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Column 651


Table 2-Mental illness hospitals closed between 1987 and 1989.                                                       
                                                   |Number of beds                                                   
---------------------------------------------------------------------------------------------------------------------
Yorkshire                                                                                                            
Naburn Hospital, Near York                         |-                                                                
                                                                                                                     
Trent                                                                                                                
Saxondale Hospital                                 |-                                                                
                                                   |St John's Hospital, Lincolnshire                                 
                                                                                                                     
South Western                                                                                                        
Horton Road Hospital                               |-                                                                
Digby Hospital, Exeter                             |-                                                                
                                                                                                                     
West Midlands                                                                                                        
Powick Hospital, Worcester                         |-                                                                
Middlewood Hospital, Sheffield                     |606                                                              
Towers Hospital, Leicestershire                    |394                                                              
Kingsway Hospital, Southern Derbyshire             |363                                                              
                                                                                                                     
East Anglian                                                                                                         
St Audry's Hospital, Woodbridge                    |372                                                              
St Nicholas' Hospital, Great Yarmouth and Waverney |131                                                              
St Andrews, Norwich                                |335                                                              
                                                                                                                     
North East Thames                                                                                                    
Friern Hospital<1>                                 |673                                                              
Claybury Hospital                                  |722                                                              
                                                                                                                     
South East Thames                                                                                                    
Cane Hill Hospital                                 |343                                                              
Tooting Bec Hospital                               |420                                                              
Hellingly Hospital                                 |154                                                              
St Augustines Hospital                             |235                                                              
                                                                                                                     
South West Thames                                                                                                    
Long Grove Hospital, Epsom                         |404                                                              
Brookwood Hospital                                 |489                                                              
                                                                                                                     
Wessex                                                                                                               
Whitecroft Hospital                                |75                                                               
Herrison Hospital, Dorchester                      |263                                                              
Old Manor Hospital<1>                              |216                                                              
                                                                                                                     
Oxford                                                                                                               
St John's Hospital, Aylesbury                      |282                                                              
St Crispin's Hospital, Northampton                 |263                                                              
Littlemore Hospital, Oxford                        |226                                                              
                                                                                                                     
West Midlands                                                                                                        
Barnsley Hall Hospital, Bromsgrove and Redditch    |169                                                              
Rubery Hill Hospital, South Birmingham             |211                                                              
Central Hospital, South Warwickshire               |298                                                              
Hollymoor Hospital, Solihull                       |279                                                              
                                                                                                                     
Mersey                                                                                                               
Rainhill Hospital                                  |487                                                              
Parkside Hospital                                  |485                                                              
Winwick Hospital                                   |815                                                              
                                                                                                                     
North Western                                                                                                        
North Manchester (Springfield) Hospital<1>         |145                                                              
                                                                                                                     
Northern                                                                                                             
St Mary's, Stannington                             |495                                                              
                                                                                                                     
South Western                                                                                                        
Mendip Hospital                                    |96                                                               
Moorhaven Hospital                                 |157                                                              
<1> With some facilities remaining on site.                                                                          

Table 2-Mental illness hospitals closed between 1987 and 1989.                                                       
                                                   |Number of beds                                                   
---------------------------------------------------------------------------------------------------------------------
Yorkshire                                                                                                            
Naburn Hospital, Near York                         |-                                                                
                                                                                                                     
Trent                                                                                                                
Saxondale Hospital                                 |-                                                                
                                                   |St John's Hospital, Lincolnshire                                 
                                                                                                                     
South Western                                                                                                        
Horton Road Hospital                               |-                                                                
Digby Hospital, Exeter                             |-                                                                
                                                                                                                     
West Midlands                                                                                                        
Powick Hospital, Worcester                         |-                                                                
Middlewood Hospital, Sheffield                     |606                                                              
Towers Hospital, Leicestershire                    |394                                                              
Kingsway Hospital, Southern Derbyshire             |363                                                              
                                                                                                                     
East Anglian                                                                                                         
St Audry's Hospital, Woodbridge                    |372                                                              
St Nicholas' Hospital, Great Yarmouth and Waverney |131                                                              
St Andrews, Norwich                                |335                                                              
                                                                                                                     
North East Thames                                                                                                    
Friern Hospital<1>                                 |673                                                              
Claybury Hospital                                  |722                                                              
                                                                                                                     
South East Thames                                                                                                    
Cane Hill Hospital                                 |343                                                              
Tooting Bec Hospital                               |420                                                              
Hellingly Hospital                                 |154                                                              
St Augustines Hospital                             |235                                                              
                                                                                                                     
