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Mr. Milburn : To ask the Secretary of State for Health (1) how many special advisers who left her Department in each of the last five years became (a) management consultants and (b) joined a firm of consultants ;
(2) how many special advisers have (a) joined and (b) left her Department in each of the last five years ;
(3) if she will publish the names of the employers joined by special advisers who left her Department in each of the last five years.
Mr. Sackville : There is no requirement for special advisers to provide details of their employers after leaving Government service. The number of special advisers joining and leaving the Department in the last five years is shown in the table :
|Joining|Leaving -------------------------------- 1989 |1 |0 1990 |2 |1 1991 |1 |0 1992 |1 |3 1993 |0 |0 1994 |0 |0
Dr. Strang : To ask the Secretary of State for Health what was the total number of food poisoning notifications to the Office of Population Censuses and Surveys in (a) 1993 and (b) 1994 to the latest available date.
Mr. Sackville : There were 68,587 food poisoning notifications in England and Wales in 1993. The provisional number of notifications in 1994, up to and including the week ended 14 July, was 36,437. The provisional number of notifications in 1993, up to and including the week ended 16 July, was 34,058.
Dr. Strang : To ask the Secretary of State for Health what was the total number of laboratory reports of salmonella in foodstuffs to the Public Health Laboratory Service in England and Wales for each year since the introduction of the new reporting system ; what are the latest figures available for this year ; and if she will make a statement.
Mr. Sackville : The new reporting system introduced by the Public Health Laboratory Service in January 1992 was designed to enhance surveillance of cases of human salmonellosis and not the reporting of foods positive for salmonella.
The number of reported cases of human salmonellosis in England and Wales since 1992 is as follows :
Mr. Ieuan Wyn Jones : To ask the Secretary of State for Health if she will make it her policy to introduce an approved code of practice covering respiratory sensitisers used by asthma sufferers ; what representations she has received on the subject ; and if she will make a statement.
Mr. Llew Smith : To ask the Secretary of State for Health what was the incidence of out-patient admissions to hospital emergency units for asthmatic complaints (a) from 24 to 26 June 1994 and (b) from 24 to 26 June 1993 ; and what assessment she has made of the reasons for the difference.
Mr. Sackville : Information is not available in the form requested. The cause of the very high number of asthma cases on 24 and 25 June 1994 is as yet unknown. We have written to directors of public health seeking information on the scale and extent of the episode.
Column 364unmarried women ; what specific guidance is issued by her Department on the interpretation of the requirement to give due consideration to the need of a child for a father ; whether adherence to that guidance is a prerequisite for licensing by the Human Fertilisation and Embryology Authority ; and if she will make a statement.
Mr. Sackville : In accordance with the Human Fertilisation and Embryology Act 1990, a woman shall not be provided with assisted conception treatment unless prior account has been taken of the welfare of any child born as a result of treatment including the need of that child for a father. Guidance on the application of this requirement is set out in a code of practice published by the Human Fertilisation and Embryology Authority--the body that licenses assisted conception treatment. Copies of the code are available in the Library. It is a condition of the HFEA licence that licensed centres abide by the code of practice.
My right hon. Friend the Secretary of State for Health has already said that she would not expect the NHS to provide fertility treatment unless there were a mother and father and that she would expect them to be married. Appropriate guidance will be issued to the NHS in due course.
Mr. Barnes : To ask the Secretary of State for Health what information she holds on the postponement of clinical appointments at trust hospitals to enable consultants to attend audit meetings ; and if she will make a statement.
Mr. Sackville : Expenditure for the Department's information division which now includes the recently established public inquiry office and the rationalisation of the Department's printing services are as follows :
|Manpower and |Publicity |running costs |£ million |£ million -------------------------------------------------------- 1985-86 |4.513 |- 1986-87 |12.627 |- 1987-88 |12.381 |- 1988-89 |10.799 |- 1989-90 |17.248 |0.890 1990-91 |21.008 |1.250 1991-92 |24.471 |1.491 1992-93 |20.710 |1.749 1993-94 |<1>19.405 |1.897 <1> Estimated. Note: Information on publicity expenditure for the year 1979 to 1984-85 and on manpower and running costs for the years 1979 to 1988-89 are not available in the form requested.
Column 365year. On 13 June 1994, my right hon. Friend attended a fundraising event in aid of the Cancer Relief Macmillan Fund, at the invitation of Healthcall.
