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Mr. Milburn: To ask the Secretary of State for Scotland how many parliamentary answers on health issues have been refused on the grounds of disproportionate cost or information not being held centrally (a) as a total and (b) as a percentage of all health answers in each of the last five years.
Lord James Douglas-Hamilton [holding answer 1 February 1995]: The number of parliamentary questions on readily identifiable health issues in each of the last five years for which it was not possible to provide an answer because of disproportionate cost is as follows:
Session |Number |Percentage -------------------------------------------- 1989-90 |2 |0.6 1990-91 |4 |1.1 1991-92 |0 |0 1992-93 |2 |0.6 1993-94 |5 |1.1
In addition, the following parliamentary questions were not given a full answer because the information requested was not held centrally:
Session |Number |Percentage -------------------------------------------- 1989-90 |12 |3.6 1990-91 |13 |3.7 1991-92 |5 |4.3 1992-93 |15 |4.3 1993-94 |35 |7.6
Mr. Welsh: To ask the Secretary of State for Scotland (1) what assessment he has made that guidelines relating to the manufacture, marketing and supply of (a) electro-shock weapons and (b) instruments of torture are being fully complied with; and if he will make a statement;
(2) what further steps he is taking to review the operation of guidelines relating to the manufacture, marketing and supply of (a) electro-shock weapons and (b) weapons of torture; and if he will make a statement.
Lord James Douglas-Hamilton [holding answer 30 January 1995]: Electric shock weapons are prohibited by section 5(1)(b) of the Firearms Act 1968, and cannot be possessed, manufactured or sold without the authority of the Secretary of State. The procedures for granting or refusing authority to possess prohibited weapons are kept under regular review.
It is not practicable to control trade in the wide range of goods which could be misused for the purposes of torture. The Government are willing to look at any tangible evidence of British companies knowingly involved in supplying materials and expertise for the purposes of repression.
Mr. Charles Kennedy: To ask the Secretary of State for Scotland if he will list in respect of his meeting with the chairman of British Rail on 24 January (a) the specific issues which were discussed, (b) the conclusions arrived at over each and (c) when he next plans to discuss these and other related matters with the chairman.
Lord James Douglas-Hamilton [holding answer 30 January 1995]: My right hon. Friend and I discussed with the chairman of British Rail a wide range of topics relating to railway matters affecting Scotland. The meeting was private. Further contacts will be arranged as necessary.
Mr. Campbell-Savours: To ask the Secretary of State for Scotland on how many occasions in the last four months he or any of his Ministers have been approached by commercial lobbying organisations on behalf of their clients at informal or unofficial engagements.
Mr. Lang [holding answer 25 January 1995]: Ministers receive numerous representations about a wide variety of matters at informal or unofficial engagements but the information requested is not collected.
Mr. Campbell-Savours: To ask the Secretary of State for Scotland on how many occasions in the last four months of which he has knowledge any civil servants in his Department have been approached by commercial lobbying organisations on behalf of their clients at informal or unofficial engagements.
Column 835council to discuss matters of environmental concern including (a) the Dalmacoulter landfill project and (b) the dumping at Kilgarth tip; and if he will make a statement.
Mr. Lang [holding answer 26 January 1995]: I have no plans to meet Monklands district council to discuss these matters. The Dalmacoulter landfill gas project was one of eight such projects bidding for support under the Scottish renewables obligation. I understand that the Dalmacoulter bid was the most expensive of all the bids from landfill gas projects and was above the price ceiling recommended by the Director General of Electricity Supply for waste-to-energy projects.
I understand that the City of Glasgow district council is continuing to deposit waste at Kilgarth coup. Any environmental concerns at the site are for the two district councils to resolve.
|Number ----------------------------------------- 1989 Total |<3>340,590 Student population |<2>62,100 1993 Total |<3>350,020 Student population |<2>49,040 Source: Non-medical work force census. Notes: <1> All figures are whole-time equivalents, rounded to the nearest 10, as at 30 September of each year. <2> The student population figure for 1993 includes approximately 28,000 Project 2000 students. Traditional salaried training of nurses is being replaced by non-salaried Project 2000 training which was implemented in 1989, although the student population for 1989 does not contain any project 2000 students. Project 2000 students are supernumerary and not included in workforce numbers. <3> Figures include practice nurses who are employed and paid by general practitioners. Source: PD (stats) B non-medical work force census. Project 2000 figures obtained from English National Board annual report.
(2) what is the definition of reasonable used in deciding how many half- days a consultant may take off for private practice if he or she is full- time or maximum part-time in the NHS.
