State for Health how many women were eligible for free dental service during pregnancy and one year after the birth of the child, for each of the last 10 years.

Dr. Mawhinney : The information requested is given in the table.


General dental services                         

Number of expectant or nursing mothers eligible 

for exemption from                              

NHS dental charges in England                   

Year            |Monthly average                

                |number eligible                

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

1981            |960,000                        

1982            |940,000                        

1983            |940,000                        

1984            |950,000                        

1985            |980,000                        

1986            |990,000                        

1987            |1,020,000                      

1988            |1,040,000                      

1989            |1,030,000                      

1990            |1,050,000                      

Note: The numbers of women eligible for free    

NHS dental treatment during pregnancy and one   

year after giving birth have been estimated     

from the monthly number of live and still       

births in England in the years shown.           

Mr. McCartney : To ask the Secretary of State for Health how many pregnant women/nursing mothers have been exempted from NHS dental charges in each of the last 10 years ; what has been the cost of their exemption in each year ; and what estimate she has made of the saving to the Exchequer of removing this exemption.

Dr. Mawhinney : The information is not available in the form requested.

Information on the number and cost of courses of treatment given to expectant and nursing mothers is given in the table.


General Dental Services-England                                                 

Number and cost of courses of treatment                                         

to expectant and nursing mothers                                                

Year                |Number of courses  |Cost of courses (£)                    

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

1982                |885,410            |23,590,780                             

1983                |893,290            |24,783,350                             

1984                |897,630            |27,109,140                             

1985                |910,650            |28,889,630                             

1986-87             |976,420            |34,162,740                             

1987-88             |986,030            |35,021,050                             

1988-89             |1,022,800          |39,076,930                             

1989-90             |1,052,010          |40,799,800                             

1990-91<1>          |n/a                |n/a                                    

1991-92             |1,120,283          |45,998,319                             

<1> Data for 1990-91 are not available.                                         

It is not possible to estimate the cost of the exemptions over this period both because the charging regimes have changed many times over the period and because some women will have been able to claim exemption or remission on one or more grounds. This factor affects the interpretation of the table.

No precise estimate has been made of any saving to the Exchequer of removing this exemption.

District Nursing Service, Liverpool

Mr. Alton : To ask the Secretary of State for Health if she will make a statement about the future of the district nursing service in Liverpool.

Mr. Sackville : The management of nursing services in Liverpool is the responsibility of Liverpool health authority. The hon. Member may wish to contact the authority chairman, Mr. D. H. Tod, for details.

OPCS

Mr. Peter Bottomley : To ask the Secretary of State for Health what changes are planned to the cash limits and running costs limits for the Office of Population Censuses and Surveys for 1992-93.

Mr. Sackville : Subject to parliamentary approval of the necessary supplementary estimate, the cash limit for class XIII, vote 6 (Office of Population Censuses and Surveys) will be increased by £889,000 from £37,057,000 to £37,946,000 and the running costs limit for OPCS will be increased by £1,568,000 from £46,002,000 to £47,570,000. This reflects the take-up of £504,000 under the end year flexibility arrangements for running costs as announced by the Chief Secretary to the Treasury on 15 July 1992, at columns 697-702 ; an increase in running costs provision of £207,000 in respect of a transfer of funds from Property Holdings ; and increased running costs provision of £300,000 for work on problems connected with census outputs and increased staff costs which will be partly offset by a decrease in capital provision of £122,000. The increases not offset will be charged to the reserve and will therefore not add to the planned total of public expenditure.

The following increases will also affect the running costs limit ; £232,000 in the National Health Central Register area for work on the Department of Health's National Health Service number programme and additional research work ; £325,000 for the work of the Parliamentary Boundary Commission. There will also be increases in capital provision of £25,000 for the National Health Central Register and £66,000 for the Parliamentary Boundary Commission. These increases will be offset by an increase in appropriations in aid on the OPCS vote and met from within the existing resources of the Department of Health (class XIII, vote 3) and the Home Office (class IX, vote 3) and will therefore not add to the planned total of public expenditure.


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Cash Limits

Dr. Twinn : To ask the Secretary of State for Health whether any changes will be made to the cash limits and the running costs of her Department in 1992-93.

