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Midwives And Health Visitors

Volume 131: debated on Wednesday 13 April 1988

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To ask the Secretary of State for Social Services what is the number of midwives and health visitors employed in each district health authority, health region and in the United Kingdom; and what knowledge on a national or regional basis his Department has about the case load each midwife and health visitor has.

To ask the Secretary of State for Social Services how many midwives and health visitors are employed by each of the health authorities in the North-West regional health authority.

[holding answer 1 February 1988]: The number of midwives and health visitors in each district health authority in England at 30 September 1986 is shown in table 1. The total number of live and still births in each region in England during 1986 and the number of home visits by health visitors over the same period are shown in tables 2 and 3 respectively. A direct comparison between the staffing and activity figures may be misleading as the activity information given does not reflect the full work load of these staff.The information for Scotland, Wales and Northern Ireland is a matter for my right hon. and learned Friend the Secretary of State for Scotland and my right hon. Friends the Secretaries of State for Wales and Northern Ireland.

Table 1
Midwifery staff and health visitors by district health authority 30 September 1986
whole-time equivalents1
District Health AuthorityMidwives2Health Visitors3
England419,15310,428
Northern RHA1,305691
Hartlepool5322
North Tees8433
South Tees14561
East Cumbria7735
South Cumbria4736
West Cumbria7032
Darlington5824
Durham7142
North West Durham3920
South West Durham6335
Northumberland10571
Gateshead5754
Newcastle17680
North Tyneside5645
South Tyneside5930
Sunderland14471
Yorkshire RHA1,524743
Hull10247
East Yorks6441
Grimsby8727
Scunthorpe6038
Northallerton2627
York9851
Scarborough5431
Harrogate6022
Bradford20286
Airedale6835
Calderdale9348
Huddersfield7749
Dewsbury8835
Leeds Western12371
Leeds Eastern14973
District Health AuthorityMidwives2Health Visitors3
Wakefield7826
Pontefract9636
Trent RHA1,778956
North Derbyshire11379
Southern Derbyshire16091
Leicestershire307187
North Lincolnshire8452
South Lincolnshire10758
Bassetlaw3019
Central Nottinghamshire12864
Nottingham296141
Barnsley8348
Doncaster11559
Rotherham9953
Sheffield256106
East Anglian regional health authority800375
Cambridge11460
Peterborough9542
West Suffolk11146
East Suffolk9357
Norwich19978
Great Yarmouth and Waveney5936
West Norfolk and Wisbech7131
Huntingdon5926
North West Thames regional health authority1,223810
North Bedfordshire8854
South Bedfordshire12164
North Hertfordshire8239
East Hertfordshire7053
North West Hertfordshire7251
South West Hertfordshire8748
Barnet11471
Harrow9448
Hillingdon8949
Hounslow and Spelthorne9968
Ealing5982
Brent6256
Paddington and North Kensington8746
Riverside10082
North East Thames regional health authority1,620737
Basildon and Thurrock10647
Mid Essex7352
North East Essex10955
West Essex9345
Southend10249
Barking, Havering and Brentwood13664
Hampstead5333
Bloomsbury7435
Islington11241
City and Hackney17056
Newham5139
Tower Hamlets11260
Enfield9342
Haringey6742
Redbridge10141
Waltham Forest10437
Regional health authority and headquarter units565
South East Thames RHA1,531834
Brighton4371
Eastbourne5854
Hastings6035
South East Kent8660
Canterbury and Thanet11953
Dartford and Gravesham11454
Maidstone6038
Medway16365

District Health Authority

Midwives

2

Health Visitors

3

Tunbridge Wells9635
Bexley9749
Greenwich8553
Bromley11066
West Lambeth10849
Camberwell17956
Lewisham and North Southwark15397

South West Thames RHA

1,014639
North West Surrey8545
West Surrey and North East Hants6967
South West Surrey6237
Mid Surrey4739
East Surrey5341
Chichester5832
Mid Downs9865
Worthing6545
Croydon11957
Kingston and Esher8041
Richmond, Twickenham and Roehampton4659
Wandsworth14240
Merton and Sutton9273

Wessex RHA

1,053608
East Dorset11079
West Dorset5338
Portsmouth and South East Hants198108
Southampton and South West Hants16283
Winchester9053
Basingstoke and North Hants7751
Salisbury5635
Swindon11850
Bath14284
Isle of Wight4828

Oxford RHA

961563
East Berkshire13581
West Berkshire15798
Aylesbury Vale6038
Wycombe10067
Milton Keynes8441
Kettering9357
Northampton13667
Oxfordshire196114

