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Column 189
Dr. Mawhinney : There are 19 fundholding practices in the Redbridge and Waltham Forest family health services authority, covering 14 per cent. of the population.
Hospital Beds, London
29. Ms Gordon : To ask the Secretary of State for Health what assessment she has made of the required change in the number of hospital beds in London.
Dr. Mawhinney : The number of hospital beds in London will depend, in large part, on the assessment by local health authorities, general practitioner fundholders and hospitals of the future requirement for in- patient, day case and out-patient services to best meet the needs of their patients. Also, more patients from outside London are being treated locally, further reducing the need for hospital beds in London.
Joint Ventures
30. Mr. John Marshall : To ask the Secretary of State for Health what plans she has to encourage joint ventures between the NHS and the private sector.
Mr. Sackville : The National Health Service Executive has an on- going programme of work to promote the private finance initiative and encourage joint ventures between the NHS and the private sector. This has so far involved :
Issuing clear guidance about procedures to be followed and how to make a business case using appropriate investment appraisal techniques ;
Providing advice direct to private sector and NHS enquirers, and making direct personal contact with NHS and private sector parties ; Organising "roadshows" for NHS trust finance directors, and others, explaining the Private Finance Initiative and the opportunties in the NHS ;
Ministerial and senior officials' speeches to encourage both NHS and private sector ;
Publishing publicity material--such as the brochure pack "Public Service, Private Finance" (over 1000 copies issued to NHS and private sector contacts, with requests for over 1000 more since launch) ; Setting up and managing the Newchurch Database project, to increase contacts between the NHS and the private sector and encourage people to explore the possibility of using private finance by spreading knowledge of projects that have already been undertaken by NHS trusts and health authorities.
Setting up the Private Finance Unit. The remit of the Private Finance Unit is to promote the Private Finance Initiative throughout the NHS and to help trusts and health authorities make greater use of private finance.
Deprived Areas
Ms Primarolo : To ask the Secretary of State for Health what is the average primary care deprivation score for each family health services authority in the London implementation group remit.
Dr. Mawhinney : The average primary care deprivation scores for each family health services authority or part-FHSA are :
|Average
----------------------------------------------------------------------
City and East London |43.39
Lambeth, Southwark and Lewisham |32.23
Camden and Islington |30.96
Eastern Enfield and Edmonton area of Haringey |27.13
Brent (excluding Harrow) |24.93
Kensington, Chelsea and Westminster |23.90
Waltham Forest (excluding Redbridge) |22.42
Greenwich (excluding Bexley but including Thamesmead) |21.76
Ealing, Hammersmith and Hounslow |21.00
Wandsworth (excluding Sutton and Merton) |20.98
Barking (excluding Havering) |20.76
Croydon (North only) |15.72
Note: the scores are calculated as an average of all wards within
each FHSA or part-FHSA.
Tuberculosis
Ms Primarolo : To ask the Secretary of State for Health how many children were notified as having tuberculosis in 1990, 1991 and 1992 ; and how many in each year were from areas where health authorities stopped the school immunisation programme.
Mr. Sackville : The number of children between the ages of nought and 19 who contracted tuberculosis were :
|Number
---------------------
1990 |569
1991 |631
1992 |706
District health authorities are responsible for the schools' BCG immunisation programme.
Making London Better"
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 23 June, Official Report, column 301, how many of the 425 individuals displaced from London's national health service were assisted to find work in (a) the national health service in London, (b) the national health service outside London, (c) the private health care sector and (d) non-health care work ; and how many did not find work despite assistance.
Dr. Mawhinney : The clearing house has assisted displaced staff as shown in the table.
L Category |Number ---------------------------------------------------------------------------- Currently on Clearing House Register being matched to job |218 Matched to National Health Service job in London |134 Matched to National Health Service job outside London |3 Matched to private sector health care job |4 Matched to non-health care job (eg in voluntary sector or social services) |27 Withdrawals |39
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer 23 June, Official Report, column 301, what were the job titles of the 425 individuals who requested help from the clearing house after being displaced as a result of service changes in London.
Dr. Mawhinney : Job titles, by staff group, of those who have requested help from the clearing house are summarised in the table.
Staff group |Number ----------------------------------------------------------------- General Management/Administrative grades |201 Nursing and Midwifery grades |102 Ancillary grades |28 Laboratory technicians |27 Allied to medicine grades (paramedical) |18 Clinical Scientists |15 "Other" technical staff |14 Maintenance grades |7 Pharmacists |6 Doctors/Dentists |6 Clinical psychologist |1
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Dependency
Mr. Bayley : To ask the Secretary of State for Health how many registered drug addicts there were in (a) York, (b) North Yorkshire and (c) England in each year since 1979.
