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NHS Management
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her oral answer of 26 October, Official Report , column 678, what percentage of the total cost is represented by (a) the management allowance for general practitioner budget holders, (b) the administrative costs to the FHSA, DHA, trusts, RHA, management executive and her Department, and (c) the computer allowance for fund holders.
Dr. Mawhinney : On average, the management allowance represeent. Administration costs of other national health service bodies associated with fund holding are not identified separately.
Generic Prescribing
Ms Primarolo : To ask the Secretary of State for Health what is the cost per prescription of packaging generic drugs in the same way as branded drugs.
Dr. Mawhinney : This information is not available centrally.
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Ms. Primarolo : To ask the Secretary of State for Health what plans she has to ensure that generically prescribed drugs have the same information for patients as brand prescribed drugs.
Dr. Mawhinney : The United Kingdom labelling and leaflet regulations apply equally to all licensed medicines. Labels and patient information leaflets supplied with generically prescribed medicines will have to contain all the information required by regulations.
Regional Health Authorities
Mr. David Atkinson : To ask the Secretary of State for Health what consultation she intends to undertake, pursuant to her oral statement of 21 October, Official Report, columns 398-400, on proposals to reduce the number of regional health authorities from 14 to eight from 1 April 1994.
Mrs. Virginia Bottomley : A consultation document has been published setting out my proposals to determine new national health service regions and to establish eight new regional health authorities to replace the existing 14. The consultation document is being sent to all Members of Parliament, NHS bodies, community health councils, local authorities, health service trade unions and other interested organisations. Copies will also be placed in the Library. The consultation document invites views on the proposals by 15 January 1994.
Royal Victoria Infirmary, Newcastle
Mr. Cousins : To ask the Secretary of State for Health when she gave permission for the construction of a multi-storey car park at the RVI Hospital Trust, Newcastle ; how much capital she has made available and in which financial years ; and whether this is included in the capital programme of the Leayes wing at the RVI Trust.
Mr. Sackville : Permission for the construction of a multi-storey car park at the Royal Victoria infirmary and Associated Hospitals national health service trust has not yet been granted.
Mr. Cousins : To ask the Secretary of State for Health what capital resources she has committed and in respect of which financial years for the unification of opthalmology services at the RVI Trust Newcastle ; what sums have been committed ; and what plans she has to review this commitment in the light of proposals that may emerge from the current review of Newcastle hospital services by the Newcastle district health authority.
Dr. Mawhinney : Capital funds of £7.6 million have been committed to the unification of ophthalmology services at the Royal Victoria Infirmary and Associated Hospitals national health service trust. The funds are phased over two years, with completion of the scheme in 1995. To date, £244,000 has been committed for planning costs. Proposals following the outcome of the review of acute services in Newcastle by Newcastle district health authority are awaited.
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NHS Corporate Governance Review Panel
Mr. Cousins : To ask the Secretary of State for Health if he will list the membership, date of appointment and remuneration and other allowable expenses of the NHS corporate governance review panel, together with other positions within the NHS that each member holds.
Dr. Mawhinney : I refer the hon. Member to the reply my right hon. Friend the Secretary of State gave to my hon. Friend the Member for Canterbury (Mr. Brazier) on 12 July at columns 386-87. Members of the corporate governance task force are not remunerated for the assistance they are giving, but travel and subsistence expenses are payable at civil service rates. The members of the four working groups of the task force and their other positions are as listed. Group 1 : Public Service Values
Sir Bryan Askew (Chairman)
Chairman : Yorkshire Regional Health Authority
Andrew Wall
Senior Fellow : Health Services Management Centre, Birmingham University
Anthony Merifield
Head of Public Appointments : Cabinet Office
Chris Vellenoweth
Special Projects Advisor : National Association of Health Authorities and Trusts
Rabbi Julia Neuberger
Chairman : Camden and Islington Community Health Services National Health Service Trust
Ann Kelly
Non-executive : Royal Berkshire and Battle NHS Trust
Laurie Caple
Chief Executive : Northumbria Ambulance Services NHS Trust Group 2 : Matching The Roles and Functions of Chairmen and Non Executive Directors with their Part Time Commitment
Dr. Stuart Burgess (Chairman)
Chairman : Oxford RHA
Professor Chris Ham
