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Column 457


Throughput 1991                                                                                                                                                                                                                 

County           Number of                                                                                                                                                                                                      

                ||12Livestock                                                                                                                                                                                                   

                |Store Cattle   |Store Sheep    |Store Pigs     |Calves         |Prime Cattle   |Prime Sheep    |Prime Pigs     |Total Cattle   |Total Sheep    |Total Pigs     |Calves         |Total Livestock                

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

Clwyd           |17,506         |98,356         |1,351          |12,951         |28,122         |723,494        |9,648          |45,628         |821,850        |10,999         |12,951         |891,428                        

Dyfed           |64,992         |188,217        |0              |65,622         |53,693         |425,157        |3,470          |1,118,686      |613,374        |3,470          |65,622         |801,151                        

Glamorgan       |4,610          |71,425         |0              |1,442          |10,907         |100,090        |23             |15,517         |171,515        |23             |1,442          |188,497                        

Gwent           |26,036         |24,402         |6              |7,821          |8,492          |215,389        |0              |34,528         |239,791        |6              |7,821          |282,146                        

Gwynedd         |39,183         |198,951        |638            |4,177          |22,291         |546,049        |0              |61,474         |745,000        |638            |4,177          |811,289                        

Powys           |68,209         |252,368        |6,865          |4,621          |24,418         |1,249,810      |5,851          |92,627         |1,502,176      |12,716         |4,621          |1,612,142                      

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

Total for Wales                  220,536         833,719         8,860           96,634          147,923         3,259,989       18,992          368,459         4,093,706       27,852          96,634                         

Psychogeriatric Care Beds

Mr. Barry Jones : To ask the Secretary of State for Wales (1) what is the total in each district health authority of NHS funded psychogeriatric continuing care beds currently available ; (2) how many psychogeriatric continuing care beds are funded by the NHS in the independent sector in each district health authority ;


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(3) how many NHS funded psychogeriatric continuing care beds were available in 1980, 1985 and 1990 in each health authority.

Mr. Gwilym Jones : The available information does not distinguish between continuing care, acute and assessment beds, but the average numbers of daily available psychogeriatric beds for the years specified and for the latest available year were as follows :


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                |1980   |1985   |1990-91|1991-92        

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

Clywd           |10.3   |10.0   |91.5   |94.2           

East Dyfed      |-      |34.0   |165.0  |137.2          

Gwent           |239.0  |338.0  |327.0  |338.9          

Gwynedd         |-      |9.0    |73.0   |75.4           

Mid Glamorgan   |26.5   |56.0   |521.3  |449.8          

Pembrokeshire   |-      |-      |-      |-              

Powys           |-      |-      |13.0   |101.3          

South Glamorgan |-      |-      |229.4  |229.0          

West Glamorgan  |-      |38.9   |181.5  |235.8          

Wales           |275.8  |485.9  |1,601.6|1,661.5        

The apparent large increase in beds between 1980 and 1990-91 is principally due to a reclassification of mental illness beds following the recognition of psychogeriatrics as a separate specialty by the royal colleges in 1989.

Information on the numbers of such beds funded by the NHS in Wales in the independent sector is not held centrally.

Respite Care Beds

Mr. Barry Jones : To ask the Secretary of State for Wales how many respite care beds are provided in each district health authority ; what is the waiting time ; and if he will make a statement.

Mr. Gwilym Jones : The requested information is not available centrally.

Welsh Development Agency

Mr. Morgan : To ask the Secretary of State for Wales, pursuant to his anwer of 18 March, Official Report, column 331, on what date the postponed inward investment mission to Japan by the chairman of the Welsh Development Agency is now expected to take place.

Mr. David Hunt : In June.

Homes for the Elderly

Mr. Barry Jones : To ask the Secretary of State for Wales what is the number of beds in each county, in county council homes for the elderly.

