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Number of children born with missing or deformed limbs (ICDs 755.0-755.9)<1> notified to Office of Population Censuses and Surveys in each year 1983-1992 for the Trent and Yorkshire regional health authorities Year |Yorkshire|Trent ---------------------------------------- 1983 |137 |209 1984 |139 |177 1985 |154 |183 1986 |110 |200 1987 |120 |189 1988 |126 |184 1989 |127 |206 1990 |88 |166 1991 |115 |164 1992 |89 |127 <1>International Classification of Diseases 9th revision. Note: Prior to 1990 all malformations, however minor, were reportable to OPCS. In January 1990 an exclusion list was introduced. As a result, minor malformations of the toe, coded to ICD 755.6 were no longer notifiable.
NHS Trusts
Mr. Redmond : To ask the Secretary of State for Health what plans she has to require all NHS health trusts to use NHS in their title.
Dr. Mawhinney : The words "National Health Service" already appear in the full titles of all NHS trusts as recorded in their establishment orders.
South Yorkshire Ambulance Trust
Mr. Blunkett : To ask the Secretary of State for Health (1) how many people were employed by South Yorkshire ambulance trust to work in the stations in (a) 1992 and (b) 1993-94 ;
(2) how many paramedics are employed by South Yorkshire ambulance trust ; and how many have been transferred to work in the station.
Mr. David Porter : To ask the Secretary of State for Health what research her Department has commissioned on the health hazards posed by dog faeces in public places ; and if she will make a statement.
Mr. Sackville : The Department has not commissioned any recent research in this area.
The Public Health Laboratory Service communicable disease surveillance centre monitors human infections including those which may be transmitted from dog to man through the inadvertent ingestion of faeces from infected dogs or soil, environment, food or water contaminated by the source. The CDSC and Central Veterinary Laboratory are currently undertaking a study into the transmission of campylobacter from puppies to humans. Also, a multidisciplinary group on human toxocara infections, initiated by CDSC, has been convened within the United Kingdom, the primary aim of which is to investigate cases of childhood toxocariasis.
The Department takes the health risks posed by dog mess very seriously and strongly encourages adherence to basic hygiene procedures, such as wearing gloves when gardening and washing hands after gardening or, with children, when they have been playing in the garden or parks, et cetera, as well as responsible dog ownership.
Medical Negligence
Mr. Milburn : To ask the Secretary of State for Health how many medical negligence claims involving the NHS were brought in each year since 1987-88 in each region.
Dr. Mawhinney : This information is not available centrally.
Mr. Milburn : To ask the Secretary of State for Health how many medical negligence claims involving the NHS were settled in each year since 1987-88 ; and what were the costs involved in each region.
Dr. Mawhinney : Before the introduction of the national health service indemnity scheme in January 1990, no information was collected on the number of costs of medical negligence claims. For the financial years 1990-91 and 1991-92, the information obtained from NHS bodies on the number of cases settled and the total costs of damages awarded and legal costs is shown in the table, though for the latter the returns are incomplete. For 1992-93, the information is not yet available.
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Region |1990-91 cases|Cost £ |1991-92cases |Cost £ ---------------------------------------------------------------------------------------- Northern |109 |1,612,542 |207 |3,310,101 Yorkshire |152 |4,604,209 |111 |3,302,305 Trent |73 |2,611,419 |119 |2,068,685 East Anglian |38 |1,359,416 |88 |1,736,907 North West Thames |89 |8,550,981 |221 |6,953,648 North East Thames |136 |8,463,955 |108 |5,888,020 South East Thames |n/k |6,117,511 |106 |7,113,075 South West Thames |104 |3,233,021 |90 |4,663,394 Wessex |52 |1,525,320 |51 |918,639 Oxford |231 |2,257,063 |131 |3,338,657 South Western |56 |2,104,301 |83 |2,872,417 West Midlands |154 |3,157,255 |145 |2,572,646 Mersey |218 |1,420,924 |108 |1,002,181 North Western |183 |2,580,467 |145 |4,729,832 SHAs |23 |3,638,822 |38 |876,858 n/k= Not known.
