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Mr. Hume : To ask the Secretary of State for Northern Ireland what evaluation and comparative analysis has been conducted by the Department of Health and Social Services or the Social Security Agency of the distribution of the social fund budget with regard to equality of treatment and need targeting across all districts ; and if he will publish that research.
Mr. Ancram : The Department of Health and Social Services and the Social Security Agency regularly monitor and evaluate the working of the social fund and information of the relative levels of need is one of the factors taken into account in allocating budgets to districts. Details of the basis of allocation and district allocations for 1993-94 have been placed in the Library.
Nurses
Mr. Blunkett : To ask the Secretary of State for Northern Ireland what was the total number of (a) whole-time equivalent registered nurses, (b) whole-time equivalent unregistered nurses and (c) whole-time equivalent nurses in training in Northern Ireland for each year from 1988 onwards.
Mr. Ancram : The information requested is as follows :
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} Whole-time equivalent nursing staff employed in Northern Ireland health and personal social services and nurses in training Nurse type |September 1988|September 1989|September 1990|September 1991|September 1992|September 1993 ----------------------------------------------------------------------------------------------------------------------------- Registered Nurses |12,222.72 |12,199.94 |12,158.44 |12,217.62 |12,098.54 |11,930.78 Unregistered Nurses |2,777.05 |2,832.26 |2,947.19 |3,190.92 |3,274.22 |3,343.23 Student Nurses |2,865.37 |2,711.00 |2,649.60 |2,050.60 |1,153.56 |351.80 Project 2000 |- |- |- |466.00 |1,098.00 |1,664.00 Notes: 1. Figures include Midwives 2. Project 2000 Students are not employees
HEALTH
Public Bodies
Mr. Kilfoyle : To ask the Secretary of State for Health who are the members currently appointed to the Review Body on Doctors' and Dentists' Remuneration.
Dr. Mawhinney : The current members of the Review Body on Doctors' and Dentists' Remuneration are :
C. Brandon Gough, Esq. (Chairman)
Douglas T. Boyd, Esq.
Ms Tina Boyden
Ms Sally Field
Dr. Elizabeth Nelson
Professor George F. Thomason, CBE
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There are currently two vacancies as the terms of Mr. Anthony J. P. Vineall and Mr. Dennis Fredjohn expired with the publication of the 23rd report.Mr. Kilfoyle : To ask the Secretary of State for Health who are the members currently appointed to the Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine.
Mr. Sackville : The current members of the Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine are :
Mr. Michael Bett, CBE (Chairman)
Mr. Jan Hildreth
Miss Anne Machie, OBE
Dr. Gillian Raab
Professor George F. Thomason, CBE
Miss Diana Wittingham
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There are currently two vacancies as the terms of Dame Anne Mueller, DCB and Mrs. Rachel Pickavance expired with the publication of the 11th report.Ministerial Travel
Mr. Mathew Taylor : To ask the Secretary of State for Health what was the (a) budgeted and (b) actual expenditure by her Department on (1) internal and (2) overseas travel by the Secretary of State in 1992-93 after 11 April 1992 and so far in 1993-94.
Mr. Sackville : My right hon. Friend the Secretary of State's travel costs are not budgeted separately from those of other Ministers. The travel and subsistence figures, excluding the cost of services provided by the Government car service, for all Ministers and their private office staff and those in the parliamentary relations unit are as follows :
Travel and
Subsistence
Financial Year |Domestic |Overseas
|£ |£
---------------------------------------------------------------------------
1992-93
planned |<1>51,619
actual |49,296 |11,085
1993-94
planned<2> |70,000 |50,000
actual<3> |46,138 |57,641
<1>No specific sum allocation for domestic or overseas expenditure.
<2>Funds increased to take account of price increases, the addition of an
extra Minister and private office and for commitments to visits overseas.
<3>To December 1994.
Mr. Vaz : To ask the Secretary of State for Health how many visits abroad the Minister of State made during 1993 ; and what was (a) the cost to public funds and (b) the purpose of each visit.
Mr. Sackville : My right hon. Friend the Minister of State made three overseas visits at an estimated cost of £5,526. Two of these visits were to attend meetings of Ministers of the European Community Health Council, while the third was a fact finding visit to the United States of America in connection with his ministerial responsibilities.
Pacing
Mrs. Bridget Prentice : To ask the Secretary of State for Health which hospitals carry out pacing and pacing follow-up in the United Kingdom.
Mr. Sackville : According to the national pacemaker database there are 133 centres providing pacing and pacing follow-up in the United Kingdom. A list of these centres will be placed in the Library.
