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Mr. Sackville : I refer the hon. Member to the reply that I gave her on 11 February at cols. 751-52, for information on national health service district nurses. Information on community midwives is shown in the table.
National health service community midwifery staff England September 1987 to September 1991 ( whole-time equivalents) |Number --------------------- 1987 |4,100 1988 |4,110 1989 |4,070 1990 |4,200 1991 |4,560
Ms Primarolo : To ask the Secretary of State for Health how many qualified nursing staff are employed by (a) voluntary organisations and (b) local authorities.
Mr. Sackville : This information is not available centrally.
Mr. Steen : To ask the Secretary of State for Health what is the total number of grants which have been approved by her Department under the section 64 general scheme of grants in the financial year starting on 1 April distinguishing between (a) existing core grants, (b) new core grants and (c) new project grants and the total funds allocated under each category.
Mr. Sackville : By 28 May 1993 grant approval letters under the section 64 general scheme had been issued for 200 existing core grants, 29 new core grants and 52 new project grants. The total sums involved are £10,569,000, £602,000 and £1,220,000 respectively. A further 88 approval letters had also been issued for funds totalling £2,791,000 in respect of existing project and capital grants. Final details of grants totalling approximately £4 million are currently being settled. The total provision for 1993-94 is £19,207,000.
Ms Lynne : To ask the Secretary of State for Health how many hospitals do not have a fire officer currently in post ; and if she will list them.
Mr. Sackville : This information is not available centrally. Guidance to health service employers on the appointment of officers responsible for fire safety is set out in the Department's document "FIRECODE--Policy and Principles". A copy of the relevant extract from this document will be placed in the Library.
Mr. Dunn : To ask the Secretary fo State for Health what assessment she has made of whether competitive tendering by district health authorities is effectively supervised by regional health authorities ; and if she will make a statement.
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Mr. Sackville : None. Following the successful reforms of the national health service all purchasers and providers are charged to ensure that they receive good quality and value for money on behalf of their patients.
Mr. Patchett : To ask the Secretary of State for Health what has been the waiting time for patients for operations in the Trent regional health authority in each of the past three years ; and if he will make a statement.
Mr. Sackville : Waiting time information by regional health authority is given in "Hospital Waiting List Statistics : England", published twice a year, copies of which are available in the Library. Provisional figures for March 1993 show that, over the last three years, Trent regional health authority has reduced the number of patients waiting over a year by 31 per cent.
Mr. Dunn : To ask the Secretary of State for Health what provision there is within the South East Thames regional health authority area for cervical cancer screening ; and if she will make a statement.
Mr. Sackville : Provision for cervical cancer screening is the responsibility of the appropriate regional health authority. My hon. Friend may wish to contact Dr. Gabriel Scally, director of public health of South East Thames health authority for details.
Mr. Darling : To ask the Secretary of State for Health if she will set out the criteria used in allocating resources to health authorities for their work in connection with (a) HIV/AIDS and (b) drug abuse, including the criteria in respect of (i) education and (ii) prevention in these areas ; and if she will make a statement.
Mr. Sackville : Allocations to regional health authorities for the development of services for the treatment and care of people with HIV and AIDS are made on the basis of each region's HIV and AIDS prevalence and the costs of treatment. Allocations to regions for developing local HIV prevention work with their resident populations are made according to weighted capitation principles.
Funding for drugs services, including for work to prevent the spread of HIV among drug users and to their sexual partners, is based on the number of the population in each region aged between 15 and 34. Allocations have also been made as a contribution to the cost of methadone prescribing as part of a planned programme of treatment, and on the basis of regions' reported usage.
Mr. Sedgemore : To ask the Secretary of State for Health if she will list under the relevant specialty heading the names of the members of each of the six specialty review teams which examined specialty work at St. Bartholomew's hospital.
