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Mr. Forth: Responsibility for the subject of the question has been delegated to the Employment Service under its chief executive. I have asked him to arrange for a reply to be given.
Letter from M. E. G. Fogden to Mr. Terry Rooney, dated 7 November 1995:
The Secretary of State has asked me to reply to your question about the 1-2 -1 interview programme.
Unfortunately the information is not available in the exact form you require as we do not collect it by ethnic origin, disability or gender. I have set out the remainder of the information you requested in the attached table (Annex 1).
It may be helpful if I explain that 1-2-1 was piloted in 1994/95 and introduced nationally from April 1995. It provides help for 18 24 year olds who have been unemployed for a year. Attendance is mandatory for people who decline other offers of help and it therefore takes the place of Jobplan Workshops for this client group.
1-2-1, which offers 95,000 places in 1995/96, provides a series of caseload interviews with an Employment Service adviser. By using a caseload approach advisers are able to offer clients concentrated help and information. The figures in the table show that 1-2-1 has proved extremely successful in achieving job placings and other positive outcomes.
For those who 1-2-1 is unable to help a linked four week course, Workwise, provides further help with job search and confidence building. Workwise is also made available immediately, in preference to 1-2-1, for those clients to whom it is more appropriate.
I hope this is helpful.
Unemployment Benefit
Mr. Ian McCartney: To ask the Secretary of State for Education and Employment what has been the total amount paid out in unemployment benefit, by region, since May 1979. [40836]
Mr. Roger Evans: I have been asked to reply.
The table provides estimates for the years 1991 92 to 1994 95. Estimates for earlier years could be obtained only at
disproportionate cost.
|1991-92|1992-93|1993-94|1994-95
------------------------------------------------------
England |1,370 |1,531 |1,428 |1,069
South East |448 |540 |518 |365
East Anglia |55 |64 |62 |45
South West |125 |137 |126 |94
West |174 |198 |170 |122
East |108 |125 |115 |93
Yorkshire and
Humberside |159 |158 |154 |123
North West |194 |206 |178 |134
North |107 |101 |104 |93
Wales |82 |75 |68 |55
Scotland |152 |154 |153 |137
Great Britain |1,604 |1,760 |1,649 |1,260
1. Estimates have been calculated using the
expenditure data shown in the 1995 social security
departmental report and allocated to regions by use
of a 5 per cent. sample of unemployed claimants.
2. Figures given are in £ millions.
Mr. McCartney: To ask the Secretary of State for Education and Employment what has been the total amount paid out in unemployment benefit, by region, since May 1979, at 1995 prices. [40837]
Mr. Evans: I have been asked to reply.
The table provides estimates for the years 1991 92 to 1994 95. Estimates for earlier years could be obtained only at
disproportionate cost.
|1991-92|1992-93|1993-94|1994-95
------------------------------------------------------
England |1,495 |1,604 |1,453 |1,069
South East |489 |566 |528 |365
East Anglia |60 |68 |63 |45
South West |136 |144 |128 |94
West Midlands |190 |207 |173 |122
East Midlands |117 |131 |117 |93
Yorkshire and
Humberside |174 |166 |156 |123
North West |211 |216 |181 |134
North |117 |106 |106 |93
Wales |89 |79 |69 |55
Scotland |165 |162 |155 |137
Great Britain |1,750 |1,845 |1,678 |1,260
Notes:
1. Estimates have been calculated using the
expenditure data shown in the 1995 social security
departmental report and allocated to regions by use
of a 5 per cent. sample of unemployed claimants.
2. Figures given are in real terms 1994-95 prices and
are given in £ millions.
Employment-related Benefits
Mr. Ian McCartney: To ask the Secretary of State for Education and Employment (1) what has been the total amount paid out in employment- related benefits, by region, since May 1979; [40838] (2) what has been the total amount paid out in employment-related benefits by region since May 1979, at 1995 prices. [40839]
Mr. Roger Evans: I have been asked to reply. I will write to the hon. Member shortly.
