§ Mr. Carter-Jonesasked the Secretary of State for Social Services (1) what is his Department's policy regarding the provision of domiciliary physiotherapy services in health centres; what encouragement and support is given for the provision of such services; what estimate he has made of economies and improvements in service that would arise from the provision of such facilities; and if he will make a statement;
(2) if he will accept the recommendadation of the Tunbridge Committee Report on Rehabilitation that comprehensive limb fitting and appliances centres associated with district general hospitals should be developed as special referral centres, each one to cover the needs of a population of 1½ to 2 million; and if he will make a statement;
(3) if he will accept the recommendation in paragraph 184 of the Tunbridge Committee Report on Rehabilitation that as many handicapped children as possible should attend normal schools and that special provision should be made for them in all new schools; and if he will make a statement;
(4) if he will accept the recommendation in paragraphs 217 of the Tunbridge Committee Report on Rehabilitation that hospital authorities should nominate a suitably trained consultant psychiatrist to be responsible for the supervising at all stages of rehabilitation in mental illness hospitals and mental illness departments of district general hospitals; if he will give special consideration to the provision of suitable training facilities by the appropriate bodies for training such staff; and if he will make a statement;
284W(5) if he will accept the recommendation of paragraph 247 of the Tunbridge Committee Report on Rehabilitation that all accident centres should be supported by adequate rehabilitation centres; and if he will make a statement;
(6) if he will implement the recommendation in paragraph 280 of the Tunbridge Report on Rehabilitation that general practitioners shall be directly advised of the value to them of attending hospital assessment clinics at which their patients are discussed if on consultant's advice if should be acceptable for the appropriate member of the hospital remedial staff to make a domiciliary visit when patients are unable to attend the hospital; and if he will make a statement;
(7) if he will implement the recommendation of the Tunbridge Report on Rehabilitation that medical staff working in the school health service should possess, in addition to their clinical skills, full knowledge of the principles and the provision of ordinary and special education; and if he will make a statement;
(8) if he will accept the recommendation in paragraph 355 of the Tunbridge Report on Rehabilitation regarding the importance of educating the public in general of the value and advantages of proper rehabilitation; and if he will make a statement;
(9) if he is prepared to accept recommendation I of paragraph 94 of the Tunbridge Report on Rehabilitation; and if he will make a statement;
(10) if he will accept the recommendation 2 of paragraph 97 of the Tunbridge Report that operational and other research should be undertaken into the demand for and provision of rehabilitation facilities in the national service; if he accepts that such research should be co-ordinated and supported nationally but should not overlook local initiative; and if he will make a statement;
(11) if he will accept the recommendation in paragraph 122 of the Tunbridge Report that there should be a consultant in charge of the rehabilitation department in each district general hospital, and that he should be called the consultant in rehabilitation; if he will require that a substantial part of his time be devoted to the work of rehabilitation and that he 285W may be drawn from any clinical speciality; and if he will make a statement;
(12) if he accepts the recommendation of the Tunbridge Report of the appointment of a non-medically qualified co-ordinator to organise the programmes of patients attending rehabilitation departments; and if he will make a statement;
(13) if he accepts the recommendation in paragraph 131 of the Tunbridge Report that a person be appointed to deal with the transport arrangements for patients attending the rehabilitation department; and if he will make a statement;
(14) if he accepts the Tunbridge recommendation that assessment clinics should provide the initial basis for all services concerned with future rehabilitation action on behalf of the patient; and if he will make a statement;
(15) if he will accept the Tunbridge Committee Report that clinical psychologists be appointed to all rehabilitation departs; and if he will make a statement;
(16) if he accepts the Tunbridge recommendation that the delegation of responsibility for day-to-day treatment of patients should be permitted to members of the remedial professions provided that they are always under the supervision of the appropriate consultant; and if he will make a statement;
(17) if he is prepared to accept and implement the Tunbridge recommendation that patients receiving intensive physiotherapy should have their progress reviewed at least once a fortnight, and preferably weekly; and if he will make a statement;
(18) if he accepts the Tunbridge recommendation that those responsible for hospitals should review the procedure in their hospitals to ensure that remedial treatment is correctly prescribed and recorded; and if he will make a statement;
(19) if he will accept the recommendation by the Tunbridge Committee that an analysis of the work of the remedial professions based on hospitals throughout the country randomly selected should be undertaken urgently, and that this study should precede any reorganisation of the career structure or rôle of these professions; and if he will make a statement;
(20) if he will accept the Tunbridge recommendation that in spite of adminis- 286W tration difficulties, urgent consideration should be given to the provision of a certificate of incapacity; and if he will make a statement;
(21) if he will accept the Tunbridge recommendations that several experimental appointments of area managers be made to be responsible for work contracts for rehabilitation workshops and for workshops run by local authorities and grant-aided by the Department of Employment; and if he will make a statement;
(22) if he will accept the Tunbridge Report that a number of adequately staffed research units should be set up to study methods of remedial therapy suit able for young children; and if he will make a statement;
(23) if he will accept the recommendation of the Tunbridge Committee that consideration should be made to the urgent need for training of the medical and other professions in the new aspects and special problems of rehabilitation as applied to the older age groups in modern geriatric practice, and if he will make a statement;
(24) if he is prepared to accept the recommendation of the Tunbridge Report that it should examine the whole question of remuneration for therapeutic work in hospitals; and if he will make a statement;
(25) if he will accept the Tunbridge Report recommendation that the problems of the partially sighted should be subject to studies designed to ascertain the needs of this group and the way in which their needs can best be met; and if he will make a statement;
(26) if he will accept the Tunbridge recommendation that consideration should be given to the provision of special rehabilitation facilities for those suffering from deafness and that more research should be undertaken into the needs of the deaf and to the ways in which they can obtain maximum benefit from the services available; and if he will make a statement.
§ Sir K. JosephI would refer the hon. Member to my reply to the hon. Member for Derby, North (Mr. Whitehead) and my hon. Friend the Member for Kingston-upon-Thames (Mr. Norman Lamont) earlier today.
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§ Mr. Carter-Jonesasked the Secretary of State for Social Services (1) if he will accept the recommendation of the Tunbridge Committee Report on Rehabilitation for the co-ordination of common training for the remedial profession for the first year and a considerable proportion of the second year; and if he will make a statement;
(2) if he will accept the recommendation in paragraph 348 of the Tunbridge Report on Rehabilitation that the age of entry to training for the remedial profession should be reduced to 17 years; and if he will make a statement;
(3) if he will accept the Tunbridge Report recommendation that training for the remedial profession should be concentrated into some 20 centres in England and Wales; if he will consider integrating these centres with centres of further education; and if he will make a statement.
§ Sir K. JosephI would refer the hon. Member to my reply to the hon. Member for Derby, North (Mr. Whitehead) and my hon. Friend the Member for Kingston-upon-Thames (Mr. Norman Lament) earlier today. Any alteration to training arrangements will need to be considered in the first place with the Council for Professions Supplementary to Medicine, the body responsible for co-ordinating the activities of the relevant registration boards.