|Previous Section||Home Page|
Mr. Ingram : To ask the Secretary of State for National Heritage if he will provide figures for the amount his Department or the Office of Arts and Libraries has been reimbursed by the Department of Social Security in respect of statutory sick pay provision for each of the past three years.
Mr. Sproat : The amount of statutory sick pay reimbursed by the Department of Social Security to the Department of National Heritage, excluding its executive agencies, the Historic Royal Palaces Agency and the royal
Column 845parks, from 1 April 1993 to 31 December 1993 was £7,572.73. Reimbursement to the Office of Arts and Libraries in the financial year 1992-93 was £1,393.93. No figures are available for the financial year 1991-92
Mr. Darling : To ask the Secretary of State for National Heritage if his Department or any agencies for which he is responsible have engaged the services of the firm Touche Ross or any of its partners since 1 July 1993.
Mr. Sproat : My Department has engaged the services of Touche Ross on two occasions since 1 July 1993. Neither of the agencies for which I am responsible has engaged Touche Ross's services during the same period.
Mr. Madden : To ask the Secretary of State for National Heritage if he will take account in his review of braodcasting restrictions applying in the United Kingdom of the guidelines, issued on 20 January to Radio Telefis Eireann staff, and now applying to broadcasting in the Irish Republic ; when he expects to complete his review of broadcasting restrictions ; and if he will list the individuals and organisations which he has invited to submit views to him and if he will make a statement.
Mr. Brooke : The outcome of the review will be announced very shortly. I do not propose to take special account of guidelines issued by RTE. I have taken account of the views of the broadcasting regulatory authorities in the United Kingdom, of all the main broadcasters themselves, and of those organisations including the NUJ which have directly approached my Department. I have not invited any individuals to submit views.
Mr. Matthew Taylor : To ask the Secretary of State for National Heritage how much central Government money was spent per head of the population on encouraging tourism in Cornwall in each year since 1979.
Mr. Sproat : The information is not available in this form. National and regional programmes funded by the British tourist authority and the English tourist board from grant-in-aid help to support tourism in all areas of the country, but it is not possible to say that a certain proportion of the grant-in-aid is specifically targeted on one particular area. However, the level of English tourist board support for the West Country tourist board, which covers Cornwall, were as follows :
Financial year |Amount in £ --------------------------------------------- 1979-80 |82,895 1980-81 |99,100 1981-82 |106,600 1982-83 |114,400 1983-84 |124,140 1984-85 |135,850 1985-86 |141,962 1986-87 |252,732 1987-88 |273,911 1988-89 |288,000 1989-90 |334,500 1990-91 |580,570 1991-92 |582,766 1992-93 |561,638
In the current financial year, in addition to the general funds allocated by the English tourist board to the West Country tourist board, £400,000 has been allocated to the Cornwall renewal programme.
Mr. Dafis : To ask the Secretary of State for National Heritage if he will publish details of all those who have applied to run the national lottery ; when he expects to issue a licence ; and if he will make a statement.
Mr. Sproat : The names and addresses of those organisations which have publicly announced their intention to apply for the main licence to run the national lottery are set out in my response to the hon. Member for Liverpool, Broadgreen (Mrs. Kennedy) on 31 January, Official Report, columns 516-17). The director general of the national lottery will publish a full list of all those who apply after 14 February, which is the closing date for applications. The timing of the issue of the licence to run the national lottery is a matter for the director general.
Mr. Alan Williams : To ask the Secretary of State for National Heritage what has been the cost of refurbishment of each of the royal apartments in each of the occupied royal palaces in each of the last five years.
|£000s ---------------------------------------------------------------------- 1991-92 Apartment occupied by THR The Duke and Duchess of Gloucester at Kensington Palace |4 Apartment occupied by TRH The Duke and Duchess of Kent at St. James's Palace |10 Clarence House private apartments, occupied by HM Queen Elizabeth The Queen Mother |45 |-- Total |59 |-- 1992-93 Apartment occupied by HRH The Prince of Wales at St. James's Palace |6 Clarence House, private apartments |35 |-- Total |41 |-- 1993-94 The forecast expenditure is:- Apartment occupied by TRH Prince and Princess Michael of Kent at Kensington Palace |6 Apartment occupied by HRH The Princess of Wales at Kensington Palace |1 Apartment occupied by HRH The Prince of Wales at St. James's Palace |43 Clarence House, private apartments |2 |-- Total |52
Information on expenditure prior to 1991-92 is not held in the form required.