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Consultants
Ms Primarolo : To ask the Secretary of State for Health (1) what has been the total expenditure within the NHS on independent private management consultants in the last 12 months ; and how many have been employed ;
(2) what has been the total expenditure within the NHS on independent financial consultants in the last year ; and how many have been employed.
Mr. Sackville : Expenditure on financial and management consultants is included on the annual financial return under the category "external contract staffing and consultancy services", and cannot be separately identified. The figures could include non-clinical services provided by outside bodies in areas such as cleaning, accountancy and computer services.
GP Fundholders
Ms Primarolo : To ask the Secretary of State for Health how many fundholders overspent their budget in (a) 1991-92 and (b) 1992-93.
Dr. Mawhinney : In 1991-92, 49 of the 294 general practitioner fundholders overspent their budgets. Final audited information is not yet available for 1992-93.
Public Relations
Ms Primarolo : To ask the Secretary of State for Health what has been the total expenditure within the NHS on independent public relations companies in the last 12 months ; and how many have been employed.
Mr. Sackville : I refer the hon. Member to the reply I gave the hon. Member for Darlington (Mr. Milburn) on 16 February, Official Report , column 866.
Child Care
Ms Harman : To ask the Secretary of State for Health (1) how much her Department spends on child care provision for the under-fives and out- of-school provision for children aged over five either directly, excluding provision for departmental staff, or indirectly through resources made available to local authorities or other organisations ; what form of provision is thereby provided ; how many places are thereby provided ; and if she will make a statement on child care ; (2) if she will make a statement about child care.
Mr. Bowis : The Government are committed to encouraging expansion of independent day care services. The pattern and levels should be determined at local level by local authorities, voluntary bodies, the private sector, employers and individuals--including parents, working together. The Children Act 1989 gives local authorities a strategic duty for day care, which ensures coherent and sensible expansion, building on the recent growth in day nurseries, numbers of childminders and other types of service.
Information on local authority expenditure on child care is not available centrally by separate age group. Standard spending for children's services generally in 1993-94 is £1,723 million, 16 per cent. higher in real terms than in 1990-91.
The latest statistics on day care provision are in "Children's Day Care Facilities at 31 March 1992--England", a copy of which is in the Library.
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Detailed information about the cost and level of nursery provision in the national health service is not available centrally. It is for individual NHS employers to provide for the child care needs of their staff in the light of local recruitment and retention needs. The Department has an active programme of grant aid to voluntary organisations to support the development of innovative services. During 1993-94 over £2.3 million has been made available to support 13 national voluntary organisations, including the National Childminding Association, the Pre-School Playgroups Association and the Kids' Club Network. The Department's out-of-school initiative, which involves national and local voluntary organisations in the management of projects, is pump priming expansion of day care for school age children. It complements the Department of Employment's child care grant to training and enterprise councils.Skin Cancer
Ms Primarolo : To ask the Secretary of State for Health how many people in the last two years have (a) been diagnosed as having skin cancer and (b) have died from skin cancer ; and if she will make a statement.
Mr. Sackville : The information is shown in the tables :
Number of newly diagnosed cases of skin cancer
<1>(ICDs 172and 173) in
England and Wales 1987-88
ICD |172 |173
|(Malignant |(Other
|melanoma of|malignant
|skin) |neoplasm of
|skin)
Year
------------------------------------------------
1987 |3,139 |26,246
1988 |3,882 |31,998
Number of people who have died from skin cancer
<1>(ICDs 172and 173)
in England and Wales 1987-92
ICD |172 |173
|melanoma of|malignant
|skin) |neoplasm of
|skin)
Year
------------------------------------------------
1987 |1,030 |441
1988 |1,078 |430
1989 |1,099 |447
1990 |1,170 |436
1991 |1,169 |465
1992 |1,142 |486
<1>International Classification of Diseases,
ninth revision.
Multiple Sclerosis
Mr. Gordon Prentice : To ask the Secretary of State for Health what research is currently being undertaken in the United Kingdom on the causes of, and cure for, multiple sclerosis ; and by how much the Government have grant aided the research institutions in each year since 1987.
Mr. Waldegrave : I have been asked to reply.
