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Red Squirrels

Mr. Redmond : To ask the Secretary of State for Wales if he will list by county the current estimate of the red squirrel population ; and what were the figures (a) five years and (b) 10 years ago ; and if he will make a statement.

Sir Wyn Roberts : I refer the hon. Member to the reply given by my hon. Friend the Minister for the Environment and Countryside on 21 June 1994, Official Report, column 103.


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South Gwynedd Enterprise Zone

Mr. Llwyd : To ask the Secretary of State for Wales what progress is being made with a view to securing enterprise zone status for the Trawsfynydd-Blaenau Ffestiniog travel-to-work area in Meirionnydd Nant Conwy ; and if he will make a statement.

Mr. Redwood : The South Gwynedd partnership is working up a case for an enterprise zone in that area.

Sheep Scab

Mr. Llwyd : To ask the Secretary of State for Wales (1) how many representations he has received on the proposed re-introduction of compulsory sheep dipping ; and if he will make a statement ; (2) how many representations he has received during the last 12 months on the subject of sheep scab ; and if he will make a statement.

Mr. Redwood : I have received numerous representations. Sheep scab is a disease which can be controlled by individual farmers, who are aware of the preventive measures and procedures needed to deal with it. The Government have no plans to reintroduce controls. The Government propose to carry out a publicity campaign during the autumn to encourage farmers to treat their sheep. We shall be stepping up our efforts to ensure that unfit animals are not presented for sale by increasing the official veterinary presence at markets.

Minority Languages Treaty

Mr. Llwyd : To ask the Secretary of State for Wales when it is expected that Her Majesty's Government will be a signatory to the European Union's treaty on minority languages ; and if he will make a statement.

Mr. Redwood : The Government need fully to consider all the implications of signing the Council of Europe's European charter on regional and minority languages, and no decision has yet been reached. So far, fewer than half of the Council's member states have become signatories.

Agricultural Tenancy Reform

Mr. Llwyd : To ask the Secretary of State for Wales how many representations he has received in favour of agricultural tenancy reform ; and if he will make a statement.

Mr. Redwood : I have received four representations in favour of agricultural tenancy reform.

Mr. Llwyd : To ask the Secretary of State for Wales how many of the representations he has received on the subject of the proposed reform regarding agricultural tenancies were in favour of a statutory minimum period and how many were in favour of total contractual freedom ; and if he will make a statement.

Mr. Redwood : I have received three representations on the subject of agricultural tenancy reform which were in favour of minimum period tenancies and four representations which were in favour of total contractual freedom.


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Local Government Reorganisation

Mr. Llwyd : To ask the Secretary of State for Wales (1) what guidelines will be issued to the Staff Commission for Wales to ensure equity and parity between existing employees of county councils and district or borough councils ; and if he will make a statement ; (2) what criteria will be employed by the Staff Commission for Wales in determining which members of staff should not transfer from existing to new local authorities under the Local Government (Wales) Bill [Lords] ; and if he will make a statement ;

(3) what guidelines will be issued to protect the employment prospects of those middle management who may be the subject of prior consideration under the staffing provisions of the Local Government (Wales) Bill [Lords] ; and if he will make a statement.

Mr. Gwilym Jones : My right hon. Friend will issue guidance to the Staff Commission after Royal Assent to the Local Government (Wales) Bill (Lords) . This will deal, among other things, with staff transfer arrangements, prior consideration, and equality of treatment of county and district staff. The draft guidance issued on 21 April and circulated to all members of Standing Committee A has prompted many representations which are being considered.

My right hon. Friend the Minister of State undertook on 16 June to write to the hon. Member on a number of staffing matters. He will do so shortly, and will place a copy of his letter in the Library of the House.

Infertility

Mr. Hanson : To ask the Secretary of State for Wales (1) what provision is made for infertility investigation in the Clwyd health authority area by the Welsh Office ;

(2) what is the provision for infertility treatment in Clwyd health authority.

Mr. Gwilym Jones : The provision for infertility investigation and treatment is a matter for Clwyd health authority, which will take into account need, competing demands and available resources.

Mr. Hanson : To ask the Secretary of State for Wales if Clwyd health authority has sought advice from the Welsh Office as to the most cost- effective and cost-efficient means of providing for infertility investigation and treatment in its area.