Mr. Gwilym Jones : The most recently available information on the number of places in local authority residential homes for the elderly is shown in the following table.


                    |Number of places at                    

                    |31 March 1992                          

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

Clwyd               |676                                    

Dyfed               |1,041                                  

Gwent               |953                                    

Gwynedd             |786                                    

Mid Glamorgan       |1,211                                  

Powys               |428                                    

South Glamorgan     |293                                    

West Glamorgan      |698                                    

Continuing Care Provision

Mr. Barry Jones : To ask the Secretary of State for Wales what is his estimate of the likely future provision for continuing care in district health authorities, instancing the likely number of beds.


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Mr. Gwilym Jones : The information is not available centrally.

Elderly People

Mr. Barry Jones : To ask the Secretary of State for Wales how many people in each district health authority are aged 65 years and over.

Mr. Gwilym Jones : The 1991 mid year estimate of the population aged 65 and over in each district health authority in Wales is shown in the following table :


                |Thousands          

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

Clwyd           |73.6               

East Dyfed      |46.3               

Pembrokeshire   |19.5               

Gwent           |72.0               

Gwynedd         |47.1               

Mid Glamorgan   |84.7               

Powys           |22.5               

South Glamorgan |63.7               

West Glamorgan  |65.3               

Source: Registrar General's         

Provisional 1991 Mid Year Estimate  

of Resident Population.             

Myalgic Encephalomyelitis

Mr. Llew Smith : To ask the Secretary of State for Wales what research is being conducted in hospitals or medical research centres in Wales into myalgic encephalomyelitis.

Mr. Gwilym Jones : The Welsh Office is funding no such research. Information on research projects that may be funded from other sources is not held centralany visits of four nights' duration or longer were undertaken by British tourists within Wales in each year since 1985.

Sir Wyn Roberts : The number of visits of four nights' duration or longer by British tourists within Wales is given in the following table :


millions                   

Year     |Visitors         

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

<1>1985  |5.0              

<1>1986  |5.3              

<1>1987  |4.8              

<1>1988  |3.9              

<2>1989  |4.1              

<2>1990  |3.6              

<2>1991  |4.1              

Sources:                   

<1> British Tourism Survey 

(monthly).                 

<2> United Kingdom Tourism 

Survey.                    

Mr. Llwyd : To ask the Secretary of State for Wales what percentage of tourists in Wales in each year since 1985 took part in (a) hill walking/mountaineering, (b) sea fishing, (c) other water sports, (d) riding/pony trekking, (e) pleasure motoring and (f) other activities ; and what information he has on what proportion of tourists in each case were (i) British domestic tourists, (ii)European overseas visitors and (iii) visitors from the rest of the world.

Sir Wyn Roberts : Information requested is available only for British tourists since 1989. These figures are shown in the following table.


                                 |Per cent.|Per cent.|Per cent.          

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

No particular activity           |42       |46       |48                 

                                                                         

Any activities, of which         |58       |54       |52                 

  hill-walking/mountaineering<2> |29       |24       |23                 

  sea fishing                    |3        |4        |4                  

  other water sports<3>          |29       |30       |28                 

  riding/pony trekking           |2        |2        |2                  

  pleasure motoring              |n/a      |n/a      |n/a                

  other activities               |47       |50       |46                 

Source: United Kingdom Tourism Survey.                                   

<1> The activities do not add up to 100 per cent. due to some people     

being classified under more than one activity.                           

<2> Includes: hiking, rambling, orienteering, rock climbing, abseiling,  

caving and potholing.                                                    

<3> Includes: coarse or game fishing, water skiing, power boating,       

swimming, yachting, boating, canoeing, windsurfing and other sailing.    


                                 |Per cent.|Per cent.|Per cent.          

