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Ms Primarolo: To ask the Secretary of State for Health what is the current mental health budget (a) per head of population and (b) in total (i) in each region and (ii) for the London implementation zone.
Mr. Bowis: Decisions about spending on hospital and community health services for mentally ill people are taken locally by district health authorities and general practitioner fundholders based on their assessment of the needs of mentally ill people living in the district or on the practice's list. Information on this expenditure is not available centrally. It is not possible to identify separately the element of family health services expenditure which relates to mentally ill people.
Mr. Malone: Fundholding general practitioners' savings are to be used for the benefit of patients of the practice. In approving proposals for the use of savings, family health services authorities are expected to consider carefully any plans to extend surgery premises for the benefit of patients.
Mr. Sackville: It is estimated that between 4 and 6 per cent. of children suffer from asthma sufficiently seriously to require medical supervision. Numbers of hospital in-patient cases of children suffering from asthma are available from hospital episode statistics for the years shown in the table. Figures for earlier years are not available.
Finished Consultant Episodes-England Thousands |1988-89|1989-90|1990-91|1991-92 ------------------------------------------------------- 0-14 age group |61.7 |51.5 |49.1 |50.7 Source: Hospital episode statistics
Mr. Fishburn: To ask the Secretary of State for Health if she will list those local authorities that provide care and support for 50 or more unaccompanied refugee children under the provisions of the Children Act 1989; and what financial assistance has been given by central Government to those local authorities since 1990.
Mr. Bowis: Information about whether children looked after by local authorities have refugee status is not available centrally. Financial assistance totalling £4,197,698 has been given through a Department of the Environment special grant to local authorities caring for unaccompanied refugee children in respect of 1993 94.
Mr. Fishburn: To ask the Secretary of State for Health how many unaccompanied refugee children were being supported by the royal borough of Kensington and Chelsea (a) on 1 April 1991 and (b) at the latest available date; and by how much the children's services block in the standard spending assessment has increased in the same period.
Mr. Bowis: Information about whether children looked after by local authorities have refugee status is not available centrally. In 1990 91, the children's services sub-block of the personal social services standard spending assessment for Kensington and Chelsea was £11.945 million. In 1994 95, following a comprehensive review of the standard spending assessment formulae, and the first full use of data from the 1991 census, the equivalent figure is £11.926 million.
Mr. Sackville: Figures for 1992 93 will be published shortly in "Hospital Episodes Statistics, Volume 1, England 1992 93", copies of which will be placed in the Library. The 1993-94 figures are not yet available.
Mr. Sackville: None, providing there is no significant interference with the performance of the trust of its obligations under national health service contracts. That statutory requirement prevents NHS patients from being disadvantaged by private practice within the health service.
Percentage of women aged 18+ drinking over 14 units of alcohol weekly ( England) Year |Percentage --------------------------------- 1986 |10 1988 |11 1990 |11 1992 |12 Notes: 1. Percentages rounded to the nearest whole figure. 2. The General Household Survey collects data on alcohol consumption in alternate years only.
Mr. Bowis: We have an extensive monitoring programme in place. This has shown that local authorities have made a good start with the implementation of community care in the first year. This view has also been confirmed by reports from the Audit Commission and the Association of Directors of Social Services.
Mr. Sackville: The main agency through which the Government support biomedical and clinical research is the Medical Research Council, which receives its grant in aid from the office of my right hon. Friend the Chancellor of the Duchy of Lancaster. The MRC is an independent body deciding what research to support on its own expert judgment.
In 1992 93, the latest year for which figures are available, the MRC spent £237,000 on research into pain.
Mr. Malone: Knowledge and understanding of the relief of pain is taught in all university medical schools. They determine the extent of this teaching in the light of recommendations from the education committee of the General Medical Council, which has the statutory authority to determine the extent of the knowledge and skill required for the granting of primary medical qualifications in the United Kingdom.
Mr. Sackville: The information is not available centrally. It is for individual health authorities to commission hospital services that meet local needs including services for people with acute or chronic pain.
Mr. Sackville: We are aware of the value of autologous transfusion for those patients where the procedures are applicable. In appropriate cases it can provide a useful supplement to the supply of blood from voluntary donors which the National Blood Service supplies to our hospitals. The medical profession is aware of autologous transfusion and advice is available from medical staff of the National Blood Service and hospital consultant haematologists. Selection of patients for this procedure has to be undertaken with extreme care to avoid any possible clinical risk to that patient.
Mr. Malone: The total cost of the help us to help you initiative has been £91,870. Monitoring to assess the effectiveness of local campaigns is a local responsibility. The national health service executive has found that help us help you messages are now widely featured in national health service information literature.
(2) what savings on the total consultant staff budget will come from performance-related pay.
Mr. Malone: Our proposals are for the introduction of local pay arrangements in the national health service, not performance-related pay. The size of the consultants' pay bill depends on a number of factors including consultant expansion. It is for trusts to determine the cost of local schemes.
Mr. Bowis: The information is not currently available centrally. A national survey assessing the extent of psychiatric morbidity in Great Britain is being carried out for the Department of Health by the Office of Population Censuses and Surveys. The results of the first part of the survey, covering the private household population, are due to be published later this year and will provide information both nationally and regionally on the nature and extent of mental illness among adults.
