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Mr. Sackville : We are aware that some drug companies supply drugs free of charge to hospitals either as samples or where clinical trials are in progress. Information on the extent of these supplies is not available centrally.
Mr. Hinchliffe : To ask the Secretary of State for Health what has been the cost of the use of private hotels for management, training and conference purposes by NHS staff and executive and non-executive members of (a) regional health authorities, (b) trusts, (c) district health authorities and (d) family health service authorities, by region and district in each of the last five years ; and what are the reasons for the use of this accommodation.
Dr. Mawhinney : Use of private hotels is for each national health service body to determine on the basis of value for money, and costs cannot be separately identified from financial returns and accounts.
Mr. Watson : To ask the Secretary of State for Health if she will place in the Library a copy of the guidance issued to NHS managers on how funds released by the closure or reduction of acute units are to be transferred to the primary health care sector.
Dr. Mawhinney : The "Priorities and planning guidance 1994-95", EL(93)54, identifies this as a matter for regional health authorities to address, in conjunction with other national health service authorities and purchasers, in developing their investment strategies. Copies of the guidance are available in the Library.
Mr. Watson : To ask the Secretary of State for Health how the Government's objective of transferring resources from the acute to the primary health sector is reflected (a) in the regional and national training plans for community nursing services and (b) in the regional and national plans for staff in post within community nursing services.
Mr. Watson : To ask the Secretary of State for Health if she will list for each purchasing health authority in England, the figures for revenue funding in 1992-93,1993-94 and 1994-95, and the estimated figures for 1995-96 and 1996-97 ; and if she will identify the changes for each health authority's revenue budget resulting from the replacement of the regional allocation working party system of determining funding allocation.
Mr. Sackville : Information will be placed in the Library showing 1992-93 expenditure for each district health authority. It is the responsibility of regional health authorities to allocate resources to districts. Information on the total resources allocated to DHAs in 1993-94 and 1994-95 or assumptions about future allocations is not available centrally.
The use of resource allocation working party (RAWP) targets was discontinued in 1990 when weighted capitation was introduced. Consequently, no RAWP targets are currently available for comparison with weighted capitation shares. Comparisons would not be meaningful. Under the old system authorities were funded for their "catchment population", whereas now they are purchasers of services for their resident population, with cross-boundary flows of patients being covered by payments under the national health service contracts.
|£ --------------------------------- 1990-91 |18,398,000 1991-92 |24,258,000 1992-93 |18,399,000
Information on the number of contracts is not available.
Infant mortality rates<1> by regional health authority for 1992 Regional Health |Males |Females Authority of usual residence ------------------------------------------------------------------ Northern |8.1 |6.2 Yorkshire |7.5 |5.9 Trent |8.2 |5.4 East Anglian |5.6 |3.6 North West Thames |6.0 |4.9 North East Thames |8.3 |5.8 South East Thames |7.3 |5.4 South West Thames |6.0 |5.5 Wessex |6.1 |4.9 Oxford |6.3 |5.7 South Western |7.0 |4.0 West Midlands |8.9 |7.4 Mersey |6.4 |5.0 North Western |8.1 |7.3 Wales |6.3 |5.7 <1> Infant mortality deaths under one year per 1,000 livebirths.
Ms Primarolo : To ask the Secretary of State for Health what steps she takes to monitor regularly dioxins and similar substances in breast milk ; what are her most recent findings ; and what further plans she has.
Mr. Sackville : Two monitoring exercises have been carried out for dioxins in human milk in the United Kingdom, both as part of a World Health Organisation (WHO) Regional Office for Europe initiative. The results of the first exercise were reported in pollution paper No. 27 : Dioxins in the Environment (HMSO : London, 1989). The second exercise is nearing completion and the results will be published in due course.
Results of the most recent analyses of human milk for total polychlorinated biphenyls (PCBs) and organochlorine pesticides were published in Food Surveillance Paper No. 34 : Report of the Working Party on Pesticides Residues : 1988-1990 (HMSO : London, 1992). Further analysis of specific PCB compounds is under way as part of the second WHO exercise, referred to above.
The need for monitoring of human milk for these contaminants is kept under review by the relevant working parties of the Ministry of Agriculture, Fisheries and Food's steering group on chemical aspects of food surveillance, on which the Department of Health is represented.
Copies of both papers are available in the Library.
Ms Primarolo : To ask the Secretary of State for Health what discussions she has had or will have with colleagues in other Departments regarding the phasing-out of leaded petrol and lead water pipes in homes and schools.