Mr. Malone: National health service consultants are able to undertake private work as well as NHS work provided that it is not to the disadvantage of the NHS or NHS patients. Consultants employed on a whole- time basis may not earn more than 10 per cent. of their gross NHS earnings from private work. The provisions of the maximum part-time contract allow practitioners to carry out private practice without a specific limit and it is for the employer and the employee to agree the balance between NHS and private work. The actual number of hours spent on NHS work is for local agreement. Consultants on both forms of contract under national terms of service are expected to devote substantially the whole of their professional time to their NHS duties. Information is not available on the average number of hours such consultants work in the private sector.
Mrs. Golding: To ask the Secretary of State for Health how many young people under the age of 14 years have been admitted to psychiatric hospitals with severe emotional problems in each of the last 10 years.
Mr. Jim Cunningham: To ask the Secretary of State for Health what plans she has to implement the National Health Service and Community Care Act 1993 in full, with particular reference to senior citizens.
Mr. Bowis: The implementation of the National Health Service and Community Care Act 1990 was phased in between 1991 and 1993. The core provisions, including those for older people, have all been in force since 1 April 1993.
(2) what discussions she has had with the Chancellor of the Exchequer regarding value added tax paid by Childline.
Mr. Bowis: The overall level of tax reliefs for charities is worth over £1.4 billion a year. The full range of reliefs means that charities are relieved of about one third of their potential VAT bill. My right hon. Friend the Secretary of State has had not discussions with my right hon. and learned Friend the Chancellor of the Exchequer about value added tax. Amounts of funding under Section 64 of the Health Services and Public Health Act (1968) for 1995 96 will be made in due course.
In the past eight years, Childline has received start-up, core and project funding from this and other Government Departments and I am pleased to note that this has enabled it to attract other funding such that its total income last year was £3.9 million and that it has been able to build up assets of some £1.4 million.
Mr. Kirkwood: To ask the Secretary of State for Health if she will list each training and tuition course with a total cost exceeding £5, 000 paid for by (a) her Department and (b) her agencies during the last 12 months, showing the title and objectives of each course, the name of the organisations engaged, the total cost of each course, a summary of the responsibilities of staff members taking part and the process for course evaluation by the Department or agency.
disproportionate cost. I understand, however, that courses with per capita costs exceeding £5,000 would be very rare.
One agency sponsored a member of staff for a course where fees exceeded £5,000. The details requested are:
Title: Master of Business Administration
Organisations: Henley Management College
Summary of responsibilities of staff member taking part: Project manager for health facilities engineering team, including strategic management and provision of professional advice.
Objectives: To enhance business management skills to enable the officer to take a more proactive and growing role in the success of the agency. To develop consultancy skills to work effectively in support of health service clients. To develop own major projects. Course evaluation: An evaluation form is completed by the individual. This is used in a formal evaluation process to access the contribution of the course to overall business objectives and individual development needs. A subsequent review assesses long-term impact on individual and business performance.
Mr. Thurnham: To ask the Secretary of State for Health if she will list the latest statistics available showing the proportion of (a) residential accommodation and (b) domiciliary services which are provided by the independent sector in each local authority area.
Mr. Bowis: The information requested on residential accommodation (excluding nursing homes) is published in table A1 of "Key indicators of local authority social services 1994", copies of which are available in the Library. Information on domiciliary services purchased by local authorities is included in table A3 of the same publication. More recent statistics on the number of residential accommodation places, excluding nursing homes at 31 March 1994 were published in table 1 of "Residential Accommodation in England 1994", Statistical Bulletin 1994/13, copies of which will be placed in the Library.
Mr. Hinchliffe: To ask the Secretary of State for Health how many local authority residential care home beds were provided under part III of the National Assistance Act 1948 by local authority in each of the last five years.
Mr. Bowis: The information requested for England for the period 1988 to 1994 and by local authority for 1994 was published in "Personal Social Services: Residential Accommodation in England 1994", Statistical Bulletin 1994/13. The readily available information by local authority for earlier years was published in "Residential
Column 838Accommodation for Elderly and for Younger Physically Disabled People: All Residents in Local Authority, Voluntary and Private Homes Year Ending 31 March 1988 to Year Ending 31 March 1993 England", RA/88-93/2(H). Copies of both publications are available in the Library.
(2) if she will make a statement on the case of Yvonne Smith and others whose operations at the royal infirmary, Leicester were delayed;
(3) if she will issue guidelines to ensure that there are no delays in the performing of operations on women whose pregnancies have come to an end.
Hospitals take such decisions on the basis of clinical need and these are matters for Leicester royal infirmary national health service trust. The hon. Member may wish to contact Mr. Philip Hammersley, chairman of the trust, for details.
Mr. Gordon Prentice: To ask the Secretary of State for Health, pursuant to her answers of 9 December 1994, Official Report, column 395 , and 16 December, Official Report, columns 831 32, what were the reasons why severance payments did not conform to the guidance set out in TEL(94)3.
