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Mr. Worthington : To ask the Secretary of State for Scotland on what grounds he decided that the Sheehy inquiry should extend to Scotland.

Lord James Douglas-Hamilton : Because the terms of reference of the inquiry were to examine the rank structure, remuneration and conditions of service of the police and these are issues which are treated on a United Kingdom basis.

Mr. Worthington : To ask the Secretary of State for Scotland which representatives of the police he has met in Scotland to discuss the Sheehy report ; and when.

Lord James Douglas-Hamilton : My noble and learned Friend the Minister of State met representatives of the Convention of Scottish Local Authorities on 11 August 1993. Members of the convention also attended meetings of the Police Advisory Board for Scotland, chaired by my noble and learned Friend, on 12 March, 9 July and on 20 December 1993, when the Sheehy report was discussed.

Police

Mr. Worthington : To ask the Secretary of State for Scotland what assessment he has made of the major ways in which police practices, control and discipline are specific to Scotland and the reasons for this.

Lord James Douglas-Hamilton : What matters is that arrangements in Scotland are right for Scottish circumstances ; in some areas the resemblance to arrangements south of the border is closer than in others.

Highlands (Tourism)

Mr. Maclennan : To ask the Secretary of State for Scotland how many submissions he has received about the future structure of the tourist industry in the highlands ; and what percentages favoured (a) a single highland area toursit board or (b) more than one highland area tourist board.

Lord James Douglas-Hamilton [holding answer 20 April 1994] : All the options recommended to me by the


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Scottish tourist board favoured a single ATB for the highlands. I received 16 unsolicited representations from organisations suggesting various alternative structures. I also received 86 similar representations from members of ATBs at the request of their boards. Two representations supported the STB advice.

Dewe Rogerson

Mr. Wilson : To ask the Secretary of State for Scotland if he will define the role of Dewe Rogerson on behalf of his Department in relation to rail privatisation ; and how much it has been paid to date.

Lord James Douglas-Hamilton : The Scottish Office has had no contact with Dewe Rogerson in relation to rail privatisation.

Job Creation

Mr. Galbraith : To ask the Secretary of State for Scotland how many jobs have been created by each local enterprise company in (a) manufacturing and (b) services industry in each of the last five years for which figures are available.

Mr. Stewart : The local enterprise companies have not been in existence for five years. Information on the jobs that they have created during the period since they were established is not held centrally in the form requested. I have therefore asked the chairmen of Scottish Enterprise and Highlands and Islands Enterprise to respond direct to the hon. Member about this matter.

Mink Farms

Mr. Morley : To ask the Secretary of State for Scotland whether mink are currently present at Dundurn mink farm, St. Fillans, Perthshire.

Sir Hector Monro : No.

Mr. Morley : To ask the Secretary of State for Scotland whether mink are currently present at Deeside mink farm, Burnside, Maryculter, Aberdeen ; and if he will give details of the last licence issued for this establishment.

Sir Hector Monro : No mink are present. A licence issued with effect from 1 January 1993 expired on 31 December 1993.

Mr. Morley : To ask the Secretary of State for Scotland when Dundurn mink farm, St. Fillans was last licensed to keep mink.

Sir Hector Monro : April 1990.

Homeless Households

Mrs. Fyfe : To ask the Secretary of State for Scotland how many households have applied to local authorities as homeless each year since 1979.

Lord James Douglas-Hamilton : The latest complete information on the number of households who have applied to local authorities as homeless is published in table 2 of the statistical bulletin HSG/1994/3, "Operation of the Homeless Persons Legislation in Scotland 1982-83 to 1992-93 : District Analyses". Information for the previous years was published in table 1 of the statistical


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bulletin HSG/1992/1, "Operation of the Homeless Persons Legislation in Scotland 1979-80 to 1990-91". These bulletins are available in the Library.

Health Boards Budgets

Mr. Chisholm : To ask the Secretary of State for Scotland what is (a) the HIV and (b) drugs budget for each health board in Scotland.


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Mr. Stewart [holding answer 22 April 1994] : The resources available to Scottish health boards and the state hospital for HIV/AIDS and drug misuse services in 1994-95 are set out in the table.


