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Number of dentists who have deregistered patients and number of patients deregistered 3 July to 4 March 1994, by regional health authority area Region |Number of dentists |Number of adult |Number of dentists |Number of child |deregistering adult|patients |deregistering child|patients |deregistered |deregistered |patients<1> |patients<1> ------------------------------------------------------------------------------------------------------------------------ Northern |51 |19,519 |14 |256 Yorkshire |218 |31,476 |27 |276 Trent |153 |38,658 |19 |48 East Anglia |113 |41,235 |9 |114 North West Thames |101 |17,057 |6 |65 North East Thames |119 |22,872 |15 |126 South East Thames |444 |87,433 |28 |316 South West Thames |139 |67,454 |1 |4 Wessex |120 |62,226 |1 |2 Oxford |220 |74,036 |4 |30 South Western |331 |113,584 |33 |441 West Midlands |121 |28,477 |13 |57 Mersey |106 |8,071 |6 |19 North Western |254 |30,962 |78 |214 <1> Some dentists may have deregistered both adult and child patients.
Mr. Sackville : The total amount of revenue raised in England in 1992-93 from charges to patients within the national health service was £844,166,453. This figure covers the whole range of charges which may be made to patients by NHS bodies and includes ; prescription charges ; dental charges ; the sale of dried baby milk under the welfare food scheme ; and charges to patients in both NHS trust hospitals and directly managed units, including private patients in NHS hospitals.
Mr. Redmond : To ask the Secretary of State for Health what discussions her Department has held with the Trent regional health authority and Doncaster health authority concerning the incidence of upper limb defects in children within the Trent regional health authority and Doncaster health authority areas.
Mr. Redmond : To ask the Secretary of State for Health (1) what contacts have taken place during investigations of limb defects in the area of the Trent regional health authority and Doncaster health authority between the authorities and the British Medical Association and other organisations ;
ich agencies in the Trent regional health authority are charged with monitoring the incidence of limb defects in children born withithe health authority's area. Mr. Sackville : These are matters for the Trent regional health authority. The hon. Member may wish to contact Sir Michael Carlisle, the chairman, for details.
Mr. Cohen : To ask the Secretary of State for Health how copyright can be used to protect the NHS number ; and whether copyright would prevent the NHS number from being used by other Government Departments, the police or security services.
Mr. Sackville : Copyright infringement, of the use of the national health service number system outside of the NHS, will be taken up by the Controller Her Majesty's Stationery Office, by way of injunction and damages.
Column 832Copyright does not cover the use of the NHS number by other Government Departments. However, there is no intention to use the NHS number for anything other than NHS purposes.
Year |Grants to |Practice |Practice |General |Teams and |Teams and |Medical |Premises- |Premises- |Service |Improvements|Improvements |Trainers |REVENUE |CAPITAL |£ |£ |£ ----------------------------------------------------------------- 1990-91 |38,498 |-<1> |<1>2,491 1991-92 |42,399 |13,886 |76,444 1992-93 |27,472 |50,130 |100,514 Notes to table: 1. <1>In 1990-91 the expenditure was reported on a different basis to that in subsequent years i.e. as "Improvement Grants", not analysed between revenue and capital. 2. 1992-93 figures are subject to National Audit Office approval. Source: Doncaster Family Health Services Authority's annual accounts.
Dr. Wright : To ask the Secretary of State for Health if all health authorities and NHS hospitals have yet published details of both the number of complaints received and how long it has taken to deal with them ; and what progress has been made in centrally collecting and publishing this information.
Dr. Mawhinney : All district health authorities have published annual reports on patients charter performance, including data on the right to complain. This means that information is available locally on the handling of complaints. We will be reviewing the information we collect on complaints and publish centrally, in the light of recommendations of Professor Wilson's independent review committee on national health service complaints procedures, and those made by the Select Committee on the Parliamentary Commissioner for
Mr. Bowis : The Government recognise the importance of the family as providing the essential environment for bringing up children and we give every priority and encouragement to the family in the development of policies. It seeks to ensure that all policies take account of their impact on families.
Government policy seeks to enable families to be self-supporting. The role of my right hon. Friend the Secretary of State for Health will be to explain how the Government's policy initiatives affect the family.
My right hon. Friend the Secretary of State for Social Security will continue to handle the day-to-day co-ordination of the Government's contribution to the United Nations International Year of the Family.
Mr. Sackville : The available information is shown in the table. The numbers of men and women who married at ages 16, 17 and 18 during the last three years for which the information is available are :
England and Wales Year of marriage Age |1989 |1990 |1991 ------------------------------ Men 16 |46 |50 |35 17 |357 |259 |203 18 |1,974|1,598|1,258 Women 16 |814 |647 |516 17 |2,549|2,028|1,723 18 |8,657|6,934|5,724 Source: Marriage and divorce statistics, England and Wales, Series FM2, Office of Population Censuses and Surveys, HMSO.
Dr. Mawhinney : In the 1985-86 and 1989-90 surveys of general practitioners' workload, the reported average weekly time spent on practice administration associated with the provision of general medical services was 1.78 hours and 2.48 hours respectively. A further such survey ran for a year from November 1992 ; interim results, based on the first seven months' data, give a reported average of 3.53 hours a week.
