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Mr. Douglas Hogg: We attach the utmost importance to encouraging sound financial management in the institutions of the Community, and will insist on appropriate action whenever instances of fraud or mismanagement are apparent. Within the Council, we have pressed the Commission for a report on its investigation into the matter raised by the hon. Member.

Western European Union

Mr. Jenkin: To ask the Secretary of State for Foreign and Commonwealth Affairs what consideration they are giving to hold WEU meetings concurrently with meetings of the EU Foreign Affairs Council; and if he will make a statement.

Mr. Douglas Hogg: WEU meets at ministerial level every six months, more often if required in a crisis, with Foreign and Defence Ministers from the 24 nations which are either full members, associate members, associate partners or observers. In the past, there have been occasions when WEU Ministers have met back to back with the Foreign Affairs Council, but it would not be practical to make this a rule.

Bulgarian Vessels (Safety)

Ms Walley: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will hold urgent talks with the Bulgarian Government to discuss matters of safety of the Bulgarian vessels Afala, Aktinia, Kaprela, Ofelia,and Rotalia; and if he will make a statement.

Mr. Douglas Hogg: The safety of foreign-flagged vessels in British waters is a matter for my right hon. Friend the Secretary of State for Transport. But FCO officials have supported the DOT in discussions with Bulgarian officials about the safety of these vessels. They have also raised the question of safety during separate discussions with the Bulgarians, and have been active in support of the DOT with the flag states of other such vessels.

I understand that as a result of the repair work that has been undertaken, the Marine Safety Agency has now been able to lift the detention order of the Ofelia, one of the Bulgarian vessels.

Human Rights (Workplace)

Mr. MacShane: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will meet the director general of the International Labour Organisation to discuss ways of incorporating a social clause supporting human rights in the workplace in the rules and procedures of the new World Trade Organisation.

Mr. Douglas Hogg: I have no plans to meet the director general of the International Labour Organisation to discuss ways of incorporating a social clause supporting human rights in the workplace in the rules and procedures of the new World Trade Organisation.

We do not support calls for the inclusion of a social clause in the general agreement on tariffs and trade or other multilateral trade agreements under the auspices of the World Trade Organisation. We remain unconvinced that trade measures are an appropriate or effective way of addressing the issue of workers' rights.


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EC Presidency

Sir Thomas Arnold: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will set out the rota of EC countries holding the presidency to the end of 1997.

Mr. Douglas Hogg: The member states holding the presidency will be as follows:

1995: France

Spain

1996: Italy

Ireland

1997: Netherlands

Luxembourg

Mr. Edsil Charles Fordyce

Mr. Wigley: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will now reconsider the decision of his Department to refuse entry into the United Kingdom for Mr. Edsil Charles Fordyce; and if he will make a statement on the criteria used by his Department in deciding on humanitarian visits to the United Kingdom of foreign citizens.

Mr. Baldry: Ministers do not intervene in individual cases unless there is evidence of illogicality or procedural error in handling the application or there are exceptional compassionate circumstances. Entry clearance officers take all aspects, including those of a humanitarian nature, of an application into consideration when making decisions.

Gibraltar

Mr. Spellar: To ask the Secretary of State for Foreign and Commonwealth Affairs what representations he has made to the Spanish Government regarding border controls between Spain and Gibraltar.

Mr. Douglas Hogg: We have repeatedly and vigorously protested at high level to the Spanish authorities about the harassment at the frontier and the disruption to normal movement across the border. We are keeping the position under close review.


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Market Testing

Mr. Milburn: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will list those services that have been market- tested by his Department and won by the private sector, indicating the organisation that won the tender and its value.

Mr. Goodlad: None of the services market-tested so far by the Foreign and Commonwealth Office has been won by the private sector.

Macedonia

Mr. Madden: To ask the Secretary of State for Foreign and Commonwealth Affairs what plans there are to establish a British Council Office in Macedonia.

Mr. Baldry: The British Council has no plans at present to expand beyond the resource centre which it maintains in Skopje but it is alive to the interest and opportunities there and keeps the position under review.

Mr. Madden: To ask the Secretary of State for Foreign and Commonwealth Affairs what plans there are to establish at the British embassy in Macedonia a facility for issuing visas to those wishing to visit the United Kingdom; and if he will make a statement.

Mr. Baldry: The embassy in Skopje accepts diplomatic and official applications, refugee cases accepted jointly by the United Nations High Commission for Refugees and the Home Office and applications from visitors sponsored by the British Government and the British Council. The premises occupied by the embassy are not suitable for a full visa service.