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

No particular activity           |42       |46       |48                 

                                                                         

Any activities, of which         |58       |54       |52                 

  hill-walking/mountaineering<2> |29       |24       |23                 

  sea fishing                    |3        |4        |4                  

  other water sports<3>          |29       |30       |28                 

  riding/pony trekking           |2        |2        |2                  

  pleasure motoring              |n/a      |n/a      |n/a                

  other activities               |47       |50       |46                 

Source: United Kingdom Tourism Survey.                                   

<1> The activities do not add up to 100 per cent. due to some people     

being classified under more than one activity.                           

<2> Includes: hiking, rambling, orienteering, rock climbing, abseiling,  

caving and potholing.                                                    

<3> Includes: coarse or game fishing, water skiing, power boating,       

swimming, yachting, boating, canoeing, windsurfing and other sailing.    

Data Protection Act 1984

Mr. Cohen : To ask the Secretary of State for Wales how many certificates have been signed under the terms of section 27 of the Data Protection Act 1984 for each year since 1987.

Mr. David Hunt : None.

Ancient Monuments Board for Wales

Mr. Richards : To ask the Secretary of State for Wales when he intends to publish the 37th annual report of the Ancient Monuments Board for Wales.

Sir Wyn Roberts : The 37th annual report of the Ancient Monuments Board for Wales has been published today. The report covers the financial year 1990-91 and copies have been placed in the Library of the House.

Council Tax

Mr. Richards : To ask the Secretary of State for Wales if he will provide details of the council tax set by local authorities in Wales for 1993-94.

Mr. David Hunt : The average council tax for a band C property set by local authorities in Wales for 1993-94 is £292. This is before account is taken of exemptions and discount under the new system. Around two-thirds of properties in Wales are within band C and the lower valuation bands A and B. Details of the band C council tax set by each county and district council in Wales are in the following table :


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Average Band C council tax in Wales, 1993-94<1>                                                                                  

£                                                                                                                                

                        |District purposes<2>|Community purposes  |County purposes     |Average Band C                           

                                             |(average)                                |Council Tax                              

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

Counties:                                                                                                                        

  Clwyd                 |45                  |14                  |275                 |334                                      

  Dyfed                 |33                  |21                  |261                 |315                                      

  Gwent                 |46                  |6                   |224                 |276                                      

  Gwynedd               |53                  |9                   |234                 |296                                      

  Mid Glamorgan         |37                  |10                  |211                 |258                                      

  Powys                 |43                  |11                  |216                 |270                                      

  South Glamorgan       |52                  |7                   |202                 |260                                      

  West Glamorgan        |41                  |9                   |272                 |322                                      

                                                                                                                                 

Districts:                                                                                                                       

  Alyn and Deeside      |45                  |20                  |275                 |340                                      

  Colwyn                |44                  |2                   |275                 |322                                      

  Delyn                 |49                  |16                  |275                 |339                                      

  Glyndwr               |34                  |10                  |275                 |320                                      

  Rhuddlan              |48                  |12                  |275                 |336                                      

  Wrexham Maelor        |45                  |19                  |275                 |340                                      

  Carmarthen            |20                  |29                  |262                 |310                                      

  Ceredigion            |43                  |14                  |262                 |318                                      

  Dinefwr               |40                  |9                   |262                 |310                                      

  Llanelli              |48                  |48                  |258                 |354                                      

  Preseli Pembrokeshire |29                  |11                  |262                 |302                                      

  South Pembrokeshire   |13                  |15                  |262                 |290                                      

  Blaenau Gwent         |38                  |5                   |226                 |269                                      

  Islwyn                |46                  |0                   |225                 |272                                      

  Monmouth              |47                  |10                  |226                 |282                                      

  Newport               |54                  |1                   |222                 |277                                      

  Torfaen               |40                  |13                  |226                 |278                                      

  Aberconwy             |54                  |7                   |234                 |295                                      

  Arfon                 |47                  |12                  |234                 |292                                      

  Dwyfor                |40                  |6                   |234                 |279                                      

  Meirionnydd           |65                  |8                   |234                 |307                                      

  Ynys Mon              |55                  |13                  |234                 |301                                      