South West Thames                                                                                                    
Long Grove Hospital, Epsom                         |404                                                              
Brookwood Hospital                                 |489                                                              
                                                                                                                     
Wessex                                                                                                               
Whitecroft Hospital                                |75                                                               
Herrison Hospital, Dorchester                      |263                                                              
Old Manor Hospital<1>                              |216                                                              
                                                                                                                     
Oxford                                                                                                               
St John's Hospital, Aylesbury                      |282                                                              
St Crispin's Hospital, Northampton                 |263                                                              
Littlemore Hospital, Oxford                        |226                                                              
                                                                                                                     
West Midlands                                                                                                        
Barnsley Hall Hospital, Bromsgrove and Redditch    |169                                                              
Rubery Hill Hospital, South Birmingham             |211                                                              
Central Hospital, South Warwickshire               |298                                                              
Hollymoor Hospital, Solihull                       |279                                                              
                                                                                                                     
Mersey                                                                                                               
Rainhill Hospital                                  |487                                                              
Parkside Hospital                                  |485                                                              
Winwick Hospital                                   |815                                                              
                                                                                                                     
North Western                                                                                                        
North Manchester (Springfield) Hospital<1>         |145                                                              
                                                                                                                     
Northern                                                                                                             
St Mary's, Stannington                             |495                                                              
                                                                                                                     
South Western                                                                                                        
Mendip Hospital                                    |96                                                               
Moorhaven Hospital                                 |157                                                              
<1> With some facilities remaining on site.                                                                          

HIV

Mr. Cummings : To ask the Secretary of State for Health how many people there are in the northen region who are HIV positive because of contaminated blood transfusions.

Mrs. Virginia Bottomley : At the end of 1989, the latest date for which figures are available, the number of people in Northern region who had been reported to the communicable disease surveillance centre as being HIV positive as a result of contaminated blood transfusions was greater than zero but less than 10. In line with the procedure followed in reports under the AIDS (Control) Act, to safeguard confidentiality, the actual figures in this range are not published.

Drugs

Mr. Michael Morris : To ask the Secretary of State for Health, pursuant to his answer to the hon. Member for Battersea (Mr. Bowis) of 26 March, Official Report , column 46 , whose forecast increase in the cost of drugs will be used in deciding the factor to set indicative drug budgets for general practitioners.

Mrs. Virginia Bottomley : The Department will give annual guidance on the allowance to be made for the forecast increase in the cost of drugs when setting indicative drug budgets for the following year.

Wales (Official Visits)

Mr. Gareth Wardell : To ask the Secretary of State for Health if he will publish the dates on which he has made an official visit to Wales since his appointment to his present post.

Mr. Kenneth Clarke : Responsibility for the health services in Wales lies with my right hon. Friend the Secretary of State for Wales. I have therefore made no official visits to Wales as Secretary of State for Health.

Family Planning

Mr. Burns : To ask the Secretary of State for Health what financial support is being given by his Department to the Family Planning Association and Brook Advisory Centre.

Mrs. Virginia Bottomley : Section 64 grants to both organisations are being renewed for the three-years ending 31 March 1993. The Family Planning Association will receive £165,000 in 1990-91, £130, 000 in 1991-92 and £100,000 in 1992-93 from the Department of Health towards their headquarters administrative expenditure and regional activities. Financial support will also be provided by the health departments in Scotland, Wales and Northern Ireland. The equivalent grant for the last three-year period was £130,000 per annum. For the period 1990-1993 the grant to Brook will be maintained at the existing level of £45,000 per annum. This funding goes towards its headquarters administrative costs, including the education and information activities designed to encourage responsible attitudes to personal relationships among young people under 25 and the co-ordination of the local Brook centres working directly with young people. In addition to the core grant a further award of £20,000 per annum for each of three years is being made to fund a new development officer post.


Column 653

The conditions attaching to these organisations' grants, in relation to expenditure, activities and liaison with Government Departments, will continue to apply.

Occupational Therapy

Mr. Cousins : To ask the Secretary of State for Health whether the manpower planning advisory group on the future supply of occupational therapists has reported ; if he will make it his policy to place its report in the Library ; and if he will make a statement.

Mrs. Virginia Bottomley : The manpower planning advisory group expects to report on occupational therapy skill mix and supply issues shortly. When the report is ready, I shall arrange for a copy of it to be placed in the Library.