Special Educational Needs Appeals
Mr. Bernie Grant: To ask the Secretary of State for Education and Employment (1) how many special educational needs appeals have been lodged with the Special Educational Needs Tribunal from September 1994 to date; [42263]
(2) how many special education needs appeals have been heard from September 1994 to date; [42264]
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(3) how many special educational needs appeals have been withdrawn or settled prior to a hearing taking place; [42265](4) how many appellants whose appeals were heard received written confirmation of the outcome of their appeal (a) within four months of the date of lodging their appeal, (b) within between four and five months of the date of lodging their appeal, (c) within between five and six months of the date of lodging their appeal, (d) within between six and seven months of the date of lodging their appeal, (e) within between seven and eight months of the date of lodging their appeal and (f) over eight months of the date of lodging their appeal. [42266]
Mr. Forth: The Department does not maintain detailed records about appeals to the Special Educational Needs Tribunal, which is an independent non-departmental public body. I have therefore asked the president of the tribunal, Mr. Trevor Aldridge QC, to write to the hon. Member.
Information about the numbers of appeals to the tribunal will be available in the president's annual report to the Secretary of State, which will be placed in the Library of the House when it is published.
Nursery Education (Hampshire)
Mr. Colvin: To ask the Secretary of State for Education and Employment what is the number and percentage of three and four-year-olds attending nursery and primary schools in Hampshire in each of the last five years. [41846]
Mr. Robin Squire: The information requested is shown in the table.
Pupils under five years of age<1> in maintained nursery and primary
schools in Hampshire local education authority area 1991-1995
Position as at January each year
|Pupils as a
|percentage
Year |Pupils |of the population<2>
------------------------------------------------------------------------------------
1991 |8,166 |20
1992 |8,672 |20
1993 |8,988 |21
1994 |15,098 |36
1995 |15,622 |37
<1> Excludes pupils who became five years of age by 1 January.
<2> Number of pupils under five years of age expressed as a percentage of the
estimated population aged three and four at 31 December in the previous year.
Surplus School Places
Mr. Blunkett: To ask the Secretary of State for Education and Employment what are the current numbers and percentages of surplus places in each local education authority, in the rank order according to the proportion of surplus places, in (a) secondary schools, (b) primary schools, (c) special schools and (d) grant-maintained schools.
Mrs. Gillan: For the latest available figures, I refer the hon. Member to the reply my hon. Friend gave the Member for Liverpool, Walton (Mr. Kilfoyle) on 20 February 1995, Official Report , columns 38 43.
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International Year of Lifelong Learning
Ms Corston: To ask the Secretary of State for Education and Employment what arrangement are in hand for the launch in England of the International Year of Lifelong Learning 1996. [40388]
Mr. Forth: A conference to launch the European Year of Lifelong Learning in the United Kingdom will be held in Scotland during early 1996.
Education Expenditure
Mr. Blunkett: To ask the Secretary of State for Education and Employment (1) what is the amount budgeted in the current financial year for education in the overall budget for her Department; and if she will break it down into its principal elements; [42103] (2) if she will estimate the cost of increasing the education element of the budget for her Department by the rate of inflation, indicating the totals for (a) education and (b) employment spending. [42146]
Mr. Robin Squire: I will write to the hon. Member as soon as possible and place copies of my reply in the Library.
HEALTH
Cash Limits
Mr. Milburn: To ask the Secretary of State for Health what were the original capital cash limits given for each region in each of the last three years. [37925]
Mr. Sackville: The original regional capital cash limits for the financial years 1993 94, 1994 95 and 1995 96 are set out in the tables.
From 1994 95, the number of regional health authorities reduced from 14 to eight as a number of authorities merged.
The amount of NHS capital allocated to RHAs reduced during this period because of the increase in NHS trusts, which receive capital through the external financing limit mechanism. The slight decrease in the overall capital planning totals over this period reflected reduced demand for capital from health authorities and trusts as they reviewed their plans in response to the introduction of capital charging. Receipts from land sales- -of the order of £200 million a year--which can be used to fund capital investment are additional to these figures.
Trent and South Thames had negative initial cash limits for 1995 96 because the forecast land sale receipts in each of these regions exceeded the anticipated capital spend. The nil cash limits of South West and North West are a reflection of the original forecasts of receipts on spending being broadly level.
