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Mr. Lennox-Boyd : Figures for official development assistance are not yet available for 1993. In 1992, the United Kingdom gave 55.5 per cent. of its total official development assistance to sub-Saharan Africa. This represented a 4.8 per cent. increase over the 1991 figure, with bilateral assistance decreasing by 6 per cent. and multilateral assistance increasing by 13 per cent.

Human Needs

Mr. Battle : To ask the Secretary of State for Foreign and Commonwealth Affairs what is Her Majesty's Government's policy towards the recommendations of the United Nations Development Programme on the proportion of developing countries' budgets which should be devoted directly to meeting the priority human needs of their people and the proportion of which international aid for development should directly support those needs.

Mr. Lennox-Boyd : We recognise the importance of addressing priority human needs, but do not consider it


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appropriate to prescribe proportional targets for expenditure on a global basis. The imposition of such targets on to the budgets of developing countries can restrict their capacity to prioritise expenditure to cope with their particular circumstances.

The proportion of the British aid budget allocable by sector to priority human needs is already significant. In the financial year 1992-93, about 31 per cent.--£180 million--of allocable bilateral aid went to the health, education, and water sectors.

Grameen Bank, Bangladesh

Mr. Jim Cunningham : To ask the Secretary of State for Foreign and Commonwealth Affairs (1) if he will encourage third-world Governments and institutions in the establishment of banks similar to the Grameen bank in Bangladesh ;

(2) if he will consider giving financial assistance to the Grameen bank in Bangladesh ; and what assessment he has made of the work of the Grameen bank.

Mr. Lennox-Boyd : The Overseas Development Administration endorses the objectives of the Grameen bank in its work with the poor in Bangladesh. We have not been asked for financial support. If requested, help to establish similar credit institutions in other countries would be candidates for consideration from our bilateral aid programme on a case-by- case basis.

Overseas Aid

Mr. Jim Cunningham : To ask the Secretary of State for Foreign and Commonwealth Affairs what assessment he has made for the proportion of overseas aid which actually goes to the poor of the countries that it is intended to help.

Mr. Lennox-Boyd : In 1992-93, 80 per cent. of the British bilateral aid allocatable by income group went to the poorest countries in the world. All of our aid effort is intended, either directly or indirectly, to help poor people in the recipient countries.

Mr. Jim Cunningham : To ask the Secretary of State for Foreign and Commonwealth Affairs what representations he has received on the extent to which aid is spent by Governments on projects and bureaucracy rather than on people in need.

Mr. Lennox-Boyd : The overall purpose of the aid programme is to promote sustainable economic and social development in other countries and the welfare of their people. The Government finance a range of projects and programmes in support of this. Some are carried out through non- governmental organisations and the private sector. Many are carried out through Governments. In all cases, we assess the likely effectiveness of the institutions concerned in advance of the project and monitor this during the project's execution.

EDUCATION

School Tests

Mr. David Porter : To ask the Secretary of State for Education if he will make a statement on the respective duties and

responsibilities of (a) teachers, (b) heads,


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(c) governors and (d) local education authorities to ensure testing of the national curriculum at key stage 3 in the current year ; and what are the penalties in each case for failure to comply.

Mr. Robin Squire : It is the duty of local education authorities and governing bodies to exercise their functions with a view to securing, and the duty of the head teacher to secure, the implementation of all aspects of the national curriculum including the key stage 3 tests. Under their contracts of employment, classroom teachers are required to carry out duties under the direction of the head teacher. Head teachers are also under a contractual duty to carry out their statutory obligations.

If a teacher or head teacher is in breach of contract of employment it falls to his or her employer to consider what action to take. The employer would decide what, if any, disciplinary action is called for, except in an LEA-maintained school with a delegated budget, where it would be the responsibility of the governing body. If an LEA or governing body acts unreasonably or fails to carry out one of its duties then the Secretary of State has the power to issue a direction to that governing body or LEA.

Teacher Training Agency

Mr. Ian Taylor : To ask the Secretary of State for Education what arrangements he has made for setting up the new teacher training agency.

Mr. Patten : The Government intend, subject to the passage of the Education Bill currently before Parliament, to establish a new funding agency in England to administer all central funds for initial teacher training. Parliamentary approval for expenditure associated with this new service in 1994-95 will be sought in a revised estimate for the higher and further education vote (class X, vote 2). Pending that approval, urgent and essential preparatory expenditure estimated at £74,000 will be met by a repayable advance from the Contingencies Fund.

