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Water Fluoridation
Mr. Win Griffiths: To ask the Secretary of State for Wales if he will make a statement about the impact of (a) the fluoridation of water and (b) the cessation of fluoridation of water in Anglesey on the dental health of children; and what studies his Department has conducted on the impact of fluoridation and of the withdrawal of fluoridation on the general health of the population. [75316]
Mr. Jon Owen Jones: The topping up of water supplies with fluoride to one part per million reduces tooth decay in young children by at least 50 per cent. and confers lifelong oral health gains. Since the cessation of fluoridation in Anglesey, tooth decay in young children there has increased by 168 per cent.
Respondents to the Welsh Office Green Paper "Better Health, Better Wales", published in May 1998, were overwhelmingly in favour of fluoridation. The Welsh Office is considering the responses in conjunction with other health departments which have undertaken similar consultation exercises.
Following the transfer of functions, this issue will be a matter for the National Assembly.
Mr. Livsey:
To ask the Secretary of State for Wales how many children in Wales have been admitted to psychiatric care for each year since 1992. [76907]
Mr. Jon Owen Jones:
Information on the number of in-patient admissions for children (aged under 16) for psychiatric care is given in the following table. It should be noted that a child may have been admitted more than once during the period.
| Year | Amount |
|---|---|
| 1992 | 574 |
| 1993 | 480 |
| 1994 | 444 |
| 1995 | 444 |
| 1996 | 481 |
| 1997 | 483 |
(20) Data are coded by International Classification of Diseases (ICD)-9 until March 1995 and by ICD-10 thereafter. The codes included are: ICD-9:317 to 319, ICD-10:F70 to F79 (mental retardation), ICD-10:F80 to F89 (disorders of psychological development) and ICD-9:290 to 316, ICD-10:F00 to F69 and F90 to F99 (all other psychiatric/mental illness).
Following the transfer of functions, this issue will be a matter for the National Assembly.
Mr. Livsey:
To ask the Secretary of State for Wales what evaluation his Department has undertaken of (a) individual social services department's policy and (b) individual psychiatric services in relation to children excluded from school in the last five years. [76903]
15 Mar 1999 : Column: 532
Mr. Jon Owen Jones:
An analysis of children's services plans of Welsh local authorities (1997) identified weaknesses in planning for unmet needs, though some authorities had set targets in relation to children excluded from school.
The Welsh Office is funding, through the Welsh Office of Research and Development (WORD), a project in Swansea which is evaluating strategies for reducing school exclusion.
In its response to Sir William Utting's report of the Children's Safeguards Review, the Government undertook to issue guidance on school exclusion and pupil support relevant to looked after children. Local Education Authorities will also have to set targets for reducing school exclusions as part of their education strategic plans which are to come into effect from 1 September 1999.
The Government's proposals for the reform of children's services include objectives to ensure that children in need and those looked after obtain maximum benefit from educational opportunities.
The Welsh Office is developing a Strategy for Child and Adolescent Mental Health services, with the help of an Advisory Group. The needs of children excluded from school will be taken into account in developing this Strategy.
Following the transfer of functions, this issue will be a matter for the National Assembly.
Mr. Livsey:
To ask the Secretary of State for Wales if he will publish for each area and health authority in Wales the level of total debt (a) in cash terms and (b) as a percentage of income. [76921]
Mr. Jon Owen Jones:
I will write to the hon. Member as soon as possible and place a copy of my reply in the Library of the House.
Mr. Livsey:
To ask the Secretary of State for Wales how many people in Wales are in residential care homes in the most recent year for which figures are available in the (a) 16 to 64, (b) 65 to 74, (c) 74 to 84 and (d) 85 years and over age groups; and in each of those categories if he will list the numbers funded by (i) the local authority on a means tested basis, (ii) the individuals themselves and (iii) the Department of Social Security through presented rights. [76906]
Mr. Jon Owen Jones:
The numbers of people in residential care homes in Wales at 31 March 1998 are shown in the following table.
| Age group | Local authority homes | Independent homes | All homes |
|---|---|---|---|
| 16-64 years | 522 | 1,544 | 2,066 |
| 65-74 years | 562 | 965 | 1,527 |
| 75-84 years | 1,711 | 3,009 | 4,720 |
| 85 and over | 2,390 | 4,664 | 7,054 |
| Age unknown | 7 | 218 | 225 |
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| Age group | Local authority | Private means | DSS preserved rights |
|---|---|---|---|
| Under 65 years | 44 | 7 | 49 |
| Over 65 years | 49 | 28 | 23 |
Following the transfer of functions, this issue will be a matter for the National Assembly.
15 Mar 1999 : Column: 534
Mr. Livsey:
To ask the Secretary of State for Wales if he will list the (a) M1 management costs, (b) M2 management costs and (c) management consultancy costs (i) in total and (ii) as a percentage of income for each NHS trust in Wales for the last five years. [76920]
Mr. Jon Owen Jones:
(a)(b) Figures for M1, which consist of salary costs of only the more senior managers, together with the costs of management consultancy and M2, which adds in the salary costs of all other staff who work in corporate management function of NHS trusts, are available for 1995-96 to 1997-98. Prior to the introduction of the M1 and M2 measures, figures are given for "management costs".
(c) Information on management consultancy costs is not held centrally.
The information is given in the following tables.
