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Mr. Sackville: Data on the number of entrants to initial pre- registration nursing education are collected by the English National Board for Nursing, Midwifery and Health Visiting. Copies of the board's annual report for 1993-94 are available in the Library.

Waiting Lists, Northumberland

Mr. Ronnie Campbell: To ask the Secretary of State for Health what is the current waiting list for each specialty in the Northumberland health authority; and what is the number of people who have waited (a) for over one year and (b) for over two years in each speciality.

Mr. Malone: Information on waiting times by trust and district health authority is given in "Hospital Waiting List Statistics: England", copies of which are available in the Library. The latest published data are for September 1994.

Consultants, Northumberland

Mr. Ronnie Campbell: To ask the Secretary of State for Health how many consultant posts in the Northumberland district health authority there are at present; and what was the figure in each year since 1989.

Mr. Malone: The numbers of consultant posts have up to now been collected either by region or teaching district. This is not a teaching district and therefore no figures are available at district level. The hon. Member may wish to contact the chairman of the Northern and Yorkshire regional health authority, Mr. John Greetham, for details.

Midwives

Mr. Ronnie Campbell: To ask the Secretary of State for Health how many midwives in the Northumberland


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health authority are in the intensive midwifery training programme.

Mr. Sackville: This is a matter for Northumberland district health authority. The hon. Member may wish to contact the vice--chairman of the authority, Mr. David Wright, for details.

NHS Finance, London

Mr. Cohen: To ask the Secretary of State for Health if she will list the figures for the deficit or surplus of each London NHS trust and district health authority at the end of the last financial year according to those trusts and authorities' management accounts.

Mr. Sackville: Management accounts information is unaudited information used for internal performance management purposes. As such, it is not suitable for publication.

Rural Community Hospitals

Mr Redmond: To ask the Secretary of State for Health if she will make it her policy to maintain records centrally on returns of hospital activity data under the classification of rural community hospitals; and if she will make a statement.

Mr. Sackville: We have no plans to do so.

Nurses, Northumberland

Mr. Ronnie Campbell: To ask the Secretary of State for Health when she expects nursing clinical grading appeals in Northumberland health district to be completed.

Mr. Sackville: Over 60 per cent. of the outstanding appeals in the former Northern region have been resolved since last April. The four outstanding appeals in Northumberland will be cleared as soon as possible.

Disabled Persons

Mr. Tom Clarke: To ask the Secretary of State for Health what has been the full cost of implementing those sectors of the Disabled Persons, (Services, Representation and Consultation) Act 1986 which are in force.

Mr. Bowis: This information is not available centrally.

Cancer

Mr. Redmond: To ask the Secretary of State for Health how many people are currently suffering from cancer in the United Kingdom; what is the projection for 2015; and if she will make a statement.

Mr. Sackville: I refer the hon. Member to the reply I gave him on 30 November 1994, Official Report , column 791 .

Hospital Death Rate Tables

Mr. Redmond: To ask the Secretary of State for Health if she will make it her policy to ensure that publication of hospital death rate tables does not result in NHS trusts refusing to admit seriously ill patients.

Mr. Malone: The national health service treats, and will continue to treat, patients on the basis of clinical need.


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Medical Records

Mr. Morgan: To ask the Secretary of State for Health if she will issue guidelines ensuring that the rights of access by patients to their own medical records shall extend to the school and community health records as well as hospital and general practitioner records; and if she will make a statement.

Mr. Sackville: The Access to Health Records Act 1990 gives individuals the right of access to health records compiled by or on behalf of health professionals in connection with their care. Records kept by the school health service or community health service are covered by the provisions of the Act. Guidelines issued in August 1991, HSG(91)6, apply equally to these records. Where the records are held on computer, the right of access is provided by the Data Protection Act 1984.

Infertility Treatment

Mr. Bill Michie: To ask the Secretary of State for Health where she lists her priorities for in video fertilisation treatment within the NHS; and if she will make a statement on IVF treatment within the NHS.

Mr. Sackville: I refer the hon. Member to the reply I gave the hon. Member for Pembroke (Mr. Ainger) on 5 December 1994, Official Report , columns 91 92 .

Edgware General Hospital

Mr. Dykes: To ask the Secretary of State for Health if she has received further representations from the public about the possible closure of Edgware general hospital since the new year; and if she will make a statement on the future outlook for this hospital.

Mr. Sackville: We have received a number of representations. Barnet health authority and Brent and Harrow health authority are considering the results of public consultation on proposals for the hospital.

Mobility Centres

Mr. Pickthall: To ask the Secretary of State for Health how she intends to continue the funding of accredited mobility centres whose funding from regional health authorities has ended.