Student Grants

Mr. Jenkin : To ask the Secretary of State for Education if he will announce the post graduate bursary and studentship rates payable by his Department for the academic year 1994-95.

Mr. Boswell : The main maintenance rates under the Department's own postgraduate awards scheme for certain professional and vocational courses in the academic year 1994-95 will be as follows, with 1993-94 rates shown in brackets :


              |1994-95|1993-94        

              |£      |£              

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

Bursaries                             

London        |3,295  |(3,170)        

Elsewhere     |2,600  |(2,500)        

Parental home |1,965  |(1,890)        

                                      

Studentships                          

London        |5,555  |(5,340)        

Elsewhere     |4,415  |(4,245)        

Parental home |3,255  |(3,130)        

These represent increases of 4 per cent. on the current year's rates. The relevant supplementary allowances will be increased broadly in line.


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NATIONAL HERITAGE

English Heritage

Ms Mowlam : To ask the Secretary of State for National Heritage what representations have been received from the London boroughs by (a) English Heritage and (b) his Department in respect of English Heritage's proposal to transfer responsibility for negotiation with owners and developers of listed buildings to them.

Mr. Brooke : My Department has no record of direct representations on this issue since I agreed last year to English Heritage's negotiating directly with individual boroughs, with a view to devolving to them the responsibility for determining applications for listed building consent for minor alterations and extensions to grade II listed buildings under "flexible authorisation". I refer to the answer given to my right hon. Friend the Member for Westminster, North (Sir John Wheeler) on 23 April 1993 at columns 228-29 . Since then, English Heritage has signed agreements with three of the boroughs where such applications are most frequent-- Bexley, Kensington and Chelsea, and Wandsworth. Agreements with the City of London, the City of Westminster and Kingston-upon-Thames are imminent. Discussions are in progress with a number of other boroughs and it is expected that further agreements will be signed over the next year. In addition to devolution of this casework the agreements provide, where appropriate, a measure of financial support for conserva tion staff posts and training. All the remaining boroughs have indicated a willingness to discuss with English Heritage the handling of conservation work and the support that English Heritage could give them.

Ms Mowlam : To ask the Secretary of State for National Heritage what was the ratio of professional and technical staff to managers and administrators at English Heritage in (a) 1983, (b) 1990 and (c) the latest available date.

Mr. Brooke : English Heritage was established in 1984. The ratios of professional and technical staff to managers and administrators are as follows :


               |Professional/ |Managers/                    

               |Technical     |Administration               

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

1984           |45            |55                           

1990           |48            |52                           

1994           |47            |53                           

These ratios exclude custodial and industrial staff.

Millennium Commission

Ms Mowlam : To ask the Secretary of State for National Heritage, pursuant to his answer of 5 May, Official Report, column 608, if he will give a breakdown of the estimated £670,000 administration costs of the Millennium Commission which remains after subtracting the elements for salary and staff costs, and for publicity.

Mr. Brooke : The estimated £670,000 administration costs of the Millennium Commission which is expected to remain after subtracting the elements for salary and staff costs and for publicity, is expected to break down as follows :


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                                         |£              

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

Contracted-out services                  |159,000        

Consultants, including project appraisal |240,000        

Accommodation and fitting out costs      |244,000        

Utilities                                |14,000         

Office services                          |13,000         

Radio Reception, Llanbrynmair

Mr. Alex Carlile : To ask the Secretary of State for National Heritage if he will make it his policy to improve FM radio reception in Llanbrynmair ; and if he will make a statement.

Mr. Brooke : It is for the broadcasters to determine the engineering priorities aimed at extending or improving reception of programmes to specific areas.

HOUSE OF COMMONS

Child Care

Mr. Mudie : To ask the Chairman of the Administration Committee if the results of the survey on child care in the Parliamentary Estate will be made public.

Mr. Michael J. Martin : The Committee has now reported its conclusions in respect of the provision of child care to the House of Commons Commission. That part of the Committee's proceedings which contain the principal deliberations on this issue have now been published in HC 374 -i to ix. The Committee has decided not to publish the results of the survey.