Director : Health Services Management Centre, Birmingham University
Steven Campion
Performance Manager : Wessex RHA
Elspeth Metcalfe
Chairman : Hereford and Worcester FHSA
Roger Hoyle
National Health Service Management Executive Outpost Director : South Western
Dr. Charlotte Williamson
Vice Chairman : York Health Services NHS Trust
Derek Smith
Chief Executive : Kings Healthcare NHS Trust
Group 3 : Induction and Training of Chairmen, Non-Executive Director and Boards as a Whole
Mike Marchment (Chairman)
Chief Executive : Premier Health NHS Trust
Michael West
Occupational Psychologist : Sheffield University
John Spiers
Chairman : Brighton Healthcare NHS Trust
Angela Sealey
Chairman : Basingstoke and North Hampshire Health Authority Stuart Haywood
Chairman : of the Committee of Management, The Retreat Hospital, York
Philip Hunt
Director : National Association of Health Authorities and Trusts Dr. Tina Townsend
Director : NHS Training Directorate
Group 4 : Finance and Performance Reporting
Ken Punt (Chairman)
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Senior Fellow and Head of Centre for Healthcare Financial Management : Health Services Management UnitJohn Sherring
Regional Director : Audit Commission, West Midlands
Jane Wesson
Non-executive Director : Wakefield Health Authority
Paul Lilley
Director of Finance : East Gloucestershire NHS Trust
Simon Cussons
Chairman : Macclesfield HA
Viral Haemorrhagic Fever
Mr. Cousins : To ask the Secretary of State for Health what provision she has made for viral haemorrhagic fever ; at what locations in- patient provision against the possibility of this condition has been made ; and at which locations in the last five years such provision has been discontinued.
Mr. Sackville : Patients with, or with suspected, viral haemorrhagic fever, are treated in high security infectious disease units ; these units are funded directly by the Department of Health. There is presently one such unit with provision for four patients per year at Coppetts Wood hospital, north London. Discussions on the possibility of upgrading a similar unit in Newcastle are presently taking place. A unit at Fazakerley hospital in Liverpool closed in 1992.
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HIV/AIDS
Mr. Cousins : To ask the Secretary of State for Health what dedicated in-patient provision has been made for the treatment of HIV/AIDS ; at which locations such provision has been made ; and what additional in- patient provision she expects to make.
Mr. Sackville : This information is not available centrally. Funding for the treatment and care of people with HIV and AIDS is included in the revenue funding allocated to regional health authorities each year. Regions and health districts then determine the type and level of service provision in the light of local needs and circumstances.
Mr. Cousins : To ask the Secretary of State for Health (1) what capital investment has been made, or is committed, into the HIV/AIDS infectious diseases complex at Newcastle general hospital ; and when any new or refurbished facilities are expected to open ;
(2) what were the capital and other costs associated with the Scids immune deficiency unit at Newcastle general hospital ; how many patients this unit is expected to treat each year ; and when it is expected to open.
Mr. Sackville : This information is not available centrally. The hon. Member may wish to contact Mr. Crute, the chairman of Newcastle health authority, for further details.
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Radium Treatment
Mr. Cousins : To ask the Secretary of State for Health what guidance she has issued on the decommissioning of sites and buildings where high- dose radium treatment machines have been installed ; what the planned life of such machines is expected to be ; how long after the use of such machines has ceased she expects to wait before decommissioning can begin ; and whether sites and buildings containing such defunct machinery will require extra security.
Mr. Sackville : Radium has been replaced as a radioactive source in radiotherapy machines by safer materials such as cobalt and iridium. Hospitals using such sources are registered with Her Majesty's inspectorate of pollution--Department of the Environment--who provide guidance on safe handling. Replacement or removal of sources is carried out by approved contractors as part of the national disposal service. Hospitals also appoint local radiation protection advisers who implement the requirements of the Ionising Radiation Regulations 1985. Expected equipment lifetimes can be at least 15 years with a further 10 years maintenance support if required. However, existing machines are now being replaced by linear accelerators, which generate treatment beams without the need for radioactive sources and pose no radiation hazard when turned off. The existing disposal service imposes no undue delays or risk of contamination of premises.
Ambulance Service
Mr. Blunkett : To ask the Secretary of State for Health what was the number of control assistants, using whole-time equivalents, for each ambulance service in each year since 1990.
Mr. Sackville : The information available is shown in the table. Separate figures for control assistants are not available centrally.