  Cynon Valley          |45                  |1                   |209                 |255                                      

  Merthyr Tydfil        |41                  |1                   |209                 |251                                      

  Ogwr                  |35                  |7                   |211                 |253                                      

  Rhondda               |40                  |0                   |209                 |249                                      

  Rhymney Valley        |35                  |9                   |211                 |256                                      

  Taff Ely              |31                  |35                  |211                 |277                                      

  Brocknock             |45                  |18                  |216                 |279                                      

  Montgomeryshire       |42                  |9                   |216                 |267                                      

  Radnorshire           |41                  |6                   |216                 |264                                      

  Cardiff               |56                  |1                   |202                 |258                                      

  Vale of Glamorgan     |43                  |20                  |202                 |265                                      

  Port Talbot           |39                  |2                   |272                 |313                                      

  Lliw Valley           |25                  |16                  |272                 |313                                      

  Neath                 |43                  |27                  |272                 |342                                      

  Swansea               |46                  |3                   |272                 |321                                      

                                                                                                                                 

Wales                   |43                  |11                  |237                 |292                                      

<1> Provisional. After taking into account surpluses/deficits on collection funds.                                               

<2> For counties, district figures are the averages of the tax levels for all districts within the county.                       

HOUSE OF COMMONS

Catering Facilities (Visitors)

Mr. Harry Greenway : To ask the Chairman of the Catering Committee, pursuant to his answer to the hon. Member for Hemsworth (Mr. Enright) of 22 February, Official Report, column 439 what plans his Committee now has to arrange for catering facilities to be available to visitors to the Palace ; and if he will make a statement.

Mr. Colin Shepherd : The Committee hopes to report to the House on this matter soon after the Easter recess.

Young Enterprise (Exhibition)

Mr. Wilshire : To ask the Chairman of the Administration Committee if he has considered an application for an exhibition relating to "Young Enterprise--30th Anniversary of Business Practice in Education" to be displayed in the Upper Waiting Hall.

Mr. Michael Martin : I understand that, under procedures agreed by the Administration Committee arrangements have been made for the exhibition to be held in the Upper Waiting Hall from 7 to 11 June.

Sittings of the House

Mr. Harvey : To ask the Lord President of the Council what actions he proposes to take to implement the recommendations of the Select Committee on Sittings of the House of Session 1991-92.

Mr. Newton : Discussions are continuing through the usual channels.


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PRIME MINISTER

Environment

Mr. Chris Smith : To ask the Prime Minister in how many instances papers for Cabinet and for ministerial committees have included a note of significant costs or benefits to the environment, during the course of the past year.

The Prime Minister : "Questions of Procedure for Ministers", published in May 1992, states that memoranda circulated to Cabinet or a ministerial committee should, where appropriate, cover any significant costs or benefits to the environment--paragraph 1.2. I do not propose to give details of papers considered by Cabinet or Cabinet Committees.

Nuclear Proliferation

Mr. Llew Smith : To ask the Prime Minister what matters in regard to the control of nuclear proliferation were discussed at his meeting with the President of Turkmenistan on 29 March.

The Prime Minister : During our discussions President Niyazov confirmed to me that all nuclear weapons had been withdrawn from Turkmenistan, in accordance with an agreement between Turkemenistan and Russia.

Mr. Llew Smith : To ask the Prime Minister whether he discussed (a) the prospects of Pakistan joining the nuclear non-proliferation treaty and (b) the risks of nuclear proliferation in Asia during his meeting with his Pakistani counterpart on 29 March.

The Prime Minister : Nawaz Sharif and I discussed these matters briefly. The Pakistan Government are well aware of our views.

Mr. Llew Smith : To ask the Prime Minister, pursuant to his reply to the hon. Member for Newport, West (Mr. Flynn) of 29 March, Official Report, column 46, if he will set out the reasons underlying the assessment of the indefinite extension of the non-proliferation treaty as being in the interests of all signatories.


