§ Ms. Harmanasked the Secretary of State for Social Services what percentage of his Department's sponsorship to residents in private residential care homes he estimates goes to those in homes which are not required to be registered.
§ Dr. BoysonThe supplementary benefit regulations provide for benefit to be payable up to the residential care limit to residents in homes which satisfy the provisions of section 1 of the Residential Homes Act 1980 and section 61 of the Social Work (Scotland) Act 1968. Residents in homes which satisfy those provisions but are not required to be registered, for example homes known to the local authority but too small to be registered, and Abbeyfield Homes, are therefore eligible for payment to this level. Information is not available on the total number of such cases, but they are thought to represent a small proportion of the total number of people supported by supplementary benefit in residential care and nursing homes.
If a home were required to be registered, but had been refused registration or had it withdrawn, supplementary benefit support for its residents would be confined to the ordinary board and lodging limit. In the event of doubt about the status of an unregistered home, the Department's staff are advised to seek the guidance of the local authority.
§ Ms. Harmanasked the Secretary of State for Social Services if he will list by counties the number of (a) registered voluntary, (b) registered private and (c) local authority residential care homes and the number of beds in each respective category of homes for each year since 1979.
§ Mr. John PattenFollowing for the years 1979–83 are the numbers of local authority homes for the elderly and disabled and the number of places in such homes, for each non-metropolitan county in England, with aggregated figures for the metropolitan counties and greater London. Equivalent figures relating to voluntary and privately run homes were given in my reply to the hon. Member for Burnley (Mr. Pike) on 2 March at column386–90.
Also given for 1983 and on a similar basis are the number of local authority, voluntary and privately run homes for the mentally disordered and the number of places in such homes. Comparable figures for the years 1979 to 1982 are published in a series of reports produced by the Department entitled "Homes and Hostels for the Mentally Ill and Mentally Handicapped", copies of which are available in the Library.
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Numbers of local authority homes and places for the elderly and younger physically handicapped, by county: 1979–1983 1979 1980 1981 1982 1983 Counties Homes Places Homes Places Homes Places Homes Places Homes Places Cleveland 34 1,401 34 1,401 34 1,406 34 1,406 35 1,451 Cumbria 44 1,505 44 1,506 44 1,508 45 1,540 45 1,625 Durham 42 1,717 43 1,745 43 1,756 43 1,710 43 1,777 Northumberland 20 941 20 949 19 957 19 957 21 994 Tyne & Wear 80 3,159 82 3,216 86 3,416 85 3,411 84 3,370 Humberside 60 2,321 61 2,336 61 2,391 61 2,394 60 2,360 North Yorkshire 45 1,972 45 1,957 45 1,953 46 1,993 46 1,988 South Yorkshire 98 3,652 99 3,677 100 3,732 99 3,766 103 3,899 West Yorkshire 156 6,107 159 6,225 162 6,308 160 6,306 159 6,292 Cheshire 56 1,813 57 1,854 58 1,882 60 1,965 60 2,013 Lancashire 93 3,819 95 3,839 95 3,849 97 3,955 97 3,953 Greater Manchester 193 7,485 192 7,563 191 7,481 190 7,540 192 7,619 Merseyside 85 3,628 86 3,608 84 3,566 84 3,561 85 3,612 Hereford & Worcester 28 1,234 28 1,241 28 1,231 28 1,259 28 1,254 Salop 21 1,033 21 1,033 21 1,033 21 1,054 21 1,068 Staffordshire 44 1,988 44 1,989 44 1,989 44 1,989 46 2,022 Warwickshire 26 1,106 26 1,103 26 1,115. 