Regional cash limits 1993-94
£000s
|Regions |Trusts |Total
----------------------------------------------------------
Northern |67,046 |40,751 |107,797
Yorkshire |30,826 |94,772 |125,598
Trent |50,224 |108,112 |158,336
East Anglia |21,757 |47,412 |69,169
North West Thames |64,929 |40,958 |105,887
North East Thames |47,633 |71,408 |119,041
South East Thames |43,935 |79,691 |120,626
South West Thames |44,713 |50,232 |94,945
Wessex |46,821 |54,167 |100,988
Oxford |45,975 |31,408 |77,383
South West |17,189 |97,775 |114,964
West Midlands |130,802 |44,775 |175,577
Mersey |18,640 |64,030 |82,670
North West |85,235 |54,731 |139,966
Total |715,725 |877,222 |1,592,947
Regional cash limits
1994-95
£000s
|Regions |Trusts |Total
---------------------------------------------------------------
Northern and Yorkshire |37,910 |187,702 |225,612
Trent |10,466 |143,074 |153,540
Anglia and Oxford |14,428 |128,693 |143,121
North Thames |63,738 |154,420 |218,158
South Thames |15,367 |194,640 |210,007
South and West |23,416 |188,038 |211,454
West Midlands |28,068 |140,940 |169,008
North West |27,928 |185,941 |213,869
Total |211,321 |1,323,448|1,544,769
Regional cash limits
1995-96
£000s
|Regions |Trusts |Total
---------------------------------------------------------------
Northern and Yorkshire |6,773 |208,033 |214,806
Trent |-785 |151,155 |150,370
Anglia and Oxford |31 |149,100 |149,131
North Thames |3,733 |227,304 |231,037
South Thames |-31,562 |237,921 |206,359
South and West |0 |199,022 |199,022
West Midlands |26,853 |135,692 |162,545
North West |0 |215,513 |215,513
Total |5,043 |1,523,740|1,528,783
NHS Trusts
Mr. Milburn: To ask the Secretary of State for Health if he will itemise payments made in each NHS trust to (a) chairs, (b) non-executive directors, (c) chief executives and (d) board directors for 1993 94 and 1994 95, by region. [37945]
Mr. Malone: I refer the hon. Member to the reply I gave the hon. Member for Don Valley (Mr. Redmond) on 16 February, at column 808 for information regarding chairmen and chief executives of national health service trusts in respect of 1993 94. Information will be placed in the Library on the remuneration of executive and non-executive directors of NHS trusts, as extracted from their annual accounts for 1993 94. The payments listed represent remuneration in respect of the total gross salary, bonus payments, monetary value of benefits in kind, taxable expenses allowances and compensation payments in relation to the offices described--rather than to an individual. Information for 1994 95 is not yet available.
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Cash Limits and Running Costs (OPCS)
Mr. Sweeney: To ask the Secretary of State for Health if he will list the proposed changes to the cash limits and running costs for the OPCS for 1995 96. [42226]
Mr. Sackville: Subject to parliamentary approval of the necessary supplementary estimate, the cash limit for class XII, vote 4--Office of Population Censuses and Surveys--will be increased by £2,666,000 from £35,775,000 to £38,441,000 and the running costs limit of OPCS will be increased by £1,702,000 from £49,694,000 to £51,396,000. This reflects the take-up of £1,281,000 for running costs and £635,000 for capital under the end-year flexibility arrangements announced by my right hon. Friend the Chief Secretary to the Treasury on 13 July 1995, at columns 776-82 . It also reflects an increased running cost provision of £406,000 and increased capital provision of £1,780,000 in the national health service central register area for work on the Department of Health's existing number replacement project. Also included is an increased running cost provision of £15,000 and capital provision of £22,000 for the processing and production of abortion statistics. The increase in capital costs will be met from within the existing resources of the Department of Health, class XII, vote 3. There is also a capital provision of £750,000 for work on a building to house the London staff of the new Office of National Statistics. The increase will be offset by savings and a claim on the reserve and will not therefore add to the planned total of public expenditure.
