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Mr. Jack : In England payments under the 1993 sheep annual premium scheme started on 5 October 1993 and 77 per cent. of claims had been paid by 19 November. Advance payments under the 1993 beef special premium scheme began in the middle of November and for the 1993 suckler cow premium scheme are expected to start in January. The remainder of the premium due for both these schemes will be paid between April and June 1994.
The first advance oilseeds payments under the 1992-93 arable area payments scheme were made on 26 August 1993 and over 99 per cent. of claims had been paid by 30 September. Payments for oilseeds, cereals, proteins and set aside started on 20 October 1993. Payments under the 1994 sheep annual premium scheme and the 1993-94 arable area payments scheme are not due until next year.
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food if she will now publish county-based figures with respect for the arable area payments scheme.
Mrs. Gillian Shephard : The information can be provided only at disproportionate cost.
Wastes (Sea Disposal)
Mr. Llew Smith : To ask the Minister of Agriculture, Fisheries and Food if she will make a statement on the matters discussed and decisions taken at the meeting of the London convention on sea disposal of wastes, held in London on 8 to 12 November ; and if she will place in the Library a copy of the final declaration and the statement made by the United Kingdom to the meeting.
Mr. Jack : The consultative meeting of the London convention held on 8 to 12 November considered and adopted four resolutions in furtherance of the process of amending the convention. These resolutions established : a ban on the disposal of radioactive wastes at sea ; a ban on the sea disposal of industrial wastes ; a ban with some exemptions, on the incineration of wastes at sea ; a commitment to undertake a thorough review of the other provisions of the convention.
The United Kingdom fully supported the resolutions on industrial waste, incineration and the amendment process.
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We abstained from the vote on the disposal of radioactive wastes and are currently considering the implications of the decisions on this matter. The United Kingdom delegation made no formal declaration or statement to the meeting but we were able to emphasise the United Kingdom's desire to see practical steps taken and properly applied to ensure protection of the marine environment and was able to report that, in advance of the present amendments, the United Kingdom had already terminated all dumping of industrial wastes and incineration at sea.Drift Net Fishing
Mr. Tyler : To ask the Minister of Agriculture, Fisheries and Food what initiatives she is planning to take at the European Council of Fisheries Ministers meeting on 22 November to ensure that other member states do not extend the phase-out period for drift net fishing.
Mr. Jack : No mention was made of drift nets at the Fisheries Council on 22 November. The derogation permitting a limited use by France of drift nets up to 5 km long expires on 31 December 1993 unless the Commission makes a proposal to extend the derogation, and the Council accepts it. Should any such proposal be made, I will scrutinise it very closely to see whether the requirement in the regulation, that no ecological risk would be involved, is fully met.
Beef
Mr. Clifton-Brown : To ask the Minister of Agriculture, Fisheries and Food if she will list for each month for the last two years the average market price of beef together with the tonnage going into intervention in the United Kingdom.
Mr. Jack : The information requested is set out in the table :
United Kingdom intervention intake and beef prices
October 1991 to September 1993
|Intervention intake|Prices in pence per
|in tonnes |kilogramm
|(liveweight)
--------------------------------------------------------------------------------
1991
November |14,662 |95.07
December |5,418 |96.34
1992
January |8,306 |98.3
February |8,046 |99.23
March |9,045 |100.15
April |6,722 |101.34
May |7,221 |101.12
June |6,554 |103
July |4,228 |102.99
August |5,431 |102.7
September |14,073 |100.81
October |14,144 |100.67
November |9,770 |104.58
December |4,661 |107.29
1993
January |8,871 |108.54
February |6,765 |116.53
March |1,713 |122.2
April |2,992 |126.7
May |0 |132.05
June |0 |133.65
July |0 |121.49
August |0 |122.61
September |380 |111.53
October |475 |112.51
Note: The price given is the cattle reference price. This liveweight price
indicates the price for cattle paid by the wholesaler and received by the
producer.
Animal Diseases
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food how many farms have been placed under movement restrictions as a consequence of the recent outbreak of (a) brucellosis and (b) warble fly ; in which counties the herds infected are located ; and how many are affected in each of those counties by each of those infections.
Mrs. Gillian Shephard : One farm in Gywnedd, where brucellosis infection has been confirmed following culture of the relevant organism, has been placed under movement restrictions. Two farms in Cheshire where cattle have reacted positively to the serological test for brucellosis have also been placed under movement restrictions. Thirty-nine premises in the following counties were placed under movement restrictions between April and July 1993 following confirmation of warbles infestation in imported cattle. Treatment notices were served on all farms within 3km of the above premises this autumn resulting in a further 1,490 farms placed under restriction pending treatment.
