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Bowel Cancer

Mr. Donohoe: To ask the Secretary of State for Scotland what research his Department has (a) commissioned and (b) evaluated into trends in the rates of bowel cancer in the west of Scotland over the last five years. [7005]

Lord James Douglas-Hamilton: The Scottish Office commissioned research into bowel cancer in Scotland as a whole, totalling £679,047, between 1991 and 1995. Information on trends in the rates of bowel cancer, specifically in the west of Scotland, between 1990 and 1994--the latest years for which figures are available--is set out in the table.

Registrations of cancer of the Large Bowel by sex for the years 1990-94 in the West of Scotland(22), together with crude incidence rates per 100,000 population and European-age standard rates (EASR)

		Year of registration
	1990	1991	1992	1993	1994
Males
Number of registrations	765	779	797	806	812
Crude rate per 100,000 population	58.4	59.5	61.1	61.8	62.2
EASR	58.5	59.9	60.4	60.4	60.1
Females
Number of registrations	851	769	734	776	846
Crude rate per 100,000 population	60.2	54.5	52.2	55.3	60.3
EASR	42.4	38.4	37.0	38.7	42.4

(22) The West of Scotland comprises the health board areas Argyll and Clyde, Ayrshire and Arran, Dumfries and Galloway, Forth Valley, Greater Glasgow and Lanarkshire.

Mr. Donohoe: To ask the Secretary of State for Scotland how many cases of bowel cancer have been recorded for each health board area in Scotland for each of the last five years. [7006]

Lord James Douglas-Hamilton: The number of registered cases of bowel cancer for each health board area in Scotland since 1990 is set out below. Information for 1995 is currently being compiled.

		Year of registration
Health board	1990	1991	1992	1993	1994
Argyll and Clyde	255	256	264	259	292
Ayrshire and Arran	250	195	193	202	225
Borders	81	75	100	95	62
Dumfries and Galloway	109	98	99	109	106
Fife	210	217	222	218	221
Forth Valley	145	144	162	166	167
Grampian	339	343	320	348	362
Greater Glasgow	615	630	549	591	615
Highland	155	134	134	170	153
Lanarkshire	242	225	264	255	253
Lothian	448	444	475	517	492
Orkney	8	12	6	9	9
Shetland	11	12	19	12	14
Tayside	258	284	258	303	292
Western Isles	20	22	15	28	23
Scotland	3,146	3,091	3,080	3,282	3,286

5 Dec 1996 : Column: 783

Prescription Charges

Mr. Donohoe: To ask the Secretary of State for Scotland what was (a) for each health board area in Scotland and (b) for Scotland as a whole (i) the amount raised through NHS prescription charges, (ii) the number

5 Dec 1996 : Column: 784

of prescriptions paid for and (iii) the average charge levied for each prescription for each financial year since 1987 and for the first six months of 1996-97. [7169]

Lord James Douglas-Hamilton: The information for each health board for the financial years 1987-88 to 1995-96 and for the first six months of 1996-97 is set out in the tables.

The amount raised through NHS prescription charges shows the charges paid by patients in respect of drugs and appliances and prescription charges recovered from patients under health board post-dispensing checking arrangements. The amounts shown do not include the sums collected in respect of the sales of pre-payment certificates which are not deemed to be the payment of a charge under the NHS (Charges for Drugs and Appliances) (Scotland) Regulations 1989, as amended.

The average charge levied for each prescription item has been calculated by dividing the total income from NHS prescriptions, which includes income generated through the sale of pre-payment certificates, by the total number of prescription items dispensed.