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                      |HIV-Care and     |HIV and AIDS     |HIV-Drugs-related|Drug misuse      |Total                              

                      |Treatment        |Prevention                                                                               

----------------------------------------------------------------------------------------------------------------------------------

Argyll and Clyde      |110,900          |284,384          |117,319          |107,800          |620,403                            

Ayrshire and Arran    |61,600           |224,970          |245,900          |210,345          |742,815                            

Borders               |64,400           |87,800           |7,600            |25,800           |185,600                            

Dumfries and Galloway |72,600           |116,300          |46,100           |39,000           |274,000                            

Fife                  |70,900           |236,260          |104,750          |77,250           |489,160                            

Forth Valley          |151,600          |189,400          |139,000          |65,500           |545,500                            

Grampian              |550,000          |404,000          |332,000          |111,000          |1,397,000                          

Greater Glasgow       |2,388,000        |805,000          |1,412,000        |807,000          |5,412,000                          

Highland              |81,700           |257,700          |0                |42,300           |381,700                            

Lanark                |196,000          |404,000          |36,000           |118,000          |754,000                            

Lothian               |4,253,865        |1,422,561        |1,589,568        |674,904          |<2>7,940,898                       

Orkney                |0                |28,000           |0                |5,500            |33,500                             

Shetland              |2,500            |34,559           |4,500            |6,695            |48,254                             

Tayside               |943,000          |824,000          |527,000          |273,000          |<2>2,567,000                       

Western Isles         |500              |52,500           |0                |10,000           |63,000                             

State Hospital        |2,700            |27,100           |0                |0                |29,800                             

                      |-------          |-------          |-------          |-------          |-------                            

                      |8,950,265        |5,398,534        |4,561,737        |2,574,094        |21,484,630                         

                      |-------          |-------          |-------          |-------          |<1>600,000                         

                                                                                              |-------                            

                                                                                              |22,084,630                         

<1> The amounts shown may be supplemented in-year if required in the light of monitoring or emerging needs. A reserve of £600,000 

will be available for this purpose.                                                                                               

<2> In the cases of Lothian and Tayside Health Boards action is being taken in the first six months of the financial year to      

specify clearly a number of services to be provided in respect of HIV/AIDS requirements. Initial agreements covering these        

services relate to the first six months; the notional annual figure shown is therefore subject to review within that period.      

Initial amounts of £5,857,000 for Lothian Health Board and £2,225,000 for Tayside Health Board have been allocated.               

Ambulance Services

Mr. Blunkett : To ask the Secretary of State for Scotland what percentages of ambulances in each service in Scotland responded within (a) eight minutes and (b) 14 to 20 minutes to emergency calls in 1993-94.

Mr. Stewart [holding answer 25 April 1994] : There is only one ambulance service for the whole of Scotland. The information is as follows :


                  Responses                                         

                 |0 to 8 minutes  |14 to 20 minutes                 

Year             |Per cent.       |Per cent.                        

--------------------------------------------------------------------

1993-94          |51              |96                               

Local Government Reorganisation

Mr. Ingram : To ask the Secretary of State for Scotland if all staff currently employed by new town development corporations will be included in the ring-fencing arrangements which will apply to the staff of local authorities at the time of the proposed reorganisation of local government in Scotland.

Mr. Stewart [holding answer 25 April 1994] : No decision has been taken on whether there will be any ring-fencing arrangements for staff when local government is reorganised in Scotland.


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Higher Education

Mr. Rooker : To ask the Secretary of State for Scotland if he will list the numbers and percentages of students in higher education undertaking two-year diploma courses and three and four-year degree courses in each of the past 10 years.

Lord James Douglas-Hamilton [holding answer 25 April 1994] : The information readily available is in respect of 1992-93. The number and percentage of students in higher education in Scotland undertaking three and four-year degree courses, higher national diploma courses and other higher education is given in the table.


Full-time                          |Number       |Percentage                 

undergraduate                                                                

students                                                                     

-----------------------------------------------------------------------------

Three-year degree                  |16,499       |15                         

Four-year degree                   |57,604       |54                         

Other degree (length not known)    |10,893       |10                         

HND (two-year courses)             |12,244       |11                         

Other qualification                |10,148       |9                          

                                                                             

Total students in higher education |107,388      |100                        

HEALTH

Nursing Staff Deployment

13. Mr. Robert Ainsworth : To ask the Secretary of State for Health if she will make a statement on the redeployment of nursing staff from the acute to the community sector.