Mr. Sproat [holding answer 1 February 1994] : Where an employee is found guilty of fraud the circumstances of the case would be thoroughly investigated and an appropriate disciplinary penalty, which might include dismissal, would be invoked.
Mr. Menzies Campbell : To ask the Secretary of State for National Heritage how many employees were judged to be guilty of fraud in his Department in each year since 1989 ; and how many were dismissed.
Mr. Sproat [holding answer 2 February 1994] : The total non- recurrent cost of establishing my Department was £8.2 milion plus value added tax. My Department occupies leased premises on the Government estate under an inter-departmental agreement with DoE/Property Holdings. The terms of the leases are
The Prime Minister : This morning I presided at a meeting of the Cabinet and had meetings with ministerial colleagues and others. In addition to my duties in the House, I shall be having further meetings later today.
The Prime Minister : The 1994 reports of the review bodies on the pay of school teachers, senior civil servants, the senior military, the judiciary, the armed forces, doctors and dentists, nursing staff, midwives and health vistors and the professions allied to medicine have now been published. Copies are available in the Vote Office and the Library of the House. The Government are grateful to the members of the review bodies for the time and care which they have put into the preparation of the reports.
The Government's policy is that increases in pay must be fully met from existing budgets. Pay increases for
Column 848public sector staff therefore have to be paid for by greater efficiency, or by savings in the cost of running Government itself. This position was made clear in the Chancellor of the Exchequer's statement on public sector pay on 14 September, and reaffirmed in his Budget statement and in the Government's evidence to the review bodies. It is fundamental to the Government's response to their recommendations.
The review bodies have made the following recommendations : The School Teachers' Review Body has recommended a 2.9 per cent. increase in teachers' pay.
The Senior Salaries Review Body has recommended :
(i) an increase of 2.75 per cent. in the budget for
performance-related pay for civil servants at grades 2 and 3, and a 2.75 per cent. increase in the pay of Permanent Secretaries. (ii) A 2.75 per cent. increase in the pay of most of the senior armed forces officers in its remit.
(iii) A 2.75 per cent. increase in the pay of the judiciary. The Armed Forces Pay Review Body has recommended a range of increases between 3.0 and 4.4 per cent. averaging 3.6 per cent, for the various ranks in its remit group.
The Doctors and Dentists Review Body has recommended a 3.0 per cent. increase in salaries, fees and allowances for doctors and dentists and the same increase in intended average net remuneration for general medical practitioners.
The Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine has recommended a 3.0 per cent. increase in national salary rates and a 2.0 per cent. increase in most leads and allowances.
The Government have taken its decisions on these recommendations on the basis of its policy on public sector pay. Except in the case of the armed forces, the Government accept the above increases and propose to implement them from the due date of 1 April. The costs will be met from the public expenditure totals published at Budget time. There will be no new money to finance these pay increases, and for the second year running there will be no call on the reserve. In the case of the armed forces, the Government believe that the recommendations of the armed forces pay review body are too high to be implemented in full from 1 April. All ranks will receive pay increases of 2.7 per cent. from 1 April 1994, with the blance of the recommended awards paid from 1 January 1995.
The review body for nursing staff, midwives, health visitors and professions allied to medicine commented that, if the trusts had been ready to implement local pay, it would have recommended an increase in national pay rates for its remit groups of only 2 per cent. rather than 3 per cent., with further increases to be determined locally. The doctors and dentists review body similarly expressed support for moves towards local pay determination. The Government welcome and support these comments and intend to ensure that pay arrangements in both trusts and directly managed units in the NHS provide for a significant measure of local pay determination from next year. The necessary details will be discussed with the trusts and with the professions and with the staff sides in the coming months. The senior salaries review body has restated its 1992 recommendation that possible future problems in maintaining its remit groups, particularly the judiciary, should be avoided by raising their pay levels over time. The review body has now recommended that the Government should seek to implement its 1992 recommendations for the judiciary plus annual uprating by 1 April 1999. The Government have already acknowledged the different position of the judiciary amongst the review
Column 849body's remit groups and accepts this recommendation. The Government are currently considering a number of issues relating to the management of the senior civil service and the military. In that context it will take a view on the SSRB's recommendations on pay ranges for senior civil servants and the differential between one and two star officers.