HEALTH

Children (Accidents and Deaths)

Mrs. Golding : To ask the Secretary of State for Health how many notifications of (a) child deaths and (b) incidents of serious harm to children have been received by the Department of Health under the terms of part 8 of "Working Together" each year since the implementation of the Children Act 1989.

Mr. Bowis : The Department does not hold central information in the form requested. The table shows the number of child deaths reported to the Department since 1 April 1991.


Year ending |<1>Number              

31 March    |reported               

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

1992        |<2>115                 

1993        |116                    

1994        |112                    

<1> Not all deaths are due to abuse 

and subject to Review under part 8  

of Working Together. Figures cover  

all deaths of children looked after 

by a local authority or             

accommodated at a childrens home (  

eg: this would include children     

whose deaths were due to natural    

causes).                            

<2> Figure includes 58 deaths       

recorded in the period up to 13     

October 1991 prior to the           

implementation of the Children Act  

1989.                               

NHS Trusts

Mr. Milburn : To ask the Secretary of State for Health, pursuant to her answer of 20 April, Official Report , column 541 , regarding trusts which fail to meet their capital return


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targets, what action her Department has at its disposal when trusts so fail ; and how often action has been taken to date.

Mr. Sackville : The regional offices of the national health service executive monitor the financial performance of trusts on behalf of my right hon. Friend the Secretary of State. Where a trust fails to meet one or more of its financial duties by a material amount it will be required to produce a recovery plan which will then be monitored closely by the regional office. Any trust which exceeds its authorised external financing limit has its limit for the following year reduced by the amount of the excess.

In some circumstances failure to meet financial duties on a recurrent basis may indicate a trust is no longer financially viable. In those circumstances the NHS executive will investigate whether the trust should be merged with another, or exceptionally dissolved, if there is no longer any demand for its services.

Appropriate action as above has been taken in each case of material failure to meet a financial duty.

Mr. Milburn : To ask the Secretary of State for Health, pursuant to her answer of 20 April, Official Report, column 541, how many trusts that (a) failed to meet and (b) succeeded in meeting their financial targets (i) borrowed finance and (ii) had loans guaranteed by her Department ; and what sums of money were involved.

Mr. Sackville : All the borrowing detailed as follows was within agreed limits whether or not the trust met its financial duties. Trusts negotiate overdraft facilities with their bankers and the Department issues guarantees in support of these arrangements. Information is not available centrally about the extent to which these facilities were taken up during the year. Information for 1993-94 will not be available until the annual accounts of trusts are audited.

1991-92 (57 trusts established)

Six of the trusts which failed to achieve one or more of their financial targets in 1991-92 received loans from the Department. The amount involved was £17,336,000 of which £3,100,000 was short-term borrowing repaid in year.

Thirteen of the trusts meeting their financial targets in 1991-92 received loans from the Department. The amount involved was £80,567, 000 of which £30,150,000 was short-term borrowing repaid in year. Seven of the trusts which failed to meet one or more of their financial targets in 1991-92 were issued with overdraft guarantees by the Department. The amount involved was £3,125,000.

Seven of the trusts meeting their financial duties in 1991-92 were issued with overdraft guarantees by the Department. The amount involved was £2,550,000.

1992-93 (156 trusts established)

Thirty-eight trusts which failed to meet one or more of their financial targets in 1992-93 received loans from the Department. The amount involved was £257,875,972 of which £66,663,731 was short-term borrowing repaid in year.

Thirty-three trusts which met their financial targets in 1992-93 took loans from the Department. The amount involved was £186,310,425 of which £64,751,000 was short-term borrowing repaid in year. Twenty-one trusts which failed to meet one or more of their financial targets in 1992-93 were issued with overdraft guarantees by the Department. The amount involved was £7,135,000.

Twenty-four trusts which met their financial targets in 1992-93 were issued with overdraft guarantees by the Department. The amount involved was £11,425,000.

Mr. Ainger : To ask the Secretary of State for Health if she will list those English NHS trusts which in 1992-93 failed to achieve a 6 per cent. return on capital in (a) percentage terms and (b) cash terms.


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Mr. Sackville [pursuant to his reply 15 March 1994 columns 560- 61] : I regret that there were errors in my previous reply The amounts of return on capital employed for Broadgreen hospital and St. Helen's and Knowsley national health service trusts should read-- £2,145,000 and £4,268,000 respectively. The percentages were however correct.