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Mr. Sackville : Changing patterns of health care are leading to the development of new roles and opportunities for nurses in the community. Government policy is that employers determine the work force they require and the training staff need.

NHS Capital Programme

14. Mr. Dunn : To ask the Secretary of State for Health what was the NHS capital programme for the financial year 1993-94 ; and if she will make a statement.

Mr. Sackville : The value of the national health service capital programme for the financial year 1993-94 amounted to over £1.8 billion.

This was the largest provision for capital in the history of the NHS.

15. Mr. Ian Taylor : To ask the Secretary of State for Health what estimate has been made of the change in the number of patients treated in NHS trusts since 1991 ; and what was the change in other hospitals over the same period.

Mr. Sackville : All hospitals are showing improved performance and trusts are at the leading edge. The growth in finished consultant episodes for general and acute specialties in national health service trusts for the latest year available, 1992-93 was 5.3 per cent. and the comparable figure for directly managed units was 3.6 per cent.

Drugs Expenditure

16. Mr. Jim Marshall : To ask the Secretary of State for Health what action she plans to take to reduce expenditure on drugs in the national health service.

Dr. Mawhinney : The Government have introduced a number of initiatives to encourage effective prescribing. Our aim is to reduce the rate of growth in the national health service drugs bill, while ensuring that people get the medicines they need.

Mother and Child Health

17. Mr. Peter Bottomley : To ask the Secretary of State for Health how levels of maternal, perinatal and infant mortality, and of child health protection, have changed in the last 10 years.

Mr. Sackville : Infant, perinatal and maternal mortality rates are now the lowest levels ever recorded. We have placed a copy of tables showing the rates for the last 10 years for these definitions, and maternal mortality, in the Library.

Incidences of childhood diseases are also at record low levels. Over 90 per cent. of all children are now immunised against the major childhood diseases.

Junior Doctors (Hours of Duty)

18. Mr. Nigel Evans : To ask the Secretary of State for Health what progress is being made to reduce the hours of duty of junior doctors in the north west region.

Dr. Mawhinney : Progress in implementing the new deal to reduce junior doctors' hours has been very encouraging in the north-west.


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In the North West regional health authority area, posts contracted for more than 83 hours a week were eliminated by September 1993. By that date the number of hard-pressed on-call posts contracted for between 72 and 83 hours a week had fallen by 23 per cent. over the previous year. Our priority this year is to tackle these hard- pressed posts.

Consumer Complaints

19. Mr. Foulkes : To ask the Secretary of State for Health what assessment she has made of the procedures for dealing with consumer complaints since the reorganisation of the health service.

Dr. Mawhinney : We will shortly publish for consultation the report of the independent committee we commissioned to review national health service complaints procedures within the United Kingdom.

GP Fundholders, Suffolk

21. Mr. Spring : To ask the Secretary of State for Health how many general practitioner practices are now participating in the fundholding initiative in Suffolk ; and what proportion of those eligible this represents in the county.

Dr. Mawhinney : There are 21 fundholding practices in Suffolk covering 36 per cent. of the population.

Competitive Tendering

22. Mr. David Martin : To ask the Secretary of State for Health what is the total amount of savings she estimates to have been made as a result of competitive tendering of services in the national health service ; and if she will make a statement.

Mr. Sackville : It is estimated that since the introduction of competitive tendering in 1983 the cumulative saving to the national health service has amounted to something in the order of £1 billion.

Hospital Admissions

23. Mr. Denham : To ask the Secretary of State for Health if she will make a statement on the incidence of restrictions of hospital admissions to emergency cases only.

Mr. Sackville : Patients continue to receive high-quality treatment promptly. In the few instances when there have been restrictions alternative arrangements are made to ensure patients are treated appropriately.

NHS Trusts, South Thames

24. Mr. Congdon : To ask the Secretary of State for Health what proportion of hospital and community health services in the South Thames region is now carried out by NHS trusts.