Dr. Mawhinney : New arrangements for health promotion in general practice, based on modern authorative medical opinion and in line with "The Health of the Nation" strategy, were introduced on 1 July 1993. Practice- based health promotion programmes play an important part in helping people to improve their health.
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 10 February, Official Report, column 346, on general practitioner fundholders preparatory allowances, what information she has received from regional health authorities in relation to the number of general practitioners who have received the preparatory management allowance in two or more years running.
Mr. Hinchliffe : To ask the Secretary of State for Health what is her policy in respect of general practitioner fundholders both prescribing and dispensing drugs ; what proposals she has to change this policy ; and if she will make a statement.
practitioners--whether they are fundholders or
non-fundholders--provides an important service. There are no plans to change this policy.
Mr. Sackville : The code of practice will reinforce and build on my Department's existing arrangements for the provision of information. Operational details are being finalised and will be available in due course.
Dr. Mawhinney : Information on waiting times for in-patient and day case treatment by specialty for district health authorities and trusts is given in "Hospital Waiting List Statistics : England". The latest published figures are for September 1993 and copies are available in the Library. Although information is available on waiting times for various paediatric specialties, orthodontic treatment for children is not separately listed.
Mr. Sackville : Advice to Government, including both this Department and the Department of Trade and Industry, about radiation matters is provided by the National Radiological Protection Board. New electric lines above ground, with the exception of connections to individual customers and certain very minor developments, require the consent of my right hon. Friend the President of the Board of Trade who may also grant deemed planning permission.
I refer the hon. Member to the reply I gave him on 21 February at columns 40-41 concerning the question of any health risk.
Mr. Blunkett : To ask the Secretary of State for Health if she will place a copy of her Department's written evidence to the Monopolies and Mergers Commission on private medical services in the Library.
Mr. Sackville : The Department's evidence is summarised in paragraphs 10.2 to 10.9 of the Monopolies and Mergers Commission's report on private medical services, a copy of which is available in the Library.
Ms Primarolo : To ask the Secretary of State for Health what guidelines she has issued regarding the offer by NHS staff employed by trusts of private treatment to NHS patients in hospital accident and emergency departments ; and if she will make a statement.
Mr. Blunkett : To ask the Secretary of State for Health how many NHS consultants, by specialty, undertaking work in the private sector have failed to meet fully their contractual obligations to the NHS for each of the last five years.
Dr. Mawhinney : National health service employers are responsible for satisfying themselves that consultants are fulfilling their contractual obligations. The information requested is not available centrally.
Mr. Hinchliffe : To ask the Secretary of State for Health what guidance she has issued to regional health authorities, district health authorities, family health services authorities and trusts on the use of private hotels.
Mr. Sackville : Any change to the legal classification of such medicines to allow them to be supplied by pharmacists without prescription would be subject to statutory consultation with all interested organisations.
Dr. Mawhinney : The information is shown in the table. Since July 1992 there has been a net increase of over 600,000 patients registered with 264 dentists in contract with family health services authorities.
Number of dental patients deregistered, from 3 July 1992 to 11 March 1994, by Family Health Service Authority England FHSA |Number of |patients |deregistered -------------------------------------------------------------- All FHSAs |647,593 Cleveland |2,636 Cumbria |13,403 Durham |347 Northumberland |2,665 Gateshead |725 Newcastle-upon-Tyne |- North Tyneside |3 South Tyneside |16 Sunderland |- Humberside |10,949 North Yorkshire |9,710 Bradford |- Calderdale |876 Kirklees |691 Leeds |8,790 Wakefield |936 Derbyshire |19,235 Leicestershire |13,161 Lincolnshire |- Nottinghamshire |4,853 Barnsley |- Doncaster |23 Rotherham |394 Sheffield |1,492 Cambridgeshire |5,264 Norfolk |29,038 Suffolk |7,187 Bedfordshire |1,317 Hertfordshire |7,113 Barnet |4,871 Brent and Harrow |1,551 Ealing, Hammersmith and Hounslow |35 Hillingdon |- Kensington, Westminster and Chelsea |2,288 Essex |14,947 Barking and Havering |3,858 Camden and Islington |313 City and East London |751 Enfield and Haringey |981 Redbridge and Waltham Forest |2,214 East Sussex |15,304 Kent |54,585 Greenwich and Bexley |4,392 Bromley |13,206 Lambeth, Southwark and Lewisham |446 Surrey |27,404 West Sussex |35,481 Croydon |1,945 Kingston and Richmond |1,016 Merton, Sutton and Wandsworth |1,756 Dorset |22,886 Hampshire |24,365 Wiltshire |11,525 Isle of Wight |3,634 Berkshire |26,057 Buckinghamshire |18,818 Northamptonshire |3,124 Oxfordshire |26,240 Avon |15,478 Cornwall and Isles of Scilly |14,729 Devon |27,721 Gloucestershire |52,618 Somerset |4,042 Hereford and Worcester |4,181 Shropshire |684 Staffordshire |7,801 Warwickshire |9,676 Birmingham |2,268 Coventry |1,598 Dudley |- Sandwell |- Solihull |2,507 Walsall |- Wolverhampton |- Cheshire |6,474 Liverpool |430 St. Helens and Knowsley |19 Sefton |590 Wirral |604 Lancashire |25,440 Bolton |632 Bury |675 Manchester |298 Oldham |- Rochdale |1,904 Salford |151 Stockport |1,279 Tameside |742 Trafford |245 Wigan |-
Mrs. Clwyd : To ask the Secretary of State for Health if she will list for each civil service grade in her Department (a) the total number of persons employed and (b) the percentage of this figure that are women.
