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Written Answers

Volume 229: debated on Monday 26 July 1993

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Written Answers To Questions

Monday 26 July 1993

Lord Chancellor's Department

Judicial System (Probity)

To ask the Parliamentary Secretary, Lord Chancellor's Department if he will make a statement on his responsibilities in respect of the maintenance of the integrity and probity of the judicial system; and what role his Department plays in relation to allegations of bribery involving judges.

The Lord Chancellor regards integrity and probity as essential qualities for all those working in the judicial system. The investigation of allegations of bribery involving judges is a matter for the police. Consideration will also be given by the Lord Chancellor to any further action that may be required in the light of the results flowing from any such investigation.

Industrial Deafness

To ask the Parliamentary Secretary, Lord Chancellor's Department (1) what steps he is taking to help victims of industrial deafness who are deterred from pursuing claims against their employers by the new regulations governing legal aid;(2) what steps he is taking to help victims of industrial deafness to pursue their claims for compensation against their employers.

No separate assessment has been made of the effect of the legal aid eligibility changes on litigants with specific categories of case. However, the financial limits for personal injury actions remain higher than those for other categories of civil proceedings. The disposable income limit for personal injury cases is £7,500 (£6,800 for other proceedings) and the disposable capital limit is £8,560 (£6,750 for other proceedings).No specific steps are proposed for the handling of industrial deafness cases, but they will benefit from a number of jurisdictional and procedural changes introduced for personal injury cases generally over the past two years. In the coming months the Lord Chancellor intends to issue a public consultation document setting out proposals for a less formal method than trial in open court for handling smaller personal injury claims. Depending on the financial limit set, a number of industrial deafness cases may benefit.

Vulnerable Witnesses

To ask the Parliamentary Secretary, Lord Chancellor's Department in how many cases defence counsel have objected to the use of video-link television equipment for the purpose of interviewing child witnesses and other vulnerable witnesses in each of the past three years; of these objections, how many were accepted by the court; and if he will make a statement.

The information sought by the hon. Member is not collected, and could be obtained only at disproportionate cost.

To ask the Parliamentary Secretary, Lord Chancellor's Department in how many cases and in which courts video link television equipment has been used for the purpose of interviewing child witnesses and other vulnerable witnesses outwith the actual court room in each of the past four years; and if he will make a statement.

The number of cases in which child witnesses has given evidence via live television links at suitably equipped Crown court centres is set out in the table provided in answer to the hon. Member's previous question.

To ask the Parliamentary Secretary, Lord Chancellor's Department in how many court cases a screen has been used in order to shield child witnesses from those being proceeded against in each of the past three years; and if he will make a statement.

The hon. Member asked a similar question on 16 November last year, to which I gave an answer that the information was not collected. I am pleased to be able to report that from 1 January 1993 my Department introduced a mechanism for collecting this information in the Crown court. Since that date there have been 18 reported cases in which a screen has been used to shield a child witness in court.

To ask the Parliamentary Secretary, Lord Chancellor's Department how many courts have video-link television equipment installed for the purpose of interviewing child witnesses and other vulnerable persons; where such courts are located; and if he will make a statement.

Live television link equipment, for the purpose of children giving evidence under the provisions of section 32 Criminal Justice Act 1988, has been installed at the 47 Crown court centres listed in the table, which also provides the answer to the hon. Member's further question.

TV links statistics
Court1989 Used1990 Used1991 Used1992 Used
Birmingham10261618
Bradford0
Bristol44
Caernarfon0
Cardiff1210
Carlisle0
Central Criminal Court4432
Chelmsford114167
Chester00
Croydon1
Derby*
Exeter2741
Gloucester2
Grimsby1
Guildford7573
Harrow0
Hull0
Ipswich*
Kingston upon Thames*
Leeds381713
Leicester60
Lewes0
Lincoln0

Court

1989 Used

1990 Used

1991 Used

1992 Used

Liverpool1611136
Luton*
Maidstone151843
Manchester2610
Mold9311
Newcastle115
Northampton11
Norwich21
Nottingham1615143
Peterborough*
Plymouth0
Portsmouth1
Preston10
Reading10
St. Albans0
Sheffield53
South wark2657
Stafford00
Swansea61533
Teesside0
Truro0
Winchester5050
Wolverhampton33
Woolwich*

Installation of equipment at the courts marked "* " took place in 1993

Northern Ireland

Benefits Agency

To ask the Secretary of State for Northern Ireland when the Benefits Agency business plan for the current year was laid before Parliament.

It is expected that the Social Security Agency's 1993–94 business plan will be published in August 1993. The agency's service and financial targets for the year have, however, already been set and are as follows. They are in line with the Government's policy of improving the service provided to customers and fully support the standards established in the Northern Ireland citizens charter. I am satisfied that the targets present a demanding challenge for the agency.

1. BENEFIT CLEARANCE TIMES (a)
Per cent.In days
Social fund crisis loans—on the day the need arises
Social fund community care grants657
9520
Income support715
9013
Sickness/invalidity benefit6510
9530
Child benefit7310
9530
Family credit6013
9542
Disability living allowance6530
8555
Retirement pension6520
9560
Unemployment benefit7·5
2. BENEFIT ACCURACYIncome support: to pay the correct amount in at least 92 per cent. of cases. Sickness/invalidity benefit: to pay the correct amount in at least 97 per cent. of cases.Family credit: to pay the correct amount in at least 92 per cent. of cases.

Disability living allowance: to pay the correct amount in at least 96 per cent. of cases.

Retirement pension: to pay the correct amount in at least 99 per cent. of cases.

3. CUSTOMERS SATISFACTION (b)

90 per cent. of customers to regard the agency's service as satisfactory or better.

4. FINANCIAL RECOVERY

  • Recovery of social fund loans—£16·1 million.
  • Recovery of income support overpayments—£1·2 million.
  • Recovery of centralized benefits overpayments—£0·18 million.
  • Benefit savings from detection and prevention of fraud—£10·8 million.
  • Increase number of contribution surveys to 6,000—including 1,400 employer educational visits.
  • Increase class 1 identified from survey—arrears and in-year savings—to £0·38 million.

5. RESOURCE MANAGEMENT

To live within a gross allocation of £28·5 million for social fund loans and community care grants.

To live within the agency's gross administration budget of £119·5 million, of which £113·6 million relates to running costs. A cash efficiency saving of £2·8 million—2·7 per cent.—has been deducted from the running costs—excluding Benefits Agency work.

Notes:

(a). Clearance times normally cover the period from the date of receipt of the claim in the agency to the formal decision by the adjudication officer or equivalent. Notification of the result is normally issued the following day. All days refer to working days.

(b) The customer satisfaction target covers a two-year period and will be measured by an independent survey in 1994–95.

Hospital Opthalmic Departments

To ask the Secretary of State for Northern Ireland what guidelines are given to health and social services boards for keeping and collating statistics in hospital ophthalmic departments; and what data from hospital ophthalmic departments boards are required to collate.

The same data are collected for the specialty of ophthalmology as for all other hospital specialties. Details of the forms and how to complete them are given in the guidance manual for Korner central requirements for hospital services. This is supported by a data dictionary which lists the standard definitions to be used throughout Northern Ireland. In addition, anonymised records of patients' diagnoses and any operative procedures carried out are also collected for analysis centrally.

To ask the Secretary of State for Northern Ireland what is the average cost of a visit to a hospital ophthalmic out-patient department.

To ask the Secretary of State for Northern Ireland how many referrals from general practitioners and optometrists to hospital ophthalmology out-patients clinics there have been since 1985.

This information is not available in the form requested. The total number of referrals to hospital ophthalmology out-patient clinics in Northern Ireland since 1985 is as follows:

Year

Number

198519,268
198619,449
198718,786
1988–8918,306
1989–9019,106
1990–9119,872
1991–9220,668
1992–9321,832

Director Of Public Health

To ask the Secretary of State for Northern Ireland (1) if the Eastern Health and social services board intends to re-advertise the post of director of public health;(2) when the Eastern health and social services board expects a permanent director of public health to take up the post.

The vacant post of director of public health, Eastern health and social services board, was advertised in March 1993. A number of candidates were shortlisted for the post, but following interviews the board did not make an appointment.The board intends to readvertise the post and, in the meantime, an effective acting-up arrangement is in place.

Armagh Health Centre

To ask the Secretary of State for Northern Ireland what plans there are to sell the health centre in Armagh; what plans he has for the property to be advertised for sale to the public; and if he will make a statement on the procedures which apply to the sale of publicly owned properties.

The general medical practitioners working in Armagh health centre have expressed an interest in buying the premises. The proposal is being considered by the Southern health and social services board and is subject to approval by the Department of Health and Social Services. If the proposal is approved the premises would be sold at a price advised by the district valuer.A sale in these circumstances would result in a change of ownership but a continuation of the general medical services currently provided from the health centre. The sale would not therefore be advertised on the open market, nor would it be subject to the normal policy and procedural guidelines for dealing with the disposal of surplus Government land which are contained in DOE (NI) lands service circular No. LSC/1/91. A copy of the said circular has been placed in the Library.

