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|Estimated number of
|immunisations given
|Number of UK |as part of the UK
|reports of adverse |childhood vaccine
|reactions (children|programme (children
|aged 16 years or |aged 16 years or
Time period |less) |less)
--------------------------------------------------------------------------------
June 91-May 92 |481 |8,000,000
June 92-May 93 |1,585 |11,000,000
June 93-May 94 |1,125 |10,000,000
June 94-present |1,844 |18,000,000
Notes:
1. Information about the adverse reactions for the period June 1991 to May 1992
has not been provided because of disproportionate cost. A report of a reaction
does not necessarily mean that it was caused by the vaccine.
2. In the time period shown, considerable changes have been made to the
childhood immunisation programme. Hib vaccine was introduced in October 1992
and the measles and rubella immunisation campaign was carried out during
November 1994.
Local Government Reorganisation, Cleveland
Mr. Frank Cook: To ask the Secretary of State for Health (1) what assessment she has made of the implications for the implementation of effective care in the community services in Cleveland when the Tees
Column 593
health authority makes arrangements with four social services departments following local government reorganisation; [25221] (2) if she will make a statement on the implications for child protection services and procedures in the Cleveland area--including the effect on children on the child protection register--resulting from local government reorganisation in Cleveland; and what guidance she has issued in relation to how other agencies, including health, probation and police should maintain effective and consistent working arrangements with four social services departments. [25222]Mr. Bowis: I refer the hon. Member to the reply that I gave to the hon. Member for Kingswood (Mr. Berry) on 17 May, Official Report, columns 281-82.
Consultancy Expenditure
Ms Hodge: To ask the Secretary of State for Health what is the level of expenditure on consultancy by (a) her Department and (b) agencies for which her Department is responsible for (i) 1993 94, (ii) 1994 95 and (iii) the projected figures for 1995 96. [25634]
Mr. Sackville: The Department of Health and its agencies have spent the following amounts from running costs on consultancy. 1993 94 : £15,933,037
1994 95 : £18,479,405
The projected figure for 1995 96 is in the region of £15,600,000 and is based on 1993 94 prices.
Separate expenditure for the Department and agencies could be provided only at disproportionate cost.
Patients Charter
Mr. Milburn: To ask the Secretary of State for Health if she will provide details of the 10 trusts which came closest to meeting each of the new patients charter targets on out-patient waiting times and the area trusts which were furthest from meeting the targets in the latest quarter for which figures are available, indicating the percentages of patients concerned. [25572]
Mr. Malone: Data on out-patient waiting times at individual trusts will be published in full shortly and placed in the Library.
Staff Contracts
Mr. Nicholas Brown: To ask the Secretary of State for Health what plans she now has to require NHS trusts to remove gagging clauses from the terms of staff contracts. [26077]
Mr. Malone: The contents of employment contracts are a matter to be decided between national health service trusts and their staff and must be expressed in a way which does not conflict with the principles and advice outlined in the NHS Executive's document, "Guidance to staff on relations with the public and the media--EL(93)51". Copies of the guidance are available in the Library.
Mental Health Funding
Mr. Nicholas Brown: To ask the Secretary of State for Health to what extent a social deprivation score is included as a weighting factor in allocation formulae for mental health funding. [26073]
Column 594
Mr. Malone: There is no index of deprivation in the formula. Instead it uses two needs indices, one for acute services and the other for psychiatric services, both of which take account of a number of health and socio-economic factors.
Private Finance Initiative
Mr. Nicholas Brown: To ask the Secretary of State for Health (1) if she will list by cost all the NHS projects that have been fully or partly funded under the private finance initiative, and all those currently under discussion; [26106]
(2) how much investment has been made in the NHS under the private finance initiative in each year since the scheme began. [26105]
Mr. Sackville: I refer the hon. Member to the reply that I gave to the right hon. Member for Derby, South (Mrs. Beckett) on 21 April at cols 312 13.
Hospital Maintenance
Mr. Nicholas Brown: To ask the Secretary of State for Health if she will list by region the hospital maintenance backlog as at 31 March. [26078]
Mr. Sackville: I refer the hon. Member to the reply that I gave him on 8 December 1994 at cols 359-60 for the latest information available.
Competitive Tendering
Mr. Nicholas Brown: To ask the Secretary of State for Health if she will place in the Library a list of the contracts for hospital and health services awarded so far under the competitive tendering process by each district health authority. [26072]
Mr. Sackville: This information is not available centrally.