Ministerial Travel

Mr. Byers: To ask the Secretary of State for Foreign and Commonwealth Affairs if he will list the countries visited by a spouse accompanying a Minister on overseas visits, since 1 October 1993; which Minister was accompanied; what was the cost of each visit; and what were the dates and the duties undertaken by the spouse during such visits.

Mr. Goodlad: The list gives details of visits made by a spouse accompanying a Minister overseas since 1 October 1993. In each case, the spouse carried out an official programme arranged by the post concerned. On each occasion the guidelines in "Questions of Procedure for Ministers" were followed and accord with departmental practice which has existed since at least 1985.


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Date                                     |Place                                   |Minister                                |Cost £                                                                           

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

15-21 November 93                        |Pakistan                                |Mr. Lennox-Boyd                         |3,612.00                                                                         

                                                                                                                                                                                                             

3-7 January 94                           |Lebanon, Israel, OTs, Jordan, Malta     |Secretary of State                      |82.00                                                                            

                                                                                                                                                                                                             

3-8 January 94                           |Kenya, Tanzania                         |Lady Chalker                            |4,039.00                                                                         

                                                                                                                                                                                                             

24-28 February 94                        |Portugal, Spain, Greece                 |Secretary of State                      |70.00                                                                            

                                                                                                                                                                                                             

4-11 April 94                            |Brazil, Falklands                       |Secretary of State                      |105.00                                                                           

                                                                                                                                                                                                             

18-19 April 94                           |Luxembourg, Paris                       |Secretary of State                      |77.00                                                                            

                                                                                                                                                                                                             

8-10 July 94                             |Naples, Economic Summit                 |Secretary of State                      |14.00                                                                            

                                                                                                                                                                                                             

27 July 94-19 August 94                  |Singapore, New Zealand, Australia, India|Mr. Goodlad                             |7,777.00                                                                         

                                                                                                                                                                                                             

2-5 September 94                         |Ecuador                                 |Mr. Heathcoat-Amory                     |3,974.00                                                                         

                                                                                                                                                                                                             

11-20 September 94                       |Thailand, Vietnam, Hong Kong, Japan     |Secretary of State                      |282.00                                                                           

                                                                                                                                                                                                             

26-29 September 94                       |New York/Canada UNGA 48                 |Secretary of State                      |4,030.00                                                                         

                                                                                                                                                                                                             

2-10 October 94                          |Dependent Territories, Canada           |Mr. Baldry                              |2,997.00                                                                         

                                                                                                                                                                                                             

17-21 October 94                         |Russia, Estonia, Finland                |Secretary of State                      |279.00                                                                           

                                                                                                                                                                                                             

                                                                                                                           |27,338.00                                                                        

HEALTH

Spending Statistics

Mr. Milburn: To ask the Secretary of State for Health what was the per capita spending figure for each (a) district health authority and (b) family health services authority in each of the last four years.

Mr. Sackville: I refer the hon. Member to the reply I gave the hon. Member for Don Valley (Mr. Redmond) on 7 December 1992 at columns 513 18, and to the reply the then Minister for Health, my right hon. Friend the Member for Peterborough (Dr. Mawhinney), gave him on 26 May at column 305. The per capita spend for district health authorities and family health services authorities for 1991 92 and 1993 94 will be placed in the Library.

Comparisons of these per capita spend figures need to be treated with caution. First, not all the expenditure covered arises from population- related activities. Secondly, crude populations do not reflect differences in age structure or relative health care need. These differences feature in the formulae used to inform the main allocations made to DHAs.

NHS Managers

Mr. Redmond: To ask the Secretary of State for Health if she will list for each year since 1980 the number and cost of managers in the NHS.

Mr. Malone: The general management function was introduced in 1984, following acceptance of the 1983 Griffiths report which concluded that the national health service was undermanaged. Interim arrangements existed for general management appointments until permanent selection and appointment arrangements took effect from February 1986. The senior management staff group was created subsequently. For information on the numbers of general and senior managers for the years ending September 1985 through to September 1990, I refer the hon. Member to the reply my right hon. Friend the Member for Peterborough, the then Minister for Health, (Dr. Mawhinney), gave my hon. Friend the Member for Surrey, North-West (Sir M. Grylls) on 26 March 1993 at column 755. At 30 September 1991, revised, 1992 and 1993, the number of general and senior managers were 14,500, 17,700 and 20,010 respectively. The increase in numbers over time is largely due to the reclassification of staff from professional and administrative groups, including many senior nurses, as managers. About two thirds of the increase between 1991 and 1992 and almost half the increase between 1992 and 1993 is the result of such reclassification.