Staff Contracts

Mr. Cox : To ask the Secretary of State for Health what is now the number of personnel working within the national health service who are (a) on short-term contracts and (b) on temporary contracts ; and if she will make a statement.

Dr. Mawhinney : The information is not available centrally.

Child Abuse

Mrs. Golding : To ask the Secretary of State for Health if her Department has, or intends to develop, a preventive strategy which concentrates on eliminating the range of factors and circumstances which can give rise to abuse or neglect of children ; and if she will make a statement.

Mr. Bowis : The Government attach a high priority to this problem and seeks to tackle it through guidance, measures designed to promote training in this field and through the Children Act 1989. In October 1991, to coincide with the implementation of the Children Act, the Home Department, the Department of Health, the Department for Education and the Welsh Office published a revised edition of "Working Together under the Children Act 1989--a guide to arrangements for inter-agency co-operation for the protection of children from abuse". The guide incorporates lessons learned in individual cases which have caused public and professional concern in recent years. Copies of the guide are available in the Library. Local authorities have a duty to provide services to prevent children in their area suffering ill treatment or neglect, which forms part of a general duty to safeguard and promote the welfare of children in need.

Cosmetic Surgery

Mr. French : To ask the Secretary of State for Health what plans she has to regulate private cosmetic surgery clinics.

Mr. Sackville : Private cosmetic surgery clinics are covered by the Registered Homes Act 1984. There are no plans to extend regulation.

Mr. French : To ask the Secretary of State for Health what training is required by those who wish to practise as cosmetic surgeons.

Mr. Sackville : There is no separate speciality of comsetic surgery. Surgeons in plastic surgery in the national health service are required to undergo basic and higher specialist training in posts, and to standards, approved by the Joint Committee on Higher Surgical Training of the Royal Colleges of Surgeons. The required training for those who wish to practise plastic surgery in the independent sector is a matter for the employer and the health insurers.


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Christopher Clunis

Dr. Lynne Jones : To ask the Secretary of State for Health how the performance management system for the mental health services works ; and to what extent the deficiencies in the care and treatment of Christopher Clunis, described in the Ritchie report, have been remedied.

Mr. Bowis : The ten-point plan, which my right hon. Friend the Secretary of State announced last August, outlined a programme of work to improve the care of mentally ill people in the community. The plan includes the introduction of supervision registers, the issuing of new guidance on discharge and new legislation to introduce a supervised discharge for a small number of patients.

The National Health Service Executive is taking action to strengthen its monitoring of community care for severely mentally ill people in line with one of the key recommendations of the Ritchie report. The aim is to ensure that health authorities systematically deliver the care programme approach and other policy commitments in their contracts with service providers and that they work effectively with local authorities and other agencies. A local audit tool for the care programme approach is being produced to provide a clear basis against which health authorities can review local arrangements with their providers and other agencies involved and identify areas for improvement. The NHS executive will follow this up with a national sample audit to ensure that the arrangements are working satisfactorily.

The mental health task force is working with health authorities and other agencies in London to review the arrangements for the management of severely mentally ill people in the community and is helping authorities to develop action plans to address problems which are identified.

Dental Services and Sight Tests (NHS Staff)

Mr. Blunkett : To ask the Secretary of State for Health (1) if she will publish a list of those regional health authorities, district health authorities, family health services authorities, or other NHS bodies, which operate schemes for reimbursing charges incurred by their employees for NHS dental examinations or sight tests ; (2) what guidance has been issued by her Department or the NHS executive to NHS authorities regarding the operation of schemes for reimbursing charges incurred by their employees for NHS dental examinations or sight tests ; and if she will make a statement.

Dr. Mawhinney : Information on national health service bodies who offer such reimbursement schemes is not available centrally. No guidance has been issued to national health service employers about these schemes.

The decision on whether to introduce a scheme is a matter for each national health service employer.

Counselling

Mr. Spellar : To ask the Secretary of State for Health, pursuant to her answer of 10 May, Official Report, column 84, what studies she has instituted to ascertain the cost and benefits to the NHS of introducing payments for counselling.


Column 418

Mr. Bowis : Research evidence on the cost effectiveness of counselling and psychotherapy services is being examined as part of a current departmental review of strategic policy on psychotherapy services.

Mental Health

Dr. Lynne Jones : To ask the Secretary of State for Health in what way the National Health Service Executive takes account of the views of the carers of those for whom mental health services are provided.