Mr. Gwilym Jones : No.

Laser Treatment

Mr. Hanson : To ask the Secretary of State for Wales if he will list the centres providing laser treatment under the national health service for short sight and astigmatism.

Mr. Gwilym Jones : The use of lasers to treat short sight and other sight problems is being evaluated. Currently, there are no NHS centres in Wales providing this treatment.

Market Testing

Mr. Richards : To ask the Secretary of State for Wales, what revisions he intends to make to his programme of market testing.


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Mr. Redwood : The revised programme, which runs from October 1993 until September 1996, covers activities involving at least 1,500 posts and valued in excess of £20 million, compared with the previous programme total of 300 posts and £5 million. The programme includes the following :

Welsh Office : Typing Services

Records Management Services

Architects and Surveyors Services

Activities within Cadw

National Museum of Wales : Warding function

Sports Council for Wales : Activities at Plas Menai and the Welsh Institute for Sport

Non medical activities within the Welsh Health Common Services Authority

The Careers Service in Wales

Cancer

Mr. Martyn Jones : To ask the Secretary of State for Wales (1) how many cases of cancers of all types per 100,000 head of population there have been in Wales in each year since 1970 ;

(2) how many cases of bone cancer per 100,000 head of population there have been in Wales in each year since 1970.

Mr. Gwilym Jones [holding answer 25 May 1994] : Complete data on cancer registrations in Wales are not available prior to 1974. The information available is given in the following table.


Cancer Registrations: Rate per 100,000 population<1>            

                |Bone Cancer<2> |All Cancers                    

                |(ICD(9)170)    |(ICD(9)140-208)                

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

1974            |1.8            |399.8                          

1975            |1.5            |417.7                          

1976            |1.3            |408.1                          

1977            |1.5            |417.9                          

1978            |2.3            |435.8                          

1979            |2.5            |443.3                          

1980            |2.1            |445.8                          

1981            |1.7            |449.3                          

1982<3>         |1.9            |452.1                          

1983            |2.1            |489.2                          

1984            |2.8            |513.5                          

1985            |2.5            |528.1                          

1986            |2.8            |541.8                          

1987            |2.6            |537.4                          

1988            |2.2            |552.2                          

1989<4>         |1.8            |536.6                          

<1> Registration of primary growth site.                        

<2> May include a number of cases where the cancer was recorded 

as a primary growth but was secondary.                          

<3> Data for this year may be under-recorded due to industrial  

action in medical records departments at that time.             

<4> Provisional                                                 

NATIONAL HERITAGE

Listed Underground Stations

Mr. Redmond : To ask the Secretary of State for National Heritage if he will list to date the London underground stations that have been granted grade II listed status as buildings of special architectural or historic interest ; and for which stations applications are still pending.

Mr. Brooke : The following London underground stations have been listed in grade II :


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Acton Town, Arnos Grove, Baker Street, Balham, Barkingside, Baron's Court, Bow Road, Chiswick Park, Clapham Common, Clapham South, Cockfosters, Collier's Wood, Earl's Court, Ealing Common, Eastcote, East Finchley, Farringdon, Fulham Broadway, Gloucester Road, Great Portland Street, Holloway Road, Hounslow West, Kennington, Kilburn Park, Loughton, Maida Vale, Moorgate, Mornington Crescent, Northfields, Notting Hill Gate, Oakwood, Ongar, Osterley, Park Royal, Piccadilly Circus, Rayners Lane, St. James's Park, Southgate, South Wimbledon, Sudbury Hill, Sudbury Town, Tooting Bec, Tooting Broadway, Turnpike Lane, Uxbridge, Wapping (Brunel's tunnel entrance and stairways from platform to street).

There are no outstanding applications for the listing of any other London underground stations.

British Broadcasting Corporation

Mr. Raynsford : To ask the Secretary of State for National Heritage for what purposes the British Broadcasting Corporation has been authorised to broadcast on the 198 KHz frequency ; when this authorisation expires or comes up for renewal ; and what undertakings or justification the BBC has given regarding its programming policy for broadcasts using this frequency.

Mr. Brooke : It is for the BBC to decide what programmes to broadcast on the frequencies made available to it for services in the United Kingdom, under its present royal charter and licence and agreement, which expire on 31 December 1996.