Mr. Bowis: The main source of national health service funding is and will continue to be local health purchasers who place contracts for assessment. In some cases, regional health authorities have made grants to such centres under their medical innovations budget. The future of such budgets beyond the reorganisation of RHAs under the Health Authorities Bill anticipated for April 1996 is currently being considered by the national health service executive.

Toxocariasis

Mr. Barnes: To ask the Secretary of State for Health what measures are taken to (a) prevent and (b) deal with eye damage caused by toxocariasis; and if she will make a statement.

Mr. Sackville: The Department of Health provides a grant to the charity Community Hygiene Concern, which produces information for the public on toxocariasis, and also supports the work of the Department of the Environment to encourage responsible dog ownership.


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If patients with toxocariasis present early enough drug treatment may be useful. Eye damage caused by toxocariasis is treated on a case-by-case basis.

Public Appointments

Mr. Milburn: To ask the Secretary of State for Health how many of the individuals appointed by her Department to public positions in the last year were first identified by the Public Appointments Unit.

Mr. Sackville: The Public Appointments Unit provides names of suitably qualified candidates for consideration for a wide range of appointments. Information on the source of names of individual appointees to public bodies could be provided only at

disproportionate cost.

Nurse Inspectors

Mr. Hinchliffe: To ask the Secretary of State for Health what mechanisms exist to monitor at national level the work of nurse inspectors operating under the Registered Homes Act 1984.

Mr. Bowis: None. The registration and inspection of nursing homes under the Registered Homes Act is wholly delegated to health authorities.

Accident and Emergency Provision, Liverpool

Mr. Wareing: To ask the Secretary of State for Health what is the present situation in respect of progress towards the restructuring of accident and emergency provision in NHS hospitals in Liverpool.

Mr. Sackville: This is a local matter. The hon. Member may wish to contact Mr. D. H. Tod, chairman of Liverpool health authority, to establish the latest position.

Lynfield Mount Hospital, Bradford

Mr. Madden: To ask the Secretary of State for Health if she will instruct the Bradford community health trust to publish in full the recent report of the external review team on matters relating to the secure unit at Lynfield Mount hospital in Bradford, with particular reference to the escape from the unit of Mr. Raymond Pemberton; if she will place a copy of the report in the Library; and if she will make a statement.

Mr. Bowis: No. The report's 35 recommendations have been published by the Bradford community health national health service trust. I refer the hon. Member to the reply I gave him on 10 January, Official Report , column 127 .

Departmental Openness and Accountability

Mr. Trend: To ask the Secretary of State for Health in what ways openness and accountability are promoted in her Department and the services for which she is responsible.


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Mrs. Virginia Bottomley: The information is as follows:

National Health Service

accountability through Ministers to Parliament.

annual reports and audited accounts from health authorities and national health service trusts.

health authority meetings open to the public.

NHS trusts' annual public meetings.

summary business plans by NHS trusts.

reports by local directors of public health on health needs and services.

clear patients' rights and national and local standards under the patients charter, and reports on results.

power to patients through general practitioner fundholders to ensure more accountability of service providers.

annual plans and reports by GP fundholders.

first ever performance ("league") tables giving comparative information for the public on their hospitals and ambulance services.

codes of conduct and accountability for the members of NHS bodies.

audit and remuneration committees to strengthen the role of non-executive members of NHS bodies.

registers of members' interests.

external, independent scrutiny by the Audit Commission. statutory obligations to consult on substantial changes to services.

consultation documents on major proposals, with background and options.

statutory rights for community health councils to be consulted on substantial changes to services and to obtain information.

published strategies and plans for the purchase of health services for local people.

public contracts between the purchasers and providers of health services, including the quantity and quality of services to be provided.

statutory rights of access to personal health information. published information on complaints.

Further plans include a code of practice on openness in the NHS, now out for consultation, setting out the public's right to information except in clearly defined circumstances; an accountability framework for GP fundholders; new procedures for appointments to NHS bodies, including advertisements, independent sifting panels and published criteria; a response to the Wilson review on NHS complaints; and a new and expanded patients charter. Social services

statutory obligation on local authorities to publish information on children's services

statutory obligation on local authorities to publish community care plans and reviews of day care for children

local inspection units with a lay element, and published reports national framework for local community care charter issued statutory rights of access to social work records

statutory requirement for complaints procedures

Social Services Inspectorate's national programme covering all local authorities in England, with reports published and accessible to the public


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Department of Health

accountability of Ministers to Parliament

a comprehensive overview of priorities, progress, expenditure and activity in the annual departmental report