Control assistants and ambulance officers at 30
September
(whole-time equivalents by region)
|1990 |1991 |1992
-------------------------------------------------
England Total |2,780|2,340|2,390
Northern region |180 |170 |180
Yorkshire region |240 |220 |220
Trent region |290 |280 |270
East Anglian region |130 |130 |120
North West Thames region |80 |40 |40
North East Thames region |70 |70 |70
South East Thames region |80 |120 |120
South West Thames region |100 |100 |100
Wessex region |140 |140 |140
Oxford region |130 |130 |130
South Western region |220 |220 |220
West Midlands region |340 |260 |320
Mersey region |120 |90 |90
North Western region |240 |200 |170
London ambulance service |410 |170 |210
Notes:
1. Separate figures for control assistants and
ambulance officers are not available centrally.
These two groups of ambulance staff are
aggregated for central pay information purposes.
2. The figures include staff in ambulance
trusts.
3. Figures for individual ambulance services are
not available centrally.
4. The figure shown for Northern region in 1991
is a corrected one from previously published
figures.
5. Figures are rounded to the nearest 10.
6. Figures fell between 1990 and 1991 due
largely to a number of ambulance officers taking
up separate senior manager terms as well as a
reduction in control assistants in response to a
fall in the need for patient transport services
in the London ambulance service.
Sources:
For 1990: the Department of Health Non-Medical
Workforce Census.
For 1991 and 1992: the Department of Health form
KM49.
Mr. Blunkett : To ask the Secretary of State for Health what was the number of ambulance staff in England employed by the NHS in 1990, 1991 and 1992, using whole-time equivalents.
Mr. Sackville [holding answer 21 October 1993] : The information requested is shown in the table.
|1990 |1991 |1992
--------------------------------------------------------------------------------------------------------
Ambulance Staff in National Health Service Employing Authorities and Trusts |18,130|17,630|17,680
All figures are at 30 September and are rounded to the nearest 10.
Figures fell between 1990 and 1991 due largely to a number of ambulance officers taking up separate
senior manager terms and a fall in the demand for Patient Transport Services in the London Ambulance
Service.
Sources:
For 1990: Department of Health Non-Medical Workforce Census.
For 1991 and 1992: Department of Health form KM 49.
Note: The figure shown for 1991 is a corrected one from previously published figures.
Ministers'Overseas Journeys
Mr. Roy Hughes : To ask the Secretary of State for Health what journeys abroad, involving public expenditure, she and other Ministers in the Department have made since 9 April 1992 ; what were the dates of the journeys and the places visited ; what was the purpose of the journey in each case ; by whom the Minister was accompanied, and what additional public expenditure was involved ; and what was the total cost of each journey made abroad by each Minister.
Dr. Mawhinney [holding answer 26 October 1993] : The information available is shown in the table :
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Date of journeys |Places visited |Purpose of visit |Accompanying |Total departmental
|officials |expenditure
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Overseas visits by Secretary of State
4-5 May 1992 |Geneva |WHO Meeting of Ministers |1 |691
14-15 May 1992 |Brussels |EC Health Council Meeting of Ministers |3 |1,167
3 August 1992 |Copenhagen |United Kingdom EC Presidency Ministers Meeting |2 |1,335
20 September 1992 |Madrid |United Kingdom EC Presidency Ministers Meeting |2 |1,385
13-14 October 1992 |Cologne |United Kingdom EC Presidency Health Ministers Meeting |2 |857
|Holland
12-13 November 1992 |Brussels |EC Health Council Meeting of Ministers |1 |1,867
3 March 1993 |Copenhagen |WHO Ministers Meeting |3 |2,557
3-8 April 1993 |Russia, |Trade Mission |5 |3,543
|Kazakhstan
7-17 September 1993 |Bangkok, |Trade Mission-Health Care Industries |4 |<1>31,000
|Kuala Lumpur,
|Perth,
|Sydney,
|Hong Kong
18 October 1993 |Brussels |To promote London as a site for the European Medicines Evaluation Agency (EMEA) |3 |<1>1,200
Overseas visits by Minister for Health
5 October 1992 |Dublin |United Kingdom EC Presidency Health Ministers Meetings |Private Secretary |501
12-13 October 1992 |Brussels, |United Kingdom EC Presidency Health Ministers Meeting |1 |1,010
|Rome
18 October 1992 |Larnaca |10th Commonwealth Private Secretary Health Ministers Conference |1 |2,825