Dr. Mawhinney : The names of members of each of the six specialty review teams are as follows :
Cardiac
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Professor Geoffrey Smith, Northern General Hospital, Sheffield (Chairman)Mr. John James, Kensington Chelsea and Westminster Commissioning Agency
Professor Keith Fox, Royal Infirmary of Edinburgh
Dr. Andrew MacLeod, Poole Hospital NHS Trust
Mr. John Bailey, Glenfield Unit, Leicester
Dr. Ewen Bramwell, GP, Dorking
Dr. Don Bethune, Papworth Hospital, Cambridge
Ms Ann Townsend, Freeman Hospital, Newcastle
Professor Martin Buxton, Brunel University
Sir Richard Lloyd, British Heart Foundation
Neurosciences
Mr. Thomas Hide, Southern General Hospital, Glasgow (Chairman) Ms Victoria Hardman, Bloomsbury and Islington Health Authority Professor Alastair Compston, Addenbrooke's Hospital, Cambridge Dr. Cicely Partridge, Kings College, London
Ms Kate Newlands, Radcliffe Infirmary, Oxford
Ms Mary Baker, Parkinson's Disease Society
Dr. Colin Smith GP, Rochester
Plastics and Burns
Mr. Philip Sykes, St. Lawrence's Hospital, Chepstow (Chairman) Ms Mary Whitty, Brent and Harrow Health Authority
Mr. John H. James, Shotley Bridge Hospital, Durham
Mr. Douglas Murray, Wardsley Hospital, Stourbridge
Dr. Tom Davies GP, Peterborough
Sir Geoffrey Slaney, lately University of Birmingham
Mrs. Anne Driver, Leicester Royal Infirmary
RenalProfessor Netar Mallick, Manchester Royal Infirmary (Chairman) Mr. Peter Coe, Tower Hamlets Health AuthorityDr. Mary McGeown, Queen's University, BelfastDr. Andrew Williams, Swansea HospitalProfessor Denis Pereira Gray, Exeter UniversityMr. James Wellbeloved, lately National Kidney Research FundDr. John Evans, United Kingdom Transplant Support Services AuthorityMrs. Linda Whitworth, Manchester Royal InfirmaryProfessor David Kerr, Royal Postgraduate Medical SchoolProfessor J. R. Salaman, Royal Infirmary, CardiffDr. Geoffrey Maidment, King Edwards VII Hospital, WindsorMr. Jonathan Stopes-Roe, City and East London Health Authority CancerMr. Christopher Paine, Royal College of Radiologists (Chairman) Mr. Michael Bellamy, Ealing Hammersmith and Hounslow Commissioning AgencyProfessor Stanley Kaye, University of GlasgowProfessor Robert Mansell, University Hospital of WalesDr. Hugh Sanderson, National Case Mix, Wessex RHAMrs. Gill Oliver, Clatterbridge Hospital, The WirralDr. Elizabeth Murray GP, LondonProfessor Mark Baker, Yorkshire RHAMs Loretta Tinckham, Cancer Relief MacMillan FundDr. Graham Thorpe, Countess Mountbatten Hospital, Southampton
Children's Specialist ServicesProfessor Sir David Hull, University Hospital Nottingham (Chairman) Mr. Martin Roberts, Wandsworth Health AuthorityDr. Roderick MacFaul, Pinderfields Hospital, WakefieldMrs. A. M. Craft, Freeman Hospital, NewcastleLady Jean Lovell Davies, Caring for Sick Children in the Health ServicesDr. Robert Cooper, Solihull Health AuthorityDr. John Oldham GP, Glossop, Derbyshire
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Professor David Lloyd, Institute of Child Health, LiverpoolMs Zarrina Kurtz, South West Thames Regional Health AuthorityDr. Peter Morris, Association of Paediatric Anaesthetists of Great Britain and IrelandMs Primarolo : To ask the Secretary of State for Health what steps she intends taking to ensure that the loss of military hospital beds does not add to civilian waiting list times.
Mr. Sackville : It is the responsibility of district health authorities, as purchasers of health care, to ensure, in consultation with their providers, that the patients charter waiting time guarantees and local waiting times standards are met.
Mr. Nigel Evans : To ask the Secretary of State for Health how many people have died from head injuries in England in each year since 1979.
Mr. Sackville : The information is shown in the table.
