HC Deb 16 June 1976 vol 913 cc195-6W
Mrs. Joyce Butler

asked the Secretary of State for Social Services what guidance he intends giving to area health authorities in London regarding the level of health visitor staff establishment to be set in districts with high multiple occupation, high immigrant population and an ageing indigenous community; and, in particular, whether he intends to take any steps to encourage the appointment of visitors for the elderly where the desirable level of health visitor establishment seems unlikely to be attained in the short term.

Mr. Deakins

The level of health visitor establishment and the deployment of health visiting staff is a matter for health authorities, having regard to local needs and priorities. Guidance issued in Circular 13/72 indicated that a ratio of one qualified health visitor to 4,600 population excluding the school health service, had been found reasonable in some areas while in other areas, including those with a high immigrant population, a ratio of 1:3000 might be desirable. The Consultative Document on Priorities for Health and Personal Social Services in

Type of Injury Automatic transmission Manual gearbox Electrically propelled
Minor cuts, bruises, concussion 152 39 4
Severe cuts, bruises, etc 28 11 1
Broken ribs/limb necessitating admission to hospital 11 4 0
Serious multiple injuries 1 0 0

England recommends a growth rate of 6 per cent. per annum for health visiting services, with an emphasis on remedying persistent shortages of personnel in localities where they occur. We have no plans for issuing further guidance at this time.

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