Mr. Sackville : From 1 April 1994 there are 61 national health service trusts providing hospital and community health services within the South Thames area, representing more than 90 per cent. of units.

Ovarian Cancer

25. Mrs. Angela Knight : To ask the Secretary of State for Health what proposals she has to improve early diagnosis of ovarian cancer.


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Mr. Sackville : The Government fully recognise the need to find a proven method of diagnosing ovarian cancer early to offer the greatest chance of a cure. However, any screening method must demonstrate its acceptability and effectiveness in reducing mortality before introduction nationally. A number of research projects are seeking currently to find a method sensitive enough to detect ovarian cancer without the need for investigative surgery, but will require full evaluation before they can be considered for a national based screening programme.

Special Transitional Grant

26. Ms Rachel Squire : To ask the Secretary of State for Health what representations she has received regarding the requirement to spend 85 per cent. of the special transitional grant within the private or voluntary sector.

Mr. Bowis : The requirement is for at least 85 per cent. of the social security transfer element of the special transitional grant to be used on community care services provided by the independent sector. One hundred per cent. of this social security money was previously spent in the independent sector. We have received a number of representations from the independent sector, local authorities and others.

Kidney Transplants

27. Mr. Wells : To ask the Secretary of State for Health how many kidney transplants were carried out (a) in 1979 and (b) in the latest year for which figures are available.

Mr. Sackville : The number of kidney transplants performed in 1979 was 842 ; in 1993 the number had almost doubled to 1,576--provisional.

(Figures provided by the United Kingdom Transplant Support Service Authority UKTSSA).

Tobacco Advertising

28. Ms Eagle : To ask the Secretary of State for Health what discussions she has had on banning all tobacco advertising from hoardings within 1 or 3 miles of schools ; and if she will make a statement.

Dr. Mawhinney : I refer the hon. Member to the reply I gave earlier today.

Guy's Hospital

29. Mr. Simon Hughes : To ask the Secretary of State for Health what notice she is taking of representations arguing against the reduction of beds or the closure of the accident and emergency department at Guy's hospital.

Dr. Mawhinney : All representations are given serious consideration. Proposals for changes in the disposition of services at the Guy's and St. Thomas's Hospital Trust will, in any case, be the subject of full public consultation.

Morning-after Pill

Mr. Khabra : To ask the Secretary of State for Health what representations she has received on making the morning-after pill available on request from a pharmacist ; and if she will make a statement.

Mr. Sackville : None specifically about pharmacy provision. There have been 16 letters from the public about wider availability generally ; two letters were in support and 14 opposed.


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Paramedics, London Ambulance Service

Mr. Hayes : To ask the Secretary of State for Health how many paramedics are currently employed by the London ambulance service ; and what the figure was five years ago.

Mr. Sackville : The London Ambulance Service currently has over 400 trained paramedics compared to only seven in 1989. This reflects the excellent progress which is being made on paramedic training.

Radioactive Material

Mr. Cousins : To ask the Secretary of State for Health whether premises in which radiotherapy machines have been situated can be immediately re-used after the machinery has been removed ; and what agency is responsible for the safety of sites and buildings during and after such removal.

Mr. Sackville : There is no reason why premises in which radiotherapy equipment has been situated should not be re-used immediately after its removal. There is no residual emission following decommissioning. National Health Service Estates, an executive agency of the Department of Health, has issued comprehensive building guidance covering most Departments. Regulatory aspects of building design and construction are enforced by the local building control authority ; safety of sites during use is enforced by the Health and Safety Executive.

NHS Supplies Authority

Mr. Redmond : To ask the Secretary of State for Health what average percentage savings in purchasing costs were assessed by the firms retained by the National Health Service Supplies Authority or its divisions to benchmark prices as being achievable by the authority on the basis of the best available market price for a representative basket of items in comparison with prices paid or negotiated for the same items during the most recent period for which divisional data are available.

Mr. Sackville : For an annualised sample basket of 392 goods taken at March 1994 National Health Service Supplies' purchasing performance was 0.4 per cent. better than that achieved in the same period covered by the PI (UK) Ltd. analysis.

