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GP Fundholders
Mr. Bayley: To ask the Secretary of State for Health if he will break down the figure of £159.7 million in paragraph 36 of the report of the Comptroller and Auditor General in the "NHS (England) Summarised Accounts 1994-95" to show the amount of money paid in each financial year between April 1990 and March 1995 by each family health service association to enable general practitioner fundholders to meet the additional costs incurred in managing their funds; and if he will list the fundholding practices in each family health service association area which received the largest amount of money for this purpose between April 1990 and March 1995 indicating the amount of money received by each of those practices. [22991]
Mr. Malone: Information about general practitioner fundholder management allowance payments by family health services authority will be placed in the Library.
Payments to individual practices are governed by a maximum level of reimbursement which is set out in guidance annually. Detailed information about practice level payments is not available centrally.
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Mr. Timms:
To ask the Secretary of State for Health how many general practitioner premises fall into each of the condition categories in each of the London boroughs. [23350]
Mr. Malone:
This information is not available centrally.
Mr. Redmond:
To ask the Secretary of State for Health if he will list the ambulance costs per mile for each ambulance authority for 1994-95. [23343]
Mr. Horam:
This information is not available centrally.
Ms Harman:
To ask the Secretary of State for Health what diseases in humans his Department classifies as associated with BSE. [23427]
Mr. Dalyell:
To ask the Secretary of State for Health for what reasons he did not alert the EEC before making a statement on the health consequences of BSE. [23758]
Mr. Horam:
I understand that the Commissioner of Agriculture and Rural Development was informed before statements were made to the House on 20 March.
Mr. Redmond:
To ask the Secretary of State for Health what out-sourcing contracts his agencies have with the EDS software computer system; what is the current cost; when the contract ends; what are the penalties involved should he seek early termination of the contract; and if he will make a statement. [23725]
Ms Harman:
To ask the Secretary of State for Health how many cases of Creutzfeldt-Jakob disease have occurred in each of the last 10 years in the United Kingdom. [23425]
Mr. Horam:
The information requested is published in the fourth annual report of the national Creutzfeldt-Jakob disease surveillance unit--August 1995--copies of which are available in the Library. The provisional figures for 1995 are 37 sporadic cases, four iatrogenic cases and one case of Gerstmann-Straussler-Schneiker syndrome.
Mr. Barron:
To ask the Secretary of State for Health if he will place in the Library a copy of the written technical specification which has been prepared or approved for the AT and T clearing house system for the NHS network. [23684]
Mr. Horam:
The NHS-wide clearing service is a managed service provided by AT and T ISTEL under the private finance initiative. The specification of the service is the "user requirement", the details of which are
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contained in the invitation to offer; copies will be placed in the Library. The contract specifies rigorous acceptance trialling to ensure AT and T ISTEL's technical design fully meets the user requirement.
Mr. David Nicholson:
To ask the Secretary of State for Health what measures he is taking (a) to develop adequate pharmacy provision in rural areas and (b) to ensure that there is satisfactory co-operation and co-ordination between rural pharmacies and general practitioners including dispensing general practitioners. [23576]
Mr. Malone:
The essential small pharmacy scheme helps to protect the income of small pharmacies in rural areas. I have recently met both the General Medical Services Committee and the Pharmaceutical Services Negotiating Committee to discuss relationships between community pharmacists and general medical practitioners in rural areas.
Mr. Cousins:
To ask the Secretary of State for Health what consultations he has held with the royal colleges on guidelines on the appropriateness of diagnosis and treatment of cancer; if he will list those consultations which are ongoing and with which royal college; and when he expects them to report to him on this matter. [23574]
Mr. Horam:
None. The production of guidelines on appropriate methods of diagnosis and treatment of cancer is a matter for the professions.
Mr. Win Griffiths:
To ask the Secretary of State for Health how many orders under the negative resolution procedure have been brought into effect on the day they have been made since January 1995. [23309]
Mr. Alton:
To ask the Secretary of State for Health if he will make a statement on the means by which the Human Fertilisation and Embryology Authority collects and records the creation and fate of human embryos and the reliability of any statistics produced by the Human Fertilisation and Embryology Authority. [23594]
Mr. Horam:
Information about in vitro fertilisation treatment and donors is collected on forms prepared for the purpose by the Human Fertilisation and Embryology Authority and these are completed by licensed clinics. The HFEA also monitors the use of embryos in research. These arrangements are checked by the HFEA through validation of the forms and inspection of centres.
Mr. Alton:
To ask the Secretary of State for Health what factors led to the giving of incorrect figures to his office by the Human Fertiliszation and Embryology Authority for provision of answers to parliamentary questions on the number and fate of embryos created between 1991 and 1994. [23590]
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Mr. Horam:
The mistakes were due to human error. The Human Fertilisation and Embryology Authority has assured me that there is no underlying problem with its database.
Mr. Alton:
To ask the Secretary of State for Health (1) how many embryos created before August 1991 were still in existence in August 1991; [23591]
Mr. Horam:
This information is not available.
Mr. Alton:
To ask the Secretary of State for Health how many embryos frozen up to 1994 were subsequently used in (a) treatment cycles and (b) research up to 1994. [23593]
Mr. Horam:
Between 1 August 1991 and 1994 inclusive the number of frozen embryos used in in vitro fertilisation treatment cycles was 22,019. I refer the hon. Member to the reply I gave him on 25 March, Official Report, columns 422-23 which stated that the number of embryos donated for research in the same period was 27,524. This figure includes fresh and frozen embryos.
Dame Peggy Fenner:
To ask the Secretary of State for Health when he expects the report of the chief medical officer on dioxins to be available. [23429]
Mr. Horam:
The chief medical officer's expert advisory Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment reported on its most recent review of dioxins last year. The report was published in the August 1995 edition of the MAFF--Department of Health food safety information bulletin.
Copies of the COT's report will be placed in the Library.
Sir Ralph Howell:
To ask the Secretary of State for Health what were (a) the 20 most usual causes of death in descending order and (b) the 20 least usual causes of death in ascending order; and what was (i) the number and (ii) the percentage of deaths from each cause for each of the last 10 years. [23601]
Mr. Horam:
The ninth revision of the international classification of diseases categorises causes of death and disease into 17 broad chapters which individually cover diseases of the various body systems, infectious diseases, congenital anomalies, injury and poisoning.
Individual causes within each chapter have their own three-digit code and most of these three-digit codes are further subdivided by a fourth digit.
(2) if he will give the number of embryos created before August 1991 used from that date until 1994 for (a) research, (b) treatment cycles and (c) freezing as well as the number of such embryos destroyed by 1994.[23592]
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