Pesticide Exposure

Mr. Hinchliffe : To ask the Secretary of State for Health if he will make a statement on the ability of doctors within the National Health Service to diagnose pesticide exposure.

Mr. Freeman : All doctors receive training during their undergraduate and postgraduate years in the diagnosis of acute poisoning, for instance by pesticides. In addition all general practitioners and hospital accident and emergency departments were issued with a copy of the book, "Pesticide Poisoning". This gives guidance on the diagnosis and treatment if acute poisoning from pesticides is suspected. If a doctor requires further advice on poisoning he can contact any of the five national poisons information centres, which offer a 24-hour service.

Mr. Hinchliffe : To ask the Secretary of State for Health what evidence is available to his Department of any connection between pesticides and Parkinson's disease.

Mr. Freeman : We have no conclusive evidence of any connection between pesticides and Parkinson's disease. Some recent preliminary research has shown that in individuals with an inherited tendency to metabolise in a restricted way certain classes of biochemical compounds, including some pesticides, there could be a link with degenerative nervous diseases like Parkinson's disease. The results are inconclusive and work continues.

Mr. Hinchliffe : To ask the Secretary of State for Health what independent research has been carried out in the United Kingdom on the health effects of pesticide exposure.

Mr. Freeman : The Department of Health does not hold comprehensive information centrally about independent research carried out in the United Kingdom on the health effects of pesticide exposure. Nevertheless, medical staff in this Department keep abreast of developments published in relevant scientific journals.

Mr. Hinchliffe : To ask the Secretary of State for Health what information his Department has of a connection between pesticides and cot deaths.

Mr. Freeman : We are not aware of any evidence suggesting a connection between cot deaths and pesticides. A diagnosis of cot death, or more specifically sudden infant death syndrome (SIDS), is made when, after careful


Column 654

inquiry and through pathological examination, no specific cause of death can be found. In such circumstances it is not, of course, possible to be certain that some unidentified toxic agent has not contributed to a premature death. However, the epidemiological characteristics of SIDS, as a whole, are not consistent with a direct connection with pesticides.

Mr. Hinchliffe : To ask the Secretary of State for Health what routine blood tests are available to determine levels of pesticide within an individual's blood.

Mr. Freeman : There is no evidence that blood tests for pesticide levels would be of benefit to symptomless individuals. Where patients present with symptoms which could be due to poisoning, for instance by pesticide, clinicians have access to local and supra-regional pathology laboratories. Laboratory staff carry out blood tests necessary to aid diagnosis and treatment.

Correspondence (MEPs)

Mr. David Young : To ask the Secretary of State for Health how many communications he has received from Members of the European Parliament since 18 June 1989 that concern local or United Kingdom matters ; and if he will make it his practice where such matters are involved to provide the hon. Member for the local constituency with a copy of the correspondence and the reply for information.

Mr. Freeman : We have had 30 such letters. Where Members of the European Parliament raise matters in correspondence which are exclusively of local interest, the practice should be to reply suggesting that the MEP should refer the matter to the hon. Member for the constituency concerned. As with other correspondence, replies to such communications would normally be copied to the hon. Member concerned only if the MEP had himself copied his letter in this way.

NHS Buildings

Mr. Robin Cook : To ask the Secretary of State for Health what is the proportion of National Health Service buildings constructed (a) before 1890, (b) before 1918, (c) between 1919 and 1939, (d) between 1940 and 1964 and (e) after 1965.

Mr. Freeman : Up-to-date information on the age profile of the estate is not held centrally.

Agency Staff

Mr. Robin Cook : To ask the Secretary of State for Health if he will give the amount spent on (a) agency nurses and (b) agency clerical and administrative staff for 1987-88 for each district health authority, special health authority and regional health authority and England as a whole.

Mrs. Virginia Bottomley : Information derived from annual accounts submitted to the Department for 1987-88 is shown in a table which has been placed in the Library.

I refer the hon. Member to the reply that I gave him on 29 March at columns 318-20.


Column 655

NHS Consultants

Mr. Robin Cook : To ask the Secretary of State for Health if he will give the date and details of the last occasion on which the breach of contract by a National Health Service consultant was reported to him.

Mrs. Virginia Bottomley : Allegations of breach of contract by an NHS consultant are a matter for the employing authority, and are not necessarily reported to the Department. Any such information affecting particular individuals is treated in confidence.

Mr. Robin Cook : To ask the Secretary of State for Health what steps he will take to ensure that hospital consultants honour their National Health Service contracts.

