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Dr. Marek: To ask the Chancellor of the Exchequer what assessment he has made of the benefits of introducing a higher marginal income tax rate for those taxpayers earning more on average than £1,000 per day.

Sir George Young [holding answer 14 March 1995]: We believe that high income tax rates damage incentives and growth. Our policy is to have a tax system with low marginal rates--so that people keep more of every extra pound they earn--and a broad tax base.

NATIONAL HERITAGE

Boxing

Ms Jowell: To ask the Secretary of State for National Heritage what was the total amount spent by his Department on boxing in schools for each of the last three years.      [14691]

Mr. Sproat: My Department has not given any direct funding for boxing in schools in the last three years. However, through Sportsmatch, it awarded a grant of £5,000 in October 1994 to the non-contact "Kid Gloves Scheme".

Digital Audio Broadcasting

Mr. Allen: To ask the Secretary of State for National Heritage (1) what action his Department is taking in response to the Radio Authority's second policy statement on digital audio broadcasting; and if he will make a statement;

(2) what plans his Department has to bring forward legislative proposals to encourage the development of digital audio broadcasting in the United Kingdom;

(3) when his Department plans to bring forward proposals for a regulatory and licensing regime for digital audio broadcasting; and if he will make a statement.

Mr. Dorrell: The Government hope to set out later this year a regulatory framework for digital broadcasting.We, therefore welcome this publication which is a useful sttement of the Radio Authority's current position.

Water and Sewerage

Mr. Nicholls: To ask the Secretary of State for National Heritage what is the cost of his Department's expenditure on water and sewerage in (a) the current year and (b) each of the three previous years.

Mr. Dorrell: My Department did not occupy its own HQ premises until May 1993. Only in one of our buildings, occupied since October 1993, do we pay water charges directly. The following is a breakdown of those charges along with those of my agencies.


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                               |£              

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

1994-95                                        

DNH (Grove House)              |1,516          

Royal Parks Agency             |213,339        

Historic Royal Palaces Agency:                 

Her Majesty's Tower of London  |16,426         

Hampton Court Palace           |41,886         

Kensington Palace              |1,853          

Banqueting House               |2,512          

                                               

1993-94                                        

DNH (Grove House)              |683            

Royal Parks Agency             |166,754        

Historic Royal Palaces Agency:                 

Her Majesty's Tower of London  |15,476         

Hampton Court Palace           |17,954         

Kensington Palace              |1,735          

Banqueting House               |2,351          

                                               

1992-93                                        

Royal Parks Agency             |129,278        

Historic Royal Palaces Agency:                 

Her Majesty's Tower of London  |14,271         

Hampton Court Palace           |14,911         

Kensington Palace              |1,598          

Banqueting House               |2,165          

                                               

1991-92                                        

Royal Parks Agency             |188,335        

Historic Royal Palaces Agency:                 

HM Tower of London             |9,174          

Hampton Court Palace           |17,044         

Kensington Palace              |1,465          

Banqueting House               |1,964          

Television Reception

Mr. Maclennan: To ask the Secretary of State for National Heritage what estimate he has of (a) the erection costs and (b) the annual rental, insurance and technical maintenance costs which fall on communities of below 200 inhabitants that are dependent upon the provision of a private booster mast for the reception of television broadcasts.      [14573]

Mr. Dorrell [holding answer 17 March 1995]: The Department does not hold this information. The current "Self Help Television" guidance booklet, issued by the BBC and Independent Television Commission, includes some indicative figures but suggests that communities should seek a quote from a competent television engineer and obtain estimates from manufacturers and installers. The BBC or ITC will offer advice to groups about the possibilities of self-help schemes.

DUCHY OF LANCASTER

Civil Servants

Mr. Malcolm Bruce: To ask the Chancellor of the Duchy of Lancaster what was the total number of civil servants employed by (a) his Department, (b) the agencies under his Department's responsibility, and (c) public and other bodies under his Department's responsibility, for each year since 1979, divided into (1) full-time equivalents, (2) overtime, (3) casuals and (4) other; and whether he will also provide for each year his estimate of (A) civil service job reductions due to privatisations, (B)


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civil service job reductions due to contracting out, (C) civil service job reductions from other transfer of responsibilities, (D) the total of all other staff undertaking work for the Department or its agencies without being categorised as civil servants, including external consultants, researchers, agency secretarial staff and staff substitution and (E) total manpower expenditures, in 1994 prices.      [15089]

Mr. Horam: The civil service covers the permanent staff of central Government Departments and next steps agencies. The staff of other bodies are outside the civil service.