Contraceptive Pill
Ms Primarolo : To ask the Secretary of State for Health what plans she has to limit the national health service prescribing of the contraceptive pill and make it available in pharmacies without NHS prescription ; and if she will make a statement.
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Junior Doctors
Ms Primarolo : To ask the Secretary of State for Health what guidelines she has for freedom of speech by junior hospital doctors.
Dr. Mawhinney : The management executive advice "Guidance for staff on relations with the public and the media" was issued to national health service employers under cover of executive letter (93)51 on 8 June 1993. The guidance provides a framework within which local procedures can be developed to enable all NHS employees to raise concerns about health care issues. Copies of the executive letter and accompanying guidance are available in the Library.
Hepatitis B
Ms Primarolo : To ask the Secretary of State for Health what was the percentage carrier rate for hepatitis B among pregnant women in each of the last five years.
Mr. Sackville : These data are not collected routinely but studies have shown carrier rates between one in 2,000--0.05 per cent.--in rural areas and 1 in 100--1 per cent.--in some inner city areas.
Ms Primarolo : To ask the Secretary of State for Health which EC countries have a hepatitis B universal vaccination strategy in place.
Mr. Sackville : We understand that only Italy has a universal vaccination strategy in place ; in addition, seven of the autonomous regions of Spain have introduced universal adolescent vaccination. All other European Union countries have a selective strategy aimed at particularly higher risk groups.
Ms Primarolo : To ask the Secretary of State for Health what is the carrier rate of hepatitis B in England per 1,000 population.
Mr. Sackville : The prevalance of hepatitis B carriage in the United Kingdom is low. Recent data from analysis of blood donations suggest that it is in the order of one in 1,500--0.07 per cent.
Ms Primarolo : To ask the Secretary of State for Health what evidence she has of acquisition of hepatitis B by blood products in each of the last five years.
Mr. Sackville : Confirmed cases of hepatitis B infection reported to the public health laboratory service's communicable disease surveillance centre--England and Wales--where the patient had a history of receiving blood or blood products within the United Kingdom during the previous six months, and where no other risk factors were present were :
|Number
---------------------
1988 |8
1989 |4
1990 |3
1991 |3
1992 |2
Figures for 1993 are
still being
received.
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Infectious Diseases
Ms Primarolo : To ask the Secretary of State for Health how many cases of polio, diphtheria, whooping cough, tetanus, hepatitis B, mumps, measles, rubella, tuberculosis, haemophilia influenzae and meningitis were reported in England in 1991 and 1992.
Mr. Sackville : The information is shown in the table.
Number of cases notified for polio,
diphtheria, whooping cough, tetanus,
hepatitis B, mumps, measles, rubella,
tuberculosis, haemophilus
influenzae and meningitis in England for
1991 and 1992
|1991 |1992
-------------------------------------------
Polio |3 |3
Diphtheria |2 |8
Whooping Cough |4,908|2,171
Tetanus |8 |6
Hepatitis B |471 |481
Mumps |2,828|2,333
Measles |9,126|9,801
Rubella |6,917|6,024
Tuberculosis (all forms) |5,726|6,149
Haemophilus Influenzae |396 |451
Meningitis (all forms) |2,558|2,361
Tobacco
Ms Primarolo : To ask the Secretary of State for Health what estimates she has made of decreases in consumption of tobacco as a result of the voluntary code on tobacco advertisements.
Mr. Sackville : In October 1992 the Department of Health published a discussion document, the "Effect of Tobacco Advertising on Tobacco Consumption", a copy of which is available in the Library, reviewing the evidence on the effects of tobacco advertising on tobacco consumption. The review did not identify any studies which seek to quantify the reduction in smoking that can be attributed to the voluntary agreement on tobacco advertising and promotion.
Lung Cancer
Ms Primarolo : To ask the Secretary of State for Health how many (a) male and (b) female lung cancer deaths occurred in each region in 1993.
Dr. Mawhinney : The information is shown in the table for 1992, the latest year for which data are available :
Numbers of deaths from cancer of the trachea, bronchus and lung ( ICD 162<1>) for males and females by regional health authority, 1992 Regional Health |Males |Females Authority ------------------------------------------------------------------ Northern |1,780 |918 Yorkshire |1,656 |867 Trent |2,166 |946 East Anglian |828 |337 North West Thames |1,303 |686 North East Thames |1,682 |807 South East Thames |1,674 |786 South West Thames |1,163 |631 Wessex |1,228 |517 Oxford |880 |413 South Western |1,382 |665 West Midlands |2,448 |1,012 Mersey |1,198 |700 North Western |1,903 |1,031 Wales |1,324 |653 <1> International classification of disease, ninth revision
Hospital Beds, London
Ms Primarolo : To ask the Secretary of State for Health how many hospital beds here were in each of the last five years in the area covered by the London implementation group.