Departmental Plans
Mr. French: To ask the Secretary of State for Health what are her plans for the work of the Department in 1995 96 and beyond. [26434]
Mrs. Virginia Bottomley: I have agreed a statement of the aims, goals and priorities for my Department for 1995 96 and subsequent years.
The statement covers the whole range of the Department's work relating to health and social services, European Union and other international issues, and internal management.
The statement includes our specific priorities for the National Health Service Executive, which are taken forward in more detail in the NHS Executive's business plan for 1995 96, approved by the NHS Policy Board, and which was published on 5 April 1995.
Copies of the statement will be placed in the Library.
Statement of Responsibilities and Accountabilities
Mr. French: To ask the Secretary of State for Health when she intends to publish the statement of responsibilities and accountabilities foreshadowed in the document published in October 1993 on changes in the NHS, "Managing the new NHS". [26435]
Column 595
Mrs. Virgina Bottomley: The statement of responsibilities and accountabilities is being published today. It explains how the Government's responsibilities for health and social care in England are discharged by the Department of Health and the national health service, and the lines of accountability within both organisations to the Secretary of State and to Parliament. Copies of the statement will be placed in the Library.
Community Care Conferences (Wheelchair Access)
Mr. Hinchliffe: To ask the Secretary of State for Health if all the venues for local community care charter regional conferences had wheelchair access facilities; and if she will list all the venues. [25397]
Mr. Bowis: Arrangements were made at all the venues used for the regional conferences on local community care charters to allow attendance by disabled delegates. Disabled delegates were invited to contact the conference organisers to specify their needs. Conferences have been arranged at the following locations: Grand hotel, Broad street, Bristol; Wigan conference centre, Waterside drive, Swan Meadow road, Wigan; Civic centre, Newcastle-upon-Tyne; Hotel Russell, Russell square, London WC2 and Jarvis Grand hotel, Granby street, Leicester.
Treatment Costs
Mrs. Beckett: To ask the Secretary of State for Health, pursuant to her answers of 9 and 11 May, Official Report , columns 409 10 and 574 , (1) if she will make a statement on the relationship between the reductions in treatment costs and length of stay in hospital between 1982 83 and 1992 93; [25904]
(2) if she will make a statement on the average cost of treating an acute patient contained in the departmental report, Cm 2812, between 1982 83 and 1990 91. [25903]
Column 596
Mr. Sackville: Over the 10-year period from 1982 83 there has been a shift towards day case treatments and shorter hospital stays. These changes reflect improving clinical practice and have brought benefits to patients, who recover better at home with their families, and economic advantages to the national health service, which can treat more patients within the same resources, while maintaining high standards of care.
Casualty Officer Posts
Mrs. Beckett: To ask the Secretary of State for Health if she will make a statement on the number of vacancies in medical posts in casualty units around the country. [25900]
Mr. Malone: The available information is shown in the table.
Whole-time equivalent vacant posts not
occupied
by a locum in England as at 30
September 1993,
accident and emergency, by grade
|Number
---------------------------------------
Consultant |10
Staff grade |4
Senior registrar |2
Registrar |4
Senior house officer |4
|--------
Total |24
Note:
All figures are rounded to the nearest
whole number.
GP Fundholding
Mrs. Beckett: To ask the Secretary of State for Health what percentage of general practitioners are fundholders in each region. [25899]
Mr. Malone: From April 1995, it is estimated that 39 per cent. of general practitioners in England are fundholders, serving over 41 per cent. of the population.
Information, by region, on the general practitioner fundholding scheme is shown in the table.
Column 595
GP fundholding scheme by region-1994-95
|Nubmer of |Percentage of |Population served
|fundholding |Number of |GPs<1> that are |by a fundholding
Region |Number of funds |practices |fundholding GPs |fundholders |GP (percentage)
-----------------------------------------------------------------------------------------------------------------------------------
Northern and Yorkshire |265 |321 |1,500 |41 |40
Trent |237 |314 |1,138 |45 |48
Oxford and Anglia |208 |233 |1,145 |40 |43
North Thames |270 |373 |1,292 |34 |40
South Thames |290 |383 |1,507 |42 |44
South and West |200 |230 |1,180 |31 |33
West Midlands |285 |405 |1,399 |50 |51
North West |252 |344 |1,249 |37 |37
|-------- |-------- |-------- |-------- |--------
England |2,007 |2,603 |10,410 |39 |41
Source:
Estimates from regional health authorities.