Small Businesses

To ask the Secretary of State for Northern Ireland if he will make a statement on the achievements of (a) his policies and (b) his Department in helping small businesses over the last 12 months as against the previous 12 months; and if he will publish the performance indicators by which his Department monitors those achievements and the statistical results of such monitoring.

The Government continue to place a high priority on helping small businesses in Northern Ireland, through improvements to the business climate, through deregulation and through specific programmes of support and assistance. Economic development strategy focuses on assisting companies to develop their growth potential and competitiveness and is implemented through the Industrial Development Board (IDB) and the Local Enterprise Development Unit (LEDU)Each year, IDB and LEDU set challenging targets and measure performance against both these and performance in the previous year.LEDU had a successful year in 1992–93 with a significant rise in activity levels across its range of programmes, including 3,716 individuals receiving enterprise training against a target of 3,000, and 1,429 new business start-ups against a target of 1,215.During 1992–93 there was a net increase of employment of 1,020 in LEDU client companies; this represents a significant reversal of the previous years results which showed a net decrease in employment of 650.Overall, 1992–93 was also a year of substantial achievement for the IDB when viewed against a background of recession at home and overseas. It was a successful year for inward investment, with 10 projects offering almost 2,000 new jobs having been attracted to Northern Ireland. Companies already based in Northern Ireland, many of them employing fewer than 200 people, have been winning business in the highly competitive international marketplace. Achieving and maintaining international competitiveness is promoted by the IDB as the most important objective which companies should strive towards if they are to survive and grow.

Industrial Development Board

To ask the Secretary of State for Northern Ireland what steps the IDB has taken following the report by the Comptroller and Auditor General for Northern Ireland into the selective financial assistance criteria employed by the IDB to improve the assessment of the employment potential of projects.

The Comptroller and Auditor General for Northern Ireland reported to the House of Commons earlier this year on the application by the Industrial Development Board of its selective financial assistance criteria. This report was the basis of an examination by the Committee of Public Accounts which published its report, containing a number of recommendations, on 22 July 1993. A formal memorandum of reply to the Committee's report will be issued by the Department of Finance and Personnel in early autumn.

To ask the Secretary of State for Northern Ireland what assessment he has made of the implementation of the Industrial Development Board's forward strategy for 1991 to 1993; and if he will make a statement.

The Industrial Development Board has reported on the implementation of forward strategy in its annual reports for 1990–91 and 1991–92. A further update will be given in the report of 1992–93 to appear in the autumn. IDB officials report to me on their activities and I have regular meetings with the board's chairman. The board's activities are subject to regular policy evaluation and review.

Housing

To ask the Secretary of State for Northern Ireland what comparative assessments have been made between housing associations and the Housing Executive with regard to the value for money in the administration, management and development costs of the different organisations.

It is not possible to draw meaningful comparisons of relative value for money between the Housing Executive and housing associations because of the differences in the scale of their operations, in the housing needs which they seek to meet and in age and type of their housing stock. However, work is continuing to develop valid comparisons of management, maintenance and capital costs. A recent assessment of the value for money in new housing schemes confirms that in general both the Housing Executive and housing associations provide value for money.

To ask the Secretary of State for Northern Ireland what provision for move-on accommodation has been made by the Housing Executive for the years 1993–94, 1994–95 and 1995–96.

I have been advised by the chairman of the Housing Executive that it does not make specific provision for move-on accommodation.

Selective financial assistance offers
£000
Industrial Development BoardLocal Enterprise Development Unit
YearSouth DownNorthern IrelandDown, Banbridge and Newry and MourneNorthern Ireland
1981–82n.a.n.a.1,0245,545
1982–83162144,0001,1789,027
1983–842,98580,0001,37513,549
1984–856,625133,0001,53418,027
1985–864,30772,0002,19721,759
1986–871,522109,0002,24118,890
1987–8881197,0002,56318,200
1988–894,870107,0003,08026,004
1989–9061093,00088721,668
1990–911,41582,0002,49822,936
1991–9230064,0001,52020,014
1From 1 September 1982.

Contracting Out

To ask the Secretary of State for Northern Ireland if he will list all those services or functions contracted out in his Department and agencies, since November 1991, in which the Transfer of Undertakings (Protection of Employment) Regulations 1981 were not applied.

Whether or not the Transfer of Undertakings (Protection of Employment) Regulations apply in any particular case will depend on the nature of the work awarded and the contractors' own proposals for carrying it out. The services or functions which have been contracted out in Northern Ireland Departments and the Northern Ireland Office and their agencies, since November 1991, and in which the regulations were not applied, are as follows:

  • Building maintenance
  • Catering
  • Cleaning

The executive does however provide financial assistance to a number of voluntary agencies working in the homelessness field which provide counselling and resettlement programmes as part of their overall accommodation service. This assistance will amount to approximately £350,000 in 1993–94.

Selective Financial Assistance

To ask the Secretary of State for Northern Ireland what amounts of selective financial assistance were allocated to industrial enterprises in the constituency of South Down from 1 April 1981 to 31 March 1992; and what were the total amounts of selective financial assistance allocated in each year in Northern Ireland.

Information on selective financial assistance offers made by the Industrial Development Board to companies in the South Down constituency is available only from 1 September 1982, when the board was set up. Information on selective financial assistance offers made by the Local Enterprise Development Unit is available only by district council area.The table sets out the information available.

  • Computer system
  • Courier system
  • Data processing
  • Facilities management
  • Grounds maintenance
  • Gully emptying
  • IT products and services
  • Messengers/porterage
  • Painting and decorating
  • Receptionists/telephonists
  • Roads reinstatement
  • Security
  • Sewer maintenance
  • Sludge tinkering
  • Stores
  • Support typing
  • Verge maintenance

Renewable Energy

To ask the Secretary of State for Northern Ireland (1) if he will publish details of activity in Northern Ireland designed to promote renewable energy sources;

(2) if he will make an announcement on future non-fossil fuel obligation policy for Northern Ireland.

A study, jointly commissioned by Northern Ireland Electricity plc (NIE) and the Department of Economic Development, into the potential for renewable energy has concluded that there are a number of promising renewable technologies for commercial development in Northern Ireland.On the basis of the study's findings, and having regard to the Government's commitment to the promotion of commercially viable renewable technologies, I intend to make a non-fossil fuel obligation order next year under article 35 of the Electricity (Northern Ireland) Order 1992, requiring NIE to secure the availability of up to 15 MW of power from renewable sources. The size of the order and the technologies included within it, will be determined by the bids received by NIE, having regard to the need for diversity of technologies and the impact on costs to electricity consumers.Accordingly, NIE will today be inviting bids from developers and will be announcing details of the arrangements for the processing of such bids.I envisage further non-fossil fuel obligation orders being made in future years with the aim of achieving a target of about 45 MW of renewable plant in Northern Ireland by the year 2005.

Disability Allowances (Women)

To ask the Secretary of State for Northern Ireland how many women who qualify for severe disablement allowance and invalid care allowance will receive their full entitlement following the decision of the European Court of Justice on 30 March in case C328/91; when they will receive payments; if the payment of arrears will extend beyond 12 months from the date of claim; and if he will make a statement.

Responsibility for the subject in question has been delegated to the Social Security Agency under its chief executive, Mr. Alec Wylie. I have asked him to arrange for a reply to be given.

Letter from A. Wylie to Dr. Norman A. Godman, dated 22 July 1993:

As I am responsible for Social Security operational matters, your recent Parliamentary Question about the effect of the European Court of Justice decision in case C328/91 as regards the entitlement of women to Severe Disablement Allowance (SDA) and Invalid Care Allowance (ICA) has been passed to me for reply.
Information about the number of women whose entitlement to these benefits falls within the scope of this decision is not readily available and could only be obtained at disproportionate cost. However, all such claims received after August 1988 have been adjudicated on and, where appropriate, payment made in accordance with normal rules and time limits. A decision regarding the payment of arrears beyond the normal time limit of 12 months is still awaited in separate cases currently before the European Court.
I hope this is helpful. A copy of this reply will appear in the official report and copies will be placed in the Library.

Paediatrics

To ask the Secretary of State for Northern Ireland how many vacant posts of consultant paediatricians and senior registrars specializing in paediatrics have been notified in each of the past five years; on average how long it takes to fill such posts; and if he will make a statement.

The information is as follows, at September in each year:

Vacant posts
Consultant paediatriciansSenior registrars
198831
198931
199030
199100
199212
On average, from notification of vacancies, it takes three months to advertise and select successful candidates.

To ask the Secretary of State for Northern Ireland how many consultant paediatricians and senior registrars are currently in post.

There are currently 26 consultant paediatricians and 11 senior registrars employed in the health and personal social services in Northern Ireland.