Health Spending
Ms Harman: To ask the Secretary of State for Health if he will list, for each year since 1991, total health spending, expressed as a percentage of gross domestic product, for (a) the UK, (b) the EU, (c) the OECD and (d) for each OECD country. [41992]
Mr. Sackville: The table shows total United Kingdom expenditure on the national health service expressed as a percentage of gross domestic product for each year since 1990 91. Information on expenditure on health in other countries is not available on a comparable basis.
H
United Kingdom NHS expenditure as a percentage
of gross domestic product
|Expenditure |Proportion of GDP
Year |(£ million) |percentage
------------------------------------------------------------------------
1990-91 |29,231 |5.2
1991-92 |33,061 |5.7
1992-93 |36,209 |6.0
1993-94 |37,331 |5.8
1994-95 |39,093 |5.8
The national health service share of GDP in 1978 79 was 4.7 per cent.
Primary Health Care Staff
Mrs. Beckett: To ask the Secretary of State for Health what plans he has to assist the recruitment of primary health care staff in deprived areas. [42032]
Mr. Malone: All family health services authorities are able to target their cash limited resources to areas of
Column 968
greatest need. In addition, as part of the Government's London implementation zone initiative, FHSAs are able to provide assistance to general practitioners in the employment of a wider range of health care staff. The number of whole-time equivalent staff employed by general practitioners increased from 37,546 in 1989 to 51,833 last year--a rise of nearly 40 per cent.Tamoxifen
Mr. Bill Michie: To ask the Secretary of State for Health if he will make the anti-cancer drug Tamoxifen free to all breast cancer sufferers. [41858]
Mr. Malone: No. Extensive exemption and remission arrangements already protect those who might have difficulty paying charges. For those who have to pay charges and who need regular medication, prescription season tickets offer real value for money.
Breast Cancer
Mr. Ieuan Wyn Jones: To ask the Secretary of State for Health if he will publish for each standard region of the United Kingdom and the United Kingdom as a whole for the latest available year the number of woman diagnosed as suffering from breast cancer, indicating the figure as a percentage of the total female population in each case. [41960]
Mr. Sackville: The available information is shown in the table.
Breast Cancer (ICD9<1>174) 1990
England<2> (RHAs as at 1990)
|Number of |Percentage of
|cases |total female
|diagnosed |population
-------------------------------------------------------------------
Northern |1,564 |0.10
Yorkshire |1,970 |0.11
Trent |2,482 |0.10
East Anglia |1,249 |0.12
North West Thames |1,997 |0.11
North East Thames |2,182 |0.11
South East Thames |2,102 |0.11
South West Thames |1,773 |0.11
Wessex |1,864 |0.12
Oxford |1,479 |0.12
South Western |1,947 |0.12
West Midlands |3,026 |0.11
Mersey |1,332 |0.11
North Western |2,070 |0.10
England |27,037 |0.11
Wales<2> |1,775 |0.12
England and Wales |28,812 |0.11
Scotland (Health Boards)
Argyll and Clyde |230 |0.10
Ayrshire and Arran |214 |0.11
Borders |89 |0.17
Fife |192 |0.11
Dumfries and Galloway |91 |0.12
Forth Valley |118 |0.08
Grampian |310 |0.12
Greater Glasgow |567 |0.12
Highland |127 |0.12
Lanarkshire |287 |0.10
Lothian |488 |0.13
Orkney |10 |0.10
Shetland |13 |0.12
Tayside |222 |0.11
Western Isles |21 |0.14
Scotland |2,979 |0.11
Great Britain |31,791 |0.11
Northern Ireland |724 |0.09
United Kingdom |32,515 |0.11
<1> International Classification of Diseases-9th Revision.
<2> Provisional.
Accident and Emergency Departments
Mr. Milburn: To ask the Secretary of State for Health, pursuant to his answer of 9 June, Official Report , column 332 , if he will now provide updated accident and emergency department figures. [42297]
Mr. Sackville: I will write to the hon. Member.
Clinical Negligence Claims
Mr. Milburn: To ask the Secretary of State for Health, pursuant to his answer of 18 July, Official Report , column 1151 , if he will now provide figures on clinical negligence settlements for 1994 95. [42298]
Mr. Malone: Final figures for the period 1994 95 are not yet available.