Numbers of deaths where the underlying cause was recorded as being from a head injury (<1>ICDs 800-804 and 850-854) in England 1979-1992 Year |Males |Females|Total ---------------------------------------- 1979 |2,807 |1,275 |4,082 1980 |2,701 |1,299 |4,000 1981 |2,481 |1,108 |3,589 1982 |2,569 |1,167 |3,736 1983 |2,613 |1,219 |3,832 1984 |2,644 |1,185 |3,829 1985 |2,536 |1,170 |3,706 1986 |2,543 |1,159 |3,702 1987 |2,601 |1,175 |3,776 1988 |2,505 |1,095 |3,600 1989 |2,590 |1,094 |3,684 1990 |2,753 |1,092 |3,845 1991 |2,418 |1,050 |3,468 1992 |2,208 |1,002 |3,210 <1> International Classification of Diseases, 9th Revision.
Mr. Nigel Evans : To ask the Secretary of State for Health how many live births there were in each hospital in Lancashire in each year since 1988-89.
Mr. Sackville : The information is shown in the table :
Livebirths in Lancashire Hospitals 1989-1992 |1989 |1990 |1991 |1992 ------------------------------------------------------------------------ Sharoe Green Hospital, Preston |4,549|4,957|4,719|4,423 Royal Preston Hospital |1 |3 |- |- Queens Park Hospital, Blackburn |3,494|3,669|3,682|3,628 Victoria Hospital, Blackpool |3,535|3,564|3,583|3,351 Burnley General Hospital |2,971|3,010|3,004|2,834 Royal Lancaster Infirmary |1,908|1,921|1,998|1,848 Lancaster Moor Hospital |1 |- |- |- Ormskirk and District General Hospital |1,323|1,437|1,307|1,202 Chorley and District Hospital |236 |243 |192 |188 Victoria Hospital, Accrington |192 |187 |205 |140 Bramley Meade Maternity Hospital, Whalley |134 |70 |- |-
Ms Lynne : To ask the Secretary of State for Health what guidance or advice has been issued by her Department on payments from the extra- contractual referrals budgets of health authorities for treatment for patients who in the past have paid for similar treatments themselves in the private sector.
Mr. Sackville : Requests for extra-contractual referrals (ECRs) for this group of patients should be considered in the same way as any other ECR request. Guidance on handling ECRs was issued under cover of EL(92)60 on 9 September 1992, copies of which are available in the Library.
Ms Lynne : To ask the Secretary of State for Health how many people in each district health authority, who have in the past paid for treatment in the private sector, have been refused money from extra-contractual referrals budgets for similar treatments.
Mr. Sackville : This information is not available centrally.
Mr. Nigel Evans : To ask the Secretary of State for Health how many children under one year of age have been diagnosed as suffering from biliary atresia in each year from 1987 ; how many of them were placed on a waiting list for liver transplant in each of those years ; and in how many of those cases in each year a liver transplant operation was performed.
Mr. Sackville : The information is not available centrally in the form requested. Published reports suggest that the incidence of extra hepatic biliary atresia is about one in 14,000 infants. From this it is estimated that in England and Wales where about 700,000 infants are born each year, of whom 93 per cent. survive the first year there would be about 50 cases annually. The table shows the number of children in the United Kingdom aged less than one year who joined the liver transplant waiting list in each year from 1987, and the number transplanted. It has not been possible to identify the specific conditions from which these children were suffering.
Year |Number of children |Number of these |aged less than one |children |year joining the |transplanted |liver waiting list |for the first time |(or for the first |time since previous |transplant) -------------------------------------------------------------------------------- 1987 |25 | 7 1988 |17 | 8 1989 |14 |12 1990 |13 | 9 1991 |22 |21 1992 |28 |22 1993 |12 | 7<1> <1> Up to 28 May 1993. Four children under age one who joined the waiting list for livers in 1993 are still awaiting transplant as at 28 May 1993. Nine children appear in the table more than once due to retransplants while aged less than one year. Figures supplied by the United Kingdom Transplant Support Service Authority.
Mr. Nigel Evans : To ask the Secretary of State for Health how many abortions have been performed by the NHS in each year since 1979.
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Mr. Sackville : The information is shown in the table ; 1991 is the last complete year for which information is available, 1992 data (January- March) are provisional.