Mr. Malone: The national health service executive has requested additional information about certain payments to establish whether they conformed to guidelines in TEL(94)3. Until this additional information is received and analysed, the NHS executive cannot say whether the level of payment was or was not consistent with the recommended method of calculation.
Mr. Milburn: To ask the Secretary of State for Health, pursuant to her answer of 19 December, Official Report, columns 985 86, if she will update the table on termination payments made to chief executives and general and senior managers of trusts.
Mr. Malone: The table sets out the latest information about termination payments made since April 1994 which national health service trusts have notified to the NHS Executive, under the arrangements in TEL(94)3.
|Number of NHS Trust |payments |Amount £ ---------------------------------------------------------------------- Broadgreen Hospital NHS trust |3 |4,487 |7,323 |31,078 Bromley Hospitals NHS trust |25,400 Burnley Health Care |245,000 Burton Hospitals NHS trust |7,053 Cheviot and Wansbeck NHS trust |2 |10,086 |6,329 Chorley and South Ribble NHS trust |28,749 Cornwall and Isles of Scilly Learning Disabilities NHS trust |11,000 Dudley Priority Health NHS trust |3 |37,222 |7,481 |9,639 East Surrey Learning Disability and Mental Health Services NHS trust |36,677 Enfield Community Care NHS trust |35,522 Epsom Healthcare NHS trust |15,000 Fosse Health NHS trust |19,500 Hammersmith Hospitals NHS trust |2 |47,616 |75,073 Herefordshire Community Health NHS trust |28,416 Heathlands Mental Health NHS trust |25,008 Hertfordshire Health agency |3 |3,000 |3,000 |3,000 Kings Healthcare NHS trust |3 |55,573 |1,005 |23,627 The Medway NHS trust |3 |12,991 |12,803 |13,501 Mid Anglia Community Health |5,449 Mid Cheshire Hospitals NHS trust |31,549 North East Essex mental health services |26,188 North Hampshire Hospitals NHS trust |30,000 North Mersey Community NHS trust |11,300 North Tees Health NHS trust |27,764 Northern Devon Healthcare NHS trust |25,000 Northampton Community Healthcare NHS trust |2 |20,259 |19,540 Pilgrim Health NHS trust |7,864 Plymouth Hospitals NHS trust |7,865 Queens Medical Centre Nottingham University NHS trust |77,715 Royal Free Hampstead NHS trust |35,295 Royal Liverpool University hospital |2 |47,355 |7,242 Royal Liverpool Children's NHS trust |18,466 Royal United Hospital Bath NHS trust |19,343 Salford Mental Health Services NHS trust |15,847 South Bedfordshire Community Healthcare trust |17,771 South Kent Community Healthcare trust |30,636 South Kent Hospitals NHS trust |8,626 South Warwickshire General Hospitals NHS trust |34,829 Southend Healthcare NHS trust |3 |43,908 |29,901 |7,031 Stockport Healthcare NHS trust |21,940 Teddington Memorial Hospital NHS trust |18,750 United Leeds Teaching Hospitals NHS trust |30,000 Walsall Community NHS trust |35,000 Walsall Hospital NHS trust |6,926 West Herts Community Health NHS Trust |4 |2,633 |2,276 |29,505 |40,000 Wiltshire Ambulance Service NHS trust |27,314 Worcester Royal Infirmary NHS trust |22,167 Worthing and Southlands hospitals NHS trust |2 |34,547 |18,200
Mr. Milburn: To ask the Secretary of State for Health, pursuant to her answer of 19 December 1994, Official Report , columns 985 86 , how many of those receiving termination payments are still working in the NHS in any capacity.
Mr. Denham: To ask the Secretary of State for Health if she will place in the Library a copy of the agreement made with the chief executive of the NHS executive between 1986 and 1989 regarding his non-involvement in NHS contracts with IBM.
Mr. Sackville: The agreement between IBM and the Department of Health and Social Security dated 10 February 1986 formed the contractual basis of the secondment of Sir Leonard Peach as director of personnel, national health service management board. It sets out the detailed terms and conditions of his appointment. It would not be appropriate to place a copy in the Library.
The relevant extract from the agreement covering Sir Leonard Peach's non- involvement in NHS contracts with
"The secondee will not undertake work in any way connected with procurement of products or selection of suppliers in any of IBM's spheres of operation. His work should not in any way relate to IBM or any of its competitors and he will be asked to sign a conflict of interest statement, a copy of which is attached to this contract. In addition he will absent himself from any discussions on the NHS Management Board or elsewhere, which might lead to DHSS letting a contract or commission to IBM. Also he is required to make a declaration to the Chairman of the NHS Board whenever IBM submits a tender to the DHSS or a Health Authority in England or obtains a contract PROVIDED that such declaration shall only be required in respect of major bids. These are defined as IBM System 370 architectured systems or volume purchase agreements for small systems. In particular, this definition excludes typewriters, personal computers, supplies, single small-system bids and all bids or sales by Agents or third parties."