To ask the Secretary of State for Northern Ireland how many (a) consultant paediatricians and (b) senior registrars currently employed were trained in (i) Northern Ireland, (ii) elsewhere in the United Kingdom, (iii) other European Community countries and (iv) countries outwith the EC.

The information sought is not available centrally and could be obtained only at disproportionate cost.

Concessionary Travel

To ask the Secretary of State for Northern Ireland what information he has concerning the denial of concessionary travel privileges and related concessions to those persons aged 60 years or more who are in receipt of invalidity benefit; and if he will make a statement.

The concessionary fare scheme, which is administered by the Department of the Environment for Northern Ireland, is not linked to the receipt of invalidity benefit.

Inward Investment

To ask the Secretary of State for Northern Ireland how many recorded visits were made by industrialists in connection with potential inward investment to each district council area in Northern Ireland from 1 April 1992 to 31 March 1993; and of these how many were repeat visits.

Details of recorded first and repeat visits by industrialists to each district council area in Northern Ireland are set out in the table.

1992–93 Visits by District Council Area
District CouncilFirst visitsRepeat visits
Antrim1721
Ards23
Armagh21

District Council

First visits

Repeat visits

Ballymena12
Ballymoney31
Banbridge
Belfast5586
Carrickfergus43
Castlereagh62
Coleraine13
Cookstown1
Craigavon78
Derry716
Down51
Dungannon12
Fermanagh22
Larne23
Limavady2
Lisburn56
Magherafelt1
Moyle1
Newry and Mourne46
Newtownabbey1812
North Down61
Omagh1
Strabane
Total151182

Attorney-General

Asil Nadir

To ask the Attorney-General, (1) pursuant to his oral statement of 30 June, Official Report, column 967, when he concluded that there was no credible evidence implicating the judge in the case of Regina v. Nadir and Turner in a conspiracy;(2) when he expects the police investigation under the direction of the Director of Public Prosecutions into the alleged conspiracy to bribe Mr. Justice Tucker to be completed; and if he will make a statement;(3) when he first learned of the allegation that the judge in the case of Regina v. Nadir and Turner was involved in a conspiracy to pervert the course of justice;(4) when he reviewed the evidence relating to allegations of involvement by the judges in the case of Regina

v. Nadir and Turner in a conspiracy to pervert the course of justice.

The director of the Serious Fraud Office was informed on 1 October 1992 that the Metropolitan police had commenced an investigation into an alleged plot to bribe the trial judge in the Polly Peck case. I was informed of the position during the week commencing 5 October. The investigation continues and its management is an operational matter for the Commissioner of Police of the Metropolis. I cannot say when it will be completed.The evidence gathered during the investigation will be submitted to the Crown Prosecution Service at its conclusion. The information that no credible evidence had been revealed implicating the judge was confirmed in response to a specific inquiry initiated by me to the Director of Public Prosecutions in the light of speculation and concern caused by the statement made by the hon. Member himself on 29 June.

Jason Georgiou

To ask the Attorney-General if he will list the previous convictions of Paul Smith, a prosecution witness in the case of Jason Georgiou; and in how many other cases he has been a prosecution witness.

No. Background information of this nature relating to prosecution witnesses is provided to the Crown Prosecution Service solely for use in the course of criminal proceedings.

To ask the Attorney-General if he will outline the evidence which led the Crown Prosecution Service to charge Jason Georgiou with conspiracy to murder; and why the case was dropped.

No. It is my practice not to give detailed reasons in relation to decisions to prosecute. The Crown Prosecution Service was satisfied that the evidence available at the outset of proceedings was sufficient to provide a realistic prospect of conviction.The case against Jason Georgiou and three of his co-defendants was dropped because the principal prosecution witness proved unwilling to give evidence at the trial.

Overseas Development Administration

World Bank

To ask the Secretary of State for Foreign and Commonwealth Affairs what proportion of the British contribution to the World Bank group is used (a) for projects that directly benefit the poorest people in developing countries and (b) to help to meet the goals established at the world summit for children.

United Kingdom contributions are used to support the overall operations of the World bank. The proportion which can be attributed to projects of this kind cannot readily be estimated.World bank lending for human resources development has increased almost fivefold since the early 1980s to 14 per cent. of total lending in fiscal years 1990–92, and in particular is focusing on basic social services, including primary health care and education. In fiscal year 1992, the bank estimates that 14 per cent. of new lending was for projects targeted at the poor. A second, equally important, component of the bank's poverty reduction strategy is the promotion of broadly-based economic growth which generates income-earning opportunities for the poor.

European Bank For Reconstruction And Development

To ask the Secretary of State for Foreign and Commonwealth Affairs what opinions have been expressed by the Government to senior officials of the European bank for reconstruction and development on the bank's financial problems.

In discussion with the EBRD senior officials and fellow members, we have consistently emphasised that the bank—like any other public sector organization—has a duty to use the tax payer's resources as cost effectively as possible. We have welcomed the findings of the recently published report of the bank's audit committee, which makes a number of proposals to strengthen financial procedures and controls. The bank's financial position remains strong—it made a small operating profit in 1992.

Structural Adjustment Programmes

To ask the Secretary of State for Foreign and Commonwealth Affairs, pursuant to his answer of 1 March, Official Report, column 23, what is the proportion of total United Kingdom aid which goes to each of the countries which are currently implementing a World bank or International Monetary Fund structural adjustment programme.

The information requested for the countries listed in my earlier answer is contained in the table.

United Kingdom bilateral aid in 1991–92 to countries implementing IMF/ World Bank—supported adustment programmes.
CountryAid in £'000Percentage of total gross bilateral aid
Algeria3360·03
Bangladesh57,7315·35
Bolivia3,9510·37
Brazil2,7100·25
Colombia3,7890·35
Cote d' Ivoire5,3580·50
Egypt13,4061·24
Ethiopia19,0991·77
Gambia, The5,8120·54
Ghana44,7164·14
Guyana5,8110·54
Honduras1,4680·14
India136,38612·63
Jamaica7,5110·70
Jordan3,1220·29
Kenya37,9873·52
Lesotho6,4530·60
Malawi23,1532·14
Morocco2,0290·19
Mozambique18,0871·68
Nepal16,6641·54
Nicaragua2060·02
Pakistan37,2393·45
Philippines7,3570·68
Senegal1,5600·14
Sierra Leone2,2750·21
Sri Lanka11,2491·04
Tanzania32,4543·01
Uganda26,9602·50
Zambia34,4253·19
Zimbabwe47,6714·42
Total: Developing countries616,97557·14
United Kingdom contributions to multilateral institutions 1982–1991
(£'000)
1982198319841985198619871988198919901991
IBRD1,60028,1463,76426,88820,1686,56112,64610,25511,782
IDA153,481203,860169,218124,438118,557133,000207,000169,500173,000188,866
IFC8,1774,1293,5583,728250430
MIGA3,098
IMF2301059228,62617,060463,189
AfDB2,2042,2042,2042,3132,3103291,7061,8391,936
AfDF3,7502,4528,4422,9558,0967,2176,3745,34111,23210,265
AsDB1,3941,4241,3341,5247751,172703703706
AsDF4,3994,3217,88214,19012,38410,72913,04519,77516,50419,054

Country

Aid in £'000

Percentage of bilateral assistance to central and eastern Europe

Bulgaria11492·15
Czech and Slovak Federal Rep.701313·14
Hungary631511·83
Poland1073420·11
Total: Central and Eastern Europe2521147·23

Source: British Aid Statistics 1987–88 to 1991–92

Russia

To ask the Secretary of State For Foreign and Commonwealth Affairs what proportion of aid to Russia goes in the form of British manufactured goods and how much in direct cash payments; and if he will make a statement.

We make no direct cash payments to Russia under the British bilateral aid programme; nor do we deliver aid in the form of British manufactured goods. The know-how fund transfers key British skills through technical co-operation projects.

Development Institutions

To ask the Secretary of State for Foreign and Commonwealth Affairs if he will provide a table setting out, for each year since 1982, the total contribution made by Her Majesty's Government to each of the International Bank for Reconstruction and Development, the International Development Association, the International Finance Corporation, the Multilateral Investment Guarantee Agency, the International Monetary Fund, the Inter-American Development bank, the African Development bank and the Asian Development bank; and, in each case, what Her Majesty's Government's contribution represents as a percentage of the annual income and expenditure of each institution.

The table sets out United Kingdom contributions to each of the institutions. United Kingdom shareholdings in most of the institutions are determined at the time of periodic capital increases or of replenishments of concessional funds. In the case of the International Monetary Fund, the United Kingdom's stakeholding is determined by its quota, which is effectively a loan remunerated at a market-related interest rate. Multilateral development bank operations are funded mainly by borrowings on the international capital markets. Expressing contributions as a percentage of annual income and expenditure is of marginal utility, therefore, and could be provided only at disproportionate cost.