26 1,143 25 1,087 West Midlands 133 6,158 137 6,349 141 6,483 141 6,432 141 6,406 Derbyshire 51 2,145 52 2,168 53 2,172 53 2,167 53 2,158 Leicestershire 44 2,051 44 2,080 44 2,080 44 2,080 45 2,090 Lincolnshire 33 1,425 33 1,416 33 1,406 33 1,420 34 1,474 Northamptonshire 30 1,064 30 1,079 33 1,166 33 1,205 31 1,229 Nottinghamshire 48 2,036 46 1,966 49 2,081 49 2,074 48 2,073 Bedfordshire 24 1,048 24 1,035 24 1,035 24 1,035 25 1,079 Berkshire 28 1,061 29 1,094 29 1,103 29 1,103 30 1,098 Buckinghamshire 20 821 20 821 20 818 20 813 22 880 Cambridgeshire 29 1,225 31 1,289 31 1,289 31 1,294 31 1,294 Essex 64 3,314 64 3,323 64 3,313 64 3,328 64 3,327 Hertfordshire 35 1,754 35 1,750 35 1,743 36 1,799 37 1,754 Norfolk 47 1,980 47 1,991 47 1,997 47 1,965 47 1,977 Oxfordshire 27 1,235 27 1,236 27 1,236 26 1,223 26 1,221 Suffolk 32 1,523 32 1,521 32 1,521 33 1,574 32 1,551 London (GLC) 334 17,240 333 17,155 336 17,176 336 17,136 332 17,024 Dorset 37 1,664 38 1,683 39 1,737 39 1,752 37 1,731 Hampshire 71 3,064 72 3,098 69 3,050 69 3,035 68 2,987 Isle of Wight 7 358 7 358 7 358 7 358 7 358 Kent 57 2,807 57 2,807 57 2,807 57 2,807 57 2,807 Surrey 42 1,829 42 1,829 42 1,835 42 1,835 43 1,886 East Sussex 50 2,219 46 2,113 47 2,114 47 2,134 46 2,040 West Sussex 37 1,523 37 1,524 37 1,524 37 1,524 37 1,557 Wiltshire 22 975 22 994 23 1,034 23 1,082 24 1,100 Avon 58 2,456 58 2,455 58 2,456 61 2,569 62 2,603 Cornwall 26 1,098 26 1,098 26 1,096 26 1,105 27 1,153 Devon 59 2,399 59 2,391 59 2,422 58 2,395 58 2,382 Gloucestershire 28 1,197 28 1,197 28 1,197 28 1,197 28 1,197 Somerset 26 1,042 26 1,041 27 1,099 27 1,103 27 1,093 England Total 2,624 113,592 2,638 114,103 2,658 114,921 2,662 115,493 2,669 115,913 380W381W
Number of homes and places for the mentally handicapped and mentally ill by the type of home and by county (As at 31 March 1983) Homes and hostels for the mentally handicapped Homes and hostels for the mentally ill Local Authority (Counties) Local Authority Voluntary Private Local Authority Voluntary Private Premises Places Premises Places Premises Places Premises Places Premises Places Premises Places Cleveland 12 168 0 0 0 0 5 64 0 0 0 0 Cumbria 8 121 3 33 0 0 7 50 0 0 0 0 Durham 16 263 0 0 0 0 12 60 0 0 0 0 Northumberland 10 130 1 65 0 0 4 16 0 0 0 0 Tyne and Wear 23 263 1 3 0 0 17 154 1 12 0 0 Humberside 15 288 1 30 0 0 2 23 0 0 1 7 North Yorkshire 7 136 0 0 0 0 4 64 0 0 0 0 South Yorkshire 41 424 2 36 0 0 13 126 1 14 0 0 West Yorkshire 48 643 3 63 1 12 33 286 0 0 0 0 Cheshire 25 342 2 41 0 0 12 54 5 27 0 0 Lancashire 35 543 5 117 3 30 7 81 0 0 0 0 Greater Manchester 74 1,026 4 75 0 0 41 327 0 0 0 0 Merseyside 24 575 6 135 13 107 16 158 2 40 1 25 Hereford/Worcester 13 198 6 73 2 32 12 70 1 23 0 0 Shropshire 11 139 0 0 2 12 2 33 0 0 0 0 Staffordshire 21 395 0 0 0 0 16 124 0 0 0 0 Warwickshire 7 47 7 53 0 0 0 0 14 53 0 0 West Midlands 60 902 14 159 3 63 42 323 2 22 1 19
Homes and hostels for the mentally handicapped Homes and hostels for the mentally ill Local Authority (Counties) Local Authority Voluntary Private Local Authority Voluntary Private Premises Places Premises Places Premises Places Premises Places Premises Places Premises Places Derbyshire 14 194 0 0 0 0 9 41 0 0 0 0 Leicestershire 8 167 1 50 2 21 3 52 0 0 1 8 Lincolnshire 13 225 0 0 1 13 7 61 0 0 1 13 Northamptonshire 13 122 3 42 0 0 7 59 0 0 1 53 Nottinghamshire 8 174 0 0 5 48 1 23 1 22 8 101 Bedfordshire 12 166 1 65 0 0 3 30 0 0 0 0 Berkshire 24 271 5 248 5 63 10 53 2 30 0 0 Buckinghamshire 20 196 3 18 0 0 3 29 8 37 0 0 Cambridgeshire 19 165 1 27 1 15 4 19 0 0 0 0 Essex 15 334 4 26 0 0 1 24 1 8 0 0 Hertfordshire 25 325 4 50 0 0 11 85 1 17 0 0 Norfolk 16 153 3 68 17 199 6 25 1 30 7 102 Oxfordshire 10 163 3 52 0 0 3 12 1 15 0 0 Suffolk 16 155 1 14 3 61 14 67 1 35 1 4 London 125 1,850 21 438 3 22 94 973 40 550 2 17 Dorset 11 162 4 101 1 43 12 75 2 69 0 0 Hampshire 18 357 10 130 4 42 9 38 6 85 1 13 Isle of Wight 4 42 1 42 1 24 0 0 0 0 0 0 Kent 15 237 5 121 20 341 21 128 9 218 16 217 Surrey 9 220 6 121 1 41 3 36 3 86 0 0 East Sussex 15 263 4 134 30 626 5 37 2 65 10 174 West Sussex 10 192 4 78 3 26 4 31 0 0 1 8 Wiltshire 12 203 1 20 4 53 10 51 1 30 0 0 Avon 24 211 11 95 1 13 8 51 6 45 1 3 Cornwall 4 65 1 8 3 48 1 25 0 0 0 0 Devon 16 205 3 27 0 0 7 28 0 0 0 0 Gloucestershire 16 165 3 85 1 10 15 60 0 0 0 0 Somerset 21 150 3 111 1 27 11 47 7 70 0 0 England Total 963 13,735 161 3,054 131 1,992 527 4,173 118 1,603 53 764
