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Mr. Gareth Wardell : To ask the Secretary of State for Health if she will take steps to ensure that local authority social services departments pay the rent of young persons being helped by the local authority under the terms of section 17 or section 20 of the Children Act 1989.
Mr. Bowis : Young persons may be entitled to housing benefit if they have a legal liability to pay rent. Section 17 of the Children Act is about the provision of services for children in need, their families and others by local authorities, and does not have a bearing on the liability of a young person to pay rent. Section 20 of the Children Act sets out the duties and powers of local authorities to provide accommodation for those children or young persons in need who require it. The Departments of Health and of Social Security are jointly considering going out to consultation on guidance to clarify the responsibilities of local authority social services departments and the benefit position when a young person is helped by an authority under the Children Act.
Mr. Kevin Hughes : To ask the Secretary of State for Health what is the procedure for the continuing treatment of patients when a GP fundholder has overspent his budget and therefore run out of funds.
Dr. Mawhinney : Patients of general practitioner fundholders will not suffer because a fundholder overspends his budget. Any overspending will be met from regional health authority contingencies, but where overspending is the result of mismanagement the GP fundholder may have fundholding status withdrawn.
Mr. Pike : To ask the Secretary of State for Health what consultations she has had, and what representations she has received, regarding the implications and operation of the special transitional grant to local authorities in respect of responsibilities arising under the community care policy ; and if she will make a statement.
Mr. Bowis : We have had discussions with, or received representations from, various people, including the local authority associations and representatives of private and voluntary sector community care service providers.
Mr. David Atkinson : To ask the Secretary of State for Health what will be (a) the social service standard spending assessment for Dorset and (b) its mental health specific grant ; and what it was in 1993-94.
Mr. Bowis : The personal social services standard spending assessments for Dorset for 1993-94 and 1994-95 are £59.481 million and, provisionally, £68.429 million respectively. The mental illness specific grant is £427,000 for 1993-94 ; the grant for 1994-95 has not yet been decided.
Mrs. Helen Jackson : To ask the Secretary of State for Health (1) if the proceeds of health authority land are held at central, regional or local health authority level ; and what changes are proposed when the regional authorities are reorganised ;
(2) what are the rules governing the use of proceeds from the sale of health authority land ;
Column 116(3) what restrictions are placed on health authorities with regard to the use of capital receipts in their area ;
(4) what changes are proposed within the national health service reorganisation to the guidelines for the control of capital receipts ;
(5) when health authority land or assets are sold, if the capital receipts are held centrally, regionally or at a local health authority level.
Mr. Sackville : Regional health authorities retain capital receipts as additions to their cash limits. Deployment of this resource to support RHA and trust capital programmes is agreed between RHAs and management executive outposts. In the case of assets which provided services for mentally ill people and people with learning disabilities, regions are expected to make sure that priority in the use of such proceeds is given to the development of services for these groups.
No decision has yet been taken on the handling of capital receipts following the proposed abolition of RHAs.
(2) what capital receipts have been raised in the Trent region over the last five years from the sale of land, buildings and assets.
Year |£ million ------------------------------ 1988-89 |13.9 1989-90 |18.7 1990-91 |25.9 1991-92 |4.8 1992-93 |2.9
No breakdown of these figures into land, buildings and other assets is available centrally.
Mr. Kevin Hughes : To ask the Secretary of State for Health what will happen to any surplus moneys not spent by district health authorities in the course of the current financial year ; and what effect the fact of the DHA being in surplus will have on the calculation of funding allocation for future years.
Allocations to district health authorities are made by RHAs and there are some variations in the approaches adopted. The hon. Member may wish to contact the chairmen of the RHAs for further information.
Dr. Mawhinney : The names of district health authority chairmen are listed in the table. Regional health authorities are responsible for the appointment of non-executive members. The appointment of executive members is a matter for individual district health authorities.
