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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.
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.
} 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
C. Brandon Gough, Esq. (Chairman)
Douglas T. Boyd, Esq.
Ms Tina Boyden
Ms Sally Field
Dr. Elizabeth Nelson
Professor George F. Thomason, CBE
Column 616There 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. Michael Bett, CBE (Chairman)
Mr. Jan Hildreth
Miss Anne Machie, OBE
Dr. Gillian Raab
Professor George F. Thomason, CBE
Miss Diana Wittingham
Column 617There are currently two vacancies as the terms of Dame Anne Mueller, DCB and Mrs. Rachel Pickavance expired with the publication of the 11th report.
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. 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.
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.
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.
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.
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.
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.
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
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.
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
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.
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.
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.
Column 621and (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.
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.
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.
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.
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.
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.
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.
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.
Column 623Report , column 116 , what Treasury guidelines have been issued to health authorities, or health trusts, as to the use of capital receipts.
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. 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.
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. 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.
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 624William 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.