To ask the Secretary of State for Health if he will list for each district health authority and for each of the last five years, the number of health visitors per 1,000 children.
[holding answer 20 January 1992]: The table gives the information requested for 1986 and 1990 only. Figures for all the years requested could be provided only at disproportionate cost.District health authorities have regard to skill mix, recruitment and training when planning their manpower levels. This is kept under review.
| Health visitors per 1,000 children under 16 | ||
| 1986 | 1990 | |
| Northern Regional Health Authority | ||
| District Health Authority | ||
| Hartlepool | 1·1 | 1·7 |
| North Tees | 0·8 | 1·0 |
| South Tees | 0·9 | 1·3 |
| East Cumbria | 1·0 | 1·0 |
| South Cumbria | 1·1 | 1·1 |
| West Cumbria | 1·1 | 1·0 |
| Darlington | 1·0 | 1·1 |
| Durham | 0·9 | 0·6 |
| North West Durham | 1·2 | 1·3 |
| South West Durham | 1·1 | 1·1 |
| Northumberland | 1·2 | 1·2 |
| Gateshead | 1·3 | 1·1 |
| Newcastle | 1·5 | 1·2 |
| North Tyneside | 1·2 | 1·2 |
| South Tyneside | 1·0 | 1·1 |
| Sunderland | 1·1 | 1·2 |
| Total | 1·1 | 1·1 |
| Yorkshire Regional Health Authority | ||
| Hull | 0·7 | 0·7 |
| East Yorkshire | 1·1 | 1·1 |
| Grimsby | 0·8 | 1·0 |
| Scunthorpe | 0·9 | 1·0 |
| Northallerton | 1·2 | 0·9 |
| York | 1·0 | 1·0 |
| Scarborough | 1·2 | 1·3 |
| Harrogate | 0·9 | 1·1 |
| Bradford | 1·0 | 1·1 |
| Airedale | 1·0 | 1·1 |
| Calderdale | 1·2 | 1·3 |
| Huddersfield | 1·1 | 1·2 |
| Dewsbury | 0·9 | 1·2 |
| Leeds Western | 1·0 | 1·2 |
| Leeds Eastern | 1·0 | 1·2 |
| Wakefield | 0·9 | 1·3 |
| Pontefract | 1·0 | 1·1 |
| Total | 1·0 | 1·1 |
| Trent Regional Health Authority | ||
| North Derbyshire | 1·1 | 1·1 |
| South Derbyshire | 0·8 | 1·0 |
| Leicestershire | 1·0 | 1·1 |
| North Lincolnshire | 1·0 | 0·9 |
| South Lincolnshire | 1·0 | 0·9 |
| Bassetlaw | 0·9 | 1·0 |
| Central Nottinghamshire | 1·1 | 1·1 |
| Nottingham | 1·1 | 1·2 |
| Barnsley | 1·0 | 1·2 |
| Doncaster | 1·0 | 1·0 |
| Rotherham | 1·0 | 1·3 |
| Sheffield | 1·1 | 1·1 |
| Total | 1·0 | 1·1 |
| East Anglian Regional Health Authority | ||
| Cambridge | 1·1 | 0·8 |
| Peterborough | 0·9 | 0·8 |
| West Suffolk | 0·9 | 0·9 |
| East Suffolk | 0·9 | 0·9 |
| Norwich | 0·9 | 0·9 |
| Great Yarmouth and Waveney | 0·9 | 0·9 |
| West Norfolk and Wisbech | 0·9 | 0·9 |
| Huntingdon | 0·8 | 0·7 |
| Total | 0·9 | 0·9 |
| 1986 | 1990 | |
| North West Thames Regional Health Authority | ||
| North Bedfordshire | 1·0 | 1·1 |
| South Bedfordshire | 1·0 | 1·1 |
| North Hertfordshire | 1·0 | 1·1 |
| East Hertfordshire | 0·9 | 1·2 |
| North West Hertfordshire | 0·9 | 0·9 |
| South West Hertfordshire | 1·0 | 0·9 |
| Barnet | 1·2 | 1·0 |
| Harrow | 1·2 | 1·2 |
| Hillingdon | 1·1 | 0·7 |
| Hounslow and Spelthorne | 1·2 | 1·3 |
| Ealing | 1·4 | 1·4 |
| Brent | 1·1 | — |
| Paddington and North Kensington | 2·3 | — |
| Riverside | 1·9 | 1·7 |
