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NHS: Manpower

Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health what plans he has for the Care Quality Commission to take account of staff satisfaction indicators in its evaluations of (a) NHS trusts and (b) other NHS organisations. (221058)

The Care Quality Commission will take over from the Commission for Social Care Inspection, the Healthcare Commission, and the Mental Health Act Commission on 1 April 2009.

The 2008-09 Annual Health Check will include an assessment of national health service organisations against an indicator of NHS staff satisfaction.

The new Commission will consult on its assessment for 2009-10 in due course. However, this will need to reflect the national priorities including staff satisfaction.

In addition, from April 2010 the new Commission will move to a common system of registration for all providers of regulated health and adult social care. The Department recently consulted on what the essential requirements of safety and quality of care should be that providers have to meet in order to maintain their registration. The responses are currently being analysed and the Government's response will be published in due course.

To ask the Secretary of State for Health how many (a) GPs, (b) dentists, (c) nurses, (d) midwives and (e) hospital doctors were employed in the NHS in (i) Slough, (ii) Berkshire and (iii) England in (A) 1997, (B) 2002 and (C) 2007. (221195)

The information requested is shown in the following table.

Dental and Eye Care Team contribution to part (b) dentists

The number of national health service (NHS) dentists, in England, as at 31 March, 1997 to 2006 are available in Annex E and Annex G of the ‘NHS Dental Activity and Workforce Report England: 31 March 2006’. Annex E provides information by strategic health authority (SHA) and by primary care trust (PCT). Annex G provides information by constituency.

This information is based on the old contractual arrangements, which were in place up to and including 31 March 2006. This report, published on 23 August 2006, is available in the House of Commons Library (deposited paper reference 07/1059) and is available on-line at:

http://www.ic.nhs.uk/pubs/dwfactivity.

The numbers of dentists on open NHS contracts, in England, as at 30 June 2006, 30 September 2006, 31 December 2006 and 31 March 2007, are available in Table E1 of Annex 3 of the ‘NHS Dental Statistics for England: 2006-07’ report. This information is based on the new dental contractual arrangements, introduced on 1 April 2006 and is not comparable to information collected under the old contractual arrangements. This information is provided by SHA and by PCT. Information by constituency is not available under the new dental contractual arrangements.

This report, published on 23 August 2007, is available in the House of Commons Library (deposited paper reference 07/1985) and is available on-line at:

http://www.ic.nhs.uk/pubs/dental0607.

Both reports have been published by the NHS Information Centre for health and social care.

The numbers quoted are headcounts and do not differentiate between full-time and part-time dentists, nor do they account for the fact that some dentists may do more NHS work than others.

The methodology for counting and reporting the NHS dental workforce is currently under review. The review, led by analysts at the NHS Information Centre and the statistical directorate of the Welsh Assembly Government, working in liaison with the Dental Services Division of the NHS Business Services Authority, aims to ensure that following the first year of the new dental contractual arrangements, the figures provide an appropriate measure of the workforce.

The consultation stage of this review ended on 11 July 2008. The intention is to publish workforce data in the ‘NHS Dental Statistics for England, 2007-08’ report, due to be published by the NHS Information Centre on 21 August 2008.

Until then the workforce data provided in the ‘NHS Dental Statistics for England: 2006-07’ report will remain the latest available.

GPs (excluding retainers and registrars) by selected area in England in 1997, 2002 and 2007

Number (headcount)

1997

2002

2007

England

28,046

29,202

33,364

Berkshire1

427

487

524

5QG

Berkshire East Teaching PCT

1

208

222

5DM

Slough PCT

1

64

1

5G2

Bracknell Forest PCT

1

53

1

5G3

Windsor, Ascot and Maidenhead PCT

1

91

1

5QF

Berkshire West PCT

279

302

5DK

Newbury and Community PCT

1

59

1

5DL

Reading PCT

1

132

1

5DN

Wokingham PCT

1

88

1

1 Not available

Notes:

1. Berkshire consists of Berkshire East Teaching PCT and Berkshire West PCT in 2007 and the following PCTs in 2002: Slough PCT, Bracknell Forest PCT, Windsor, Ascot and Maidenhead PCT, Newbury and Community PCT, Reading PCT and Wokingham PCT. Prior to this, in 1997, there was Berkshire HA and no lower level breakdown available.

2. GP Data is available by SHA and PCT only, there are no GPs recorded in Acute Trusts or Ambulance Trusts on the GP Census Collection. This, as well as part-mergers of trust boundaries in recent years, can make comparability difficult between GP Data, non-medical staff data and medical and dental workforce data over a time-series at local trust level.

NHS Hospital and Community Health Services (HCHS)1, 2: All qualified nursing. midwifery and health visiting staff, and medical and dental staff3, 4 within specified organisations. As at 30 September each year

Number (headcount)

1997

2002

2007

England

360,697

418,705

468,527

Medical and dental staff

60,230

72,168

91,790

Medical staff

56.663

68,514

87,850

Dental staff

3,567

3,654

3,940

All qualified nursing, midwifery and health visiting staff

300,467

346,537

376,737

Of which:

Midwives

22,385

23,249

25,093

Total of specified organisations

3,156

3,748

4,013

Medical and dental staff

563

633

857

Medical staff

534

591

814

Dental staff

29

42

43

All qualified nursing, midwifery and health visiting staff

2,593

3,115

3,156

Of which:

Midwives

146

264

269

5QG Berkshire East Teaching PCT

565

521

526

Medical and dental staff

53

47

39

Medical Staff

41

20

18

Dental Staff

12

27

21

Qualified nursing, midwifery and health visiting staff

512

474

487

of which

Midwives

0

0

0

RD7 Heatherwood and Wexham Park Hospitals NHS Trust

1,382

1,500

1,989

Medical and dental staff

228

274

380

Medical staff

222

270

372

Dental staff

6

4

8

Qualified nursing, midwifery and health visiting staff

1,154

1,226

1,609

Of which:

Midwives

130

130

153

RTK Ashford and St. Peter's Hospitals NHS Trust

1,209

1,727

1,498

Medical and dental staff

282

312

438

Medical staff

271

301

424

Dental staff

11

11

14

Qualified nursing, midwifery and health visiting staff

927

1,415

1,060

Of which:

Midwives

16

134

116

1 In 2002 East Berkshire Community NHS Trust was split to form Bracknell Forest PCT and Windsor, Ascot and Maiden PCT. Figures for 1997 are for this predecessor organisation. In 2006 Bracknell Forest PCT, Windsor, Ascot and Maiden PCT and Slough PCT merged to form East Berkshire PCT. Figures for 2002 are for these predecessor organisations.

2 In 1998 Ashford Hospital NHS Trust and St. Peters NHS Trust merged to form Ashford & St. Peters NHS Trust. Figures for 1997 are for these predecessor organisations.

3 Excludes medical Hospital Practitioners and medical Clinical Assistants, most of whom are GPs working part time in hospitals.

4 HCHS Medical and Dental staff includes the following grades: consultant, associate specialist, dental hospital practitioners, dental clinical assistants, staff grade, registrar group, senior house officer, foundation year 2, house officer, foundation year 1 and other staff.

Note:

Over the last five years there's been a reduction in the use of bank nursing staff.

Source:

The Information Centre for health and social care Non-Medical workforce census.

The Information Centre for health and social care Medical and Dental workforce census