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Mrs. Beckett: To ask the Secretary of State for Health how many beds, on average, there are at Guy's hospital; and what information she has on the likely number of in-patients beds remaining at Guy's hospital after the changes announced on 4 April. [19708]
Mr. Malone: There are currently 702 beds in use at Guy's hospital. By 1998 99, after the changes announced on 4 April, there will be 112 in- patient beds on the Guy's site dedicated to planned surgery for patients. As proposed in the recent public consultation exercise, changes at Guy's will take place over a period of time.
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Mrs. Beckett: To ask the Secretary of State for Health what assessment she has made of whether the St. Bartholomew's hospital site is able to house a private hospital. [19709]
Mr. Malone: A project team, led by Sir Ronald Grierson, has been set up to look at options for the future use of the St. Bartholomew's site. The Royal Hospitals trust has also been in discussion with the city initiative on possible uses of the site for health-related services.
Mrs. Beckett: To ask the Secretary of State for Health what plans she has for the future of the St. Bartholomew's site once NHS services have terminated there. [19707]
Mr. Malone: A project team has been set up to look at practical options for the future use of the St. Bartholomew's site. This will be chaired by Sir Ronald Grierson and will include a number of distinguished academics and clinicians.
London Chest Hospital
Mrs. Beckett: To ask the Secretary of State for Health if she will make a statement on the service provided by the London Chest hospital. [18719]
Mr. Malone: The London Chest hospital provides cardio thoracic surgical and medical services, primarily for the residents of North Thames regional health authority. Services will transfer over time to the Royal London hospital site at Whitechapel.
Mrs. Beckett: To ask the Secretary of State for Health what guidance she has given to the Royal London Hospital trust in relation to the closure of cardiothoracic services at St. Bartholomew's and the London Chest hospital prior to the development of the new unit on the Royal London hospital site. [19705]
Mr. Malone: The relocation of cardiothoracic services from St. Bartholomew's and the London Chest hospitals forms part of the Royal Hospitals trust's proposals to concentrate acute services on a single site at Whitechapel. The trust is required to meet all patients charter standards and make full and adequate provision for all its services which may need to be relocated, either permanently or temporarily, whilst building work is undertaken.
No services will transfer or close until adequate alternative facilities are in place.
London Hospitals
Mrs. Beckett: To ask the Secretary of State for Health, pursuant to her answer of 4 April, Official Report , columns 1043-45 , relating to changes to London hospitals, when she received the final documents from the four comprehensive consultation exercises carried out by the district health authorities. [19723]
Mr. Malone: The conclusions of the consideration by South Thames regional health authority were received on 16 March 1995 and the conclusions of the consideration by North Thames regional health authority were received on 23 March 1995.
Mrs. Beckett: To ask the Secretary of State for Health (1) what weight was put on the opinion of local people in making the decision about changes to London hospitals. [19717]
Mr. Malone: My right hon. Friend the Secretary of State took full account of all comments made during the consultation processes in reaching her decision.
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Mrs. Beckett: To ask the Secretary of State for Health which London hospitals closed in the last five years; and which are due to close in the next 10 years. [18716]
Mr. Malone: The Department does not routinely collect information on hospital closures or proposals for closure. Information has been held centrally, since 1992, on cases where proposals to change the use of health service facilities are referred to Ministers for decision following objections from a community health council. A list of such closures and changes of use for the period January 1992 to March 1995 will be placed in the Library.
Mrs. Beckett: To ask the Secretary of State for Health what estimates she has made of the changes to the London hospitals being a consequence of the internal market. [19710]
Mr. Malone: The changes being made to health services in London address many of the issues identified in the Tomlinson report on London's health services, medical education and research, and take forward the Government's strategy set out in "Making London Better". They are intended to improve health care in London by concentrating specialist services in fewer, better, centres of excellence, providing modern acute hospitals closer to major centres of population and releasing resources for investment in primary and community health services, while preserving and enhancing London's reputation for treatment, teaching and research.
Mrs. Beckett: To ask the Secretary of State for Health if she will break down by hospital the £400 million capital investment announced for London hospitals; and from which budget it will come. [19713]
Mr. Malone: Latest estimates of planned gross capital investment are as follows:
|£ million
---------------------------------------------------
Royal Hospitals NHS Trust |239
Guy's/St. Thomas' NHS Trust |90
Greenwich Healthcare NHS Trust |35
Wellhouse NHS Trust |68
Total |432
These estimates may be subject to revision as more detailed plans are prepared. Exchequer capital funding for "Making London Better" projects is available from the national health service capital allocation. Funding arrangements for individual projects, including the exploration of private finance, will be considered as part of detailed implementation of proposals.