§ Ms. Harmanasked the Secretary of State for Social Services (1) what information he has as to the number of beds in residential care homes run by organisations set up by (a) royal charter and (b) Act of Parliament; and if he will list the organisations concerned;
(2) if he plans to extend the current legislative measures on non-statutory residential care homes to homes set up by organisations established by royal charter or Act of Parliament.
§ Mr. John PattenResidential care homes run by organisations set up by Royal Charter or by Act of Parliament are not separately identified in the statistics compiled by our Department.
§ Ms Harmanasked the Secretary of State for Social Services if he intends to ask the Central Council for Education and Training in Social Work to prepare training programmes for proprietors, managers and staff of residential care homes.
§ Mr. John PattenThe council is already running courses for personnel of residential homes and discussions are taking place with the council's staff about extending the provision so that more from private and voluntary homes may attend these courses.
§ Ms. Harmanasked the Secretary of State for Social Services (1) what advice he has given to local authorities regarding the legal status of the code of practice on residential care homes;
(2) if he will seek to amend the Residential Homes Act 1980 to require local authorities to adopt the code of practice on residential care homes.
§ Mr. John PattenAs set out in the Secretaries' of State foreword to the code of practice local authorities have been asked to regard it in the same light as the general guidance382W that the Secretaries of State issue from time to time under their powers at section 7 of the Local Authority Social Services Act 1970.
§ Ms. Harmanasked the Secretary of State for Social Services what appointments he has made to the new tribunal for registering residential care homes.
§ Mr. John PattenThere is no tribunal to register residential care homes. However, there is provision at part IV of the Health and Social Services and Social Security Adjudications Act 1983, which is to be implemented later this year, for registration appeals to be heard by registered homes tribunals. The legal panel and the panel of experts from which members of these tribunals will be shown, will be appointed respectively by the Lord Chancellor and by the Lord President of the Council. So far these panels have not been appointed.
§ Ms. Harmanasked the Secretary of State for Social Services (1) if he is satisfied that residents in private residential care homes have the same access to domiciliary health services as those not in such homes;
(2) if residents of private and voluntary residential care homes remain entitled to the same domiciliary health services as those not in such homes.
§ Mr. John PattenResidents of private and voluntary residential care homes have the same entitlement to register with a general medical practitioner and to receive general medical services, including home visits, under the NHS as people living in their own homes. Health authorities have discretion to provide those domiciliary health services for which they are responsible to residents in voluntary and private residential care homes, but this is dependent on the availability of resources and the priority given to these services locally.