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
Nursing and midwifery
Medical and dental
General and senior managers
Administration and clerical staff
|Northern Regional Health Authority||27,310||2,990||550||6,940||7,330||1,320|
|Yorkshire Regional Health Authority||30,140||3,120||930||7,870||7,000||1,560|
|Trent Regional Health Authority||38,220||4,170||600||10,120||10,760||1,890|
|East Anglia Regional Health Authority||16,420||1,810||480||4,070||3,920||790|
|North West Thames Regional Health Authority||27,560||3,480||80||8,160||5,460||540|
|North East Thames Regional Health Authority||34,170||4,250||1,030||10,450||8,290||550|
|South East Thames Regional Health Authority||30,110||3,800||780||10,030||8,020||860|
|South West Thames Regional Health Authority||23,070||2,650||520||6,340||4,390||660|
|Wessex Regional Health Authority||23,690||2,540||610||5,840||5,360||940|
|Oxford Regional Health Authority||17,310||2,180||420||5,150||3,470||800|
|South Western Regional Health Authority||27,490||2,780||610||6,980||6,370||1,460|
|West Midlands Regional Health Authority||43,220||4,800||1,060||11,950||11,100||1,850|
|Mersey Regional Health Authority||21,180||2,440||500||5,810||4,690||880|
|North Western Regional Health Authority||37,120||4,450||690||10,070||8,020||1,580|
|London Post-graduate Special Health Authorities||4,970||1,380||130||1,840||1,080||—|
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).