HEALTH

Primary and Secondary Care

Ms Primarolo : To ask the Secretary of State for Health (1) if she will make a statement on the effect on the need for hospital beds of expanding primary care ;

(2) what evidence and research her Department has examined on the relationship between the levels of primary and secondary care services.

Dr. Mawhinney : Developments in primary care are only one of the ways in which we can move services closer to the patient's home. These, together with clinical advances leading to shorter lengths of hospital stay and higher rates of day cases, have a significant impact on the number of in-patient beds required. Ultimately, it is for local health authorities, taking account of all these factors and the views of local people, to assess the level of services needed to meet the requirements in their area and to negotiate appropriate provision. We will be examining the changing pattern of service provision to ensure that patients continue to receive effective and high-quality care.

GP Payments

Dr. Goodson-Wickes : To ask the Secretary of State for Health, pursuant to her answer of 14 June Official Report, column 376, whether the payments to GPs for out-of-hours service are made from (a) family health services authorities cash-limited funds or (b) other funds ; and in respect of what expenditure such payments are made.

Dr. Mawhinney : The "Statement of Fees and Allowances", copies of which are available in the Library, sets out the conditions for payments to be made to general practitioners from both cash-limited funds and other funds.


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Payments are made for a wide range of expenditure, including those associated with providing out-of-hours services.

Civil Servants

Ms Primarolo : To ask the Secretary of State for Health what is the average salary of Department of Health civil servants ; what is the average salary of the best-paid 20 per cent. ; and if she will list the grades and numbers of staff at each grade in her Department.

Mr. Sackville : The average salary of the Department of Health staff, excluding agency and youth treatment service staff, as at 1 May 1994, is £22,365, and the average salary of the best paid 20 per cent. of these staff at the same date is £40,216. Departmental grades and numbers of staff at each grade are shown in the table.


Details of the grades and numbers of staff in the Department of Health         

and its agencies                                                               

                                               Number in grades                

                                               (whole-time                     

                                               equivalents)                    