|Chairmen -------------------------------------------------------------------------------------- East Anglian regional health authority Cambridge |Mrs. M. Hardiment Suffolk |Mr. N. Ridley Great Yarmouth and Waveney |Mr. R. Duncan Huntingdon |Mr. I. Langworthy North West |Mr. J. Durance Anglia Norwich |Mr. M. Falcon Mersey regional health authority Liverpool |Mr. D. Tod St. Helens and Knowsley |Mr. G. Murray Wirral |Mr. R. Gordon Sefton |Mr. F. Ludlow Chester |Mr. J. Ross South and East Cheshire |Mr. S. Cussons North Cheshire |Mr. C. Hamer North East Thames regional health authority Camden and Islington |Mr. R. Everington Barking and Havering |Mr. B. Littlewood Redbridge and Waltham Forest |Miss D. Patman South Essex |Mr. D. Micklem North Essex |Mr. A. Sexton East London and The City |Mrs. F. Heidensohn New River |Mr. D. G. Kleeman Northern regional health authority Northumberland |Mr. J. Baker South Tees |Mr. P. A. Marsden North Durham |Professor John Clarke East Cumbria |Mr. I. Carr Gateshead |(Vacancy) South Cumbria |Mrs. A. Graham Hartlepool |(Vacancy) North Tees |Mr. D. Otter North Tyneside |Mrs. S. Murray Newcastle |Mr. A. Crute Sunderland |Mr. G. Bedell South Durham |Dr. John Marshall South Tyneside |Mr. W. Darling West Cumbria |(Vacancy) North Western regional health authority Blackburn, Hyndburn and |(Vacancy) Ribble Valley Blackpool, Wyre and Fylde |Mr. R. Parkinson Bolton |Mr. T. Taylor Burnley, Pendle and |Mr. W. Ashworth Rossendale Bury |(Vacancy) Central Manchester |Mr. E. Parker Chorley and South Ribble |(Vacancy) Lancaster |Professor Alwyn Smith North Manchester |(Vacancy) Oldham |Mr. J. Downs Preston |(Vacancy) Rochdale |Mrs. P. Hawton Salford |Dr. Frederick Beswick South Manchester |(Vacancy) Stockport |Mr. F. Russell Tameside and Glossop |Mr. B. Leck Trafford |Mrs. S. Alexander West Lancashire |Dr. Kathleen Rowsell Wigan |Mr. J. McDonald North West Thames regional health authority Barnet |Mr. A. Jacobs Ealing, Hammersmith and |Baroness Eccles of Moulton Hounslow North and East Hertfordshire |Mrs. C. Quest Hillingdon |Mr. D. Evans South Bedfordshire |Mr. A. Hendry North Bedfordshire |Mrs. J. Swift South West Hertfordshire |Mr. D. Rawlings North West Hertfordshire |Mr. D. Bucknall Kensington, Chelsea and |Mrs. J. Hughes Westminster Oxford regional health authority Berkshire |Mr. R. Eassie Kettering |Mr. R. Button Northampton |Mr. S. Schanschieff Oxfordshire |Dr. P. Iredale Buckinghamshire |Sir Norman King South East Thames regional health authority Bexley |Dr. Norbert Singer Bromley |(Vacancy) Canterbury and Thanet |Mr. H. Bragg Dartford and Gravesham |Mr. C. Thornton East Sussex |Mr. J. Wellesley Maidstone |Mrs. A. Nelson Medway |(Vacancy) South East Kent |(Vacancy) Tunbridge Wells |Mr. P. Edgley South East London |Mr. I. Mills Greenwich |Mr. P. Prior South Western regional health authority Plymouth and Torbay |Mrs. J. Leverton Cornwall and Isles of Scilly |Mr. J. Askham Gloucestershire |Miss J. Trotter Exeter and North Devon |Mrs. R. Day Somerset |Mr. T. Ward Bristol and District |Mr. M. Crowson South West Thames regional health authority ChichesterMr. J. Hooley East Surrey |Mr. J. Poole Kingston and Richmond |Mr. R. Galley Merton and Sutton |Mr. H. Cowd Mid Downs |Mr. M. Long Mid Surrey |Professor A. Holmes South West Surrey |Sir Nicholas Hunt Wandsworth |Dr. E. Vincent North West Surrey |Professor J. Kennerley Worthing |Mr. P. Lawson Croydon |Mrs. A. Fresko Trent regional health authority North Nottinghamshire |Mr. A. Tolhurst Barnsley |Mrs. A. Cook Doncaster |Mr. J. Smith Leicestershire |Mr. N. Townsend North Derbyshire |Mr. R. Robinson North Lincolnshire |Mrs. K. Hall Nottingham |Sir David White Sheffield |Mr. J. Neill South Derbyshire |Mr. J. Rudd South Lincolnshire |Dr. J. Brackenridge Rotherham |Mr. D. Clark Wessex regional health authority Basingstoke and North Hampshire |Mrs. A. Sealey Bath |(Vacancy) Dorset |Major General R. Keightley Isle of Wight |Mrs. A. Clarke Portsmouth and South East |Dr. T. Taylor Hampshire Salisbury |(Vacancy) Southampton and South West |Professor J. Howell Hampshire Swindon |Mr. D. Hulme Winchester |(Vacancy) West Midlands regional health authority Coventry |Mr. A. Guy East Birmingham |(Vacancy) Herefordshire |Mr. J. E. Bulmer North Worcestershire |Mr. M. Cooper Mid Staffordshire |Mr. B. Liss North Birmingham |Mr. M. Skillicorn North Staffordshire |Mr. M. Procter Warwickshire |Mr. G. Jackson Sandwell |Mr. C. Wilkinson Shropshire |Mr. D. Lloyd Solihull |Mr. R. Fordham South Birmingham |Mr. B. Stoten South East Staffordshire |Mrs. M. Stanhope West Birmingham |Mr. G. Coghlan Wolverhampton |Mr. R. Carver Worcester and District |Mr. A. Prescott Walsall |Mr. M. Wolverson Dudley |Mrs. M. Fenton Yorkshire regional health authority East Riding |(Vacancy) West Yorkshire |Mr. P. Wood Leeds |Mrs. P. Smith Wakefield |Mr. B. Hayward Bradford |Mrs. Z. Manzoor North Yorkshire |Mrs. S. Wrigley Grimsby and Scunthorpe |Mrs. V. Pettifer
Mr. Bowis : Circular LAC(88)17 was continued in force by virtue of local authority social services letter--LASSL--(92)9 issued to authorities in November 1992. I am arranging for copies of both circulars to be placed in the Library.