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

IADB6796671,1951,5851,7931,8691,4911,281774503
IADB:FSO4,5854,1107,31611,6669,6895,3463,0011,0201,401

Notes:

1. The IMF figures shown are for United Kingdom contributions to various facilities, including, from 1988 on, the enhanced structural adjustment facility (ESAF) interest subsidy account.

In common with other members, the United Kingdom's principal contribution to the IMF is in the form of a loan, the "quota", on which is paid a market-related rate of interest. As part of the 1983 general quota increase, the United Kingdom increased its loan by SDR 1,806·5 million. As part of the 1992 general quota increase, the United Kingdom increased its loan by a further SDR 1,220·6 million. At the current rate of exchange between the £ and SDR, these amounts are equivalent to approximately £1·7 billion and £1·1 billion respectively.

2. Acronyms

IBRD: International Bank for Reconstruction and Development ("World Bank"); IDA: International Development Association; IFC: International Finance Corporation; MIGA: Multilateral Investment Guarantee Agency; IMF: International Monetary Fund; AfDB: African Development Bank; AfDF: African Development Fund; AsDB: Asian Development Bank; AsDF: Asian Development Fund; IADB: Inter-American Development Bank; IADB FSO: IADB Fund for Special Operations.

Health

Nhs Trusts

To ask the Secretary of State for Health if she will list the names and occupations of the chairs and non-executive directors of each national health service trust in each regional health authority other than the Wessex and Northern regions.

I refer the hon. Member to my reply to the hon. Member for Knowsley, North (Mr. Howarth) on 20 July at column 121.

Generic Drugs

To ask the Secretary of State for Health if she will estimate the savings obtainable if all drugs were prescribed generically.

Formal admissions to NHS facilities, Private Nursing Homes (authorised to detain patients under the Registered Homes Act 1984) and Special Hospitals of patients detained under the Mental Health Act 1983 and other legislation, by legal status England 1985–1989–90
EnglandNumbers
Legal statusNumbers (a)
198519861987–881988–891989–90
MalesFemalesMalesFemalesMalesFemalesMalesFemalesMalesFemales
Total formal admissions (d)8,1539,1347,9048,7928,0048,7738,2478,9938,6148,698
Under Mental Health Act 1983: Non-offenders
2 (assessment, with or without treatment)3,1214,7803,4164,9713,7165,1514,0475,4684,3015,233
3 (to hospital for treatment)9431,1619021,0751,1931,3491,3221,5351,4371,580
4 (for assessment in emergency)1,5251,9391,2051,5819451,2518851,1458261,042
5(2) (power to hold informal patient already in hospital)130137129148............
Mentally disordered offenders
35 (remanded to hospital for report)1143215843188462405923054
36 (remanded to hospital for treatment)285267317281335
37(4)(convicted person detained in a place of safety pending admission to hospital)........621859256818
37 (convicted person sent to hospital for treatment with S.41 restrictions) (b)1572215020230451754119441

An estimate, based on prescribing statistics for 1992 in England, suggests that savings of up to £80 million could have been achieved if all drugs which could have been dispensed in the generic form had been prescribed generically.

Psychiatric Care

To ask the Secretary of State for Health how many (a) woman, (b) men and (c) people from an ethnic minority were sectioned by section, under the mental Health Acts; and how many admissions there have been in each of the last five years.

This information is not available centrally. Information on the number of admissions by gender and sections of the 1983 Mental Health Acts and other Acts is shown in the table.

Legal status

Numbers (a)

1985

1986

1987–88

1988–89

1989–90

Males

Females

Males

Females

Males

Females

Males

Females

Males

Females

37 (convicted person sent to hospital for treatment without S.41 restrictions)64612764013140310640472516101
38 (interim hospital order)331234643115585912
44 (patient committed to hospital pending Crown Court hearing for restriction order)........112
46 (detained during Her Majesty's pleasure)2113
47 and 48 (prisoner transferred to hospital with S.49 restrictions)2052744711768996
47 and 48 (prisoner transferred to hospital without S.49 restrictions)461371114485610417
Place of safety orders
135 (warrant to remove to a place of safety)80565857223633503547
136 (removal by police from a public place to a place of safety)1,070763867656742533670492562473
Previous legislation (Fifth Schedule)341930225311
Other Acts (c)231110614816030394847

Notes:

(a) Figures for 1985–86 were collected by the mental health inquiry from all mental illness. mental handicap hospitals and units and were based on calendar years. Figures from 1987–88 refer to the financial year and were collected on form KH15 from NHS facilities. Data for special hospitals are also on a calendar year basis for 1985–89.

(b) These figures for 1985–1986 include section 37(4)

(c) "Other Acts" includes Criminal Procedure (Insanity) Act 1964, section 47 of the National Assistance Act 1948, sections 1, 2 or 12 of the Children and Young Persons Act 1969 and section 3 of the Powers of Criminal Courts Act 1973.

(d) Data for special hospitals by sex are only included in the total number of formal admissions.

—nil or negligible.

.. not collected.

. not available.

To ask the Secretary of State for Health when she now expects to publish the Reed committee report on high security psychiatric care.

To ask the Secretary of State for Health when she expects to complete the review of funding for those people needing psychiatric care; and if she will make a statement.

Conclusions following our review of legal powers on the care of mentally ill people in the community will be announced shortly.

Wandsworth (Operations)

To ask the Secretary of State for Health what has been the number of operating theatre sessions held and cancelled in the Wandsworth health authority in each of the last three years.

The information is shown in the table.

Scheduled sessions—all specialties
YearNumber
Held
19907,842
19917,057

Year

Number

19927,776

Cancelled

1990492
1991545
1992733

Novel Surgical Procedures

To ask the Secretary of State for Health what account will be taken in the budget of the NHS central research and development committee standing group on health technology of its new function in reviewing and regulating novel surgical procedures.

Following the Advisory Council on Science and Technology report on medical research and health, the central research and development committee standing group on health technology has been asked to advise on a strategy to achieve appropriate control and monitoring of new surgical procedures, taking account of the roles and responsibilities of health professionals, their professional bodies, and local and central management in the reformed national health service. Until a mechanism is identified and agreed, it is not possible to estimate the resources that may be required to support the work of the steering group and its advisory panels or to fund the research it recommends.

To ask the Secretary of State for Health what powers the NHS central research and development committee standing group on health technology will have to control the introduction and dissemination of novel surgical procedures.

The standing group on health technology will advise on new technologies where, because of their potential risk, cost, ethical implications or other relevant factors, there is a particular need to control diffusion until more information is available. The management executive of the national health service is currently considering how diffusion of such technologies can best be controlled. Following the Advisory Council on Science and Technology report on medical research and health, the central research and development committee standing group on health technology has been asked to advise on a strategy to achieve appropriate control and monitoring of new surgical procedures, taking account of the roles and responsibilities of health professionals, their professional bodies, and local and central management in the reformed NHS.

Midwives

To ask the Secretary of State for Health if she will give the number of midwifery staff whole-time equivalents in each of the last five years.

The information is shown in the table.

YearMidwifery staff
198723,300
198823,310
198922,940
199023,770
199123,040

Notes:

Figures for England, as of 30 September and are quoted in whole-time equivalents.

Figures are rounded to the nearest 10.

Figures include hospital and community midwives, senior nurses/midwives and directors of nursing services working within midwifery, and student midwives.

London Family Health Service Authorities

To ask the Secretary of State for Health what were the allocations for staff premises and computing for each family health services authority in the area covered by the London implementation group for 1992–93 and 1993–94.

The information is not available centrally. Allocations for staff, premises and computing for individual family health services authorities within the London initiative zone are determined by the relevant regional health authority in accordance with its assessment of local needs and priorities.

To ask the Secretary of State for Health what were the total development moneys allocated for 1992 and 1993–94 to each FHSA covered by the London implementation group and provided for in "Making London Better".

Allocations of development monies to family health services authorities are determined by the regional health authorities in accordance with their assessment of priorities for the improvement of primary health care services.

Qa Business Services

To ask the Secretary of State for Health if her Department was consulted by West Midlands regional health authority in 1989 on (a) the content of the Wraith and Casey market research report into the potential west midlands customer base for Qa Business Services and (b) the West Midlands regional health authority's own estimates of potential redundancies in the management services division consequent upon its privatisation.

To ask the Secretary of State for Health (1) what further consideration her Department will give to making available financial assistance to the ex-employees of Qa Business Services on the lines of those given to civil servants transferred to TICC Ltd. on the privatisation of the Skills Training Agency;(2) what representations her Department has received regarding the announcement by West Midlands regional health authority on 15 July that it had no legal or moral responsibility to provide financial compensation to the ex-employees of Qa Business Services; and if she will make a statement.

We regret that individuals have experienced financial loss following the collapse of Qa Business Services Ltd. in 1991. West Midlands regional health authority has examined the issue carefully; they have met with a group of former Qa employees on several occasions and invited them to submit any information they held which could substantiate a claim for compensation. After a full and exhaustive review of this evidence, West Midlands regional health authority concluded on the 15 July 1993 that, on present evidence, there was insufficient grounds for the regional health authority to accept responsibility for making compensatory payments. We have been kept fully informed on this issue and on the basis of the evidence available to us at this time we have accepted the region's conclusion. We have recieved no representations on this issue since 15 July.

