§ Dr. Roger Thomasasked the Secretary of State for Wales how many general practitioners in each of the health authorities in Wales hold part-time hospital posts as well; how they are subdivided according to number of sessions and specialty; to what extent it is his policy to develop general practitioner and hospital practice as interdependent rather than independent; and if he will review the extent to which the mandantory trainee system makes this collaboration more difficult to accomplish.
§ Mr. Wyn RobertsThe information requested is as follows:
87W
Gwynedd Mid Glamorgan Powys Number Sessions Number Sessions Number Sessions General Pathology — — — — — — General Surgery — — 2 10.0 3 3.4 Genito-Urinary Medicine — — 1 1.0 — — Geriatric Medicine 17 20.9 21 46.0 23 53.4 Haematology — — — — — — Infectious Diseases — — 1 2.0 — — Mental Handicap 1 2.0 9 6.1 6 12.0 Mental Illness 5 10.6 15 38.0 1 9.0 Nephrology — — — — — — Obstetrics and Gynaecology — — 6 7.1 3 1.3 Ophthalmology 3 2.1 1 9.0 — — Other — — 6 6.0 — — Paediatrics 1 0.6 2 2.0 — — Radiology — — 2 2.0 — — Rheumatology and Rehabilitation — — 2 2.0 — — Traumatic and Orthopaedic Surgery 1 1.0 12 20.1 — —
South Glamorgan West Glamorgan Wales Number Sessions Number Sessions Number Sessions Accident and Emergency — — — — 35 143.0 Anaesthetics 2 10.0 4 9.0 43 119.6 Child and Adolescent Psychiatry 1 5.0 1 5.0 6 31.0 Clinical Genetics 2 5.0 — — 2 5.0 Clinical Neurological Phsysiology — — — — 1 2.0 Dermatology — — — — 12 24.6 Diseases of the Chest 1 1.0 — — 9 24.1 Ear, Nose and Throat 3 7.0 2 6.0 12 41.3 General Medicine 1 2.0 5 7.3 26 59.8 General Pathology 1 5.0 — — 1 5.0 General Surgery 2 4.0 1 1.0 9 20.9 Genito-Urinary Medicine 4 9.0 2 6.0 9 23.4 Geriatric Medicine 9 40.0 8 14.0 91 236.4 Haematology 1 5.0 — — 1 5.0 Infectious Diseases — — — — 4 9.0 Mental Handicap 4 20.0 2 3.0 21 53.0 Mental Illness 9 21.0 2 7.0 44 124.9 Nephrology 1 5.0 — — 1 5.0 Obstetrics and Gynaecology 2 4.0 1 6.0 30 65.0 Ophthalmology 2 9.0 1 1.0 8 27.1 Other — — 1 2.0 8 9.1 Paediatrics 6 29.3 — — 10 41.2 Radiology — — — — 3 6.0 Rheumatology and Rehabilitation 1 1.0 — — 6 7.0 Traumatic and Orthopaedic Surgery — — — — 15 35.1 * In the Wales total, staff practising in more than one specialty are counted under the specialty to which they devote the greater part of their time.
Sessions Worked Weekly by Hospital Practitioners by Specialty in the Mid Glamorgan Health Authority at 30 September 1980 Number Sessions Anaesthetics 3 7.0 Child and Adolescent Psychiatry 1 2.0 Geriatric Medicine 1 3.0 Obstetrics and Gynaecology 2 7.0 Full co-operation between general practitioners and hospitals is essential to the proper provision of health care.
There is no evidence that vocational training for general practice makes collaboration more difficult to achieve.