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Mr. Dalyell : To ask the Secretary of State for Health what assessment she has made of the potential contribution of the academic computer network Super Janet to patient care ; and what steps she is taking to preserve the confidentiality of any patient information transferred to such a network, and to ensure the security and integrity of any NHS system to which an external network might be connected.
Mr. Sackville : The Department is monitoring the work currently being undertaken at the Hammersmith and Queen Charlotte's hospitals to assess the potential benefits and problems associated with the use of the Super Janet network.
As regards the confidentiality of information, any person controlling personal health data who proposes to put them onto a computer network must abide by the requirements of the Data Protection Act 1984. In addition, the national health service-wide networking programme is addressing the security implications of connections to external networks including Super Janet.
Mr. Sackville : Nationally, the proportion of admissions to hospital which are non-elective has marginally declined. These account for some 47 per cent. of total recorded consultant episodes for the last three years, and it is estimated that over 80 per cent. of non-elective admissions are emergencies. Proportions of the total number of finished consultant episodes that are non-elective admissions by regional health authority for 1992-93 and 1993-94--forecast and subject to revision--are shown in the table.
Region |1992-93 |1993-94 |(forecast) |Per cent. |Per cent. --------------------------------------------------- Northern |45.8 |45.3 Yorkshire |47.3 |45.7 Trent |47.8 |46.6 East Anglian |49.1 |46.0 North West Thames |45.8 |43.6 North East Thames |50.2 |49.3 South East Thames |47.8 |48.0 South West Thames |46.5 |46.2 Wessex |45.6 |44.9 Oxford |45.7 |45.0 South Western |43.7 |44.2 West Midlands |47.6 |48.5 Mersey |51.0 |49.6 North Western |45.3 |44.3 |------- |------- England |47.0 |46.3
Dr. Mawhinney : Information available centrally relates to the proportion of the population covered by fundholding practices in each regional health authority area. The figures for the first, second and third wave fundholders are shown in the tables.
Region |Number of |Number of |Number of |Number of |Population cover|Percentage |population |funds |practices |groups |GPs |000s |covered by |Fundholding |Practices ----------------------------------------------------------------------------------------------------------------------------------------- 1st and 2nd Wave Northern |38 |38 |0 |321 |460 |15.0 Yorkshire |55 |61 |3 |338 |693 |18.9 Trent |54 |57 |2 |311 |659 |13.8 East Anglia |13 |13 |0 |85 |168 |8.0 North West Thames |43 |49 |3 |235 |493 |14.2 North East Thames |23 |23 |0 |107 |266 |7.1 South East Thames |29 |29 |0 |147 |339 |9.2 South West Thames |38 |39 |1 |225 |463 |15.8 Wessex |32 |34 |2 |197 |392 |13.3 Oxford |46 |48 |1 |279 |570 |21.9 South Western |38 |42 |0 |244 |386 |11.0 West Midlands |58 |59 |1 |410 |659 |12.6 Mersey |44 |50 |5 |227 |459 |19.1 North Western |29 |34 |3 |161 |347 |8.7 |-- |-- |-- |--- |--- |-- England |540 |576 |21 |3,197 |6,354 |13.0 3rd Wave Northern |31 |34 |3 |161 |303 |9.9 Yorkshire |54 |57 |2 |249 |509 |13.9 Trent |84 |102 |9 |420 |835 |17.5 East Anglia |35 |38 |2 |193 |362 |7.2 North West Thames |45 |46 |1 |223 |437 |12.6 North East Thames |25 |29 |1 |122 |256 |6.8 South East Thames |48 |59 |5 |227 |480 |13.0 South West Thames |28 |30 |2 |135 |267 |9.1 Wessex |22 |23 |1 |128 |253 |8.6 Oxford |28 |28 |0 |152 |269 |11.3 South Western |31 |33 |2 |170 |271 |7.7 West Midlands |73 |80 |7 |357 |719 |13.7 Mersey |40 |51 |7 |196 |379 |15.8 North Western |37 |49 |6 |168 |344 |8.6 |-- |-- |-- |--- |--- |-- England |581 |659 |48 |2,901 |5,711 |11.9
Mr. Fatchett : To ask the Secretary of State for Health if she will respond to the report of the health service committee "Failure to Provide Long Term NHS Care for a Brain Damaged Patient" ; and if she will make a statement.
Mr. Bowis : The report to which the hon. Member refers was produced by the health service commissioner, not the health service committee. I refer the hon. Member to the reply given to the hon. Member for Wakefield (Mr. Hinchliffe) on 9 February at column 328.