County |Number ------------------------------ Avon |2 Ayrshire |1 Bedfordshire |1 Cheshire |8 Cornwall |1 Devon |2 Dorset |1 Dyfed |1 Gloucestershire |1 Hampshire |2 Kent |1 Lancashire |1 Lothian |1 Oxfordshire |1 Shropshire |3 Somerset |6 Staffordshire |1 West Sussex |1 Wiltshire |3 Worcestershire |1
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food how many cattle in total have tested positive for (a) brucellosis and (b) warble fly ; how many of these were infected before entering the United Kingdom ; how many have contracted the disease in this country ; from which countries the infected cattle originated ; and what known risks there were in those countries of brucellosis or warble fly which could be calculated to present a danger if animals were to be imported into the United Kingdom.
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Mrs. Gillian Shephard : Since 1 September 1993, 21 cattle in Great Britain have reacted positively to serological tests for brucellosis. Disease has been confirmed by culture in nine animals, one of which was imported from France. Detailed epidemiological investigations to determine the source of infection are continuing. We understand that a small number of cattle herds in France are infected with brucellosis and are under restriction. However, all cattle imported into the United Kingdom from all member states must originate from officially brucellosis-free herds--as defined in Community rules--and must be tested negative for brucellosis within the 30 days prior to export.
Two hundred and twenty-one cattle imported from France between January and July 1993 proved to be infested with warble fly. The annual United Kingdom serum survey for warble fly currently being undertaken has so far disclosed four positive reactions. One of these animals was imported from France : the origin of the other three animals is at present unknown. There is a high incidence of warble fly in France, in common with a number of other member states. It is a legal requirement that all cattle imported into the United Kingdom, except those for immediate slaughter, must be treated within 24 hours of arrive for warble fly.
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food how many cattle infected with brucellosis have been slaughtered ; and how many humans have been infected by the disease ; and by what means the disease was transmitted from cattle to humans.
Mrs. Gillian Shephard : Since 1 September 1993, 15 cattle which reacted positively to the serological test for brucellosis have been slaughtered, in nine of which the disease was confirmed ; no humans have been infected. In the past, humans caught the disease by direct contact with infected cattle or by consumption of unpasteurised milk or milk products. There is no risk of infection from the consumption of pasteurised milk or milk products or from meat.
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food what are the estimated costs incurred by her Department in connection with arrangements for containing the risk from the presence of animals tested positive to foot and mouth, equine viral ateritis, warble fly and brucellosis, tracking down and testing the infected animals, publicising each threat, slaughtering the affected animals and compensating the losses where eligible ; and what additional costs were incurred.
Mrs. Gillian Shephard : The information can be provided only at disproportionate cost.
Dr. Strang : To ask the Minister of Agriculture, Fisheries and Food what has been the total cost in both nominal and real terms for each year since 1979 to her Department of programmes for tackling animal diseases imported into the United Kingdom which had previously been deemed to be eradicated.
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Mrs. Gillian Shephard : Compensation paid to farmers by Agriculture Departments following compulsory slaughter of their stock for the diseases specified was, for the years indicated, as follows :
|1981 |1984 |1986 |1987 |1992
|£ |£ |£ |£ |£
-----------------------------------------------------------------------
Foot and Mouth Disease |91,414 |- |- |- |-
Newcastle Disease |- |816,325|- |- |-
Classical Swine Fever |- |- |451,435|276,525|-
Avian Influenza |- |- |- |- |6,202
Estimation of other expenditure specifically associated with these disease outbreaks would involve the Department in disproportionate costs.
New Forest (Hunting)
Mr. Meale : To ask the Minister of Agriculture, Fisheries and Food if she will provide details of the terms and conditions of the licences issued by the Forestry Commission to the New Forest buckhounds allowing them to hunt in the New Forest.
Mr. Jack : A copy of the permit issued by the Forestry Commission to the New Forest buckhounds for the 1992-93 season is already in the Library of the House. The permit for the 1993-94 season has the same terms and conditions.
NORTHERN IRELAND
NHS Staff
Mr. Milburn : To ask the Secretary of State for Northern Ireland if he will list the number of (a) administrative and clerical staff, (b) managerial staff and (c) nursing and midwifery staff employed in the NHS in each year since 1989.
Mr. Ancram : The information is as follows :
|1989 |1990 |1991 |1992 |1993
----------------------------------------------------------------------------------
Administrative and Clerical |<1>6,066|5,939 |6,200 |6,568 |6,671
Managerial |<2>- |497 |723 |926 |950
Nursing and Midwifery |17,667 |17,829 |17,454 |16,826 |15,825
Notes: Figures are expressed in whole time equivalent.
<1>Includes managerial staff.
<2>Not available.
Mr. Milburn : To ask the Secretary of State for Northern Ireland if he will list the total salary costs for (a) administrative and clerical staff, (b) managerial staff and (c) nursing and midwifery staff employed in the NHS in each year since 1989.