Mr. Bowis : Information on the number of registered drug addicts for the years 1987-92 is shown in the table. Data for earlier years are not available for district health authorities
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|1987 |1988 |1989 |1990 |1991 |1992
-----------------------------------------------------------------
England |9,633 |11,533|13,700|16,163|18,761|22,240
York |17 |24 |37 |49 |49 |72
North Yorkshire |29 |75 |69 |101 |117 |185
Note:
North Yorkshire District Health Authority was formed on 1
December 1992 by the amalgamation of Northallerton, York,
Scarborough, Harrogate and part of Airedale District Health
Authority. Data for 1987-92 inclusive have therefore been
estimated by adding data for those DHAs. It is not possible to
produce data for the exact statutory boundary of North Yorkshire
DHA as part of Airedale DHA is now within Bradford DHA.
Staff Surveys
Mr. Radice : To ask the Secretary of State for Health what surveys of the views, opinions and attitudes of the staff of her Department have been carried out in the last two years ; and if she will place copies of the findings in the Library.
Mr. Sackville : A number of surveys have been carried out in the last two years seeking staff views on specific issues. This information is confidential to management and staff.
Patients Charter
Mr. Wicks : To ask the Secretary of State for Health what independent audit is undertaken of the data supplied by hospitals for patients charter standards.
Dr. Mawhinney : The Audit Commission appointed auditors to review the systems used to collect data on patients charter standards published in the hospital and ambulance services comparative performance guide for 1993- 94, copies of which are available in the Library.
Air Ambulances
Mr. Llwyd : To ask the Secretary of State for Health (1) what is the average cost of an air ambulance flight ; and if she will make a statement ;
(2) how many United Kingdom residents were seriously injured abroad in 1993 and returned to the United Kingdom by air ambulance ; how many of these had medical insurance which covered the cost of the air ambulance ; and if she will make a statement.
Mr. Sackville : This information is not available centrally.
Bicycles
Mr. Robathan : To ask the Secretary of State for Health what facilities her Department provides for the parking of the bicycles of visitors to its offices in Westminster.
Mr. Sackville : Richmond house has a bicycle rack in the car park where bicycles of visitors can be parked.
Column 192
Hospital League Tables
Ms Jowell : To ask the Secretary of State for Health who conducted the survey research for the published hospital league tables ; and whether this was put out to tender.
Mr. Sackville : The Central Office of Information commissioned the survey research on the Department's behalf. The research company chosen was BMJ Research and Consultancy Ltd. A full competitive tendering exercise did not take place. This was due to urgent decisions being required on the outcomes of the research to ensure that the critical timetable the Department was working to could be met.
Drug Dispensing
Rev. Martin Smyth : To ask the Secretary of State for Health if she will make a statement on the criteria for transferring
prescription-only medicines to over-the-counter purchases.
Mr. Sackville : Patient safety is the criterion which determines whether or not a medicine can be released from prescription control. Prescription control is determined by the provisions in section 58A of the Medicines Act 1968, which implements EC directive 92/26.
Travel Costs
Mr. Corbett : To ask the Secretary of State for Health what financial assistance is available to parents to meet the costs of children needing to travel to hospitals and medical centres outside their home area for treatment.
Mr. Bowis : The hospital travel costs scheme provides help with hospital travelling expenses for children who are in families on income support, family credit or low income and for the expenses of a companion where this is medically necessary. To qualify for help under the scheme, patients must be receiving national health service treatment given under the care of a hospital consultant.
Cosmetic Surgery
Mrs. Clwyd : To ask the Secretary of State for Health what plans she has to regulate private cosmetic surgery clinics.
Column 193
Mr. Sackville : I refer the hon. Member to the reply I gave my hon. Friend the Member for Gloucester (Mr. French) on 17 May, Official Report , column 418 .
Immunisations
Mr. McCartney : To ask the Secretary of State for Health how many two-year-old children per 100,000 received immunisations against (a) diphtheria, (b) tetanus,
Column 194
(c) polio, (d) whooping cough, (e) measles, (f) mumps and (g) rubella ; and how many five-year-old children per 100,000 received boosters for these same categories for each year since 1987.Mr. Sackville : The available information is shown in the tables.
