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Mr. Wigley : To ask the Secretary of State for Wales what progress was made during 1993 on achieving the service targets for the proportion of the population registered for capitation for dental purposes in the nought to two years age group ; and if he will make a statement.
|1992 |Position as at |Per cent. |30 September |1993<1> |Per cent. ------------------------------------------------------------------------------------- Percentage of 0 to 2-year-olds in Wales registered with a dentist |17.0 |21.0 <1> Latest date for which information is available from the Dental Practices Board.
Mr. Wigley : To ask the Secretary of State for Wales what progress has been made by the Welsh Office over the past two years in establishing a framework to encourage primary care dental practitioners to become involved in clinical audit ; and if he will make a statement.
Mr. Gwilym Jones : Last October, the Department announced its plans for developing clinical audit in Wales. An important part is the proposal to appoint a dental audit adviser whose first task would be to strengthen the present arrangements for dental audit and their integration with audit spanning a range of related professional groups.
Mr. Llew Smith : To ask the Secretary of State for Wales, pursuant to his answer to the hon. Member for Meirionnydd Nant Conwy (Mr. Llwyd) of 3 February, Official Report, column 865, if he will list the 17 local authorities in Wales that registered
representations on THORP ; and if he will indicate those in favour and those against.
Mr. Gwilym Jones : The 17 Welsh authorities were Clwyd, Gwent, Gwynedd, Mid Glamorgan and South Glamorgan county councils ; Ceredigion district council, Colwyn borough council, Isle of Anglesey borough council, Llanelli borough council, Meirionnydd district council, Pembrokeshire district council, Port Talbot borough council, Radnor district council, Rhuddlan borough council, Swansea city council, Taff Ely borough council, and Wrexham Maelor borough council.
All submitted representations against THORP.
Mr. Llwyd : To ask the Secretary of State for Wales if he will publish for each district council and county council and in total for Wales as a whole in constant prices (a) the estimated actual spending for 1993-94 net of community care, (b) the standard spending assessments for 1994-95 net of community care, (c) the amounts by which (b) exceeds or falls short of (a) and (d) the percentage by which (b) exceeds or falls short of (a) ; and if he will make a statement.
Mr. Gwilym Jones : Standard spending assessments net of provision for care in the community are given in the table. Budgeted revenue expenditure information on community care is not collected centrally, and comparisons with 1993-94 spending levels cannot be provided.
Standard spending assessments for 1994-95, net of care in the community £000 |1994-95 |SSAs<1> ------------------------------------------ Alyn and Deeside |10,125 Colwyn |8,253 Delyn |9,262 Glyndwr |5,501 Rhuddlan |8,717 Wrexham Maelor |16,372 Carmarthen |7,762 Ceredigion |9,979 Dinefwr |5,866 Llanelli |12,868 Preseli Pembrokeshire |11,273 South Pembrokeshire |7,740 Blaenau Gwent |15,185 Islwyn |11,534 Monmouth |9,765 Newport |22,472 Torfaen |13,702 Aberconwy |8,740 Arfon |9,826 Dwyfor |5,996 Meirionnydd |6,068 Ynys Mon |11,248 Cynon Valley |13,374 Merthyr Tydfil |12,226 Ogwr |20,598 Rhondda |17,746 Rhymney Valley |15,882 Taff Ely |14,644 Brecknock |6,257 Montgomeryshire |7,132 Radnorshire |3,283 Cardiff |45,765 Vale of Glamorgan |15,257 Port Talbot |8,896 Lliw Valley |8,827 Neath |10,148 Swansea |32,781 Clwyd |265,919 Dyfed |242,614 Gwent |294,362 Gwynedd |161,038 Mid Glamorgan |375,273 Powys |90,024 South Glamorgan |269,937 West Glamorgan |243,519 Total Districts |461,071 Total Counties |1,942,687 Total Wales |2,403,758 <1>Excludes £86 million of county SSA for care in the community.
Mr. Llwyd : To ask the Secretary of State for Wales if he will publish for each district council and county council and in total for Wales as a whole in constant prices (a) the estimated actual spending for 1993- 94, (b) the standard spending assessments for 1994-95, (c) the amounts by which (b) exceeds or falls short of (a) and (d) the percentage by which (b) exceeds or falls short of (a) ; and if he will make a statement.
Mr. Gwilym Jones : Information on 1993-94 revenue expenditure budgets and 1994-95 standard spending assessments is given in the table. Outturn expenditure information for 1993-94 is not yet available. Budgeted expenditure includes spending financed through the use of reserves and spending above SSAs within capping limits and is not directly comparable with SSAs. The 1993-94 budgets have been inflated by 4 per cent.--the 1994- 95 GDP deflator. This does not necessarily reflect the changes in the costs of local authority services between the two years.