Mrs. Virginia Bottomley : Subject to parliamentary approval of the necessary supplementary estimate, the cash limit for class XIII, vote 1 (Hospital, community health, family health services (part) and related services, England) will be increased by £28,278,000, from £18,509,508,000 to £18,537,786,000. This increase covers additions of £42,116,000 for entitlements to carry over underspends under the end year flexibility arrangements as announced by the Chief Secretary to the Treasury on 15 July 1992, at columns 697-702 . The increase also covers transfers from class XIII, vote 3 (Department of Health administration, miscellaneous health services and personal social services, England) of £8,302,000 (£4,316,000 for work of the valuation office ; £1,750,000 in respect of an adjustment in HIV funding ; £871,000 for day and domiciliary care ; £613,000 for the British National Formulary and Drugs and Therapeutic Bulletin ; £390, 000 in respect of the National Health Service Estates and Health Building Agency ; £307,000 for the National Health Service Supplies Authority and £55,000 for the Association of Community Health Councils) and £351,000 for class IV, vote 2 (Department of Trade and Industry : support for industry, international trade, statutory and regulatory work, consumer protection and administration) for licence fees for use of the radio spectrum. These increases are partly offset by transfers of £22,308,000 to class XIII, vote 4, (Family health services (part) national health service trusts external financing, etc., England) for an increase in the national health service trusts' aggregate external financing limit ; of £146,000 to class XIII, vote 3 (£110,000 for oral polio vaccines and £36,000 for the Special Hospital Service Authority) and £37,000 to class XVI, vote 5 (Tourism, roads and transport, other environmental services (including civil defence), education, arts and libraries and health and personal social services, Wales) for career registrars.

The cash limit class XIII, vote 3 (Department of Health, administration, miscellaneous health services and personal social services, England) will be reduced by £3,277,000 (from £821,523,000 to £818,246,000). This reduction allows for transfers £8,302,000 to class XIII, vote 1 ; £130,000 to class XI, vote 2 (Department for Education higher and further education) for the conversion of social work training courses ; £47,000 to class XV, vote 25 (Hospital and community health services, family health (part) and other health services, Scotland), £23,000 to classXVI, vote 8 (Hospital and community health, family health services (part) and related services, Wales) ; £13,000 to the Department of Social Services, Northern Ireland in respect of the NHS Estates Management and Health Building Agency and £62,000 to class XIV, vote 4 (Department of Social Security, administration and miscellaneous services) in respect of Departmental administration. The overall reduction is partly offset by £3,929,000 for the take-up of entitlements to carry over underspends under the end year flexibility arrangements as announced by the Chief Secretary to the Treasury on 15 July 1992, at columns 697-702 (capital £2,655,000 and departmental running cost of £1,264, 000) ; the transfer of increased provision of £422,000 from class VIII, vote 7 (Department of the Environment Property Holdings and


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central support services) ; civil accommodation and administration, etc) in respect of club subscription charges ; transfer of £146,000 from class XIII, vote 1 ; transfer of £45,000 from class VI, vote 1 (Department of Employment : programmes and central services) for advice on alcohol in the workplace and £758,000 transferred from class XIV, vote 4 (Department of Social Security : administration and miscellaneous services) mainly for printing costs, departmental administration, computer systems and for costs in respect of Age Concern.

The Department's gross running cost limit will be reduced by £2,627,000 from £269,236,000 to £266,609,000. This reflects the take-up of £1,264,000 end year flexibility on running costs, offset by the net effect of transfers mentioned above.

All increases will either be offset by savings or charged to the reserve and will not therefore add to the planned total of public expenditure.

Children Act 1989

Dr. Twinn : To ask the Secretary of State for Health if she will make a statement on progress made in implementing the Children Act 1989.

Mr. Yeo : I am pleased to be able to announce that my right hon. Friends the Secretary of State and the Secretary of State for Wales have today submitted our first joint report to Parliament on the Children Act in operation in England and Wales. Copies of the report have been placed in the Library.

The report, which contains a full description of the operation and achievements of the Act, highlights a number of striking and encouraging features. Overall, local authorities are to be commended for their generally positive response to their new duties under the Act and in particular for the way in which their child care interventions have become more sharply focused, with more children remaining at home with their own families.

In line with the intentions of the Act, I can report that : (

(i) almost 3,000 or approximately 50 per cent. fewer emergency orders were made in the first year giving authority for the removal of a child at home ;

(ii) there has been a substantial fall in the number of children entering compulsory care. Some 1,600 were subject to a compulsory care order under the Children Act in the first year compared with nearly four times as many under similar orders previously ; (

(iii) some 5,000 or 10 per cent. fewer children were being looked after by local authorities at the end of March compared with a year before.