National health service annual report, containing more information on developments and performance

detailed financial information contained in estimates and appropriation accounts, scrutinised by the National Audit Office and the Public Accounts Committee

annual report from the social services inspectorate on its activities and programme

annual report from the chief medical officer on the state of the public health

5,649 replies to parliamentary questions in 1993 94

over 84,000 letters dealt with in 1993, including more than 25, 000 for ministerial reply

a commitment to make information available except in clearly defined circumstances under the code of practice on access to Government information

detailed quarterly, six-monthly and annual statistical information in bulletins and reports, including a comprehensive annual compendium on health and personal social services in England accountability to select committees, including the Select Committee on Health, the Public Accounts Committee and the Select Committee on the Parliamentary Commissioner for Administration framework documents and published reports from the Medicines Control Agency, the Medical Devices Agency, the NHS Estates agency and the NHS Pensions agency; and reports and accounts from the youth treatment service

statements from all agencies adopting citizens charter principles

a charter for scheme members being produced by the NHS Pensions agency

NHS Estates agency accreditation for British standard 5750 on quality assurance and customer service

Health Education Budget

Mrs. Beckett: To ask the Secretary of State for Health what was her Department's budget for health education in each of the last five years; and what is the projected budget for the next three years.

Mr. Sackville [holding answer 13 January 1995]: Expenditure on health education falls to a number of budgets. Apart from funding for the Health Education Authority in 1994 95--to date, £36,984,000--and expenditure on health education publicity campaigns run by the Department, there is other, unquantifiable, expenditure on a variety of services and programmes which involve elements of health education, run by health authorities, trusts and other agencies.

Insulin

Mr. Alex Carlile: To ask the Secretary of State for Health what is her Department's assessment of the qualities and advantages of human and animal insulin, respectively.

Mr. Sackville [holding answer 16 January 1995]: The assessment of the qualities and advantages of human and animal insulin is a matter for the clinical judgment of individual doctors.


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WALES

Intensive Care Beds

Mr. Barry Jones: To ask the Secretary of State for Wales how many intensive care beds there are in each of the health trusts in Wales.

Mr. Richards: At 30 June 1994--the latest date for which information is available--the number of staffed beds allocated to intensive care was as follows:


                                      |Number       

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

NHS Trusts:                                         

Bridgend and District NHS Trust       |9            

Carmarthen and District NHS Trust     |3            

East Glamorgan NHS Trust              |6            

Glan Clwyd General Hospital NHS Trust |6            

Glan Hafren NHS Trust                 |7            

Gwynedd Hospital NHS Trust            |7            

Llandough Hospital NHS Trust          |5            

Morriston Hospital NHS Trust          |7            

Nevill Hall and District NHS Trust    |6            

Pembrokeshire Trust                   |3            

Swansea NHS Trust                     |9            

Wrexham Maelor Hospital NHS Trust     |6            

                                                    

Other Health Units:                                 

Merthyr/Cynon Health Unit             |4            

UHW/CRI Group of Hospitals            |22           

West Glamorgan East Health Unit       |7            

Source:                                             

QSI return.                                         

Mr. Barry Jones: To ask the Secretary of State for Wales what plans he has to provide the resources for more intensive care beds in Wales; and if he will make a statement.

Mr. Richards: It is for individual health authorities and hospitals to agree on its provision of intensive care beds in the light of local needs and circumstances.

Greenfield Bypass

Mr. Hanson: To ask the Secretary of State for Wales if he will meet Clwyd county council to discuss funding of the Greenfield bypass, A548; and if he will make a statement with regard to his view on a start date.

Mr. Gwilym Jones: My right hon. Friend has no plans to do so. His officials meet regularly with the county council to discuss potential transport grant schemes.

It is for Clwyd county council to take forward the scheme.

Dobshill Hospital

Mr. Barry Jones: To ask the Secretary of State for Wales if he will make a statement on the future of Dobshill hospital, near Buckley, Clwyd.

Mr. Richards: The future of Dobshill hospital is a matter for the Clwyd health authority and the Clwydian Community Care NHS trust at this stage.

Schools (Information Technology)

Sir Wyn Roberts: To ask the Secretary of State for Wales what steps he is taking to develop information technology in (a) primary and (b) secondary schools in Wales; and if he will make a statement.


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Mr. Richards: We have undertaken a substantial programme of investment in information technology in both primary and secondary schools. Under the grants for education support and training programme, it is estimated that £1.9 million will be spent in 1994 95, and expenditure of a similar amount is planned for 1995 96. Developing a sound knowledge of information technology and its implications is an essential part of children's education. Information technology is, therefore, a compulsory element of the revised national curriculum for all pupils aged five to 14 in maintained schools in Wales. It will also be a common requirement, for all subjects, that pupils should be given opportunities, where appropriate, to develop and apply their information technology capability in their study of all national curriculum subjects.


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