Ms Primarolo : To ask the Secretary of State for Health if employees in the regional outposts of the national health service executive and the new combined regional health authorities are asked to sign an acknowledgement that they understand the terms and conditions on which they are employed, including the terms of the Official Secrets Acts.
Staff employed in the national health service sign their employment contract on appointment and in so doing they acknowledge the terms and conditions contained therein. There is no standard contract. Most of the staff employed in the regional outposts, which now form part of the new
Column 366regional offices of the national health service executive, are on secondment from national health service organisations and so their original contract remains valid. Crown servants employed in the regional offices are subject to the Official Secrets Act 1989. It is normal good practice to ensure that secondees are fully aware of the obligations and responsibilities associated with the post to which they are appointed. The changes introduced on 1 April 1994 did not necessitate the issue of new contracts of employment.
Ms Primarolo : To ask the Secretary of State for Health if she will give the number of whole-time equivalent national health service consultants employed per head of population, by district health authority, in each of the last four years.
Hospital medical consultants by population in each region England-as at 30 September each year |1989 |1990 |1991 |1992 |Whole-time |Whole-time |Whole-time |Whole-time |equivalent |equivalent |equivalent |equivalent |per 100 thousand|per 100 thousand|per 100 thousand|per 100 thousand |population |population |population |population ------------------------------------------------------------------------------------------------------- Northern |30.5 |30.6 |31.6 |33.3 Yorkshire |28.3 |26.5 |27.3 |30.6 Trent |25.7 |26.2 |26.7 |28.2 East Anglia |28.4 |30.6 |31.4 |29.9 North West Thames |27.0 |29.9 |30.3 |27.0 North East Thames |31.2 |32.8 |32.5 |35.7 South East Thames |30.0 |31.0 |31.8 |31.6 South West Thames |26.4 |27.7 |28.4 |26.9 Wessex |26.2 |26.6 |27.6 |28.0 Oxford |26.1 |26.5 |26.7 |27.4 South Western |25.3 |26.0 |26.7 |27.0 West Midlands |27.2 |27.9 |28.7 |29.1 Mersey |28.6 |29.9 |30.4 |31.2 North Western |30.7 |32.3 |32.6 |32.3
Ms Primarolo : To ask the Secretary of State for Health if she will give the number of whole-time equivalent consultants employed in the NHS in the London implementation zone area, per head of population, in each year since 1989.
Whole-time equivalent consultants employed in the national health service in inner London per 100,000 population ( estimated) --------------- 1989 |51.7 1990 |50.7 1991 |50.8 1992 |52.1 Note: The figures refer to "Inner London" (as defined in the Tomlinson report).
Column 366fundholders have been able to purchase services, on behalf of their patients, and in consultation with them, in whatever place of treatment offers the best quality and value for money.
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 28 June, Official Report, column 534, if she will list those health authorities that have not made significant progress to ensure arrangements were in place to seek and act upon the views of local people.
Dr. Mawhinney : No. We have asked the chief executive of the national health service executive to follow up any shortcomings with the regional directors to ensure that any necessary remedial action is taken.
Dr. Mawhinney : For staff employed on national terms and conditions of service, special leave for domestic, personal and family reasons is available under an agreement of the general Whitley council, copies of which are available in the Library. Under the National Health
Column 367Service and Community Care Act 1990, national health service trusts have the freedom to determine their own leave arrangements for staff on trust contracts.
Mr. Blunkett : To ask the Secretary of State for Health if she will make a statement on the options she has put forward for (a) NHS fee scale and (b) maintenance treatment in connection with her Green Paper on dental treatment.
Dr. Mawhinney : I refer the hon. Member to the reply my right hon. Friend the Secretary of State gave my hon. Friend the Member for Croydon, North-East (Mr. Congdon) on 14 July, Official Report, column 702.
Mr. Roger Evans : To ask the Secretary of State for Health whether the review of current arrangements for approving and monitoring places under the Abortion Act 1967, as amended, has been completed ; and if she will make a statement.
Mr. Sackville : Further to my reply to my hon. Friend the Member for Bosworth (Mr. Tredinnick) on 18 January 1994, Official Report, column 531. The review of current arrangements for approving and monitoring non- national health service premises under the Abortion Act 1967, as amended, has been completed. Conditions that have to be met for approval--known as assurances--have been updated and brought together with other guidance in a single document, known as the compendium of guidance. Copies will be placed in the Library shortly.