Note:
<1> Unrestricted principals taken from April 1994 GP Census.
Mr. Hinchliffe: To ask the Secretary of State for Health how many general practitioner fundholders have contracted with (a) NHS trusts and (b) district health authorities for (i) health visiting services and (ii) community psychiatric nursing services in each of the last five years. [25759]
Mr. Malone: The information requested is not available centrally. Community health services have been included in the general practitioner fundholding scheme since April 1993. GP fundholders are required to contract for health visiting services with an established national health service
Column 597
provider of community nursing services, or with a provider of community mental health services for community psychiatric nursing services.Mrs. Beckett: To ask the Secretary of State for Health if she will make a statement on geographical variations in the uptake of general practitioner fundholding. [25890]
Mr. Malone: The strength of general practitioner fundholding is its voluntary nature. It is to be expected therefore that the rate at which family doctors take up the opportunities of fundholding will vary, depending on local circumstances and the state of their practice development. The extensions to fundholding announced last October provide a wider range of options for general practitioner teams to improve services for patients in this way.
Hospitals
Mrs. Beckett: To ask the Secretary of State for Health, pursuant to her answer of 30 March, Official Report ,col 716 , what indication the information obtained from energy consumption returns gives of the change in the number of hospitals between 1 April 1994 and 1 April 1995; and if she will publish the numbers and make a statement. [25897]
Mr. Malone: The change in the number of hospitals in England between 1 April 1994 and 1 April 1995 obtained from energy consumption returns is not yet available. These figures have to be treated with caution because they do not define hospitals in accordance with section 128 of the National Health Service Act 1977 and include estimates for incomplete returns.
Primary Care, London
Mrs. Beckett: To ask the Secretary of State for Health what are the projected revenue savings from the closure of London hospitals in the next three years in real terms; and what is the projected extra money spent in London on primary care in each of the next three years. [25901]
Mr. Malone: The revenue savings expected to be released following the changes announced on 4 April are currently estimated to be around £75 million per year. The timing of the release of the savings will depend on the detailed implementation of proposals. Figures for total projected expenditure on primary care are not available. Most elements of family health services expenditure are primarily demand-led and funded accordingly. However, investment in primary and community health services in the London initiative zone area alone is likely to exceed £200 million over the next three years.
Broadmoor Hospital
Mr. Hinchliffe: To ask the Secretary of State for Health what independent monitoring there has been of the Broadmoor hospital re-build fund; and if she will make a statement. [25760]
Mr. Bowis: This is the responsibility of the Special Hospitals Service Authority. The hon. Member may wish to contact the chairman of the authority for details.
Organ Donation
Mrs. Beckett: To ask the Secretary of State for Health what training programmes have been initiated for doctors in respect of requesting permission from relatives prior to organ donation. [25881]
Column 598
Mr. Sackville: Much is being done by hospitals in education of their staff about organ donation and approaches to bereaved relatives, including bereavement counselling. As part of this the Government, following consultation with the royal colleges, are piloting a programme of information and training for doctors and nurses working in intensive care units development by the European donor hospital education programme.
Mrs. Beckett: To ask the Secretary of State for Health if she will make a statement on the proposed national registration day to promote the national computerised registration system for organ donors. [25889]
Mr. Sackville: We will as usual be supporting the publicity activities organised by the group of charities known as "Transplants in Mind" during its National Transplant Week which is held each year in conjunction with the British Transplant Games in July. This year their activities will focus on the national health service organ donor register.
Mrs. Beckett: To ask the Secretary of State for Health what support her Department has provided for the national computerised registration scheme for organ donors; what is its advertising budget; and what has been the expenditure to date on information packs. [25882]
Mr. Sackville: The Department set up the national health service organ donor register in October 1994. In addition to funding the cost of setting up and maintaining the Register, which is held at the United Kingdom Transplant Support Service Authority, we spent £1.53 million in 1994 95 on publicity material and activities to promote the register. It is planned to spend a similar sum in the current year. This has included national, regional and local newspaper advertisements and the production of 10 million information leaflets--"Life Don't Keep it to Yourself"-- containing registration forms of which more than 7 million have already been distributed. About £7,500 was spent on producing 20,200 copies of the "NHS Organ Register and General Practitioners" booklet which were sent to every general practice in England. The United Kingdom Transplant Support Service Authority has also produced an information leaflet for the general public and a resources and an information pack for the transplant community.