Mr. Ancram : Total salary costs are as follows :
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|1989-90 |1990-91 |1991-92 |1992-93
|£ |£ |£ |£
----------------------------------------------------------------------------------------
Administrative and clerical |46,818,579 |52,828,708 |59,612,780 |68,802,552
Managerial |8,884,824 |13,341,551 |19,322,078 |21,838,204
Nursing and midwifery |190,911,768|205,822,687|227,698,352|242,791,513
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This information is not available in the form requested for the financial year 1988-89.HEALTH
Private Ambulance Services
Mr. Blunkett : To ask the Secretary of State for Health what recent representations she has received with regard to the regulation of private ambulance services ; and if she will make a statement.
Mr. Blunkett : To ask the Secretary of State for Health what disciplinary action has been taken against those officials of the Guy's-- St. Thomas's National Health Service Trust responsible for the awarding of a contract to Belmont ambulance service.
Mr. Sackville : This is a matter for the Guy's and St. Thomas's hospital trust. The hon. Member may wish to contact Lord Hayhoe, the chairman, for details.
Lost Working Days
Mr. Blunkett : To ask the Secretary of State for Health if she will provide a table showing different categories of sickness, ill health and injury and the number of working days lost for each category in 1992-93.
Mr. Sackville : There is no information available centrally on the breakdown of working days lost by health related disease. The hon. Gentleman may wish to contact the Confederation of British Industry for details of its survey.
Suicide
Mrs. Clwyd : To ask the Secretary of State for Health what are the latest available figures for the number of officially recorded suicides in the United Kingdom showing men and women separately for (a) all persons aged 18 years and over, (b) all persons aged 30 to 55 years, (c) all persons aged 18 years and over who were unemployed at the date of suicide and (d) all persons aged 30 to 55 years who were unemployed at the date of suicide.
Mr. Sackville : Information on the number of people who have been recorded as having committed suicide and who were unemployed is not available. At death registration informants are asked for last occupation rather than employment status of the deceased. The table shows suicide deaths ICD E950-E959 by sex for ages 18 and over and 30 to 55 years for England and Wales for 1992. Data for 1992 are provisional.
1992 |18+ |30-55 -------------------------- Males |3,026|1,536 Females |895 |371 <1> International Classification of Disease Code Ninth Revision.
Information relating to Scotland and Northern Ireland are matters for my right hon. Friend the Secretary of State for Scotland and my right hon. and learned Friend the Secretary of State for Northern Ireland.
Column 124
Civil Servants
Mrs. Clwyd : To ask the Secretary of State for Health if she will list for each civil service grade in her Department (a) the total number of persons employed and (b) the total number of women employed.
Mr. Sackville : The information shows the position on 1 November 1993 :
Total number of staff employed in the Department of Health
Grade (including |Total |Women
grade equivalents)
----------------------------------------------------------------------------
Grade 1 |3 |0
Grade 2 |8 |0
Grade 3 |25 |5
Grade 4 |28 |11
Grade 5 |211 |79
Grade 6 |135 |45
Grade 7 |571 |151
SEO |413 |121
HEO(D) |22 |11
HEO |716 |329
AT |8 |4
EO |966 |560
AO |1,376 |1,003
AA |580 |345
Others |178 |79
|------- |-------
Totals |5,240 |2,743
Notes:
1. Professional grades have been shown under their equivalent unified
grade.
2. The "Others" category relates to youth treatment service direct care
staff and YTS industrial staff.
3. Casual members of staff have been excluded. In addition, the following
staff have been excluded because they are not currently being paid by the
Department:
on loan to other government departments;
on maternity leave of more than three months;
on unpaid career breaks/study leave.
Community Care
Mr. Colvin : To ask the Secretary of State for Health what plans she has to amend the National Health Service and Community Care Act 1990 ; and if she will make a statement.
Mr. Bowis : Provisions relating to community care in England and Wales were contained in part III of the National Health Service and Community Care Act 1990. We have no plans to amend those provisions.
Mr. Colvin : To ask the Secretary of State for Health whether her Department is conducting research into the budget allocation between the national health service and social services as set out in the National Health Service and Community Care Act 1990.
Mr. Bowis : No. The Act does not set out budgets for the national health service or for social services.
GP Services
Mr. Cousins : To ask the Secretary of State for Health what was the expenditure per head of population in each family health services authority area on general practitioner services, separately identifying general practitioner fund-holders in 1990-91 and 1991-92, in cash and standard prices ; and what expenditure per head was attributable to expenditure on behalf of the under five, five to 15, 16 to 64, and 64 plus years age groups.
Column 125
Dr. Mawhinney : This information is not available centrally.
Mr. Rooker : To ask the Secretary of State for Health if she will bring forward proposals to amend the contract between family health services authorities and general practitioners so that patients are able to make formal complaints about the staff employed by general practitioners.
