§ Mr. David MarshallTo ask the Secretary of State for Scotland if he will list the total number of vacancies for speech therapists within each health board area and the agreed establishment for speech therapists.
§ Mr. Michael ForsythThis information is not available centrally.
§ Mrs. Ray MichieTo ask the Secretary of State for Scotland (1) what is the average case load covered by a speech therapist;
(2) if he will provide a percentage breakdown of the communication-handicapped population who receive speech therapy in (a) the hospital site, (b) National Health Service premises, (c) local authority premises, (d) patients' homes and (e) other locations;
291W(3) if he will provide statistics on the levels of speech therapy service currently available in each area health authority in Scotland; if work is currently in progress to analyse the levels of services required for areas; and if he will make a statement.
§ Mr. Michael Forsyth[holding answer 27 March 1990]: Information available centrally about speech therapy
Table 1—Speech therapy statistics: year ending 31 March 1989 Scotland Argyll and Clyde Ayrshire and Arran Borders Dumfries and Galloway Fife Forth Valley Grampian Patients attending1 All ages Number 51,083 3,928 4,263 1,480 1,788 3,658 3,308 5,644 Rate2 10.0 8.9 11.4 14.4 12.1 10.6 12.2 11.3 Aged under 5 30.7 41.5 33.6 24.7 33.8 32.0 23.3 34.9 5–18 41.8 35.2 51.2 42.0 49.0 35.1 47.2 41.1 19–64 14.1 13.8 8.5 19.9 8.3 12.3 18.5 12.0 65 and over 13.3 9.6 6.7 13.4 8.8 20.6 10.9 12.1 New patients All ages Number 22,447 1,834 1,381 719 526 1,593 1,157 2,203 Rate2 4.4 4.1 3.7 7.0 3.6 4.6 4.3 4.4 Aged under 5 38.6 46.0 56.0 27.0 47.5 38.3 35.8 40.8 5–18 23.3 21.5 20.2 41.2 29.1 17.0 17.7 23.3 19–64 17.0 16.9 11.4 17.8 9.5 11.7 24.0 14.7 65 and over 21.1 15.6 12.3 14.0 13.9 33.0 22.5 21.2 Attendances All attendances 465,226 36,101 34,545 21,906 23,552 37,456 26,806 39,422 Hospital Inpatient 14.8 13.8 6.2 9.6 3.4 10.5 28.3 17.8 Outpatient 13.0 11.7 6.5 4.6 3.1 7.7 12.8 9.3 Health Centre/Clinic 22.4 31.6 42.0 6.0 0.8 24.9 9.3 25.5 School 38.3 36.1 41.5 49.3 67.1 39.0 35.7 38.5 Domiciliary 4.7 2.2 2.7 10.1 16.8 6.3 4.4 3.3 Other 6.8 4.7 1.1 20.4 8.8 11.6 9.6 5.7 Speech therapists3 Number 446 38 26 14 18 30 23 56 Whole-time equivalents 363.4 30.2 22.4 10.7 16.1 26.4 17.8 43.7
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Table 1—continued Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles Patients Attending1 All Ages Number 8,274 2,998 3,570 7,329 478 356 3,706 303 Rate2 8.8 14.9 6.4 9.9 24.6 15.9 9.4 9.8 Aged under 5 24.0 27.0 36.7 29.6 16.5 16.3 34.7 21.1 5–18 38.6 55.5 39.9 35.4 78.2 73.6 39.7 49.5 19–64 20.8 9.2 12.7 15.8 1.7 4.5 11.6 20.1 65 and over 16.6 8.3 10.7 19.2 3.6 5.6 14.0 9.2 New Patients All Ages Number 4,301 1,069 1,738 3,827 157 186 1,622 134 Rate2 4.6 5.3 3.1 5.2 8.1 8.3 4.1 4.3 Aged under 5 30.7 37.7 49.5 34.4 29.9 21.0 39.3 35.8 5–18 25.5 37.4 20.9 16.9 64.3 68.8 19.7 45.5 19–64 21.2 11.6 15.1 21.2 1.9 5.9 15.4 13.4 65 and over 22.6 13.3 14.4 27.5 3.8 4.3 25.6 5.2 Attendances All Attendances 66,689 17,764 30,913 79,510 2,422 3,645 42,343 2,152 Hospital Inpatient 18.9 14.1 9.6 20.6 3.3 1.6 13.6 4.6 staffing, patients, workload and location of treatment in health boards is collated annually by the information and statistics division of Common Services Agency. The latest tables are as follows, and copies are in the Library. Assessment of the need for speech therapy services is a matter for health boards.