The annual publication "Civil Service Statistics" gives details of the number of civil servants employed by my Department and its agencies, including full-time equivalent staff and casuals, from 1993 onwards, and of staff leaving the civil service.

"Public Bodies", published annually since 1982, contains staffing information for those bodies not covered by "Civil Service Statistics".

Details of running costs and the civil service pay bill for my Department can be found in chapter 7 and tables 8.4 and 8.5 in chapter 8 in my Department's annual report, Cm 2820. Table 7.7 gives details of overtime from 1989 90 onwards.

Copies of all these publications are available in the Library of the House.

The remaining information sought could be provided only at disproportionate cost.

LORD CHANCELLOR'S DEPARTMENT

Civil Servants

Mr. Malcolm Bruce: To ask the Parliamentary Secretary, Lord Chancellor's Department what was the total number of civil servants employed by (a) his Department, (b) the agencies under his Department's responsibility and (c) public and other bodies under his Department's responsibility, for each year since 1979, divided into (i) full-time equivalents, (ii) overtime, (iii) casuals and (iv) other; and whether he will also provide for each year his estimates of (A) civil service job reductions due to privatisations, (B) civil service job reductions due to contracting out (C) civil service job reductions resulting from other transfer of responsibilities, (D) the total of all other staff undertaking work for his Department or its agencies without being categorised as civil servants, including external consultants, researchers, agency secretarial staff and staff substitution and (E) total manpower expenditures, in 1994 prices.      [14768]

Mr. John M. Taylor: The civil service covers the permanent staff of central Government Departments and next steps agencies. The staff of other bodies are outside the civil service.

The annual publication "Civil Service Statistics" gives details of the number of civil servants employed by the Lord Chancellor's Department and its three agencies, HM Land Registry, the Public Record Office and the Public Trust Office, including full-time equivalents and casuals from 1993 onwards, and of staff leaving the civil service.

"Public Bodies" published annually since 1982, contains staffing information for those bodies not covered by "Civil Service Statistics".


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Details of running costs and the civil service pay bill in cash terms for the Lord Chancellor's Department and its agencies can be found in chapter A, tables 4 and 5, chapter C, and Chapter D, tables 5 and 6, of the departmental report of the Lord Chancellor's and the Law Officer's Departments, Cm. 2809. Chapter A, table 5, and chapter C give details of overtime from 1989 onwards.

Copies of all these publications are available in the Members' Library.

The remaining information sought could be provided only at disproportionate cost.

Industrial Injury

Ms Lynne: To ask the Parliamentary Secretary, Lord Chancellor's Department how many claims under £2,500 for industrial injury have been made since 1990; and how many to the same amount were made in the previous four years.

Mr. John M. Taylor: This information is not readily available and could be obtained only at disproportionate cost.

Water and Sewerage

Mr. Nicholls: To ask the Parliamentary Secretary, Lord Chancellor's Department what was the cost of his Department's expenditure on water and sewerage in (a) the current year and (b) each of the three previous years.

Mr. John M. Taylor: Expenditure by the Lord Chancellor's Department on water and sewerage was: (a) £556,394 in the current year to the end of January; and (b) £857,977 in 1993 94, £772,652 in 1992 93 and £840,024 in 1991 92.

Mr. Darius Guppy

Mr. Gordon Prentice: To ask the Parliamentary Secretary, Lord Chancellor's Department if the application for legal aid by Darius Guppy has been approved; and what assessment he has made of whether the proceeds of the crime of which Mr. Guppy was convicted have been accounted for.

Mr. John M. Taylor: Mr. Guppy has made a number of applications for legal aid in the past 12 months, in respect of various proceedings. Most recently, his application for criminal legal aid to Redbridge magistrates court was granted on 24 February 1995. The confidentiality provisions in section 38 of the Legal Aid Act 1988 prevent the disclosure of information on an applicant's financial means.

HEALTH

Health Records (Access)

Mr. Henderson: To ask the Secretary of State for Health if she now intends to make regulations under section 8(3) of the Access to Health Records Act 1990 in order to provide a complaints procedure for patients who


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have been denied access to their health records under the Act, in line with the commitment given by the Under- Secretary of State for Health on 4 July 1990.

