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Number of female suicides and undetermined deaths<1> (E950-E959,
E980-E989 combined) in England and Wales and, in remoter,
largely rural areas (normal area of residence) for the years
1979, 1983, 1985, 1987, 1989, 1991.
|England and Wales|Rural areas
------------------------------------------------------------------------
1979 |2,335 |207
1983 |2,109 |195
1985 |2,170 |214
1987 |1,859 |195
1989 |1,686 |179
1991 |1,585 |153
<1> Undetermined deaths (whether accidentally or purposely inflicted).
One of the ways in which OPCS classifies areas is in terms of an urban/rural distinction. County districts are classified in the following groups.
Greater London :
Inner London
Outer London
Metropolitan Districts :
Principal Cities
Others
Non-Metropolitan :
Cities
Industrial
With new towns
Resort and seaside retirement
Mixed urban rural
Remoter largely rural
Further details are available in appendix 5 of the Office of Population Censuses and Surveys publication "Key population and vital statistics" series VS no.17, PP1 no.13 ; a copy of which is in the Library.
Health Promotion Clinics
Mr. Simpson : To ask the Secretary of State for Health how many health promotion clinics were functioning on 1 June 1992 ; what was their annual cost ; and if she will publish a breakdown of the services and therapies being provided through those clinics at that time.
Dr. Mawhinney : Information on the number of health promotion clinics is not collected centrally in the form requested. The number of claims made by partnerships in England for health promotion clinic sessions in the preceding 12 months at 1 April 1992 was 1,331,277. The
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forecast total expenditure on health promotion clinics in 1992-93 is £74.448 million. Information on services and therapies provided through health promotion clinics are not collected centrally.Insulin Needles
Sir Keith Speed : To ask the Secretary of State for Health if she has completed her Department's consideration of the supply of suitable needles on NHS prescription for pen-type insulin injections.
Dr. Mawhinney : I refer my hon. Friend to the reply I gave to the hon. Member for Burnley (Mr. Pike) on 10 March.
Private Sector Finance
Mr. Blunkett : To ask the Secretary of State for Health if she will list all those NHS projects which have been financed by private sector money over the last 12 months ; and if she will make a statement.
Mr. Sackville : Measures announced by my right hon. Friend the Chancellor of the Exchequer in the autumn statement will increase the scope for national health service use of private finance to improve and extend services. We aim to ensure that NHS patients will benefit from these new freedoms to the greatest possible extent. NHS directors of finance have been encouraged to use private finance if this is cost-effective.
NHS projects using private finance need approval by the Department of Health and the Treasury if the capital assets involved have a value of £250,000 or more. Projects which have been approved in the last 12 months are shown in the table.
NHS projects using private capital worth over £0.25 million approved in the 12 months to end of February 1993 1. Sheffield Northern General Hospital NHS Trust : contracting for the provision of satellite dialysis facilities at Rotherham Hospital.
2. NHS Supplies Authority : lease of offices for HQ in Reading. 3. NHS Supplies Authority : lease of offices for North East Divisional HQ in Harrogate.
4. Newcastle Royal Victoria Infirmary NHS Trust : lease of magnetic resonance imager.
5. Standing Committee on Postgraduate Medical Education : lease of offices in London.
6. South East London Commissioning Agency : lease of offices in London.
7. King's College Hospital, Camberwell : new clinical waste incineration facilities.
8. The Royal Oldham Hospital NHS Trust : new clinical waste incineration facilities.
9. Royal Liverpool University Hospital NHS Trust : proposed joint venture patient hotel.
Nursing and Midwifery Board
Mr. Blunkett : To ask the Secretary of State for Health if she will list the present members of the English National Board for Nursing, Midwifery and Health Visiting.
