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Mrs. Beckett: To ask the Secretary of State for Health how many NHS trusts have confidentiality clauses in their contracts for employees.

Mr. Malone: This information is not available centrally.

Mrs. Beckett: To ask the Secretary of State for Health how many trusts have merged since April 1991.

Mr. Sackville: Since April 1991, three mergers between trusts have taken place and 16 mergers between trusts and directly managed units.

Mrs. Beckett: To ask the Secretary of State for Health how many trusts have contracts with district health authorities and regional health authorities that are (i) outside the district health authority area and (ii) outside the regional health authority area in which they are situated.

Mr. Sackville: This information is not available centrally.

Mrs. Beckett: To ask the Secretary of State for Health what is the total amount of accumulated assets of trust hospitals.

Mr. Sackville: The total value of net assets employed by trust hospitals at 31 March 1994 was £12,464,800,000.

Source: Trust summarised accounts for 1993 94. This figure is provisional being subject to audit by the National Audit Office.

Mrs. Beckett: To ask the Secretary of State for Health what surplus or loss has been accumulated by each trust hospital.

Mr. Sackville: The information will be placed in the Library.

Malnutrition

Mrs. Beckett: To ask the Secretary of State for Health what information has been collected nationally regarding malnutrition and the incidence of rickets.

Mr. Sackville: The Department of Health does not collect information specifically about the incidence of rickets. Malnutrition is a term which covers a wide variety of single or combined deficiencies of nutrients and/or energy. A report of the national diet and nutrition survey of children aged one and a half to four and a half, due to be published in the spring, will provide information on the food and nutrient intakes of this group of the population and their vitamin D status.


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Non-NHS Health Care

Mrs. Beckett: To ask the Secretary of State for Health what is the total value of all health care in England provided outside the NHS in 1994 and 1979.

Mr. Sackville: This information is not collected by the Department.

Contracts

Mrs. Beckett: To ask the Secretary of State for Health what evidence her Department has of any non-NHS providers failing to meet their contracts with NHS bodies.

Mr. Sackville: The Department of Health has no evidence of any non- NHS providers failing to meet their contracts with NHS bodies.

Private Insurance

Mrs. Beckett: To ask the Secretary of State for Health what is her Department's estimate of the number of people with the cover of private dental insurance, and of private medical insurance.

Mr. Sackville: Information on the number of people with private dental insurance is not collected by the Department.

Waiting Lists

Mrs. Beckett: To ask the Secretary of State for Health what evidence her Department has of a correlation between the change of numbers of people waiting for hospital in-patient treatment and the health of the nation.

Mr. Malone: There is no proven correlation between any change in the numbers of people waiting for hospital in-patient treatment and the health of the nation.

Life Expectancy

Mrs. Beckett: To ask the Secretary of State for Health what evidence her Department has that life expectancy has decreased for any group of people during the last 15 years.

Mr. Sackville: The available data for England do not identify any sub-groups whose life expectancy has decreased overall in the last 15 years. Life expectancy for males and females for every age group has increased since 1980. Over the period there are a few age groups for which life expectancy shows year on year fluctuations, but the overall trend for every age group is upward.

Mrs. Beckett: To ask the Secretary of State for Health what increase in life expectancy has been experienced in (a) England, (b) the United Kingdom, (c) each EC country and (d) each OCED country.

Mr. Sackville: Figures for life expectancy at birth in England, United Kingdom, each European Community country and each Organisation for Economic Co-operation and Development country for males and females for the years 1980 to 1992 will be placed in the Library.

Pregnancy Statistics

Mrs. Beckett: To ask the Secretary of State for Health what percentage of women aged under 20 years become pregnant in each district health authority area, in the latest year for which figures are available.


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Mr. Sackville: The number of conceptions and the rate per 1,000 women aged 15 to 19 in each district health authority area in 1991, the latest year for which figures are available, were published in Office of Population Censuses and Surveys monitor FM1 94/1, "Conceptions in England and Wales, 1991: residents of regional and district health authority areas." Copies of this monitor are in the Library.

Private Patients

Mrs. Beckett: To ask the Secretary of State for Health what was the income from private patients for each trust hospital and special health authority hospital in 1993 94.

Mr. Sackville: I refer the right hon. Member to the reply that I gave her on 13 January, columns 267-68.

Disease Statistics

Mrs. Beckett: To ask the Secretary of State for Health how many people contracted (a) dysentery, (b) tuberculosis and (c) influenza in each regional health authority area and in total in each of the last five years.

