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|Science Museum (South Kensington site only)||1.47|
|Victoria and Albert Museum (South Kensington site only)||1.20|
|National Maritime Museum (including Queen's House and Old Royal Observatory)||0.47|
|Natural History Museum (South Kensington site only)||1.75|
|Imperial War Museum (Lambeth site only)||0.49|
How the Barnett formula was used to determine health care expenditure in the constituent parts of the United Kingdom; and how recent changes to the formula will impact on the resourcing of health care in each of the four countries over the next three years.
The Secretaries of State for Scotland, Wales and Northern Ireland have discretion to deploy resources between programmes in the light of local priorities within the block budgets, including changes to spending plans determined by applying the Barnett formula. Details of current and planned spending on health in Scotland, Wales and Northern Ireland are published in the relevant departmental reports.
The Chairman of Committees (Lord Boston of Faversham): I understand from the House of Commons authorities that they have received a specimen of the Gulf medal 1990-91 from the Army Medal Office, and that this will be placed in the medals cabinet shortly.
The Parliamentary Under-Secretary of State, Scottish Office (Lord Sewel): Government policy for religious observance in non-denominational schools in Scotland is set out in the Scottish Office Education Department Circular 6/91. The circular states that religious observance complements religious education and is an important part of a pupil's spiritual development. In non-denominational schools religious observance should be of a broadly Christian character. Where appropriate, schools may wish to organise special acts of observance for particular religions. In primary schools all pupils should take part in religious observance not less than once a week. In secondary school all pupils should take part in religious observance at least once a month and preferably with greater frequency.
The Minister of State, Department of Trade and Industry (Lord Simon of Highbury): It is not possible to forecast the timing of the completion of an investigation of this kind. It would not be helpful to the
surrendered for: (f) each day; (g) each week; (h) the month;
during the London Borough of Lambeth amnesty.
The Parliamentary Under-Secretary of State, Home Office (Lord Williams of Mostyn): During the firearms amnesty held in Lambeth last month, the Metropolitan Police received 24 firearms in total, consisting of 16 handguns, four shotguns, two rifles, and two air weapons. Four imitation firearms and a canister of pepper spray were also surrendered. A large amount and range of ammunition was surrendered, including shotgun cartridges, large and small bore rounds, primers and blank rounds. It is not practicable to provide this information on a daily and weekly basis.
Lord Williams of Mostyn: All computer games which are likely to any significant extent to stimulate or encourage crime (or which depict human sexual activity or acts of gross violence) must be submitted to the British Board of Film Classification (BBFC) for classification. The game "Grand Theft Auto" was submitted and was recently given an 18 certificate by the board. It is, therefore, considered suitable for supply only to adults. Its supply to anyone under the age of 18 is an illegal act subject to criminal penalties. The maximum penalty for supplying a computer game in breach of its classification is six months' imprisonment, a £5,000 fine, or both.
Lord Williams of Mostyn: The Government consider that the law is clear. The intentional killing of another person can be prosecuted as murder. Treatment intended to cause death rather than alleviate pain and distress is, and should remain, unlawful. However, it is lawful to provide treatment which is intended to reduce pain and suffering, but which may shorten life, subject to the usual requirements regarding patient consent.
Further to the Answer by Lord William of Mostyn on 20 November 1997 (H.L. Deb., cols. 742-44), what initial and in-practice training is given for doctors and nurses about the treatment of terminally ill patients, and about the ethical and legal implications of such treatment.
The Minister of State, Department of Health (Baroness Jay of Paddington): A number of guidance documents are available to help professionals caring for terminally ill patients. The Standing Medical Advisory
Doctors training for a career in hospitals will be in contact with terminally ill patients to a greater or lesser degree depending upon the specialties in which they train and some doctors choose to receive specialty training in palliative care.
Those doctors intending to enter general practice will, during their year of general practice training, regularly see patients with terminal illnesses and will learn about their treatment. Trainee general practitioners may well also see patients with terminal illnesses during their two-year hospital rotation. Additionally, doctors are expected to continue with their medical education after qualification and they will spend some of this time learning about the illnesses and conditions they most commonly encounter.
The medical education curriculum is a matter for the medical schools in collaboration with the General Medical Council's Education Committee, which has a statutory responsibility to determine the extent of the knowledge and skill required for the granting of primary medical qualifications in the UK, and the relevant Medical Royal Colleges and, in the case of general practice, the Joint Committee on Postgraduate Training for General Practice. All of these have an interest in ensuring that doctors are equipped to deal with the problems they will encounter in practice--both in hospital and in general practice. It is not however practicable or desirable for the Government to prescribe the exact training that any individual doctor will receive.
Nurses also receive training at pre-and post-registration levels about the principles of caring for the dying as part of their medical training and also about the ethical implications. Within pre-registration nursing programmes, the Common Foundation element addresses issues of nursing patients with terminal illnesses and associated ethical and moral implications. Many pre-registration nurses will have the opportunity to experience a clinical placement within settings
There are also a number of post-registration packages available to qualified nurses who wish to pursue this particular area of specialist care. Ethical and moral issues are integral components in all courses for qualified nurses focusing on care for people with any life threatening illness. There are also specific, specialist courses on palliative and terminal care for those qualified nurses who wish to pursue this particular area of specialist care.
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