15 Mar 1999 : Column: 533
| 1997-98 | 1996-97 | |||||||
|---|---|---|---|---|---|---|---|---|
| M1(A) | M1 | M2(B) | M2 | M1 | M1 | M2 | M2 | |
| NHS trusts | Total £000 | Percentage of total income(C) | Total £000 | Percentage of total income | Total £000 | Percentage of total income | Total £000 | Percentage of total income |
| Bridgend & District | 2,695 | 3.01 | 3,785 | 4.22 | 2,412 | 2.87 | 3,477 | 4.13 |
| Cardiff Community | 1,949 | 3.11 | 3,022 | 4.82 | 1,935 | 3.23 | 2,949 | 4.92 |
| Carmarthen & District | 1,312 | 2.99 | 1,849 | 4.21 | 1,243 | 2.98 | 1,766 | 4.24 |
| Ceredigion & Mid Wales | 979 | 3.77 | 1,433 | 5.52 | 913 | 3.56 | 1,323 | 5.15 |
| Clwydian Community Care | 2,390 | 3.47 | 3,423 | 4.97 | 2,360 | 3.55 | 3,444 | 5.18 |
| Derwen | -- | -- | -- | -- | 913 | 3.74 | 1,314 | 5.38 |
| East Glamorgan | 1,515 | 2.84 | 2,552 | 4.78 | 1,480 | 2.87 | 2,449 | 4.75 |
| Glan Clwyd | 1,935 | 2.76 | 2,965 | 4.23 | 1,902 | 2.78 | 2,995 | 4.37 |
| Glan Hafren | 3,414 | 2.62 | 5,346 | 4.10 | 3,079 | 2.50 | 5,059 | 4.12 |
| Glan Y Mor | 2,149 | 2.90 | 2,879 | 3.89 | 2,060 | 2.80 | 2,686 | 3.65 |
| Gwent Community | 1,981 | 3.19 | 2,579 | 4.15 | 2,128 | 3.48 | 2,682 | 4.39 |
| Gwynedd Community | 1,518 | 2.82 | 2,131 | 3.95 | 1,558 | 2.95 | 2,171 | 4.11 |
| Gwynedd Hospitals | 2,009 | 3.02 | 2,829 | 4.26 | 2,001 | 3.07 | 2,890 | 4.43 |
| Llandough Hospital | 2,085 | 3.11 | 3,429 | 5.12 | 2,166 | 3.37 | 3,536 | 5.50 |
| Llanelli Dinefwr | 934 | 2.75 | 1,437 | 4.23 | 875 | 2.61 | 1,358 | 4.05 |
| Mid Glamorgan Ambulance | 672 | 6.74 | 776 | 7.78 | 626 | 6.73 | 710 | 7.63 |
| Morriston Hospital | 2,190 | 2.57 | 3,657 | 4.30 | 1,847 | 2.37 | 3,300 | 4.23 |
| Nevill Hall | 1,401 | 2.92 | 2,301 | 4.79 | 1,317 | 2.82 | 2,158 | 4.62 |
| North Glamorgan | 2,037 | 3.24 | 2,835 | 4.51 | 1,870 | 3.03 | 2,750 | 4.46 |
| North Wales Ambulance | 722 | 5.08 | 1,047 | 7.37 | 661 | 4.79 | 1,063 | 7.71 |
| Pembrokeshire | -- | -- | -- | -- | 1,785 | 3.98 | 2,565 | 5.72 |
| Pembrokeshire & Derwen (F) | 2,758 | 3.99 | 3,785 | 5.48 | -- | -- | -- | -- |
| Powys Healthcare | 1,700 | 3.82 | 2,465 | 5.53 | 1,663 | 3.70 | 2,480 | 5.52 |
| Rhondda Healthcare | 1,349 | 3.86 | 1,797 | 5.14 | 1,292 | 3.93 | 1,717 | 5.23 |
| South East Wales Ambulance | 841 | 4.44 | 1,182 | 6.24 | 1,015 | 5.52 | 1,808 | 9.84 |
| Swansea | 1,677 | 2.45 | 2,254 | 3.29 | 1,598 | 2.50 | 2,168 | 3.39 |
| University Dental Hospital of Wales | 304 | 3.31 | 421 | 4.58 | 266 | 2.96 | 395 | 4.40 |
| University Hospital of Wales | 5,678 | 3.00 | 7,320 | 3.87 | 5,603 | 2.99 | 7,431 | 3.96 |
| Velindre Hospital | 689 | 3.72 | 969 | 5.23 | 712 | 4.11 | 1,037 | 5.99 |
| West Wales Ambulance | 653 | 5.07 | 751 | 5.83 | 624 | 5.07 | 787 | 6.39 |
| Wrexham Maelor | 1,779 | 2.79 | 2,401 | 3.76 | 1,631 | 2.67 | 2,327 | 3.81 |
| Total | 51,315 | 3.11 | 73,620 | 4.46 | 49,535 | 3.10 | 72,795 | 4.56 |
(A) M1--Management costs as defined in the guidance issued by the Audit Commission in 1995 and 1996.
(B) M2--Management and Administration costs as defined in the guidance issued by the Audit Commission in 1995 and 1996.
(C) Total income--Comprises income from activities and other operating income of NHS trusts.
(D) M1 and M2 data were not recorded in NHS trust annual accounts prior to 1995-96.
(E) Management cost figures as quoted in PQ 875/95/96.
(F) On 1 April 1997, Pembrokeshire NHS Trust and Derwen NHS Trust merged to form the Pembrokeshire and Derwen NHS Trust.
Source:
Audited Annual Accounts of NHS Trusts from 1993-94 to 1997-98
15 Mar 1999 : Column: 535
15 Mar 1999 : Column: 535
Following the transfer of functions, this issue will be a matter for the National Assembly.
Mr. Livsey:
To ask the Secretary of State for Wales if he will provide up to date information on termination payments made by NHS trusts or health authorities in Wales to (a) chief executives and (b) general and senior managers including the numbers and amounts. [76908]
Mr. Jon Owen Jones:
The information requested is not held centrally.
Following the transfer of functions, this issue will be a matter for the National Assembly.
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