The main agency through which the Government support medical and related biological research is the Medical Research Council, which receives its grant in aid from my Department. The MRC is an independent body
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deciding what research to support in the light of its own judgment of priorities and the quality of research applications it receives. The council is always willing to consider soundly based scientific proposals in competition with other applications for research funding.The MRC supports a wide range of neurological research relevant to multiple sclerosis, in particular studies of the neuromuscular system. The 1992-93 funding in this area was a total of £13.3 million. The council's specific expenditure on multiple sclerosis in the period 1987-88 to 1992-93 was as follows :
Financialyear |£ ------------------------------------------ 1987-88 |297,000 1988-89 |216,000 1989-90 |181,000 1990-91 |181,000 1991-92 |80,000 1992-93 |64,000
In addition, the MRC's new initiative on the neurosciences approach to human health will help to promote several approaches which may be relevant to the disease.
Besides MRC-funded work, there is also research being undertaken in various universities and NHS hospitals with public funding. However, information is not collected centrally on other Government-funded research on multiple sclerosis.
Doctors (Management of Services)
Ms Lynne : To ask the Secretary of State for Health what measures she is currently taking to encourage the involvement of doctors and other medical staff in the management of services.
Dr. Mawhinney [holding answer 11 March 1994] : Ensuring effective collaboration between clinicians and managers has been central to the reforms in national health service management.
One of the basic elements of the resource management programme in the hospital and community health services was the encouragement of clinical staff to become involved in management. This led in many cases to the appointment of doctors and other health professionals as clinical directors. Most NHS trusts now have a medical director on their board, contributing to their strategic and operational management.
The need for managers and clinicians to work closely together is essential to the success of contracting. Guidance has been issued to purchasers and providers requiring them to involve clinicians and other professionals in the contracting process. The need to involve doctors and nurses in the contracting process was also stressed in the second of my speeches on "Purchasing for Health" last year. Encouraging general practitioners to join the GP fundholding scheme brings them in to the heart of NHS management and patients have clearly benefited from the more sensitive management of NHS resources which this brings.
Opportunities for specific training in aspects of management are available to doctors during their postgraduate training and are included in continuing education programmes.
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The National Health Service Management Executive also supports, and partly funds, the British Association of Medical Managers, whose overall aim is to achieve the highest quality in health care management.CHURCH COMMISSIONERS
Clergy Numbers
31. Mr. Harry Greenway : To ask the right hon. Member for Selby, representing the Church Commissioners, what projections the Church Commissioners are using of future numbers of clergy and their pay ; and if he will make a statement.
Mr. Alison : I refer the hon. Gentleman to the answers I have just given to the hon. Members for Aylesbury (Mr. Lidington) and for Newham, North-West (Mr. Banks).
Stipends
32. Mr. Simon Hughes : To ask the right hon. Member for Selby, representing the Church Commissioners, what advice the Church Commissioners have given to the diocese about the contribution to be made by the diocese towards stipends and pensions in each of the next five years.
Mr. Alison : The commissioners have recently discussed with dioceses their projected support for stipends and expenditure on pensions up to 1997. In 1993, the commissioners met 37 per cent. of the total stipends bill, with the remaining 63 per cent. provided from parishes, fees and diocesan income. By 1997, that figure is likely to rise to 80 per cent. as a consequence of cuts in the commissioners support. The longer-term funding of pensions, which currently take up 44 per cent. of the commissioners' income, is being considered by the commissioners and pensions board in the light of actuarial advice and a range of possible options will be discussed with dioceses and others later this year.
33. Mr. Flynn : To ask the right hon. Member for Selby, representing the Church Commissioners, what changes have occurred in the past three years in the funds available to the Church Commissioners.
Mr. Alison : The Church Commissioners manage the Church's centralised historic assets ; it is a "closed fund" with no new contributions coming in. The commissioners' assets were valued at £2.4 billion at 31 December 1990, £2.3 billion in 1991 and £2.2 billion in 1992 ; their investment income was £164.5 million, £169.5 million and £168 million respectively. 1993 figures are not yet available.