Ms Primarolo: To ask the Secretary of State for Health what was the hospitality budget for her Department, the national health service executive and regional health authorities, district health authorities, family health services authorities and trusts in (a) 1993 94 (b) 1991 92 and (c) 1979 1980.
Mr. Sackville: Information on hospitality expenditure for regional health authorities, district health authorities, family health services authorities and trusts is not available centrally. Figures for the Department of Health are shown in the table.
|1993-94|1991-92 |£ |£ --------------------------------------------------------------------- Department of Health |218,995|168,151 National Health Service Management Executive |88,846 |35,803 Notes: <1> Figures are not available prior to 1990-91. <2> Figures have not been adjusted for inflation. <3> Departmental figures include the Management Executive figures. <4> Management Executive figures are not directly comparable from year to year because of organisational changes.
Ms Primarolo: To ask the Secretary of State for Health what contracts her Department, the national health service executive, regional health authorities, district health authorities, family health services authorities or trusts had with Cleveden Services.
Information on contracts held with individual contractors by regional health authorities, district health authorities, family health services authorities or trusts is not available centrally.
Ms Primarolo: To ask the Secretary of State for Health what plans she has to investigate Sandwell family health services authority, the general practitioner consortium and the limited company that ran it.
Mr. Malone: West Midlands regional health authority published the results of an investigation into the setting up of the Sandwell general practitioner consortium in May this year. Sandwell family health services authority is currently investigating the decision by general practitioners to leave the consortium.
Mr. Sackville: Draft guidance on the confidentiality, use and disclosure of personal health information was issued for consultation on 10 August 1994, and copies of it are available in the Library. The consultation period ends on 9 December, and a final version will be published when we have considered the comments received. Work on drafting guidance on confidentiality first began in 1989.
Mr. Malone: The available information is shown in the table. Information relating to Wales, Scotland and Northern Ireland are matters for my right hon. Friends the Secretaries of State for Wales and Scotland and my right hon. and learned Friend the Secretary of State for Northern Ireland. Comparable information is not available for general practitioners.
Hospital and community health service medical staff from European Union countries (by countries of birth) other than UK who were practising in England as at 30 September 1989-1993 (whole time equivalents) |Number --------------------- 1989 |1,830 1990 |1,740 1991 |1,870 1992 |1,900 1993 |2,010 Figures are rounded to nearest 10.
Mr. Sackville: The closure of any regional unit would be the responsibility of the relevant regional health authority. The national health service ethnic health unit was established this year for a three- year period; it is located in Leeds and will cover ethnic health issues across the whole of the NHS in England.
Mr. Sackville: The Government will continue to publicise the dangers of passive smoking and to encourage the introduction of smoking policies in public places, public transport and the workplace. Good progress is being made in all those areas.
Ms Primarolo: To ask the Secretary of State for Health how many deaths were caused by passive smoking in each of the last five years; and what research findings she has on the illnesses caused by passive smoking.
Mr. Sackville: On the available data it is not possible to estimate a figure for all deaths attributable to passive smoking. The available evidence on the health effects of passive smoking is summarised in paragraph 2.13 of "Smoke Free for Health" which was published in February 1994, copies of which are available in the Library.
The Scientific Committee on Tobacco and Health is reviewing the available research findings on this issue.
Mr. Sackville: Mr right hon. Friend the Secretary of State announced in December 1993 an additional £14.8 million investment in the London ambulance service for 1994 95, which the LAS is using to purchase new accident and emergency vehicles, to increase ambulance staff, provide additional paramedic training and make other improvements to services. This additional funding was linked to firm targets for improved response times-- 80 per cent. of emergency calls to be responded to within 14 minutes by September 1994 and 85 per cent. by April 1995 as interim stages to meeting the national standard of responding to 95 per cent. of calls within 14 minutes. My right hon. Friend the Secretary of State has asked Mr William Wells, the chairman of South Thames regional health authority, to produce a report into the LAS. The report will look into what changes need to be made in terms of:
working practices, including staff deployment and rostering systems
the use of resources
management and staff training
Column 831The report will be made to Ministers before Christmas and will be made public.
Mr. Malone: In general, there should be no difficulty in speaking to a doctor before a home visit. However, it is for individual general practitioners to decide how to organise their patient contacts.
Figures for 1992 93 are not yet available.
Ms Primarolo: To ask the Secretary of State for Health what plans she has to discipline consultants who continue to allow their junior doctors to work longer hours than those targets in her new deal for junior doctors.
Mr. Sackville: The number of laboratory reports of toxoplasmosis in England and Wales during the past10 years is shown in the table. It should be noted that those reports are not necessarily of new infections; some may be of chronic infection or represent results from repeat test on the same patient.
Information on the incidence of congenital toxoplasmosis each year is not routinely available.
Laboratory reports to the Public Health Laboratory Service, England and Wales, 1984-1993 Year |Laboratory reports --------------------------------------------------------------- 1984 |759 1985 |842 1986 |762 1987 |849 1988 |825 1989 |852 1990 |704 1991 |636 1992 |580 1993<1> |454 1993<1> data provisional
Ms Primarolo: To ask the Secretary of State for Health what are the mental health activity figures for each of the last five years for (a) the London implementation zone and (b) by region, per head of population.
Information available on rates per head of population is shown in the tables. The numbers are based on ordinary admissions and day cases. It should be noted that the figures relate to finished consultant episodes and not individual patients, as an individual may be admitted and discharged more than once.