Mr. Sackville : The Department is in regular contact with the Department of the Environment which is responsible for matters relating to lead in the environment. As part of the Government's policy of reducing public exposure to lead, we cut wherever possible, the permitted amount of lead in petrol from 0.4 to 0.15 grammes per litre
Column 239in 1985. We have also encouraged the widespread use of unleaded petrol which now accounts for 55 per cent. of the United Kingdom market. All new cars must now be built to run on unleaded petrol and have catalytic converters fitted; these do not operate effectively if used with leaded petrol. This action should raise the market share of unleaded petrol to at least 90 per cent. by the year 2000. The Water Supply (Water Quality) Regulations 1989, as amended, require that drinking water at the point where the water is supplied contains no more than 50 mcg of lead per litre. This standard is more rigorous than the requirements of the European Community Drinking Water Directive. The Commission is currently drafting a new directive. When the position on the new directive is clearer, my right hon. Friend the Secretary of State for the Environment will be discussing with us any further action on levels of lead in drinking water.
Mr. Blunkett : To ask the Secretary of State for Health how many people were not on waiting lists for treatment but were waiting to see a specialist in the national health service in each region for each quarter for the last two years.
Dr. Mawhinney : Information on waiting times to first out-patient appointment is not collected. This year regional health authorities have set targets for first out-patient appointments and are aiming to reduce those that are unacceptably long. Most people who attend out-patient clinics are not placed on an in-patient or day case waiting list as they are either treated immediately or do not require any treatment.
Estimated numbers of children and young people on child protection registers in England at 31 March 1993, by age and sex Age Group |All children|Boys |Girls ----------------------------------------------------------------- All Ages |32,500 |16,000 |16,400 Under 1 |2,300 |1,200 |1,200 1-4 |9,900 |5,100 |4,800 5-9 |10,000 |5,200 |4,700 10-15 |9,100 |4,100 |5,000 16 and over |1,100 |400 |700 Notes:-Figures are rounded to the nearest 100 and may not add up due to rounding. The figure for "all ages, all children" includes unborn children.
Mr. Bowis : The information available centrally, about the number of disabled children in residential care, relates to children looked after because their parents need relief from problems or stresses of caring for them. Information for 31 March 1992 is shown in the table.
Estimated number of children looked after in residential accommodation because parents need relief from the stresses of caring for a child with disabilities at 31 March 1992 Social Services |All |Total |Under |1 to 4 |5 to 9 |10 to |16 to |18 and |Total |Under |1 to 4 |5 to 9 |10 to |16 to |18 and Inspectorate Regions [note] |children |boys |one |15 |17 |over |girls |one |15 |17 |over --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- England |380 |250 |0 |0 |40 |150 |50 |10 |130 |0 | (*) |20 |70 |20 |10 Shire Counties |110 |80 |0 |0 |10 |40 |20 | (*) |40 |0 | (*) | (*) |20 |10 |0 North of England |20 |20 |0 |0 | (*) |10 | (*) |0 | (*) |0 | (*) |0 |0 | (*) |0 Central England |30 |20 |0 |0 | (*) |10 |10 | (*) |10 |0 |0 |0 |10 | (*) |0 Southern England |60 |30 |0 |0 | (*) |20 |10 |0 |30 |0 |0 | (*) |20 |10 |0 Metropolitan Districts |130 |80 |0 |0 |20 |50 |10 | (*) |40 |0 |0 |10 |30 |10 | (*) North of England |130 |80 |0 |0 |20 |50 |10 | (*) |40 |0 |0 |10 |30 |10 | (*) Central England | (*) | (*) |0 |0 |0 | (*) |0 |0 |0 |0 |0 |0 |0 |0 |0 London |140 |90 |0 |0 |20 |50 |20 | (*) |50 |0 | (*) |20 |20 |10 |10 Notes: 1. Figures relate to SSI policy regions. 2. Separate estimation procedures have been used for each region and figures rounded to the nearest 10. They will not necessarily add to totals. 3. *Indicates less than 5 children. 4. Short term placements covered by a single agreement are excluded.
Ms Primarolo : To ask the Secretary of State for Health what steps she takes to monitor local authorities' duties under the Children Act 1989 to identify children with disabilities and provide or make available services which might benefit them.