Treatment Numbers
Mrs. Beckett: To ask the Secretary of State for Health (1) how many bed days of finished episodes there were in each of the last 10 years; [25883]
(2) how many people were treated as a hospital in-patient or day-care patient without going on to a waiting list in each of the last 10 years. [25885]
Mr. Sackville: The available information for the years 1988 89 to 1993 94 has been published in the annual volumes of Hospital Episode Statistics. Information for the years 1986 and 1987 88 is not available. For 1984 and 1985 information was published in the relevant volumes of Hospital In-Patient Enquiry, but because of changes to information systems in the NHS after 1985, figures are not directly comparable with HES. Copies of the publications are available in the Library.
The latest available information for patients admitted immediately is shown in the table. Comparable figures are not available for earlier years.
Column 599
6
|Patients admitted
Year |immediately
------------------------------------------------------
1988-89 |3,597,501
1989-90 |3,748,774
1990-91 |3,786,756
1991-92 |3,829,414
1992-93 |4,037,827
1993-94 |4,291.304
Source: Hospital Episode Statistics.
Hospital Transport
Mrs. Beckett: To ask the Secretary of State for Health how many free hospital bus services are provided by (a) her Department, (b) trust hospitals and (c) in total; what was the total expenditure on these services; and what proposals she has to reduce them. [25887]
Mr. Sackville: This information is not available centrally.
Tobacco Advertising
Mrs. Beckett: To ask the Secretary of State for Health, pursuant to her answer of 9 May, Official Report, columns 412 13, if she will define the meaning of the phrase "not have a major impact" in terms of a percentage reduction in the consumption of tobacco if tobacco advertising were banned. [25891]
Mr. Sackville: It is not possible to quantify this phrase in terms of a percentage reduction in tobacco consumption.
Information Dinner
Mrs. Beckett: To ask the Secretary of State for Health what was the budget for her Department's information dinner in each of the last five years. [25893]
Mr. Sackville: The Department does not have an information dinner. The right hon. Lady may wish to provide clarification.
Making London Better"
Mrs. Beckett: To ask the Secretary of State for Health what estiamte she has made of public support for her document entitled "Making London Better". [25895]
Mr. Malone: "Making London Better" set out the strategic direction for health services in London and the framework within which change would take place. It stated that, where appropriate, there would be statutory consultation before decisions were taken. Proposals for a number of changes have already been the subject of local public consultation by health authorities in the usual way. Detailed information on the public response to those consultations may be obtained from the health authorities concerned.
Local Pay
Mrs. Beckett: To ask the Secretary of State for Health pursuant to her answer of 2 May, Official Report column 713, what projected savings in staff costs will result from the estimated cost of £500, 000 for the financial year1994 95 for the National Health Service Executive support programme for the introduction of local pay. [25898]
Column 600
Mr. Malone: The purpose of the introduction of local pay throughout the health service, facilitated by this support programme, is to provide more flexible working, to redeploy finite resources and to target them more closely on improvements in the quality and quantity of healthcare. The support programme is designed to facilitate the spread of good practice developed by trusts which have made significant progress in developing local pay schemes for different staff groups.
Cancelled Operations
Mrs. Beckett: To ask the Secretary of State for Health pursuant to her answer of 16 March, Official Report, column 704 , how many operations were cancelled on the day or after the date when the patient was due to be admitted to hospital by regional health authority, district health authority and in total; and how many were not readmitted within one month for the fourth quarter of 1994 95. [25902]
Mr. Malone: This information will be placed in the Library when available.
Termination Payments
Mr. Byers: To ask the Secretary of State for Health how many termination payments have been made by national health service trusts to (a) chief executives, (b) general managers and (c) senior managers; and what was the total amount for each trust since 30 September 1994. [25788]
Mr. Malone: Since 30 September 1994 national health service trusts have reported to the National Health Service Executive three termination payments made to chief executives and 38 payments made to both general and senior managers(1).
