§ Mr. Carter-Jonesasked the Secretary of State for Social Services if he will publish in the Official Report the up-to-date position regarding the perinatal mortality rate, the infant mortality rate, the rate per thousand of community health nurses, the rate per thousand of consultant obstetricians and the rate per thousand of paediatricians for each area health authority in England.
§ Sir George YoungThe latest year for which perinatal and infant mortality rates are available is 1979, and I refer the hon. Member to my reply to him on 9 December 1980—[Vol. 995, c.571–74]. "Community health nurse" is not a NHS grade and the information table I below, therefore, gives figures for community health staff who are State certified midwives or health visitors; since the increasing trend towards an integrated midwifery service means that a number of midwives working in hospital also provide a service within the community, the table sets out separately the figures for all State certified midwives and for those in the community only. Information on consultant staff is not collected centrally for all area health authorities, and the figures given in table II below, therefore, relate to regional health authorities in England.
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Table I NHS State Certified Midwives and Health Visitors Ratios of staff (whole-time equivalents) to 1,000 managed population Area health authorities in England as at 30 September 1979 Area Health Authorities State Certified Midwives Health Visitors (excluding school health)‡ All State Certified Midwives* Community only† Northern Regional Health Authority 0.345 0.063 0.172 Cleveland 0.403 0.077 0.142 Cumbria 0.284 0.013 0.200 Durham 0.322 0.070 0.159 Northumberland 0.248 — 0.197 Gateshead 0.272 0.080 0.197 Newcastle-upon-Tyne 0.517 0.093 0.181 North Tyneside 0.246 0.052 0.151 South Tyneside 0.408 0.098 0.164 Sunderland 0.383 0.109 0.184 Yorkshire Regional Health Authority 0.320 0.055 0.160 Humberside 0.250 0.044 0.158 North Yorkshire 0.298 0.021 0.155 Bradford 0.393 0.098 0.142 156W
Area Health Authorities State Certified Midwives Health Visitors (excluding school health)‡ All State Certified Midwives* Community only† Calderdale 0.360 0.084 0.165 Kirklees 0.372 0.018 0.186 Leeds 0.284 0.081 0.175 Wakefield 0.426 0.049 0.139 Trent Regional Health Authority 0.322 0.072 0.167 Derbyshire 0.273 0.070 0.178 Leicestershire 0.314 0.088 0.182 Lincolnshire 0.257 0.034 0.162 Nottinghamshire 0.388 0.110 0.157 Barnsley 0.232 — 0.151 Doncaster 0.379 0.073 0.168 Rotherham 0.326 0.092 0.135 Sheffield 0.368 0.038 0.168 East Anglia Regional Health Authority 0.351 0.096 0.147 Cambridgeshire 0.310 0.097 0.165 Norfolk 0.351 0.114 0.148 Suffolk 0.394 0.068 0.127 North West Thames Regional Health Authority 0.315 0.035 0.174 Bedfordshire 0.317 0.095 0.154 Hertfordshire 0.276 0.056 0.168 Barnet 0.259 — 0.146 Brent/Harrow 0.311 — 0.207 Ealing/Hammersmith/Hounslow 0.316 0.030 0.185 Hillingdon 0.304 — 0.166 Kensington and Chelsea/Westminster 0.466 0.010 0.191 North East Thames Regional Health Authority 0.334 0.060 0.148 Essex 0.227 0.069 0.143 Barking/Havering 0.325 0.078 0.124 Camden/Islington 0.663 0.033 0.202 City and East London 0.436 0.041 0.200 Enfield/Haringey 0.315 0.068 0.122 Redbridge/Waltham Forest 0.317 0.054 0.109 South East Thames Regional Health Authority 0.333 0.044 0.194 East Sussex 0.207 0.032 0.221 Kent 0.312 0.049 0.163 Greenwich/Bexley 0.433 0.029 0.219 Bromley 0.396 0.065 0.167 Lambeth/Lewisham Southwark 0.406 0.046 0.228 South West Thames Region Health Authority 0.260 0.017 0.204 Surrey 0.263 0.023 0.218 West Sussex 0.233 0.011 0.184 Croydon 0.241 — 0.150 Kingston/Richmond 0.222 0.046 0.302 Merton/Sutton/Wandsworth 0.303 0.008 0.189 Wessex Regional Health Authority 0.322 0.083 0.177 Dorset 0.248 0.052 0.152 Hampshire 0.351 0.110 0.192 Wiltshire 0.329 0.060 0.173 Isle of Wight 0.338 0.078 0.167 Oxford Regional Health Authority 0.342 0.044 0.188
