§ Mr. Meacherasked the Secretary of State for Social Services what arrangements he has made to monitor the repair and decoration of residential accommodation which district health authorities retain, and to ensure that the guidance in HC(85)19, to the effect that staff who need to be resident should be housed in accommadation of good quality and that authorities should regard bringing the retained stock of accommodation up to a reasonable standard as a priority charge on the proceeds of sale, is followed.
§ Mr. HayhoeNo specific arrangements have been made; the monitoring of district health authorities' performance is a matter for regional health authorities.
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§ Mr. Meacherasked the Secretary of State for Social Services if he will issue a health circular instructing district health authorities to ensure that surplus National Health Service accommodation will, wherever possible, be offered to tenants for purchase and that where it is not possible to make the offer or where tenants are unwilling to purchase the accommodation, they will be given at least one year to make alternative arrangements even where those staff no longer qualify for accommodation.
§ Mr. HayhoeCircular HC(85)19, issued in July 1985, contains these provisions for staff who have been tenants for at least two years. It is open to authorities to sell surplus properties to staff with shorter tenancies, but not at concessionary prices.
§ Mr. Meacherasked the Secretary of State for Social Services how many district health authorities have sought regional health authority and Department of Health and Social Security approval for the provision of accommodation to staff other than junior medical and dental staff, nursing and midwifery students and trainees for the professions allied to medicine.
§ Mr. HayhoeVirtually every authority has sought approval to retain some accommodation for staff other than professional trainees.
§ Mr. Meacherasked the Secretary of State for Social Services (1) how many units of accommodation comprised in National Health Services houses and self-contained flats would be sold off if the action plans so far submitted by district health authorities to regional health authorities outlining their proposals for accommodating employees in line with HC(85)19, were implemented;
Expenditure 1978–79 1986–87 Increase Real percentage £ million £ million £ million increase Revenue cash allocation 310.1 739.8 429.7 22.1
Activity 1978 1984 Increase Percentage increase Inpatient cases 430,516 499,895 69,379 16.1 Day cases 55,097 72,718 17,621 32 Outpatient cases 2,505,897 2,792,918 287,021 11.5 Kidney treatment (end stage renal failure) all cases 253 566 313 123.7 Geriatric inpatients 27,542 39,096 11,554 42
Manpower 1978 September 1985 (provisional) Increase Percentage increase Nurses and midwives (including agency staff) 26,690 *30,220 3,530 13.2 Doctorst and dentists including locums 2,448 2,738 290 11.9 Professions allied to medicines* 1,710 2,370 660 38.5 The number of independent contractors providing primary health care services in the region has also increased General practitioners 2,392 2,797 405 16.9 General dental practitioners 791 972 181 22.9 * Contract hours reduced from 40 to 37½ per week in 1980. † Indicates figures are whole time equivalents. ‡ All figures whole time equivalent rounded to the nearest ten. The 1978 figure is as close as possible to the current definition of PAM staff, but may differ slightly since this category did not exist in 1978.
§ Mrs. Virginia Bottomleyasked the Secretary of State for Social Services if he will give details of the latest
84W(2) how many units of accommodation in nursing hostels would be sold off if the action plans so far submitted by district health authorities to regional health authorities outlining their proposals for accommodating employees in line with HC(85)19, were implemented.
§ Mr. HayhoeI regret that this information is not available centrally.