Mr. Sackville : The Department is currently studying the effects on health from air pollutants from all sources. The Advisory Group on the Medical Aspects of Air Pollution Episodes, set up in 1990, and the Committee on the Medical Effects of Air Pollutants, which was established in 1992, are examining the evidence with a view to estimating the likely effects of air pollution in the
Column 626United Kingdom and to recommend research needed. The advisory group produced reports on ozone in 1991 and on sulphur dioxides, acid aerosols and particulates in 1992, and on the effects of oxides of nitrogen--one of the main pollutants from motor vehicles--at the end of 1993. Asthma is an important health issue and the Department is concerned about the rise in its incidence among all age groups. Further research is needed to help identify the underlying causes of this rise in incidence. Air pollution is one possibility, but investigation is also under way into other factors, such as the indoor environment, smoking habits and diet. The newly formed Medical Research Council institute for environment and health, funded by the Department and by the Department of the Environment, has made research into the health effects of air pollution its first priority. I refer the hon. Member to the reply I gave him on 20 October 1993 at column 236.
Mr. Churchill : To ask the Secretary of State for Health how many patients are currently on the waiting list for organ transplant of kidneys, liver and heart-lung respectively ; how many were added to the list in each category in the most recent 12-month period for which
Column 627figures are available ; how many had transplant operations ; and how many died while waiting for a suitable donor organ.
At 31 December 1993 there were 3,947 patients awaiting kidney transplants-- including 29 kidney and pancreas transplants--111 awaiting livers and 409 awaiting hearts--including 172 heart and lungs. During the year to 31 December 1993 there were 1,701 kidney
transplants--including 125 transplants from live donors and 14 kidney and pancreas transplants--520 liver transplants and 336 heart transplants-- including 35 heart and lungs transplants.
The latest year for which information on patients joining the list and those who died while waiting for a suitable donor organ is available is 1992. There were 1,992 added to the waiting list for kidneys--including 22 kidneys and pancreas--537 for hearts--including 124 for heart and lungs-- and 419 for livers. One hundred and thirty patients died while waiting for a suitable donor heart
transplant--including 60 heart and lungs--and 53 died while waiting for livers.
Dr. Mawhinney : Information on waiting lists for in-patient and day case treatment by regional health authority and specialty is given in "Hospital Waiting List Statistics : England". This is published twice yearly and copies are available in the Library. Information is given on waiting lists for various paediatric specialties, but the numbers of children and adults on waiting lists for other specialties are not counted separately.
Mr. Redwood : The Welsh Office is already an efficient organisation successfully administering a very wide range of central Government functions throughout Wales. I am, nevertheless, continually looking for ways in which to improve its efficiency including, for example, through market testing and close controls on its running costs.
Mr. Redwood : Seasonally adjusted, there were 99,600 males and 26, 500 females who were claimant unemployed in Wales in December 1993. These represent workforce-based unemployment rates of 13.6 per cent. and 4.9 per cent. respectively.
16. Mr. Llwyd : To ask the Secretary of State for Wales what appraisal there has been of the take-up rate and the general success of the Tir Cymen pilot schemes in Wales ; and if he will make a statement.
Sir Wyn Roberts : A pilot scheme was launched in July 1992 and is planned to run for five years. A full appraisal will take place towards the end of the period. The target for take-up of the scheme is to have 50 per cent. of eligible land entered within five years. To date some 25 per cent. has been entered. The indications are that the scheme is proving to be successful.
Mr. Gwilym Jones : Whilst my right hon. Friend has responsibility for the appointment of one of the members of the Parliamentary Boundary Commission for Wales, overall responsibility for the Parliamentary Boundary Commission for England and Wales rests with my right hon. and learned Friend, the Home Secretary. My right hon. Friend has received two representations in respect of the Parliamentary Boundary Commission for Wales' latest proposals.
Column 629this year on proposals for revised national curriculum orders. I shall ensure that the authority consults the Welsh Language Board on revisions to the National Curriculum Order for Welsh.
20. Mr. Simon Hughes : To ask the Secretary of State for Wales how many representations he received during the consultation period on the proposal to extend the M4 relief road through the Gwent levels ; how many of these representations approved of the Welsh Office proposal ; and if he will make a statement.
Sir Wyn Roberts : A report on the results of the consultation and the issues raised is in preparation. The information requested will be made public when a decision is taken on whether or not to proceed with any of the published routes.