12-13 November 1992 |Brussels |EC Health Council Meeting of Ministers |1 |547
26-27 May 1993 |Brussels |EC Health Council Meeting of Ministers |1 |873
Overseas Visits by Parliamentary Under-Secretary of State (Health) (Mr. Sackville)
17 June 1993 |Milan (Lombardy) |Promoting United Kingdom waste incineration products and to bid for United Kingdom siting of European Medicines Evaluation Agency|1 |611
Overseas Visits by Parliamentary Under-Secretary of State (Community) (Mr. Bowis)
30 March 1993<2> |Paris |To address a conference on Management issues in Psychiatry sponsored by British drugs industry |1 |574
29 August- |South Africa |Trade Mission to promote British Medical Industry (Health Promotion) |2 |<1>11,500
5 September 1993
12-19 September 1993 |United States of America and Canada |Mental Health-Fact finding tour |3 |<1>19,000
14 October 1993 |Paris |Meeting of EC Council of Ministers for Social Affairs |1 |<1>574
Overseas Visits by Parliamentary Under-Secretary of State (Lords) (Baroness Cumberlege)
7-8 December 1992 |Paris |OECD Ministers' Meeting |1 |794
7-17 September 1993 |United States of America |Fact finding visit in connection with Ministerial responsibilities |2 |<1>17,000
<1> Estimated cost.
<2> Mr. Yeo.
NHS Trusts
Mr. Milburn : To ask the Secretary of State for Health what has been the cost of employing management consultants to assist in her Department's assessment of applications for trust status in each wave ; how many assessments took place ; and which were the consultants concerned.
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Dr. Mawhinney [holding answer 1 November 1993] : The information is shown in the table. Information on the number and cost of the fourth wave assessment is provisional as the process is not yet complete.
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Wave |Cost £ |Number of |Lead management
|assessments |consultants
------------------------------------------------------------------------------------------
1 |601,340 |66 |Coopers & Lybrand
2 |601,013 |113 |Coopers & Lybrand
3 |452,375 |155 |KPMG
4 |275,000 |147 |Touche Ross
TRANSPORT
Newcastle Western Bypass
Mr. Cousins : To ask the Secretary of State for Transport how many payments have been paid under section 7 of the Land Compensation Act 1973 to property owners in the vicinity of the Newcastle western bypass north of the Stamfordham road interchange ; what total sum has been paid ; and when the last payment was made.
Mr. Key : No compensation is payable under section 7 of the Land Compensation Act 1973. However, compensation payments made due to the works on Newcastle western bypass north of the Stamfordham road interchange under the other provisions of part I of the Act is as follows :
Number of payments made : 1,051
Total sum of compensation : £1,845,040
Last payment made : 27 October 1993
Proposed East-west Route
Mr. Lidington : To ask the Secretary of State for Transport if he will make a statement on (a) the present stage of preparation and estimated timetable for completion and (b) the latest estimate of cost of the (i) Braintree-A12, (ii) Stansted-Braintree, (iii) A1-Stansted, (iv) A5-A1, (v) Leighton Linslade bypass, (vi) Wing
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bypass, (vii) west of Aylesbury-Wing bypass and (viii) M40-west of Aylesbury stages of the proposed east-west route.Mr. Key : Most of the schemes which comprise the east-west route are at early stages in their development. It is difficult to be certain of the programme and cost. The latest planning data are as follows and are subject to the availability of funding and completion of statutory procedures.
(i) Braintree-A12 : public consultation early 1994. Cost £39 million-- all costs area at Q1/92 prices.
(ii) Stansted-Braintree : awaiting decision following public inquiry. Cost £68.5 million.
(iii and iv) A5-Stansted--includes A5-A1 and A1-Stansted : public consultation autumn 1994. Completion year 2001. Cost £462.1 million.
(v) Leighton Linslade bypass : opened to traffic November 1991. Cost £22 million.
(vi) Wing bypass : decision following planning inquiry expected shortly. Cost £15 million.
(vi) West of Aylesbury to Wing bypass : public consultation period just completed. Decision about preferred route expected in 1994. Cost £97 million.
(vii) M40-west of Aylesbury : no decisions have been made whether or when schemes will enter the trunk roads programme.
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