To ask the Secretary of State for Health what information her Department held on the future commercial viability of Qa Business Services when it announced that Qa Business Services had been given the waiting list initiative contract on 27 February 1991.

This contract was awarded to Qa Business Services on the basis of its previous work for the Department on the management of waiting lists.

West Midlands Rha

To ask the Secretary of State for Health what representations her Department received from the legal department of West Midlands regional health authority in November 1991 concerning the sale of the regional health authority's management services division.

We are not aware that the Department received any such representations in November 1991.

To ask the Secretary of State for Health what information her Department has on whether the actions and decisions taken by West Midlands regional health authority officers in pursuit of the privatisation of the regional health authority's management services division were fully documented; and whether proper reporting procedures were fully adhered to.

Information of this nature is provided through the statutory audit process. The management buy-out of the region's management information services division was covered in the district auditor's report of 15 April 1993. A copy of this report was sent to the Department.

Diabetic Eye Disease

To ask the Secretary of State for Health if she will make it her policy that all diabetics are screened annually for diabetic eye disease.

Since 1 July this year general practitioners will receive separate fixed payments for organising a programme of chronic disease management either for diabetes or asthma. Practices choosing to participate are required to ensure that on initial diagnosis and at least annually a full review of the patient's health is carried out including checks for potential complications. A joint Department of Health/British Diabetic Association task force on diabetes has been established to consider all aspects of the St. Vincent recommendations and will be considering what, if any, further advice should be offered on screening for diabetic retinopathy.

Staff Pensions

To ask the Secretary of State for Health what specific guidance her Department issues to regional and district health authorities on the protection of pension rights of staff transferred to employment in the private sector; and whether such guidance includes reference to the consideration of the consequences upon newly founded company pension schemes of the early collapse of companies.

Advice has been issued to all national health service employers about overall terms and conditions of employment, including pensions, when an undertaking is transferred. NHS employers are also asked to issue to all staff leaving the NHS pension scheme, a leaflet which explains the pensions options open to them. This leaflet advises staff to think carefully before making any decision affecting their pension rights and, if unsure, to seek independent financial advice. A copy of "NHS Pension Scheme—Leaving the Scheme" will be placed in the Library.

Children's Homes

To ask the Secretary of State for Health what plans she has to publish new guidelines concerning the management of difficult children in residential care homes.

On 28 April 1993 the Department published guidance on permissible forms of control in children's residential care, which is available in the Library. In addition, we have commissioned the Open university to produce a catalogue of training material for staff who have to deal with difficult adolescents.

Hearing Aids

To ask the Secretary of State for Health how many hearing aids were supplied (a) by the NHS and (b) privately in each year for the past 10 years (i) in total and (ii) to people aged over 64 years.

The number of hearing aids issued to national health service hearing aid centres since 1984 is shown in the table. No data are available prior to 1984 or on private provision.

Number of hearing aids issued to NHS hearing aid centres 1984–93
Number
1984–85601,203
1985–86595,676
1986–87640,949
1987–88694,731
1988–89628,470
1989–90626,065
1990–91591,468
1991–92591,049
1992–93591,228

Counterfeit Medicines

To ask the Secretary of State for Health what information her Department has concerning (a) the current state of progress of the proposed EC directive on the distance selling of medicines and (b) the extent of the trade in the United Kingdom and the EC in counterfeit and reimported medicines.

A European Commission proposal for a directive on distance selling is under discussion in Brussels. A first reading of the Commission's proposal has been completed. The European Parliament has recently submitted its opinion on the proposal. The Commission is now revising the text of the proposal to take account of that opinion and of the views of member states. It is expected the discussions of the revised text will begin in Brussels in September.There has been one instance of a fake medicinal product in the last 12 months in the United Kingdom which was intercepted before it reached the public. Records are not maintained of medicinal products legitimately reimported.

To ask the Secretary of State for Health where the counterfeit medicines discovered in the United Kingdom during the last three years were produced.

Three instances of fake medicines have been discovered in the last three years. Production sources were never proven but investigators believed that the products came from a variety of sources.

To ask the Secretary of State for Health what measures her Department is taking to ensure that counterfeit and copycat versions of British medicines illicitly produced in Northern Cyprus are not reaching the NHS market.

Any report of alleged counterfeit or copycat version of British medicines illicitly produced in northern Cyprus reaching the national health service market would be immediately investigated by the Medicines Control Agency. In addition, the agency undertakes regular inspections of wholesale distribution and independently samples a range of products available to the public. Both inspection and sampling procedures include mechanisms to identify possible suspect products.

The ask the Secretary of State for Health what support the United Kingdom Government have given to the World Health Organisation campaign against counterfeit medicines.

The United Kingdom Government are in regular contact with World Health Organisation (WHO) and actively support its campaign against counterfeit medicines. The United Kingdom has been at the forefront in assisting WHO with the development of a unified scheme for the certification of medicinal products which are traded internationally. The Medicines Control Agency shares with WHO its own experiences and strategies gained from investigations into counterfeit medicines.

Data Processing

To ask the Secretary of State for Health if she will list the numbers of staff by grade that are employed in her Department and agencies in the automatic data processing functional specialism.

The information at 24 May is as follows:

Number
Administrative Assistants6
Administrative Officers17
Executive Officers81
Higher Executive Officers58
Senior Executive Officers30
Senior Principal Technical Officers2
Unified Grade 7s29
TOTAL223

Contracting Out

To ask the Secretary of State for Health if she will list all those services or functions contracted out in her Department and agencies, since November 1991, in which the Transfer of Undertakings (Protection of Employment) Regulations 1981 were not applied.

Whether or not the Transfer of Undertakings (Protection of Employment) Regulations (TUPE) applies in any particular case will depend on the specification for the work to be carried out and the contractor's own proposals for meeting the specification. Since November 1991, the following services and functions have been contracted out as a result of market testing, and have not been affected by TUPE:

Department of Health

  • Office and building services, Quarry house
  • Catering and building services, Skipton house
  • The health survey for England

National Health Service Estates Agency

  • Clerical and secretarial support services

Geriatric Beds

To ask the Secretary of State for Health what has been the number of long-stay geriatric beds in England in total and by health authority each year from 1985; and if she will make a statement.

Information collected by the Department on numbers of geriatric beds does not separately identify those used for continuing care.

Racial Discrimination

To ask the Secretary of State for Health how many NHS employees or applicants for employment have won actions or had their actions settled in their favour for racial discrimination in selection or dismissal in the NHS in each of the last five years; and if she will make a statement.

Nhs Trusts Federation

To ask the Secretary of State for Health how much money the NHS Trusts Federation receives (a) from her Department and (b) from NHS trusts.

The National Health Service Trusts Federation does not receive funding from the Department. Subscriptions from NHS trusts are a matter for the NHS Trusts Federation.

Water Disconnections

To ask the Secretary of State for Health what studies she has commissioned into the health consequences for families of having their water supplies disconnected; and if she will make a statement.

Surgical Operations

To ask the Secretary of State for Health what percentage of surgical operations were carried out outside normal working hours in each of the last five years.

The number of surgical operations carried out outside normal working hours is not available centrally. The table shows the percentage of operations performed outside scheduled sessions—ie notional half days, usually within the working day, Monday to Friday.

YearPercentage of operations outside scheduled sessions
1987–8816·3
1988–8916·2
1989–9016·2
1990–9116·7
1991–9216·0

Source: KHO8

Young People

To ask the Secretary of State for Health how many complaints have been made by or on behalf of children and young people under the provision of the National Health Service (Service Committees and Tribunals) Regulations 1974 in each year since 1985.

To ask the Secretary of State for Health how many complaints from children have been received to date by each social services department in England under section 26 of the Children Act 1989.

The first report to Parliament of the working of the Children Act 1989, a copy of which is available in the Library shows that, at 30 June 1992, 3,810 complaints in total had been received of which 542 were from children. Information is not available centrally by local authority.

Creutzfeldt-Jakob Disease

To ask the Secretary of State for Health how many people have been identified as having contracted Creutzfeldt-Jakob disease according to the most recently available figures; and if she will make a statement.

Figures are contained in the second annual report on Creutzfeldt-Jakob disease (CJD) in the United Kingdom produced by Dr. R. G. Will and colleagues from the national CJD surveillance unit, Edinburgh. The table shows definite and probable cases of CJD notified to the unit during the first three years of the prospective study:

Definite and probable cases of CJD in the United Kingdom
Number
1 May 1990 to 30 April 199132
1 May 1991 to 30 April 199237
1 May 1992 to 30 April 199348
The figures for 1990–91 and 1991–92 update those in the first annual report.Although there has been a rise in the annual incidence of cases of CJD notified to the unit, the report concludes that this is not statistically significant and is likely to be related to increased ascertainment of cases. The report also confirms that there has been no significant change in the epidemiological or clinical characteristics of CJD since the occurrence of bovine spongiform encephalopathy (BSE). A preliminary analysis of dietary history provides no convincing evidence of an increase in incidence of CJD in relation to possible dietary exposure to BSE. It will, however, be necessary to continue the study into the incidence of CJD for a decade or more to detect any change in the pattern of the disease.Copies of the report have been placed in the Library.