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The Prime Minister : The prevention of the proliferation of weapons of mass destruction is vital to the security of the whole world. We believe that the non-proliferation treaty represents the best available means of preventing the proliferation of nuclear weapons and that therefore it is in the interests of all states parties to secure the indefinite extension of the treaty in 1995.

Question Time

Mr. Llew Smith : To ask the Prime Minister if he will make it his policy when announcing his engagements to Parliament in Question Time to give details of the persons he has met and plans to meet and the meetings he has attended and plans to attend that day.

The Prime Minister : No.

Public Appointments

Dr. Wright : To ask the Prime Minister how many of the appointments made by him as listed in "Public Bodies 1992" came within the categories set out in paragraphs 49 and 50 of "Questions of Procedure for Ministers".

The Prime Minister : Paragraphs 49 and 50 of "Questions of Procedure for Ministers" cannot concern such appointments as they cover the need for Ministers to consult me on appointments which they make.

Egypt

Mr. Alton : To ask the Prime Minister what levels of United Kingdom aid Egypt will receive during 1993-94 ; what account, in allocating this aid, is taken of the Egyptian Government's human rights record ; and if he will make a statement.

The Prime Minister : Current commitments for 1993-94 are some £5.3 million. We are working with the Egyptian Government to develop new projects in support of economic reform, the environment and education. Human rights and good government are factors which the Government take into account in determining their aid policy.

HEALTH

Chairmen and Directors

Mr. Redmond : To ask the Secretary of State for Health if she will list by (a) regional health authority, (b) district health authority, (c) family health service authority and (d) hospital trusts in England the total emoluments and expenses paid to (i) chairmen and (ii) non-executive directors in 1991-92.

Mr. Sackville : Information for 1991-92, as reported in annual accounts and financial returns submitted to the Department, has been placed in the Library.

Mental Illness

Mr. Sheerman : To ask the Secretary of State for Health what is the national average cost of caring for a mentally ill person in (a) a mental illness hospital, (b) a general hospital psychiatric unit, (c) a four to six bed group home, (d) a staffed hospital and (e) in the patients's own home.


Column 466

Mr. John Townend : To ask the Secretary of State for Health what is the average revenue cost of a mentally ill person who has been moved out of hospitals into a small care in the community home ; what was the corresponding revenue cost when the person concerned was in a hospital ; and what is the average capital cost of the move.

Mr. Yeo : This information is not available centrally. Specialty cost returns submitted to the Department for 1991-92 indicate the average daily cost for patients using a bed--in-patients and day cases--for the mental illness specialty was £122. This figure, which is provisional, is inclusive of treatment, accommodation and overhead costs.

Mentally Ill Offenders

Mrs. Browning : To ask the Secretary of State for Health what consideration she has given to the Reed report about health services for mentally ill offenders.

Mr. Yeo : I refer my hon. Friend to my reply to my hon. Friend the Member for Teignbridge (Mr. Nicholls) on 27November 1992 at columns 873-74. We have endorsed the main principles set out in the report of the Department of Health/Home Office review of services for mentally disordered offenders. The White Paper on "The Health of the Nation" requires health authorities to include these services in their strategic and purchasing plans. Capital funding for medium secure psychiatric services has been further increased from £17 million in 1992-93 to £22.4million in 1993-94. We are still considering a number of the detailed recommendations in the report. We will be assisted by the new national advisory committee on mentally disordered offenders whose membership was recently announced by my right hon. Friend the Secretary of State.

Anaesthetics

Dr. Marek : To ask the Secretary of State for Health what assessment she has made of the annual savings achieved in the NHS sector by the prescribing of short-acting anaesthetics enabling patients requiring minor surgery to be treated at out-patient day clinics rather than being admitted to hospital.

Mr. Sackville : The Department has made no specific assessment. General anaesthesia is not routinely administered in out-patient clinics. Patients requiring minor surgery under general anaesthesia are normally admitted as day cases or as in-patients.

