asked the Minister for Health the extra funding which has been provided for further development of the community care services since 14 December 1982; and if he will list the new services provided.

Between 1983 and 1985, inclusive, an estimated additional £60.5 million was spent on community care services. This represents an increase of approximately 25 per cent over the period compared to overall inflation for the same period of approximately 22 per cent, a real growth, therefore, of approximately 3 per cent in spending on community care services. This real growth has occurred against a background of restricted resources generally in the health services.

A number of new community orientated services have been initiated since 1983. The decision to introduce a new service occurs, of course, at the end of a complex process of review and evaluation which may take some time to complete. In addition, therefore, to new services a number of reviews were initiated and some of these are still ongoing.

More importantly perhaps than the introduction of new services is the improvement of existing services and the reorientation of institutional services to community based thinking, for example, the psychiatric services. Within the existing financial framework it has proved possible to make major improvements in this manner.

The following is a list of new services which I introduced since taking office.

(1) Measles immunisation,

(2) AIDS monitoring and information services,

(3) Nutritional surveillance service,

(4) Major upgrading of the services in the area of drug abuse in conjunction with other Ministers,

(5) A major intensification of anti-smoking services.

(6) Dental Services: Six new orthodontic posts were established, and are in the course of being filled.

(7) Scoliosis Screening: Following the completion of a pilot screening service on scoliosis I have now approved the phased development of a national screening programme.

(8) Travellers: The development of special services for the travelling people.

(9) Child Care Services: Major developments in the child care services.

(10) Cancer: Extension of free cervical smear testing services.

(11) Small Health Centre Programme: Improved delivery of existing and new services by the development of over 30 small modern health centres to date. This programme is ongoing in addition to the major health centre programme.

(12) Family Planning: Further development of family planning services.

A number of reviews are also under way or have been recently completed and are now being examined, which may result in the development of new services or the reorientation of existing services.