HC Deb 08 February 1989 vol 146 cc687-8W
Mr. Bernie Grant

To ask the Secretary of State for Health if he will outline his proposals for how the procedures by which individual hospitals will become independent management units will be initiated, and by whom.

Number of deaths registered in England and Wales with aplastic anaemia as underlying cause (ICD 2841), by regional health authority of usual residence 1981–1987
Area of usual residency 1981 1982 1983 1984 1985 21986 231987
Northern 29 20 13 21 32 21 18
Yorkshire 21 16 15 31 19 17 20
Trent 28 16 17 29 20 19 21
East Anglia 9 15 8 9 15 9 12
North West Thames 12 14 12 13 14 14 10
North East Thames 29 25 28 33 14 17 19
South East Thames 20 18 16 11 22 16 16
South West Thames 7 11 13 18 12 12 13
Wessex 18 16 11 13 12 17 16
Oxford 10 8 10 9 14 13 14
South Western 22 21 26 21 19 26 7
West Midlands 29 29 19 23 27 33 21
Mersey 16 18 8 7 17 12 12
North Western 22 19 22 16 20 18 12
Wales 32 19 9 11 18 12 20
Outside England and Wales 5 3 1 8 4 6 6
Total 309 268 228 273 279 262 237
1 International Classification of Diseases: 9th revision.
2 At age 28 days and over.
3 1987 figures at the latest available.
In cases where aplastic anaemia was assigned originally as the underlying cause of death, but where further information is received about drug treatment (including adverse reactions), or about the conditions for which that treatment was given, the final underlying cause will be assigned to those other causes.

Mr. Kenneth Clarke

The White Paper "Working for Patients" (Cm. 555) explains that it will be open to a variety of interests either to initiate an application to establish an NHS hospital trust or to respond to an initiative taken by the Secretary of State. I will shortly issue a working paper giving further information about the plans for NHS hospital trusts.

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