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Dr. Mawhinney : Apart from discharging its statutory audit responsibility, the Audit Commission did not undertake a study of general practitioner fund-holding in 1991-92.
Hip Replacement
Mr. Flynn : To ask the Secretary of State for Health (1) what plans she has to issue advice to patients regarding the most reliable hip replacement implants ;
(2) which hip replacement implants which have been used in the NHS in the last 14 years have the highest (a) failure rate and (b) success rate.
Mr. Sackville : Information on the outcome of hip replacement operations is not available centrally. It is the responsibility of clinicians to give advice to patients on the various types of hip implants available, based upon the individual needs of the patient.
Mr. Flynn : To ask the Secretary of State for Health what tests are carried out on hip replacement implants before they can be marketed.
Mr. Sackville : There are no statutory requirements for the marketing of hip replacements implants.
Since 1986, hip implants have been controlled by the voluntary Department of Health manufacturer registration scheme, which requires that new designs should undergo appropriate testing prior to their release for general sale. There are currently 27 registered manufacturers of hip implants and the vast majority of these products implanted in the United Kingdom are from registered sources. From 1 January 1995, the European directive on medical devices will place the control of hip implants on a formal statutory basis, and manufacturers will be required to submit details of manufacturing and design to third party assessment.
Mr. Flynn : To ask the Secretary of State for Health what plans she has to introduce a national register of hip replacements and revisions to provide an accurate measure of revision rate.
Mr. Sackville : We have no such plans. The national reporting and investigation centre, part of the Department, investigates problems with medical devices notified to them by clinicians.
Mr. Flynn : To ask the Secretary of State for Health what percentage of hip replacement operations carried out in the last 14 years have required revision.
Mr. Sackville : It is not possible to identify precisely what proportion of operations required revision, but in 1989-90 and 1990-91 respectively, an estimated 9.6 per cent. and 9.5 per cent. of hip joint replacements were revisions.
Column 608
Disabled People
Mr. Alfred Morris : To ask the Secretary of State for Health what study she has made of the legal settlement reached by Theresa Aspinall and Wigan council in regard to the council's statutory duties under section 2 of the Chronically Sick and Disabled Persons Act 1970 ; what steps she is taking to draw the implications of this case and the settlement for other disabled people to the attention of other local authorities with legal duties under the Act ; and if she will make a statement.
Mr. Yeo : We have seen a report of this case, indicating that the difficulties have now been resolved. Local authorities are fully aware of their duties under the 1970 Act.
Wessex RHA (Computers)
Mr. Blunkett : To ask the Secretary of State for Health if she will make a statement on Government policy on the development of the RISP project by Wessex regional health authority.
Mr. Sackville : As the district auditor made clear in his report published in July 1992, the RISP project was characterised by a lack of project and management control. The Government accept this judgment, as does Wessex regional health authority, which has taken extensive remedial action.
The Department launched a national information management and technology strategy in December 1992. A key component is the need for health authorities to assess all proposed IT investment against an approved criteria to ensure that future IM and T investment obtains value for money.
Mr. Blunkett : To ask the Secretary of State for Health if she will make a statement on the state of discussions between her Department and the Wessex regional health authority on the RISP project.
Mr. Sackville : Officials from the Department continue to have discussions with Wessex regional health authority on a range of matters including RISP, which was abandoned in April 1990.
Mr. Blunkett : To ask the Secretary of State for Health if she will place in the Library all correspondence from Ministers to the Wessex regional health authority on the subject of RISP from 1 January 1989 to the present ; and if she will make a statement.
Mr. Sackville : A copy of the correspondence has been placed in the Library.
Advisory Committee on NHS Drugs
Mr. Blunkett : To ask the Secretary of State for Health if she will publish a list of the membership of the Advisory Committee on NHS Drugs indicating the area of medical expertise of each member.
Dr. Mawhinney : The names of the members and their areas of medical expertise are :
Column 609
Advisory Committee on National Health Service Drugs Membership
Name |Position
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chairman
Dr. J. S. Metters |Deputy Chief Medical Officer, Department of Health.
Members
Professor A. M. Breckenridge |Professor of Clinical Pharmacology, University of Liverpool.
Professor C. M. Castleden |Professor of Medicine for the Elderly, University of Leicester.
Mr. D. L. Coleman |Community pharmacist, Norfolk.
Professor H. D. Edmondson |Professor of Oral Surgery and Oral Medicine, Dental School,
|University of Birmingham.
Dr. P. R. Fellows |General Practitioner, Gloucestershire, Chairman of
|Gloucester LMC.
Professor D. Ganderton |Visiting Professor in pharmacy, King's College, London.
|Chairman of the British Pharmacopoeia Commission.