The review body reports point the way to making further progress in extending performance-related pay in the public services. The doctors and dentists review body and the review body for nursing staff, midwives, health visitors and professions allied to medicine expressed support for developing performance pay at local level and urged that high priority should be given to establishing suitable arrangements in the coming year. The performance pay arrangements recommended last year by the school teachers review body have now been implemented and the review body intends to return to the issue of relating the pay of teachers still more closely to their performance. The senior salaries review body recommends reform of the performance pay scheme for grades 2 and 3 in the civil service through abolition of a standard pay increase, a larger performance pay budget and an increase in the width of pay ranges. The armed forces pay review body has appointed management consultants to assist it in addressing the issue of performance pay in its future work. The Government support the review body recommendations on the development of performance-related pay and believe that they represent a valuable and effective contribution to the further development of remuneration in the public services.
1994 Review body recommendations Range of Cost<1> |pay |increases |Per cent.|£ million|Per cent. ---------------------------------------------------------------- Schoolteachers (STRB) |2.9 |309 |2.9 Senior Civil Servants, Military and Judiciary (SSRB) CS Grades 1-3 |2.75 |1.3 |2.75 Senior military |2.75 |0.3 |2.75 Judiciary |2.75 |3.6 |2.75 |------- |------- |------- Total SSRB groups |2.75 |5.2 |2.75 Armed Forces |3.0-4.4 |206 |3.6 Doctors and dentists (DDRB) |3.0 |158 |3.0 Nurses and allied professions (NAPRB) Nurses and midwives |3.0 |234 |3.0 PAMs |3.0 |26 |3.0 |------- |------- |------- Total NAPRB groups |3.0 |260 |3.0 <1> Costs include employers national insurance and superannuation payments to funded schemes.
Column 850Medical Services) Regulations 1992,--general practitioners are required to issue a defined list of certificates to their patients free of charge, including those needed to support claims for a number of social security benefits. The list of certificates is kept under review.
Mrs. Golding : To ask the Secretary of State for Health (1) what are the figures for mothers breast feeding for each year from 1983. (2) what efforts her Department has made to promote breast feeding in the last 10 years.
Mr. Sackville : A survey of infant feeding practices is carried out every five years on behalf of the Department of Health. The results of the latest of these surveys were set out in the report "Infant Feeding 1990", a copy of which is available in the Library. In 1985 the percentage of mothers who breast fed was 65 per cent. ; in 1990 it was 64 per cent.
Based on unequivocal medical advice the Government have consistently supported breast feeding as the best means of feeding a baby. Measures have included the implementation of a voluntary code of practice for the marketing of infant formula and the banning of free or subsidised infant formula in national health service hospitals and clinics. The Government have also provided £265,000 in funding for the three voluntary organisations supporting breast feeding and the joint breast feeding initiative--from 1988-1992. In December 1992 it was announced that a national breast feeding working group was to be set up under the "Health of the Nation" initiative to
"co-ordinate the next stages in a programme of action to promote and facilitate breast feeding, building on the work of the joint breast feeding initiative".
Mr. Barry Jones : To ask the Secretary of State for Health what steps she is taking to ensure that multidisciplinary assessment of people with dementia is available in every district health authority area.
Mr. Bowis : Since 1990 general practitioners have been required to offer an annual health check to patients aged 75 and over, and if evidence of severe cognitive impairment is found the GP will refer to the old age psychiatrist. It is for district health authorities to ensure that multi- disciplinary terms are in place to support the assessment of such patients.
Dr. Mawhinney : The "Welfare of Children and Young People in Hospital", issued by the Department in July 1991 set the objective that a consultant paediatrician and at least two children's trained nurses should be available 24 hours a day to supervise the care of sick children and newborn babies and that provision of additional specially trained medical, midwifery and nursing staff should be commensurate to the degree of dependency of these children. The guide also commended additional guidance
Column 851available from the English National Board for Nursing Midwifery and Health Visiting and the British Paediatric Association.
Mr. Hinchliffe : To ask the Secretary of State for Health (1) whether she will amend existing guidance on charges for residential accommodation to allow spouses without an occupational pension of their own, to retain 50 per cent. of their partner's occupational pensions when he or she enters long-term care in a residential or nursing home ;
(2) what steps she is taking to ensure that social services departments increase the personal expenses allowance of people in residential or nursing homes where this is necessary to support their spouse at home ;
(3) what provision her Department has made for the continued financial well -being of carers when their relative or spouse with dementia enters long- term care in a residential nursing home.
Mr. Bowis : Guidance was sent to local authorities last month in LAC(94)1 reminding them that they have discretion to vary the personal expenses allowance to allow the resident to retain sufficient money to enable him or her to support his or her partner remaining at home where the partner has little or no income or capital of his or her own. This discretion could be extended to allow the resident to support a carer. Additionally, local authorities have discretion to ignore the value of property where a third party--such as someone who was caring for the resident at home--continues to live there. Copies of the guidance are available in the Library.