The salary costs for general and senior managers from 1985 86 through to 1988 89 were £10,951,000, £25,677,000, £29,647,000 and £30,513,000 respectively. For the years 1989 90 to 1992 93 I refer the hon.


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Member to the reply I gave to the hon. Member for Darlington (Mr. Milburn) on 3 November at column 1267. The provisional figure for 1993 94 is £606,002,000.

General and senior managers still account for only 2.6 per cent. of the total NHS work force in England and 3.6 per cent. of total NHS expenditure on salaries and wages. This is not excessive by any standard in a large organisation.

GP Fundholding

Mrs. Beckett: To ask the Secretary of State for Health what evidence she has on the levels of support for fundholding among general practitioners; and what conclusions she draws from that evidence.

Mr. Malone: Over 35 per cent. of the population is now registered with a fundholding general practitioner. More general practitioners are preparing to join the scheme from next April and regional health authorities report considerable interest in the extended options for fundholding announced in October.

From this, and the benefits for patients fundholding is delivering, I conclude that we were right to enable general practitioners to purchase care and improve services for patients in this way and to extend the options to enable them to do so.

Brain Tumours

Dr. Strang: To ask the Secretary of State for Health what is the incidence of brain tumours in the United Kingdom; and what estimate she has made of the accuracy of the figures.

Mr. Sackville: In 1989, the latest available figures, there were 2,947 registrations of newly-diagnosed cases of malignant neoplasm of the brain--international classification of diseases in 191--in England. This figure is likely to be an underestimate because accurate diagnosis of many brain tumours is problematic.

Information relating to Wales, Scotland and Northern Ireland are matters for my right hon. Friends the Secretaries of State for Wales and for Scotland and my right hon. and learned Friend the Secretary of State for Northern Ireland.

Chiropody

Sir Thomas Arnold: To ask the Secretary of State for Health what is her policy towards chiropody in the NHS; and if she will make a statement.

Mr. Sackville: Chiropody treatment within the national health service should be available to those with a clinical need for this service. Provision is determined locally by


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health authorities in the light of their priorities and resources. "Feet first", the report of a joint Department of Health and NHS chiropody task force, was issued to the service in September and aims to assist authorities in developing better, more cost-efficient chiropody services. Copies are available in the Library.

Energy Expenditure

Mr. Matthew Taylor: To ask the Secretary of State for Health what was the total expenditure on energy for offices and buildings by (a) her Department and (b) her agencies in each of the last three years for which figures are available.

Mr. Sackville: The expenditure on energy for the Department and its agencies is shown in the table.


           |1991-92  |1992-93  |1993-94            

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

Department |2.514    |2.093    |1.558              

Agencies   |-        |0.230    |0.393              

Notes:                                             

1. Figures have not been adjusted for inflation.   

2. Figures are not directly comparable from year   

to year because of organisational changes to the   

Department following the establishment of next     

steps executive agencies.                          

3. Separate figures are not available for agencies 

for 1991-92.                                       

NHS Trusts

Mr. Bryan Davies: To ask the Secretary of State for Health what remuneration, allowances and other expenses are received by members of the boards of (a) Hillingdon hospital trust and (b) Portsmouth health care trust.

Mr. Malone: Chairmen of national health service trusts receive annual remuneration in the range of £15,125 to £19,285. The annual remuneration of non-executive directors of NHS trusts is £5,000. They are also entitled to claim allowances, at rates set centrally, for travel and subsistence necessarily incurred on trust business. Details of such payments are not available centrally.

Mr. Whittingdale: To ask the Secretary of State for Health if she will make an announcement about the fifth wave of national health service trusts.

Mrs. Virginia Bottomley: I have today approved 13 applications from hospitals and other units wishing to become national health service trusts. I have also given approval to two trust-to-trust mergers. Details have been placed in the Library.

AIDS and HIV

Mr. Alan Williams: To ask the Secretary of State for Health what is the annual number of (a) new AIDS cases and (b) HIV reports for each year since 1990.