Local authority estimates of revenue expenditure for 1993-94 and 1994-95 SSAs |(a) |(b) |(c) |(d) Adjusted 1991994-95 SSAsIncrease between 1993-94 budgets budgeted net and 1994-95 SSAs |revenue |expenditure |<1>£000 |£000 |£000 |Per cent. ---------------------------------------------------------------------------------- Alyn and Deeside |10,650 |10,125 |-524 |-5 Colwyn |8,215 |8,253 |38 |0 Delyn |11,901 |9,262 |-2,639 |-22 Glyndwr |6,805 |5,501 |-1,304 |-19 Rhuddlan |9,147 |8,717 |-430 |-5 Wrexham Maelor |17,124 |16,372 |-751 |-4 Carmarthen |9,481 |7,762 |-1,718 |-18 Ceredigion |10,253 |9,979 |-274 |-3 Dinefwr |5,920 |5,866 |-53 |-1 Llanelli |14,723 |12,868 |-1,855 |-13 Preseli Pembrokeshire |11,370 |11,273 |-97 |-1 South Pembrokeshire |7,638 |7,740 |102 |1 Blaenau Gwent |16,998 |15,185 |-1,813 |-11 Islwyn |12,431 |11,534 |-897 |-7 Monmouth |10,225 |9,765 |-460 |-5 Newport |22,733 |22,472 |-261 |-1 Torfaen |14,363 |13,702 |-661 |-5 Aberconwy |9,246 |8,740 |-506 |-5 Arfon |10,576 |9,826 |-750 |-7 Dwyfor |7,216 |5,996 |-1,220 |-17 Meirionnydd |6,420 |6,068 |-352 |-5 Ynys Mon |13,097 |11,248 |-1,849 |-14 Cynon Valley |13,743 |13,374 |-369 |-3 Merthyr Tydfil |12,465 |12,226 |-239 |-2 Ogwr |21,427 |20,598 |-829 |-4 Rhondda |17,706 |17,746 |40 |0 Rhymney Valley |16,465 |15,882 |-584 |-4 Taff Ely |17,559 |14,644 |-2,915 |-17 Brecknock |6,626 |6,257 |-369 |-6 Montgomeryshire |7,403 |7,132 |-270 |-4 Radnorshire |3,413 |3,283 |-131 |-4 Cardiff |48,690 |45,765 |-2,924 |-6 Vale of Glamorgan |16,620 |15,257 |-1,363 |-8 Port Talbot |9,483 |8,896 |-586 |-6 Lliw Valley |8,984 |8,827 |-156 |-2 Neath |13,046 |10,148 |-2,898 |-22 Swansea |35,326 |32,781 |-2,544 |-7 Clwyd |287,086 |280,306 |-6,780 |-2 Dyfed |264,490 |253,355 |-11,135 |-4 Gwent |314,900 |306,932 |-7,968 |-3 Gwynedd |173,533 |169,002 |-4,531 |-3 Mid Glamorgan |402,047 |388,857 |-13,190 |-3 Powys |95,438 |93,656 |-1,782 |-2 South Glamorgan |279,846 |280,920 |1,074 |0 West Glamorgan |266,549 |255,622 |-10,927 |-4 |------- |------- |------- |------- Total Districts |495,485 |461,071 |-34,414 |-7 |------- |------- |------- |------- Total Counties |2,083,889 |2,028,650 |-55,239 |-3 |------- |------- |------- |------- Total Wales |2,579,374 |2,489,721 |-89,653 |-3 <1> Net revenue expenditure budgets as reported by local authorities, inflated by the 1994-95 GDP deflator. Includes £19.2 million-at 1994-95 prices -of expenditure funded through the use of reserves and £69.3 million of spending over SSAs within capping limits.
|First appointed|Expiry date ------------------------------------------------------------------------- John Gardiner (Chairman) |1993 |1995 Mrs. Brigita Amey |1991 |1995 Alan Cox CBE |1991 |1995 Philip Halsey CB LVO |1991 |1995 Mrs. Gill Rostron |1993 |1996 Mrs. Anna Vinton |1992 |1996 Mr. Michael Harding |1993 |1997
Mr. Key : As indicated in an earlier answer to the hon. Member, Official Report, column 345, consultants have yet to be appointed for the widening, and future progress on the scheme depends on the outcome of the review of scheme priorities announced by my right hon. Friend the Secretary of State for Transport last August. It is too early to say whether a public inquiry will be held.
