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Mr. Ancram : There are no specific arrangements for the collection of the imperial war museum to be exhibited in Northern Ireland. It is however open to museums in Northern Ireland to borrow artefacts from other national museums by negotiation.
Dr. Strang : To ask the Secretary of State for Northern Ireland what was the total paid to farmers in (a) arable aid scheme set-aside payments and (b) total arable area scheme payments in Northern Ireland following the 1993-94 harvest ; and how many farmers in Northern Ireland have received arable area payments of £1 million or more.
Mr. Ancram : In Northern Ireland to date, the total amount paid to farmers for set-aside under the EC arable area aid scheme is £243, 086. The amount paid under the arable area aid scheme for eligible crops harvested in 1993 is £3,727,725.
No farmer in Northern Ireland has received arable area payments of £1 million or more.
Mr. William Ross : To ask the Secretary of State for Northern Ireland how many Housing Executive dwellings, and of what types, have been demolished in each of the last five years and the current year to date ; and what are the projections for the next three years in each council area in Northern Ireland.
District Council |1988-89 |1989-90 |1990-91 |1992-93 |1993-94 |Projection Area |for three |years --------------------------------------------------------------------------------------------------------------------------------------------------------- Antrim |- |6 |323 |13 |17 |13 |56 Ards |14 |- |50 |45 |- |- |70 Armagh |2 |24 |10 |3 |7 |1 |- Ballymena |- |5 |13 |29 |- |2 |130 Ballymoney |- |4 |- |- |- |- |47 Banbridge |36 |21 |41 |2 |1 |- |3 Belfast |1,321 |911 |734 |645 |514 |- |1,653 Carrickfergus |34 |1 |- |6 |69 |4 |28 Castlereagh |- |- |1 |2 |- |11 |- Coleraine |6 |3 |2 |8 |- |- |80 Cookstown |3 |- |- |- |17 |- |4 Craigavon |117 |139 |145 |16 |54 |- |29 Derry |38 |123 |52 |14 |3 |63 |84 Down |10 |10 |32 |1 |- |- |85 Dungannon |5 |13 |2 |10 |2 |4 |24 Fermanagh |13 |- |- |- |- |2 |16 Larne |1 |- |4 |- |59 |- |19 Limavady |- |- |1 |- |- |- |- Lisburn |7 |2 |2 |- |4 |- |61 Magherafelt |- |- |- |- |- |- |- Moyle |1 |1 |- |1 |- |- |26 Newry and Moyle |60 |61 |31 |8 |- |10 |- Newtownabbey |3 |43 |16 |95 |152 |15 |335 North Down |- |- |- |- |- |- |5 Omagh |6 |- |- |- |- |- |- Strabane |1 |19 |7 |13 |1 |- |2
Information on types of dwellings demolished is available only for Northern Ireland as a whole, and is estimated as follows :
|Per cent. ----------------------------------- Bungalows |7 Houses |67 Maisonettes |9 Flats |16 Rural cottages |1
The above figures include dwellings acquired or which the executive hope to acquire, for re-development or housing action area activity.
Mr. Beggs : To ask the Secretary of State for Northern Ireland what is the present position within the Fisheries Conservancy Board of the scientist alleged to have been involved in the unauthorised removal of salmon from the Grillagh river for the purpose of stripping salmon eggs from them in 1990.
Ms Jowell : To ask the Secretary of State for Health how many family health centres per 1,000 population there are in (a) Inner London, (b) Greater London, (c) Birmingham, (d) Newcastle, (e) Liverpool, (f) Leeds and (g) Manchester.
Column 66community health care. Some general practitioners, about a quarter, practise from them, but may use them partly in conjunction with their own premises.
The number of health centres per 1,000 of the population for the areas in question at 1 April 1993 is shown in the table :
Family health |Health |Population |Health services authority |centres |centres per |1,000 ---------------------------------------------------------------------------------- Inner London |118 |5,770,000 |0.02 Greater London (inclusive of Inner London figures) |135 |6,906,000 |0.02 Newcastle |9 |282,000 |0.032 Leeds |19 |722,000 |0.026 Birmingham |28 |1,009,000 |0.028 Liverpool |12 |479,000 |0.025 Manchester |13 |435,000 |0.03
(2) what research her Department has carried out into the extent of the use of amyl nitrate among school children.