5 Dec 1996 : Column: 783

Value of NHS prescription charges 1987-88 to September 1996

Health board	1987-88 £	1988-89 £	1989-90 £	1990-91 £	1991-92 £
Argyll and Clyde	1,401,971	1,619,931	1,664,327	1,739,909	1,909,549
Ayrshire and Arran	1,343,944	1,363,265	1,493,341	1,599,391	1,720,195
Borders	361,707	418,690	432,012	460,828	507,546
Dumfries and Galloway	506,040	591,008	616,088	650,903	731,447
Fife	1,127,660	1,224,895	1,367,947	1,451,579	1,634,243
Forth Valley	920,575	1,059,355	1,088,334	1,165,445	1,300,438
Grampian	2,043,973	2,006,440	2,205,824	2,399,868	2,694,810
Greater Glasgow	2,525,368	2,694,145	2,847,550	2,945,034	3,142,277
Highland	570,729	715,553	765,988	847,790	959,670
Lanarkshire	1,769,306	1,918,087	2,115,452	2,155,476	2,359,297
Lothian	2,352,445	2,550,357	3,037,177	3,031,138	3,337,516
Orkney	75,240	85,649	87,711	105,903	119,597
Shetland	73,797	79,223	83,269	105,137	103,192
Tayside	1,289,796	1,399,856	1,536,510	1,658,357	1,830,338
Western Isles	79,929	71,498	77,870	86,351	87,519
Scotland	16,442,480	17,797,952	19,419,400	20,403,109	22,437,634

5 Dec 1996 : Column: 783

Health board	1992-93	1993-94	1994-95	1995-96	April-September(23) 1996
	£	£	£	£	£
Argyll and Clyde	2,034,494	2,165,136	2,293,714	2,369,665	1,157,616
Ayrshire and Arran	1,825,740	1,992,347	2,099,886	2,172,678	1,071,089
Borders	566,992	639,116	690,134	692,281	351,758
Dumfries and Galloway	790,551	889,771	947,752	982,787	492,072
Fife	1,752,818	1,799,866	2,224,604	2,196,186	1,100,681
Forth Valley	1,401,513	1,596,432	1,709,598	1,783,654	883,321
Grampian	3,039,443	3,331,274	3,703,506	3,753,881	1,902,064
Greater Glasgow	3,307,852	3,500,011	3,714,678	3,872,902	1,886,484
Highland	1,042,665	1,119,967	1,249,931	1,283,107	651,096
Lanarkshire	2,520,036	2,742,741	2,839,487	3,029,446	1,469,915
Lothian	3,626,777	4,053,025	4,395,732	4,574,405	2,286,180
Orkney	240,408	164,042	159,794	124,418	63,714
Shetland	113,651	130,688	137,164	156,151	81,288
Tayside	2,011,229	2,206,634	2,371,206	2,407,305	1,189,526
Western Isles	99,184	114,418	135,618	146,437	73,296
Scotland	24,373,353	26,445,468	28,672,804	29,545,303	14,660,100

(23) Provisional.

5 Dec 1996 : Column: 783

Number of prescription items paid for by patients 1987-88 to September 1996

Health board	1987-88	1988-89	1989-90	1990-91	1991-92
Argyll and Clyde	586,839	578,375	594,030	571,582	559,006
Ayrshire and Arran	522,527	521,018	535,044	518,753	508,068
Borders	151,739	149,900	153,616	150,299	148,946
Dumfries and Galloway	212,713	211,759	220,250	214,145	118,272
Fife	470,289	473,778	486,716	478,379	476,826
Forth Valley	385,721	379,450	389,990	378,100	379,832
Grampain	786,456	770,062	792,796	786,412	795,575
Greater Glasgow	1,054,202	1,025,324	1,032,679	968,043	928,024
Highland	257,601	259,368	274,072	276,660	281,916
Lanarkshire	741,925	738,955	761,004	707,139	697,945
Lothian	987,094	983,046	1,013,132	991,866	980,656
Orkney	24,110	23,791	24,494	25,196	26,008
Shetland	31,045	30,139	30,226	30,303	30,299
Tayside	537,69	537,126	550,797	543,774	538,107
Western Isles	29,981	27,473	29,417	27,036	25,746
Scotland	6,779,921	6,709,564	6,888,263	6,667,687	6,495,226