Grades                                        |Central   |Agencies             

                                              |department|and youth            

                                                         |treatment            

                                                         |service              

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

Grade 1                                       |1.00      |-                    

Grade 1A                                      |2.00      |-                    

Unified Grade 2                               |9.00      |-                    

Unified Grade 3                               |23.60     |2.00                 

Unified Grade 4                               |5.50      |3.00                 

Principal Medical Officer                     |15.00     |2.00                 

Deputy Chief Nursing Officer                  |1.60      |-                    

Deputy Chief Inspector SSI                    |2.00      |-                    

Unified Grade 5                               |86.98     |8.00                 

Senior Medical Officer                        |60.50     |28.00                

Senior Dental Officer                         |3.00      |-                    

Principal Nursing Officer                     |3.00      |-                    

Assistant Chief Inspector SSI                 |16.00     |-                    

Unified Grade 6                               |57.58     |20.00                

Medical Officer                               |1.60      |2.00                 

Nursing Officer                               |35.10     |-                    

Dental Officer                                |4.00      |-                    

Senior Principal Research Officer             |2.00      |-                    

Senior Pharmaceutical Officer                 |0.00      |10.00                

Unified Grade 7                               |320.83    |51.50                

Principal Pharmaceutical Officer              |9.00      |49.00                

Inspector SSI                                 |107.00    |-                    

Principal Research Officer                    |3.75      |-                    

Principal Scientific Officer                  |11.50     |7.00                 

Principal Professional and Technology Officer |20.50     |-                    

Senior Executive Officer                      |200.31    |28.00                

Senior Scientific Officer                     |21.60     |3.00                 

Senior Professional and Technology Officer    |40.00     |14.00                

Pharmaceutical Officer 1                      |12.00     |17.00                

Senior Librarian                              |5.00      |-                    

Senior Information Officer                    |10.00     |-                    

Higher Executive Officer                      |484.24    |58.00                

Higher Executive Officer (D)                  |18.00     |-                    

Higher Scientific Officer                     |17.00     |22.00                

Higher Professional and Technology Officer    |27.50     |6.00                 

Senior Assistant Statistician                 |10.00     |-                    

Senior Economic Assistant                     |2.00      |-                    

Librarian                                     |14.50     |1.00                 

Information Officer                           |16.00     |-                    

Pharmaceutical Officer 2                      |0.00      |7.00                 

Executive Officer                             |569.98    |151.22               

Administrative Trainee                        |4.00      |-                    

Scientific Officer                            |11.00     |18.00                

Professional and Technology Officer           |2.00      |-                    

Assistant Statistician                        |9.60      |-                    

Economic Assistant                            |3.00      |-                    

Assistant Librarian                           |9.00      |1.00                 

Assistant Information Officer                 |4.00      |-                    

Assistant Scientific Officer                  |1.00      |5.00                 

Administrative Officer                        |477.03    |306.93               

Administrative Assistant                      |161.70    |113.89               

Sandwich Student                              |1.00      |-                    

Laboratory Technician                         |1.50      |-                    

Senior Personal Secretary                     |66.50     |5.00                 

Personal Secretary                            |247.79    |42.51                

Chief Typing Manager                          |4.00      |-                    

Typing Manager                                |11.16     |2.00                 

Typist                                        |99.36     |22.24                

Support Manager 2                             |0.00      |1.00                 

Support Manager 3                             |8.00      |1.00                 

Support Grade Band 1                          |21.00     |5.00                 

Support Grade Band 2                          |92.10     |45.16                

Youth Treatment Service Care Staff            |0.00      |143.50               

Youth Treatment Service Industrial Staff      |0.00      |23.50                

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

Totals                                        |3,484.91  |1,255.45             

Note: Figures above are Staff in Post as at 1 May 1994.                        

Stillbirths

Dr. Lynne Jones : To ask the Secretary of State for Health what action she has taken to reduce the number of stillbirths as a result of obstetric cholestasis.

Mr. Sackville : Following discussions with Department of Health officials, the newsletter of the President of the Royal College of Obstetricians and Gynaecologists and also that of the Royal College of Midwives have carried items on obstetric cholestasis. The revised edition of the Health Education Authority's "Pregnancy Book" will also carry a reference to obstetric cholestasis.

Dr. Lynne Jones : To ask the Secretary of State for Health how many stillbirths there were in each of the five most recent years for which figures are available.

Mr. Sackville : The number of stillbirths registered in England and Wales by year of occurrence for the period 1988-92 are shown in the table.


Year     |Number           

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

1988     |3,382            

1989     |3,236            

1990     |3,256            

1991     |3,254            

1992     |<1>3,160         

<1> On 1 October 1992 the  

legal definition of a      

stillbirth was altered     

from baby born dead after  

28 completed weeks         

gestation or more to one   

born dead after 24         

completed weeks gestation  

or more. Between 1 October 

and 31 December 1992 there 

were 216 stillbirths of    

24-27 weeks gestation.     

these are included in the  

1992 total.                

Children in Care

Mr. Peter Atkinson : To ask the Secretary of State for Health (1) if she will list for each local authority in England (a) the total number of children in foster care and (b) the total number of children in residential care homes ; and if she will make a statement ;


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(2) if she will list the national average cost for residential child care and for foster care, and for each local authority in England (a) the average unit costs for residential child care and (b) the average unit cost for foster care ; and if she will make a statement.

Mr. Bowis : Information on the numbers of children looked after in residential accommodation and in foster placements at 31 March 1992 and the estimated weekly costs per child, from the publication "Key Indicators of Local Authority Social Services", will be placed in the Library. Care is needed in interpreting the figures because accounting practices vary between local authorities.

NHS Trusts

Ms Primarolo : To ask the Secretary of State for Health what guidance she has in relation to practising general practitioners, fundholders and non-fundholders, being employed by provider units.

Dr. Mawhinney : Guidance TEL 94(1), copies of which are available in the Library, has been issued on the appointment of general practitioners as executive directors to the boards of national health service trusts.

Diphtheria

Mr. Redmond : To ask the Secretary of State for Health if she will list by year for the last five years, and by regional health authority, the number of cases of diphtheria reported in the age groups (a) under 10 years, (b) 10 to 19 years and (c) 20 years and over.