Area Health Authorities State Certified Midwives Health Visitors (excluding school health)‡ All State Certified Midwives* Community only† Berkshire 0.341 0.038 0.207 Buckinghamshire 0.384 0.054 0.163 Northamptonshire 0.311 0.054 0.170 Oxfordshire 0.331 0.035 0.201 South Western Regional Health Authority 0.330 0.078 0.170 Avon 0.393 0.070 0.198 Cornwall and Isles of Scilly 0.270 0.080 0.140 Devon 0.297 0.096 0.156 Gloucestershire 0.415 0.096 0.137 Somerset 0.229 0.022 0.225 West Midlands Regional Health Authority 0.314 0.078 0.175 Hereford and Worcester 0.277 0.070 0.200 Salop 0.206 — 0.193 Staffordshire 0.240 0.065 0.173 Warwickshire 0.332 0.087 0.205 Birmingham 0.410 0.079 0.150 Coventry 0.233 0.077 0.190 Dudley 0.270 0.091 0.146 Sandwell 0.215 0.095 0.162 Solihull 0.620 0.101 0.157 Walsall 0.341 0.118 0.194 Wolverhampton 0.439 0.141 0.170 Mersey Regional Health Authority 0.356 0.076 0.173 Cheshire 0.308 0.078 0.159 Liverpool 0.462 0.065 0.168 St. Helens with Knowsley 0.259 0.092 0.175 Sefton 0.360 0.043 0.202 Wirral 0.418 0.098 0.190 North Western Regional Health Authority 0.378 0.096 0.194 Lancashire 0.334 0.078 0.165 Bolton 0.375 0.104 0.248 Bury 0.399 0.092 0.163 Manchester 0.603 0.095 0.184 Oldham 0.432 0.151 0.205 Rochdale 0.386 0.110 0.256 Salford 0.335 0.077 0.150 Stockport 0.365 0.099 0.233 Tameside 0.362 0.123 0.162 Trafford 0.249 0.089 0.252 Wigan 0.330 0.121 0.239 * All midwives, whether working in hospitals or in the Community Health Service, including those who work in both hospitals and the Community Health Service. † Midwives employed solely in the Community Health Service. ‡Represents the proportion of their total time spent by Health Visitors in the Community Health Service. 157W
TABLE II Region Obstetrics and Gynaecology Consultants and SHMOs with Allowance* Whole-time equivalent rate per 1,000 population calculated on WTE as at 30 September 1980† Paediatrics and Paediatric Neurology Consultants and SHMOs with Allowance Whole-time equivalent rate per 1,000 population calculated on WTE as at 30 September 1980‡ Northern 0.043 0.054 Yorkshire 0.032 0.046 Trent 0.026 0.040 East Anglia 0.035 0.040
Region Obstetrics and Gynaecology Consultants and SHMOs with Allowance* Whole-time equivalent rate per 1,000 population calculated on WTE as at 30 September 1980† Paediatrics and Paediatric Neurology Consultants and SHMOs with Allowance Whole-time equivalent rate per 1,000 population calculated on WTE as at 30 September 1980‡ North West Thames 0.035 0.043 North East Thames 0.037 0.034 South East Thames 0.031 0.051 Wessex 0.030 0.038 Oxford 0.030 0.041 South Western 0.026 0.033 West Midlands 0.029 0.044 Mersey 0.034 0.040 North Western 0.035 0.051 Notes:
* It is not possible to separate consultant obstetricians from consultant gynaecologists and the figures given above therefore represent consultant obstetricians and gynaecologists.
† The "at risk" population for the specialty of obstetrics and gynaecology is that of females aged 15 and over. The figures used for this population are the latest available ie mid-summer 1979 estimates.
‡The "at risk" population for paediatrics is those aged under 15; midsummer 1979 estimates are used.