Mr. Sackville: The information will be placed in the Library. The data relating to influenza are cases of newly diagnosed episodes of influenza-like illnesses and are for the whole of England and Wales. A regional breakdown of these figures is not available centrally.

Staff Safety

Mrs. Beckett: To ask the Secretary of State for Health what compensation is offered to staff, including community care nurses, who are injured by patients, including challenging clients.

Mr. Malone: All staff are covered by the national health service injury benefits scheme. This is a statutory scheme providing benefits where an injury or disease, which is attributable to NHS employment, results in either a temporary loss of earnings or permanent reduction in earning ability.

Mrs. Beckett: To ask the Secretary of State for Health how many violent incidents were initiated by patients towards nurses and doctors, by region, in the last three years.

Mr. Sackville: I refer the right hon. Member to the reply that I gave to the hon. Member for Houghton and Washington (Mr. Boyes) on 27 January 1994, column 375.

Mental Illness

Ms Jowell: To ask the Secretary of State for Health if she will publish the figures contained in her Department's recent survey of provider units of the numbers of mentally ill people placed on supervision registers for each unit in London.

Mr. Bowis: This information is not yet available centrally.

Ms Jowell: To ask the Secretary of State for Health how many people were conveyed by the police to a place of safety under section 136 of the Mental Health Act 1983 in each year since 1990.

Mr. Bowis: We will shortly be publishing a bulletin on "Legal Status Statistics 1987 88 to 1992 93" which will include figures for section 136 of the Mental Health Act 1983. Copies of the bulletin will be placed in the Library.


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Ms Jowell: To ask the Secretary of State for Health how many people have been subject to section 117 of the Mental Health Act 1983 during each year since 1991.

Mr. Bowis: This information is not available centrally.

Ms Jowell: To ask the Secretary of State for Health, pursuant to her answer of 28 November, Official Report , column 535 , how many acute psychiatric beds are needed in London for average bed occupancy to be 85 per cent.

Mr. Bowis: It is for individual health authorities to assess the need for acute psychiatric beds and to contract with providers of mental health services to ensure that sufficient beds are available to meet the needs of their resident population. Average bed occupancy rates can be agreed as part of the contracting process and will relate to local circumstances. I refer the hon. Member to the reply that I gave her on 28 November 1994, column 535 for specific action being taken in inner London.

GP Fundholders

Mrs. Beckett: To ask the Secretary of State for Health how many general practitioner fundholding practices there were in each family health service authorities and regional health authority in each of the last four years.

Mr. Malone: The available information will be placed in the Library.

Mrs. Beckett: To ask the Secretary of State for Health how many patients were de-registered from general practitioners lists in total and at the request of the general practitioner broken down by family health service authority, by regional health authority and separating fundholding from non-fundholding general practitioners in each of the last four years.

Mr. Malone: I refer the right hon. Member to the reply that my hon. Friend the Under-Secretary of State gave to the hon. Member for Ynys Mon (Mr. Jones) on 19 July 1994, columns 367-68, and the replies that I gave to the hon. Member for Darlington (Mr. Milburn) on 24 October 1994, column 449 and on 9 December 1994, column 400.


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Mrs. Beckett: To ask the Secretary of State for Health what evidence her Department has, and what representations it has received, on a link between the amount of general practitioner fundholding and the level of patient de-registration.

Mr. Malone: None.

Neurosurgery

Mr. Raynsford: To ask the Secretary of State for Health what is the current policy of the Maudsley hospital in respect of the admission of emergency cases for neurosurgery; and what proposals there are to change this policy.

Mr. Malone: This is a matter for the Bethlem and Maudsley national health service trust. The hon. Member may wish to contact Mr. Bernard Williams, the chairman of the trust, for details.

St. Bartholomew's Hospital

Mr. Sedgemore: To ask the Secretary of State for Health if she will delay the closure of the accident and emergency unit at St. Bartholomew's hospital until 1 August 1995, pending a further review following the letter dated 13 January from the City and Hackney community health council.

Mr. Malone: No.

Patient Complaints

Mr. Barnes: To ask the Secretary of State for Health what access her Department has to records of complaints from (a) patients and (b) members of surgical professions relating to surgical treatment; and if she will make a statement.

Mr. Malone: The Department collects statistics on written complaints made by, or on behalf of, patients in England. The data give numbers of complaints which were wholly or partly about clinical issues but it is not possible to identify the numbers relating specifically to surgical treatment.


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