Anthrax Vaccine

To ask the Secretary of State for Health how many locations are licensed for the (a) manufacture and (b) storage of anthrax vaccine.

Two sites in England are licensed for the manufacture of anthrax vaccine and five sites for its storage.

To ask the Secretary of State for Health what research she has commenced into side effects of the administration of (a) anthrax vaccine and (b) penicillin-resistant anthrax vaccine; and what were the results.

Anthrax vaccine is a licensed product in accordance with the Medicines Act 1968. As with all licensed medicinal products, administering physicians are expected to report all serious suspected adverse reactions to the Committee on the Safety of Medicines, using the "yellow card" system. Such reports are carefully scrutinised and followed up where necessary. Penicillin resistance or sensitivity of an infecting organism is not related to vaccine composition.

Centre For Applied Microbiological Research

To ask the Secretary of State for Health (1) if she will place in the Library the corporate and business plans for the special health authority covering the Centre for Applied Microbiological Research;(2) if she will place in the Library the accounts and corporate plans of the Centre for Applied Microbiological Research for the last three years and the current corporate plan, indicating if they are separate plans and reports or incorporated within the Public Health Laboratory Service reports;(3) if she will list the chair and members of the special health authority covering the Centre for Applied Microbiological Research, together with their salaries, and other remuneration and their other present or previous occupations and employment;(4) what resources are allocated to the Centre for Applied Microbiological Research in 1993–94; and what resources were allocated to it as part of the Public Health Laboratory Service in 1991–92 and 1992–93.

The centre remains part of the Public Health Laboratory Service board (PHLSB) until its functions are transferred to a new body: it is likely that this will not be until after the end of this financial year. It obtains resources from a variety of sources, including sales of products under a distributorship and marketing agreement with Porton Products Ltd., contracts with other commercial companies and public sector bodies, and funding through the PHLSB for work undertaken for the board. It has not in the past published its own corporate plan, although it is referred to within the plans produced by the PHLSB. No chairman or members of a new authority have yet been appointed. However Mr. J. E. Everitt, at present chairman and chief executive of Vickers Medical, is acting as chairman-designate to steer the establishment of the new body.

To ask the Secretary of State for Health how many employees there are at the Centre for Applied Microbiological Research currently; and what were the figures for 1 April of each year since 1990.

The information requested is:

YearNumber
1 April 1990461
1 April 1991440
1 April 1992467
1 April 1993457
1 July 1993459

Porton International

To ask the Secretary of State for Health when the agreement between the Government and Porton International comes to an end; and what was the revenue to her Department arising from the agreement in each of the last three financial years.

The distributorship and marketing agreement between Porton Products Ltd. and the Public Health Laboratory Services board (PHLSB) can be terminated by either side in October 1998. The revenue arising to the PHLSB from the agreement was £3·7 million in 1990–91, £6·8 million in 1991–92 and £6·9 million in 1992–93.

Nhs Trust Directors (Political Affiliations)

To ask the Secretary of State for Health what are her guidelines to regional health authorities and NHS trust chairpersons on vetting applications for NHS trust directors with respect to political party affiliation.

My hon. Friend the Minister of Health has written to regional health authority chairmen seeking their recommendations for appointment of national health service trust non-executive directors, and providing guidance on the criteria to be followed. This guidance does not cover the issue of political affiliation: we do not seek information on this. People are appointed to health authorities and trusts for their personal qualities, and for the skills they bring to the management and strategic direction of the NHS trust. Copies of the guidance will be placed in the Library.

Nursing Education

To ask the Secretary of State for Health if she will make a statement on the responsibilities of regional health authorities for funding nurse education; and what monitoring is given to the discharge of these responsibilities.

Regions use top-sliced funds to purchase the training places required by employers to ensure the number of qualified staff matches the demand employers identify. Regular monitoring is carried out through the national health service management executive.

To ask the Secretary of State for Health what proportion of the ring-fenced money allocated to regional health authorities to provide nurse pre-registration courses has actually been used for this purpose; and to what use any not so used has been put.

In 1992–93, all the money allocated for pre-registration nurse training was used as intended.

Consultant and senior registrar paediatricians by country of qualification in England and Wales—30 September 1991 Paediatric specialties
United KingdomOther European Community countriesElsewhereTotal
Consultant812881901
Senior registrar179331213

To ask the Secretary of State for Health how many nursing students there were in each of the four Thames regions, in the years 1990, 1991 and 1992.

The figures show that the number of nursing students in each of the Thames regions as at 31 March 1990, 1991 and 1992.

199019911992
North East Thames6,0305,7306,310
North West Thames3,9403,7404,150
South East Thames4,1704,3004,460
South West Thames2,8302,7402,810

Notes:

(1) The figures include those in pre-registration nursing, district nursing and district enrolled nursing courses.

(2) All figures are rounded to the nearest 10.

To ask the Secretary of State for Health how many students are projected to enter nursing education in each of the four Thames regions in the years 1993, 1994 and 1995.

The four Thames regions will commission 5,767 training places for nursing in 1993–94. Information is not available centrally for projections to be made for 1994–95 and 1995–96.

Paediatrics

To ask the Secretary of State for Health how many consultant paediatricians and senior registrars specialising in paediatrics are in post on a full-time equivalent in England and Wales.

The available information is shown in the table.

Consultant and senior registrar paediatricians England and Wales at 30 September 1991 Paediatric Specialties
Whole-time equivalent
Consultants828·4
Senior Registrars184·8

To ask the Secretary of State for Health how many (a) consultant paediatricians and (b) senior registrars specialising in paediatrics currently employed in England and Wales were trained in (i) the United Kingdom, (ii) other European Community countries and (iii) countries outwith the EC.

To ask the Secretary of State for Health how many vacant posts of consultant paediatricians and senior registrars specialising in paediatrics have been notified in each of the past five years; on average how long it takes to fill such posts; and if she will make a statement.

The available information is shown in the table.

Number of vacant posts for consultant and senior registrar paediatricians at 30 September 1987 to 1991 (England and Wales)
YearConsultantsSenior Registrars
1987146
1988186
1989229
19903310
1991306

Notes:

1. Data on time to fill such posts are not available.

2. Paediatrics is known to be a shortage specialty and the number of senior registrar posts is being increased.

General Practitioners (Drug Prescribing)

To ask the Secretary of State for Health if she will publish a table setting out the total of the amount by which general practitioners' expenditure on prescribed drugs exceeded indicative limits in each year since 1990.

The indicative prescribing scheme started in April 1991, therefore figures for 1990–91 are not available. Information for 1991–92 and 1992–93 is shown in the table.

1991–92 £1992–93 £
Indicative amount2,231,489,9672,367,401,869
Expenditure2,414,708,2582,545,374,139
Difference+183,218,291+177,972,270

To ask the Secretary of State for Health if she will make it her policy to bring the budget for general practitioner prescriptions within the cash-limited budgets of health authorities or health commissions; and if she will make a statement.

The cost of drugs prescribed by general practitioner fund holders are contained within fund-holding budgets, which in turn form part of the cash limited hospital, community and family health services budgets of regional health authorities. We have no plans to extend these arrangements to non-fund-holding general practitioners.

Locum Doctors

To ask the Secretary of State for Health (1) if she will require all national health service provider authorities and trusts to take up references on applicants for locum clinical appointments; and if she will make a statement;(2) if she will make a statement on the arrangements whereby locum doctors are appointed in the hospital service.

Health authorities and national health service trusts are responsible for the appointment of locum doctors in the hospital service. There are clear guidelines from the Department, designed to ensure that locum doctors are of an adequate standard to carry out the duties required of them. These include both checks on qualifications and references from previous employers. Copies of the guidelines (EL(89)P/148 and EL(92)53) are available in the Library.

Gp Fund Holders

To ask the Secretary of State for Health if she will provide an estimate for the value of funding allocations retained by general practitioner fund holders at the year end.

This information will not be available until the final 1992–93 accounts have been audited.

Nhs Trusts

To ask the Secretary of State for Health, pursuant to her answer of 20 July, Official Report, column 14, if she will estimate expenditure on trusts for 1993–94.

I refer the hon. Member to the reply I gave the hon. Member for Greenwich (Mr. Raynsford) on 17 May at column 29.

District Health Authority

To ask the Secretary of State for Health what was the average annual cost per whole-time equivalent at (a) current and (b) 1986–87 prices in each year from 1986–87 of an executive member of a district health authority.