Assets Committee (Investments)
34. Mr. Clifton-Brown : To ask the right hon. Member for Selby, representing the Church Commissioners what procedural changes have been made in the reporting mechanism from the assets committee to the Church Commissioners on investment performance.
Mr. Alison : The Church Commissioners'board of governors has recently taken a number of steps to strengthen the commissioners' financial management and accountability. The board's actions come as a direct result of the recommendations of the Lambeth report and are part of an ongoing process to address all the issues raised in it.
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The board has strengthened its relationship with the commissioners' assets committee through general rules under which the assets committee is to work. These provide for the assets committee :To review, at least annually with external professional advice, asset allocation and investment performance.
To manage the Commissioners' assets with full regard to the commissioners' ethical policy approved by the Board on the recommendation of the assets committee.
To seek the express approval of the board before any new borrowing.
To report quarterly to the board.
The rules are designed to offer direction and guidance to the assets committee and to reinforce the link between the two bodies.
Theological Colleges
35. Mr. Roger Evans : To ask the right hon. Member for Selby, representing the Church Commissioners, what steps the Church Commissioners are taking to ensure that theological colleges which receive their financial support comply with the law in respect of canon C7.
Mr. Alison : This is not a matter for the Church Commissioners. The cost of training is met from General Synod and other funds, not from the commissioners. The training of candidates for ordination is carried out under the direction of the House of Bishops, which is advised by the Advisory Board of Ministry.
Pensions Board (Discretionary Help)
Mr. Frank Field : To ask the right hon. Member for Selby, representing the Church Commissioners what instructions the pensions board has been given for those applying for discretionary help under the Ordination of Women (Financial Provisions) Measure 1993 ; and if he will make a statement.
Mr. Alison : The pensions board has formulated internal guidelines, in consultation with the commissioners, for
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handling applications for discretionary provision. The board will consider each case on an individual basis, having regard to those guidelines.SCOTLAND
Contracts
Mr. David Marshall : To ask the Secretary of State for Scotland what representations he has received on the practice of United Kingdom companies imposing contracts on domestic consumers in Scotland which state that the governing law of the contract shall be English law.
Lord James Douglas-Hamilton : An examination of records held by the Scottish Office has revealed no such representations.
Health Boards
Mr. Donohoe : To ask the Secretary of State for Scotland what procedures are used by Ayrshire and Arran health board to verify the credentials of individuals seeking employment with the health board.
Mr. Stewart : The procedures used by Ayrshire and Arran health board to verify the credentials of a potential candidate will depend on the qualifications requirement for the post in question. References are taken up in respect of all potential employees.
Mr. Donohoe : To ask the Secretary of State for Scotland if he will list the parliamentary constituencies covered by each of Scotland's health boards ; and if he will list the names of the general managers and chief executives and the correspondence addresses of each of the boards.
Mr. Stewart : The information requested is contained in the table.
Column 541
Health Board |GeneralManager |Address |Constituencies
|covered
---------------------------------------------------------------------------------------------------------------------------------------------------------------------
Argyll and Clyde |Mr. I. C. Smith |GilmourHouse |Argyll and Bute
|Paisley |Paisley North,