Mrs. Virginia Bottomley : This is primarily a matter for employing authorities. "Working for Patients" and its associated working paper 7 announced the Government's proposal to introduce fuller job descriptions for all hospital consultants to improve their accountability. Discussions with the profession are not yet completed. We intend to issue guidance to health authorities advising them to define more clearly the scope of consultants' duties, which will help to ensure that all consultants fulfil their NHS commitments.

Mr. Robin Cook : To ask the Secretary of State for Health whether any districts have taken action to deal with consultants who may have breached their National Health Service contract in the last year.

Mrs. Virginia Bottomley : This information is not collected centrally. Questions about consultants' fulfilment of their NHS contracts are a matter for resolution by employing authorities.

Privatisation

Mr. Dobson : To ask the Secretary of State for Health what was the total sum paid out in fees to outside organisations in the furtherance of privatisation by his Department in 1979-80 and in each subsequent year ; and what is his estimate for 1990-91.

Mr. Kenneth Clarke [holding answer 12 March 1990] : No expenditure prior to 1986-87 has been identified. Expenditure in 1986-87 and subsequent years has been incurred for work by professional advisors on the sale of the General Practice Finance Corporation. The expenditure for each year is as follows :


        |£              
------------------------
1986-87 |23,000         
1987-88 |37,800         
1988-89 |174,621        
1989-90 |414,000        

The figure for 1989-90 is estimated.

All expenditure up to and including 1988-89 has been from a joint Health and Social Security budget.

There are no plans for any expenditure in 1990-91.


Column 656

SCOTLAND

Firearm Licences

Mr. Hood : To ask the Secretary of State for Scotland how many firearm licences have been revoked in Scotland in each year since 1979 ; and if he will make a statement.

Lord James Douglas-Hamilton : Sections 30 and 52 of the Firearms Act 1968 as amended by section 12 of the Firearms (Amendment) Act 1988 provide powers to revoke firearm and shotgun certificates. The number of revocations in Scotland, since 1980, the earliest year for which figures are readily available, are as follows :


Year    |Firearm|Shotgun        
--------------------------------
1980    |27     |59             
1981    |20     |52             
1982    |23     |66             
1983    |16     |54             
1984    |25     |67             
1985    |39     |99             
1986    |25     |69             
1987    |31     |101            
1988    |39     |142            
1989    |36     |124            

Local Government Finance

Mr. Hood : To ask the Secretary of State for Scotland how many Scottish pensioners have written to him since the Budget supporting the community charge ; and if he will make a statement.

Lord James Douglas-Hamilton : My right hon. and learned Friend has received a number of representations from pensioners about different aspects of the community charge since the Budget statement.

Violent Crime

Mr. Hood : To ask the Secretary of State for Scotland if he will give details of the numbers of violent crimes where firearms have been involved in each year since 1979.

Lord James Douglas-Hamilton : I refer the hon. Member to the annual bulletins published by the Scottish Home and Health Department under the title "Recorded Crimes and Offences Involving Firearms, Scotland", which give a comprehensive analysis of offences involving firearms including information on categories of firearms used, type of offence committed, and so on. The latest bulletin, which gives the figures for 1988, was published as SHHD statistical bulletin No. 4/1989. A copy is in the Library.

Departmental Employees

Mr. Home Robertson : To ask the Secretary of State for Scotland what is the total number of people employed by his Department, including full- time and part-time employees and consultants.

Mr. Rifkind : The March 1990 figures for staff employed in the Scottish Office, Scottish prison service and the four minor Departments for which I am responsible (Scottish Record Office, General Register Office (Scotland), Department of the Registers of Scotland and the Scottish Courts Administration) are as follows :


Column 657



Department                     |Full-Time |Part-Time |Total                
---------------------------------------------------------------------------
Scottish Office                |6,173     |228       |6,401                
Scottish Prison Service        |3,855     |34        |3,889                
Scottish Record Office         |108       |11        |119                  
General Register Office        |289       |28        |317                  
Department of Registers        |987       |20        |1,007                
Scottish Courts Administration |899       |61        |960                  
                               |------    |------    |------               
    Total                      |12,311    |382       |12,693               

In addition, the Scottish Office has current contracts with 144 individual consultants or with consultancy firms. The Scottish prison service similarly has 29 such arrangements.

Hepatitis B

Mr. Wallace : To ask the Secretary of State for Scotland what information he has regarding newly reported cases of persons infected by the hepatitis B virus in each health board area in Scotland in each of the last five years.