GP Fund Holders

Mr. McCartney : To ask the Secretary of State for Health (1) if she will list the names and addresses of limited companies set up by general practitioner fund holders in the last three years ; (2) how much has been paid from public funds, in real terms to limited companies set up by general practitioner fund holders (a) individually and (b) in total in the years 1991-92 and 1992-93 ; (3) if she will list the names of general practitioner fund holders who have been invited to return money from the limited companies to the national health service or risk losing their fund- holding status ; which of them have been asked to return sums (a) between £50,000 and £100,000 and (b) over £100,000 ; and if she will make a statement.

Dr. Mawhinney : This information is not held centrally.


Column 331

Regional Health Authorities

Mr. Nicholas Winterton : To ask the Secretary of State for Health what guidance is given by her Department to regional health authorities about speculative investment in the property market.

Mr. Sackville : Health authorities are not allowed to invest speculatively in the property market. In certain circumstances, they may acquire land by agreement and manage and deal with land in order to make more income available to the health service. Departmental guidance is given in "Property Transactions in the NHS" which specifically prohibits investment in property and land dealing markets.

Surgery

Mr. Morgan : To ask the Secretary of State for Health what independent evaluation she has made, and proposes to make, of the costs and benefits of reduction and elimination of long wait elective surgery cases ; and if she will publish such a study at appropriate intervals.

Mr. Sackville : None. Waiting times have improved dramatically under this Government and we are determined to build on this success. Since 1987 we have provided a waiting time fund totalling nearly £200 million which has enabled additional long-wait patients to be treated from waiting lists. The introduction of the waiting time guarantee under the patients charter means that for the first time patients do not have to face an interminable wait for treatment.

Social Work Training

Mr. Hinchliffe : To ask the Secretary of State for Health what progress has been made in the development and implementation of the Central Council for Education and Training in Social Work post-qualifying framework for social work training ; what has been spent so far ; how many post- qualifying awards have been made to date ; and how many it is expected will be made within the next 12months.

Mr. Yeo : The Central Council for Education and Training in Social Work (CCETSW) is in the process of developing a framework for post- qualifying education and training social work, with funding provided by the Government. A five-year implementation plan commenced in 1991-92 as part of the overall Government training strategy. The framework will be implemented by 30 regionally-based consortia composed of educational institutions and employing agencies in the statutory and independent sectors. Fifteen of these have been established and the others are in the process of being established. It is anticipated that United Kingdom-wide coverage will be completed by mid-1993 and that they will have completed their development work by mid-1995.

Expenditure by CCETSW on the development and implementation of the new arrangements in England, Wales and Northern Ireland between 1989-90 and 1992-93 amounts to £1.2 million.

CCETSW anticipates that 40 awards will be made in 1993-94 and that thereafter numbers will increase considerably.


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Mersey Regional Health Authority

Mr. Nicholas Winterton : To ask the Secretary of State for Health if she will make a statement setting out the cost, the date, address and reasons for the decision of the Mersey regional health authority recently to purchase a flat in Liverpool ; and if she will indicate the number of occasions upon which that property has been used so far, by whom, upon what dates, and for what purposes.

Mr. Sackville : I understand the Mersey regional health authority recently purchased a flat from its endowment funds. It is used to accommodate visitors for whom the region would otherwise have to meet hotel costs. My hon. Friend may wish to contact Professor Breckenridge, chairman of Mersey RHA, for further details.

Retinopathy of Prematurity

86. Mrs. Jane Kennedy : To ask the Secretary of State for Health (1) pursuant to her answer of 22 January, Official Report, column 481, when she expects to complete her discussions with those professional bodies concerned with conducting research studies into retinopathy of prematurity ;

(2) pursuant to her answer of 22 January, Official Report, column 481, if she will place in the Library a copy of the guidelines issued by the British Association of Perinatal Medicine and the College of Ophthalmologists on the care of retinopathy of prematurity ;

(3) pursuant to her answer of 22 January, Official Report, column 481, if she will estimate her Department's total expenditure since 1980, at constant prices, on research into the cause and treatment of retinopathy of prematurity.

Mr. Sackville [holding answer 1 February 1993] : I have today placed in the Library copies of the guidelines on the care of retinopathy of prematurity (ROP) drawn up by the British Association of Perinatal Medicine and College of Ophthalmologists.

Discussions between departmental officials, professional bodies and researchers about research studies into ROP, referred to in my earlier reply of 22 January at column 481, will be completed shortly. Funding has currently been earmarked for a suitable research proposal. The Department has not hitherto commissioned any research into ROP over the period in question.