Doctors (Recruitment)
Mr. Milburn: To ask the Secretary of State for Health what recent representations he has received from royal colleges and other medical bodies about recruitment difficulties in certain specialties. [42233]
Mr. Malone: The Department of Health has received representations through informal discussions with various royal colleges and from the national health service on particular specialties' difficulties in filling vacant posts.
Medical work force advisory groups have been asked to consider suitable action to ameliorate any shortages.
Royal Devon and Exeter Healthcare Trust
Ms Harman: To ask the Secretary of State for Health (1) what assessment he has made of the impact on the delivery of NHS health care by the Royal Devon and Exeter Healthcare trust and the delivery of health care in the region generally of the trust's plans to build a private hospital in the grounds of the Royal Devon and Exeter hospital at Heavitree; [42279]
(2) if he will make a statement regarding the Royal Devon and Exeter Healthcare trust's plans to build a private hospital on the grounds of the Royal Devon and Exeter hospital at Heavitree; what representations he received regarding this project; who was responsible for the final approval of the project in his Department; and if he will place a copy of the contract between the trust and the private contractors involved in the Library. [42278]
Mr. Sackville: There are no plans to build a private hospital on trust property.
Column 970
Cervical Smear Tests
Ms Harman: To ask the Secretary of State for Health what recent representations he has received from the medical profession with regard to frequency of smear tests for cervical cancer. [42291]
Mr. Sackville: None of which I am aware.
Ms Harman: To ask the Secretary of State for Health what is the cost to the NHS of conducting, analysing and reporting a cervical smear test; and what is the private sector cost of conducting, analysing and reporting a cervical smear test. [42293]
Mr. Sackville: Total estimated costs to the national health service of cervical screening is £100 million each year and £40 for an individual test, including the reporting of it.
Information is not available centrally on these costs in the private sector.
Ms Harman: To ask the Secretary of State for Health if he will make a statement about the cervical cancer screening
programme. [42294]
Mr. Sackville: The cervical cancer screening programme has been extremely successful. Some 4 million women are screened each year; this means that 84 per cent. of women in the eligible age group nationally have been screened. Through screening, cervical abnormalities which could lead to cancer are identified so that appropriate treatment can be given. I am confident that our "Health of the Nation" target to cut cervical cancer incidence by 20 per cent. by 2000 will be achieved.
Ms Harman: To ask the Secretary of State for Health what recommendations he has received from the chief medical officer regarding the frequency of smear tests for cervical cancer for women aged between 20 and 60 years. [42290]
Mr. Sackville: Departmental policy agreed with the chief medical officer is set out in HSG(93)41: all women in this age group should be invited for a cervical smear at least every five years.
Ms Harman: To ask the Secretary of State for Health if he will list for each of the past five years and for each family health service authority area (a) the number of women who received a smear test for cervical cancer on the NHS, (b) the percentage of women in the at-risk category who have received a smear test, (c) the average interval of time between smear test and (d) the number of GPs and clinics, also expressed as a proportion of the total number of GPs and clinics at which NHS smear tests were available. [42292]
Mr. Sackville: Information is not available in the form requested. The most recent information held on the cervical cancer screening programme, "Cervical Cancer Screening 1993 1994 Summary information from Form KC53 England", was placed in the Library.
General Practitioners
Ms Harman: To ask the Secretary of State for Health if he will make a statement regarding the number of vacant places on the general practitioner vocational
Column 971
training course and the recruitment of doctors who have qualified in other countries to fill some of those vacancies. [42277]Mr. Malone: This information is not available centrally.
Ms Harman: To ask the Secretary of State for Health if he will list, for the past five years (a) the number of qualified doctors enrolling on the general practitioner vocational training course, (b) the overall number of places on the schemes and (c) the number of places which are filled by doctors who have qualified in another country, in each case specifying the number per regional training centre. [42275]
Mr. Malone: This information is not available centrally.
Column 972
Ms Harman: To ask the Secretary of State for Health what action he plans to take to encourage qualified doctors to become general practitioners; and if he will make a statement. [42276]
Mr. Malone: At 1 October 1994, there were 25,567 general practitioners in England--a record number. We are ensuring that general practice remains an attractive career, for example, by assisting doctors with their duties out-of- surgery hours and implementing the efficiency scrutiny on unnecessary paperwork.