Mr. Michael Forsyth : The number of reported cases of persons infected by the hepatitis B virus in each of the last five years is set out in the table:


Health Board          |1985        |1986        |1987        |1988        |1989                     
----------------------------------------------------------------------------------------------------
Argyll and Clyde      |29          |27          |9           |2           |8                        
Ayrshire and Arran    |18          |12          |4           |7           |4                        
Borders               |1           |1           |0           |1           |0                        
Dumfries and Galloway |1           |1           |0           |0           |0                        
Fife                  |2           |1           |3           |3           |5                        
Forth Valley          |24          |12          |3           |4           |5                        
Grampian              |69          |32          |34          |24          |14                       
Greater Glasgow       |371         |231         |151         |174         |180                      
Highland              |9           |7           |3           |2           |3                        
Lanarkshire           |26          |24          |8           |5           |6                        
Lothian               |101         |72          |53          |35          |35                       
Orkney                |0           |0           |0           |0           |1                        
Shetland              |0           |1           |0           |1           |1                        
Tayside               |53          |33          |41          |55          |24                       
Western Isles         |3           |0           |0           |0           |0                        
Other<1>              |2           |15          |13          |4           |12                       
                      |---         |---         |---         |---         |---                      
Total                 |709         |469         |322         |317         |298                      

Cases which cannot be attributed to a specific Health Board. These figures show a welcome decline in the incidence of the disease.

Mr. Wallace : To ask the Secretary of State for Scotland what information he has regarding the level of take-up of the hepatitis vaccine in each health board area in Scotland.

Mr. Michael Forsyth : This information is not routinely recorded by health boards.

Schools

Mr. Dewar : To ask the Secretary of State for Scotland what was the capital expenditure on local authority schools in each Scottish regional and island council in each of the past 10 years in cash and constant prices.

Mr. Rifkind : The information is given in the following table, which has been compiled from local authority financial returns. The reduction in expenditure in real terms during the period reflects a substantial and progressive decline in pupil numbers which in turn reduced the requirement for new school building.


Column 658


1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

1988-89                                                                             
Region/Islands Council Area |At out-turn                                            
                            |prices                                                 
------------------------------------------------------------------------------------
Borders                     |1,060                                                  
Central                     |4,372                                                  
Dumfries and Galloway       |1,661                                                  
Fife                        |4,753                                                  
Grampian                    |3,409                                                  
Highland                    |3,655                                                  
Lothian                     |7,828                                                  
Strathclyde                 |24,897                                                 
Tayside                     |3,605                                                  
Orkney                      |1,027                                                  
Shetland                    |929                                                    
Western Isles               |2,196                                                  
The figures include expenditure on nursery, primary, secondary and special schools. 
Out-turn figures have been converted to 1988-89 prices using the GDP deflator.      

Sir David Steel : To ask the Secretary of State for Scotland what measures he has taken, and proposes to take, to ensure that schools meet an acceptable level of first aid provision by (a) meeting the Government's own guidelines and (b) matching the health and safety requirements required of factories and offices ; and what time limit he has set for the attainment of such standards.

Mr. Rifkind : Education authorities are responsible for the operational management of schools and are responsible for the safety of pupils attending schools under their management. Health and safety legislation applies to schools as it does to other workplaces. Health and Safety Commission guidance on first aid in educational establishments recommends that the total number of people on site, not just the number of employees, be considered in assessing first aid needs.

Regulations, which also provide for playground supervision in Scottish schools, came into force on 1 April this year putting a statutory duty on education authorities to take reasonable care for the safety of all pupils attending schools under their management. In addition, my Department is currently preparing guidance on first aid provision in schools and colleges which will be issued to education authorities.

Trunk Roads

Sir Hector Monro : To ask the Secretary of State for Scotland if he will make a statement about progress on trunk road schemes during 1989-90 and about the progress expected in 1990-91.

Mr. Rifkind : Details of the major scheme starts made and expected to be made are as follows :

Schemes with an estimated cost of over £1 million started since 1 April 1989

M80 Stepps Bypass

A82 Luss Bypass

A7 Dalkeith Bypass

A68 Newton St. Boswells Bypass

A76 Cumnock and Auchinleck Bypass

A87 Dornie Bypass

A701 Ae Bridge

A94 Stracathro Junction


Column 661

These schemes had a total value of £66 million.