Primary Care, London
Mrs. Beckett: To ask the Secretary of State for Health if she will list the recommendations of the Acheson report into primary care services in London in the early 1980s which were not carried out. [18721]
Mr. Malone: The individual recommendations of the Acheson report are no longer relevant as the 1990 general practitioner contract and the national health service reforms have changed the framework within which primary care services are provided. However, these changes did take full account of the Acheson report, and the further development of services in the London initiative zone following the Tomlinson report have
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continued the improvement of primary care services in London.Brook and Edgware Hospitals
Mrs. Beckett: To ask the Secretary of State for Health if she will make a statement on the service to patients provided by (a) the Brook hospital and (b) Edgware hospital. [19712]
Mr. Malone: The Brook hospital currently provides:
General Medicine
Cardiac
General Surgery
Neurosciences
Geriatric Medicine
Minor injuries unit
Out-patient services supported by on site diagnostic, X-ray, pathology, nuclear medicine, occupational therapy and physiotherapy services.
Services provided at the Brook hospital will transfer to the new hospital at Greenwich, the Queen Elizabeth Military hospital, with tertiary cardiac and neurosciences services transferring to the Guy's and St. Thomas' trust and King's Healthcare trust.
Edgware Hospital currently provides the following services: General Surgery
ENT
Plastic Surgery
General Medicine
Haematology
Neurology
Obstetrics
Urology
Ophthalmology
Thoracic Surgery
Dermatology
Geriatric Medicine
Clinical Oncology
Gynaecology
Orthopaedics
Oral Surgery
Accident and Emergency
Rheumatology
Anaesthetics
Paediatrics
Main acute services will be relocated to Barnet General hospital and Northwick Park hospital.
Services currently provided at the Brook and Edgware hospitals will not transfer or close until adequate alternative facilities are in place.
London Hospitals (Research)
Mrs. Beckett: To ask the Secretary of State for Health what was each London hospital's research rating in each of the last five years. [18720]
Mr. Malone: The research of London hospitals is not subject to an annual rating review. The last review which concerned the R and D of any of the London hospitals was the special health authorities research review. The review report was published in July 1993 and a copy is in the Library. The UK higher education funding councils undertake reviews of higher education institutions, including medical schools in the University of London, every four years. Research ratings are used to determine
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the allocation of research grants. The next research assessment exercise is to be held in 1996.London Ambulance Service
Mrs. Beckett: To ask the Secretary of State for Health what criteria she will use for deciding whether or not the London Ambulance Service is fully equipped to provide an improved service for Londoners in relation to the announcement on 4 April on changes to health services in London. [18718]
Mr. Sackville: The London Ambulance Service has recently achieved better response times and considerable improvements have been made to its vehicle fleet and equipment, including 180 new emergency ambulances. The need for further developments and improvements to accommodate the decisions made on changes to London's health services have been identified, and changes planned to ensure a satisfactory standard of service to patients.
Royal London Hospitals Trust
Mrs. Beckett: To ask the Secretary of State for Health what is the cost of concentrating acute and specialist services over time at the Royal London hospital in capital terms; and what is the expected revenue saving from this capital investment. [19714]
Mr. Malone: The estimated net cost of rationalising the services of the Royal London Hospitals national health service trust at the Royal London hospital is £173 million, once land sales are taken into account; £35 million of this cost is backlog maintenance. In addition, the completed development is expected to produce NHS revenue savings of £30 million per annum.
Deprivation Scores
Mrs. Beckett: To ask the Secretary of State for Health what is the average deprivation score for the areas of each hospital listed as due to change in London in the announcement of 4 April. [18715]
Mr. Malone: The following figures for the relevant district health authorities are calculated using the same method as the Department of the Environment's ward index of local conditions.
A positive score shows relatively high levels of deprivation, while a negative score shows relatively low levels.
9 District Health |DOE index Authority (DHA) --------------------------------------------------------- Barnet |-2.065 Brent and Harrow |13.530 East London and the City |28.203 Bexley and Greenwich |13.289 South East London |27.250 Source: Public Health Common Data Set 1994.
Correspondence
Mrs. Beckett: To ask the Secretary of State for Health what percentage of the correspondence she has received
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on her changes to London's hospitals' services was in favour of them. [18722]Mr. Malone: Figures are not available.