I regret that it has not been possible in the time available to find a copy of the conflict of interest statement referred to in the first paragraph of this extract.
(2) how many people were admitted to St. Bartholomew's hospital, London, in 1990 91, 1991 2, 1992 93 and 1993 94;
(3) how many patients were admitted to St. Bartholomew's hospital, London, and through what routes
Column 841other than accident and emergency, in 1990 91, 1991 92, 1992 93 and 1993 94.
(2) what will happen to the specialist services currently provided on the St. Bartholomew's hospital site after its closure; and what will happen to existing nursing terms working on specialist wards at St. Bartholomew's hospital;
(3) how many extra beds will be added to (a) St. Thomas's hospital, London, (b) King's College hospital, London, (c) Royal London hospital, (d) Homerton hospital, London, (e) University College hospital, London and (f) Whittington hospital, London to accommodate the extra demand as a result of St. Bartholomew's hospital, London, closure;
(4) to which hospital patients will be referred once St. Bartholomew's hospital, London, has closed.
Mr. Malone: Detailed changes in the deployment of resources at the Royal Hospitals national health service trust and neighbouring hospitals are a matter for local providers and commissioning authorities, taking account of the outcome of the public consultation exercise currently being undertaken by East London and the City health authority.
Mrs. Beckett: To ask the Secretary of State for Health how much extra money is being invested in primary health care and community care to offset the effects of the closure of St. Bartholomew's hospital, London.
A and E attendances at St. Bartholomew's Hospital by financial year Year |First |Follow-up |Total (April/March) |attendances |attendances |attendances ---------------------------------------------------------------------- 1990-91 |37,139 |5,185 |42,324 1991-92 |35,184 |4,529 |39,713 1992-93 |31,187 |2,740 |33,927 1993-94 |29,801 |2,559 |32,360
Mr. Chris Smith: To ask the Secretary of State for Health when she intends to respond to the open letter sent to her on 26 January by the Islington Gazette about the future of St. Bartholomew's hospital and of health services generally for the people of Islington.
Column 842for (a) St. Thomas's hospital, London, (b) King's College hospital, London, (c) Royal London hospital, (d) Homerton hospital, London, (e) University College hospital, London and (f) Whittington hospital, London, in 1990 91, 1991 92, 1992 93 and 1993 94; and what is the estimated increase in journey times for patients in the areas immediately surrounding St. Bartholomew's hospital, London, to travel to these hospitals.
Mr. Malone: Information on the average and mean rates of bed occupancy is not available centrally. Detailed information about individual trusts may be obtained by writing to the appropriate trust chairmen.
Studies have shown that St. Thomas hospital, King's College hospital, the Royal London hospital, Homerton hospital and University College hospital are all within 15 minutes driving time of St. Bartholomew's hospital. The journey time to the Whittington is only slightly longer.
Based on average traffic speed, Monday to Friday off-peak.
Mrs. Beckett: To ask the Secretary of State for Health what is the current bed capacity of (a) St. Thomas's hospital, London, (b) Kings College hospital, London, (c) Royal London hospital, (d) Homerton hospital, London, (e) University College hospital, London and (f) Whittington hospital, London.
Acute bed numbers in inner London trusts-average available beds 1993-94 Trust |Acute ---------------------------------------------------- Guys and St. Thomas's Hospital Trust<1> |1,054 King's Healthcare<2> |634 Royal Hospitals NHS Trust<3> |610 Homerton Hospital<4> |321 University College London Hospitals<5> |562 Whittington Hospital NHS Trust |420 <1> Includes Guy's hospital and St. Thomas's hospital. <2> Includes King's College hospital and Dulwich hospital. <3> Includes the Royal London hospital, St. Bartholomew's hospital and the London Chest hospital. <4> Shadow Trust. <5> Includes University College hospitals and the Central Middlesex hospital.
Acute beds includes :
General patients excluding elderly, younger physically disabled, neonatal cots not in maternity wards, terminally ill/palliative care. Mental illness and maternity beds are not included.
Mr. Betts: To ask the Secretary of State for Health what is the policy of each health authority with regard to fertility treatment in general and in vitro fertility treatment in particular, including details of restrictions placed by age and the existence of children by the present or previous relationship.
Mrs. Beckett: To ask the Secretary of State for Health what are the average current waiting times in the accident and emergency departments in (a) St. Thomas's hospital, London, (b) King's College hospital, London, (c) Royal London hospital, (d) Homerton hospital, London, (e) University College hospital, London and (f) Whittington hospital, London.
Mr. Dowd: To ask the Secretary of State for Health if she will direct the chief executive of the Lewisham hospital trust to reply to the inquiries of 29 November 1994, 20 December 1994 and 18 January from the hon. Member for Lewisham, West relating to the case of Mr. Hugh Fraser.