Schemes with an estimated cost of over £1 million expected to start by 31 March 1991

M74 Millbank-Nether Abington A74 Upgrading schemes

M74 Kirkpatrick Fleming-Gretna A74 Upgrading schemes

M74 Elvanfoot-Paddy's Rickle

Bridge A74 Upgrading schemes

M74 Maryville-W. of Fullarton Road (Advance Works)

A1 Tower-Dunglass

A96 Nairn Railway Bridge Replacement

A9 Greenloaning-Blackford

A929 Tarbrax-Forfar

A75 Carrutherstown-Hetland

A77 Bennane Hill

These schemes have a total value of £130 million, reflecting the 28 per cent. increase in trunk road funds for this year and the still further increase for the following year. I will be making a more detailed announcement on A74 upgrading schemes later this month. As to completions of major schemes, in 1989-90 eight major schemes were completed and in 1990 -91 another 10 schemes are expected to be completed.

Motorway Service Areas

Mr. Bill Walker : To ask the Secretary of State for Scotland what is the Government's policy and practice for providing new motorway service areas in respect of development of the motorway network in Scotland ; and if he will make a statement.

Lord James Douglas-Hamilton : The Scottish Development Department is currently progressing a massive motorway building programme in Scotland and schemes valued at over £650 million are now coming on stream. An integral part of the development of the motorway network will be ensuring the provision of adequate services in strategic locations, such as network focal points. The general policy will be to secure new service areas spaced roughly 20 to 30 miles apart on existing motorways where there is a gap in provision and on new motorways.

The general policy as to the siting, planning, design and operation of motorway service areas (MSAs) is to ensure :

(a) the development of an adequate network of service facilities ; (b) genuine competition for service provision through competitive tendering for provision of services ;

(c) road safety, by restricting and controlling access to the motorways, and by preventing inappropriate activities at service areas (such as the sale of alcohol) ;

(d) the maintenance of the necessary range of services for 24 hours a day, seven days a week, including facilities for the disabled and provision for heavy goods vehicles.

The Department's policy will therefore be to ensure that the consumer is provided with an adequate range of choice and good value for money, while upholding the highest standards of road safety. This depends among other things on promoting fair competition among firms seeking to provide services. Normally competitive tenders are sought from the private sector for the development and a long lease of the site, in return for an appropriate rent which reflects the market value of the site as developed. In implementing its policy the Department will, of course, remain flexible to the specific needs and circumstances of particular routes, areas and local communities. To achieve the control over the planning, development and future use of MSAs it is intended that the Secretary of State should, except in very exceptional circumstances, own the sites which are identified as suitable for the provision of MSAs and that the Department should obtain


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the appropriate planning clearance. If an identified site is not already in the Secretary of State's possession it will be acquired either voluntarily or, if necessary, by using compulsory purchase powers. The site would then be open to competition and thereafter leased to a firm which would provide the services with the necessary control over the site being exercised through appropriate conditions in the lease. Other things being equal, leases for adjacent sites would not be awarded to the same firm. The lease control would not entail intervening in the detailed management of sites, which is best left to the firm providing the services, but would ensure that basic requirements--for example, round- the-clock provision of certain facilities--continue to be met and that basic restrictions, for example, on the sale of alcohol, continue to be observed. As part of the route studies for the M74 and M80 motorways consultants will be advising on suitable sites for service areas. Once these have been identified and they are in the Secretary of State's ownership they will then be the subject of an application for planning clearance before making the necessary arrangements for leasing the site.

Where proposals are brought forward for service areas which are designed to meet the needs of motorway users but which would not actually be sited on the motorway itself--that is, off a road or roundabout giving access to it- -the relevant planning applications will fall to be considered by the local planning authority. In such cases planning authorities will no doubt take into consideration not only the road safety and traffic implications of the proposals but existing and proposed service areas on the motorway itself. I hope that I shall be able to make a further statement about our preferred locations for service areas in the near future.

Electricity

Mr. Allan Stewart : To ask the Secretary of State for Scotland whether he proposes to exercise his powers under section 97 and schedule 12 of the Electricity Act 1989.

Mr. Rifkind : I have today placed in the Library a copy of an agreement under section 97 and schedule 12 of the Electricity Act 1989 entered into with Scottish Nuclear Ltd. to provide assistance towards qualifying expenditure in respect of certain back-end costs of the nuclear cycle. The agreement relieves SNL of some of its inherited liabilities in relation to the generation of electricity by Magnox stations of up to £716 million by 1994. The qualifying expenditure to which the agreement relates will be incurred by the company over a period which is likely to exceed 100 years from the present. It is not therefore expected that payment of grant under the agreement will be made for some years.


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