Number of abortions performed in NHS facilities and in non-NHS facilities under agency agreement England and Wales 1979-1992 Year |Number of NHS |Number of "Agency" |abortions |abortions ---------------------------------------------------------------------------------------------------------------------------- 1979 |55,767} |Data not available before 1981 1980 |60,818} 1981 |61,276 |2,343 1982 |62,532 |4,425 1983 |62,817 |4,620 1984 |64,926 |4,916 1985 |65,254 |5,938 1986 |67,529 |6,839 1987 |69,505 |8,804 1988 |69,177 |9,380 1989 |70,786 |9,207 1990 |73,582 |9,720 1991 |75,245 |9,208 1992<1> |19,301 |2,881 <1> Provisional January-March 1992.
Mr. Wareing : To ask the Secretary of State for Health, pursuant to her reply of 21 May, Official Report, columns 333-34, if she is giving consideration to adding persons who are at risk of exposure to radiation to the categories of persons asked not to donate blood for the National Blood Transfusion Service ; and if she will make a statement.
Mr. Sackville : The National Blood Transfusion Service does not consider that such persons, in general, should be excluded from donating blood. The decision whether or not to accept such a person as a donor depends on the individual's own medical history.
Mr. Nigel Evans : To ask the Secretary of State for Health how many research projects using human embryos have been licensed by the Human Fertilisation and Embryology Authority since its inception.
Mr. Nigel Evans : To ask the Secretary of State for Health how many people have died from skin cancer in each year since 1979.
Mr. Sackville : The information is shown in the table.
Number of people who have died from skin cancer inEngland and Wales 1979-92 ICD |172 |173 |(Malignant melanoma|(0ther malignant |of skin) |neoplasm of skin) -------------------------------------------------------------------------------- 1979 |801 |383 1980 |813 |366 1981 |864 |381 1982 |944 |378 1983 |853 |408 1984 |993 |439 1985 |987 |462 1986 |1,040 |412 1987 |1,030 |441 1988 |1,078 |430 1989 |1,099 |447 1990 |1,170 |436 1991 |1,169 |465 1992 |1,142 |486
Mr. Alex Carlile : To ask the Se -11P Mr. Sackville : The number of cases of bone cancer (International Classification of Diseases, ninth revision, code 170) registered in England in each of the years 1979 to 1987, the last year for which information is available, is shown in the table.
Registrations of bone cancer, 1979-87 England ICD 170, 9th revision Year |Males |Females -------------------------------- 1979 |232 |179 1980 |214 |159 1981 |244 |205 1982 |217 |178 1983 |230 |171 1984 |226 |183 1985 |190 |194 1986 |189 |189 1987 |218 |184 Number of cases for earlier years (1971 to 1978) are available, and can be found in the Office of Population Censuses and Surveys publication Cancer statistics: registrations' series MB1 nos. 1-10; comparisons with figures for 1979 onwards, however, will be affected by the change from the 8th revision of the ICD to the 9th revision.
Ms Primarolo : To ask the Secretary of State for Health what guidance and regulations limit the proportion of private practice in NHS trusts.
Mr. Sackville : Under section 5(9) and paragraph 14 of schedule 2 of the National Health Service and Community Care Act 1990, NHS trusts may make accommodation and services available for patients who give undertakings to pay such charges as the trust determines. In so doing, there must be no significant interference with the performance by the trust of its obligations under NHS contracts or imposed by order.
Mr. Corbyn : To ask the Secretary of State for Health which NHS trust hospitals in London have not signed contracts with their local health authority for 1993-94 ; and if she will make a statement.
Dr. Mawhinney : All national health service trust hospitals in London have agreed contracts with their host health authorities. Only two-- the Royal Free Hospital NHS trust and the Royal London NHS trust have yet to be signed.
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London has been taken as the inner London health authorities identified in the "Report of the inquiry into London's Health Service, Medical Education and Research" namely : Bloomsbury and Islington, Camberwell, City and Hackney, Hampstead, Haringey, Lewisham and North Southwark, Newham, Parkside, Riverside, Tower Hamlets, Wandsworth and West Lambeth district health authorities.Ms Harman : To ask the Secretary of State for Health if she will publish a table showing the earnings of pupil nurses, grade A nurses aged under 18 years, grade A nurses aged over 18 years and nurses in each grade from B to I in real terms at January 1993 prices for each year since 1990- 91 ; and if he will provide estimates for 1993-94 and 1994-95.