Mr. Redwood : A number of important measures in support of sustainable development objectives are already underway in Wales, for example the Welsh Development Agency's major land reclamation programme which is returning derelict and contaminated land to beneficial use. Welsh Office Ministers are also keen to ensure that Wales makes an appropriate contribution to the follow up action planned on the recently published "UK Strategy on Sustainable Development", copies of which have already been distributed to key Welsh interests.
23. Mr. Jon Owen Jones : To ask the Secretary of State for Wales how many applicants for posts in Welsh quangos have notified the Secretary of State of their connections with the Tory party within the last two years.
25. Mr. Roger Evans : To ask the Secretary of State for Wales what progress he is making in the elimination of bureaucracy, waste and mal- administration in the conduct of non-Governmental public bodies in Wales ; and if he will make a statement.
non-departmental public bodies the need for the highest standards of propriety in the conduct of public affairs in Wales. Steps have been taken to tighten up procedures and I am introducing new arrangements for monitoring and controlling the performance of bodies in Wales. I will make sure that both the number of bodies and appointments to them are strictly controlled.
24. Mr. Alex Carlile : To ask the Secretary of State for Wales if he will list the planning guidelines issued by his Department on the siting and construction of wind farms in Wales ; and if he will make a statement.
Mr. Gwilym Jones : Guidance is contained in the annex to planning policy guidance note "Renewable Energy", which was published jointly by the Welsh Office and the Department of the Environment in February 1993.
26. Mr. Ainger : To ask the Secretary of State for Wales what have been the total credit approvals for capital spending for all the local authorities in Wales in the years 1986-87, 1991-92, 1992-93 and 1993-94 at 1993-94 prices.
Year |£m --------------------------------- 1991-92 |326.803 1992-93 |331.376 1993-94 |<1>311.430 <1> Forecast
A comparable figure for 1986-87 is not available. A credit approval system was introduced in 1990-91 : the previous system placed controls on authorities' total capital expenditure.
Mr. Martyn Jones : To ask the Secretary of State for Wales what rate support grant Clwyd county council would receive in 1993-94 if it were treated for standard spending assessment purposes as the average within Wales.
Mr. Gwilym Jones : An authority's revenue support grant, share of redistributurbed non-domestic rates and council tax income at a standard level, together equal its standard spending assessment. The standard spending assessment per head of population for county councils in Wales for 1993-94 is £675. For Clwyd it is £644, 95.4 per cent. of the Wales average.
Sir Wyn Roberts : We have a comprehensive programme of reforms to improve standards in education and to provide improved opportunities for all. We are currently implementing the wide-ranging provisions of the Education Act 1993 and have introduced further legislative proposals on teacher training matters. We announced on 5 January the changes that will be made as a result of the review of the national curriculum. These changes will be implemented promptly and fully. They will remove bureaucracy and over-prescription and substantially ease the burden on teachers.
28. Mr. Jonathan Evans : To ask the Secretary of State for Wales what action he is taking in relation to the recent housing policies of the Development Board for Rural Wales ; and if he will make a statement.
Column 631accounting officer of the Welsh Office and the chief executive of the Development Board for Rural Wales about matters raised in the report by the Comptroller and Auditor General on the board's 1992-93 annual accounts. The Committee will report in due course on the results of its inquiry. I do not wish to anticipate or pre-empt that report. The DBRW introduced revised rules and procedures for housing allocations in September 1993 which meet the statutory requirements.
Mr. Gwilym Jones : There are currently 14 operational NHS trusts in Wales and my right hon. Friend announced on 19 November 1993 that he was establishing a further eight trusts with an operational date of 1 April 1994.
Additionally, public consultation on applications received from north unit- -Morriston hospital--in West Glamorgan and Taff Ely health unit--East Glamorgan hospital--Mid Glamorgan has now ended. In the light of representations received, and taking account the individual merits of both applications, my right hon. Friend has decided to establish these units as NHS trusts also to become operational from this April. The orders giving effect to these decisions have been signed today. I will announce shortly the details on the chairmen and non-executive directors of these further NHS trusts.
This announcement today means that, from april 1994, some 90 per cent. of acute services and 85 per cent. of community services in Wales will be delivered by NHS trusts.
Mr. Dafis : To ask the Secretary of State for Wales if he will discuss with Clwyd education authority and the Welsh Language Board the refusal by the Associated Examinations Board to translate A-level physical exercise examination papers into the Welsh language ; and if he will make a statement.
Sir Wyn Roberts : The translation of the A-level physical education paper offered by the Associated Examinations Board is a matter for the board to consider. Discussions are continuing between the individual school concerned, AEB and the Welsh Joint Education Committee to make appropriate arrangements for pupils to take the 1994 examinations in the language of their choice.