|PA1 1DU |Paisley South,
|Dumbarton,
|Greenock and Port Glasgow
|Renfrew West and Inverclyde
Ayrshire and Arran |Mr. J. M. Eckford OBE |PO Box 13 |Cunninghame North
|Seafield House |Cunninghame South
|Doonfoot Road |Ayr
|Ayr |Kilmarnock and Loudoun
|KA7 4DW |Carrick Cumnock and Doon Valley
Borders |Mr. D. A. Peters OBE |Huntleyburn |Tweeddale Ettrick and Lauderdale
|Melrose |Roxburgh and Berwickshire
|Roxburghshire
|TD6 9BP
Dumfries and Galloway |Mr. D. Banks |Nithbank |Dumfries
|Dumfries |Galloway and Upper Nithsdale
|DG1 2SD
Fife |Miss P. Frost |Springfield House |Dunfermline West
|Cupar |Dunfermline East
|Fife |Kirkcaldy
|KY15 5UP |Central Fife
|North East Fife
Forth Valley |Mr. D. Hird |33 Spittal Street |Clackmannan
|Stirling |Stirling
|FK8 1DX |Falkirk East
|Falkirk West
Grampian |Mr. F. Hartnett OBE |Summerfield House |Aberdeen North
|2 Eday Road |Aberdeen South
|Aberdeen |Kincardine and Deeside
|AB9 1RE |Gordon
|Moray
|Banff and Buchan
Greater Glasgow |Mr. T. A. Divers (Acting) |112 Ingram Street |Clydebank and Milngavie
|Glasgow |Strathkelvin and Bearsden
|G1 1ET |Garscadden
|Maryhill
|Springburn
|Provan
|Shettleston
|Rutherglen
|Central
|Cathcart
|Eastwood
|Pollock
|Govan
|Hillhead
Highland |Dr. G. Stone |Reay House |Caithness and Sutherland
|17 Old Edinburgh |Ross Cromarty and Skye
| Road |Inverness Nairn and Lochaber
|Inverness
|IV2 3HG
Lanarkshire |Prof. F. Clark CBE |14 Beckford Street |Cumbernauld and Kilsyth
|Hamilton |Monklands West
|ML3 OTA |Monklands East
|Motherwell North
|Motherwell South
|Hamilton
|Clydesdale
|East Kilbride
Lothian |Mr. J. Lusby |148 The Pleasance |Edinburgh Central
|Edinburgh |Edinburgh East
|EH8 9RR |Edinburgh West
|Edinburgh South
|Edinburgh Pentlands
|Leith
|Linlithgow
|Livingston
|East Lothian
|Mid Lothian
Orkney |Mr. G. Jackson |Balfour Hospital |Orkney and Shetland
|New Scapa Road
|Kirkwall
|Orkney
|KW15 1BQ
Shetland |Mr. B. J. Atherton |Brevik House |Orkney and Shetland
|South Road
|Lerwick
|Shetland
|ZE1 ORB
Tayside |Miss L. Barrie |PO Box 75 |Dundee East
|Vernonholme |Dundee West
|Riverside Drive |Perth and Kinross
|Dundee
|DD1 9NL |Angus East
Western Isles |Mr. R. Mullen |37 South Beach |Western Isles
| Street
|Stornoway
|Isle of Lewis
|PA87 2BN
Column 545
NHS Trusts
Mr. Donohoe : To ask the Secretary of State for Scotland if he will list the parliamentary constituencies and health board areas within which each of Scotland's NHS
Column 546
trusts lies ; and if he will list the names of the general managers and chief executives and the correspondence addresses of each of the NHS trusts in Scotland.Mr. Stewart : The information requested is contained in the following table.
Column 545
NHS Trust |Health Board Area |Chief Executive |Trust Address |Parliamentary
|constituency
--------------------------------------------------------------------------------------------------------------------------------------------
Aberdeen Royal Hospitals |Grampian |Mr. J. BarbourOBE |Foresterhill House |Aberdeen North
|Ashgrove Road West
|Aberdeen
|AB9 1ZB
Ayrshire and Arran Community Healthcare |Ayrshire and Arran |Mr. H. Sutherland |1A Hunters Avenue |Ayr
|Ayr
|KA8 9DW
Caithness and Sutherland |Highland |Mr. G.Buchanan |Caithness General |Caithness and
| Hospital | Sutherland
|Wick
|Caithness
|KW1 5LA
Dundee Teaching Hospitals |Tayside |Mr. T. E. W.Brett |Ninewells Hospital |Dundee West
|Dundee
|DD1 9SY
Grampian Healthcare |Grampian |Mr. J.Taylor |Westholme |Aberdeen North
|Woodend General
| Hospital
|Eday Road
|Aberdeen
|AB2 6LR
Monklands and Bellshill Hospitals |Lanarkshire |Mr. J.Currie |Monklands District |Monklands East
|General Hospital
|Monks Court Avenue
|Airdrie
|ML6 OJS
Moray Health Services |Grampian |Mrs. E.Hogg |Maryhill House |Moray
|317 High Street
|Elgin
|Moray
|IV30 1AJ
North Ayrshire and Arran |Ayrshire and Arran |Mr. D.J. Fraser |Crosshouse Hospital|Kilmarnock and
|Kilmarnock | Loudoun
|KA2 OBE
Raigmore Hospital |Highland |Mr. K. G.Mackie |Raigmore Hospital |Inverness Nairn and
|Perth Road | Lochaber
|Inverness
|IV2 3UJ
Royal Alexandra Hospital |Argyll and Clyde |Mr. M. F.Hill |Corsebar Road |Paisley South
