§ Ms. Janet AndersonTo ask the Secretary of State for Health (1) what plans she has to expand the domiciliary family planning service in order to meet the targets
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Health authority Number of domiciliary visits 1988–89 1989–90 1990–91 North Tees — — 1Y South Tees — Y — North West Durham Y Y Y South West Durham — — Y Gateshead Y Y Y Newcastle Y Y Y Sunderland Y Y Y York Y Y Y Scarborough Y — — Bradford Y Y Y Airedale Y — — Calderdale Y Y Y Dewsbury Y — — Leicestershire Y Y 2— Central Nottinghamshire Y Y Y Barnsley Y Y Y Rotherham Y Y Y Sheffield Y Y Y Cambridge Y Y Y West Suffolk Y Y Y East Suffolk Y Y Y Norwich — — Y Barnet Y Y Y Harrow Y — Y Hounslow and Spelthorne Y Y Y Ealing Y Y Y Parkside Y Y Y Basildon and Thurrock Y Y — Southend Y Y — City and Hackney Y — — Haringey Y Y Y Waltham Forest Y Y Y Canterbury and Thanet Y 2— Y Medway Y 2— Y Tunbridge Wells — 2— Y Greenwich — Y Y Bromley Y 2— Y regarding the reduction of teenage pregnancies and the incidence of sexually transmitted disease and invasive cancer of the cervix set out in the White Paper. "The Health of the Nation";
(2) what guidance she will issue to health authorities and trusts regarding domiciliary family planning services in the light of the care in the community proposals.
§ Mr. SackvilleThe day-to-day management and provision of family planning services is a matter for individual health authorities since they can best judge local circumstances and needs. New guidelines issued by the National Health Service Management Executive in January 1992 include advice on targeting services and the service accessibility. Attention is drawn, with reference to earlier advice family planning memorandum of guidance (HSC(IS)32)—to the way in which domiciliary services can be used to improve take-up among those people with special needs.
§ Ms. Janet AndersonTo ask the Secretary of State for Health (1) if she will list those health authorities which provided domiciliary family planning services in each year since 1985;
(2) how many health authorities and national health service trusts in the United Kingdom currently provide domiciliary family planning services.
§ Mr. SackvilleThe table lists those district health authorities that reported making at least one family planning domiciliary visit in one of the years 1988–89 to 1990–91. Figures for earlier years could be provided only at disproportionate cost.
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Health authority Number of domiciliary visits 1988–89 1989–90 1990–91 West Lambeth Y 2— Y Camberwell Y 2— Y Lewisham and North Southwark Y 2— Y Chichester Y Y Y Worthing Y Y — Croydon Y Y Y Kingston and Esher Y — — Richmond, Twickenham and Roehampton Y Y Y Wandsworth Y Y Y Merton and Sutton Y Y Y Portsmouth and South East Hampshire Y Y Y South West Hampshire and Southampton Y Y Y Winchester Y Y Y Salisbury Y — — Bath — — Y West Berkshire Y — Y Kettering Y Y Y Northampton Y Y Y Oxford Y Y Y Cornwall — — Y Bromsgrove and Redditch Y Y Y Herefordshire Y Y Y Shropshire Y Y — North Staffordshire Y Y Y East Birmingham Y Y Y North Birmingham Y Y Y West Birmingham Y Y Y Dudley Y — Y Sandwell Y Y Y Solihull Y Y Y Walsall — Y — Macclesfield Y Y Y Warrington Y Y Y Liverpool Y — — St. Helens and Knowsley Y Y Y Southport and Formby Y Y Y South Sefton Y Y — Wirral Y — — Blackpool, Wyre and Fylde Y Y Y Blackburn/Hyndburn/Ribble Valley Y Y Y Bolton Y Y Y South Manchester Y Y Y Stockport Y Y Y Tameside and Glossop Y Y Y Trafford Y Y Y Wigan Y Y Y 1 Y At least one domiciliary visit recorded. 2 —No return made. Districts not listed showed no domiciliary visits during the period.