The total amount for each trust is as follows:
|Amount
--------------------------------------------------------------
Broadgreen Hospital NHS Trust |86,167
Bromley Hospitals NHS Trust |25,400
Burnley Health Care NHS Trust |245,000
Dudley Priority Health NHS Trust |17,120
East Hertfordshire NHS Trust |22,500
Enfield Community Care NHS Trust |35,522
Frimley Park Hospital NHS Trust |6,328
Kingston Hospital NHS Trust |37,402
Kings Health Care NHS Trust |23,627
Mid Anglia Community Health NHS Trust |5,449
New Possibilities NHS Trust |65,199
Northgate and Prudhoe NHS Trust |6,500
North Middlesex Hospital NHS Trust |11,328
North West London NHS Trust |6,500
Northern Birmingham Mental Health NHS Trust |74,526
Nottingham City Hospital NHS Trust |54,960
Nottinghamshire Ambulance Service NHS Trust |17,500
Plymouth Hospitals NHS Trust |21,900
Royal Free Hampstead NHS Trust |35,295
Royal Liverpool Children's Hospital NHS Trust |12,122
Royal Liverpool University Hospital NHS Trust |35,626
Royal National Orthopaedic Hospital NHS Trust |7,130
Salford Mental Health Services NHS Trust |15,874
South Devon Health Care NHS Trust |37,740
South Downs Health NHS Trust |8,727
South Kent Community Healthcare NHS Trust |30,636
Southmead Health Services NHS Trust |30,649
Stockport Healthcare NHS Trust |21,940
West Herts Community Health NHS Trust |69,505
Winchester and Eastleigh NHS Trust |19,504
York Health Services NHS Trust |55,000
<1> Payments made to general managers and payments made to
senior managers are not separately identified in the
information held centrally.
Kidney Patients
Mrs. Beckett: To ask the Secretary of State for Health what assessment she has made of the adequacy of Manchester Royal Infirmary's provision for kidney transplant patients. [25879]
Mr. Sackville: This is a matter for district health authorities, in consultation with the North West regional health authority, to decide. The right hon. Member may wish to contact Sir Donald Wilson, regional chairman, for further information.
Mrs. Beckett: To ask the Secretary of State for Health what estimate she has made of how many patients die each year from kidney failure; how many of these did not receive dialysis; and what assessment she has made of how many would have survived if they had received a transplant. [25880]
Mr. Sackville: In 1992, the latest year for which figures are available, 856 people died from chronic renal failure. Information on how many of these were not receiving dialysis is not available. It is not therefore known how many were on the active kidney transplant waiting list. No estimate can be made of how many would have survived if they had received a transplant.
Data received from the Office of Population, Censuses and Surveys.
Mrs. Beckett: To ask the Secretary of State for Health how many hospitals provide kidney dialysis treatment in each region of the NHS; how many patients there are in the catchment area of each hospital; and how many hospitals provide kidney transplants. [25888]
Mr. Sackville: The information is not available in the form requested. Kidney dialysis and transplant provision for England in 1993 will be placed in the Library. It is not possible to show numbers of patients per catchment area, as the number of renal units are limited and there is much cross-boundary activity. There are 30 hospitals in England that provide kidney transplants for adult patients.
St. Bartholomew's Hospital
Mrs. Beckett: To ask the Secretary of State for Health, how many patients are seen on average each week at the minor injuries unit at St. Bartholomew's hospital. [25896]
Mr. Malone: The average figure for weekdays is 36 people per day and for weekends 13 people per day.
Waiting Lists
Mrs. Beckett: To ask the Secretary of State forHealth (1) how many people waited for hospital in-patient or day-care treatment for (a) nought to three monthsand (b) nought to six months in each of the last10 years; [25884]
(2) what percentage of patients treated in hospital have come from a waiting list in each of the last 10 years. [25886]
Column 602
Mr. Malone: Such information as is available is given in "Hospital Episode Statistics, England". The latest year for which information has so far been published is1993 94. Copies are available in the Library.
Dr. Johnstone
Mrs. Beckett: To ask the Secretary of State for Health if she will publish communications between the Department of Health NHS Management Executive and Camden and Islington health authority over the last six years in relation to Dr. Johnstone's legal action. [25892]
Mr. Malone: This information could be provided only at disproportionate cost.
London Hospital
Mrs. Beckett: To ask the Secretary of State for Health how many name changes the London Hospital has had in the last five years; and what those names were. [25894]
Mr. Malone: The name of the Royal London hospital has not changed.
LORD CHANCELLOR'S DEPARTMENT
Legal Aid
Mr. Matthew Taylor: To ask the Parliamentary Secretary, Lord Chancellor's Department how much has been spent on legal aid in each of the five years. [24790]
Mr. John M. Taylor: Net expenditure on legal aid in each of the last five years was as follows:
1990 91: £682 million
1991 92: £906 million
1992 93: £1,093 million
1993 94: £1,210 million
1994 95 : £1,294 million
Estimated outturn
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