Mr. Sackville : Present members of the English National Board for Nursing, Midwifery and Health Visiting are as follows :
Mr. R. G. Adams
Prof. J. A. Akinsanya
Mr. C. J. Allison
Mrs. A. Ashton
Mr. R. D. Atlay
Mrs. C. Atwell
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Ms B. S. BaileyMiss S. Barlow
Mrs. Y. E. Baxter
Miss J. A. Beak
Mrs. A. P. Burrows
Mrs. J. A. Byrne
Ms V. Chapman
Mrs. C. A. Christophe
Mrs. J. M. Collacott
Mrs. L. Cutler
Ms E. Davenhall
Ms S. Downe
Ms H. Foale
Mrs E. H. Fradd
Miss C. Gilling
Mrs. J. Green
Ms M. Gribbin
Mr. A. Grocott
Ms W. E. R. Harris
Mr. S. J. Holder
Prof. J. E. Hooper, CBE
Miss N. Hunt
Miss B. I. Hyde
Mr. J. James
Mr. K. Jarrold
Ms R. Lowe
Mr. J. McIntegart
Mrs. S. Moore
Ms G. D. Quick
Miss S. E. G. Roch
Prof. P. Seager
Mr. P. Tuddenham
Prof. A. L. Webb
Prof. J. Wilson-Barnett
Mrs. L. S. Worthington
Dr. P. Yerrell
Drinamyl
Mr. Blunkett : To ask the Secretary of State for Health what information has been received, and what guidance has been issued, by her Department regarding the side-effects of the drug, Drinamyl.
Dr. Mawhinney : Drinamyl is the proprietary name for a product containing dexamphetamine and amylobarbitone. This was indicated for mild temporary emotional disturbances but was withdrawn from the market in 1978. The Committee on Safety of Medicines received nine reports of suspected adverse reactions to Drinamyl. A report of a suspected adverse reaction does not necessarily mean that the reaction was caused by the drug. The most important side effects of Drinamyl are dependence and psychosis, and the abuse potential of this type of drug is well recognised. The Department has not issued any specific guidance about the side-effects of Drinamyl.
General Practitioners
Mr. Blunkett : To ask the Secretary of State for Health what was (a) the total number of general practitioners and the whole-time equivalent and (b) the total number of, and the amount paid to, general practitioners receiving deprivation payments in each of the low, medium and high categories for 1991-92 and 1993-94 ; and what are the comparable figures in each case for fund holding general practitioners.
Dr. Mawhinney : (a) The total number of general practitioners and the whole time equivalents for England in 1991-92 and 1992-93 is as follows :
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|Number of GPs|Whole Time
|Equivalent
---------------------------------------------------------
1 October 1991 |25,686 |25,039.05
1 April 1992 |25,823 |25,108.25
(b) The total number of GPs receiving deprivation payments in each of the low, medium and high categories in England for 1991-92 and 1992-93 is as follows :
|Low |Medium|High |Total
--------------------------------------------------
1 October 1991 |10,035|6,200 |4,272 |11,485
1 April 1992 |10,363|6,431 |4,584 |11,833
It is possible for a GP to have patients in a combination of deprived areas. The sum of the three areas is not, therefore, equal to the total number of GPs. The figure given in the "Total" column is the number of GPs with patients in any deprived area.
The total amounts of deprivation payments in each of these categories for 1991-92 is as follows :
*
|£
------------------------------------------
Lower |8,341,614.68
Medium |8,749,245.27
High |13,803,269.91
Notes:
Figures are not yet available for
1992-93.
Separate figures are not available for
fundholding GPs.
Tobacco Advertising
Mrs. Peacock : To ask the Secretary of State for Health if she will give the total number and list the names of those organisations and individuals who have made submissions (a) in favour of a tobacco advertising ban and (b) against a tobacco advertising ban, in relation to the publication "Effect of Tobacco Advertising on Tobacco Consumption", a discussion document reviewing the evidence.