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


Number of cases reported to Office of Population Censuses and     

Surveys                                                           

of diphtheria, by Regional Health Authority 1988-1992             

RHA               |Number of cases|Age of patient                 

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

1988                                                              

Yorkshire         |1              |9                              

                                                                  

1989                                                              

North East Thames |1              |11                             

North West Thames |1              |21                             

                                                                  

1990                                                              

North West Thames |1              |19                             

North Western     |1              |19                             

                                                                  

1991                                                              

North East Thames |1              |7                              

South West Thames |1              |26                             

                                                                  

1992                                                              

Northern          |1              |15                             

Yorkshire         |1              |6                              

East Anglia       |2              |36 and 37                      

North West Thames |2              |13 and 27                      

South Western     |2              |25 and 41                      

AIDS

Mr. Redmond : To ask the Secretary of State for Health (1) if she will list by regional health authority the allocations made to local authorities in the Yorkshire region for AIDS support in (a) 1993-94 and (b) 1994-95 ; and what was the basis of allocations to such authorities in each of these years ;

(2) if she will list by regional health authority what allocations were made to local authorities in the Trent region for AIDS support in (a) 1993- 94 and (b) 1994-95 ; and what was the basis of allocation to such authorities in each of these years.

Mr. Sackville : For 1993-94, AIDS support grant allocations were made on the basis of open-ended bids submitted by local authorities. Local authorities not receiving AIDS support grant were given money under the Healthy Alliances scheme for HIV prevention and joint working with health authorities.

For 1994-95 local authorities were invited to submit expenditure plans against indicative allocations of both AIDS support grant and Healthy Alliances moneys. These allocations were based on confidential information available for the first time and supplied to the Department by the Public Health Laboratory Service on the distribution of AIDS cases by local authority area. Where this formula would mean a reduction in grant in 1994- 95, local authorities were advised that there might, in exceptional circumstances, be some scope to adjust allocations on a transitional basis and that applications for additional grant could be made.

The information requested for the Yorkshire and Trent regions is shown in the table :


Column 199


                  Allocations for                   Allocations for                                   

                  1993-94                           1994-95                                           

                 |AIDS            |Healthy         |AIDS            |Healthy                          

                 |support grant   |Alliances scheme|support grant   |Alliances scheme                 

Local authority  |£               |£               |£               |£                                

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

AIDS allocations to local authorities in Yorkshire                                                    

Bradford         |0               |150,000         |71,000          |4,000                            

Calderdale       |0               |26,000          |15,000          |3,000                            

Humberside       |0               |62,000          |32,000          |6,000                            

Kirklees         |0               |39,000          |27,000          |5,000                            

Leeds            |267,000         |0               |101,000         |19,000                           

North Yorkshire  |0               |31,000          |54,000          |10,000                           

Wakefield        |0               |40,000          |15,000          |3,000                            

                                                                                                      

AIDS allocations to local authorities in Trent                                                        

Barnsley         |0               |18,000          |10,000          |7,000                            

Derbyshire       |0               |31,000          |27,000          |5,000                            

Doncaster        |0               |31,000          |10,000          |7,000                            

Leicestershire   |115,000         |0               |60,000          |8,000                            

Lincolnshire     |0               |31,000          |21,000          |4,000                            

Nottinghamshire  |0               |48,000          |74,000          |14,000                           

Rotherham        |0               |31,000          |10,000          |7,000                            

Sheffield        |0               |86,000          |32,000          |6,000                            


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Rural Community Hospitals

Mr. Redmond : To ask the Secretary of State for Health what priority she attaches to rural community hospitals as part of the care in the community initiative and the NHS reforms.

Mr. Bowis : Both the new community care arrangements and national health service reforms have emphasised that NHS services should be responsive to patient needs. Community hospitals have a useful role to play in some areas in providing a limited range of services to meet local needs.

Ambulance Services

Mr. Spearing : To ask the Secretary of State for Health what are the names of the persons, together with any relevant experience or qualifications, who have been appointed to the new London ambulance service committee, the terms of reference of that committee, its quorum, to whom it is accountable and if its minutes and agenda will be published ; and what financial functions it will perform.

Mr. Sackville : The London ambulance service committee is a sub- committee of South Thames regional health authority. The hon. Member may wish to contact Mr. Chris Spry, general manager of the authority, for details.