Contracting Out
Mr. Milburn: To ask the Secretary of State for Health, pursuant to his answer of 19 July, Official Report , column 1282 , if he will now update the information on regional health authority services. [42299]
Mr. Sackville: The table shows updated information:
Column 971
Regional health |Organisation or |Current position
authority |service
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
1. South and West |Eastwood Park Training and Conference Centre |Subject to contract, to be sold to Peritas (a subsidiary
|of ICL) in January 1996
2. South and West |Lyngford House Training and Conference Centre |Options under consideration
3. South and West |Avon and Gloucester College of Health |Contract with the University of Western England due
|for signing by 30 November to take effect in
|January 1996. Staff able to transfer on TUPE terms
4. South and West |Tor and South West College of Health |Contract with the University of Plymouth due for
|signing by early December to take effect in January
|1996. Staff able to transfer on TUPE terms
5. South and West |SWIFT (IT services) |Contract awarded to EDS wef 1 September 1995. Staff
|able to transfer on TUPE terms
6. West Midlands |Midlands Laundry Group |Invitations to tender will go out shortly
7. Northern and Yorkshire |Yorkshire Health Legal Services |Tenders invited, and final bids expected in
|mid-November. Award likely by the end of the year
8. Northern and Yorkshire |Financial Services |Contract awarded to Hartshead Solway wef 1 August
|1995. Staff able to transfer on TUPE terms
9. Northern and Yorkshire |White Hart Training and Conference Centre |Options under consideration for final decision early in
|1996
10. North Thames |IT services |Constituent parts have either been transferred to NHS
|Authorities, or to a management/staff buy-out; or
|wound up and no longer provided
11. South Thames |HCR and SE Computing (IT services) |Contract awarded to Hoskyns wef July 1995. Staff
|able to transfer on TUPE terms
12. South Thames |David Salomans Training Centre |Subject to contract, award to be made to Canterbury
|Christchurch College wef April 1996; staff able to
|transfer on TUPE terms
13. North West |North West Health Legal Services |Contract awarded to Hempsons wef 1 October 95.
|Staff able to transfer on TUPE terms
14. Anglia and Oxford |Mandeville Medicines (Pharmaceutical Production) |Options for transfer under consideration for final
|decision in 1996.
15. Anglia and Oxford |Oxford Consortium (various services) |Contract awarded to CSC wef 1 July 1995. Staff able
|to transfer on TUPE terms.
NHS Management
Mr. Milburn: To ask the Secretary of State for Health how many (a) managerial staff, (b) administrative and clerical staff and (c) nursing and midwifery staff have been employed and at what cost in (i) trusts and (ii) health authorities in each region in each year since 1989. [42239]
Mr. Malone: I will write to the hon. Member.
Staff Cars
Mr. Milburn: To ask the Secretary of State for Health, pursuant to his answer to the right hon. Member for Derby, South (Mrs. Beckett) of 1 November, Official Report , columns 360 1 , if he will provide
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(a) a regional and (b) a district breakdown of the figures on staff cars. [42301]Mr. Malone: This information will be placed in the Library.
Nurse-patient Ratio
Mr. Milburn: To ask the Secretary of State for Health, what was the average qualified nurse-patient ratio in each of the last five years by (a) region and (b) district. [42235]
Mr. Sackville: I will write to the hon. Member.
Column 973
Private Patient Income
Mr. Milburn: To ask the Secretary of State for Health, pursuant to his answer of 1 November, Official Report , column 356 , when 1994 95 figures on private patient income will be available. [42300]
NHS Staff
Mr. Milburn: To ask the Secretary of State for Health how many (a) nurses and midwives and (b) doctors have worked in the (i) acute and (ii) community sectors in each of the last three years in each region. [42240]
Mr. Sackville: I will write to the hon. Member.
Foetal Alcohol Syndrome
Mr. McAllion: To ask the Secretary of State for Health what was the incidence of foetal alcohol syndrome in each of the last five years for which figures are available. [42340]
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