Mr. Sackville: The information for the United Kingdom is shown in the table:


              |AIDS cases   |HIV infection              

                            |reports                    

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

1990          |1,268        |2,203                      

1991          |1,357        |2,485                      

1992          |1,482        |2,432                      

1993          |1,609        |2,408                      

Treatment Provision (Specialisation)

Mr. Cohen: To ask the Secretary of State for Health to what extent she expects trusts within one health authority are (a) to compete and (b) to come to agreements about specialisation of treatment provision; which trend she expects to dominate over the next five years; what assessment she has made of the compatibility of the two purposes; and if she will make a statement.

Mr. Sackville: Competition with the national health service internal market makes a contribution to ensuring the most appropriate and efficient care for patients.

Mental Health Task Force

Mr. Cohen: To ask the Secretary of State for Health when she expects to publish the report of the mental health task force; what estimate she has made of its resource implications; and if she will make a statement.

Mr. Bowis: The report of the mental health task force London project "Mental Health in London: Priorities for Action" was published on 27 September, copies of which are available in the Library. The report summarised the key themes from the action plans which had been agreed by district health authorities, in conjunction with local authorities and other agencies, to deliver improvements in the quality and co-ordination of services for severely mentally ill people in London. No separate estimate has been made of the resource implications of these plans which form part of the authorities' overall programme of action to improve services.

NHS Deficits

Mr. Cohen: To ask the Secretary of State for Health if she will list the figures for the deficit of each London NHS trust and district health authority at the end of the last financial year.

Mr. Sackville: I refer the hon. Member to the reply I gave him on 30 November at column 787. Information on national health service trusts will be available shortly.

Mixed-sex Wards

Lady Olga Maitland: To ask the Secretary of State for Health what progress she has made with regard to reviewing the mixed-sex ward policy in favour of single-sex wards.

Mr. Sackville: A revised patients charter standard to be issued early next year will require hospitals to inform patients in advance when they will be accommodated on a mixed sex ward for non urgent treatment. The standard also expects hospitals to respect the wishes, wherever possible, of those patients who prefer to be cared for in a single-sex ward or a single-sex bay. Patients can also expect to have access to single-sex washing and toilet facilities while in hospital.

In some circumstances--for example, in an intensive care unit or an observation unit where specialist nurses are employed--single-sex accommodation may not be available.

Mundesley Hospital

Mr. Gordon Prentice: To ask the Secretary of State for Health (1) what assessment she has made of whether the Anglia and Oxford regional health authority received


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the best possible price for the Mundesley hospital on its disposal;

(2) if the Anglia and Oxford regional health authority received independent advice on the valuation of the Mundesley hospital prior to its disposal.

Mr. Sackville: Regional health authorities managing the disposal of surplus property must follow the guidance contained in "Property Transactions in the NHS", part of the estatecode series. Independent valuation advice is not required where the RHA has suitably qualified in- house staff, which is the case in Anglia and Oxford. The sale of Mundesley hospital is being conducted by the local office of a national firm of chartered surveyors. A sale has not yet been agreed, but the RHA is considering offers made for the property.

Special Hospitals

Mr. Hinchliffe: To ask the Secretary of State for Health if she will list, for each special hospital, the originating local authority of their patients.

Mr. Bowis: This information is not available centrally. I refer the hon. Member to the Special Hospitals Service Authority.

Psychiatric Hospitals

Mr. Hinchliffe: To ask the Secretary of State for Health what percentage of in-patient admissions to psychiatric hospitals has involved the use of the compulsory provision of the Mental Health Act 1988 for each year since its implementation.

Mr. Bowis: The information requested, which relates to the Mental Health Act 1983, is shown in the table:


Year      |Per cent.          

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

1983      |8                  

1984      |7                  

1985      |7                  

1986      |7                  

1987-88   |7                  

1988-89   |7                  

1989-90   |7                  

Notes:                        

The figures from which the    

percentages between 1983 and  

1986 were calculated, were    

collected by the mental       

health inquiry from all       

mental illness and mental     

handicap hospitals and units, 

and include figures from      

special hospitals and private 

nursing homes. These were     

based on calendar years. From 

1987-88, the figures refer to 

financial year and were       

collected on forms KH15-from  

all NHS facilities-and        

K037-from private nursing     

homes-and also directly from  

the Special Hospitals Service 

Authority.                    

Mr. Alex Carlile: To ask the Secretary of State for Health what estimate she has made of (a) how much money has been saved by the closure of psychiatric hospitals and (b) where these savings have been spent; and if she will make a statement.