Mr. Sackville : The latest population estimates, shown in the table, relate to mid-1991 and mid-1992. These take into account the results of the 1991 census of population. Retrospectively revised estimates for 1982-1990 will be published shortly in the "Office of Population Censuses and Surveys Monitor PP1/94/1", copies of which will be placed in the Library. The original annual estimates for 1981-1990 are available in the PP1 series of OPCS publications, copies of which are available in the Library.
Estimated mid-year resident population, persons all ages, thousands Area |1991 |1992 ------------------------------------------------- England and Wales |51,099.5|51,276.9 England |48,208.1|48,378.3 Northern RHA |3,091.7 |3,098.9 Yorkshire RHA |3,680.9 |3,698.0 Trent RHA |4,719.8 |4,745.0 East Anglian RHA |2,082.7 |2,089.4 North West Thames RHA |3,579.5 |3,594.2 North East Thames RHA |3,786.0 |3,798.5 South East Thames RHA |3,704.0 |3,712.9 South West Thames RHA |3,033.0 |3,042.7 Wessex RHA |2,979.4 |2,993.3 Oxford RHA |2,560.0 |2,581.4 South Western RHA |3,298.6 |3,315.9 West Midlands RHA |5,265.6 |5,277.6 Mersey RHA |2,415.8 |2,412.5 North Western RHA |4,011.2 |4,018.0 Wales |2,891.5 |2,898.5 Notes: Figures may not add exactly due to rounding. Source: Population estimates unit, OPCS.
Dr. Mawhinney : The number of dentists in the general dental service practising in Lancashire family health services authority area on 30 September 1993 was 460. The number of dentists undertaking private treatment only is not available.
Dr. Wright : To ask the Secretary of State for Health which of the public appointments for which she is responsible require advance notice to and consultation with the Chief Whip's office ; and which appointments made since 1979 have been so notified and consulted upon.
Mr. Sackville : It is not the practice of Her Majesty's Government to answer parliamentary questions about discussions and consultations between Departments and offices of Government relating to public appointments.
Mrs. Golding : To ask the Secretary of State for Health what were the costs to the NHS for children's accidents (a) on the roads, (b) in the home, (c) in schools, and (d) in playgrounds for each year since 1987.
Mr. Bowis : The information available is from a study conducted by the Child Accident Prevention Trust with financial support from the Department. The trust estimated that in 1990-91 the cost to national health service hospitals and the ambulance service in treating accidental injuries to children under age 16 was some £230 million. Full information of the location of the accidents was not available, but mortality statistics collected by the Office of Population Censuses and Surveys shows that, of the 480 accidental deaths among children in 1991, 283--59 per cent.--were caused by motor vehicle traffic accidents.
Mr. Bowis : Within the overall commitment of national health service staff and the Health Education Authority devoted to promoting children's health, a significant but unquantifiable proportion of their time is aimed at accident prevention. The Department has paid the following sums in grant aid to the Child Accident Prevention Trust under section 64 of the Public Health Act 1968 :
Financial Year |Grant --------------------------------------------- 1987-88 |71,325 1988-89 |93,500 1989-90 |93,500 1990-91 |106,050 1991-92 |108,514 1992-93 |103,000 1993-94 |113,000
Mr. Ingram : To ask the Secretary of State for Health if she will provide figures for the amount her Department has been reimbursed by the Department of Social Security in respect of statutory sick pay provision for each of the past three years.
Mr. Clifton-Brown : To ask the Secretary of State for Health when she expects to publish the revised guidance note to social services departments on the inspection of independent schools under section 87 of the Children Act 1989.
Mr. Cousins : To ask the Secretary of State for Health what current plans she has to change the capital or savings limit of £8,000 over which a person must pay the full cost of a place in residential care.
Mr. Sims : To ask the Secretary of State for Health what research her Department has conducted to establish whether the taking of preparations containing folic acid by pregnant women reduces the likelihood of the birth of babies with spina bifida ; what steps she has taken to publicise this information ; and if she will make a statement.
Mr. Sackville : In October 1991 an expert advisory group was set up in response to the publication of the final results from the Medical Research Council vitamin study group. Its report, "Folic Acid and the Prevention of Neural Tube Defects", published in December 1992, confirmed that women who increase their intake of folic acid before pregnancy can significantly reduce the risk of having a baby with neural tube defects. A copy of the report is available in the Library.