Mental Handicap

Mr. John Townend : To ask the Secretary of State for Health what was the revenue cost per head from the Croydon health district area for mentally handicapped people in the very challenging category ; and what were the previous costs in hospitals.

Mr. Yeo : This information is not available centrally. The hon. Member may wish to contact Mrs. Adrienne Fresko, chairman of Croydon district health authority for details.

Public Appointments

Dr. Wright : To ask the Secretary of State for Health how many of the appointments made by her as listed in "Public Bodies 1992" came within the categories set out in


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paragraphs 49 and 50 of "Questions of Procedure for Ministers" and required a submission to the Prime Minister.

Mr. Sackville : Ten of the appointments made by my right hon. Friend the Secretary of State as listed in "Public Bodies 1992" came within these categories and required a submission to the Prime Minister.

Medicines (Safety Tests)

Mr. Cohen : To ask the Secretary of State for Health which safety tests for potential new medicines are carried out on human cells in vitro rather than on animals.

Dr. Mawhinney : One type of safety testing that is appropriate for most new medicines involves assaying for mutagenic potential. The purpose of the test is to discover whether a substance may cause change in the genetic material which could be inherited by future generations of cells or individuals.

Three of the routine screening assays are performed in vitro with bacteria or mammalian, including human, cells as the target system. Specifically, human lymphocytes are used to ascertain whether the test substance is capable of producing chromosome breakage or other aberrations such as deletion of sections of chromosome. In second line testing, when confirmation of routine assay effects is required, procedures for measuring chromosome exchange and unscheduled DNA synthesis are employed. These may also use human cell lines in vitro to achieve their objective.

The safety of, for example, monoclonal antibody carriers of toxic cancer therapy agents can be tested by determining specificity of tissue affinity, using human material in vitro.

Carnegie Report

Mr. Ancram : To ask the Secretary of State for Health if she will make a statement on the forthcoming publication of the report of the Carnegie inquiry into the third age in relation to life, work and livelihood.

Mr. Yeo : The Department of Health has maintained close links with the Carnegie inquiry throughout the study and I am looking forward to studying the final report. We will be giving the fullest consideration to its findings and their implications for future policy.

The development of services for older people is one of the Government's priority areas. Spending on hospital and community health services in England used mainly by elderly people has increased during the life of the present Government by 41 per cent. in real terms and by about 40 per cent. in the personal social services.

Older people will be one of the groups who will benefit most from the changes to the health service and from the community care reforms. The reforms will mean better assessment of individual needs and better targeted care. The special needs of older people and their carers will now be fully reflected in the planning and purchasing of services.

The Department also has co-ordinating responsibility within the United Kingdom for the European Year of Older People and Solidarity between Generations. A seminar on the implications of the Carnegie inquiry will form part of the core programme of events organised to mark the year. We are also promoting many initiatives as part of the year which closely reflect recommendations


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made in the Carnegie report. Work on the European year involves extensive liaison across Government Departments and with a wide range of voluntary, statutory and professional bodies.

We have made widely available the Department's publication, "Health and Healthy Living : A Guide for Older People", and have taken a number of steps to promote activities which help to keep older people free of sickness and disability. All the key areas in the White Paper "The Health of the Nation" are relevant to older people and we are looking at ways to take this work forward with special reference to the needs of the older age groups.

Dentists

Mr. Eastham : To ask the Secretary of State for Health what evidence she has as to the frequency with which people over the age of 65 years visit a dentist, and as to the factors which influence this frequency.

Dr. Mawhinney : The evidence held indicates that there is no set pattern of dental attendance among those over age 65 and that the factors which influence the frequency of their attendance are varied.

Hospital Charges

Sir John Stanley : To ask the Secretary of State for Health what information she has as to which other EC countries have (a) no hospital charges per day for any in-patient and (b) no charges for being seen by a general practitioner.