Dr. Mawhinney : The contract to which the hon. Member refers is the statutory arrangement--known as the terms of service--under which general practitioners provide general medical services for the national health service. Where staff employed by a GP carry out duties within the terms of service on the GP's behalf, complaints about the performance of those duties can already be made
Column 126
using the formal complaints procedure. Professor Alan Wilson of Leeds university is chairing a full review of national health service complaints systems which is due to report at the turn of the year.Birth Statistics
Mr. Vaz : To ask the Secretary of State for Health how many live births have been recorded (a) per region and (b) per hospital for each year over the last 10 years.
Mr. Sackville : The numbers of live births by usual residence of mother for health regions in England, and for Wales, are shown in the table. Information on the number of live births per hospital could be provided only at disproportionate cost.
Column 125
Area of usual |1983 |1984 |1985 |1986 |1987 |1988 |1989 |1990 |1991 |1992
residence
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Northern |39,117 |39,248 |40,878 |40,239 |40,404 |40,105 |39,097 |40,656 |41,128 |40,003
Yorkshire |46,507 |46,672 |48,022 |48,340 |49,344 |49,972 |49,637 |51,187 |50,769 |49,703
Trent |57,165 |57,652 |58,751 |59,284 |61,050 |61,618 |61,666 |63,571 |63,129 |62,142
East Anglian |23,075 |23,685 |24,487 |24,592 |25,799 |26,600 |25,979 |26,590 |26,288 |26,095
North West Thames |45,596 |46,207 |47,468 |48,124 |49,633 |50,639 |49,666 |50,793 |51,459 |51,992
North East Thames |49,894 |51,228 |52,006 |52,959 |55,314 |56,466 |56,094 |57,999 |57,059 |56,968
South East Thames |44,007 |44,644 |46,902 |47,558 |49,956 |51,402 |51,073 |52,086 |51,412 |51,313
South West Thames |34,688 |34,908 |36,367 |36,734 |38,236 |39,258 |38,822 |40,101 |39,975 |40,229
Wessex |33,044 |33,810 |34,957 |35,772 |37,175 |37,942 |37,810 |38,571 |37,122 |37,205
Oxford |30,948 |31,811 |33,070 |33,201 |34,661 |35,698 |35,809 |36,424 |36,187 |36,076
South Western |35,523 |36,193 |37,560 |38,119 |39,840 |40,981 |40,772 |41,090 |40,342 |40,125
West Midlands |68,224 |68,726 |70,351 |70,408 |72,469 |72,809 |73,346 |75,092 |74,210 |71,992
Mersey |31,850 |31,601 |32,889 |32,712 |32,788 |33,515 |32,934 |33,771 |33,361 |31,675
North Western |53,617 |54,188 |55,593 |55,567 |56,661 |57,358 |56,652 |58,989 |58,365 |56,266
Wales |35,494 |35,861 |36,771 |37,038 |37,816 |38,824 |38,019 |38,866 |38,079 |37,523
Mr. Vaz : To ask the Secretary of State for Health how many still births have been recorded in the United Kingdom (a) per region and (b) per hospital ; and what percentage they have been of live births over the past 10 years.
Mr. Sackville : The information for England and Wales per region for 1991 and 1992 is shown in the table. The information relating to still births recorded by region for the years 1982-1990 is available from the Office of Population Censuses and Surveys annual reference volume DH3 mortality statistics, perinatal and infant : social and biological factors, table 7b, copies of which are available in the Library.
Information on the number of still births per hospital could be provided only at disproportionate cost.
Still births by regional health authority, England and
Wales 1991 and
1992
|1991 |<1>Rate|1992 |<1>Rate
----------------------------------------------------------
England |3,072 |4.6 |2,777 |4.2
Wales |177 |4.6 |153 |4.1
Northern |220 |5.3 |157 |3.9
Yorkshire |235 |4.6 |220 |4.4
Trent |318 |5.0 |297 |4.8
East Anglian |112 |4.2 |105 |4.0
North West Thames |238 |4.6 |220 |4.2
North East Thames |271 |4.7 |229 |4.0
South East Thames |226 |4.4 |246 |4.8
South West Thames |174 |4.3 |140 |3.5
Wessex |160 |4.3 |155 |4.1
Oxford |153 |4.2 |116 |3.2
South Western |166 |4.1 |164 |4.0
West Midlands |376 |5.0 |319 |4.4
Mersey |141 |4.2 |116 |3.6
North Western |282 |4.8 |293 |5.2
<1>Stillbirths per 1,000 live and still births.
Information relating to Scotland and Northern Ireland are matters for my right hon. Friend the Secretary of State for Scotland and my right hon. and learned Friend the Secretary of State for Northern Ireland.
Newham General Hospital
Mr. Spearing : To ask the Secretary of State for Health if she will make a statement on the procedure to be followed, and bodies responsible for any decision, for the closure of Newham general hospital (a) as a directly managed unit or (b) as a trust within the national health service.
