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General Allocations
Ms Coffey: To ask the Secretary of State for Health what funds have been returned to the general allocations for 1997-98 as a result of the death before 1 April 1996 of patients with (a) mental illness and (b) learning disabilities admitted before June 1970, in both hospital-based and community-based accommodation. [10735]
Mr. Horam: The 1997-98 general allocations to health authorities have been enhanced by £20 million as a result of the net reduction in the special allocation which funds the care of patients with mental illness admitted before 1 January 1971 and patients with learning disabilities admitted before 1 January 1970. Patient deaths is one of the factors in this net reduction but this element is not separately identified in the information held centrally.
NHS Supplies Management
Ms Jowell: To ask the Secretary of State for Health what response his Department has made to the Audit Commission's report, "Improving Supplies Management in National Health Service trusts"; and what decisions have been made by Her Majesty's Government in relation to potential savings outlined in the report. [10754]
Mr Horam: It will be for national health service trusts to respond to the specific recommendations made by their external auditors, who are appointed and regulated by the Audit Commission, following local audits based on the good practice recommendations in the report. The Department fully supports the report's emphasis on the importance of good supplies management and its relevance to quality patient care, and we particularly welcome the Audit Commission's call for senior trust management to take a more active interest in this area.
The potential savings quoted in the report were derived from a small sample of trusts. The examples quoted were historic and the figures therefore do not take account of improvements since made in this area.
Computer Records
Mr. Chris Smith: To ask the Secretary of State for Health who owns the (a) written and (b) computer records that general practitioners hold on patients. [10686]
Mr. Malone: Ownership of records on patients maintained by general practitioners in accordance with their terms of service, is vested in the health authority.
Continuing Care
Ms Coffey: To ask the Secretary of State for Health if he will list the bids for 1996-97 continuing care challenge funds. [10750]
13 Jan 1997 : Column: 176
Mr. Burns: Health authorities' bids for additional continuing care funding for 1996-97 are listed in the table. Details of allocations to health authorities were announced in a press release on 27 December 1996.
| Health authority | £ bid |
|---|---|
| South Thames | |
| Merton, Sutton and Wandsworth | 290,000 |
| Lambeth, Southwark and Lewisham | 876,000 |
| East Surrey | 217,721 |
| West Sussex | 216,000 |
| East Sussex | 75,000 |
| West Surrey | 267,783 |
| West Kent | 771,000 |
| East Kent | 310,000 |
| Bromley | 300,000 |
| Kingston and Richmond | 165,000 |
| Bexley and Greenwich | 116,000 |
| Croydon | 121,000 |
| Trent | |
| North Derbyshire | 275,975 |
| South Derbyshire | 466,000 |
| Doncaster | 40,000 |
| Leicestershire | 509,560 |
| Lincolnshire | 186,750 |
| North Nottinghamshire | 219,085 |
| Nottingham | 330,088 |
| Rotherham | 100,000 |
| Sheffield | 225,000 |
| South Humber | 185,000 |
| West Midlands | |
| Herefordshire | 50,605 |
| Worcestershire | 600,201 |
| North Staffordshire | 181,500 |
| South Staffordshire | 195,984 |
| Birmingham | 797,922 |
| Coventry | 100,100 |
| Dudley | 370,000 |
| Sandwell | 137,000 |
| Shropshire | 140,000 |
| Solihull | 100,000 |
| Walsall | 53,500 |
| Warwickshire | 175,000 |
| Anglia and Oxford | |
| Buckinghamshire | 120,000 |
| Cambridge and Huntingdon | 778,000 |
| North West Anglia | 396,500 |
| Northamptonshire | 278,425 |
| Oxfordshire | 190,500 |
| Bedfordshire | 60,000 |
| South and West | |
| Avon | 500,000 |
| Cornwall | 300,000 |
| Dorset | 170,000 |
| Isle of Wight | 33.098 |
| North and East Devon | 341,832 |
| North and Mid-Hampshire | 200,000 |
| Portsmouth | 309,100 |
| Southampton | 282,400 |
| South and West Devon | 646,025 |
| Wiltshire | 299.188 |
| North West | |
| Liverpool | 385,000 |
| Sefton | 790,000 |
| Manchester | 530,000 |
| Wirral | 600,000 |
| Morecambe Bay | 108,000 |
| Bury and Rochdale | 531,500 |
| St. Helens and Knowsley | 100,000 |