Mr. Sheerman : To ask the Secretary of State for Transport what steps he has taken to ensure that the provision of low-floor buses is included in the consultations his Department is having with the European Commission Directorate-General III on its draft directive on special provisions for buses and coaches.
Mr. Freeman : The United Kingdom has proposed amendments to the Commission draft which are a significant improvement in terms of first step height and technical requirements and which, if adopted, will improve accessibility. Discussions are continuing.
Mr. Sheerman : To ask the Secretary of State for Transport what incentives he is considering for private operators in the deregulated bus industry to provide access for disabled people on public transport routes.
Mr. Freeman : My Department has funded a low-floor bus demonstration project in north Tyneside. A similar, but larger, project funded by London Transport was launched on 11 January. Both schemes are being monitored by my Department and the results will be made available to operators to help them assess the costs and benefits of such vehicles.
Mr. Sheerman : To ask the Secretary of State for Transport what discussions have taken place within his Department and with the Department of Trade and Industry and the Northern Ireland Office regarding the development of the full potential of the United Kingdom's lead in low-floor bus technology.
Mr. Anthony Coombs : To ask the Secretary of State for Transport what discussions he has had with the Department of the Environment as to the integration of transport and land use planning plans under recent Department of the Environment planning policy guidance.
Mr. MacGregor : A consultation draft of the revised planning policy guidance note on transport--PPG13--was issued in April 1993. My Department has worked closely with the Department of the Environment both in the preparation of the consultation draft and in producing the final text of the PPG, following the consultation. PPG13 should be published shortly.
Ms Walley : To ask the Secretary of State for Transport what were the accident rates, including fatalities, for (a) cars, (b) heavy goods vehicles and (c) public service vehicles in each year since 1991-92.
Accident rates, by vehicle type and severity: Great Britain 1991-92 Rate per 100 million kms 1991 1992 |Car<1>|HGV<2>|PSV<3>|Car<1>|HGV<2>|PSV<3> --------------------------------------------------------- Fatal |1 |2 |4 |1 |2 |3 Serious |11 |19 |33 |11 |10 |32 Slight |49 |35 |197 |50 |34 |205 |--- |--- |--- |--- |--- |--- Total |61 |47 |234 |61 |46 |240 <1> Includes invalid tricycle, other three-wheeled car, taxi, car and minibus-motor caravans. <2> Heavy goods vehicle-goods vehicle over 1.52 tonnes unladen weight. <3> Public service vehicle.
Sir Thomas Arnold : To ask the Secretary of State for Transport what are his reasons for giving a direction to refuse Satnam/Tesco, Tiviot way, Stockport, application No. 58636 : if he intends to review his decision ; and if he will make a statement.
We shall review the direction if the applicants provide evidence to demonstrate that our concerns can be overcome.
Mr. Key [holding answer 22 February 1994] : The review of the trunk road programme is still in progress. No final decisions have been taken on the priorities to be allocated to schemes within the revised programme. An announcement will be made shortly.
Mr. Andrew Smith : To ask the Secretary of State for Transport whether the public service obligation grant to British Rail in the year to 31 March 1992 was fully taxable ; whether the amount subsequently categorised as capital grant had been subject to tax ; how much tax was paid in each case ; and what policy had been applied in previous years to the taxation of public obligation grant.
Mr. Pawsey : To ask the Secretary of State for Transport, pursuant to his answer of 2 February, Official Report, column 763, if he will ask the police scientific development branch to study the use of standard traffic cones to conceal bombs in a recent attack in Northern Ireland and what other cases have been reported of concealing explosive devices in standard traffic cones.
The police are aware of no cases involving the concealment of terrorist devices in traffic cones in Great Britain. They have information about six such cases in Northern Ireland since 1976, the most recent of which, on 12 February, was the first not to have been safely defused. In the light of this new development I have asked for a further assessment to be made, in consultation with those responsible for security arrangements in Northern Ireland, of the case for publicly funded research on transparent cones and will write to my hon. Friend once this has been completed.
Mr. McCartney : To ask the Secretary of State for Health what assessment she has made as to the maintenance of clinical standards in pathology services at the Lister hospital following any decision to award a contract to a private company which takes clinicians out of the management arrangements ; and what steps she will take to monitor the quality of these services.
