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Patients' Rights

Ms Oona King: To ask the Secretary of State for Health if he will make lay representatives available within hospitals to give guidance to patients on their rights. [113611]

Mr. Denham: Greg Dyke's report, "The New NHS Charter: A Different Approach", recommended that most large hospital trusts should have a patient representative. In response to this recommendation the Department is currently investigating possible models for patient representation in the National Health Service.

Patient Referral

Mr. Lilley: To ask the Secretary of State for Health if patients have the right to be referred to more than one consultant to obtain a second or further opinion. [113858]

Mr. Denham: It is accepted professional practice among doctors that patients have the right to a second opinion. This is enshrined in guidance the General Medical Council has issued which includes the need for doctors to respect the rights of patients to a second opinion.

Ethical Investment Policy

Mr. Clapham: To ask the Secretary of State for Health (1) when regulations on ethical investment policy for hospital trusts and health authorities will be likely to come into force; and if they will restrict investment in companies connected with the arms trade; [114219]

Mr. Denham: Health authorities do not invest Exchequer funds in companies. National Health Service trusts can invest surplus funds only in institutions approved by the NHS Executive, and from 1 April 2000 will be able to invest only in the Office of the Paymaster General.

NHS trusts and health authorities do not hold pension funds. Contributions to the NHS Pension Scheme are paid to the Exchequer, which meets the cost of scheme benefits as required.

Charitably-donated funds are administered by trustees, who are responsible for investment decisions concerning these funds. Trustees operate within charity legislation, and Health Ministers properly have no powers to influence trustees' decisions.

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Drug Addicts

Mr. Lilley: To ask the Secretary of State for Health if he will publish estimates of the number of known or registered drug addicts per 100,000 people in (a) the United Kingdom, (b) the United States of America and (c) the Netherlands. [114221]

Ms Stuart: The information requested is not available centrally.

Based on the number of drug misusers reported to Regional Drugs Misuse Databases as presenting to services for treatment in England during the six month period ending 31 March 1999, there were 58 problem drug misusers per 100,000 people in England. Figures for the United States of America and the Netherlands are not available centrally, but information may be available from the European Monitoring Centre for Drugs and Drug Addiction, which is based in Portugal.

Fruit and Vegetables

Joan Ruddock: To ask the Secretary of State for Health (1) what advice his Department is giving the public on the peeling and topping of carrots before they are consumed; what is the reason for that advice; and what are the methods used to communicate the advice; [114418]

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Ms Stuart: Studies recommended by the independent Advisory Committee on Pesticides have found variable levels of pesticide residues in some fruit and vegetables. In response to these findings, the following advice from the Deputy Chief Medical Officer was issued in Ministry of Agriculture, Fisheries and Food (MAFF) News Release 83/97 and in the Ministry of Agriculture, Fisheries and Food/Department of Health Food Safety Information Bulletin for December 1998:


This precautionary advice remains relevant and is used by Government Departments in responding to inquiries about pesticide residues in food.

Overseas Ministerial Visits

Mr. Swayne: To ask the Secretary of State for Health if he will list the overseas ministerial visits that have taken place since May 1997, indicating the purpose of each visit. [112770]

Ms Stuart: Between May 1997 and March 2000 Department of Health Ministers have made 36 overseas visits in an official capacity as listed. All travel complied with the requirements of the Ministerial Code and the Civil Service Management Code.

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MinisterCountryDatePurpose
Minister of State for Public HealthNetherlands/ Luxembourg3-6 June 1997Visit to European Union Health Council
Parliamentary Under- Secretary of State (Commons)Belgium4-5 June 1997Visit to European Parliament
Parliamentary Under-Secretary of State (Commons)Austria16-18 June 1997Attendance at Council of Europe XVth Conference of Family Ministers and other engagements
Parliamentary Under-Secretary of State (Commons)Belgium23-25 October 1997Attendance at Young People's Conference on Sexual Health
Minister of State for Public HealthFrance24 November 1997Meeting with French Health Minister
Minister of State for Public HealthBelgium3-4 December 1997European Union Health Council Meeting
Secretary of StateDenmark26 February- 1 March 1998Visit to World Health Organisation and other engagements
Parliamentary Under-Secretary of State (Lords)USA4-7 March 1998Attendance at External Advisory Panel for Health, Nutrition and Population
Parliamentary Under-Secretary of State (Commons)Belgium8-10 March 1998European Union Health Council meeting
Parliamentary Under-Secretary of State (Commons)Belgium24-26 March 1998European Union Health Council meeting
Secretary of StateBelgium22 April 1998Visit to European Parliament to address Health Committee
Minister of State for Public HealthBelgium22 April 1998Visit to European Parliament to address Health Committee
Minister of State for Public HealthLuxembourg29-30 April 1998Meeting of the European Union Health Council
Parliamentary Under-Secretary of State (Lords)France11 May 1998Meeting of the Club of Three sub group
Minister of State for Public HealthSwitzerland12-13 May 1998Attendance at World Health Assembly
Secretary of StateGermany3-4 June 1998Attendance at Social Services Conference
Parliamentary Under-Secretary of State (Commons)Sweden16-17 June 1998Attendance at presentation of the FINSAM Project and other engagements
Secretary of StateFrance22-23 June 1998Representing HM Government at England vs Romania World Cup match
Parliamentary Under-Secretary of State (Commons)Australia9-20 July 1998Fact finding mission on mental health issues
Parliamentary Under-Secretary of State (Commons)Sweden23-25 September 1998Keynote speech at 50th anniversary Swedish social services conference
Parliamentary Under-Secretary of State (Commons)Germany3-5 October 1998British Council seminar
Secretary of StateSouth Africa3-18 October 1998Combined official visit to South Africa to support Department for International Development projects and pursue bilateral health relations
Secretary of StateUSA21-23 October 1998Attendance at International Symposium on Healthcare and other engagements
Minister of State for Public HealthBelgium12 November 1998Meeting of European Union Health Council
Secretary of StateBarbados15-18 November 1998Attendance at Commonwealth Health Ministers Conference
Parliamentary Under-Secretary of State (Commons)Japan25-29 November 1998British Healthcare industry export promotion
Minister of State for Public HealthFrance14-16 January 1999Meeting with French Ministers for Health and Women and attendance at Franco-British Colloque events
Secretary of StateDenmark9-11 April 1999Meeting with senior officials from the European Office of the World Health Organisation
Parliamentary Under-Secretary of State (Lords)Italy26-27 May 1999Conference on emergency services and reanimation
Minister of State for Public HealthLuxembourg7-8 June 1999European Union Health Council Meeting
Parliamentary Under-Secretary of State (Commons)France17 June 1999European Social Services Conference
Parliamentary Under-Secretary of State (Lords)Malaysia5-9 October 1999British Healthcare industry export promotion
Parliamentary Under-Secretary of State for HealthTurkey10-11 October 1999Conference on Diabetes Care and Research in Europe
Parliamentary Under-Secretary of State (Commons)USA10-12 October 1999International Initiative seminar on Building Strong Communications to Support Families
Parliamentary Under- Secretary of State for HealthFinland12-13 October 1999Representing United Kingdom at European Union Presidency meeting
Parliamentary Under-Secretary of State for HealthBelgium17-18 November 1999European Union Health Council Meeting

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