Pneumoconiosis

Mr. Mike O'Brien : To ask the Secretary of State for Health how many former miners have been affected by pneumoconiosis in the United Kingdom in each of the last 10 years.

Mr. Eggar : I have been asked to reply.

This is a matter for British Coal.

DHA Mergers

Mr. Blunkett : To ask the Secretary of State for Health how many district health authority amalgamations are already taking place ; and if she will list them.

Mr. Sackville : Ministers have approved the following nine district health authority mergers to come into effect from 1 April 1993 :


Column 333

West and East Suffolk District Health Authorities ;

Lewisham and North Southwark, Camberwell and West Lambeth District Health Authorities ;

Brighton, Eastbourne and Hastings District Health Authorities ; Kingston and Esher and Richmond, Twickenham and Roehampton Health Authorities ;

Aylesbury, Wycombe and Milton Keynes District Health Authorities ;

Hull and East Yorkshire District Health Authorities ;

Grimsby and Scunthorpe District Health Authorities ;

Calderdale, Dewsbury and Huddersfield Health Authorities ; Pontefract and Wakefield District Health Authorities.

WALES

Environmental Protection Agency

Mr. Llew Smith : To ask the Secretary of State for Wales what benefits will accrue to Wales from the proposals to establish an environmental protection agency jointly covering the Principality and England.

Mr. Gwilym Jones : The proposed new Environment Agency will report to my right hon. Friend the Secretary of State for Wales on its activities in the Principality and will unify the key regulatory pollution control functions affecting air, land and water ; provide a strong independent voice influencing the adoption of better environmental standards and practices ; and help industry by reducing the number of regulators and ending overlaps between them. There will be an appropriate presence by the agency in Wales, for it to be accessible to the public and to those it will regulate in the Principality.

Special Needs Pupils

Mr. Dafis : To ask the Secretary of State for Wales how many children with special educational needs have entered segregated special schools at (a) primary and (b) secondary level in every local education authority area of Wales in each of the last five years ; and how many pupils at (a) primary and (b) secondary school level in each area have attended special schools during the same period.

Sir Wyn Roberts : Information on the number of children with special educational needs entering special schools each year is not collected centrally.

Information on the number of full-time pupils who attend special schools is provided in the series of publications entitled Statistics of Education in Wales : Schools', Section 1, table 1.10, for previous years up to and including 1990-91. Copies are available in the Library of the House.

Youth and Community Work

Mr. Llew Smith : To ask the Secretary of State for Wales what recent representations he has received from the Welsh Association of Full-time Youth and Community Workers over the level of provision for their work on education and development.

Sir Wyn Roberts : None.


Column 334

Environmental Managers Network Programme

Mr. Llew Smith : To ask the Secretary of State for Wales if he will make a statement on progress made in his Department's scheme to establish in Wales an environmental managers network programme in conjunction with the Development Board for Rural Wales.

Mr. David Hunt : Since the launch in July 1992, 87companies have joined the Welsh environmental managers network, and membership has increased at a steady pace. Of these, 21 are from north Wales, 7 are from south-west Wales, 40 from south-east Wales and 19 from mid Wales.

A mini-launch of the network in conjunction with the Development Board for Rural Wales took place on 20January 1993, in Newtown, Powys. Since that date membership in the mid Wales region has increased from two to 19. All inquiries for membership in mid Wales will be routed through the Development Board for Rural Wales. A list of members is displayed in the Library of the House, and brought up to date at three-monthly intervals.

A470

Mr. Llwyd : To ask the Secretary of State for Wales when the improvements to the A470 between Betws-y-Coed and Blaenau Ffestiniog are to be commenced ; and if he will make a statement.

Sir Wyn Roberts : These improvements are planned for the medium and long term and thus not expected to start before April 1995.

Health Service Administration

Mr. Morgan : To ask the Secretary of State for Wales if he will make it his policy to ensure that the numbers of administrative and managerial grade staff employed in the national hospital service does not exceed the numbers of medical consultants.

Mr. Gwilym Jones : No. The required employees for any grade in the national health service must be as is appropriate for the provision of the best health care for patients.

Local Government Reform

Mr. Ron Davies : To ask the Secretary of State for Wales if he will place in the Library the latest conclusions of the sub-group on internal management submitted to the Welsh consultative council on local government reform.

Mr. David Hunt : I expect shortly to receive a report from the sub- group. This will be considered by the Consultative Council on Local Government at its next meeting. A copy of the final report will be placed in the Library of the House.


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