|Paisley
|PA2 9PN
Royal Scottish National and Community |ForthValley |Mr. D. Pollacchi |Old Denny Road |Falkirk West
|Larbert
|FK5 4SD
South Ayrshire Hospitals |Ayrshire and Arran |Mr. D.McNeil |The Ayr Hospital |Ayr
|Dalmellington Road
|Ayr
|KA6 6DX
Southern General Hospital |Greater Glasgow |Mr. R.Calderwood |Southern General |Govan
| Hospital
|1345 Govan Road
|Glasgow
|G51 4TF
Stirling Royal Infirmary |Forth Valley |Mr. K. W. O.Thomson|Stirling Royal |Stirling
| Infirmary
|Livilands
|Stirling
|FK8 2AU
Victoria Infirmary |Greater Glasgow |Mr. J. G.Connaghan |Queens Park House |Glasgow Central
|Langside Road
|Glasgow
|G42 9TT
West Lothian |Lothian |Mr. P. B. Taylor |St.John's Hospital |Livingston
| at Howden
|Livingston
|West Lothian
|EH54 6PP
Yorkhill |Greater Glasgow |Mr. G. Marr |Royal Hospital for |Hillhead
| Sick Children
|Yorkhill
|Glasgow
|G3 8SJ
Management Systems
Dr. Lynne Jones : To ask the Secretary of State for Scotland how much his Department's computer-aided facilities management systems cost ; from whom they were purchased ; how many person hours were required to commission them ; what the estimated and actual saving has been from their operation ; and to what extent the use of such systems accounts for the apparent rise in theft noted in his answer to the hon. and learned Member for Fife, North-East (Mr. Campbell) of 17 February, Official Report, column 961.
Mr. Lang : The Scottish Office does not have an integrated computer- aided facilities management system. Computers which also perform other functions provide some elements of such a system. Sun Hardware is used, which was acquired from Design Computer-Aids Ltd. Information about the cost of the facilities management elements, the time required to commission them and the savings resulting from their operation cannot be separately identified. No part of the system has been stolen.
Forestry
Mr. McFall : To ask the Secretary of State for Scotland if Forest Enterprise will co-operate with customers who wish to conduct inspections of its operations in order to satisfy consumer demands for independently certified timber.
Sir Hector Monro [holding answer 3 March 1994] : Forest Enterprise is always willing to show its customers, and the general public, how it manages Forestry Commission woodland. However, there is no need to duplicate the inspections already carried out by the Forestry Authority arm of the Commission. Forest Enterprise is required to follow the environmental guidelines published by the authority and prepared in consultation with forestry industry and environmental organisations.
Column 548
Blood Supplies
Mrs. Fyfe : To ask the Secretary of State for Scotland (1) what is the price per unit of supplies of blood and plasma to Health Care International ; and on what date this price was set ;
(2) if the price per unit of supplies of blood and plasma to private hospitals is the same for all ; and how frequently the price per unit is reviewed ;
(3) what is the current minimum cost at which blood and plasma can be supplied to private hospitals.
Mr. Stewart [holding answer 10 March 1994] : The charges for the supply of blood or blood products made by the Scottish Blood Transfusion Service are the same to all private hospitals including Health Care International. The current charges were fixed in October 1993 to come into effect from 1 April 1994 and are reviewed annually. There is no minimum as the charges reflect actual costs and are as follows :
|£
------------------------------------------------------------------
Whole Blood |64.00
Red Cell Concentrate |36.75
Specialised (Washed) RCC |66.75
Specialised (Filtered) RCC |61.75
Specialised (Frozen) RCC |166.75
Platelet Concentrate (random donation) |30.25
Platelet Concentrate (apheresis donation) |150.00
Fresh Frozen Plasma (220 ml) |29.50
Cryoprecipitate |27.50
Stable Plasma Protein Solution (4.5 per cent.)(18g) |30.00
There are a number of other blood products which are derived from blood donations. These are not usually required by private hospitals but if they were and there was a surplus to NHS needs, the price would be calculated on application.
