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Column 310
places and holiday play schemes ; if his Department (a) subscribes to "Childcare Solutions" and (b) makes child care vouchers available ; and if he will make a statement.Mr. Gwilym Jones : The Department provides nursery facilities and holiday play care for its staff. It uses 30 places in an 80 place nursery which is run in consortium with other Government Departments. Consortium members pay the accommodation costs and in 1993-94 the Department's contribution was £12,246. The cost to the Department of providing holiday play care during the Easter and summer holidays in 1993-94 was £4,457. The Department is committed to providing child care where it is cost-effective in assisting the retention of trained and experienced staff. The cost of support is evaluated annually. The Department does not subscribe to "Childcare Solutions" or child care vouchers.
Planning Policy
Mr. Morgan : To ask the Secretary of State for Wales if he will produce a planning policy guidance note on sustainable development and planning policies in Wales analogous to PPG 13 in England ; and if he will make a statement.
Mr. Redwood : Planning policy guidance note 13, "Highways Considerations in Development Control", remains extant in Wales. The guidance is under review and I shall be issuing revised guidance for Wales.
Health Visitors
Ms Primarolo : To ask the Secretary of State for Wales (1) what was the proportion of health visitors to children in each health authority area in September 1992 ;
(2) what was the proportion of health visitors to children in each health and personal social services board area in September 1992 ; (3) how many health visitors were employed in each health authority area in September 1988 and in September 1992.
Mr. Gwilym Jones : Reliable estimates of the numbers of nursing staff employed in specific occupational groups, such as health visitors, are not available centrally.
Local Government Responsibilities
Mr. Morgan : To ask the Secretary of State for Wales what proposals he has to transfer to Welsh local authorities responsibility for the activities and budget of each of (a) the Further Education Funding Council Wales, (b) the Curriculum and Assessment Authority Wales, (c) Cardiff Bay development corporation, (d) the urban regeneration section of the Welsh Development Agency, (e) social development section of the Development Board for Rural Wales and (f) the non-university section of the Higher Education Funding Council Wales ; and if he will make a statement.
Mr. Redwood : I am announcing changes in the responsibilities of the Development Board for Rural Wales and the Welsh Development Agency today. The functions of all non-departmental public bodies are kept under regular review and any major changes in their status and responsibilities are notified to the House.
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HEALTH
Administrative Grant
Ms Primarolo : To ask the Secretary of State for Health what was the number of full-time equivalent (a) general managers, (b) administrative and (c) clerical staff in the NHS in each year since 1990-91.
Dr. Mawhinney : The information available is shown in the table.
National Health Service General Managers and Administrative
and
Clerical Staff in England at 30 September 1991 and 1992
Whole-time equivalents
|General |Administrative
|Managers |and Clerical
------------------------------------------------------------
1991 |730 |127,370
1992 |700 |135,010
Source: Department of Health statistical form KM49.
Notes:
1. Figures are rounded to the nearest ten.
2. It is not possible to separate administrative and
clerical figures; data are collected as a total.
3. Figures for 1992 are the latest available.
Official Secrets Act 1989
Ms Primarolo : To ask the Secretary of State for Health whether employees of the new regional health authorities/management executive outposts will be bound by, or required to sign declarations relating to, the Official Secrets Act 1989.
Mr. Sackville : Employees of the new regional health authorities are not bound by the Official Secrets Act 1989 except in so far as all members of the public with official information in their possession are affected by the Act.
Performance-related Pay
Ms Primarolo : To ask the Secretary of State for Health what plans she has to introduce performance-related pay into her Department and the NHS executive.
Dr. Mawhinney : All staff in the Department are now covered by performance pay arrangements, the first of which was introduced in 1992.
Ms Primarolo : To ask the Secretary of State for Health (1) if she will make a statement on performance-related pay ;
(2) what research she has commissioned into (a) the cost of implementing performance-related pay in the NHS and (b) the benefits of performance- related pay ;
(3) what plans she has to introduce performance-related pay into the NHS ; and which employers will be affected.
Dr. Mawhinney : General and senior managers and certain other national health service staff already benefit from
performance-related pay. The freedom of trusts increasingly to determine the pay and conditions of their own staff is an important way of making services more responsive to local needs. We are therefore encouraging the introduction of local pay arrangements linked to the success of the organisation in meeting its objectives to improve the quality and quantity of patient care. Any additiional costs would be offest by increased efficiency.
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Health Authorities
Ms Primarolo : To ask the Secretary of State for Health what estimates she has made of the costs of amalgamating district health authorities and family health service authorities.
Mental Health Units
Mrs. Browning : To ask the Secretary of State for Health what was her response to the recommendation by the Department of Health's mental health nursing review team that an urgent review of the therapeutic suitability of mental health units in district general hospitals should be undertaken.
Mr. Bowis : The report of the mental health nursing review team is still being disseminated throughout the national health service and a series of regional conferences are in the process of being held to consider how the recommendations may be taken forward.
The conference dates and locations are :
May 16--Bristol
May 20--Leeds
June 7--London
September 2--Birmingham
Secure Accommodation
Mr. Thurnham : To ask the Secretary of State for Health if she will carry out an inquiry into the security of local authority accommodation for children in care, including the escape of a 14-year-old Bolton boy from Thornbury house in Oxfordshire ; and if she will make a statement.