Mr. Bowis : The Department has not carried out any research directed specifically at the extent of the use of amyl nitrate among school children, nor are we aware of any research carried out specifically into the effects of amyl nitrate on children. The Department gives financial support to St George's hospital medical school for its collection of statistics on deaths associated with abuse of volatile substances.
We are aware of concerns that alkyl nitrites are being misused by young people in the rave scene. Both the Government and the Advisory Council on the Misuse of
Column 67Drugs, an independent body of experts set up under the Misuse of Drugs Act 1971, are keeping the matter under review.
Dr. Mawhinney : The list of medical conditions that confer prescription charge exemption was drawn up in 1968, when prescription charges were reinstated. This was done with the full co-operation of medical practitioners, whose representatives made it clear that they could only agree to exemption for certain readily identifiable medical conditions, which called automatically for life-long medication.
The list has been reviewed on a number of occasions, but on each it has been concluded that no change should be made. There are extensive general arrangements for prescription charge exemption, which coupled with charge remission under the national health service low income scheme, protect vulnerable groups in the community. These arrangements ensure that no one need be deterred from obtaining necessary medication for financial reasons.
Mr. Bayley : To ask the Secretary of State for Health what are the reasons why North Yorkshire health authority has appointed a chief medical officer in addition to a director of public health ; and if she will describe the responsibilities of each post.
Mrs. Bridget Prentice : To ask the Secretary of State for Health how many paramedics are employed by the London ambulance service ; and how many have been transferred to work in stations in (a) south-east London and (b) Lewisham.
Column 68Operational decisions on the deployment of staff are made by individual ambulance services in the light of local circumstances. The hon. Member may wish to contact Mr. Martin Gorham, chief executive of the London ambulance service, for futher information.
Mrs. Virginia Bottomley : I have today approved a further eight applications from units wishing to become national health service trusts in the fourth wave. That will bring the total for the fourth wave to 143. There will now be 419 fully operational NHS trusts from 1 April 1994.
The eight new trusts are : Hammersmith hospitals--incorporating Charing Cross hospital, Hammersmith hospital, Queen Charlotte's hospital and Acton hospital--Chelsea and Westminter Healthcare ; Mount Vernon and Watford hospitals ; West Hertfordshire Community Health ; Harrow and Hillingdon Healthcare ; University College London hospitals ; Royal Victoria infirmary and associated hospitals ; and Newcastle City Health. I have not approved the application from Surrey Heartlands.
Mr. Alex Carlile : To ask the Secretary of State for Health how many representations she has received (a) for and (b) against retaining eye, ear and throat surgery in Shrewsbury ; and if she will make a statement.
Mr. Sackville : We have received a number of representations all of which have been referred to Shropshire health authority, which is currently undertaking a public consultation exercise on the future provision of the service.
Mr. Hinchliffe : To ask the Secretary of State for Health what was the cost to public funds of the retirement dinner for the former chairman of the Yorkshire regional health authority ; and from which budget the function was funded.
Mr. Hinchliffe : To ask the Secretary of State for Health what information she has about the prescribing patterns of (a) fundholding and (b) non-fundholding general practitioners ; and if she will make a statement.
Dr. Mawhinney : General practitioner fundholders are leading the way in improving the cost-effectiveness of prescribing while ensuring that patients receive all the medicines that they need. They prescribe drugs in generic form more often than non-fundholders--49 per cent. compared with 43 per cent.--and their prescribing costs are increasing by around 4 per cent. per year less than those of other GPs.