Dr. Mawhinney : Information about the average daily bed availability in London for 1988-89 to 1992-93 is shown in the table.
Year |Number ---------------------- 1988-89 |43,997 1989-90 |41,947 1990-91 |38,793 1991-92 |36,045 1992-93 |34,811 Source: KHO3 return.
During the same period there was a 4.49 per cent. increase in the number of in-patients treated.
Referrals and Readmissions
Mr. Cousins : To ask the Secretary of State for Health (1) how second referrals and readmissions are recorded within the NHS patient volume record system ; and what percentage of finished consultant episodes are second referrals and readmissions ;
(2) pursuant to her answer to the hon. Member for Bristol, South (Ms Primarolo) of 31 January, Official Report, column 531, how readmissions are recorded in finished consultant episode statistics.
Mr. Sackville : All admissions to national health service hospitals are recorded as consultant episodes, reflecting the use of resources by consultant specialists. Readmissions from any source are included in the count but cannot be separately identified. On admission to hospital, a patient commences a hospital spell which may include periods of care under more than one consultant. There are about 103 consultant episodes for every 100 spells in hospital. Patients referred to hospital consultants by general practitioners are usually seen in out-patients clinics. New referrals, including second referrals for the same condition, are recorded as new attendances, subsequent attendances are recorded as consultant initiated attendances. Second referrals to out-patient clinics cannot be identified separately.
Mental Health Legislation
Mr. David Nicholson : To ask the Secretary of State for Health what representations she has received since April 1992 suggesting amendments in the mental health legislation providing for trustees to manage a person's financial affairs if two doctors certify that this is required.
Mr. Bowis : None. The Law Commission is currently reviewing the law and procedures relating to decision making on behalf of mentally incapacitated adults and will publish its report later this year.
Nurses
Mrs. Bridget Prentice : To ask the Secretary of State for Health what percentage of newly qualified nurses completed their training in NHS hospitals (a) in London
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and (b) in England in the 12-month period ended in December 1993 ; and what percentage of them found full-time permanent employment (i) in London and (ii) in England in NHS hospitals.Mr. Sackville : This information is not available centrally.
Mr. Blunkett : To ask the Secretary of State for Health what guidance will be given to managers to measure the productivity of nurses in the NHS.
Mr. Sackville : The Department is currently drawing up guidance on the basic principles for local performance-related pay schemes.
Hospital Sales
Ms Primarolo : To ask the Secretary of State for Health what proposals she is aware of to sell NHS hospitals to private health care providers.
Mr. Sackville : I am not aware of any.
Former Military Hospitals
Ms Primarolo : To ask the Secretary of State for Health what plans there are in each region to invest in extending or adapting former military hospitals for NHS use ; and how much it is planned to spend on each such hospital.
Mr. Sackville : There are currently discussions between the Ministry of Defence and the Department of Health about the future use of one hospital, the Queen Elizabeth military hospital, Woolwich which is due to close by 1998. Further details will be available later this year.
Cervical Smear Tests
Mrs. Bridget Prentice : To ask the Secretary of State for Health if she will publish a table showing the average time patients currently wait for the results of cervical smear tests in each health authority area in England and Wales.
Mr. Sackville : I refer the hon. Member to the reply I gave the hon. Member for Leyton (Mr. Cohen) on 9 December 1993 at column 325-26.
Community Health Sheffield Trust
Mrs. Helen Jackson : To ask the Secretary of State for Health when and by whom a final decision will be made as to the land and buildings in the Sheffield area that will transfer to Community Health Sheffield trust.
Mr. Sackville : Trent regional health authority together with Sheffield District health authority and representatives of the proposed trust, will determine which land and buildings will transfer to Community Health Sheffield trust. Discussions are in progress and it is expected that a final decision will be reached by the end of March 1994.
AIDS
Mr. Gordon Prentice : To ask the Secretary of State for Health if she will list the organisations involved in AIDS counselling, advice and information and the amount of grant each received from Government for the latest year for which figures are available.
Mr. Sackville : The information for 1993-94 is shown in the table. Each of these voluntary organisations includes HIV/AIDS counselling advice and information among its activities to a greater or lesser degree.
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Name |Amount (£) ----------------------------------------------------------------- Aids and Housing Project |29,000 ACET (AIDS Care Education and Training) |150,000 Barnardo's |9,375 Black HIV/AIDS Network |40,000 Blackliners |40,050 Body Positive |50,000 CARA<1> |15,000 Globe Centre |29,000 Institute for the Study of Drug Dependence |73,400 Landmark |60,000 London East AIDS Network |25,000 London Voluntary Services Council |24,000 London Lighthouse |300,000 Mainliners |40,000 Mildmay Mission Hospital |150,000 National AIDS Trust |275,000 The NAZ Project |27,000 Positively Women |70,000 Streetwise Youth |20,000 Strutton Housing |12,000 Terrence Higgins Trust |450,000 Turning Point-Griffin Project |33,200 <1> Care and resources for people affected by AIDS and HIV.