5 Dec 1996 : Column: 785

Health board	1992-93	1993-94	1994-95	1995-96	April-September (24)1996
Argyll and Clyde	544,024	507,279	482,303	451,365	210,476
Ayrshire and Arran	492,048	464,918	442,229	413,843	194,743
Borders	153,334	149,674	145,428	131,863	63,956
Dumfries and Galloway	215,366	205,661	202,131	187,198	89,468
Fife	472,093	457,049	442,156	418,321	200,124
Forth Valley	379,011	370,334	362,785	339,744	160,604
Grampian	808,448	790,298	774,591	715,025	345,830
Greater Glasgow	891,952	821,936	790,842	737,696	342,997
Highland	276,275	263,329	264,187	244,401	118,381
Lanarkshire	684,209	643,796	606,541	577,037	267,257
Lothian	974,946	946,777	924,074	871,315	415,669
Orkney	26,883	27,497	25,157	23,699	11,584
Shetland	30,781	31,324	29,260	29,743	14,780
Tayside	536,069	519,104	498,760	458,534	216,277
Western Isles	26,337	28,556	27,002	27,893	13,327
Scotland	6,511,776	6,227,532	6,017,446	5,627,677	2,665,473

(24) Provisional.

5 Dec 1996 : Column: 785

Average charge levied per prescription item 1987-88 to September 1996

Health board	1987-88	1988-89	1989-90	1990-91	1991-92
	£	£	£	£	£
Argyll and Clyde	0.43	0.45	0.47	0.49	0.51
Ayrshire and Arran	0.44	0.46	0.48	0.50	0.53
Borders	0.51	0.54	0.57	0.60	0.63
Dumfries and Galloway	0.51	0.53	0.56	0.58	0.38
Fife	0.50	0.52	0.55	0.58	0.62
Forth Valley	0.49	0.51	0.54	0.56	0.59
Grampian	0.59	0.61	0.65	0.69	0.76
Greater Glasgow	0.34	0.35	0.36	0.37	0.38
Highland	0.52	0.55	0.59	0.62	0.67
Lanark	0.42	0.44	0.46	0.47	0.49
Lothian	0.50	0.53	0.56	0.59	0.63
Orkney	0.50	0.53	0.58	0.61	0.68
Shetland	0.50	0.54	0.56	0.60	0.68
Tayside	0.47	0.49	0.52	0.54	0.58
Western Isles	0.35	0.36	0.39	0.40	0.42
Scotland	0.45	0.47	0.50	0.52	0.54

5 Dec 1996 : Column: 785

Average charge levied per prescription item 1987-88 to September 1996

Health board	1992-93	1993-94	1994-95	1995-96	April-September(25) 1996
	£	£	£	£	£
Argyll and Clyde	0.53	0.54	0.57	0.57	0.56
Ayrshire and Arran	0.55	0.58	0.60	0.61	0.61
Borders	0.67	0.71	0.76	0.74	0.74
Dumfries and Galloway	0.67	0.69	0.72	0.71	0.69
Fife	0.66	0.70	0.74	0.73	0.72
Forth Valley	0.62	0.67	0.71	0.71	0.68
Grampian	0.83	0.89	0.95	0.95	0.94
Greater Glasgow	0.39	0.39	0.41	0.42	0.41
Highland	0.70	0.72	0.78	0.76	0.75
Lanark	0.51	0.53	0.55	0.55	0.53
Lothian	0.68	0.72	0.77	0.78	0.77
Orkney	0.74	0.84	0.89	0.90	0.93
Shetland	0.74	0.79	0.84	0.90	0.91
Tayside	0.63	0.67	0.70	0.69	0.67
Western Isles	0.46	0.52	0.54	0.60	0.59
Scotland	0.58	0.61	0.64	0.64	0.63

(25) Provisional.

5 Dec 1996 : Column: 787

5 Dec 1996 : Column: 787

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