Year |Inner London |Special health |Outer London |Inner, Outer |district health|authorities |district health|London DHAs |authorities |authorities |and SHAs ------------------------------------------------------------------------------------------------ 1979 |28,629 |3,411 |32,812 |64,852 1980 |27,396 |3,357 |31,910 |62,663 1981 |27,006 |3,393 |31,462 |61,861 1982 |26,476 |3,346 |30,877 |60,699 1983 |26,092 |3,328 |30,171 |59,591 1984 |25,222 |3,236 |28,922 |57,380 1985 |24,140 |3,087 |27,918 |55,145 1986 |23,024 |3,025 |26,660 |52,709 1987-88 |21,202 |2,860 |25,052 |49,114 1988-89 |20,454 |2,780 |23,543 |46,777 Source: SH3 1979-1986. KHO3 1987-88 to 1992-93.
In 1979 there were 1,061,064 in-patients treated in inner and outer London district health authorities and special health authorities. The figure for 1988-89 increased to 1,373,377--a 29 per cent. increase.
Mrs. Bridget Prentice : To ask the Secretary of State for Health how many people have been implanted with (a) Sorin S80049 bi-polar leads and (b) Medtronic 4012 leads since 1987 ; and how many in each case have since died.
Data returned on a voluntary basis to the national pacemaker database show that, since 1987, 611 patients were implanted with Sorin Biomedica lead model S80 0149, 25, of whom have since died, while 954 patients were implanted with Medtronic 4012 lead model, 140 of whom have since died.
In none of the above cases was the cause of death recorded as lead related.
Mr. Sackville : No figures are available for heart valve implants before 1986. However, according to the United Kingdom heart valve registry 31,271 patients were implanted with heart valves between 1 January 1986 and 31 December 1992. Of those, 5,841 have died. None of the deaths was related to faulty valves.
Of patients implanted prior to 1986, 43 deaths have been reported following failure of mechanical heart valves.
Column 702 December 1961 before the introduction of the Medicines Act 1968. A product licence was therefore not necessary at the time.
Mr. Sackville : The Department's advisory group on the medical aspects of air pollution episodes has concluded that there is evidence that certain but not all constituents of traffic fumes, or chemicals formed from them, such as ozone, may worsen the symptoms of some allergic conditions. The group was assisted in its considerations by a leading immuno- toxicologist, and is reviewing the evidence in its current assessment of the interaction of all traffic pollutants.
Further advice has been sought from the Department's Committee on the Medical Effects of Air Pollutants. It has asked for information from two leading research workers currently undertaking studies into the relationship between levels of air pollutants in London and symptoms among hay fever sufferers.
The British Society for Clinical Allergy and Immunology has set up a working party to look at the possible relationship between pollutants and allergic disease. The Department is represented on that group.
Mr. Blunkett : To ask the Secretary of State for Health how many patients have died within six months of being discharged from the Edith Morgan psychiatric unit, Torbay hospital in the latest convenient period.
Ms Primarolo : To ask the Secretary of State for Health what information her Department has regarding any correlation between levels of disease and of air pollution ; and if she will make a statement.
Mr. Sackville : The Department is advised on these matters by the Committee on the Medical Effects of Air Pollutants and by the advisory group on the medical aspects of air pollution episodes. The latter's three reports are in the Library ; they are on ozone ; on sulphur dioxide, acid aerosols and particulates ; and on oxides of nitrogen. MAAPE is reviewing the evidence in its current assessment of the interaction of all traffic pollutants. Also, COMEAP has formed two sub-groups ; one is to consider the relationship between air pollution and asthma and the other the medical effects of particulates in the air.
Advice and information for the public is provided on the freephone helpline : 0800 556677.
Ms Primarolo : To ask the Secretary of State for Health what was the expenditure on management and financial consultants by her Department, the National Health Service Management Executive and any centrally run patient care services, not including trusts and health authority direct spending.
Mr. Blunkett : To ask the Secretary of State for Health if she will outline her reasons for endorsing the proposal of the Basingstoke and North Hampshire district health authority to transfer orthopaedic services from Lord Mayor Treloar hospital to Basingstoke district hospital.