Nursing Numbers
Mrs. Beckett: To ask the Secretary of State for Health how many nurses were employed by the NHS and how many employed by the private sector in each of the last four years (a) in total, (b) by region and (c) by district health authority. [13371]
Mr. Sackville [holding answer 16 March 1995]: Available information on whole-time equivalent numbers of nursing and midwifery staff in the national health service is shown in the attached table. The table includes nursing and midwifery staff directly employed by the NHS in hospital and community health services, those working in the general medical services who are employed by general practitioners, and England totals for numbers of Project 2000 students.
Students undertaking traditional forms of training are included in the hospital and community health service figures shown.
Numbers of nursing and midwifery staff by district health authorities can be provided only at disproportionate cost. The publication "Private hospitals, homes and clinics registered under Section 23 of the Registered Homes Act 1984" contains whole-time equivalent numbers of staff in post for non-NHS establishments in England, by region and by district health authority. The latest data available relate to 1993-94, and copies of this year and the preceding three years are available in the Library.
Nursing and midwifery staff in the NHS by region as at 30
September 1990-1993 (including Project 2000 students in England
totals and excluding agency)
Whole-time Equivalents
|1990 |1991 |1992 |1993
--------------------------------------------------------------------------
England
Total HCHS, GMS and Project 2000 |406,100|411,480|406,210|399,060
HCHS Nurses and Midwives |395,360|392,200|378,790|361,460
GMS Practice Nurses |7,740 |8,780 |9,120 |9,600
Project 2000 Students |3,000 |10,500 |18,300 |28,000
Northern
Total HCHS and GMS |27,730 |27,770 |25,670 |25,130
HCHS Nurses and Midwives |27,310 |27,270 |25,120 |24,580
GMS Practice Nurses |430 |500 |550 |550
Yorkshire
Total HCHS and GMS |30,590 |30,070 |28,210 |27,890
HCHS Nurses and Midwives |30,020 |29,460 |27,560 |27,140
GMS Practice Nurses |570 |610 |650 |750
Trent
Total HCHS and GMS |38,980 |38,800 |36,720 |36,540
HCHS Nurses and Midwives |38,210 |37,950 |35,790 |35,580
GMS Practice Nurses |770 |850 |930 |960
East Anglia
Total HCHS and GMS |16,580 |16,270 |15,900 |15,360
HCHS Nurses and Midwives |16,140 |15,730 |15,390 |14,810
GMS Practice Nurses |440 |550 |510 |550
North West Thames
Total HCHS and GMS |27,100 |27,160 |25,470 |22,300
HCHS Nurses and Midwives |26,480 |26,480 |24,770 |21,550
GMS Practice Nurses |610 |680 |700 |750
North East Thames
Total HCHS and GMS |33,510 |33,480 |31,950 |29,040
HCHS Nurses and Midwives |32,980 |32,750 |31,250 |28,280
GMS Practice Nurses |540 |730 |700 |760
South East Thames
Total HCHS and GMS |29,790 |28,910 |29,220 |24,990
HCHS Nurses and Midwives |29,110 |28,280 |29,570 |24,250
GMS Practice Nurses |660 |630 |650 |740
South West Thames
Total HCHS and GMS |22,610 |22,140 |22,930 |21,910
HCHS Nurses and Midwives |22,120 |21,590 |22,380 |21,350
GMS Practice Nurses |490 |550 |560 |560
Wessex
Total HCHS and GMS |24,230 |24,240 |22,760 |23,610
HCHS Nurses and Midwives |23,690 |23,570 |22,170 |23,000
GMS Practice Nurses |530 |680 |590 |610
Oxford
Total HCHS and GMS |17,530 |17,310 |16,900 |17,420
HCHS Nurses and Midwives |17,080 |16,820 |16,370 |16,850
GMS Practice Nurses |450 |490 |540 |580
South Western
Total HCHS and GMS |28,030 |27,730 |26,920 |26,740
HCHS Nurses and Midwives |27,340 |27,030 |26,160 |26,000
GMS Practice Nurses |680 |710 |760 |740
West Midlands
Total HCHS and GMS |42,830 |42,120 |42,230 |40,230
HCHS Nurses and Midwives |42,070 |41,300 |41,320 |39,210
GMS Practice Nurses |750 |830 |910 |1,020
Mersey
Total HCHS and GMS |21,420 |20,450 |19,830 |18,560
HCHS Nurses and Midwives |21,090 |20,100 |19,390 |18,170
GMS Practice Nurses |330 |340 |440 |390
North Western
Total HCHS and GMS |37,480 |37,120 |35,930 |34,480
HCHS Nurses and Midwives |36,990 |36,480 |35,290 |33,830
GMS Practice Nurses |490 |640 |640 |650
SHAs and Others
Total HCHS and GMS |4,730 |7,400 |7,260 |6,840
HCHS Nurses and Midwives |4,730 |7,400 |7,260 |6,840
GMS Practice Nurses |- |- |- |-
Source:
HCHS Nursing and Midwifery-PD(STATS) B Non-Medical Workforce Census.