Mr. Sackville: Complaints about non-compliance with the Access to Health Records Act in relation to hospital records can already be made, using the hospital complaints procedure. We are considering the need for regulations under the Access to Health Records Act and will make an announcement in due course.

Depo-medrone

Mr. Godsiff: To ask the Secretary of State for Health what approach her Department has made to Upjohn, the manufacturer of depo-medrone, to request it to vary the provisions of the licence so as to include epidural use; and if she will publish the details of discussions and correspondence that have taken place between her Department and Upjohn.

Mr. Sackville: No such approach has been made to Upjohn. The present product licence for depo-medrone does not recommend the use of the product by the epidural route. The company holding the licence for the product would be required to provide the necessary supporting information to the Medicines Control Agency to support any changes to the licence. Correspondence between companies and the Medicines Control Agency regarding product licences are commercially confidential.

Mr. Godsiff: To ask the Secretary of State for Health (1) what assessment she has made of the frequency with which (a) depo-medrone and (b) other drugs are used for purposes for which they are not licensed;

(2) what is her Department's policy regarding the use of (a) depo-medrone or (b) other drugs for purposes which are not licensed.

Mr. Sackville: Information regarding the use of medicines in an unlicensed manner is not available centrally since doctors are not obliged to report such usage. In accordance with the exemption in section 9 of the Medicines Act 1968, if a doctor believes that the use of an unlicensed medicine, or use of a licensed medicine in a manner which is not specified in the product licence is appropriate for a patient, he or she may administer it on their own responsibility. They may also seek advice from relevant professional bodies, but it is for doctors to use their training, knowledge and experience to weigh carefully the likely benefits of a medicine against the anticipated risks before choosing the most appropriate treatment for a particular patient. It is also for doctors to discuss the risks and alternatives of any proposed treatment and to obtain the patient's consent before administering it.

Mr. Godsiff: To ask the Secretary of State for Health what was the outcome of discussions between departmental officials and relevant medical professional bodies concerning current clinical practice referred to in her answer to the hon. Member for Sheffield, Brightside (Mr. Blunkett), on 21 October 1993, Official Report, columns 315-16; and what specific advice her Department has issued to doctors on this issue.

Mr. Sackville: I refer the hon. Member to the reply I gave the hon. Member for Hartlepool (Mr. Mandelson) and to the hon. Member for Sheffield, Brightside (Mr.


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Blunkett) on 2 March 1994, column 757. We have decided that no further guidance on depo-medrone is needed at present.

Mr. Godsiff: To ask the Secretary of State for Health what assessment has been made of the use of polyethylene glycol as one of the constituent parts of depo-medrone.

Mr. Sackville: Polyethylene glycols of various molecular weights and grades have been used extensively in the pharmaceutical industry, as solvents, vehicles and solubilising agents. Depo-medrone is a licensed medicinal product. A product licence is granted only after the careful consideration of evidence to demonstrate to the licensing authority that the product is safe, efficacious and of satisfactory quality for the indications and routes of administration intended. The assessment includes not just the active drug substance but an assessment of the whole formulation of the product, in the context of the terms of the licence. This includes the safety of any excipients such as polyethylene glycol.

Intensive Care Beds

Mr. Sims: To ask the Secretary of State for Health how many intensive care beds are currently operational in (a) London and (b) the rest of England and Wales: and what were the corresponding figures for the last five years.

Mr. Sackville: Information is provided in the table on the average daily number of available designated intensive care beds in London and the rest of England. In addition to these services provided in units designated as intensive care units, intensive care can also be delivered in a variety of hospital departments, such as neo-natal intensive care, coronary care units, accident and emergency departments, renal units and high dependency units. Information relating to Wales is a matter for my right hon. Friend the Secretary of State for Wales.


           |London    |England<1>           

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

1989-90    |484       |2,033                

1990-91    |459       |2,024                

1991-92    |459       |2,017                

1992-93    |480       |2,045                

1993-94    |501       |2,105                

<1>Excluding London.                        