Mr. Sackville : The Department of Health is advised on the effects on health of air pollutants by two committees of independent experts, the Advisory Group on the Medical Aspects of Air Pollution Episodes and the Committee on the Medical Effects of Air Pollutants. MAAPE advises on the short-term health effects of episodic exposure to air pollutants and has produced three reports, on ozone, sulphur dioxide and oxides of nitrogen. All are available in the Library. COMEAP advises Government on the effects upon health of pollutants in outdoor and indoor air, liaises with other relevant bodies, and assesses existing scientific data, new discoveries and the need for further research. Two sub-groups of COMEAP established in 1993 advise on, respectively, the link between exposure to air pollutants and asthma, and the health effects of particulates.
One research project on the effects of air pollution is being funded directly by the Department of Health. Professor Ross Anderson HR, of St. George's hospital medical school, is currently carrying out research into the air pollution episode in London in December 1991, and its effects on public health.
Column 248There are also a number of studies currently being undertaken in connection with asthma, but which are not solely concerned with atmospheric pollution. The social medicine and health services research unit, which is funded by the Department, is currently undertaking two research projects, due to be completed in 1994, into the incidence of asthma in the United Kingdom and the European Community.
Dr. Lynne Jones : To ask the Secretary of State for Health whether the special training package for doctors seeking approval under section 12(2) of the Mental Health Act 1983, or already approved, has been finalised.
(2) what research her Department has undertaken into the link between milk substitutes and tooth decay.
Mr. Sackville : Only infant formula provides a substitute for breast milk in ensuring a sole source of nutrition for the newborn. The Government published the report from the Committee on Medical Aspects of Food "Dietary Sugars and Human Disease" in 1989, copies of which are available in the Library, which concluded that lactose in milk and milk products is a negligible cause of tooth decay. Lactose is the carbohydrate in the majority of infant formulas retailed in this country.
Infant formulas based on soya protein are available for infants allergic to cow's milk. Some soya-based products are formulated with carbohydrates other than lactose, which are more cariogenic. These products are suitable for infants who cannot digest lactose or for those being reared on a vegan diet.
The proper use of infant formulas is a central feature of long-running programmes of education about feeding babies. These are directed both at parents and at health professionals including dentists. The importance of supervised bottle feeding and the change from bottle to cup feeding are all stressed as part of satisfactory weaning practices which contribute to dental health.
The Department of Health and the Ministry of Agriculture, Fisheries and Food, through the national diet and nutrition survey programme commissioned a survey of children aged one and a half to four and a half years which has included a dental component. Results from this work will be available later this year.
Mrs. Fyfe : To ask the Secretary of State for Health if she will remind general practitioners that it remains her policy that fees for home visits are not permitted ; and if she will make a statement.
Dr. Mawhinney : Fees that may be claimed by general practitioners are adequately set out in the "Statement of Fees and Allowances payable to General Medical Practitioners in England and Wales" and the "Statement of
Column 249Fees and Allowances payable to General Medical Practitioners in Scotland", copies of which are available in Library.
Ms Corston : To ask the Secretary of State for Health (1) how many children were returned to their parents from local authority care subsequent to a diagnosis of Munchhausen's syndrome by proxy in each of the last five years ;
(2) how many children were taken into local authority care after their mothers were diagnosed as suspected or suffering from Munchhausen's syndrome by proxy in each of the last five years.
Mrs. Mahon : To ask the Secretary of State for Health when he intends to publish the results of the internal review into whistle blowing in the NHS ; and how many organisations and individuals were consulted.
Mr. Nigel Evans : To ask the Secretary of State for Health what policy considerations underlie the authorisation of doctors to prescribe methadone ; how they receive a licence to do so ; and how doctors prescribing methadone are monitored.
Mr. Bowis : Methadone is prescribed to opiate users for a range of treatments including detoxification, stabilisation and longer-term treatments. It can be a useful tool in helping to change the behaviour of some drug users towards abstinence and intermediate goals, such as reduction in injecting and the sharing of injecting equipment. "Drug Misuse and Dependence Guidelines on Clinical Management", issued by the Department of Health, includes advice to doctors on the prescribing of methadone. Copies of the guidelines are available in the Library.
Any doctor may prescribe methadone, for which no licence is required. Monitoring of the prescribing of all controlled drugs, including methadone, is carried out by the Home Office drugs inspectorate and is a matter for my right hon. and learned Friend the Secretary of State for the Home Department.
Mrs. Virginia Bottomley : Pursuant to the dissolution of five national health service trusts on 31 March 1993, and their reconfiguration with parts, or all, of other trusts or directly managed units, I propose to create new originating capital debt for the six new trusts equal to the assets transferred to them and therefore to remit the outstanding debt of the five dissolved trusts.