Purchasing Authorities (Buildings)

Ms Lynne : To ask the Secretary of State for Health how much money has been spent (a) buying, (b) building, (c) leasing and (d) equipping buildings for purchasing authorities in each district health authority in each of the last two financial years for which figures are available.

Mr. Sackville : This information is not separately identifiable in the financial accounts of health authorities.

Tuberculosis

Mrs. Bridget Prentice : To ask the Secretary of State for Health what information is held by her Department on the number of children infected by tuberculosis in (a) each of the London boroughs and (b) England.

Mr. Sackville : The latest available information is shown in the table.


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Notified cases of tuberculosis   

for children (aged 0-16) in      

England and                      

each London Borough, 1992.       

                       |1992     

---------------------------------

England                |855      

City of London         |-        

Barking and Dagenham   |1        

Barnet                 |40       

Bexley                 |3        

Brent                  |19       

Bromley                |3        

Camden                 |8        

Croydon                |6        

Ealing                 |46       

Enfield                |2        

Greenwich              |4        

Hackney                |7        

Hammersmith and Fulham |3        

Haringey               |8        

Harrow                 |6        

Havering               |1        

Hillingdon             |6        

Hounslow               |10       

Islington              |5        

Kensington and Chelsea |3        

Kingston upon Thames   |-        

Lambeth                |8        

Lewisham               |1        

Merton                 |-        

Newham                 |9        

Redbridge              |2        

Richmond upon Thames   |-        

Southwark              |9        

Sutton                 |-        

Tower Hamlets          |27       

Waltham Forest         |1        

Wandsworth             |1        

City of Westminster    |19       


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Mrs. Bridget Prentice : To ask the Secretary of State for Health how many children in (a) each of the London boroughs and (b) England leave school without having been vaccinated against tuberculosis.

Mr. Sackville : This information is not available centrally.

Regional Health Authorities

Mr. Cousins : To ask the Secretary of State for Health what were the allocations to each regional health authority for 1994-95 ; what assumptions in each case have been made about (a) cost uprating, (b) growth, (c) changes in capitation formulae and (d) cost improvement targets ; and what were the allocations for 1993-94 on cash and standard price basis, making allowance for boundary changes where necessary.

Mr. Sackville : The table gives the information for the former 14 regional health authorities.

With effect from 1 April 1994, the number of regional health authorities has been reduced to eight. For regions which have been merged without boundary changes, the 1994-95 allocations for the new regions are as indicated in the table.

Adjustments for boundary changes are required between : Northern and Yorkshire and North West, for the transfer of South Cumbria health authority to North West ; and North Thames and Anglian and Oxford, for the transfer of Bedfordshire health authority and Bedfordshire family health services authority to Anglia and Oxford. The required adjustments are being evaluated by the regions concerned and are not reflected in the table.

No changes were made between 1993-94 and 1994-95 to the capitation formula used to inform allocations to RHAs.


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There are no cost improvement targets as such for RHAs, but in 1994-95, all     

RHAs are expected to produce a purchaser efficiency gain of 2.25 per cent.      

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

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Patient Data

Ms Primarolo : To ask the Secretary of State for Health what plans she has to take over ownership of data on patients in general practice ; and who currently owns the written data held on patients in general practice.

Mr. Sackville : Ownership of records on patients, maintained by general practitioners in accordance with their terms of service, is vested in family health services authorities and we have no plans to change that.

Safe Sex Guide

Ms Primarolo : To ask the Secretary of State for Health what plans she has to publish a guide to safe sexual practices for 16-year-olds and above.

Mr. Sackville : There is already a wide range of material available throughout the statutory and voluntary sectors containing information about safer sexual practices for 16-year-olds and above.

Child Abuse

Mr. Devlin : To ask the Secretary of State for Health if she will give estimates of the likely prevalence of (a) child sex abuse and (b) child physical abuse ; and if she will make a statement about such estimates.

Mr. Bowis : The Department does not collect information from which the prevalence of these activities can be estimated. Information available centrally relates to the number of children placed on a child protection register because of a concern about harm or likelihood of harm. Of those on a register at 31 March 1993, concern about sexual abuse was recorded for 8,300 children and physical injury for 11,900.


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