Complaints Review

To ask the Secretary of State for Health whether she has appointed the members of the complaints review she announced at 18 June.

I am pleased to announce that the following have agreed to be members of the National Health Service Complaints Review Committee chaired by Professor Wilson:

  • Professor Judy Allsop, Professor of Health Policy, South Bank University; member, Citizen's Charter Complaints Task Force.
  • Dr. Ewen Bramwell, General Practitioner.
  • Mr. Chris Dabbs, Chief Officer, Salford Community Health Council.
  • Mr. Steve Forster, Personnel Director, London and Scandinavian Metallurgical Co. Ltd; member, Rotherham FHSA.
  • Mrs. VivienneHarpwood, Head of Medico-legal Department, University College of Wales, Cardiff.
  • Mrs. Deirdre Hutton, Chair, Scottish Consumer Council.
  • Mr. John James, Chief Executive, Kensington and Chelsea and Westminster FHSA.
  • Mr. Pat Killen, Managing Director, Tyrone Crystal; Chairman, Northern Ireland Citizen's Charter Board.
  • Mr. Bruce MacGillivray, Consultant in Clinical Neurophysiology, Royal Free Hospital Trust.
  • Rabbi Julia Neuberger, Chair, Camden and Islington Community Trust; Vice President, Patients Association.
  • Ms Irene Scott, Nurse Executive Director, Christie Hospital

Empty Homes

To ask the Secretary of State for Health how many vacant bed spaces were identified in the task force on empty homes as being in the ownership of NHS Estates but unsuitable for commercial or social lettings; and how many of them were (a) in nurses' hostels, (b) in doctors' residences, (c) inside hospital grounds, (d) outside hospital grounds and (e) in each regional health authority area.

Vacant bed spaces in hostels were generally considered by the task force to be unsuitable for commercial or social lettings. Based on a survey which covered about 75 per cent. of the national health service, it is estimated that at 1 December last year there were 11,400 vacant hostel places, of which 9,280 were inside, and 2,120 outside hospital grounds. Analysis of this information by nurses' hostels, doctors' residencies and regional health authority area are not available. Ownership responsibility for NHS staff residential accommodation lies with health authorities and trusts. The Department is issuing guidance which will include examples of good practice to encourage and assist NHS authorities to make use of empty places wherever practicable.

To ask the Secretary of State for Health how many empty bed spaces identified by her Department for the empty homes task force were (a) in hostels with shared facilities where all the bed spaces are vacant, (b) in hostels with shared facilities where some of the bed spaces are occupied and (c) in hostels or homes without shared facilities.

From the survey carried out last year, it is estimated that across the national health service at 1 December the number of empty bed spaces were (a) 200, (b) 11,200 and (c) 3,700. These figures include properties being refurbished, due for demolition, and in the process of disposal as well as those available for letting.

Dentistry (Sterilisation)

To ask the Secretary of State for Health what consideration she has given to the provision of additional funding to NHS dental practices to cover the cost of heat-sterilising handpieces between the treatment of each patient.

The Department reimburses in full to the profession, on an average basis, all dentists' national health service practice expenses. In 1987–88, 1988–89 and 1989–90 the health Departments, in their discussions with the profession in the dental rates study group (DRSG), explicitly recognised that dentists were likely to incur additional expenses for cross infection control and extra money was made available in those years. From 1990–91 onwards, any additional costs incurred from 1987–88 to 1989–90 are included in the baseline of dentists' practice expenses used by the DRSG to forecast dentists' future expenses and would have been reimbursed in the normal way.

To ask the Secretary of State for Health what data are held by her Department in relation to the different sterilisation practices employed by NHS dental practitioners for the cleaning of dental handpieces and the number of dentists who use each technique.

Alcohol And Drug Treatment

To ask the Secretary of State for Health (1) what assessment she has made of whether sufficient residential treatment is now available for people with alcohol or drug problems;(2) how many residential services for people with alcohol or drug problems have deregistered with their local authority since January; and how many bed spaces this involves;(3) when she will make available the report from Goldsmiths college on the implementation of community care and its impact on the provision of residential treatment for people with alcohol or drug problems.

Comprehensive information on residential services for people who misuse alcohol and drugs and on the scale of deregistration is not available centrally. It is expected that some data on these aspects of services provision will be included in the report by Goldsmiths college which has been commissioned to monitor the impact of community care on service provision for alcohol and drug misusers during the first three months of implementation. A copy of the report will be placed in the Library shortly.

Ultrasound

To ask the Secretary of State for Health what assessment she had made of the evaluation carried out as to the long-term safety of ultrasound exposure of the foetus and newborn; and on what studies she had based her conclusions.

[holding answer 22 July 1993]: The available evidence on the safety of ultrasound in pregnancy is contained in the publication "Effective Care in Pregnancy and Childbirth" (1989), a copy of which is available in the Library. It concluded that:

"so far, there is no evidence that ultrasonography in human pregnancy has any harmful biological or physical effects."
Details of trials conducted since 1989 are included in the Oxford database of perinatal trials. Copies of extracts from the database relating to ultrasound will be placed in the Library.An ad hoc group of the Chief Medical Officer's radiological advisory committee is currently examining the general safety of ultrasound.

Hypnotherapy

To ask the Secretary of State for Health what plans there are to introduce standardisation of training techniques, registration on a community basis and certification for hypnotherapists; if she will give details of her Department's response to the British Medical Association's report "Complementary Medicine—New Approaches to Good Practice"; and if she will make a statement about her Department's view of hypnotherapy services and their funding.

[holding answer 22 July 1993]: We support the efforts of reputable training institutes in hypnotherapy to develop standards of training, voluntary registration and certification of hypnotherapists. The British Medical Association's report will make a significant contribution to aiding understanding in the field of complementary medicine and we shall consider its recommendations with interest and care. Hypnotherapy is, in some cases, already provided in the national health service as an adjunct to other treatment by doctors, dentists, psychologists and other health care professionals. We are currently reviewing these matters to examine whether there is a further role for Government in promoting safe and competent practice in this field.

National Heritage

Small Businesses

To ask the Secretary of State for National Heritage if he will make a statement on the achievements of (a) his policies and (b) his Department in helping small businesses over the last 12 months as against the previous 12 months; and if he will publish the performance indicators by which his Department monitors those achievements and the statistical results of such monitoring.

The Government continue to help small businesses through improvements to the business climate, through deregulation and through specific programmes of support and assistance.My Department has been an active participant in the Government's deregulation initiative. It is undertaking a thorough review of the impact of regulations, from whatever source, on the business sectors in which it has a policy interest, and I have recently commissioned a report on deregulation and the tourism industry, which includes a large number of small businesses. The Department will undertake a risk analysis and full compliance cost assessment before putting forward any new regulatory measures which might affect business, and aims to maintain and improve its links and consultation arrangements with businesses operating within the areas where I have a policy interest.The Department's fundamental review of the public library service will reflect the extent to which public libraries play a key role in the provision of information for small businesses.Businesses of various sizes have been successful in tendering competitively for the provision of contracted out services, in supplies and works for the Department, its agencies and its non-departmental public bodies.

Data Processing

To ask the Secretary of State for National Heritage if he will list the numbers of staff by grade that are employed in his Department and agencies in the automatic data processing functional specialism.

There are no staff employed in the automatic data processing functional specialism in the Department of National Heritage or its agencies.

Victoria County History

To ask the Secretary of State for National Heritage what steps he is taking to ensure that sufficient financial support for the continuation of the Victoria county history.

I am aware of the concerns about funding for the Victoria county history (VCH) and I know that my hon. Friend visited the Secretary of State for National Heritage with colleagues last December.Funding for the VCH does not fall to the Department of National Heritage, but rests with the university of London and the county councils. However, my Department recognises the valuable work being done by the VCH and has identified some possible sources of additional funding, details of which have been passed to the Institute of Historical Research, which manages the project.

Blind And Partially Sighted People

To ask the Secretary of State for National Heritage (1) what arrangement his Department makes to ensure that blind and partially sighted people have access to information produced by his Department where it has not been published in alternative media such as Braille, large print or tape;(2) what is his Department's policy on which information produced by his Department is published in alternative media to standard print such as Braille, tape or large print.

The Department of National Heritage keeps under review the need to make information available to blind and partially sighted people.Last year, the Department made available Braille copies of the popular version of the BBC consultation document issued by the Department.

Royal Parks

To ask the Secretary of State for National Heritage when the next stage of the review of the royal parks will commence.

Responsibility for the subject of the question has been delegated to the Royal Parks Agency under its chief executive, Mr. David Welch. I have asked him to arrange for a reply to be given.

Letter from Mr. R. Boyce to Mr. Nick Raynsford, dated 26 July 1993:

In the absence of the Chief Executive, the Parliamentary Under-Secretary of State for National Heritage has asked me to reply to your Written Parliamentary Question asking:
When the next stage of the Review of the Royal Parks will commence.
The Review group chaired by Dame Jennifer Jenkins have recently completed their report on St. James's Park, The Green Park and Regent's Park. The programme for future reviews is still to be decided.