The approval period for non-NHS premises carrying out termination of pregnancy has been extended from two years to four years. All non-NHS premises approved under the Abortion Act 1967 will continue to be subject to monitoring and inspection by medical, nursing and administrative officials from the Department of Health, and will also be subject to the requirements of the Registered Homes Act 1984. Proprietors have been invited to seek
Column 368re-approval under these arrangements from 1 August 1994. Relevant extracts from the compendium will be sent to the NHS as guidance for those purchasing and providing termination of pregnancy treatment. The compendium of guidance includes assurances required of registered pregnancy advice bureaux.
Mr. Ainger : To ask the Secretary of State for Health (1) what was the average percentage of total budget spent by (a) district and (b) regional health authorities on (i) managerial, (ii) administrative and (iii) clerical costs in each year since 1991-92 ; (2) if she will list the three regional and district health authorities which spent (a) the lowest percentage and (b) the highest of their budget on (i) managerial, (ii) administrative and (iii) clerical costs in each year since 1991-92.
Dr. Mawhinney [holding answer 19 May 1994] : Such comparisons cannot readily be made. The information available on regional and district health authorities' total expenditure and on staff costs is derived from two different sources and covers different territory. Information about the total budgets of health authorities is derived from annual accounts which do not include the total costs of directly managed units--DMUs--and common services, such as blood transfusion and ambulance services, which may be funded from a variety of sources. Information on staff costs is derived from the financial returns of health authorities covering all employees including those in DMUs and common services. The budgets for authorities will remain the same whether or not the authorities run DMUs or common services. When a health authority has no directly managed services it will operate with a much reduced number of employees and have a consequently lower percentage of wages as a proportion of total costs. Directly managed services are the labour-intensive part of an organisation and a health authority with a DMU or regional common services will return far higher staff costs than one without. Such organisations will have income from other health authorities and other sources in addition to its own parent authority. The salary costs of staff may therefore be met from sources other than the employing health authority. It is therefore not possible to provide meaningful information in the form requested.
Mr. Ieuan Wyn Jones : To ask the Secretary of State for Health if she will publish details of the numbers of patients for each area and for England as a whole removed from general practitioners' lists for the latest available year ; and how many and what proportion of these were removed without their consent.
Region |(1) |(2) |(3) |(4) |(5) |(6) |(7) |Registered |Total Number |Column 2 as a|Number of |Column 4 as a|Number of |Column 6 as a |Population |of patients |percentage of|patients |percentage of|patients |percentage of |deregistered |Column 1 |de-registered|Column 2 |de-registered|Column 2 |from GP Lists |excluding at |at request of |request of GP |GP ------------------------------------------------------------------------------------------------------------------------------------- Northern |3,152,959 |359,784 |11.4 |356,466 |99.1 |3,318 |0.9 Yorkshire |3,759,258 |464,879 |12.4 |457,771 |98.5 |7,108 |1.5 Trent |4,847,452 |593,050 |12.2 |587,442 |99.1 |5,608 |0.9 East Anglia |2,079,549 |249,494 |12.0 |247,667 |99.3 |1,827 |0.7 North-West Thames<2> |2,990,238 |557,198 |18.6 |546,690 |98.1 |10,508 |1.9 North-East Thames |4,209,244 |665,292 |15.8 |651,376 |97.9 |13,916 |2.1 South East Thames |3,994,252 |529,485 |13.3 |523,796 |98.9 |5,689 |1.1 South West Thames |3,196,570 |524,493 |16.4 |521,030 |99.3 |3,463 |0.7 Wessex |2,991,639 |438,328 |14.7 |436,936 |99.7 |1,392 |0.3 Oxford |2,676,585 |365,527 |13.7 |362,980 |99.3 |2,547 |0.7 South Western |3,550,215 |475,284 |13.4 |473,098 |99.5 |2,186 |0.5 West Midlands |5,454,584 |689,416 |12.6 |678,618 |98.4 |10,798 |1.6 Mersey |2,485,666 |293,162 |11.8 |288,606 |98.4 |4,556 |1.6 North Western |4,103,179 |486,466 |11.9 |480,389 |98.8 |6,077 |1.2 England |49,491,390 |6,691,858 |13.5 |6,612,865 |98.8 |78,993 |1.2 Note:-Figures include patients who have left GP area/died. <2> Does not include data for Hertfordshire as this is not available.
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 10 December 1993, Official Report , column 354 , what was the total number of general practitioners and the total number of secretaries, administrators, receptionists and practice managers by each family health services authority at (a) October 1993, (b) April 1994 and (c) October 1990.