| Parkside | — | 1·0 |
| Total | 1·2 | 1·1 |
| North East Thames Regional Health Authority | ||
| Basildon and Thurrock | 0·7 | 0·8 |
| Mid Essex | 0·8 | 0·8 |
| North East Essex | 1·0 | 1·0 |
| West Essex | 0·9 | 0·8 |
| Southend | 0·8 | 0·9 |
| Barking, Havering and Brentwood | 0·7 | 0·7 |
| Hampstead | 2·0 | 1·5 |
| Bloomsbury | 2·0 | 2·7 |
| Islington | 1·3 | 1·2 |
| City and Hackney | 1·3 | 1·2 |
| Newham | 0·8 | 1·2 |
| Tower Hamlets | 1·8 | 1·7 |
| Enfield | 0·8 | 0·6 |
| Haringey | 1·1 | 1·1 |
| Redbridge | 0·9 | 0·8 |
| Waltham Forest | 0·8 | 1·1 |
| Total | 1·0 | 1·0 |
| South East Thames Regional Health Authority | ||
| Brighton | 1·4 | 0·7 |
| Eastbourne | 1·4 | 1·5 |
| Hastings | 1·2 | 0·9 |
| South East Kent | 1·2 | 1·0 |
| Canterbury and Thanet | 0·9 | 0·9 |
| Dartford and Gravesham | 1·2 | 1·2 |
| Maidstone | 0·9 | 1·0 |
| Medway | 0·9 | 0·7 |
| Tunbridge Wells | 0·9 | 1·1 |
| Bexley | 1·1 | 1·3 |
| Greenwich | 1·1 | 1·1 |
| Bromley | 1·2 | 1·1 |
| West Lambeth | 1·7 | 1·4 |
| Camberwell | 1·3 | 0·8 |
| Lewisham and North Southwark | 1·6 | 1·4 |
| Total | 1·2 | 1·0 |
| South West Thames Regional Health Authority | ||
| North West Surrey | 1·1 | 1·2 |
| West Surrey and North East Hants | 1·1 | 1·2 |
| South West Surrey | 1·0 | 1·1 |
| Mid Surrey | 1·3 | 1·2 |
| East Surrey | 1·2 | 1·1 |
| Chichester | 1·1 | 1·1 |
| Mid Downs | 1·1 | 1·1 |
| Worthing | 1·1 | 1·1 |
| Croydon | 0·9 | 1·1 |
| Kingston and Esher | 1·3 | 1·0 |
| Richmond, Twickenham and Roehampton | 1·5 | 1·3 |
| Wandsworth | 1·1 | 1·6 |
| Merton and Sutton | 1·1 | 1·1 |
| Total | 1·1 | 1·2 |
| Wessex Regional Health Authority | ||
| East Dorset | 1·0 | 1·2 |
| 1986 | 1990 | |
| West Dorset | 1·1 | 1·1 |
| Portsmouth and South East Hants | 1·0 | 1·1 |
| South West Hampshire and South | 1·0 | 1·2 |
| Winchester | 1·3 | 1·9 |
| Basingstoke | 1·1 | 1·1 |
| Salisbury | 1·5 | 1·4 |
| Swindon | 1·0 | 1·0 |
| Bath | 1·1 | 1·1 |
| Isle of Wight | 1·3 | 1·2 |
| Total | 1·1 | 1·1 |
| Oxford Regional Health Authority | ||
| East Berkshire | 1·1 | 0·9 |
| West Berkshire | 1·0 | 1·1 |
| Aylesbury | 1·2 | 1·1 |
| Wycombe | 1·2 | 1·1 |
| Milton Keynes | 1·0 | 1·2 |
| Kettering | 1·0 | 1·0 |
| Northampton | 1·0 | 0·9 |
| Oxfordshire | 1·0 | 1·1 |
| Total | 1·1 | 1·0 |
| South Western Regional Health Authority | ||
| Bristol and Weston | 1·2 | 1·6 |
| Frenchay | 1·1 | 1·1 |
| Southmead | 1·1 | 1·2 |
| Cornwall and Isles of Scilly | 1·1 | 1·1 |
| Exeter | 1·1 | 0·9 |
| North Devon | 1·0 | 0·9 |
| Plymouth | 1·1 | 1·1 |
| Torbay | 1·1 | 0·9 |
| Cheltenham and District | 1·1 | 1·1 |
| Gloucester | 1·1 | 1·1 |
| Somerset | 1·2 | 1·0 |
| Total | 1·1 | 1·1 |
| West Midlands Regional Health Authority | ||
| Bromsgrove and Redditch | 0·9 | 1·0 |
| Herefordshire | 1·0 | 1·1 |
| Kidderminster and District | 1·5 | 1·4 |
| Worcester and District | 1·1 | 1·0 |
| Shropshire | 1·2 | 1·2 |
| Mid Staffordshire | 0·9 | 0·9 |
