§ Mr. IrvingTo ask the Secretary of State for Health whether there are plans to close any psychiatric hospitals involving discharge of patients to the eight health districts which are without community psychiatric nurses.
§ Mrs. CurrieThe Government's long-standing policy is that people with mental illness should have access to all the services they need as locally as possible. We would expect the appointment of community psychiatric nurses, in the
General ophthalmic services (England—figures in millions) 1973–74 1974–75 1975–76 1976–77 1977–78 1978–79 1979–80 1980–81 Number of sight tests1 6.9 7.2 7.4 7.7 7.4 7.9 8.3 8.3 Cost of sight tests1 £10.9 £12.2 £20.1 £25.1 £25.9 £29.3 £34.8 £37.7 Pairs of glasses supplied 4.5 5.1 5.5 4.8 4.5 4.6 4.7 4.8 Number of vouchers 6— 6— 6— 6— 6— 6— 6— 6— Cost of NHS glasses £18.2 £23.3 £33.7 £37.0 £40.0 £44.8 £53.8 £64.9 Voucher costs — — — — — — — — Pairs of glasses supplied free to children 0.13 0.11 0.13 0.14 0.29 0.33 0.36 0.37 Number of persons for whom charges were remitted or refunded n.a. n.a. 0.61 0.71 0.75 0.74 0.72 0.74 Value of charge, remissions or refunds n.a. n.a. £3.0 £5.3 £6.8 £7.1 £7.2 £7.5
General ophthalmic services (England—figures in millions) 1981–82 1982–83 1983–84 1984–85 1985–86 1986–87 1987–88 1988–89 estimates Number of sight tests1 8.5 8.7 9.3 9.9 10.2 10.6 11.7 12.2 Cost of sight tests £50.3 2£68.2 £73.0 £81.1 £85.2 £84.8 £103.8 £108.6 Pairs of glasses supplied 4.9 4.8 5.0 4.9 32.7 0.8 — — Number of vouchers4 5 6— 6— 6— 6— 6— 1.5 2.5 2.5 Cost of NHS glasses £73.7 £132.1 £86.2 £88.4 £49.6 £18.1 — — Voucher costs4 — — — — — £25.9 £46.3 £50.7 Pairs of glasses supplied free to children 0.40 0.40 0.39 0.4 n.a. — — — Number of persons for whom charges were remitted or refunded 0.83 1.02 1.18 1.33 n.a. — — — Value of charge, remissions or refunds £9.3 £15.0 £19.6 £22.1 n.a. — — — Notes:
1 All sight tests were free to patients.
2 These figures are distorted by payment of arrears of fees.
3 Front 1 April 1985 NHS spectacles were available only to children and adults who were exempt from charges.
4 Vouchers replaced NHS spectacles for children and exempt adults from 1 July 1986.
5 Approximately 30 per cent. of vouchers are for children under 16 and full time students under 19.
6—Not applicable.
n.a. Not available.