Column 193
Percentage of two-year old children immunised against diphtheria, tetanus, polio, whooping cough, measles, mumps and rubella. England 1987-88 to 1992-93 Percentage |<1>1987-88|<2>1988-89|<2>1989-90|<2>1990-91|<2>1991-92|<2>1992-93 ---------------------------------------------------------------------------------------------- Diphtheria |87 |87 |89 |92 |93 |95 Tetanus |87 |87 |89 |92 |93 |95 Polio |87 |87 |89 |92 |93 |95 Whooping Cough |73 |75 |78 |84 |88 |92 Measles |76 |80 |84 |87 |90 |92 Mumps/Rubella<3> |- |7 |68 |86 |90 |92 <1> Percentage of children born in 1985 and vaccinated by 31 March 1988. <2> Percentage immunised by 2nd birthday. <3> The combined MMR vaccine was first used in 1988-89.
Percentage of five-year old children receiving
booster doses against
diphtheria, tetanus and polio<1>
England 1990-91 to 1992-93
|1990-91|1991-92|1992-93
------------------------------------------------------
Diphtheria percentage |83 |85 |86
Tetanus percentage |82 |85 |86
Polio percentage |82 |85 |86
<1> Booster doses are provided only for diphtheria,
tetanus and polio.
Clinical Negligence
Mr. Milburn : To ask the Secretary of State for Health what has been the cost of legal fees incurred by national health service bodies as a result of clinical negligence claims in each year since 1990-91.
Dr. Mawhinney [holding answer 27 June 1994] : The total legal costs for national health service bodies in England for 1991-92 was £6,348,335 and for 1992-93 was £4,364,709. Information on such costs for 1990-91 is not available.
NHS Trusts
Mr. Blunkett : To ask the Secretary of State for Health if she will list for each NHS trust in the former North West Thames region, those chairmen and non-executive directors who live outside the boundaries of the district health authority in which that trust is situated.
Dr. Mawhinney [holding answer 1 July 1994] : Some 207 out of the 278--75 per cent.--chairmen and non-executive directors appointed to national health service trusts within the West Midlands region live within the boundaries of the district health authorities in which that trust is situated. The names of the appointees who live outside the relevant district health authority boundaries are listed. First Community Health NHS Trust
Miss S. Massey
Rugby NHS Trust
Mr. I. Fell
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Walsall Hospitals NHS TrustMrs. M. Bladon
Mr. D. S. Frost
Kidderminster Healthcare NHS Trust
Sir Patrick Lawrence
Professor P. Spurgeon
Wolverley NHS Trust
Mr. J. S. C. Quinn
Mr. D. H. Rogers
North Warwickshire NHS Trust
Mr. P. Hartley
Mrs. E. M. Stuart
Burton Hospitals NHS Trust
Mr. R. M. Heelis
North Staffordshire Hospital Centre NHS Trust
Mr. G. Manning
Mid Staffordshire General Hospitals NHS Trust
Mrs. J. Burton
The Princess Royal NHS Trust
Miss M. J. Pursglove
Walsall Community Health Services NHS Trust
Mr. D. G. Chevins
West Midlands Ambulance Service NHS Trust
Mr. H. J. Musgrove
Mrs. J. H. Moyle
Mr. R. J. Clifford
Mr. P. G. Leopold
Walsgrave Hospital NHS Trust
Mr. R. Jordan
Mr. F. T. Bunting
Mr. H. Corker
The Alexandra Healthcare NHS Trust
Mrs. J. A. Mackrael
Worcester Royal Infirmary NHS Trust
Lady Huntington-Whiteley
Hereford & Worcester Ambulance Service
Mrs. R. I. Reynolds
George Eliot Hospital NHS Trust
Mrs. J. M. Jones
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Coventry Healthcare NHS TrustMr. R. Henry
Miss J. M. Talbot
Mr. P. B. Forde
Mr. M. J. Cotton
Birmingham Women's Health Care NHS Trust
Professor E. Ives
South Birmingham Community Health NHS Trust
Mrs. T. M. Samuels
Mr. J. E. Merrick
South Birmingham Mental Health NHS Trust
Mr. I. A. King
Mr. A. B. Knapp
Mrs. P. Arksey
The City Hospital NHS Trust
Mrs. S. Sharma
Mr. R. Lea
Northern Birmingham Community Health NHS Trust
Mr. H. A. Nicholls
Dr. R. A. Bassett
Mr. E. G. Lynch
Dr. S. Toogood
Northern Birmingham Mental Health NHS Trust
Ms J. Mackay
Professor R. Cochrane
Ms S. Squires
Mr. M. S. Akhtar
Mr. C. C. Jordan
Mr. M. Clifford
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