Ms Primarolo : To ask the Secretary of State for Health, pursuant to her answer of 20 June, Official Report , columns 26-27 , (1) what is the average budget per patient for those of general practitioner fundholders in 1991-92, 1992-93 and 1993-94, for England and by region ;
(2) what is the average budget per patient for general practitioner fundholders in 1991-92, 1992-93 and 1993-94 for England and by region.
Dr. Mawhinney [holding answer 8 July 1994] : Regional information on average fundholder budget allocations per patient is not directly comparable because of variations locally in the methods of compiling fundholder population data and differences in regional information systems. In addition, variations in average budgets per patient between regions are influenced by a number of factors, including differences in the age structures and relative levels of morbidity of regions, variations in local provider prices, as well as differences in historic referral and prescribing levels between practices in the scheme.
Moreover, these data are not directly comparable over time as, from 1993- 94, the scope of the general practitioner fundholder scheme was expanded to include the purchase of community health services ; in addition, the minimum list size criterion for joining the scheme was reduced from 9,000 to 7,000 patients per fund.
With those caveats, the following table shows estimated average budget allocations per patient made by regional health authorities to general practitioner fundholders in 1991-92, 1992-93 and 1993-94.
Estimated average budget allocations per patient made by regional health authorities to general practitioner fundholders 1991-92 to 1993-94 |1991-92|1992-93|1993-94 Region |£ |£ |£ -------------------------------------------------- Northern |130 |140 |170 Yorkshire |120 |140 |160 Trent |110 |120 |140 East Anglian |120 |130 |160 North West Thames |110 |120 |160 North East Thames |110 |100 |130 South East Thames |100 |110 |150 South West Thames |100 |110 |140 Wessex |110 |130 |150 Oxford |100 |110 |130 South Western |100 |120 |150 West Midlands |120 |130 |150 Mersey |110 |130 |160 North Western |110 |120 |150 England |110 |120 |150
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 [pursuant to his reply, 26 April 1994, c. 152-53] : I regret that there were inaccuracies in my previous reply. Revised information is given in the table. Occasional variations in the figures appear because some physicians continue to notify children who are receiving chemoprophylaxis rather than full therapy for tuberculosis. The Office of Population, Censuses and Surveys excludes these as far as possible from the aggregated data but it is not always easy to identify them.
The team running the 1993 survey of notifications at the Public Health Laboratory Service is examining continuing ambiguities in the notification system for tuberculosis and will report later this year. Any changes in the surveillance of tuberculosis will be discussed then.
Number of cases of tuberculosis for children aged 0-16 years in England and London boroughs for 1990-92 |1990|1991|1992 ---------------------------------------------------------- England |443 |506 |561 City of London |0 |0 |0 Barking and Dagenham London Borough |2 |0 |1 Barnet London Borough |5 |4 |16 Bexley London Borough |2 |4 |2 Brent London Borough |2 |12 |9 Bromley London Borough |0 |3 |3 Camden London Borough |2 |10 |7 Croydon London Borough |6 |4 |6 Ealing London Borough |2 |7 |9 Enfield London Borough |1 |4 |2 Greenwich London Borough |5 |2 |4 Hackney London Borough |6 |7 |7 Hammersmith and Fulham London Borough |4 |0 |3 Haringey London Borough |3 |4 |8 Harrow London Borough |1 |5 |4 Havering London Borough |0 |0 |1 Hillingdon London Borough |0 |4 |6 Hounslow London Borough |2 |1 |10 Islington London Borough |4 |2 |3 Kensington and Chelsea London Borough |6 |3 |0 Kingston upon Thames London Borough |0 |0 |0 Lambeth London Borough |3 |2 |8 Lewisham London Borough |6 |1 |1 Merton London Borough |1 |1 |0 Newham London Borough |13 |13 |9 Redbridge London Borough |6 |7 |2 Richmond upon Thames London Borough |0 |0 |0 Southwark London Borough |9 |9 |9 Sutton London Borough |1 |2 |0 Tower Hamlets London Borough |5 |9 |9 Waltham Forest London Borough |6 |5 |1 Wandsworth London Borough |0 |3 |1 City of Westminster London Borough |3 |6 |5 Note: Although excluded as far as possible some of these include cases where chemoprophylaxis is being given rather than full therapy for tuberculosis.