Mr. Sackville [holding answer 25 May 1993] : The available information is shown in the table. Estimates for 1993-94 and 1994-95 are not available.
Average earnings<1> of full-time staff at 1992-93 prices<2> |1990-91|1991-92|1992-93 Nurses |£ |£ |£ ------------------------------------------------ Students/Pupils |7,990 |8,670 |9,070 Grade A<3> |9,030 |9,210 |9,710 Grade B |10,120 |10,570 |11,000 Grade C |12,100 |12,500 |12,820 Grade D |12,470 |12,760 |13,240 Grade E |14,340 |14,800 |15,430 Grade F |17,050 |17,410 |17,900 Grade G |18,750 |19,290 |19,370 Grade H |19,670 |20,470 |20,920 Grade I |22,560 |23,310 |23,530 Note: <1> earnings are basic pay plus allowances <2> Gross domestic product deflator used to calculate earnings in real terms <3> age breakdown is not readily available
Ms Harman : To ask the Secretary of State for Health if she will publish a table showing the earnings of medical and dental house officers, senior house officers, consultants on all scales, senior hospital medical and dental officers, hospital practitioners, consultants in public health medicine and senior dental officers in real terms at January 1993 prices for each year since 1990-91 ; and if she will provide estimates for 1993-94 and 1994-95.
Dr. Mawhinney [holding answer 25 May 1993] : The information which is available is shown in the table. Estimates for 1993-94 and 1994-95 are not available. The total earnings of hospital practitioners are not available on a comparable basis to other doctors in the hospital sector as they also receive earnings as general practitioners.
Average earnings<1> of full-time staff at 1992-93 prices<2> |1990-91|1991-92|1992-93 |£ |£ |£ --------------------------------------------------------------------- House officers |15,890 |16,920 |19,550 Senior house officers |22,680 |23,260 |26,840 Senior dental officers |33,870 |33,960 |34,490 Consultants<3> |45,060 |47,780 |49,820 Consultants in Community Health Med. |46,240 |46,640 |47,570 <1> Earnings are basic pay plus allowances. <2> Gross domestic product deflator is used to calculate earnings in real terms. <3> Includes senior hospital medical and dental officers.
Mr. Simon Hughes : To ask the Secretary of State for the Home Department if he has considered the recommendations of the Speaker's Commission on citizenship ; and if he will make a statement.
Mr. Maclean : The recommendations of the 1990 report of the Commission on Citizenship have been considered in the Home Office. The Government regard citizenship in its widest sense as an issue of fundamental importance and take every opportunity to encourage individuals and companies alike to be aware of, and act on, their responsibilities in the community. The wide-ranging report made a contribution to the discussion of these issues.
The report's recommendations covered many departmental interests and those falling within the Home Office's remit have been borne in mind in the course of its work.
Mr. Allen : To ask the Secretary of State for The Home Department how many applications have been made in each year since 1985 for registration as British nationals (overseas) ; and how many have been (a) granted, (b) refused and (c) are still pending.
Mr. Charles Wardle : Hong Kong British Dependent Territories citizens are entitled to BN(0) status and no applications have been refused. BN(0) registrations first took place in 1987. Applications received and registered since then are as follows :
Applications Year |Received |Registered -------------------------------------------- <1>1987 |18,366 |16,275 1988 |31,916 |30,222 1989 |53,222 |49,519 1990 |80,213 |78,265 1991 |101,534 |107,423 1992 |156,511 |149,302 <2>1993 |72,713 |66,294 |------- |------- Total |514,475 |497,300 <1> (from July). <2> (to April).
The number of applications outstanding at end April 1993 was 17, 175.
Mr. Michael : To ask the Secretary of State for the Home Department what action Her Majesty's Government have taken to implement within the United Kingdom the fire safety provisions of the EC directives commonly known as the workplace and framework directives, by 31 December 1992.
Mr. Peter Lloyd : Proposals to implement these provisions by regulations made under section 12 of the Fire Precautions Act 1971 were issued for consultation in May 1992. Many welcomed our proposals, but some valid criticisms emerged. We therefore decided that the draft regulations and associated guidance should not take effect on 1 January 1993, as originally planned.