Dr. Mawhinney : In the state health care sector, hospital in-patient services are provided without daily charges being levied in Denmark, Greece, Netherlands, Portugal and Spain. Free general practitioner consultations are available in Germany, Greece, Netherlands, Spain and for almost all the population in Denmark. Details are in leaflet T4 "Health Advice for Travellers" available in post offices and the Library.

Brain Cancer

Ms Lynne : To ask the Secretary of State for Health what research she funds into possible links between pesticides commonly used in household sprays and childhood brain cancer ; and if she will make a statement.

Mr. Sackville : None. The main body through which the Government support biomedical and clinical research is the Medical Research Council, which is funded by the Office of Science and Technology. We are not aware of any research into this issue in the United Kingdom. Before any pesticide is approved for use it must be approved by Ministers who will have consulted the Advisory Committee on Pesticides, a statutory body of independent experts.

The recently published study in America which is reported as suggesting an association between childhood brain cancer and pesticide usage will be considered by the Department's professional staff and if necessary the expert advisory committees.

Community Care

Mr. Alfred Morris : To ask the Secretary of State for Health if she will meet the Association of Directors of Social Services to discuss their criticisms of the


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Department's guidelines in regard to assessing the community care needs of elderly disabled people and people who are mentally ill and the association's urgent call for more precise guidance ; and if she will make a statement.

Mr. Yeo : I met the Association of Directors of Social Services last month, as did the chief inspector of the Department's social services inspectorate. On neither occasion was the need for an urgent meeting on this guidance raised.

Helicopter Ambulance

Ms Ruddock : To ask the Secretary of State for Health on how many occasions in each of the last four years the helicopter ambulance has landed on school premises in the Greater London area ; and if she will list which schools.

Mr. Sackville : This information is not available centrally. The hon. Member may wish to contact Mr.Martin Gorham, chief executive of the London ambulance service, for details.

Ms Ruddock : To ask the Secretary of State for Health how many emergency calls have been received by the helicopter ambulance service in London in each of the past four years ; on how many occasions a patient has been air-lifted to hospital ; and if she will list which hospitals.

Mr Sackville : In the period April 1991 to April 1992, 331 calls were answered by the helicopter emergency medical service. No other information is available centrally. The hon. Member may wish to contact Mr Martin Gorham, chief executive of the London ambulance service, for further details.

Fuel Oil Duty

Mr. Purchase : To ask the Secretary of State for Health (1) what estimate she has made of the additional costs faced by the national health service resulting from the increase of fuel oil duty announced in the Budget ; and if she will make it her policy to ensure that patient care is not diminished through the budget reductions necessary to meet the increased costs.

(2) what is the expected cost to Staffordshire ambulance trust of the increased duty announced in the Budget on petrol and diesel fuel ; and whether she expects the costs to be passed on to its client health authorities.

Mr. Sackville : The effect of the increased fuel duty is expected to add less than 0.05 per cent. to health service costs, depending on other developments in the fuel market. Indeed, since the budget one petrol company has reduced its prices by 9p a gallon. Authorities are expected to manage cost pressures within existing resource allocations and obtain best value for money through current management processes.

The estimated increased cost for the Staffordshire ambulance trust is £6,000. The trust will not increase prices to purchasers.

Perinatal Deaths

Mr. Pike : To ask the Secretary of State for Health if she will place in the Library a copy of the report commissioned by Burnley, Pendle and Rossendale health authority into perinatal deaths by Professor Barker.


Column 470

Mr. Sackville : The report referred to is a local report commissioned by Burnley, Pendle and Rossendale district health authority and North Western regional health authority, and is not yet complete. Publication will be a matter for the DHA.

Hospices

Mr. Gunnell : To ask the Secretary of State for Health how much money was allocated by her Department to each region for the funding of hospices in 1992-93 ; and how much money was allocated in 1992-93 by regional health authorities to hospices.


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