Ms Corston : To ask the Secretary of State for Health, pursuant to her answers of 27 June, Official Report, columns 413-14, and 12 July, Official Report, columns 525-26, if she will list the reports issued by her Department since 1985 in which information is specifically given about the relationship between family disposable income and the extent to which the daily amounts for energy and nutrients, recommended by the panels and committees appointed by the Ministry of Agriculture, have been met.
Information on the relationship between nutrient intake and family disposable income is not available. However, each annual report of the National Food Survey Committee gives the percentage of the estimated average requirements for energy and reference nutrient intake for nutrients met by the household diet in families in different income groups based on the gross income of the head of household. Copies of these reports are in the Library of the House.
Sir Michael Neubert : To ask the Secretary of State for Defence what representations he had received prior to the announcement that the royal yacht Britannia is to be decommissioned ; and what representations he has subsequently received.
Mr. Hanley : Over the last year, my Department received a number of letters on the subject of the royal yacht, in which a wide range of views was expressed. Since the decision to decommission Her Majesty's yacht Britannia was announced, my Department has received some 60 letters from hon. Members and members of the public.
Mr. Harry Greenway : To ask the Secretary of State for Defence what cost and effectiveness studies have been made of (a) the royal yacht Britannia and (b) the royal Danish yacht ; and if he will make a statement.
Mr. Hanley : The decision to decommission the royal yacht Britannia was reached after an extensive and detailed review of the issues involved, including the cost and effectiveness of the yacht. My Department has made no specific study of the royal Danish yacht.
Mr. Dalyell : To ask the Secretary of State for Defence, pursuant to his oral answer of 21 June, Official Report, column 116, if he will name the people described by him as honest and independent, who concluded that the Iraqi Government are deliberately trying to harm the Shia marsh Arabs.
Mr. Hanley : The answer referred, in the main, to the work of trained analysts in my Department. It is not our practice to reveal the names of officials engaged in work of this nature, but their conclusions are consistent with those of the United Nations special rapporteur on Iraq and the wetland ecosystem research group at Royal Holloway university of London.
Mr. Aitken : The Spearfish torpedo, which entered service with the Royal Navy earlier this year, replaces the Tigerfish torpedo in all Royal Navy submarines. The tender for the main production order for Spearfish torpedoes is currently being considered.
Mr. Ainger : To ask the Secretary of State for Defence to which establishment the dynamic test track work currently undertaken at the proof and experimental establishment, Pendine, will be transferred.
Mr. Ainger : To ask the Secretary of State for Defence if he will list the establishments to which he expects the work currently undertaken at the proof and experimental establishment, Pendine, to be transferred.
Mr. Aitken : This is the subject of further study but, on present assumptions, it is planned to transfer this work to PEE Shoeburyness, but some work may also be transferred to PEE Eskmeals and the test and evaluation establishment, Larkhill.
Mr. Ainger : To ask the Secretary of State for Defence when his Department will complete further studies of the technical aspects and the assessment of the likely future work load in a trading environment of the long and short test tracks at the proof and experimental establishment, Pendine.
Mr. Aitken : The technical studies and the initial assessment of future work load should both be completed by the end of the current financial year. Under another recommendation of the defence costs study, it is planned that the Directorate General of Test and Evaluation will become part of the proposed science and technology agency and be managed within its trading fund. The effects of trading will not be clear until some time after trading starts, currently planned for 1 April 1995.
Mr. Ainger : To ask the Secretary of State for Defence when his evaluation of the possible reprovision of facilities currently at the proof and experimental establishment, Pendine, for work formerly undertaken at Cold Meece will be completed.
Mr. Ainger : To ask the Secretary of State for Defence to which establishment the work currently at the proof and experimental establishment, Pendine, and formerly carried out at Cold Meece will be transferred.
Mr. Aitken : If the closure of this establishment is confirmed following consultation, it is planned to place a commercial contract for this work. The estimates of cost are, therefore, commercially confidential. I can confirm, however, that these costs are included in the summary investment appraisal attached to the Director General Test and Evaluations consultative document.
Mr. Ainger : To ask the Secretary of State for Defence when he expects the rundown of the proof and experimental establishment, Pendine, to (a) begin and (b) be completed, if the decision to close the establishment is confirmed after consultation.
Mr. Aitken : Precise timings are still under consideration but, if closure is confirmed, a phased rundown is expected to begin in 1995. The duration of the rundown will depend on further studies of the technical aspects and the impact on demand for DGTE's facilities of full cost trading in the light of the organisation's move to the proposed science and technology agency.