Dr. Mawhinney [holding answer 8 March 1993] : Comments were invited on the overall analysis, methodology and original pieces of work in the Department of Health discussion document. Respondents were not asked to indicate their position on a tobacco advertising ban. A total of 275 representations have been received which make reference to the discussion document. Of these 232 include statements in favour of a ban and 13include statements against a ban. A copy of the list of names of organisations and individuals who have made representations has been placed in the Library.
Contracting-out
Mr. Wells : To ask the Secretary of State for Health what is her estimate of cumulative savings to the national health service from the contracting-out of support services ; and what plans she has to extend contracting-out.
Mrs. Virginia Bottomley [pursuant to the reply, 16February 1993, column 160] : The national health service has since its early days been a substantial purchaser of supplies from commercial contractors. Building construction, building maintenance, computer and
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medical equipment maintenance, for example, have been bought in from external sources and subjected to market testing procedures. Since 1983, the market testing of NHS support services has been extended by the introduction of the management requirement for regular market testing of domestic cleaning, catering and linen and laundry services. More than 20 other support services have also been market tested, resulting in a saving in 1990-91 in excess of £125million in NHS overhead costs. Market testing in the NHS is being further extended to all areas of support services as set out in the November 1991 White Paper "Competing for Quality".My right hon. Friend, the Chancellor of the Duchy of Lancaster is today placing in the Library guidance on the implications for market testing of the Transfer of Undertakings (Protection of Employment) Regulations 1981. In some cases where work is awarded to an outside contractor following market testing that may constitute the transfer of an undertaking in the terms of the regulations. If so, the regulations provide that the new employer takes over responsibility for the employment contracts of the employees, who would transfer on their previous terms and condition of service. The guidance sets out circumstances in which the regulations are, and are not, likely to apply, and explains their effect where they do.
This guidance will be equally relevant to the NHS market testing programme and I hope that national health service managers and contractors will find the guidance helpful.
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The NHS will press ahead with its challenging programme of market testing in the expectation that this will lead to both improvements in quality of service and financial savings, thereby releasing resources for direct patient care.SCOTLAND
Legal Aid
Mr. Chisholm : To ask the Secretary of State for Scotland what percentage of the legal aid budget is taken up by civil legal aid.
Lord James Douglas-Hamilton : Civil legal aid payments represented 20.8 per cent. of the total amounts paid to solicitors and counsel by the Scottish Legal Aid Board in 1991-92.
Mr. McFall : To ask the Secretary of State for Scotland what proportion of legal aid applications have been granted in each district court, sheriff court, and the high court in Scotland for each of the past five years.
Lord James Douglas-Hamilton : Information on the proportion of successful legal aid applications for summary criminal proceedings in the sheriff and district courts and for civil proceedings in the sheriff court is set out in the table. Criminal legal aid in solemn procedures is granted directly by the courts and that information is not held centrally.
Proportion of legal aid applications granted :
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percentages
|1987-88|1988-89|1989-90|1990-91|1991-92
---------------------------------------------------------------------------------
Sheriff Court
(Civil Proceedings) |57.2 |69.8 |69.8 |77.7 |70.4
(Summary Criminal Proceedings) |86.6 |92.6 |90.8 |94.6 |93.1
District Court
(Summary Criminal Proceedings) |86.9 |92.7 |84.2 |88.3 |87.5
Tayside Health Services
Mr. Welsh : To ask the Secretary of State for Scotland what assessment has been made of the number of job losses in each hospital following the implementation of current Tayside health board acute services review.
Mr. Stewart : Following Tayside health board's acute services review the number of job losses at each hospital in each area has been assessed as follows :
(a) Perth and Kinross
About 20 whole time equivalent posts will be lost when services transfer from Bridge of Earn hospital to the new Perth royal infirmary in June 1993. These changes are independent of the board's acute services review.
(b) Angus
The exact number of job losses will not be known until the public consultation period is complete and decisions reached.
The maximum reductions in whole-time equivalent staff are expected to be :
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