| North Staffordshire | 1·1 | 1·0 |
| South East Staffordshire | 0·9 | 0·9 |
| Rugby | 1·1 | 1·2 |
| North Warwickshire | 1·1 | 1·1 |
| South Warwickshire | 1·0 | 1·1 |
| Central Birmingham | 1·0 | 1·3 |
| East Birmingham | 1·8 | 0·8 |
| North Birmingham | 1·1 | 1·1 |
| South Birmingham | 1·0 | 1·0 |
| West Birmingham | 1·0 | 0·9 |
| Coventry | 0·9 | 0·8 |
| Dudley | 1·0 | 1·2 |
| Sandwell | 1·0 | 1·1 |
| Solihull | 0·9 | 0·9 |
| Walsall | 1·2 | 0·9 |
| Wolverhampton | 1·1 | 1·1 |
| Total | 1·0 | 1·0 |
| Mersey Regional Health Authority | ||
| Chester | 1·0 | 1·2 |
| Crewe | 0·7 | 0·8 |
| Halton | 0·9 | 0·9 |
| Macclesfield | 1·0 | 0·9 |
| Warrington | 0·9 | 1·0 |
| Liverpool | 1·1 | 1·0 |
| St· Helens and Knowsley | 0·9 | 1·1 |
| Southport and Formby | 1·2 | 1·2 |
| South Sefton | 1·2 | 1·2 |
| Wirral | 1·0 | 1·0 |
| Total | 1·0 | 1·0 |
| 1986 | 1990 | |
| North Western Regional Health Authority | ||
| Lancaster | 1·5 | 1·4 |
| Blackpool, Wyre and Fylde | 1·6 | 1·6 |
| Preston | 1·6 | 1·5 |
| Blackburn, Hyndburn and Ribble | 1·4 | 1·4 |
| Burnley, Pendle and Rossendale | 1·4 | 1·3 |
| West Lancashire | 1·5 | 1·6 |
| Chorlcy and South Ribble | 1·3 | 1·3 |
| Bolton | 1·5 | 1·3 |
| Bury | 1·2 | 1·2 |
| North Manchester | 1·8 | 1·4 |
| Central Manchester | 1·5 | 1·7 |
| South Manchester | 1·4 | 1·2 |
| Oldham | 1·4 | 1·2 |
| Rochdale | 1·2 | 1·2 |
| Salford | 1·2 | 1·4 |
| Stockport | 1·4 | 1·3 |
| Tamesidc and Glossop | 1·1 | 1·1 |
| Trafford | 1·5 | 1·4 |
| Wigan | 1·4 | 1·5 |
| Total | 1·4 | 1·4 |
| England Total | 1·1 | 1·1 |
Notes:
1. Ratios calculated using:
(a) Midyear population estimates
(b) Health Visitor statistics at 30 September each year
2. Source of figures:
(a) Population figures from SM 14D (obtained from OPCS)
(b) Health Visitors from annual non-medical manpower census (SM 13B)
3. Health Visitors figures relate to whole-time equivalents
4. Certain Districts within N W Thames have been reorganised and figures for these Districts are not available on a comparable basis
5. Health Visitors are defined by Occupation Code, not by Payscale, and the former is known to be less accurate than the latter. Apparent changes in the ratio can be due to changes in coding accuracy by Health Authorities rather than actual changes in numbers of Health Visitors. This factor is believed to explain apparent changes within South East Thames.
To ask the Secretary of State for Health how many district health authorities have appointed consultant community paediatricians; and if he will list those that have and those which have not.
[holding answer 20 January 1992]: This information is not collected centrally. The British Paediatric Association undertook a census of medical staff in child health in 1990 which showed that, among the districts which responded, 100 had by then appointed one or more consultant paediatricians community child health (CPCCH).