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Nhs Staff

Volume 205: debated on Friday 6 March 1992

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To ask the Secretary of State for Health if he will list for (a) each regional health authority and (b) each district health authority the number of (i) nurses and midwives, (ii) medical staff, (iii) general and senior managers, (iv) administrative and clerical staff, (v) ancillary staff and (vi) ambulance staff for 1986 and for 1990.

[holding answer 13 February 1992]: Regional health authority data are shown in the table. District data could not be produced without incurring disproportionate cost.The new grades of general and senior manager were introduced following the recommendations of the 1983 Griffiths report to strengthen accountability for the delivery of health authority objectives. An expansion in numbers occurred from 1989 following the extension of senior manager arrangements beyond the most senior posts in regions and districts and their introduction to units and family practitioner committees. Staff employed in these grades generally hold posts which were previously occupied by staff in other groups such as administrative and clerical or senior nursing grades.

National Health Service directly employed staff in post by specific staff groups as at 30 September 1990 England by Regional Health Authorities

Whole-time equivalent



Nursing and midwifery


Medical and dental


General and senior managers


Administration and clerical staff

Ancillary staff

Ambulance staff

Northern Regional Health Authority27,3102,9905506,9407,3301,320
Yorkshire Regional Health Authority30,1403,1209307,8707,0001,560
Trent Regional Health Authority38,2204,17060010,12010,7601,890
East Anglia Regional Health Authority16,4201,8104804,0703,920790
North West Thames Regional Health Authority27,5603,480808,1605,460540
North East Thames Regional Health Authority34,1704,2501,03010,4508,290550
South East Thames Regional Health Authority30,1103,80078010,0308,020860
South West Thames Regional Health Authority23,0702,6505206,3404,390660
Wessex Regional Health Authority23,6902,5406105,8405,360940

Oxford Regional Health Authority17,3102,1804205,1503,470800
South Western Regional Health Authority27,4902,7806106,9806,3701,460
West Midlands Regional Health Authority43,2204,8001,06011,95011,1001,850
Mersey Regional Health Authority21,1802,4405005,8104,690880
North Western Regional Health Authority37,1204,45069010,0708,0201,580
London Post-graduate Special Health Authorities4,9701,3801301,8401,080
ENGLAND TOTALS5402,07046,9009,680120,04095,69018,130

Source: Department of Health (SM13) Annual Census of National Health Service medical and non-medical manpower.

1 All figures are independently rounded to the nearest ten (10) whole-time equivalent.

2 Includes agency staff.

3 Includes permanent paid, honorary and locum staff. Differences in the sum of numbers of staff for all regions are due to duplication of staff holding appointments in more than one region. Such staff are included separately in each region.

4 Senior managers were progressively introduced from 1987.

5 Includes staff at the Dental Estimates Board, Prescription Pricing Authority, London Ambulance Service, Family Practitioner Committees and other Statutory Authorities (eg. public Health Laboratory service and the Health Education Authority).