| North West Lancashire | 91,191 |
| North Cheshire | 309,688 |
| West Pennine | 85,595 |
| Salford and Trafford | 263,380 |
| South Cheshire | 137,280 |
| Stockport | 210,000 |
| Wigan and Bolton | 134,000 |
| East Lancashire | 133,595 |
| Northern and Yorkshire | |
| Calderdale and Kirklees | 162,350 |
| North Cumbria | 100,000 |
| Newcastle and North Tyneside | 320,000 |
| Gateshead and South Tyneside | 89,000 |
| Sunderland | 160,000 |
| Tees | 210,000 |
| North Yorkshire | 210,000 |
| Bradford | 100,000 |
| Leeds | (min) 717,500 |
| (max) 1,185,500 | |
| Wakefield | 649,500 |
| North Thames | |
| East London and the City | 647,100 |
| Ealing, Hammersmith and Hounslow | 541,150 |
| Barking and Havering | 508,000 |
| Hillingdon | 623,000 |
| Redbridge and Waltham Forest | 485,840 |
| East and North Hertfordshire | 53,500 |
| Enfield and Haringey | 347,100 |
| Brent and Harrow | 39,000 |
| Kensington, Chelsea and Westminster | 191,000 |
| North Essex | 36,800 |
| Camden and Islington | 123,500 |
13 Jan 1997 : Column: 177
Cancer Treatments
Mr. Jim Cunningham: To ask the Secretary of State for Health how much was spent on cancer treatments in each year since 1992 (a) nationally and (b) in the west midlands; and what was the percentage change from the previous year in each case. [10246]
Mr. Horam: The information requested is not available centrally. It is estimated that the care and treatment for cancer patients forms a substantial part of national health service work in primary and secondary care sectors of around 7 per cent. of NHS resources.
Drugs
Mr. Flynn: To ask the Secretary of State for Health what is his planned budget for the next three years to advertise the potential dangers of (a) aspirin, (b) coproxamol, (c) dothiepin and (d) paracetamol. [9846]
Mr. Malone: Aspirin, coproxamol, dothiepin and paracetamol are effective medicines, the indications and side-effects of which are documented in the authorised product information and publications such as the "British National Formulary". The main system for providing regular information to health professionals about important drug safety issues arising with medicines is a bulletin called "Current Problems in Pharmacovigilance", which is produced by the Committee on Safety of Medicines and the Medicines Control Agency. It is sent to all doctors, dentists, pharmacists, and coroners, by post approximately quarterly and is available on the Internet. The current annual budget for this bulletin is £260,240.
13 Jan 1997 : Column: 178
Mr. Flynn: To ask the Secretary of State for Health what proposals he has to assess the level of use of anti-psychotic drugs and drugs containing morphine in residential homes for the elderly. [9847]
Mr. Burns: None. The prescribing of any drug as part of the medical treatment received by a person living in residential care is the responsibility of that person's general practitioner. Medical and pharmaceutical advisers are available to help doctors prescribe most effectively for their patients.
Mr. Flynn: To ask the Secretary of State for Health if he will list the drugs that were available only on prescription in 1979 that are now available without prescription. [9848]
Mr. Malone: Since 1979 exemptions to prescription control have been made for the substances in the table, subject, in some cases, to conditions such as indication, maximum dose or route of administration.
| Substance | |
|---|---|
| 1983 | Loperamide |
| Ibuprofen | |
| 1987 | Hydrocortisone |
| 1988 | Astemizole |
| 1989 | Mebendazole |
| 1991 | Hyoscine butylbromide |
| 1992 | Carbenoxolone sodium |
| Clotrimazole | |
| Econazole | |
| Econazole nitrate | |
| Isoconazole nitrate | |
| Miconazole | |
| Miconazole nitrate | |
| 1993 | Acrivastine |
| Cetirizine | |
| Ketoprofen | |
| Loratadine | |
| Terfenadine | |
| Aciclovir | |
| 1994 | Beclomethasone dipropionate |
| Cimetidine | |
| Famotidine | |
| Mebendazole | |
| Pseudoephedrine hydrochloride | |
| Sodium cromoglycate | |
| Tioconazole | |
| Diclofenac diethylammonium | |
| Felbinac | |
| Flunisolide | |
| Minoxidil | |
| Oxethazaine | |
| Piroxicam | |
| Ranitidine hydrochloride | |
| 1995 | Fluconazole |
| Hydroxyzine hydrochloride | |
| Ketoconazole | |
| Pyrantel embonate | |
| Budesonide | |
| 1996 | Azelastine hydrochloride |
| Nizatidine |
13 Jan 1997 : Column: 179
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