Mr. Bowis : The National Health Service Executive is committed to involving both users and carers. It is involved in the NHS executive's mental health task force London project. The mental health task force has also commissioned the National Schizophrenia Fellowship to undertake a survey on the experiences and needs of people caring for someone with mental illness.

Dr. Lynne Jones : To ask the Secretary of State for Health if she will provide further information about the tool kit of measures relating to performance management of mental health services reported in evidence to the House of Commons Health Committee in December 1993, by the director of the mental health task force.

Mr. Bowis : The mental health task force has initiated an annual survey, now in its second year, of progress on reprovision of old-style long-stay services. This information is now being combined with other information on the full range of mental health services provided by health and social services to enable comparisons to be made at health authority level across England. This analysis will be available to support performance management in the national health service executive regional offices and in purchasing authorities. Guidance to purchasers on specifying a service for severely mentally ill people is also in preparation. A range of other materials highlighting best practice have been or are about to be published, including a series of videos on innovative service provision and publications on releasing fixed costs and on approaches to reproviding services across three regions.

Dr. Lynne Jones : To ask the Secretary of State for Health if she will now establish a permanent inter departmental advisory group on mental health ; and if she will make a statement.

Mr. Bowis : We are considering the Health Select Committee's recommendation on this and will respond to the Committee shortly.

Health Services, Sunderland

Mr. Etherington : To ask the Secretary of State for Health how many and what percentage of patients out of the total annual patient population were discharged from each of the Sunderland hospitals in each year since 1990 to (a) residential homes and (b) residential nursing homes.

Mr. Bowis : This is a matter for the Sunderland district health authority, to whom I refer the hon. Member.


Column 419

NHS Estate

Mr. Gordon Prentice : To ask the Secretary of State for Health for each year since 1987, how much the NHS has paid to district valuation officers for valuation work on NHS land and property assets which are earmarked for disposal.

Mr. Sackville : Health authorities contract individually with the district valuation office for required services. The total of amounts paid are not available centrally.

The valuation office has recently centralised its own records enabling it to set out the total paid by the national health service for services--in England--and has provided the following figures. They include for all services, not just for work in respect of disposals. Information for prior years could be provided only at

disproportionate cost.


          |£                  

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

1991-92   |1,131,432          

1992-93   |831,625            

1993-94   |1,696,692          

Obsessive Compulsive Disorder

Mr. Blunkett : To ask the Secretary of State for Health how many NHS hospitals or community health centres have established units for the treatment of obsessive compulsive disorder.

Mr. Bowis : Treatment of those suffering from obsessive compulsive disorder is provided within general mental health services which are available in every district.

Hearing Apparatus (Charges)

Ms Walley : To ask the Secretary of State for Health what plans she has to introduce charges for people with hearing difficulties in respect of hearing apparatus, aids, repairs and batteries ; and if she will make a statement.

Mr. Bowis : None.

Diethylstilbestrol

Mr. Ron Davies : To ask the Secretary of State for Health if she will list the firms which are or have been involved in the manufacture of diethylstilbestrol for distribution in the United Kingdom.

Mr. Sackville : Firms that currently hold marketing authorisations for the drug diethylstilbestrol are Approved Prescription Services, A. Nelson and Co. Ltd. and Norgine Ltd.

Mr. Ron Davies : To ask the Secretary of State for Health (1) what is the percentage uptake of regular diethylstilbestrol examinations by those women whose mothers received it during pregnancy in each local health authority in England and Wales ;

(2) what guidelines her Department has issued regarding the frequency of diethylstilbestrol examinations for women whose mothers were prescribed it during pregnancy.

Mr. Sackville : The Department has issued no guidelines on regular diothylstilbestrol examinations for women whose mothers were prescribed it during pregnancy.


Column 420

Mr. Ron Davies : To ask the Secretary of State for Health under which names diethylstilbestrol is or has been marketed in the United Kingdom.

Mr. Sackville : Diethylstilbestrol has been marketed under the following brand names : Stilboestrol, Stilboestrol BP, Tampovagan Stilboestrol and Lactic Acid Pessary, Menopax, Sedestran, Merven and Pabestrol.

Hormonal Transplacental Carcinogenesis

Mr. Ron Davies : To ask the Secretary of State for Health what research her Department has undertaken or commissioned on hormonal transplacental carcinogenesis in the United Kingdom.


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