Sir Wyn Roberts : Action has already been initiated as a result of driver behaviour on the bypass and, as is normal practice with newly improved sections of trunk road, the situation is being closely monitored.
A detailed review has been completed and the opinions of the local highway authority and the police have been obtained. Works already undertaken to improve driver awareness include the relocation and modification of some direction signs and the provision of additional warning signs ; the introduction of ladder hatched centre lines to discourage overtaking and reduce speeds ; the addition of white hatching to hard strips through each junction to emphasise the carriageway edges and to reduce speeds ; the provision of extra chevron plates at roundabouts and the re-positioning of tourist information signs away from junctions.
Further measures are being considered including the banning of right turn manoeuvres from Salop road.
Mr. Dafis : To ask the Secretary of State for Wales what was the amount of housing revenue account subsidy paid per council house to each district council in Wales for the years 1992-93 and 1993-94, showing the percentage increase or decrease in each case.
Mr. Dafis : To ask the Secretary of State for Wales what was the level of notional rent set by his office for the purposes of calculating housing subsidy for each district council in Wales, and for Wales as a whole, for each financial year since 1991-92 and for 1994-95.
Mr. Gwilym Jones : Authorities calculate guideline rents according to a formula within the housing revenue account subsidy determination for the relevant year. The guideline rents calculated by each authority for the years 1991-92 to 1993-94 are given in the following table. The figures shown for Wales have been derived from these figures.
The Department's estimate of guideline rents for 1994-95 were given to the hon. Member in my reply on Friday 4 February 1994.
Notional rent per dwelling |(a) |(b) |(c) |1991-92|1992-93|1993-94 |£ p |£ p |£ p ------------------------------------------------------ Aberconwy |24.25 |25.67 |26.94 Alyn and Deeside |20.40 |23.81 |26.56 Arfon |23.08 |25.88 |27.88 Blaenau Gwent |27.25 |28.38 |29.63 Brecknock |24.62 |27.15 |29.10 Cardiff |27.88 |30.87 |33.23 Carmarthen |24.67 |27.29 |29.56 Ceredigion |25.58 |28.13 |29.87 Colwyn |23.50 |24.81 |26.27 Cynon Valley |24.88 |26.02 |28.17 Delyn |24.19 |25.65 |27.69 Dinefwr |21.77 |24.17 |26.04 Dwyfor |21.79 |25.19 |26.31 Glyndwr |22.37 |24.94 |26.77 Islwyn |23.88 |25.88 |27.94 Llanelli |23.48 |24.62 |25.87 Lliw Valley |25.79 |26.92 |28.17 Meirionnydd |23.42 |24.75 |25.81 Merthy Tydfil |23.52 |24.65 |25.90 Monmouth |28.77 |32.17 |34.92 Montgomeryshire |24.69 |28.10 |30.85 Neath |23.62 |24.75 |26.00 Newport |27.62 |31.02 |33.62 Ogwr |27.65 |28.79 |30.04 Port Talbot |24.87 |26.19 |27.54 Preseli Pembrokeshire |22.62 |25.88 |27.90 Radnorshire |24.71 |27.58 |29.85 Rhondda |28.67 |29.81 |31.06 Rhuddlan |20.81 |24.04 |26.58 Rhymney Valley |27.56 |28.69 |29.94 South Pembs |25.46 |28.87 |31.52 Swansea |24.48 |26.00 |27.25 Taff Ely |24.79 |25.92 |27.17 Torfaen |26.83 |29.73 |32.13 Vale of Glam |25.81 |29.21 |31.96 Wrexham Maelor |19.75 |23.15 |25.50 Ynys Mon |24.65 |26.06 |27.31 Wales |25.05 |27.24 |29.11 Source: (a) Audit Final Subsidy claims for 1991-92. (b) Audit Final Subsidy claims for 1992-93 (except for Cardiff where information has been taken from the 1992-93 Advance Final claim). (c) Second Advance Subsidy claims for 1993-94.
Mr. Dafis : To ask the Secretary of State for Wales what was the amount of housing revenue account subsidy for 1992-93 and 1993-94 for each district council in Wales, and for Wales as a whole, showing the percentage change in each case.