Mr. Bowis : My right hon. Friend the Secretary of State for Health publishes annual reports on the operations and achievements of the Children Act 1989. The 1993 report will be available shortly and will include a commentary on the services provided by local authorities for children with disabilities. In February 1994, the social services
Column 240inspectorate pulished a report of a national inspection of local authority services to disabled children and their families, copies of which are available in the Library.
Mr. David Young : To ask the Secretary of State for Health what arrangements are made by health authorities to pay the extra cost of water and heating bills for patients requiring haemodialysis treatment at home ; and if she will make a statement.
Column 241appropriate temperature. From 1 April 1994 health authorities will also be responsible for meeting the cost of water used in the course of home haemodialysis by patients whose water supply is metered by their local water company.
Ms Primarolo : To ask the Secretary of State for Health if she will estimate the number of children in the United Kingdom who have a psychiatric/psychological problem which handicaps them for a year or more.
Column 242point, between 10 per cent. and 20 per cent. of children and teenagers have worries or problems severe enough to need help in overcoming them.
Ms Primarolo : To ask the Secretary of State for Health if she will list the number of hospital admissions for mental illness for the latest available year for each age cohort for children by sex and by region.
Mr. Bowis : Information relating to the admission of children into hospitals is not available in the precise form requested. Provisional information available centrally on the number of finished consultants episodes in the mental illness specialties in 1990-91 is shown in the table.
Males Females Persons |0-4 |5-9 |10-14 |0-4 |5-9 |10-14 |0-4 |5-9 |10-14 ---------------------------------------------------------------------------------------------------- Mental Illness (Finished Consultant Episodes) Northern |24 |42 |62 |11 |16 |47 |35 |58 |109 Yorkshire |53 |58 |66 |41 |29 |74 |95 |86 |140 Trent |18 |22 |79 |1 |17 |66 |19 |38 |145 East Anglia |3 |3 |20 |0 |1 |19 |3 |4 |39 1990-91 Provisional North West Thames |24 |2 |36 |20 |0 |26 |44 |2 |62 North East Thames |15 |2 |45 |12 |0 |58 |28 |2 |103 South East Thames |9 |6 |6 |5 |2 |28 |13 |9 |34 South West Thames |6 |25 |34 |14 |7 |18 |20 |32 |52 Wessex |44 |44 |25 |16 |23 |24 |60 |67 |49 Oxford |32 |48 |59 |19 |11 |110 |50 |59 |169 South Western |4 |51 |103 |2 |4 |80 |6 |55 |183 West Midlands |36 |20 |37 |17 |9 |63 |54 |29 |100 Mersey |15 |18 |47 |13 |5 |27 |28 |23 |73 North Western |6 |321 |72 |6 |183 |95 |13 |504 |167 Special Health Authorities |2 |22 |33 |4 |7 |28 |6 |30 |61 |-------|-------|-------|-------|-------|-------|-------|-------|------- Total |290 |683 |724 |181 |315 |763 |472 |998 |1,487 Notes: 1. It should be noted that the figures in the table relate to finished consultant episodes and not to individuals, as a patient may be admitted more than once during the year. 2. The total figures do not always match the separate figures for males and females due to rounding.
Ms Primarolo : To ask the Secretary of State for Health if she will estimate the number of (a) boys and (b) girls in the United Kingdom having chemical and food intolerance allergies for each age cohort and by sex.
Mr. Allen : To ask the Chancellor of the Exchequer (1) if he will encourage the International Monetary Fund to sell off part of its gold stocks to generate the resources to write off debt owed to the fund by Uganda.
(2) if he will consider establishing a debt relief fund for Uganda, additional to the existing aid budget, to help Uganda meet its repayment obligations to multilateral lending agencies.
Mr. Nelson : Although Uganda is severely indebted, net transfers from the international financial institutions--IFIs--remain substantially in Uganda's favour. Most IFI support for Uganda is on highly concessional terms, thus reducing the debt service burden. Debt to the IMF does not account for a high proportion of Uganda's debt stock. Uganda has benefited from highly
Column 242concessional IMF assistance under the enhanced structural adjustment facility--ESAF--and, subject to continuing to pursue appropriate economic policies, is expected to receive further assistance under the enlarged ESAF. The United Kingdom was a prime mover in the establishment of ESAF in 1987 and has just agreed a further contribution of £50 million to enlarge the facility to help the poorest countries such as Uganda. The United Kingdom will over time contribute one ninth of the subsidy required by the enlarged ESAF. Uganda also benefits from highly concessional credits from the World Bank's International Development Association, which concentrates on lending to the poorest countries. The United Kingdom contributed £620 million to the IDA at the last replenishment. In addition, Uganda has help meeting its repayments on non-concessional loans to the bank through the bank's fifth dimension facility. While the United Kingdom has advocated sales of IMF gold in the past, this has been to fund targeted concessional facilities such as ESAF rather than debt write-off. The United Kingdom believes that continued targeted concessional financial assistance is the best response by the IFIs to the debt problem of the poorest countries such as Uganda. Debt write-offs even if financed by gold sales would, by running down these institutions' assets and increasing their financing costs, weaken their financial
Column 243standing and hence their ability to assist all developing countries. Both the IMF's and the World bank's funds are finite and revolving and intended to be available for use by members when and where they are most needed.