Mr. Gordon Prentice : To ask the Secretary of State for Health if she will list those hospitals and medical research facilities undertaking research of AIDS ; and if she will list the amount of central Government grant each attracts.
Mr. Sackville : The main agency through which the Government support research into HIV and AIDS 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.
In the current financial year it is estimated that the Government will fund research on HIV/AIDS to a value of £26,209,000. The annual report of the MRC and "The Health and Social Care of People with HIV Infection and AIDS", which list the hospitals and medical research facilities currently undertaking AIDS/HIV research for the Department and for the MRC, are available in the Library.
Special Transitional Grant
Mr. Hinchliffe : To ask the Secretary of State for Health what have been the reasons for the delay in announcing how much of the special transitional grant was to be spent on non-local authority services ; what assessment has been made of the impact of this delay on local authorities and other care providers ; and if she will make a statement.
Mr. Bowis : The decision was announced as soon as we had considered all the relevant factors. Local authorities should always be committed to value for money through the mixed economy of care.
Health Authorities (Capital Receipts)
Mrs. Helen Jackson : To ask the Secretary of State for Health, pursuant to her answer of 24 January, Official Report , column 116 , whether any restrictions are placed on health authorities with regard to the use of capital receipts.
Mr. Sackville : I refer the hon. Member to the reply I gave her on 24 January at column 116 .
Mrs. Helen Jackson : To ask the Secretary of State for Health, pursuant to her answer of 24 January, Official
Column 623
Report , column 116 , what Treasury guidelines have been issued to health authorities, or health trusts, as to the use of capital receipts.Advertising
Mr. Matthew Taylor : To ask the Secretary of State for Health if she will list all television advertising, newspaper advertising, radio advertising and other promotional campaigns with a budgeted cost in excess of £10,000 conducted by (a) her Department and (b) her agencies (i) in the current financial year and (ii) planned for 1994-95, showing for each one the objectives and mechanisms for assessing the effectiveness of the advertising.
Mr. Sackville : The information for 1993-94 will be placed in the Library. Decisions have not been made on the use of advertising for 1994- 95.
Special Health Authorities
Mr. Dowd : To ask the Secretary of State for Health if she will list the revenue and capital expenditure for each of the special health authorities within the four London regional health authorities' areas for 1992-93.
Mr. Sackville : Information for the London postgraduate special health authorities is shown in the table.
Special health |Revenue |Capital
authority
|Expenditure |Additions
|£ |£
----------------------------------------------------------------------------------------
The Hospitals for Sick Children |65,197,843 |19,392,220
The National Hospital for Neurology and
Neurosurgery |33,819,688 |11,945,668
Moorfields Eye Hospital |27,622,311 |1,881,459
The Bethlem Royal and Maudsley Hospital |53,325,496 |2,038,647
The Royal Brompton National Heart and Lung
Hospitals |59,771,478 |2,361,637
The Royal Marsden Hospital |37,593,200 |2,059,054
Hammersmith and Queen Charlotte's
Hospitals |76,963,054 |12,952,118
The Eastman Dental Hospital |9,844,379 |1,424,633
Source: Annual accounts special health authorities-London postgraduate teaching
hospitals-England 1992-93.
Notes:
(a) Total additions of fixed assets purchased is used as the capital expenditure
figure. Capital charges are included within revenue expenditure.
(b) Figures are provisional.
Mr. Fred Hoult
Mr. Cousins : To ask the Secretary of State for Health, pursuant to the answer to the hon. Member for Leeds Central (Mr. Fatchett), Official Report, 31 January, column 536, if he will name the companies of which Mr. Fred Hoult is a director.
Mr. Sackville : The directorships held by Mr. Hoult are : Hoults Holdings Ltd.
Hoults Ltd.
Hoults Estate Ltd.
Hoults (London) Ltd.
Hoults (South West) Ltd.
Hoults (Cumberland) Ltd.
Wheelers of Gosforth Ltd.
Wheelers of Cramlington Ltd.
Lock N Store Ltd.
Column 624
William Patterson Ltd.G. F. Ryan and Co. Ltd.
Northumbria and Tyneside Residential Property Trust Ltd. 2nd Northumbria and Tyneside Residential Property Trust Ltd. Lindisfarne Properties Ltd.
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