Dr. Mawhinney : The estimated cost of providing automatic remission of national health service charges for disability working allowance recipients with capital of £8,000 or less from 1 April 1995 is about £1 million in the first year.
Mr. Sackville : The main agency through which the Government support biomedical and clinical research is the Medical Research Council, which receives its grant in aid from the office of my right hon. Friend the Chancellor of the Duchy of Lancaster. The MRC has been funding a study at the Institute of Psychiatry for four years where researchers are attempting to find ways to help myalgic encephalomyelitis sufferers to cope with their disease and regain their health. The estimated cost of this project is £91,000. The Department and the MRC are always willing to receive and consider soundly based research proposals in competition with other applications.
Mr. Blunkett : To ask the Secretary of State for Health what guidance or advice has been issued on the activity rates to be undertaken by clinicians working within the NHS ; and if she will make a statement.
Dr. Mawhinney : Guidance from the Department is issued to ensure that the national health service provides high quality, effective and efficient health care. Locally agreed contracts between purchasers and providers specify the level, quality and cost of services. Guidance stresses that clinicians should be involved in this process.
Mr. Blunkett : To ask the Secretary of State for Health how many working parties she has set up since becoming Secretary of State ; if she will list them ; and if she will provide a breakdown of their cost.
Dr. Mawhinney : Collective discussion involving officials and outside experts, either in a formal or in an ad hoc meeting or series of meetings is an integral part of the way the Department conducts its business.
Mrs. Helen Jackson : To ask the Secretary of State for Health which land and buildings, currently in health authority ownership, will pass to the ownership of the new trust, on the formation of Community Health Sheffield NHS trust.
Mr. Ingram : To ask the Secretary of State for Health, pursuant to her answer on 17 January, Official Report , column 393 , what estimates he has made of the additional costs, net of any reduction in employer's national insurance contributions, to her departmental budget for the financial year 1994-95 resulting from the changes in statutory sick pay provision.
Mr. Sackville : Current estimates suggest that the changes in statutory sick pay provision, offset by reductions in employer's national insurance contributions, will result in a net additional cost within the Department of some £50,000 in 1994-95. This additional cost will be absorbed within the Department's running costs of £253 million.
Mr. Ainger : To ask the Secretary of State for Health what proposals she has to bring forward legislation to increase the number of organ transplant donors by requiring individuals and their families to opt out of organ donation rather than opt in ; and if she will make a statement.
Column 121opt-out legislation would achieve this. We believe that the decision to donate should continue to be a positive choice made by individuals rather than a presumed statutory right.
Mr. Sackville : The Government actively and continuously pursue the promotion of organ donation ; more resources are being devoted to publicity than ever before. Examples of current initiatives are : The scheme for reimbursing costs to donor hospitals which has proved effective.
A programme of information and training for doctors and nurses developed by the European donor hospital education programme which is being piloted in two regions with the co-operation of the professions concerned.
Multi-organ retrieval teams which were introduced in October 1993 to speed up and increase the recovery of organs.
The survey into reasons why some relatives refuse permission to use organs ; the results are expected this summer.
Consideration is being given to a computerised register of organ donors.
Mrs. Ann Winterton : To ask the Secretary of State for Health in which hospitals Patient S, who recently died in Cossham hospital, Bristol, previously received care ; and why he was transferred from those hospitals.
Mr. Byers : To ask the Secretary of State for Health on how many occasions she or her Ministers or officials have discussed with the Brighton health care trust the role to be played in health care provision in the Brighton area by the new Nuffield trust hospital.
Mr. Rendel : To ask the Secretary of State for Health what working definition of "back to basics" is used by her Department ; and what her Department has done in the past three months to implement the policy.
Mr. Sackville : [holding answer 20 January 1994] : I refer the hon. Members to the reply my right hon. Friend the Prime Minister gave the hon. Member for Southwark and Bermondsey (Mr. Hughes) on 21 January at col. 849.