Uganda also has help in meeting its debt service obligations through concessional terms for its official debt. The United Kingdom has been a prime mover for this. The existing Trinidad terms which have the effect of halving payments due to creditor Governments over the period of an IMF agreement and give a commitment to consider reducing the stock of a country's reschedulable debt after three to four years of economic reform, are based on an initiative by my right hon. Friend the Prime Minister when he was Chancellor. The United Kingdom continues to press other official creditors to agree to immediate stock of debt reduction, with reductions up to 80 per cent. for the most needy, for countries which have a one to two year track record of economic reform and are up to date with their debt servicing.
The United Kingdom believes that the approach outlined above is the most effective response to Ugandan debt and that a debt relief fund would not be a cost-effective or necessary use of the United Kingdom aid programme for Uganda.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer what effect the increase in the exchange rate against the ecu since February 1993 has had on the profitability of United Kingdom exports to the rest of the EC of manufactured goods ; and what is his assessment of the part that played in the sale of Rover cars to BMW.
Mr. Nelson : The profitability of United Kingdom exports of manufactures to the rest of the EC depends on a number of factors. No estimate is available of the effect on such profitability of the exchange rate against the ecu. The sale of Rover to BMW is a matter for the firms themselves.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer what was the visible balance of trade in manufactures on a balance of payments basis as a percentage of gross domestic product in 1971, 1979, 1989 and estimated for 1993 : what assessment he has made of the reason for the changes ; and whether he will publish the change in the (i) nominal and (ii) real rate of exchange which the treasury model of the economy shows would be required to restore the balance in terms of gross domestic product to what it was in (iii) 1978 and (iv) 1971.
Mr. Nelson : Figures for the visible balance of trade in manufactures and for gross domestic product are available on the CSO database, which can be accessed through the House of Commons Library. The identifiers are BPJF and
Column 244CAOB. A country's visible trade balance depends on the strength of its own domestic demand and that of its trading partners, and on the level of its competitiveness.
All members have access to the Treasury model through the House of Commons Library. It is Treasury practice not to provide the results of model simulations in answer to parliamentary questions. This is due both to the excessive cost involved and the difficulty in making appropriate assumptions without knowing the context in which the figures will be used.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer if he will publish the changes in (a) the real exchange rate, (b) the balance of trade in manufactures and (c) the rate of economic growth since 1964 ; and what assessment he has made of the extent of correlation between these indicators.
Mr. Nelson : There is no unambiguous definition of the real exchange rate. A variety of indicators is available. These are published in "Economic Trends", table 28. These, along with the balance of trade in manufacturers and GDP are also available on the CSO database, which can be accessed through the House of Commons Library. Some useful identifiers include :
FLAA--relative export prices ;
FLAC--relative unit labour costs ;
BPJF--the manufactures balance ;
CAOP--GDP at factor costs.
Correlation coefficients, calculated from these data, are set out in table 1.
Table 1: Estimated Correlation Matrix of Variables (1964-91) |FLAA |BPJF |CAOP |FLAC ------------------------------------------------ FLAA |1.0000 |- |- |- BPJF |.21237 |1.0000 |- |- CAOP |-.17787|-.71785|1.0000 |- FLAC |.96217 |.19706 |-.23963|1.0000
Annual data for the competitiveness measures are not yet available for 1992 and 1993 on the CSO database.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer what part the deputy governor of the Bank of England plays in the formulation of interest rate policy ; and whether the views he has recently expressed on the prospects for inflation represent those of the Government.
Mr. Nelson : Decisions on interest rates are a matter for Ministers, advised by Treasury officials and the Bank of England. In his speech to the Institute of Credit Management on 9 March, the deputy governor warned of the dangers of relaxing the fight against inflation. The Government will continue to set interest rates to meet their objectives for low inflation.