Mr. Sackville : The proposal arose following the decision of a local health authority to withdraw from 1993 its substantive contract for elective orthopaedic services from Lord Mayor Treloar hospital in order to purchase those same services locally. Without new work from other health authorities, the cost to Basingstoke and North Hampshire district health authority of obtaining the same level of service from Lord Mayor Treloar hospital would increase substantially at the expense of reduced services elsewhere. We gave very careful consideration to the proposal to transfer orthopaedic services from Lord Mayor Treloar hospital to Basingstoke district hospital and to the views of the organisations and individuals who had responded to consultation. In deciding to approve the proposal, we were satisfied that the proposal would enable the district health authority to make better use of its resources in meeting the overall health needs of the local
Column 72population, that the consultation process had been adequate ; and that the alternative proposals that had been suggested did not provide a more appropriate option.
Ms Primarolo : To ask the Secretary of State for Health what was the expenditure on public relations by her Department, the national health service management executive and the breast cancer screening programme that can be identified, excluding trusts and health authority direct spending, in the last year for which figures are available.
Mr. Sackville : Functions that are commonly associated with press and public relations are carried out by the Department's information division. The service also covers the national health service management executive. Manpower and running costs for 1992-93 were £1.749 million.
The breast cancer screening programme spent £42,400 on publicity in 1993-94. That included the production of an annual review, quarterly newsletters to those involved in breast screening and responses to press questions and articles about the screening programme. In addition, £18,000 was provided to part fund the production of an information leaflet for women and £25,000 on the production of videos specifically for ethnic groups on the benefits of breast screening.
Mr. Steen : To ask the Secretary of State for Health if she will list those local authority areas where environmental health officers have prosecuted under food hygiene regulations restaurants and public houses engaged in the culinary practice of cooking and serving beef on hot stones.
Mr. Sackville : The information is not separately identifiable from the returns provide from local authorities. Such practices would not necessarily constitute an offence under the Food Hygiene (General) Regulations 1970.
Mr. Ray Powell : To ask the Secretary of State for Wales what plans he has to ensure that the new local authorities he proposes for Wales will be able to fulfil the statutory duty to provide a comprehensive and efficient library service in accordance with the Public Libraries and Museums Act 1964.
Sir Wyn Roberts : The Local Government (Wales) Bill sets out the powers that it is proposed should be available to my right hon. Friend. The existing powers under the Public Libraries and Museums Act 1964 remain unchanged.
Under the Bill, the new authorities will be required to produce service delivery plans for all services, including the public library service.
Mr. Redwood : Information on poultry birds slaughtered in Great Britain because of salmonella infection has been collected by the Ministry of Agriculture, Fisheries and Food since 1989. Figures for Wales are given in the table.
Poultry slaughtered in Wales<1> Year |Birds |slaughtered ------------------------------------ 1989 |381 1990 |106,715 1991 |64,790 1992 |18,060 1993 |22,896 Source: Ministry of Agriculture, Fisheries and Food. <1> There is wide variation in the number of birds slaughtered in each individual case of salmonella infection depending on the size of the flock that may have been affected or potentially affected.
Mr. Redwood : Estimates of household consumption of eggs are provided from the national food survey which is carried out by the Ministry of Agriculture, Fisheries and Food. The estimates, which are expressed in terms of average numbers of eggs consumed per person per week, exclude eggs used in manufacturing or catering and institutions. The figures are given in the table.
! Egg consumption in Wales Year |Number per |person per |week --------------------------------- 1988 |2.39 1989 |2.09 1990 |2.14 1991 |2.23 1992 |2.15
Mr. Redmond : To ask the Secretary of State for Wales if he will list for the last 12 months how many parliamentary questions he has referred to his Department's executive agency for answer ; and what percentage of parliamentary questions to his Department this represents.
Mr. Murphy : To ask the Secretary of State for Wales under what regulations the former head teacher of Cwmcarn secondary grant-maintained school, Gwent, was given early retirement and sick leave, in the second year of grant-maintained status.
Sir Wyn Roberts : The Teachers (Compensation for Redundancy and Premature Retirement) Regulations 1989 provide arrangements for the governing bodies of grant-maintained schools to compensate teachers who are prematurely retired. Decisions in respect of sick leave are the responsibility of the governing body as employer of staff at the school.
(2) how many schools in Wales have voted to adopt grant-maintained status ; and if he will make a statement.