HC Deb 18 December 1989 vol 164 cc77-8W
Mrs. Gorman

To ask the Secretary of State for Health what is the cost of running each ambulance service.

Mrs. Virginia Bottomley

The information requested, derived from the 1988–89 annual accounts of the regional health authorities (RHAs) and district health authorities in England which manage and account for these services, is shown in the table.

Total revenue expenditure on patient transport (i.e. ambulance) services—1988–89
Regional/district health authorities £
Northern Regional Health Authority 9,652,274
South Tees 4,063,738
East Cumbria 4,198,245
Durham 4,292,461
Yorkshire Regional Health Authority 13,811,675
Hull 6,813,348
York 4,062,366
Trent Regional Health Authority 7,496,560
South Derbyshire 5,938,750
Leicestershire 5,349,592
North Lincolnshire 4,645,797
Nottingham 6,577,756
Cambridge 3,618,856
East Suffolk 3,396,348
Norwich 6,057,536
North Bedfordshire 2,942,325
East Hertfordshire 5,753,787
Mid Essex 9,148,786
Eastbourne 5,485,420
Medway 9,766,199
South West Thames Regional Health Authority 46,029,885
East Surrey 7,398,616
Chichester 1,157,371
Mid Downs 1,612,104
Worthing 1,423,770
East Dorset 4,502,789
Winchester 7,696,549
Swindon 3,836,516
Isle of Wight 939,210
West Berkshire 3,814,271
Aylesbury 3,246,717
Northampton 3,208,202
Oxfordshire 3,192,442
Bristol and Weston 5,356,017
Cornwall and Isles of Scilly 3,740,707
Exeter 3,325,197

Regional/district health authorities £
North Devon 1,273,991
Plymouth 1,839,102
Torbay 1,875,101
Gloucester 3,710,954
Somerset 3,028,723
West Midlands Regional Health Authority 14,485,006
Worcester 4,544,593
Shropshire 2,815,530
Mid Staffordshire 6,184,806
South Warwickshire 2,855,550
Chester 5,613,353
South Sefton 9,065,193
North Western Regional Health Authority 16,408,654
Preston 9,029,976
Total—England 306,282,714


1. The figures are provisional (as yet subject to audit).

2. The South West Thames Regional Health Authority accounts for all the expenditure relevant to the London Ambulance Service. Generally the other Regional Health Authorities shown manage and account for the service provided to particular conurbations within their respective regions.

Mr. Wareing

To ask the Secretary of State for Health whether his Department's evaluation of the Cornwall air ambulance service includes the possible consequences for the service of the granting of self-governing status to hospitals from the jurisdiction of the Cornwall and Isles of Scilly health authority; and if he will make a statement.

Mrs. Virginia Bottomley

There is no reason to suppose tht the possible NHS trust status of the hospitals served by the Cornwall air ambulance will affect either its need or effectiveness.

Mr. Shersby

To ask the Secretary of State for Health what are the criteria for assessing the skills of emergency ambulance staff required to use paramedical skills gained from extended training to National Health Service training authority standard; what comparison has been made with payments made to other National Health Service staff using paramedical skills; and in offering an additional £500 to emergency ambulance staff, what accounrt has been taken of the amount of overtime they are obliged to work.

Mrs. Virginia Bottomley

Selected, qualified ambulance staff who volunteer for extended training, are trained and certified as fit to practice in the skills of extended ambulance aid by NHS consultants. They must requalify annually. The objective of this training is to save life and reduce morbidity, and mortality. A clinical audit carried out in 1988 indicated that of 28,000 patients who received some form of ambulance aid, some 95 per cent. were still alive on arrival at hospital. There are no comparable payments made to other NHS staff. The additional £500 to be paid to fully qualified staff will be part of the annual salary and will count in full when calculating overtime and other benefits.

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