House Of Commons

Church Of England

45.

To ask the Lord President of the Council if he will make it his policy to review the amount of time given by Parliament to, and the cost to Parliament of, the consideration of Church of England matters.

Sittings Of The House

46.

To ask the Lord President of the Council whether he is now in a position to respond to the report from the Select Committee on Sittings of the House (House of Commons Paper 20 of Session 1991–92).

50.

To ask the Lord President of the Council if he will make a statement on the progress of amending the hours of sittings of the House.

In the light of further discussions I have had with the right hon. Member for Derby, South (Mrs. Beckett) I will want to consider how we might take this forward. I regret that we have been unable to make more progress before the recess.

Parliamentary Questions

47.

To ask the Lord President of the Council what proposals he has to implement the recommendations of the Procedure Committee's report on parliamentary questions, first report of 1992–93 (HC 687).

The Government are presently considering its further response to the Procedure Committee report in the light of that Committee's revised recommendations following the Government's original response.

Departmental Staff

48.

To ask the Lord President of the Council what is the total number of staff employed in his office; and how many are men and how many women.

The total number of staff employed in the Privy Council Office is 33 of which 16 are women. In my private office the figures are seven and four respectively.

Iraq

49.

To ask the Lord President of the Council if he will set up a Select Committee to consider whether the House should be consulted before further military action is taken against Iraq.

No. Ample opportunity already exists for discussion of these issues and, in fact, I understand the hon. Member has one of the Consolidated Fund debates later this evening on matters relating to Iraq.

Nursery Facilities

To ask the Chairman of the Administration Committee if he will make a statement on the progress of the survey of possible users of nursery facilities within the Palace.

The Administration Committee has reached agreement on which company should conduct the survey of potential demand for child care facilities. Arrangements are being made for the preparation of a questionnaire which will be circulated in the autumn to Members, their staff, staff of the House, and others employed on the parliamentary estate.

Prime Minister

Japan (Visit)

To ask the Prime Minister what specific representations he received from Japanese non-governmental organisations on (a) nuclear nonproliferation, (b) international trade in plutonium and other nuclear explosives and (c) nuclear waste management assistance for Russia, during his visit to Japan for the recent G7 summit.

I did not receive any representations from non-governmental organisations on these issues during my recent visit to Japan.

Sustainable Development

To ask the Prime Minister, pursuant to his answer of 19 May 1992 to the hon. Member for Harlow (Mr. Hayes), Official Report, column 113, if he will list the members of the new ministerial committee on the environment, referred in paragraph 4.5 of the consultation paper "UK Strategy for Sustainable Development"; how often it intends to meet; and if he will provide details of its remit.

The remit and membership of the ministerial committee on the environment remain as stated in my answer of 19 May 1992, Official Report, column 113. Meetings take place as necessary.

Drug Misuse

To ask the Prime Minister if he is satisfied with the present arrangements for co-ordinating Government action on drug misuse between the different Departments of State; and what proposals he has to improve them.

The Government are committed to bringing forward proposals to improve further the co-ordination of the control of drug misuse. Options are currently under consideration.

Top Salaries Review Body

To ask the Prime Minister if he will make a statement on the Top Salaries Review Body.

The name of the Top Salaries Review Body (TSRB) has been changed to the Senior Salaries Review Body (SS RB). At the same time the Review Body's terms of reference have been revised. Both these changes have been introduced at the Review Body's request, and have been agreed with it. The revised terms of reference are as follows:

VenueDurationPurposeCost (£)
Italy13–15 December 1990European Council60,805·00
USA20–22 December 1990Bilateral33,871·00
Saudi Arabia6–8 January 1991Bilateral 45,098·00
Oman8–9 January 1991Bilateral
Egypt9 January 1991Bilateral
France14 January 1991Bilateral1,857·00
France20 January 1991Bilateral1,165·00
Germany11 February 1991Bilateral1,388·00
Soviet Union4–5 March 1991Bilateral50,352·00
Germany11 March 1991Anglo-German Summit3,153·00
Bermuda15–16 March 1991Bilateral24,670·00
Luxembourg8 April 1991Informal European Council8,107·00
France24 June 1991Anglo-French Summit10,422·00

"To advise the Prime Minister on the remuneration of holders of judicial office; senior civil servants, senior officers of the armed forces; and such other public appointments as may from time to time be specified.

The Prime Minister may also ask the Review Body to advise from time to time on the pay and pensions of Members of Parliament and their allowances; Peer's allowances; and on the pay, pensions and allowances of Ministers and others whose pay is determined by a Ministerial and other Salaries Order.

Procedures

The Review Body will make other recommendations as it sees fit

in order that the level of remuneration for the groups covered by its remit is sufficient to ensure, over time, the recruitment and retention and motivation of suitably able and qualified people to exercise their different responsibilities;

to ensure that, as appropriate, the remuneration for the remit groups relates coherently to that of their subordinates, encourages efficiency and effectiveness, and takes account of the different management and organisational structures which may be in place from time to time;

to relate reward to performance where appropriate;

to maintain the confidence of those covered by the Review Body's remit that its recommendations have been properly and fairly determined; and

to ensure that the remuneration of those covered by the remit is consistent with the Government's equal opportunities policy.

In making recommendations, the review body shall consider any factors which the Government and other witnesses may draw to its attention. In particular it shall have regard to:

differences in terms and conditions of employment between the public and private sector and between the remit groups, taking account of relative job security and the value of benefits in kind;

changes in national pay systems, including flexibility and the reward of success; and job weight in differentiating the remuneration of particular posts; and

the need to maintain a broad linkage between the remuneration of the three main remit groups, while allowing sufficient flexibility to take account of the circumstances of each group.

The Review Body will take account of the evidence it receives about wider economic considerations and the affordability of its recommendations."

Overseas Visits

To ask the Prime Minister how many overseas visits he has made since he assumed office; and if he will list the venue, the duration, the purpose and the cost to public funds of the visits.

[holding answer 22 July 1993]: The information requested is as follows:

Venue

Duration

Purpose

Cost (£)

Luxembourg28–29 June 1991European Council45,323·00
Spain2–13 June 1991Holiday9,560·00
USA27–30 August 1991Bilateral53,951·00
China/Russia1–6 September 1991Bilateral196,844·00
France11–12 September 1991Bilateral10,325·00
Netherlands18 September 1991Bilteral962·00
Zimbabwe14–22 October 1991Commonwealth Heads of Government Meeting199,488·00
Italy7–8 November 1991NATO Summit Meeting54,600·00
Germany10 November 1991Bilateral1,340·00
Italy27 November 1991Bilateral7,947·00
Germany27 November 1991Bilateral
Netherlands1 December 1991Bilateral1,736·00
Republic of Ireland4 December 1991Bilateral2,684·00
Netherlands8–10 December 1991European Council64,371·00
USA30–31 January 1992United Nations Security Council Meeting58,928·00
Poland25–26 May 1992Bilateral53,757.00
Czechoslovakia26–28 May 1992Bilateral
Hungary28–29 May 1992Bilateral
Germany5 June 1992Bilateral1,012·00
USA6–9 June 1992Bilateral318,146·00
Colombia9–10 June 1992Bilateral
Brazil10–12 June 1992United Nations Conference on Environment and Development
Portugal25–27 June 1992European Council64,458·00
Germany6–8 July 1992G7 Economic Summit140,908·00
Finland9–10 July 1992CSCE Summit41,612·00
Spain7–9 August 1992Olympic Games79,469·00
Spain16–17 September 1992Bilateral2,293·00
France30 September 1992Bilateral4,346·00
Egypt23–25 October 199250th Anniversary Commemoration of El Alamein74,616·00
Belgium23 November 1992Bilateral7,041·00
Italy/Greece27–28 November 1992Bilateral14,512·00
Luxembourg30 November 1992Bilateral14,908·00
Spain30 November to 1 December 1992Bilateral
Portugal1 December 1992Bilateral
Denmark2 December 1992Bilateral9,570·00
Netherlands6–7 December 1992Bilateral8,148·00
Republic of Ireland7 December 1992Bilateral
France15–16 December 1992European Parliament Plenary7,910·00
Canada17–18 December 1992EC/Canada Talks120,775·00
USA18–20 December 1992EC/United States Talks
Bosnia22 December 1992Visit British Forces10,828·00
India23–28 January 1993Republic Day Celebrations179,512·00
Oman28 January 1993Bilateral
Saudi Arabia29 January 1993Bilateral
USA23–25 February 1993Bilateral46,696·00
Switzerland5–6 April 1993Bilateraln/a
Austria6 April 1993Bilateral
France27–28 May 1993Bilateraln/a
Denmark20–22 June 1993European Counciln/a
Japan5–9 July 1993G7 Economic Summitn/a
n/a=Not yet available.

Deregulation (Construction Industry)