Housing Revenue Account Subsidy |1992-93 |1993-94 |Percentage |(a) |(b) |change Local Authority |£ |£ ------------------------------------------------------------------------------------- Aberconwy |1,584,274 |1,613,843 |1.9 Alyn and Deeside |2,520,527 |2,566,612 |1.8 Arfon |2,942,801 |2,860,306 |-2.8 Blaenau Gwent |10,775,958 |10,967,070 |1.8 Brecknock |715,009 |759,755 |6.3 Cardiff |19,343,579 |23,291,119 |20.4 Carmarthen |2,513,450 |2,348,352 |-6.6 Ceredigion |1,895,725 |1,932,664 |1.9 Colwyn |2,109,823 |2,194,617 |4.0 Cynon Valley |4,947,233 |4,914,395 |-0.7 Delyn |3,620,231 |2,957,483 |-18.3 Dinefwr |1,246,634 |1,486,992 |19.3 Dwyfor |840,681 |958,012 |14.0 Glyndwr |827,842 |803,215 |-3.0 Islwyn |5,369,027 |5,242,264 |-2.4 Llanelli |7,044,582 |7,501,220 |6.5 Lliw Valley |4,308,923 |4,157,709 |-3.5 Meirionnydd |1,061,048 |1,238,429 |16.7 Merthyr Tydfil |6,869,166 |7,588,053 |10.5 Monmouth |3,789,654 |3,815,493 |0.7 Montgomeryshire |666,527 |496,002 |-25.6 Neath |4,776,019 |4,921,454 |3.0 Newport |11,244,593 |10,363,902 |-7.8 Ogwr |7,692,875 |7,702,537 |0.1 Port Talbot |4,749,752 |4,668,643 |-1.7 Preseli Pemrokeshire |2,755,958 |2,848,229 |3.3 Radnorshire |555,486 |525,905 |-5.3 Rhondda |8,623,018 |8,301,654 |-3.7 Rhuddlan |1,324,330 |1,276,569 |-3.6 Rhymney Valley |10,884,002 |11,347,929 |4.3 South Pembrokeshire |1,642,291 |1,427,901 |-13.1 Swansea |16,023,302 |17,353,927 |8.3 Taff Ely |6,938,835 |6,816,221 |-1.8 Torfaen |13,023,578 |13,076,949 |0.4 Vale of Glamorgan |3,751,049 |3,612,705 |-3.7 Wrexham Maelor |6,998,218 |7,839,056 |12.0 Ynys Mon |4,311,794 |4,438,990 |2.9 Wales |190,287,794 |196,216,176 |3.1 Source: (a) Audit Final Subsidy claims for 1992-93 except for Cardiff where information has been taken from the 1992-93 Advance Final claim (b) Second Advance Subsidy claims for 1993-94
Mr. Morgan : To ask the Secretary of State for Wales what consultations he has had with the chairman of the Cardiff Bay development corporation in relation to its consultancy contract with Quadrant public relations.
Mr. Morgan : To ask the Secretary of State for Wales what communications he has received from the European Commission on the future of the Cardiff bay site of special scientific interest ; and if he will place the relevant correspondence in the Library.
Mr. Redwood : The Government have had various contacts with the Commission about the issue of Cardiff bay. In accordance with long-standing convention, the substance of the correspondence on this matter is confidential.
Mr. Morgan : To ask the Secretary of State for Wales what representations he has received concerning the complaint by the World Wide Fund for Nature to the European Commission in relation to the future of the Cardiff bay site of special scientific interest ; and if he will place these representations in the Library.
Mr. Redwood : I have received a number of representations about the complaint by the World Wide Fund for Nature to the EC Commission. Some appear to have been inspired by the fund's "Factsheet" of September 1993 which contained acknowledged errors.
Mr. Morgan : To ask the Secretary of State for Wales what consultations he has had with the chairman of Cardiff Bay development corporation in relation to the corporation's public relations agents soliciting the names of companies employed by the city council from council employees.
Mr. Morgan : To ask the Secretary of State for Wales what consultations he has had with the chairman of the Health Promotion Authority for Wales in relation to (a) the advertising of the vacant post of executive director, (b) additions or subtractions in respect of the membership of the board and (c) completion of the management reorganisation plan ; and if he will make a statement.
Mr. Gwilym Jones : The appointment of a new chief executive is a matter for the chairman and the board of the Health Promotion Authority for Wales. However, I would expect the chairman to keep the Welsh Office fully informed of the actions that are being taken. I have had no consultations with the chairman about any membership issues.
The management reorganisation of the Health Promotion Authority for Wales was fully implemented on 17 January 1994.
Mr. Morgan : To ask the Secretary of State for Wales if he will issue new guidelines to the Welsh quangos on the conduct of public relations consultancy contracts so as to debar the interference with commercial printing contracts let by third parties.