Hospital Admissions

Mr. Cox : To ask the Secretary of State for Health how many hospital admissions have been cancelled on more than two occasions within the Wandsworth health authority in each of the last three years.

Dr. Mawhinney : This is a matter for Merton, Sutton and Wandsworth health authority. The hon. Member may wish to write to Mr. Harry Cowd, chairman of the authority, for details.

Child Health Surveillance

Ms Primarolo : To ask the Secretary of State for Health how many and what percentage of health authorities have made an assessment of child health surveillance needs in their area.

Mr. Bowis : This information will be available by the end of the year, following research commissioned by the Department.

Diabetics (Disposable Needles)

Mr. Spearing : To ask the Secretary of State for Health what representations she has received concerning the availability of Novofine disposable needles used by diabetics ; what is her estimate of their use where available ; and what response she has made to representations ;

Mr. Llwyd : To ask the Secretary of State for Health how many representations she has received during the last 12 months on the subject of the free provision of syringe needle attachments to the novapen used to treat diabetes ; and if she will make a statement.

Dr. Mawhinney : We have continued to receive representations about the availability of disposable needles


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on prescription. Disposable needles must take their place alongside the many other competing claims for national health service funding. The Department does not attempt to collect centrally information about needles purchased privately by diabetics.

NHS Drugs Bill

Mr. Blunkett : To ask the Secretary of State for Health what was the percentage increase in the NHS drugs bill, compared with the previous year, for each year since 1987 ; and if she will make a statement.

Dr. Mawhinney : The information is shown in the table.


Annual increase in cost of       

National Health Service drugs    

Year       |Percentage           

           |increase             

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

1987-88    |11.3                 

1988-89    |12.5                 

1989-90    |10.9                 

1990-91    |7.8                  

1991-92    |14.5                 

1992-93    |12.6                 

Fluorosis

Mr. Redmond : To ask the Secretary of State for Health if she will list by regional health authority for the last five years, the number of cases of fluorosis that have been reported ; and if she will make a statement.

Dr. Mawhinney : This information is not available centrally.

Clinical Standards

Dr. Wright : To ask the Secretary of State for Health what work has so far been undertaken by the clinical standards advisory group ; what further work is planned ; and if she will make a statement.

Dr. Mawhinney : The group's first report "Access to and Availability of Specialist Services" was published with a Government response in July 1993, copies of which are available in the Library. Further reports on "Diabetes" and "Standards of Clinical Care for Patients Admitted Urgently or as Emergencies" will be published shortly. Reports on "Maternity Services--Women in Normal Labour" and "Back Pain" will be published later this year. The group continues work on reports on "Chronic Schizophrenia", "Dental Anaesthesia" and "Care of the Elderly" for publication next year.

Capitation Allowances

Ms Jowell : To ask the Secretary of State for Health when a report on weighted capitation allocation will be published ; and what is her policy on changes in the allocation formula for hospital and community health services for 1995-96.

Mr. Sackville : The review of weighted capitation is still taking place.

Patient Care

Ms Primarolo : To ask the Secretary of State for Health whether her Department intends to take action to ensure that staff who raise legitimate concerns about patient care are not bullied into leaving their posts by managers.


Column 203

Dr. Mawhinney : The guidance--EL(90)51--makes it clear that employees who express views about health care issues in accordance with this guidance are not to be penalised in any way for doing so. A copy is available in the Library.

The responsibility for introducing local procedures to handle such staff concerns lies with each national health service employer.

Health Authorities

Ms Primarolo : To ask the Secretary of State for Health (1) how many members of district health authorities are also members of (a) county councils, (b) district councils, (c) London borough councils and (d) parish or town councils ;

(2) how many members of family health service authorities are also members of (a) county councils, (b) district councils, (c) London borough councils and (d) parish or town councils ; (3) how many members of special health authorities are also members of (a) county councils, (b) district councils, (c) London borough councils and (d) parish or town councils ;

(4) how many members of regional health authorities are also (a) members of county councils, (b) district councils, (c) London borough councils and (d) parish or town councils ;

(5) how many members of boards of NHS trusts are also (a) members of county councils, (b) district councils, (c) London borough councils and (d) parish or town councils.

Dr. Mawhinney : The information requested is not available centrally.


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