Mr. Sackville : There is a statutory requirement for district health authorities and family health services authorities to consult community health councils over any proposals to make substantial variations in the provision of local health services. Where a variation in service is the consequence of a decision taken by a national health service trust the responsibility for consultation remains with the DHA or FHSA. Ministers reserve to themselves the final decision where a closure is contested.
We are not aware of any closure proposal affecting Newham general hospital.
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NHS Bed Bureaux
Mr. Blunkett : To ask the Secretary of State for Health (1) if she will publish a table showing the volume of work undertaken by NHS bed bureaux for each year since 1989 ;
(2) if she will publish a table showing every bed bureau operating within the NHS and the location of each for each year since 1989.
Mr. Sackville : This information is not available centrally. Arrangements made by health authorities and trusts for coping with particularly high levels of admissions to hospital will vary according to local circumstances.
Anti-depressant Drugs
Mr. Cousins : To ask the Secretary of State for Health if she will publish a table showing (a) total and (b) per capita expenditure on anti- depressant drugs in each family health services authority area ; and for each NHS region, during 1992-93.
Dr. Mawhinney : Information for the calendar year 1992 is shown in the table. The cost information is in terms of net ingredient cost, that is the basic cost of the drugs before discount and excluding dispensing costs and fees.
The antidepressant drugs are those shown in section 4.3 of the "British National Formulary".
Antidepressant drugs-British National Formulary section 4.3
England 1992
Family Health |Net ingredient cost|Net ingredient cost
Service Authority |(£ thousands) |per head of
|population (£)
-------------------------------------------------------------------------------------
321 Cleveland |1,044.7 |1.87
322 Cumbria |1,050.2 |2.14
323 Durham |1,368.7 |2.25
324 Northumberland |634.3 |2.06
325 Gateshead |453.6 |2.23
326 Newcastle |548.3 |1.95
327 North Tyneside |467.7 |2.40
328 South Tyneside |246.3 |1.57
329 Sunderland |555.4 |1.87
Northern RHA |6,369.1 |2.06
341 Humberside |1,434.9 |1.63
342 North Yorkshire |1,214.1 |1.68
343 Bradford |985.6 |2.06
344 Calderdale |347.0 |1.79
345 Kirklees |728.1 |1.90
346 Leeds |1,506.7 |2.09
347 Wakefield |516.1 |1.63
Yorkshire RHA |6,732.5 |1.82
361 Derbyshire |1,416.6 |1.50
362 Leicestershire |1,652.0 |1.83
363 Lincolnshire |1,303.7 |2.18
364 Nottinghamshire |1,389.8 |1.36
365 Barnsley |383.8 |1.71
366 Doncaster |515.9 |1.76
367 Rotherham |375.0 |1.47
368 Sheffield |873.9 |1.65
Trent RHA |7,910.8 |1.66
381 Cambridgeshire |953.0 |1.41
382 Norfolk |1,622.3 |2.13
383 Suffolk |1,265.1 |1.95
East Anglia RHA |3,840.5 |1.84
401 Bedfordshire |795.7 |1.48
402 Hertfordshire |1,571.2 |1.58
403 Barnet |385.0 |1.27
404 Brent and Harrow |495.6 |1.10
405 Ealing,
Hammersmith and
Hounslow |853.7 |1.32
406 Hillingdon |263.3 |1.11
407 Kensington, Chelsea
and Westminster |601.2 |1.79
North West Thames RHA 4,965.6 1.42
421 Essex |2,373.1 |1.53
422 Barking and
Havering |403.3 |1.07
423 Camden and
Islington |567.5 |1.60
424 City and East
London |681.1 |1.16
425 Enfield and
Harringey |536.8 |1.13
426 Redbridge and
Waltham Forest |591.5 |1.31
North East Thames RHA 5,153.4 1.36
441 East Sussex |1,418.9 |1.97
442 Kent |2,278.2 |1.48
Bexley and
Greenwich |496.5 |1.14
444 Bromley |434.4 |1.48
445 Lambeth, Lewisham
and Southwark |860.0 |1.18
South East Thames RHA 5,488.0 1.48
461 Surrey |1.824.8 |1.76
462 West Sussex |1,182.3 |1.66
463 Croydon |413.1 |1.29
464 Kingston and
Richmond |546.4 |1.80
465 Merton, Sutton and
Wandsworth |891.8 |1.46
South West Thames RHA 4,858.5 1.63
481 Dorset |1,281.5 |1.93
482 Hampshire |2,758.6 |1.74
483 Wiltshire |1,095.2 |1.89
484 Isle of Wight |334.9 |2.67
Wessex RHA 5,470.2 1.85
501 Berkshire |1,253.4 |1.65
502 Buckinghamshire |806.8 |1.25
503 Northamptonshire |890.1 |1.51