These operations involve no loss to the Exchequer. Her Majesty's Treasury has today presented a minute to the House giving the particulars and circumstances of the proposed remission which it has approved in principle.
Mr. Sackville : Information on the coverage of the 1991 census has been brought together in a 1991 census user guide--No. 58--copies of which have been placed in the Library. One of the methods used to assess the level of coverage was the 1991 census validation survey. The CVS report on coverage will be published before the summer recess.
Information on the quality of answers to census questions will be given in a monitor to be published by the census offices in March. A full report will be published before the end of 1994.
Mr. Hinchliffe : To ask the Secretary of State for Health what are the latest figures available for the incidence of Creuztfeldt-Jakob dementia and related medical conditions in humans ; and what age ranges are involved.
Dr. Mawhinney : A prescription charge is payable in respect of each quantity of a drug or appliance dispensed, unless the patient is entitled to charge exemption or remission. Climagest contains two separate preparations, differentiated by colour, and two prescription charges are, therefore, due when these items are dispensed. The fact that for convenience, and as an aid to patient compliance, the two preparations are supplied in one pack does not alter the patients' liability for prescription charges.
Mr. Hinchliffe : To ask the Secretary of State for Health if she will instruct NHS trusts to release information relating to chief executive and managerial pay increases and levels of staff working within the trust ; and if she will make a statement.
Dr. Mawhinney : National health service trusts are required to publish in annual accounts certain information about the average number of employees by main staff group and the emoluments of their chairmen and board members. From 1 April they will also be required to publish in their annual reports information about the total remuneration of chairmen, executive and non-executive directors.
Mr. Tony Banks : To ask the Secretary of State for Health on how many occasions in the parliamentary year 1992-93 her Department has used (a) statements, (b) a press release alone, (c) a press conference or (d) an answer to a written question as the primary means for a policy decision to be made public.
Mr. Sackville : Major policy decisions are announced to Parliament in the first instance with press conferences or press releases or both used to explain the development and implementation of these policies. Apart from three formal statements to Parliament in 1992-93, it is not possible to determine accurately from our records the other information being sought.
Mr. Blunkett : To ask the Secretary of State for Health 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 England for each year from 1988 onwards.
Mr. Sackville [holding answer 14 February 1994] : The information available is shown in the table. The definition of registered is both registered and enrolled nurses and midwives in hospitals and the community. This gives all qualified nurses, includes senior nurses, but excludes those nurses who have transferred to senior management terms and who cannot be identified separately from other senior managers.
Registered and unregistered nurses and nurses in training in England 1988-92 as at 30 September for each year [TIRE] ----------------------------------------------------------------------------------- Registered |241,920|244,220|242,340|243,250|246,570 Unregistered |92,980 |91,730 |93,560 |90,550 |90,850 Nurses in training |62,950 |62,100 |58,800 |47,340 |34,740 Project 2000 nurses in training<2> |0 |0 |3,000 |10,500 |18,300 Practice nurses<3> |3,480 |4,630 |7,740 |8,780 |9,120 Others<4> |0 |0 |0 |11,050 |6,630 Source: NHS non-medical work force census. <1>Figures are rounded to the nearest 10 whole-time equivalents. <2>The figures for Project 2000 nursing students are approximate. <3>Practice nurses are employed by general practices and do not therefore appear in hospital and community health services statistics. <4>Due to a change in classification of nursing and midwifery staff in 1991 another category of "Others" was created. This category was for those staff whose pay scale did not allow them to be classified as either qualified, unqualified or as a learner.
Mr. Kilfoyle : To ask the Secretary of State for National Heritage when he will answer the questions from the hon. Member for Liverpool, Walton tabled for answer on 24 January regarding the appointments he makes to public bodies.
About 500,000 individual buildings are estimated to be protected.
Mr. Barry Field : To ask the Secretary of State for National Heritage if he will set out the reasons for the hold up in granting permission for the rebuilding of Shalfleet bridge ; and when this bridge was scheduled.
Column 252The bridge is included in the draft revised list for South Wight and, on 20 January, the Isle of Wight joint planning technical unit, which has a copy of the draft list, drew my Department's attention to a planning application for the demolition and rebuilding of the bridge. The unit requested an immediate decision on whether or not the bridge was to be listed.
The effect of listing is that listed building consent is now required, in addition to planning permission, before the bridge can be altered or demolished. An application for listed building consent is at present being considered by the Department of the Environment.
Mr. Brooke : I have not visited the building myself, but my Department receives regular reports on its condition from English Heritage. I refer to the answer given to the hon. Member for Newham, North-West (Mr. Banks) on 31 January at column 516 .