Miss A. F. Glasier |Consultant gynaecologist, Director of Family Planning,
|Lothian Health Board.
Dr. C. Grattan |Consultant dermatologist, Norfolk and Norwich Hospital.
Dr. G. Hargreaves |Former GP with experience of the Pharmaceutical Industry.
Dr. I. C. Heath |General Practitioner, London.
Professor S. Holgate |Specialist in allergic disorders, Southampton University.
Dr. D. F. Jones |General Practitioner, South Wales.
Professor R. M. Jones |Professor of Anaesthetics, St. Mary's Hospital Medical
|School, London.
Mr. A. G. Kerr |Consultant ENT surgeon, Royal Victoria Hospital, Belfast.
Mrs. S. Noyce |Pharmacist adviser to Sefton FHSA.
Dr. E. M. E. Poskitt |Senior Lecturer in Child Health, Royal Liverpool Children's
|Hospital.
Dr. S. J. Richards |General Practitioner, Exeter.
Dr. C. H. Swan |Consultant physician (gastro-enterology) City General
|Hospital, Stoke-on-Trent.
Professor P. J. Tyrer |Professor of Community Psychiatry, St. Mary's Hospital
|Medical School, London.
Dr. D. M. B. Ward |General Practitioner, Glasgow.
Regional Health Authorities
Mr. Blunkett : To ask the Secretary of State for Health if she will list the chairs, executive and non-executive members of English regional health authorities, indicating (a) the gender of each member and (b) which members are direct appointments by the Secretary of State.
Dr. Mawhinney : All chairmen and non-executive members of the 14 English regional health authorities are appointed by my right hon. Friend the Secretary of State and are as follows. The appointment of executive members is a matter for regional health authorities. Northern
Mr. P. D. Carr (Chairman)
Mr. A. G. Brown
Professor Michael Rawlins
Mr. R. C. Spoor
Ms J. Flanagan
Vacancy
Yorkshire
Sir Bryan Askew (Chairman)
Mr. J. A. Fergusson
Professor Stanley Brown
Mrs. J. A. Barden
Mr. M. A. J. Morgan
Vacancy
Trent
Sir Michael Carlisle (Chairman)
Mr. M. Dassau
Dr. Kenneth Edwards
Mrs. P. B. Wildgoose
Mr. G. R. H. Clemons
Mr. D. Bertram
East Anglia
Sir Colin Walker (Chairman)
Mrs. J. L. Hopwood
Column 610
Professor Sir David PetersMr. J. B. Mowson
Mr. L. Rice
Mrs. S. E. Sida-Lockett
North West Thames
Sir William Doughty (Chairman)
Mr. D. Bucks
Mrs. J. B. Hanham
Mrs. E. J. Davies
Professor Stewart Sutherland
Mr. J. Taylor
North East Thames
Sir William Staveley (Chairman)
Maj. Gen. R. P. W. Wall
Mr. P. Holwell
Baroness Gardner of Parkes
Dr. Mollie McBride
Vacancy
South East Thames
Mr. P. W. Barker (Chairman)
Mr. A. J. L. Barnes
Mr. I. D. Gainsford
Mrs. J. Rodin
Mr. R. F. Holland
Mrs. W. Mitchell
South West Thames
Professor Marian Hicks (Chairman)
Dr. Memos Spathis
Mr. J. R. Harris
Mr. G. J. Howe
Mrs. M. McNaughton
Vacancy
Wessex
Sir Robin Buchanan (Chairman)
Mrs. J. Perons
Mrs. F. Sheldon
Mr. R. C. Donnelly
Mr. A. S. D. Service
Mr. P. A. Waring
Column 611
OxfordDr. J. S. Burgess (Chairman)
Mr. P. D. M. Gell
Professor Sir David Weatherall
Mr. C. J. N. Ward
Mrs. V. Rubenstein
Mr. W. A. Rooke
South Western
Ms R. Fritchie (Chairman)
Mr. D. F. Strachan
Sir John Kingman
Mr. U. A. Woodburn
Dame Margaret Fry
Vacancy
West Midlands
Sir Donald Wilson (Chairman)
Mr. B. Stoten
Professor Sir Michael Thompson
Mr. E. M. Worley
Mr. T. D. Morris
Ms J. Cravos
Mersey
Professor A. M. Breckenridge (Chairman)
Mrs. R. H. Hawley
Mr. J. R. Halliday
Mr. B. Jenkins
Mrs. J. Timms
Vacancy
North Western
Sir Bruce Martin (Chairman)
Professor Robert Boyd
Dr. Arup Banerjee
Professor Janet Finch
2 Vacancies
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