Mr. Bowis: The information is not available centrally. We have made it clear that any money released from the closure of a mental hospital should be reinvested in community-based services for the same client group.

Attention Deficit Hyperactivity Disorder

Mr. Ieuan Wyn Jones: To ask the Secretary of State for Health if she will make a statement on her


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Department's latest assessment of the prevalence of attention deficit hyperactivity disorder; and what plans she has for treatment within the national health service.

Mr. Bowis: Research findings have estimated a prevalence of 1.7 per cent. in a population of primary school boys but there are gender differences and geographical variations in distribution.

Children with hyperkinetic disorders are seen routinely within child mental health services and paediatric services.

Mental Health Services

Mr. Hinchliffe: To ask the Secretary of State for Health how many district health authorities are currently able to purchase treatment for mentally ill offenders, who are regarded as dangerous and difficult, from hospitals within their own geographical areas.

Mr. Bowis: District health authorities are responsible for assessing the health needs of their residents and for purchasing a range of services to meet those needs. Mentally disordered offenders are treated in a range of secure and non-secure settings in accordance with their differing needs. High-security services are provided by the three special hospitals which are funded centrally.

Mr. Alex Carlile: To ask the Secretary of State for Health if she will make bridging finance available to enable alternative community mental health services to be developed alongside existing in-patient services; and if she will make a statement.

Mr. Bowis: It already is.

Mr. Alex Carlile: To ask the Secretary of State for Health if she will make it her policy to ensure that adequate community mental health services are available before any powers of supervised discharge are introduced; and if she will make a statement.

Mr. Bowis: It is for health authorities to purchase community mental health services to ensure the needs of patients being discharged from hospital are met.

Vaccinations

Mr. Renton: To ask the Secretary of State for Health whether she will issue instructions that those people going abroad to countries where vaccinations for diseases including hepatitis A, typhoid and meningitis are necessary on holiday or business should pay the full price at national health service surgeries; and if she will make a statement.

Mr. Malone: Hepatitis A, typhoid and meningitis vaccinations are currently provided free of charge to people travelling abroad to high-risk countries.

Parliamentary Questions

Mr. Gordon Prentice: To ask the Secretary of State for Health how many parliamentary questions tabled in the last Session of Parliament were not answered on the ground that the information sought was not held centrally by the Department.

Mrs. Beckett: To ask the Secretary of State for Health how many written parliamentary questions have had an


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answer containing the phrase, "This information is not held centrally" in each of the last five years.

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


<

                              |Percentage of                

Session        |Number        |total answered               

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

1989-90        |157           |3.4                          

1990-91        |192           |6.2                          

1991-92        |130           |8.5                          

1992-93        |433           |7.3                          

1993-94        |225           |4.5                          

Source:                                                     

POLIS                                                       

Mrs. Beckett: To ask the Secretary of State for Health how many written parliamentary questions have been answered with the words "No" or "None" in each of the last five years.

Mr. Sackville: The number of parliamentary questions answered by "No" or "None" in the last five Sessions is shown in the table.


Session |Number         

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

1989-90 |41             

1990-91 |31             

1991-92 |16             

1992-93 |116            

1993-94 |117            

Source:                 

POLIS                   

VAT (Fuel)

Mr. Alex Carlile: To ask the Secretary of State for Health what will be the total cost to NHS trusts in the financial year 1995 96 of 17.5 per cent. VAT on heating fuel.

Mr. Sackville: The non-domestic supply of fuel and power, including that to hospitals, is subject to value added tax at the standard rate. Information on VAT paid by trusts on supplies of heating fuel is not separately identifiable.

Secret Files

Mrs. Beckett: To ask the Secretary of State for Health, pursuant to her answer of 30 November, to the hon. Member for Wallsend (Mr. Byers), Official Report , column 795 , what are the subject headings of each of the secret files at her Department; how many secret files were held at her Department in each of the last five years; and for what reasons her Department cannot identify top secret files from those held as secret.

Mr. Sackville: The Department is able to identify top secret from those held as secret, but to give a breakdown for each of the last five years, and to list each of their subject headings, could be done only at disproportionate cost. However, the majority relate broadly to home and civil defence and co-ordination of emergency planning, and approximately 95 per cent. are held as secret.

Health Authorities (Public Meetings)

Mrs. Beckett: To ask the Secretary of State for Health how many public meetings have been held by each trust, district health authority, family health services authority


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and regional health authority in each of the last three years.

Mr. Malone: Information on the number of authority and trust meetings held is not available centrally.


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