Mr. Bowis : Responsibility for all aspects of management of secure accommodation rests with the appropriate local authority. Last year the Department issued "Guidance on Permissible Forms of Control in Children's Residential Care", copies of which are available in the Library, about control and restraint in children's residential care. The Department will also be issuing more general guidance about the provision of secure accommodation. My officials are discussing with the relevant social services departments the circumstances and issues surrounding the particular incident to which my hon. Friend refers.
Mortality Rates
Ms Primarolo : To ask the Secretary of State for Health what were the infant and perinatal mortality rates of each EU country at the most recent available date.
Mr. Sackville : I refer the hon. Member to the reply I gave her on 2 December 1993, Official Report, column 701, for the latest available information.
Ms Primarolo : To ask the Secretary of State for Health what analysis she has of the infant and perinatal mortality rate by socio- economic group since 1979.
Mr. Sackville : Infant and perinatal mortality statistics, derived from death registrations, are not available by socio-economic group. Tables by social class are published each year in the Office of Population, Censuses and Surveys DH3 annual reference volume "Mortality Statistics, perinatal and infant : social and biological factors", copies of which are available in the Library.
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Private Hospitals
Ms Primarolo : To ask the Secretary of State for Health what amount the national health service spent on NHS patients being treated in private hospitals in each year since 1989.
Mr. Sackville : The extent to which national health service purchasers contract with the private sector is a matter for local decision.
Mental Illness
Ms Jowell : To ask the Secretary of State for Health when she will publish the findings of the mental illness study commissioned by the London implementation group.
Mr. Bowis : The London implementation group has not commissioned a study of mental illness.
Aortic Aneurysms
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 29 June, Official Report, column 587-88, what assessment her Department has made as to the reasons for the increase in deaths from aortic aneurysms between 1988 and 1992.
Mr. Sackville : The disease is found predominantly among men aged 65 to 75. The number of men in that age group increased by 31,000 between 1988 and 1992.
Breast Self-examination Campaign
Ms Primarolo : To ask the Secretary of State for health if she will make a statement on the progress of the breast self-examination campaign.
Mr. Sackville : The Chief Medical Officer wrote to all doctors in England in 1991 to provide advice on ways in which women could be involved in the early detection of breast abnormalities. In addition, a leaflet entitled "Be Breast Aware", copies of which will be placed in the Library, has been produced by the national health service breast screening programme, which makes it clear to women what changes should be discussed with their doctor. The leaflet has been translated into a number of languages and has received widespread support. The Department has also recently helped fund a breast awareness video--"Being Breast Aware is for Life", produced by the charity, Womens Nationwide Cancer Control Campaign.
NHS Trusts
Mr. Blunkett : To ask the Secretary of State for Health if she will list, for each NHS trust in the former south-east 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 : A total of 132 of the 186--71 per cent.--chairmen and non-executive directors appointed to national health service trusts within the former South East Thames region live within the boundaries of the district health authority in which the trust is situated. The names of those who live outside the relevant district health authority boundaries are listed.
Column 314
Guy's and St. Thomas' Hospital NHS TrustLord Barney Heyhoe
Professor C. Chantler
Mr. T. Ford
Mr. P. N. Clark
Mr. C. Williams
Lewisham Hospital NHS Trust
Professor M. H. Lessof
Sir Phillip Harris
Mr. R. J. Maxwell
Mrs. G. Mallinson
Mr. S. Bullock
Eastbourne Hospitals NHS Trust
Mr. R. R. Barkshire
Hastings and Rother NHS Trust
Dr. P. Lindon
Optimum Health Services NHS Trust
Ms D. P. Kingsmill
Ms P. M. Munro
Mr. B. Huett
West Lambeth Community Care NHS Trust
Sir Alan Reay
Baroness Cox of Queensbury
Professor C. Carnall
Mr. S. Edwards
Mrs. R. Glanville
Mr. M. Hanson
Maidstone Priority Care NHS Trust
Mr. J. W. Manaton
South Downs Health NHS Trust
Lady Helen Trafford
King's Healthcare NHS Trust
Mr. S. Kalms
Professor A. L. Eddleston
Professor Sir James Black
Thameslink Healthcare NHS Trust
Mr. R. J. March
Mrs. C. Howarth
Queen Mary's Sidcup NHS Trust
Lady Ann Jenkins
Mr. E. M. Hollingsworth
Brighton Healthcare NHS Trust
Dame Audrey Emerton
Greenwich Healthcare NHS Trust
Mr. B. L. Sharland
Mr. J. J. Hewitson
Mid Kent Healthcare NHS Trust
Sir Raymond Rickett
Mr. J. C. Arnold
Bromley Hospitals NHS Trust
Mr. B. Collins
Mrs. C. Freshwater
Dartford and Gravesham Acute Services NHS Trust
Professor M. Kelly
Mr. K. A. Maw
Medway Health NHS Trust
Professor K. G. Burnand
Mr. E. J. Bradley
Mr. W. B. Taylor
Guy's and Lewisham Mental Health Unit NHS Trust
Ms G. Linton
Professor J. P. Watson
Ms M. Rogers
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