NHS Expenditure

Mrs. Beckett: To ask the Secretary of State of Health what was the expenditure on the NHS in each year since 1965 showing any percentage increase or decrease from the pervious year taking account of (a) inflation, (b) NHS inflation, (c) the impact of demographic changes on activity and unit costs and (d) the impact of technological advance on activity and unit costs.

Mr. Sackville: The information available is shown in the table. We have no means of adjusting these figures for the impact of demographic changes on the national health service as a whole or of technological change.

Information on estimated growth in demand for hospital and community health services from demographic changes is in the departmental report (Cm 2812).


Gross National Health Service expenditure<1>                                                                                                       

]£ million                                                                                                                                         

                                          |Adjusted by                              |Adjusted by                                                   

                                          |general inflation<2>|Percentage change   |NHS inflation       |Percentage change                        

Year                 |Cash                |(1993-94 prices)    |over previous year  |(1990-91 prices)<3> |over previous years                      

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

1971-72              |2,000               |14,251              |-                   |16,554              |-                                        

1972-73              |2,281               |15,029              |5.5                 |17,433              |5.3                                      

1973-74              |2,592               |15,980              |6.3                 |18,075              |3.7                                      

1974-75              |3,426               |17,653              |10.5                |17,976              |-0.5                                     

1975-76              |4,511               |18,530              |5.0                 |18,377              |2.2                                      

1976-77              |5,149               |18,634              |0.6                 |18,546              |0.9                                      

1977-78              |5,689               |18,123              |-2.7                |18,817              |1.5                                      

1978-79              |6,525               |18,697              |3.2                 |19,531              |3.8                                      

1979-80              |7,755               |19,040              |1.8                 |19,344              |-1.0                                     

1980-81              |10,103              |20,964              |10.1                |19,890              |2.8                                      

1981-82              |11,329              |21,434              |2.2                 |20,557              |3.4                                      

1982-83              |12,353              |21,818              |1.8                 |21,027              |2.3                                      

1983-84              |13,114              |22,135              |1.5                 |21,279              |1.2                                      

1984-85              |14,102              |22,664              |2.4                 |21,567              |1.4                                      

1985-86              |14,923              |22,737              |0.3                 |21,695              |0.6                                      

1986-87              |16,044              |23,729              |4.4                 |21,942              |1.1                                      

1987-88              |17,653              |24,789              |4.5                 |22,354              |1.9                                      

1988-89              |19,628              |25,834              |4.2                 |22,595              |1.1                                      

1989-90              |21,148              |26,017              |0.7                 |22,946              |1.5                                      

1990-91              |23,673              |26,963              |3.6                 |23,673              |3.2                                      

1991-92              |26,813              |28,734              |6.6                 |-                   |-                                        

1992-93              |29,393              |30,292              |5.4                 |-                   |-                                        

1993-94              |30,419              |30,419              |0.4                 |-                   |-                                        

1994-95<4>           |31,946              |31,320              |3.0                 |-                   |-                                        

1995-96<5>           |33,441              |31,753              |1.4                 |-                   |-                                        

<1> Information on National Health Service expenditure is not available on a comparable basis before 1971-72.                                      

<2> Measured by the GDP deflator.                                                                                                                  

<3> Figures for NHS inflation not available after 1990-91.                                                                                         

<4> Forecast outturn.                                                                                                                              

<5> Plan.                                                                                                                                          

St. Mary's Hospital

Mr. Barry Field: To ask the Secretary of State for Health if she will make a statement about St. Mary's hospital and its energy-saving potential.

Mr. Sackville: St. Mary's hospital is the first of two demonstration hospitals in which a range of energy-saving technologies are being used. The aim is to achieve significant savings in fuel consumption and reduce environmental pollution. First and second year appraisals have identified significant reductions in fuel consumption and carbon dioxide emissions, increasing from 35 per cent. fuel savings in year one to 44 per cent. in year two. This equates to annual savings of £51,000 in fuel bills and a reduction of 1,000 tonnes in carbon dioxide emissions.

Practice Nurses

Mr. Nicholas Brown: To ask the Secretary of State for Health what has been the annual change in pay received by practice nurses in each regional health authority in each of the last five years.      [15370]

Mr. Malone: This information is not available centrally.