504 Oxfordshire |827.1 |1.41
Oxford RHA 3,777.4 1.46
521 Avon |1,262.9 |1.30
522 Cornwall |865.2 |1.82
523 Devon |1,755.9 |1.68
524 Gloucestershire |940.7 |1.74
525 Somerset |629.9 |1.33
--- South Western RHA |5,454.6 |1.56
541 Hereford and
Worcester |1,013.4 |1.47
542 Shropshire |654.1 |1.58
543 Staffordshire |1,863.8 |1.77
544 Warwickshire |702.0 |1.43
545 Birmingham |1,705.0 |1.69
546 Coventry |413.5 |1.36
547 Dudley |397.4 |1.28
548 Sandwell |541.6 |1.84
549 Solihull |359.0 |1.79
551 Walsall |445.1 |1.69
552 Wolverhampton |493.5 |1.99
--- West Midlands RHA |8,588.4 |1.63
561 Cheshire |1,778.9 |1.84
562 Liverpool |951.4 |1.99
563 St. Helens and
Knowsley |581.4 |1.73
564 Sefton |585.0 |1.98
565 Wirral |682.4 |2.04
--- Mersey RHA |4,579.1 |1.90
581 Lancashire |2,712.0 |1.92
582 Bolton |427.6 |1.62
583 Bury |370.5 |2.05
584 Manchester |975.3 |2.24
585 Oldham |304.4 |1.38
586 Rochdale |489.1 |2.38
587 Salford |509.1 |2.21
588 Stockport |686.7 |2.38
589 Tameside |370.1 |1.68
591 Trafford |490.0 |2.27
592 Wigan |595.0 |1.90
--- North Western RHA |7,929.6 |1.99
--- England |81,117.6 |1.68
Notes:
1. The data cover all prescriptions dispensed by community pharmacists and appliance
contractors, dispensing doctors, and prescriptions submitted by prescribing doctors
for items personally administered.
2. BNF section based on the September 1991 BNF.
3. For net ingredient cost per head OPCS 1991 mid-year resident population
projections for 1992 have been used.
Birth Defects
Mr. Bayley : To ask the Secretary of State for Health how many cases of cranial synostosis have occurred per 100,000 births in each health authority over the last 10 years.
Incidence of certain anomalies of development of bones of head including
cranio synostosis<1>:
single years, 1983-92 for the regional health authorities of England and
for Wales
Rates per 100,000 births
|1983|1984|1985|1986|1987|1988|1989|1990|1991|1992
-------------------------------------------------------------------------
England and Wales |32 |26 |31 |28 |28 |17 |15 |15 |15 |11
England |34 |32 |27 |32 |29 |29 |17 |16 |16 |11
Wales |22 |22 |8 |8 |13 |13 |24 |8 |3 |8
Northern |20 |33 |46 |30 |30 |42 |43 |17 |15 |17
Yorkshire |28 |38 |29 |33 |26 |18 |22 |16 |20 |8
Trent |78 |48 |52 |37 |54 |48 |32 |28 |11 |19
East Anglian |22 |34 |37 |28 |31 |22 |35 |26 |34 |8
North West Thames |39 |37 |27 |33 |24 |41 |42 |25 |23 |10
North East Thames |20 |31 |23 |17 |27 |23 |28 |12 |12 |14
South East Thames |25 |16 |19 |23 |36 |19 |29 |13 |12 |12
South West Thames |17 |34 |16 |16 |39 |53 |46 |17 |5 |20
Wessex |30 |56 |40 |22 |24 |18 |32 |13 |5 |8
Oxford |23 |22 |57 |36 |23 |31 |14 |11 |30 |6
South Western |36 |3 |24 |18 |27 |15 |15 |10 |15 |12
West Midlands |63 |39 |34 |20 |27 |18 |23 |11 |15 |4
Mersey |9 |44 |21 |30 |33 |33 |15 |12 |15 |19
North Western |15 |37 |25 |30 |42 |29 |35 |20 |19 |7
<1>These data have been selected using code 756.0 of the International
Classification of Disease (9th Revision). This code covers anomalies of
the skull and face bones and includes cranio synostosis. The data
presented are taken from the National Congenital Malformation
Notification Scheme. This scheme is voluntary and includes all
malformations identified at or within 10 days of birth. The system may
not be very effective in identifying all cases of cranio synostosis as
many cases do not become apparent for some months.
Nannies
Dr. Lynne Jones : To ask the Secretary of State for Health if she will bring forward proposals to require the registration of nannies as suggested by the Professional Association of Nursery Nurses ; and if she will make a statement.
Mr. Bowis : No. Parents who employ a nanny to care for their children in their own home are responsible for making the arrangements and are well placed to ensure that the nanny is taking good care of their children.
Asthma
Mr. Cousins : To ask the Secretary of State for Health what is the expenditure on general practitioner prescribed anti-asthma medication and preparations in each family health services authority area in 1992-93 ; and if he will express that as an expenditure figure per head.