Total number of staff employed in the Department of Health Grade (including |Total grade equivalents) |(percentage) ---------------------------------------------------------------------------- UG1 |3 |0 UG2 |8 |0 UG3 |25 |18 UG4 |28 |39 UG5 |204 |38 UG6 |136 |32 UG7 |575 |26 SEO |402 |29 HEO |724 |45 EO |972 |58 AO |1,333 |74 AA |529 |57 Others<1> |166 |42 |--- |-- Total |5,110 |52 <1> There are a number of grades, mainly on Youth Treatment Service, which do not easily equate to Unified Grades. Note: Casual staff have been excluded, as have staff on loan to other government departments, on maternity leave of more than three months, and on unpaid career breaks/study leave.
Mr. Blunkett : To ask the Secretary of State for Health how many meetings she has held over the past year with representatives of private medical service providers ; and if she will give details of the identity of participants and the nature of the discussions.
Mr. Sackville : One, with the Independent Healthcare Association, where I met the chairman, chief executive and two board members at their request, at which they expressed their views on a number of issues.
Ms Primarolo : To ask the Secretary of State for Health whether charges levied by NHS trusts for amenity beds include a notional amount to cover, when appropriate, the additional cost of providing a better menu and exclusive use of television, telephone or bathroom.
8. Mr. William Ross : To ask the Secretary of State for Northern Ireland how many male persons were committed to prison in Northern Ireland for defaulting on a fine in the last year for which figures are available ; and what percentage of the total number of male persons committed to prison this represents.
Sir John Wheeler : In 1992, the latest year for which figures are available, 1,671 male persons were received into prison in Northern Ireland for fine default, comprising 34 per cent. of all males received into prison in that year. However, since fine defaulters spend, on average, a much shorter time in prison than other categories of prisoner, they accounted for only 2 per cent. of the average daily population. Approximately one third of those received pay the outstanding fine in whole or in part at the time of reception or shortly afterwards.
9. Mr. Shersby : To ask the Secretary of State for Northern Ireland what steps he is taking to improve consultancy cover in the medical specialties to the level recommended by the Northern Ireland Department of Health and Social Services.
Mr. Ancram : Additional consultant posts have been created and further posts will be established in the coming year through the Department's initiative on junior doctors hours. Consultant numbers will also increase as a result of the implementation of the Calman report, and rationalisation of acute hospital services should result in improved consultant cover in all specialties.
Column 840comments made during the consultation period and in the recent debate in the Northern Ireland Committee. However we hope to have the order laid before the House rises for the summer recess.
Sir John Wheeler : The Irish security forces have continued to achieve very positive results against the terrorists, including for example the interception of a primed Mk 15 mortar in Donegal two weeks ago. As the Chief Constable of the RUC made clear yesterday, practical co-operation is at an all-time high and both the British and Irish Governments remain committed to working closely together to maintain and enhance that co- operation.
12. Ms Short : To ask the Secretary of State for Northern Ireland if he will make a statement on his most recent discussions with representatives of the political parties in Northern Ireland and the Government of the Republic of Ireland.
27. Mr. Corbett : To ask the Secretary of State for Northern Ireland if he will make a statement on the talks he has had with the parties in Northern Ireland and the Irish Government relating to Northern Ireland.
Sir Patrick Mayhew [holding answer 16 March 1994] : The Government's bilateral discussions with three of the Northern Ireland constitutional political parties and their dialogue with the Irish Government, are taking place in accordance with the statement of 26 March 1991 and upon the platform represented by the joint declaration issued on 15 December 1993.
Mr. Tim Smith : I have received a number of representations about future prospects for industry in Northern Ireland. The number of people employed now stands at 551,200. This is a new record for the Province. Together with recent good news about inward investment, it confirms the excellent prospects for industry in Northern Ireland.
Sir John Wheeler : The level of threat from terrorists remains high, but the security forces have been conspicuously successful in preventing attacks and apprehending suspects. Over the last month there have been over 170 arrests of suspected terrorists, 42 people have been charged with scheduled offences, and 16 weapons and 1,075 lb of explosives have been recovered.
Mr. Ancram : The community care reforms introduced in Northern Ireland on 1 April 1993 were first promulgated in the Department's 1990 policy document "People First", which is the equivalent of "Caring for People". These new arrangements for the provision of community care services by health and social services boards are intended to ensure that, as far as possible, people are cared for and supported in community-based settings rather than hospital.