Female Obstetricians and Gynaecologists

Mrs. Beckett: To ask the Secretary of State for Health what was the percentage of female obstetricians and gynaecologists in each of the last five years.      [13328]

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


Column 34


Females obstetricians and            

gynaecologists-England               

(whole time equivalent) 1989-1993    

As at 30 September  Percentage       

       |1989|1990|1991|1992|1993     

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

Female |22  |22  |23  |24  |26       

1. Grades covered are: consultant,   

staff grade, associate specialist,   

senior registrar, registrar,         

hospital practitioner and clinical   

assistants.                          

Mrs. Beckett: To ask the Secretary of State for Health what targets have been set in the last 10 years in relation to the increase in the number and percentage of female obstetricians and gynaecologist; and when they should be achieved.      [13329]

Mr. Malone: None. In the 10 years between 1983 and 1993, the percentage of female consultants in obstetrics and gynaecology rose from 11 to 15 per cent.--an increase of 8.8 per cent. per annum between 1988 and 1993. The number of female consultants in the specialty rose from 80 to 130. Some 35 per cent. of senior registrars in the specialty are women.

National Continence Day

Mr. Llwyd: To ask the Secretary of State for Health what financial support she has given and will be giving to National Continence Day; and if she will make a statement.      [14231]

Mr. Bowis: The Department is providing £160,000 this year to support National Continence Day, which will be held on 21 March 1995, and for on-going work in this area.


Column 35

Over 3 million adults and half a million children in the United Kingdom are estimated to suffer from incontinence. The majority of them--around 70 per cent.--could be successfully treated. Many others could have their quality of life improved by the provision of the right type of incontinence aids, but only one in six sufferers seeks help.

The Department of Health, working jointly with the Continence Foundation, has produced publicity items which refer people to their pharmacists for advice or give the numbers of the Continence Foundation and the Enuresis Resource and Information Centre helplines.

NHS Trusts

Mr. Clapham: To ask the Secretary of State for Health (1) how many NHS trust hospitals published annual accounts for 1993 94; what was the total amount paid by those hospitals in salaries and expenses to their chief executive; and what was the total amount paid by those hospitals in salaries and expenses to their boards of directors;      [14770]

(2) which NHS trust hospitals pay their chief executives more than £75,000 per annum; and if she will give the amount of the salaries;      [14771]

(3) which NHS trust hospitals paid their board of directors more than £400,000 in 1993 94.      [14772]

Mr. Malone: All 292 national health service trusts in operation in 1993 94 published annual accounts for that year. I refer the hon. Member to the reply I gave the hon. Member for Don Valley (Mr. Redmond) on 16 February, column 808 in respect of the available information on remuneration of members of NHS trust boards.

Polling and Public Survey Organisations

Mr. Donohoe: To ask the Secretary of State for Health if she will make a statement on the employment of polling or public survey organisations by her Department during the current and previous financial years, on the organisations employed by her Department, on the values of individual contracts for these services, on the total amounts of money spent and the purposes of the research undertaken by these organisations.      [14500]

Mr. Sackville: This information could be provided only at disproportionate cost.

Lynfield Mount Hospital

Mr. Madden: To ask the Secretary of State for Health if she will instruct Bradford Community Health trust to make public the report of the external review team into the secure unit at Lynfield Mount hospital in Bradford.      [14813]

Mr. Bowis: The Bradford Community Health national health service trust has agreed to prepare copies of the report, suitably edited to preserve confidentiality of patients and staff. These will be made available to the hon. Member and other interested local bodies shortly.

General Practitioners

Mrs. Beckett: To ask the Secretary of State for Health how many (a) patients there are on general practitioners' list and (b) full-time equivalent general practitioners in each family health service authority area.      [15081]


Column 36

Mr. Malone: This information is contained in "General Medical Services Statistics", which are published twice yearly, copies of which are available in the Library.

GP Fundholding

Mrs. Beckett: To ask the Secretary of State for Health what comparative assessment she has made of the benefits and costs of joint commissioning and general practitioner fundholding.      [15085]

Mr. Malone: General practitioner fundholders are able to achieve improved patient benefits because they purchase services directly on behalf of their patients and ensure services are more sensitive to individual patient needs. This is the crucial difference between fundholding and other models of purchasing. Fundholding GPs, like other GPs, should be involved in health authority purchasing.

Mrs. Beckett: To ask the Secretary of State for Health what was the average amount spent in the private sector by fundholders in each year since 1991 92.      [15035]

Mr. Malone: I refer the right hon. Member to the reply my hon. Friend the Under-Secretary of State gave the hon. Member for Darlington (Mr. Milburn) on 9 December 1994, column 401 .