Column 130
Dr. Mawhinney : Information for the calendar year 1992 is shown in the table. The cost information is in terms of net ingredient cost, that is, the basic cost of the drugs before discount and excluding dispensing costs and fees.
The drugs used for the treatment of asthma are those shown in the following "British National Formulary" sections :
3.1--Bronchodilators
3.2--Corticosteroids
3.3--Cromoglycate and related therapy.
Drugs for the treatment of asthma-British National Formulary
sections 3.1, 3.2 and 3.3
England 1992
Family health |Net ingredient cost|Net ingredient cost
services authority |(£ thousands) |per head of
|population (£)
-------------------------------------------------------------------------------------
321 Cleveland |3,599.1 |6.43
322 Cumbria |3,186.6 |6.50
323 Durham |4,413.7 |7.27
324 Northumberland |2,393.4 |7.79
325 Gateshead |1,367.9 |6.74
326 Newcastle |1,995.6 |7.08
327 North Tyneside |1,315.6 |6.74
328 South Tyneside |1,073.6 |6.83
329 Sunderland |2,185.2 |7.35
Northern RHA |21,530.8 |6.95
341 Humberside |5,525.3 |6.27
342 North Yorkshire |4,245.0 |5.87
343 Bradford |2,869.4 |6.01
344 Calderdale |1,302.9 |6.72
345 Kirklees |2,338.2 |6.10
346 Leeds |4,597.6 |6.37
347 Wakefield |2,498.5 |7.88
Yorkshire RHA |23,376.8 |6.32
361 Derbyshire |6,030.0 |6.37
362 Leicestershire |5,959.0 |6.60
363 Lincolnshire |4,151.4 |6.96
364 Nottinghamshire |6,605.2 |6.44
365 Barnsley |1,535.8 |6.83
366 Doncaster |2,284.3 |7.78
367 Rotherham |1,559.4 |6.11
368 Sheffield |3,665.3 |6.90
Trent RHA |31,790.3 |6.66
381 Cambridgeshire |3,983.5 |5.88
382 Norfolk |5,007.3 |6.56
383 Suffolk |3,995.4 |6.17
East Anglia RHA |12,986.2 |6.22
401 Bedfordshire |3,130.3 |5.83
402 Hertfordshire |6,158.2 |6.19
403 Barnet |1,531.6 |5.07
404 Brent and Harrow |2,514.0 |5.56
405 Ealing,
Hammersmith and
Hounslow |3,542.9 |5.48
406 Hillingdon |1,237.3 |5.21
407 Kensington, Chelsea
and Westminster |1,637.1 |4.88
North West Thames RHA 19,751.5 5.64
421 Essex |8,310.0 |5.34
422 Barking and
Havering |1,885.0 |4.99
423 Camden and
Islington |1,947.3 |5.48
424 City and East
London |3,304.3 |5.64
425 Enfield and
Harringey |2,253.4 |4.76
426 Redbridge and
Waltham Forest |2,164.2 |4.81
North East Thames RHA 19,864.5 5.23
441 East Sussex |4,402.0 |6.11
442 Kent |7,763.1 |5.05
443 Bexley and
Greenwich |2,367.8 |5.45
444 Bromley |1,381.2 |4.71
445 Lambeth, Lewisham
and Southwark |4,001.2 |5.51
South East Thames RHA 19,915.3 5.36
461 Surrey |5,417.1 |5.23
462 West Sussex |4,455.2 |6.25
463 Croydon |1,422.5 |4.44
464 Kingston and
Richmond |1,664.0 |5.49
465 Merton, Sutton and
Wandsworth |3,248.2 |5.32
South West Thames RHA 16,206.9 5.43
481 Dorset |4.054.0 |6.10
482 Hampshire |8,819.2 |5.56
483 Wiltshire |3,358.2 |5.80
484 Isle of Wight |984.2 |7.84
Wessex RHA 17,215.7 5.82
501 Berkshire |4,922.1 |6.49
502 Buckinghamshire |3,658.8 |5.67
503 Northamptonshire |3,469.8 |5.88
504 Oxfordshire |3,405.6 |5.80
Oxford RHA 15,456.2 5.99
521 Avon |5,377.3 |5.55
522 Cornwall |3,405.3 |7.16
523 Devon |6,931.8 |6.63
524 Gloucestershire |4,094.4 |7.56
525 Somerset |2,560.9 |5.42
South Western RHA |22,369.7 |6.39
541 Hereford and
Worcester |4,965.5 |7.19
542 Shropshire |3,218.3 |7.80
543 Staffordshire |6,628.2 |6.30
544 Warwickshire |4,195.3 |8.53
545 Birmingham |6,530.5 |6.47
546 Coventry |1,949.2 |6.40
547 Dudley |1,640.1 |5.27
548 Sandwell |2,203.9 |7.49
549 Solihull |1,421.6 |7.08
551 Walsall |1,785.5 |6.78
552 Wolverhampton |1,424.0 |5.75
West Midlands RHA |35,962.2 |6.81
561 Cheshire |6,448.1 |6.67
562 Liverpool |3,315.0 |6.92
563 St. Helens and
Knowsley |2,487.8 |7.39
564 Sefton |1,971.9 |6.69
565 Wirral |2,460.1 |7.34
Mersey RHA |16,682.9 |6.92
581 Lancashire |10,375.9 |7.34
582 Bolton |1,944.6 |7.37
583 Bury |1,362.8 |7.55
584 Manchester |3,625.5 |8.34
585 Oldham |1,485.3 |6.74
586 Rochdale |2,011.9 |9.78
587 Salford |1,931.4 |8.39
588 Stockport |2,003.3 |6.94
589 Tameside |1,487.1 |6.73
591 Trafford |1,640.4 |7.60
592 Wigan |2,331.2 |7.46
North Western RHA |30,199.5 |7.57
England |303,308.4 |6.27
Notes:
1. The data cover all prescriptions dispensed by community pharmacists and appliance
contractors, dispensing doctors, and prescriptions submitted by prescribing doctors
for items personally administered.