Mr.Gill : To ask the Chancellor of the Exchequer what instructions have been received by Her Majesty's Customs and Excise from Commission auditors in respect of the examining of food exports by the offloading of containers at any particular port.
Sir John Cope : Following a visit to the United Kingdom Customs in 1993, Commission auditors expressed dissatisfaction with the depth and rigour of examination of exports where common agricultural policy refunds were claimed. As a result, Customs issued more detailed guidance to staff on the standards to be observed.
Mr. Donohoe : To ask the Chancellor of the Exchequer, pursuant to his answer of 9 March, Official Report, column 222, how much general betting duty the Exchequer collected between November 1993 and January 1994.
Sir John Cope : Receipts from general betting duty in the three months November 1993 to January 1994 totalled £108 million. General betting duty is paid in the month following that in which the duty accrues. Thus the receipts for November 1993 to January 1994 relate to races run the months of October to December 1993.
Mr. Alfred Morris : To ask the Chancellor of the Exchequer what representations he received asking for the deletion of clause 241 of the Finance Bill or to have it amended following consultation between the Treasury and the Institute of Chartered Accountants ; and if he will make a statement.
Mr. Dorrell : Following representations made before and during the Committee stage debate on 17 March, the clause has been withdrawn. The Government have given a commitment to bring the matter back before the House in the next Finance Bill, which will allow the Inland Revenue and professional institutes an opportunity for consultations.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer what is the correlation coefficient, lagged or otherwise, between the rate of exchange and (a) the percentage of adult males of working age in work and (b) the rate of unemployment since 1964.
Mr. Nelson : The correlation coefficients can be calculated from information available in the House of Commons Library. Population, employment, and unemployment figures from 1981 are available on the NOMIS database. Employment and unemployment figures before 1981 are published in the Employment Gazette. Population figures before 1981 are available from the population estimates unit of the Office of Population Censuses and Surveys. Figures for sterling exchange rates index are published, for example, in Economic Trends.
Mr. Austin Mitchell : To ask the Chancellor of the Exchequer what is the correlation coefficient, lagged or otherwise, between the rate of inflation and (a) the percentage of adult males of working age in work and (b) the rate of unemployment since 1964.
Mr. Nelson : The correlation coefficients can be calculated from information available in the House of Commons Library. Population, employment, and unemployment figures from 1981 are available on the NOMIS database. Employment and unemployment figures before 1981 are published in the Employment Gazette. Population figures before 1981 are available from the population estimates unit of the Office of Population Censuses and Surveys. Figures for the Retail Prices Index are published in Economic Trends.
Mrs. Roche : To ask the Chancellor of the Exchequer at what level the national insurance upper earnings limit would now be set had it increased at the same rate as the average earnings index since 1989 ; and what additional amounts in each year that would have raised.
The upper earnings limit is statutorily linked to the level of the basic pension. If the limit had been raised instead in line with the increase in average earnings since 1989, and rounded to the nearest pound, it would now be £442. The additional amounts that would have been raised in each year are in the table :
Additional national insurance contributions raised Year |(£ million) ------------------------------------ 1990-91 |45 1991-92 |<1>0 1992-93 |100 1993-94 |140 <1>In the year to September 1990 prices rose more than earnings, and the upper earnings limit would not have been higher in 1991-92.
Mr. Meacher : To ask the Secretary of State for Foreign and Commonwealth Affairs what information he has on the number of cases in which Balfour Beatty has received aid moneys, otherwise than in connection with the Pergau dam project, from (a) the United Kingdom, (b) the World bank or (c) other multilateral organisations in respect of work in developing countries with which the United Kingdom has significant aid ties, which the company has subsequently had to return following failure to complete the work.
Mr. Lennox-Boyd : Under (a) we know of only one aid and trade provision case involving Balfour Beatty in which a project has had to be terminated and aid moneys returned. The project in question was the mini- hydros project in Peru, which was approved in July 1982 involving an ATP grant of £4,843,000. The project was frustrated because the local institution, Electroperu, failed to meet its contractual obligations, did not complete associated civil works and defaulted on its bank loan. The project was also hampered by the local security situation. At no point during the contract did any United Kingdom party fail to fulfil its obligations.
For projects under (b) the World bank and (c) other multilateral organisations, the ODA does not hold details of contracts placed with United Kingdom firms by these institutions and such information could be assembled only at disproportionate cost. The Pergau dam project is 60 per cent. complete and is on schedule for completion in August 1996.