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We hope to issue revised proposals for Fire Precautions (Places of Work) Regulations and related guidance for consultation in the summer. This will enable us to consider any comments which we receive and make the regulations to take effect on or after 1 April 1994.Ms Coffey : To ask the Secretary of State for the Home Department what discussions he has had with the Association of Chief Police Officers about the targeting of police resources to areas with a high incidence of crime.
Mr. Charles Wardle : Decisions about the use of resources are the responsibility of chief officers of police. These matters do not usually arise in our discussions with the Association of Chief Police Officers.
Ms Coffey : To ask the Secretary of State for the Home Department what additional resources he will make available in the next two financial years to provide grants to people in the high crime areas for additional household and security measures.
Mr. Maclean : Home Office financial support for local crime prevention activity is channelled through the safer cities projects currently established in 20 high-crime areas in England. These projects provide financial and other assistance for crime prevention work which may include schemes for improving household security in accordance with locally determined priorities. The 16
longer-established projects--in Birmingham, Bradford, Bristol, Coventry, Hartlepool, Hull, Islington, Lewisham, Nottingham, Rochdale, Salford, Sunderland, Tower Hamlets, Wandsworth, Wirral and Wolverhampton--each have a grants budget of £100,000 for the year ending 31 March 1994, by which date Home Office funding for these projects is due to come to an end. The four more recently established projects--in Derby, Hammersmith and Fulham, Leicester and Middlesborough--each have a grants budget of £250,000 for 1993-94 ; the size of these budgets in future years has yet to be determined. A second phase of safer cities is to be established in areas which have not yet benefited from this initiative in accordance with the announcement made by my predecessor in reply to a question from the hon. Member for Erewash (Mrs. Knight) on 11 January, column 601, and the accompanying statement, a copy of which is in the Library. The grants budget for these new projects has yet to be determined. In addition to this Home Office programme, Department of Environment programmes including estates action and city challenge also provide support for measures aimed at improving improved household security.
Ms Coffey : To ask the Secretary of State for the Home Department what plans he has to increase police resources in areas of rising crime.
Mr. Charles Wardle : This Government have provided very substantial additional resources to the police service. It is for chief constables to decide how to deploy their resources to the best effect within their force area. Forces are encouraged to look closely at how effectively their resources are deployed so as to meet the demands which are made of them.
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Mr. Allen : To ask the Secretary of State for the Home Department how many applications have been made in Hong Kong in each year since 1985 for naturalisation as British dependent territories citizens ; and how many have been (a) granted, (b) refused and (c) are still pending.
Mr. Charles Wardle : The information is as follows :
Applications Year |Made |Granted |Refused |Withdrawn ------------------------------------------------------------ 1985 |844 |704 |152 |86 1986 |861 |759 |100 |45 1987 |1,233 |808 |70 |23 1988 |1,016 |1,074 |60 |36 1989 |3,098 |1,098 |73 |26 1990 |12,543 |1,699 |95 |39 1991 |7,588 |11,463 |399 |270 1992 |2,909 |8,846 |493 |247 <1>1993 |1,505 |885 |55 |19 |------- |------- |------- |------- Totals |31,597 |27,336 |1,497 |791 <1>(to April). Note: Year of application and year of determination are different in most cases.
The number of applications outstanding at the end of April 1993 was 2,981.
Mr. Allen : To ask the Secretary of State for the Home Department what discussions are taking place on the provisions of the British Nationality Order under the Hong Kong Act 1984 on the acquisition of British national (overseas) status.
Mr. Charles Wardle : Discussions have been taking place between Her Majesty's Government, the Hong Kong Government and members of the Hong Kong Legislative Council. We expect to have further discussions with a delegation from the Legislative Council House Committee in London this week.
Mr. Allen : To ask the Secretary of State for the Home Department what plans he has to alter either the time in which applications are permitted or the method of application for British National (Overseas) status for British dependent territories citizens in Hong Kong.
Mr. Charles Wardle : Work is in hand to prepare a draft Order in Council requiring applications for British National (Overseas) status to be made in time to allow the necessary work to be completed before the powers to register such applicants and issue them with BN(O) passports lapse on 1 July 1997. It is proposed to specify deadlines according to age group with provision for late applications to be considered where there are special circumstances. We have no plans for any change in the method of application.
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