GMS Practice Nurses-PD(STATS) C GMP Census.
Project 2000 Students-English National Board for Nursing Midwifery and
Health Visiting.
Notes:
1. The HCHS and GMS figures are rounded to the nearest ten.
2. The HCHS Nursing and midwifery figures include qualified, unqualified,
traditional learners, others and bank staff. Agency nursing and midwifery
are excluded.
3. Practice nurses are employed by general practitioners not directly by
the NHS.
4. Project 2000 students have been included in the England totals.
Project 2000 students are supernumerary to the workforce. They receive
bursaries and are not employed by the NHS. Project 2000 students
undertake 1,000 hours of rostered service as part of their course.
5. The figures given for Project 2000 students are estimated numbers (not
wtes) rounded to the nearest hundred and may include some part-time
students.
6. '-' denotes no staff.
7. Some totals may not equal the sum of components due to rounding.
NHS Staff Suicides
Mr. Alex Carlile: To ask the Secretary of State for Health what was the number of suicides by (a) female NHS staff and (b) male NHS staff, in each professional group, in each year since 1990. [17708]
Mr. Bowis [holding answer 5 April 1995]: Information is not available in the form requested.
DEFENCE
Estimates
Dr. David Clark: To ask the Secretary of State for Defence when he intends to publish the 1995 "Statement on the Defence Estimates". [18907]
Mr. Soames: On current plans, the "Statement on the Defence Estimates" 1995 should be published on Wednesday 3 May. This would be followed by a press briefing and publication of a press notice. Copies will also be placed in the Library of the House.
Land Sales
Dr. David Clark: To ask the Secretary of State for Defence, pursuant to his answer of 8 March, Official Report, column 257 , if he will list the capital receipts for each of the last 10 years from the sale of land by his Department. [18906]
Mr. Soames: Capital receipts generated by the sale of my Department's land over the last ten financial years are as follows: 1984 85: £27.7 million
1985 86: £60.2 million
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1986 87: £75.6 million1987 88: £77.8 million
1988 89: £149.6 million
1989 90: £74 million
1990 91: £81.6 million
1991 92: 102.2 million
1992 93: £68 million
1993 94: £70.7 million
Final figures for 1994 95 are not yet available, but receipts are expected to be in the region of £65 million.
Redundant Military Sites
Dr. David Clark: To ask the Secretary of State for Defence what is his Department's involvement in environmental clean-up operations; how many operations are currently under way; and how much money is spent each year on such operations. [18846]
Mr. Freeman: Decontamination of MOD land is undertaken where there is a significant risk to health and safety or the environment, or where land is being sold. In the latter case, my right hon. Friend the then Minister of State for the Armed Forces set out the position in answer to a question from the hon. Member for Pembroke (Mr. Ainger) on 15 July 1994, Official Report, column 818 . Information on the total number of remediation/decontamination programmes currently under way at individual MOD sites and their associated costs is not readily available and could only be obtained at disproportionate cost. Details of sites in disposal with identified contamination problems are contained in the House of Commons Defence Committee's report on the defence estate, Vol. II, page 72, published on 15 December 1994.
Green Policy
Dr. David Clark: To ask the Secretary of State for Defence what is his Department's policy concerning environmental matters; if he will specify what actions his Department are pursuing to safeguard the environment; how much money his Department spent in each of the last 10 years on environmental protection and maintenance; and if he will make a statement. [18844]
Mr. Freeman: My Department's policy is to comply with the letter and spirit of UK environmental legislation and international conventions to which the UK is a signatory, and Crown or defence immunities are invoked only where necessary for national security. I set out current environmental action in my answer to the hon. Member for Lewisham, Deptford (Ms Ruddock), Official Report, column 1152, on 5 April 1995.
Environmental protection measures are an integral part of many defence activities. As a consequence, the discrete costs involved cannot be separately identified. Details of my Department's policy and activities on environmental matters are readily available in the "Statement on Defence Estimates".
Climatic Change Data
Dr. David Clark: To ask the Secretary of State for Defence how much his Department's policy to use RN submarines to collect climatic change data from beneath the Arctic ice cap costs each year. [18845]
Mr. Soames: The Ministry of Defence does not specifically fund the collection of climatic change data
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by Royal Navy submarines. As part of my Department's commitment to the environment, however, data obtained from Royal Navy submarine deployments to the Arctic have been made available to the Scott Polar Research Institute.
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