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Yorkshire RHA

Mr. Bayley: To ask the Secretary of State for Health how much has been spent on repairs, maintenance and improvement of the former Yorkshire regional health authority headquarters at Park parade, Harrogate, since January 1986; who owns the building; when it will be vacated; and what receipts from the sale of the lease or freehold on this building will be passed to the NHS. [11114]

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Mr. Malone: Spending on repairs, maintenance and improvement of the former Yorkshire regional health authority headquarters at Park parade, Harrogate for the financial years from 1986-87 onwards is shown in the table.

Financial yearExpenditure £
1986-8754,000
1987-8830,000
1988-891,400,000
1989-901,400,000
1990-9146,000
1991-92371,000
1992-9388,000
1993-9456,000

The building is currently owned by my right hon. Friend the Secretary of State for Health, but on its vacation by the national health service executive regional office, ownership will pass to Dysart Developments Ltd, the developer of the new headquarters for the regional office at Durham. Receipts from the sale of the building will be £2.825 million, which will be added to allocations to health authorities in the region to invest in services for patients.

HIV-associated Dementia

Mr. Jim Cunningham: To ask the Secretary of State for Health (1) what action he is taking to improve awareness among general practitioners of HIV-associated dementia; [11743]

Mr. Horam: The Department of Health commissioned a study in 1991, covering the period 1991-1994, into the epidemiology of HIV-associated dementia in the Thames regional health authorities. This has concluded that previous studies had over-estimated the size of the problem and suggests a lower prevalence of HIV-associated dementia in people with AIDS of under 10 per cent. The report will be published shortly and copies will be placed in the House of Commons Library.

Information is not available nationally on the number of cases of HIV-associated dementia or on specialist services for people with HIV dementia.

The Department has issued a comprehensive training pack for general practitioners which covers the whole spectrum of HIV disease, including HIV dementia. Guidance to health authorities on HIV/AIDS has stressed the need for shared care arrangements between specialist AIDS facilities and general practitioners. The Department has also issued guidance to both health and local

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authorities on the need to carry out population needs assessments in their localities to establish local priorities for service commissioning.

Disability

Mr. Barnes: To ask the Secretary of State for Health if he will list for his Department and each of the agencies for which he is responsible if it uses the Employment Service's positive about disabled people symbol for (a) external recruitment and (b) internal recruitment and promotion. [11918]

Mr. Horam: The Department of Health and its agencies submitted an application for the award of the disability symbol to the Employment Service on 19 January 1996. We intend to use the disability symbol on all external and internal advertisements, including promotions.

Carers (Recognition and Services) Act 1995

Mr. David Nicholson: To ask the Secretary of State for Health what circulars or other information or directives have been sent to social service departments of local authorities regarding the implementation of the Carers (Recognition and Services) Act 1995. [11825]

Mr. Bowis: The Department has prepared a circular giving detailed policy and practice guidance to local and health authorities on implementing the Act, which comes into force on 1 April 1996. We recently consulted interested parties on the draft guidance, and we shall shortly be issuing the final document to local and health authorities.

Tobacco Sales (Minors)

Mr. Wigley: To ask the Secretary of State for Health if he will make it his policy to restrict the advertising, sponsorship and promotion of tobacco and to strengthen the legislation on illegal sales to minors. [12101]

Mr. Horam: The Government are already committed to ensuring that there are effective controls on tobacco advertising, sponsorship and promotion. This is achieved by voluntary agreements between the Government and the tobacco industry. The voluntary agreements were strengthened in a number of key areas at the end of 1994. The law relating to illegal sales to minors has also been strengthened significantly by virtue of the Children and Young Persons (Protection from Tobacco) Act 1991 and regulations made under it.

Community Hospital, Orsett

Mr. Mackinlay: To ask the Secretary of State for Health (1) pursuant to his oral answer of 16 January, Official Report, column 528, if he will make a statement on the (a) size, (b) scale and (c) services that are planned to be made available at the community hospital at Orsett to which he referred; [10781]

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Mr. Horam: These are matters for the South Essex health authority. The hon. Member may wish to contact Mr. David Micklem, the chairman, for details.

Hospitals, Greater Manchester

Mr. Tony Lloyd: To ask the Secretary of State for Health on what dates between 1 December 1995 and 14 January 1996, and at what hospitals in the Greater Manchester area, accident and emergency facilities were closed to new admissions. [11176]

Mr. Horam: Greater Manchester ambulance service has a policy of not accepting any requests to divert and takes emergency patients to the nearest accident and emergency department as a matter of course.

Sun Healthcare

Mr. Milburn: To ask the Secretary of State for Health what reports he has received in respect of the activities in the United Kingdom of the United States company Sun Healthcare; and if he will make a statement. [12449]

Mr. Bowis: None.

Fraud

Mr. Milburn: To ask the Secretary of State for Health what estimate he has made of the cost to the NHS of fraud and corruption for each year since 1979. [12451]

Mr. Horam: The costs of fraud and corruption in the national health service are not identified separately from other losses in returns to the Department. However, the Audit Commission publication "Ensuring Probity in the NHS" reported in December 1994 that proven fraud was small. It estimated that losses through the misuse of taxpayers' money over a three year period when NHS expenditure totalled £80 billion were £6 million--about one penny for every £100 spent in the NHS.

Mr. Milburn: To ask the Secretary of State for Health what steps he will take to monitor fraud in community care provision. [12452]

Mr. Bowis: Local authority social service departments should build suitable fraud prevention measures into their financial management procedures. Any evidence of fraud should be referred direct to the police who are the appropriate investigating authority for such matters.

Private Sector Providers

Mr. Milburn: To ask the Secretary of State for Health (1) which agency monitors health authority contracts with private sector providers; [12453]

Mr. Bowis: It is the responsibility of health authorities to place contracts with providers for health care services, including continuing in-patient care, and to monitor those contracts.

Special Transitional Grant

Mr. Milburn: To ask the Secretary of State for Health if he will list those local authorities which failed to spend

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85 per cent. of the special transitional grant for 1994-95 in the independent sector. [12450]

Mr. Bowis: Audited returns detailing community care spending in the independent sector by local authorities in 1994-95 were due to be submitted to the Department by 31 December 1995. Some returns are still outstanding and are being followed up through the Audit Commission.


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