South Western RHA

1,047680
Bristol and Weston15885
Frenchay2650
Southmead14651
Cornwall and Isles of Scilly10596
Exeter7558
North Devon4025
Plymouth15670
Torbay5643
Cheltenham and District6543
Gloucester10168
Somerset11991

West Midlands RHA

2,1451,118
Bromsgrove and Redditch5533
Herefordshire5031
Kidderminster and District2932
Worcester and District8151
Shropshire13596
Mid Staffordshire9260
North Staffordshire19798
South East Staffordshire8351
Rugby2920
North Warwickshire9240
South Warwickshire6442
Central Birmingham16642

District Health Authority

Midwives

2

Health Visitors

3

East Birmingham2636
North Birmingham9836
South Birmingham10449
West Birmingham12751
Coventry13562
Dudley9862
Sandwell8765
Solihull14640
Walsall9665
Wolverhampton15558

Mersey RHA

1,005502
Chester11538
Crewe8337
Halton1829
Macclesfield6033
Warrington8237
Liverpool224113
St. Helens and Knowsley12974
Southport and Formby3627
South Sefton10344
Wirral15570

North Western RHA

1,9621,173
Lancaster5337
Blackpool, Wyre and Fylde9388
Preston10442
Blackburn, Hyndburn and Ribble Valley13683
Burnley, Pendle and Rossendale12770
West Lancashire4636
Chorley and South Ribble4455
Bolton15136
Bury6945
North Manchester9154
Central Manchester13340
South Manchester15750
Oldham10568
Rochdale9857
Salford13560
Stockport11384
Tameside and Glossop10558
Trafford6864
Wigan13596

Source: DHSS Annual Census of NHS Non-Medical Manpower.

1 Figures independently rounded to nearest whole time equivalent.

2 Includes Agency Midwifery Staff; excludes midwifery students.

3 Includes health visitors in both the community and school health services, HV fieldwork teachers, TB visitors with HV certificates, dual/triple posts and bank health visitors. Excludes HV students.

4 Includes London Post-Graduate Special Health Authorities' Staff.

5 No further breakdown is available from RHA.

Table 2

Total Births (live and still) by RHA and England 1986

1986

England626,946
Northern RHA40,462
Yorkshire RHA48,601
Trent RHA59,608
East Anglian RHA24,703
North West Thames RHA48,354
North East Thames RHA53,242
South East Thames RHA47,819
South West Thames RHA36,905
Wessex RHA35,959
Oxford RHA33,348
South Western RHA38,331

1986

West Midlands RHA70,833
Mersey RHA32,892
North Western RHA55,889

Source: OPCS Birth registrations.

Table 3

Health Visiting: Regional Health Authorities Home visits (First visit in calendar year)

Numbers

1986

First visits (all ages)

England4,129,365
Northern265,491
Yorkshire360,657
Trent388,494
East Anglia166,011
North West Thames336,924
North East Thames308,203
South East Thames313,554
South West Thames267,258
Wessex236,346
Oxford194,099
South Western256,889
West Midlands490,764
Mersey166,087
North Western378,588

Source: LHS 27/3 DHSS Statistics Division

Notes:

  • (1) A visit includes each occasion when professional help or advice is given by health visiting staff.
  • (2) The "first visit" refers to the first visit received by a person from any member of the health visiting staff during the calendar year for any problem.
  • (3) Visits to households where there is tuberculosis or other infectious diseases or visits by school health visitors are not included in the table.
  • To ask the Secretary of State for Social Services what were the numbers of midwives and health visitors (a) in post and (b) in training for the years 1985, 1986 and 1987.

    [holding answer 1 February 1988] : The information requested for September 1985 and September 1986 is given in the table. Similar information for 1987 is not yet available.

    NHS Midwives and Health Visitors in Post—England at 30 September Whole Time Equivalents1
    19851986
    Qualified Staff
    Midwives2 318,69019,150
    Health Visitors410,28010,430
    Trainees
    Student Midwives4,3804,180
    Health Visitor Students870830
    Source: DHSS Annual Census of NHS Non-Medical Manpower.
    1 Figures independently rounded to nearest ten (10) whole-time equivalents.
    2 Includes agency staff.
    3 Includes staff in the Hospital and community services.
    4 Includes Health Visitors in community and school health services, Health Visitor Field Work Teachers, TB visitors with Health Visitor certificate, holders of Dual/Triple posts (Health Visitor/District Nurse/Midwife) and Bank Health Visitors.