This advice was disseminated to doctors, senior nurses, midwives, health visitors and pharmacists and the Health Education Authority updated its publications to include the new guidance. The Department of Health has conducted a campaign to publicise findings in the press and media. Posters and complementary leaflets have been widely distributed within the national health service and to professional and voluntary bodies.
Mr. Barry Jones : To ask the Secretary of State for Health how many individuals have been found to have suffered from Creutzfeldt-Jakob disease in the United Kingdom ; how many current suspects there are ; and if she will make a statement.
Mr. Sackville : Suspected cases of Creutzfeldt-Jakob disease--CJD-- in the United Kingdom are reported to Dr. R. G. Will, consultant neurologist, at the national CJD surveillance unit in Edinburgh. One hundred and twenty suspected cases were referred to the CJD unit between 1 June 1992 and 1 January 1994. Following investigation, 69 have been classified as definite or probable cases of CJD. Figures for the total number of definite and probable cases of CJD in the United Kingdom each year from 1985 are shown in the table.
Creutzfeldt-Jakob disease in the United Kingdom, definite and probable cases by year of death 1985-1993 Year |Total ------------------ 1985 |28 1986 |26 1987 |22 1988 |22 1989 |28 1990 |30 1991 |36 1992 |53 1993 |<1>26 <1> Provisional total. Source: CJD Surveillance Unit. Note: The final figure for 1993 is likely to show some increase over the provisional total as diagnoses of people dying in 1993 are confirmed retrospectively. It is unlikely, however, to reach the 1992 figure.
Ms Primarolo : To ask the Secretary of State for Health how many representations she has received identifying instances in which it is alleged that medical treatment is allocated according to the purchaser's ability to pay ; and if she will make a statement.
Mr. Sackville : District health authorities are responsible for purchasing services based on their assessment of the health needs of their local population. It is for clinicians and not managers to decide who needs treatment immediately and who is put on a waiting list.
Registrations of newly diagnosed cases of cancer of the prostate (ICD 185)<1> for England and Wales, 1983-1987 |Number --------------------- 1983 |9,127 1984 |9,524 1985 |9,513 1986 |10,180 1987 |10,837 <1> International Classification of Disease, 9th Revision
Mr. Sackville : The key aim of any screening programme must be to secure a demonstrable improvement in health by increasing length of life and enhancing quality of life. There is, as yet, no evidence to suggest that this would be achieved in relation to prostate cancer. The Department of Health is pursuing research in screening through its own centrally commissioned programme and through the new national health service research and development programme. A copy of the Chief Medical Officer's speech to a recent British Medical Journal conference setting out current policy implementation issues for screening in the NHS will be placed in the Library.
Mr. Sackville : The average survival rate after diagnosis of prostatic cancer in England and wales is 43 per cent.--based on cancers registered in 1981, the latest year for which a five-year span is available.
Mr. Willetts : To ask the Secretary of State for Health if she has (a) instructed the NHS management executive and (b) notified NHS directors of finance that the provision for capital charge neutrality should no longer be applied when operating lease arrangements are submitted to the management executive for approval as part of the private finance initiative.
Mr. Sackville : Yes. Guidance on this matter was included in a letter sent by the director of finance of the National Health Service Management Executive to regional general managers and directors of finance on 7 December 1993, copies of the letter are available in the Library. The relevant passages are :
"Regional allocations for capital charges reflect an initial move towards weighted capitation. The capital charges allocation is recurrent, and will be the starting point for further redistribution in 1995/96. The intention is that no distinction should be made between the allocation for capital charges and the allocation for other revenue, and they are used as a single revenue resource. "Where they have not already done so, RHAs are expected to start the process of redistribution of capital charges subregionally. The changes detailed above should remove a reported impediment to pursuing private finance options. The allocation a health authority receives will not be affected by changes in the asset base of its providers. Decisions on whether to pursue private finance (eg leasing) or direct purchase options should be based on value for money and transfer of risk criteria. RHAs and Outposts should ensure that this point is clearly understood by DHAs and Trusts".
Ms. Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 21 January, Official Report, column 888, what reports she has received of breaches of the provisions of the regulations covering the uses to which the earnings of general practitioners in fundholding prctices may be put.
Ms Primarolo : To ask the Secretary of State for Health what was the management fee paid to (a) second wave (b) third wave and (c) fourth wave general practitioner fundholders in each (i) family health services authority, (ii) regional health authority and (iii) nationally in 1992 and 1993-94.
Dr. Mawhinney : I refer the hon. Member to the reply I gave the hon. Member for Darlington (Mr. Milburn) on 26 January at column 298. The figures for 1993-94 will not be available until this time next year.