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Nhs Performance Indicators

Volume 130: debated on Monday 28 March 1988

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To ask the Secretary of State for Social Services when he will make the National Health Service performance indicators for 1986–87 available in the Library.

To ask the Secretary of State for Social Services (1) what information he has as to why Hampstead, Preston and Bloomsbury district health authorities have large estates in relation to the resident population in their health districts; and if there has been a recent review of their property usage;(2) what information he has as to the reasons for the numbers of staff in the ancillary, building and maintenance, administrative and clerical, professional and technical categories which Halton district employs in relation to its patient work load;(3) what information he has as to the reasons for the level of costs of administrative and medical record keeping in the leading London hospitals and the Bristol Royal infirmary;(4) what information he has as to the reasons for the size of the complement of consultant and senior doctors in general medicine in the Barking and Havering district;(5) what information he has as to why expenditure by West Birmingham, Richmond and Twickenham, Rugby, Central Manchester, Merton and Sutton and West Lancashire district health authorities on building maintenance is relatively high in relation to other authorities; and what plans are there to review their performance in this respect.

I assume my hon. Friend's questions were stimulated by an analysis of Health Service indicators. Although the purpose of the indicators is to raise questions at all levels about health service performance in delivering services to patients, most of the reasons behind detailed variations shown by indicator analysis can only be identified at local level where the analysis can be informed by local knowledge. This is why in our approach to the use of the indicators — full details of which will be announced in a forthcoming health circular — we have concentrated on ensuring that detailed local analyses are undertaken and on monitoring the results and the action taken. My hon. Friend may therefore wish to direct his specific questions about the reasons for these variations between districts and regions to the district or regional authorities concerned.

Estimated number of dischareges and mean duration of stay (days) of National Health Services and private patients from National Health
Service non-psychiatric and non-maternity hospitals, by specialty England 1985
National Health Service Patients
EnglandNorthern RHAYorkshire RHATrent RHAEast Anglia RHANorth West Thames RHANorth East Thames RHASouth East Thames RHASouth West Thames RHA
General medicine—Est. No.877,21065,92063,92077,37025,06063,71080,41073,43041,530
—Mean duration of stay9·99·59·78·88·712·411·110·59·4
Paediatrics—Est. No.333,28024,20024,45029,3909,40027,73024,89027,93013,740
—Mean duration of stay3·94·15·03·12·83·83·63·83·2
Infectious diseases—Est. No.22,8003804,8402,5303206104,8701,9202,030
—Mean duration of stay6·78·06·15·16·111·16·75·95·4
Thoracic medicine—Est. No.61,1903,1503,9805,2003,0404,1305,8704,5501,170
—Mean duration of stay11·79·011·213·57·210·218·610·912·8
Dermatology—Est. No.19,9302,0202,7902,1204801,1708101,460490
—Mean duration of stay19·415·216·819·524·419·416·520·819·1
Neurology—Est. No.42,8803,2303,4303,3301,4001,4803,7302,2002,750
—Mean duration of stay11·57·013·010·014·611·314·510·811·4
Cardiology—Est. No.54,5702,9605,6703,7101.6605,8402,9607,570280
—Mean duration of stay7·06·06·85·36·28·17·46·96·1
Rehabilitation—Est. No.7,880630908801,1801,1101,350150970
—Mean duration of stay30·225·326·353·520·229·524·216·726·8
Genito·Urinary medicine—Est. No.4801040140906010
—Mean duration of stay6·32·09·56·15·715·23·0
Rheumatology—Est. No.27,6001,9202,8602,8501,4701,6401,3802,200640

He will additionally wish to be aware that there is at present an initiative underway throughout the NHS to ensure that under-used properties are either disposed of or put to better use.