Mrs. Fyfe : To ask the Secretary of State for Scotland (1) what percentage of total blood supplies was supplied to private hospitals over the last five years ;
(2) what percentage of total plasma supplies was supplied to private hospitals over the last five years ;
(3) what are the projected levels of demand for blood and plasma from private hospitals over the next five years.
Column 549
Mr. Stewart [holding answer 10 March 1994] : The information is as follows :
Percentage
Year |Total blood |Total plasma
|supplied |supplied
----------------------------------------------------
1988-89 |0.97 |0.42
1989-90 |0.94 |0.48
1990-91 |0.90 |0.53
1991-92 |0.79 |0.46
1992-93 |0.89 |0.57
No estimate of projected levels of demand from private hospitals has been made since the priority is to meet NHS demands and only surplus over-needs will be available to the private hospitals.
Column 550
Mr. Blunkett : To ask the Secretary of State for Scotland (1) what was (a) the number of blood donors, (b) the quantity of blood donated and (c) the amount of blood required for each health board for each month since April 1993 ;
(2) in how many of the Scottish health board areas there is a surplus of donated blood ; and in which areas blood plasma is in short supply.
Mr. Stewart [holding answer 10 March 1994] : Monthly figures for the regional centres could be provided only at disproportionate cost. The available information is as follows :
Column 549
Blood Transfusion |Number of registered|Number of donations |Number of issues of
Region
|donors |of blood from 1 |whole blood 1 March
|April
|1993 to January 1994|1993 to 30 June 1993
-----------------------------------------------------------------------------------------------------------------------
North ofScotland |21,988 |13,067 |126
Aberdeen and North East ofScotland |35,762 |23,243 |294
East of Scotland |29,356 |22,309 |195
Edinburgh and South East Scotland |86,368 |60,332 |243
Glasgow and West of Scotland |219,264 |116,212 |15
|------- |------- |-------
Total |392,738 |235,163 |873
Note 1
The number of issues of blood to health bodies within Health Board areas is equal to their requirements. Regional
Centres extract fresh blood components from donations and send the remaining plasma to the Protein Fractionation
Centre for processing into blood products and which are then issued to hospital and other NHS users.
The Regional Centres are self sufficient in whole blood and all fresh blood and plasma products. Blood plasma is not
in short supply in any area in Scotland.
Mrs. Fyfe : To ask the Secretary of State for Scotland (1) how many units of blood and plasma are to be supplied annually by the Scottish blood transfusion service to Health Care International ; and what percentages these amounts will form of total blood and plasma supplies ;
(2) if there is an upper limit contained within the Transfusion Service's supply contract for the supply of blood to Health Care International ;
(3) what are the projected levels of demand for blood and plasma from Health Care International over the next five years.
Mr. Stewart [holding answer 10 March 1994] : Under the contract, the Scottish National Blood Transfusion Service will supply the undernoted maximum number of units of fresh blood components and plasma annually, subject to NHS needs in Scotland being met first. The contract will be kept under continuous review and the level of demand over the next five years placed on the Scottish National Blood Transfusion Service will relate to availability of supplies.
|Unit |Quantity
--------------------------------------------------------------
Red cell concentrate |donation |5,000
Platelets-single donor |procedure |600
-random |donation X 5|100
Fresh frozen plasma |donation |800
Cryoprecipitate |donation |56
The SNBTS will also supply to Health Care International processed stable plasma protein solution made from plasma after other components have been
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removed and made into pharmaceutical products for use within the NHS. The maximum amount of SPPS to be supplied is as follows :
|Unit |Quantity
----------------------------------------------------------------------------
SSPS (18 gram) |400 mls |Up to a maximum
|of 4,000 units (if
|available)
If the maximum units specified in the contract are supplied in response to clinical needs this will represent 2 per cent. of the total number of units supplied in Scotland.
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