St. Bartholomew's Hospital

Mrs. Beckett: To ask the Secretary of State for Health what legal restrictions there are on future uses of St. Bartholomew's hospital site.      [15084]

Mr. Malone: This is a matter for the North Thames regional health authority. The right hon. Member may wish to contact Sir William Staveley, the chairman, for details.

Civil Servants

Mr. Malcolm Bruce: To ask the Secretary of State for Health what was the total number of civil servants employed by (a) her Department, (b) the agencies under her Department's responsibility and (c) public and other bodies under her Department's responsibility, for each year since 1979, divided into (1) full time equivalent, (2) overtime, (3) casuals and (4) other; and whether she will also provide for each year her estimates of (A) civil service job reductions due to privatisation, (B) civil service job reductions due to contracting out, (C) civil service job reductions resulting from other transfer of responsibilities, (D) the total of all other staff undertaking work for the Department or its agencies without being categorised as civil servants, including external consultants, researchers, agency secretarial staff and staff substitution and (E) total manpower expenditures, in 1994 prices.      [15094]

Mr. Sackville: The civil service covers the permanent staff of central Government Departments and next steps agencies. The staff of other bodies are outside the civil service.

The annual publication "Civil Service Statistics" gives details of the number of civil servants employed by the Department and its agencies, including full time equivalent staff and casuals, from 1993 onwards, and of staff leaving the civil service.


Column 37

"Public Bodies", published annually since 1982, contains staffing information for those bodies not covered by "Civil Service Statistics".

Details of running costs and the civil service pay bill for the Department can be found in table 12 of the Department's annual report (Cm 2512). Table 13 gives details of overtime from 1989 90 onwards. Copies of all of these publications are available in the Library. The remaining information sought could be provided only at disproportionate cost.

GP Remuneration

Mrs. Beckett: To ask the Secretary of State for Health if she will list the published and non-published research done by her Department or commissioned by it on variation of general practitioner NHS income in each of the last five years.      [15082]

Mr. Malone: Each year, the Department of Health and the General Medical Services Committee jointly commission an inquiry into the gross earnings and expenses, from all sources, of a sample of general practitioners. Surveys are conducted by the Inland Revenue and the results are reported, in confidence, to the Review Body on Doctors and Dentists Remuneration.

GP Staff

Mrs. Beckett: To ask the Secretary of State for Health how many whole-time equivalent staff are employed by GPs in each family health service area; and if she will break down the figures by staff category;      [15005]

(2) how many (a) practice nurses and (b) practice managers there are in each family health service area.      [15005]

Mr. Malone: The information is contained in "GMS Statistics 1 April 1994 England and Wales", copies of which are available in the Library.

GP Fundholders

Mrs. Beckett: To ask the Secretary of State for Health what was the average amount spent by fundholders out of savings in extending premises and the average amount of improvement grants given to non-GP fundholders in the latest available year.      [15003]

Mr. Malone: Information on the amount of savings spent by general practitioner fundholders on premises improvements is not available centrally. However, the National Audit Office report on GP fundholding estimates, from regional health authorities, that about one-third of savings have been used to improve practice premises for the benefit of patients, for example, to provide a wider range of services.

In 1993 94, about £26 million was spent on improvement grants for all GPs in 1993 94. A breakdown of this figure between fundholders and non- fundholders is not available centrally.

Mrs. Beckett: To ask the Secretary of State for Health what were the average savings by fundholders in each year since 1991 92.      [15007]

Mr. Malone: Average savings made by fundholders in the first three years of the scheme were £50,000 per fund in 1991 92, £50,000 per fund in 1992 93 and £55,000 per fund in 1993 94. These savings are being reinvested


Column 38

in improving patient care. Following independent audit by the Audit Commission, fundholders savings are held by family health services authorities on behalf of the patients of fundholders.

Mrs. Beckett: To ask the Secretary of State for Health what information she has about the total savings by individual GP fundholders; and what information she has on how these savings are being spent by individual GP fundholders.      [14990]

Mr. Malone: Regional health authorities are responsible for managing the fundholding scheme in their area. Information about an individual fundholder's savings is not routinely held centrally.


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