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EC Programmes (Developing Countries)

Mr. Matthew Taylor: To ask the Secretary of State for International Development if she has received the Environmental Resources Management report, "Evaluation of the Environmental Performance of EC Programmes in Developing Countries". [47458]

Clare Short: Further to my reply to the hon. Member's question on this subject, of 11 May 1998, Official Report, columns 24-25, my Department received the Environmental Resources Management report several months ago and we are still awaiting the European Commission's response. This is due within the next few weeks. We will comment on this response in due course.

Sudan

Mr. Cox: To ask the Secretary of State for International Development what plans (a) she and (b) the Under-Secretary have to visit the Sudan. [47338]

Clare Short: We have no plans to visit the Sudan. My Relief and Rehabilitation Field Manager has been to the crisis area twice since February and reported to me. Our Ambassador in Khartoum also visits the South and reports. A visit by me or the Under-Secretary would serve to hinder and not help the main aim at the moment, which is to get the maximum amount of food in as swiftly as possible to those who sorely need it.

Public Registers

Mr. Cohen: To ask the Secretary of State for International Development if she will list the public registers which her Department has responsibility for. [47353]

Clare Short: The Department for International Development does not have responsibility for any public registers.

29 Jun 1998 : Column: 38

Coral Reefs

Mr. Hoyle: To ask the Secretary of State for International Development if she will make a statement on the depletion of coral reefs; and what initiatives the Government are taking to prevent the destruction of coral reefs. [47811]

Mr. Foulkes: This Department recognises that depletion of coral reefs is a significant cause of poverty in developing countries, where poor coastal communities often lack land and employment and the coastal ecosystems offer the only accessible source of nutrition and income.

Degradation of coral reefs is occurring in many regions of the tropical oceans as the recently published World Resources Institute/World Conservation Monitoring Centre (WRI/WCMC) report "Reefs at Risk" makes clear. Traditional management systems in many small island communities have permitted sustainable use of reef resources for many years, but increasing population pressure and inappropriate development have contributed to the breakdown of these community-based management systems and a decline in the resource base. Modern arrangements for protection of coral reefs often aim to combine conservation with tourism and, unless carefully planned, can impose costs on the poor through loss of livelihoods. This Department is examining ways in which resources provided by coral reef biodiversity can be sustainably used to support people's livelihoods.

The United Kingdom is a founder member of the International Coral Reef Initiative (ICRI) and this Department has recently published a Manual of Coastal Resource Management in South Asia, following up earlier financial and technical support for the ICRI South Asia Region Coral Reef Management Workshop. We are also helping our partners in South Asia to protect their coral reefs by providing funds and expertise to the International Oceanographic Commission of UNESCO for the development of a South Asia region coral reef monitoring network, the first regional component of a planned global network.

The Government support the development of new approaches to the conservation and sustainable use of coral reef resources through research projects in the Caribbean investigating the biological and social impacts of coral reef protection, and the rate at which degraded reefs can recover when protected. We have funded research to develop a new technology for accelerating the recovery of degraded reefs through research in The Maldives, where coral rock is mined for use as building material. Reefs which had been bare of living coral organisms for 20 years became recolonised within a period of 12 months. We have recently supported work to improve the accuracy of remote sensing methods used in monitoring the state of the coral reef environment.

Our concern for the protection of coral reefs, and other tropical coastal ecosystems, is to help our partners stabilise and regenerate natural resources which are of significant importance to global efforts to eradicate poverty.

29 Jun 1998 : Column: 39

HEALTH

Primary Care Groups

Mr. Levitt: To ask the Secretary of State for Health what measures he proposes to take to (a) prevent and (b) deal with overspending by primary care groups in the new NHS. [45482]

Mr. Milburn: Primary Care Groups will be accountable to health authorities for the way in which they discharge their functions, including financial matters. Guidance on management arrangements and risk management plans for PCG budgets will be issued in the summer.

If a Primary Care Group overspends, the overspend will be managed within the funds made available to health authorities generally, and to the National Health Service more widely, much as health authority overspends are handled now.

Trauma Patients

Mr. Nigel Jones: To ask the Secretary of State for Health how many patients have been treated for trauma in each health authority area for the last five years for which figures are available. [46511]

Mr. Boateng: The number of patients treated for post-traumatic stress disorder drawn from the Hospital Episode Statistics for 1995-96, the most recent year for which figures are available, is in the table. Information for earlier years is not available in an equivalent form. However, it is likely that the figures reported for post-traumatic stress disorder under-represent the number of people treated for the psychological after-effects of trauma since other people may be diagnosed as suffering from depression, anxiety or an adjustment disorder.

Finished consultant episodes for 1995-96 Diagnosis 'F43.1' Post-Traumatic Stress Disorder

District health authorityNumber
England347
A11 Northumberland3
A16 Sunderland1
A30 North Durham10
A31 South Durham1
A32 Tees5
A33 Gateshead and South Tyneside4
A34 North Cumbria3
A35 Newcastle and North Tyneside5
B11 East Riding2
B21 North Yorkshire5
B31 Bradford1
B51 West Yorkshire3
B61 Leeds Health Authority3
B71 Wakefield Health Care4
CO1 North Derbyshire2
CO9 Barnsley2
C10 Doncaster2
C12 Sheffield4
C14 North Nottinghamshire5
C15 Lincolnshire21
DO5 North West Anglia1
D12 Suffolk7
D13 East Norfolk1
EO9 Hillingdon4
E18 East and North Herefordshire7
E19 Brent and Harrow4
E20 Ealing, Hammersmith and Hounslow4
F31 North Essex4
F32 South Essex3
F33 Barking and Havering2
F34 Redbridge and Waltham Forest1
F35 East London and The City3
F36 New River3
F37 Camden and Islington4
G12 Bromley9
G21 East Sussex, Brighton and Hove1
G22 East Kent4
G23 West Kent10
G26 South East London4
H17 Merton, Sutton and Wandsworth2
H20 West Surrey7
H21 East Surrey9
J10 Dorset Health Authority7
J21 Portsmouth and South East Hampshire4
J25 North and Mid Hampshire2
J30 Wiltshire8
J41 Isle of Wight1
K24 Buckinghamshire9
K33 Northamptonshire4
K41 Oxfordshire9
L10 Bristol and District8
L21 Cornwall and Isles of Scilly4
L35 Exeter and North Devon5
L36 Plymouth and Torbay2
L40 Gloucestershire2
L51 Somerset13
MO2 Herefordshire4
MO5 Shropshire5
MO7 North Staffordshire18
M18 Dudley1
M20 Solihull2
M27 South Staffordshire1
M28 Warwickshire6
M29 North Birmingham1
N17 North Cheshire4
N18 South Cheshire6
N21 Liverpool2
N31 St. Helens and Knowsley4
P16 Stockport Health2
P21 East Lancashire1
P22 South Lancashire1
P24 Bury and Rochdale10
P25 West Pennine10
P26 Manchester Health7
P27 Salford and Trafford3
P28 Morecambe Bay1

29 Jun 1998 : Column: 40

Mental Health

Mr. Nigel Jones: To ask the Secretary of State for Health which of the components of the NHS will make recommendations for the placement in mental nursing homes of people with learning difficulties or mental health problems under the new arrangements set out in the White Paper, The New NHS (Cm 3807). [46509]

Mr. Boateng: The White Paper The New NHS makes no change in this respect. Clinicians, working where appropriate with the relevant social work professionals, will make decisions about the appropriate placing of people with learning difficulties or mental health problems within the health and social care systems.

29 Jun 1998 : Column: 41


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