Doctors (Hansard, 25 January 1963)

§ Dr. D. Johnson
asked the Minister of Health how many doctors, including locums, were employed whole-time in the junior medical grades of registrar and below in the hospital service on 30th September, 1961; how many of these were born outside Great Britain; if he will classify his information by grade, specialty and region to enable direct comparison to be made with the figures for 31st March, 1960, published by his department in Tables 4 and 5 of Appen-

WHOLE-TIME JUNIOR HOSPITAL MEDICAL STAFF. ENGLAND AND WALES OTHER THAN LOCUMS. 31ST MARCH, 1960 AND 30TH SEPTEMBER, 1961

Classification by region and grade

Region Grade Total

Registrar Junior Hospital Medical Officer Senior House Officer House Officer (fully registered) House Officer (provisionally registered)

1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961

Newcastle 126 (61) 146 (66) 48 (16) 54 (22) 179 (107) 197 (119) 17 (8) 23 (11) 82 (17) 90 (17) 452 (209) 510 (235)

Leeds 140 (64) 147 (64) 48 (23) 52 (27) 112 (71) 132 (92) 40 (20) 52 (27) 89 (19) 99 (25) 429 (197) 482 (235)

Sheffield 193 (99) 215 (113) 33 (14) 40 (19) 179 (98) 208 (121) 2 (1) 4 (—) 72 (10) 71 (12) 479 (222) 538 (265)

East Anglian 85 (41) 101 (51) 10 (3) 9 (2) 49 (24) 65 (39) 16 (3) 14 (1) 37 (9) 39 (13) 197 (80) 228 (106)

Metropolitan Regions 1,282 (421) 1,361 (507) 152 (48) 163 (68) 804 (362) 928 (450) 344 (122) 392 (124) 766 (155) 757 (123) 3,348 (1,108) 3,601 (1,272)

Oxford 87 (39) 113 (48) 23 (6) 22 (6) 63 (25) 80 (45) 31 (12) 37 (14) 50 (11) 54 (11) 254 (93) 306 (124)

South Western 67 (26) 80 (27) 60 (21) 67 (31) 136 (44) 163 (61) 24 (1) 47 (7) 82 (17) 73 (16) 369 (109) 430 (142)

Welsh 111 (38) 123 (45) 44 (19) 53 (25) 123 (60) 152 (82) 29 (7) 29 (12) 71 (10) 93 (31) 378 (134) 450 (195)

Birmingham 168 (62) 204 (83) 57 (26) 67 (28) 149 (74) 165 (92) 62 (26) 61 (17) 115 (24) 147 (43) 551 (212) 644 (263)

Manchester 234 (101) 261 (131) 71 (30) 76 (38) 236 (109) 266 (147) 45 (21) 51 (24) 132 (31) 137 (32) 718 (292) 791 (372)

Liverpool 199 (57) 184 (55) 40 (16) 42 (18) 125 (40) 131 (43) 27 (11) 35 (12) 83 (13) 94 (10) 474 (137) 486 (138)

Wessex 82 (22) 92 (29) 22 (6) 23 (6) 35 (11) 51 (22) 23 (4) 22 (6) 45 (11) 45 (10) 207 (54) 233 (73)

Total 2,774 (1,031) 3,027 (1,219) 608 (228) 668 (290) 2,190 (1,025) 2,538 (1,313) 660 (236) 767 (255) 1,624 (327) 1,699 (343) 7,856 (2,847) 8,699 (3,420)

104W
dix IV of the Report of the Joint Working Party on Medical Staffing in the Hospital Service; and whether he will give comparable figures for 30th September, 1962, in accordance with the recommendation of the Working Party.

§ Mr. Powell
Information for 31st March, 1960, and 30th September, 1961, is given in the two following tables. Neither includes locums, and the second does not include house officers, because for these classes of staff the information for the two dates is not comparable. I will send figures for September, 1962, to my hon. Friend when these are available.
105W

Classification by specialty and grade

Specialty Grade Total

Registrar Junior Hospital Medical Officer Senior House Officer

1960 1961 1960 1961 1960 1961 1960 1961

General Medicine 411 (108) 447 (139) 43 (22) 38 (22) 290 (117) 340 (173) 744 (247) 825 (334)

Cardiology 12 (5) 16 (9) 1 (1) 1 (1) 4 (—) 3 (1) 17 (6) 20 (11)

Geriatrics 28 (14) 46 (26) 34 (12) 49 (19) 50 (36) 73 (59) 112 (62) 168 (104)

Chest Diseases 80 (47) 83 (48) 56 (30) 57 (35) 50 (26) 74 (53) 186 (103) 214 (136)

Mental Illness 256 (62) 294 (73) 221 (61) 246 (89) 93 (28) 120 (49) 570 (151) 660 (211)

Mental Subnormality 11 (1) 12 (—) 38 (7) 42 (8) —(—) 1 (1) 49 (8) 55 (9)

Neurology 21 (5) 27 (9) 1 (—) 3 (2) 18 (7) 25 (8) 40 (12) 55 (19)

Paediatrics 110 (36) 111 (46) 5 (1) 8 (4) 115 (42) 137 (56) 230 (79) 256 (106)

Radiology 78 (14) 81 (18) —(—) —(—) 28 (5) 28 (5) 106 (19) 109 (23)

Radiotherapy 41 (10) 40 (8) 7 (5) 5 (4) 16 (7) 19 (8) 64 (22) 64 (20)

Physical Medicine 21 (1) 20 (10) —(—) —(—) 2 (1) 5 (2) 23 (2) 25 (12)