2. BNF section based on the September 1991 BNF.
3. For net ingredient cost per head OPCS 1991 mid year resident population
projections for 1992 have been used.
Residential Care Homes
Mr. Colvin : To ask the Secretary of State for Health what proportion of the budget allocated to community care is being spent on (a) residential nursing homes and (b) nursing homes by each separate health authority.
Mr. Bowis : This information is not available centrally.
Column 133
Private Patients
Mr. Cox : To ask the Secretary of State for Health how many private patients have been using national health service paid beds in each of the four regional health authorities covering the Greater London area for the first 10 months of 1993.
Mr. Sackville : This information is not available centrally. The hon. Member may wish to contact the chairmen of the four Thames regional health authorities for details.
NHS Management Executive
Mr. Galbraith : To ask the Secretary of State for Health if she will give the number of people employed by the NHS management executive for each year since its inception.
Mr. Sackville : I refer the hon. Member to the reply my hon. Friend the Minister for Health gave the hon. Member for Bristol, South (Ms Primarolo) on 25 May 1993 at column 506.
Column 134
Scarborough Health Services
Mr. Bayley : To ask the Secretary of State for Health what capital developments have been implemented by the Scarborough and North East Yorkshire health trust since its establishment.
Mr. Sackville : The Department collects information on schemes costing over £1 million. No scheme of that value has been implemented since the establishment of the trust. The hon. member may wish to contact the trust chairman, Mr. Tom Pindar, for details on any scheme costing £1 million or less.
Mr. Bayley : To ask the Secretary of State for Health how many full- time equivalent (a) medical, (b) nursing, (c) administrative and clinical and (d) other staff were employed (i) by Scarborough health authority on 1 April 1990 and 1 April 1991 and (ii) by Scarborough health authority and Scarborough and North East Yorkshire health trust on 1 April 1992 and 1 April 1993.
Dr. Mawhinney : The information available is shown in the table.
Column 133
Staff groups within Scarborough district health authority and North East
Yorkshire health national health service trust
1989-92 (whole time equivalent)
|September|September|September|September
|1989 |1990 |1991 |1992
------------------------------------------------------------------------------
Medical and Dental |60 |60 |70 |130
Nursing and Midwifery |890 |940 |970 |990
Administrative and Clerical |220 |240 |n/a |270
Others |540 |560 |210 |610
|--- |--- |--- |---
Total |1,710 |1,790 |1,250 |1,990
Notes:
All figures are rounded to the nearest 10.
n/a-Indicates that the figures are not available.
The 1991 "Others" figure only includes direct care staff not included
elsewhere, no management/support staff are included.
The 1992 "Administrative and Clerical" and "Others" field will not include
any management/support staff from Scarborough DHA.
The "Medical and Dental" figures include consultants and associated
specialists in 1992 only.
Mr. Bayley : To ask the Secretary of State for Health what was the HCHS revenue budget allocated to Scarborough health authority in 1990-91, 1991-92, 1992-93 and 1993-94 ; and what budget would have been awarded to the authority in each of these years if his Department's and Yorkshire Health's capitation funding formulae had been applied in full.
Mr. Sackville : Revenue allocations to district health authorities are the responsibility of regional health authorities and detailed information is not available centrally. The hon. Member may wish to contact Sir Brian Askew, chairman of Yorkshire regional health authority for details.
Mr. Bayley : To ask the Secretary of State for Health what percentage of people presenting themselves at the accident and emergency department at Scarborough district were attended to within five minutes in each month of 1993.
Mr. Sackville : This information is not available centrally. The hon. Member may wish to contact Mr. Tom Pindar, the chairman of Scarborough and North East Yorkshire Healthcare NHS trust for details.
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