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Greater Glasgow Highland Lanarkshire Lothian Orkney Shetland Tayside Western Isles Outpatient 24.3 5.6 15.5 13.5 0.2 14.7 21.7 0.9 Health Centre/Clinic 28.1 10.3 50.2 15.8 3.9 1.5 13.2 21.1 School 18.2 55.8 20.2 41.1 79.0 79.5 42.9 42.9 Domiciliary 2.8 10.3 2.2 3.4 9.3 2.6 2.4 28.0 Other 7.8 3.9 2.3 5.6 4.2 — 6.3 2.4 Speech Therapists3 Number 80 16 33 64 2 1 41 4 Whole-time-equivalent 65.7 13.4 26.8 53.1 2.0 0.7 31.3 3.1 1Old and new patients. 2 Per 1,000 population. 3 As at 31st March 1989 (provisional figures): excludes speech therapy helpers. Source: Form ISD(S)31 and ISD (National Manpower Statistics).
Table 2 Speech therapists: by grade and health board: at 31 March 1989 (Provisional) Grade E Number WTE Scotland 5 5.0 Argyll and Clyde — — Ayrshire and Arran 1 1.0 Borders — — Dumfries and Galloway — — Fife 1 1.0 Forth Valley 1 1.0 Grampian — — Greater Glasgow — — Highland — — Lanarkshire — — Lothian 1 1.0 Orkney — — Shetland — — Tayside 1 1.0 Western Isles — —
Grade D Number WTE Scotland 27 27.0 Argyll and Clyde 3 3.0 Ayrshire and Arran 1 1.0 Borders 1 1.0 Dumfries and Galloway 2 2.0 Fife — — Forth Valley 2 2.0 Grampian 2 2.0 Greater Glasgow 3 3.0 Highland 1 1.0 Lanarkshire 1 1.0 Lothian 6 6.0 Orkney — — Shetland — — Tayside 4 4.0 Western Isles 1 1.0 294W
Grade C (Senior) Number WTE Scotland 141 129.0 Argyll and Clyde 10 8.5 Ayrshire and Arran 8 7.5 Borders 4 4.0 Dumfries and Galloway 1 1.0 Fife 8 8.0
Number WTE Forth Valley 4 3.4 Grampian 11 11.0 Greater Glasgow 43 38.4 Highland 3 3.0 Lanarkshire 11 10.5 Lothian 25 22.1 Orkney 1 1.0 Shetland — — Tayside 11 9.6 Western Isles 1 1.0
Grade B (Basic) Number WTE Scotland 240 171.8 Argyll and Clyde 22 16.1 Ayrshire and Arran 15 11.9 Borders 9 5.7 Dumfries and Galloway 14 12.1 Fife 19 15.4 Forth Valley 13 8.4 Grampian 36 23.7 Greater Glasgow 27 18–1 Highland 12 9.4 Lanarkshire 20 14.3 Lothian 30 22.3 Orkney — — Shetland 1 0.7 Tayside 20 12.6 Western Isles 2 1.1 295W
Grade A Number WTE Scotland 33 30.6 Argyll and Clyde 3 2.6 Ayrshire and Arran 1 1.0 Borders — — Dumfries and Galloway 1 1.0 Fife 2 2.0 Forth Valley 3 3.0 Grampian 7 7.0 Greater Glasgow 7 6.2 Highland — — Lanarkshire 1 1.0 Lothian 2 1.7 Orkney 1 1.0 Shetland — — Tayside 5 4.1 Western Isles — —
ST Helper Number WTE Scotland 3 1.3 Argyll and Clyde — — Ayrshire and Arran — — Borders — — Dumfries and Galloway 1 0.5 Fife — — Forth Valley 1 0.3 Grampian — — Greater Glasgow 1 0.5 Highland — — Lanarkshire — — Lothian — — Orkney — — Shetland — — Tayside — — Western Isles — — Source: ISD (National Manpower Statistics).
§ Mrs. Ray MichieTo ask the Secretary of State for Scotland (1) if he will give a breakdown of the percentages of speech therapy referrals which come from doctors and consultants, and from clinical medical officers, health
Speech therapists in post: Whole-time equivalent at 30 September Health board 1985 1986 1987 1988 11989 Scotland 323.7 339.4 343.1 372.3 377.6 Argyll and Clyde 27.5 29.0 28.1 32.8 33.0 Ayrshire and Arran 17.9 19.3 20.6 20.5 21.5 Borders 10.2 10.3 11.2 10.7 11.7 Dumfries and Galloway 15.6 16.5 15.9 15.8 16.1 Fife 23.7 25.3 28.0 27.5 28.1 Forth Valley 13.8 13.4 16.3 18.4 18.2 Grampian 28.6 35.6 33.5 40.2 45.5 Greater Glasgow 60.4 62.6 63.0 70.8 63.7 Highland 12.8 14.8 14.9 16.1 15.5 Lanarkshire 22.8 24.1 23.2 27.5 31.8 Lothian 53.4 50.2 52.5 53.6 56.4 Orkney 2.0 1.2 2.0 1.6 1.0 Shetland 0.8 0.8 0.8 0.7 0.7 Tayside 31.9 33.0 29.8 33.5 31.3 Western Isles 2.3 3.3 3.3 2.6 3.1 1 Provisional.