Pathology 141 (17) 161 (35) 9 (1) 19 (—) 125 (26) 150 (52) 275 (44) 330 (87)

Infectious Diseases 13 (7) 17 (11) 18 (10) 13 (7) 21 (12) 31 (20) 52 (29) 61 (38)

Dermatology 28 (4) 24 (7) —(—) 2 (—) 7 (2) 10 (4) 35 (6) 36 (11)

Venerealogy 3 (—) 5 (1) 1 (—) —(—) 4 (—) 3 (—) 8 (—) 8 (1)

Ophthalmology 67 (35) 80 (36) 5 (3) (2) 59 (32) 70 (39) 131 (70) 154 (77)

General Surgery 454 (251) 486 (256) 26 (15) 44 (30) 321 (219) 348 (213) 801 (485) 878 (499)

Urology 13 (7) 13 (4) 1 (1) 1 (1) 9 (6) 9 (8) 23 (14) 23 (13)

Anaesthetics 345 (74) 375 (91) 21 (8) 24 (8) 253 (75) 287 (94) 619 (157) 686 (193)

Neurosurgery 30 (16) 32 (24) 1 (1) —(—) 22 (14) 23 (12) 53 (31) 55 (36)

Plastic Surgery 9 (6) 23 (10) 1 (1) 1 (1) 14 (13) 20 (14) 24 (20) 44 (25)

Thoracic Surgery 52 (35) 59 (44) 2 (2) 5 (2) 24 (16) 31 (25) 78 (53) 95 (71)

Traumatic and Orthopaedic Surgery 182 (93) 203 (119) 40 (21) 35 (20) 189 (122) 235 (164) 411 (236) 473 (303)

Ear, Nose and Throat 79 (42) 92 (57) 8 (4) 6 (3) 60 (46) 73 (63) 147 (92) 171 (123)

Obstetrics and Gynaecology 232 (122) 265 (134) 8 (1) 17 (6) 246 (100) 276 (110) 486 (223) 558 (250)

Others 57 (19) 15 (4) 61 (21) 48 (26) 170 (73) 147 (80) 288 (113) 210 (110)

Total 2,774 (1,031) 3,027 (1,219) 608 (228) 668 (290) 2,190 (1,025) 2,538 (1,313) 5,572 (2,284) 6,233 (2,822)

Note: The figures in brackets show the number of doctors born outside the United Kingdom and Eire who are included in the unbracketed figures.

106W 107W

§ Dr. D. Johnson
asked the Minister of Health how many doctors, who qualified overseas but are not fully registered by the General Medical Council, are holding appointments of responsibility in the hospital service which are only available to British-trained doctors after full-registration; and what evidence he has that such doctors have all completed the year's residential appointment under supervision in an approved hospital which is required in the case of British-trained doctors before being appointed to such positions of responsibility.

§ Mr. Powell
I regret the information is not available. The number of such doctors in consultant posts is believed very small, mainly in locum tenens and exchange appointments.

§ Dr. D. Johnson
asked the Minister of Health how many doctors, qualified overseas and holding junior medical appointments in the hospital service on 30th September, 1961, had medical qualifications which, not being recognised by the General Medical Council, do not entitle them to become fully registered medical practitioners in Great Britain.

§ Mr. Powell
It is estimated that in January, 1962, about 750 temporarily registered doctors held posts of registrar and below in Great Britain. It is not known how many of these would be entitled to full registration. I regret no estimate for September, 1961, is available.

WHOLE-TIME JUNIOR HOSPITAL MEDICAL STAFF. ENGLAND AND WALES OTHER THAN LOCUMS. 31ST MARCH, 1960 AND 30TH SEPTEMBER, 1961
Classification by region and grade
Region	Grade	Total
Registrar	Junior Hospital Medical Officer	Senior House Officer	House Officer (fully registered)	House Officer (provisionally registered)
1960	1961	1960	1961	1960	1961	1960	1961	1960	1961	1960	1961
Newcastle	126 (61)	146 (66)	48 (16)	54 (22)	179 (107)	197 (119)	17 (8)	23 (11)	82 (17)	90 (17)	452 (209)	510 (235)
Leeds	140 (64)	147 (64)	48 (23)	52 (27)	112 (71)	132 (92)	40 (20)	52 (27)	89 (19)	99 (25)	429 (197)	482 (235)
Sheffield	193 (99)	215 (113)	33 (14)	40 (19)	179 (98)	208 (121)	2 (1)	4 (—)	72 (10)	71 (12)	479 (222)	538 (265)
East Anglian	85 (41)	101 (51)	10 (3)	9 (2)	49 (24)	65 (39)	16 (3)	14 (1)	37 (9)	39 (13)	197 (80)	228 (106)
Metropolitan Regions	1,282 (421)	1,361 (507)	152 (48)	163 (68)	804 (362)	928 (450)	344 (122)	392 (124)	766 (155)	757 (123)	3,348 (1,108)	3,601 (1,272)
Oxford	87 (39)	113 (48)	23 (6)	22 (6)	63 (25)	80 (45)	31 (12)	37 (14)	50 (11)	54 (11)	254 (93)	306 (124)
South Western	67 (26)	80 (27)	60 (21)	67 (31)	136 (44)	163 (61)	24 (1)	47 (7)	82 (17)	73 (16)	369 (109)	430 (142)
Welsh	111 (38)	123 (45)	44 (19)	53 (25)	123 (60)	152 (82)	29 (7)	29 (12)	71 (10)	93 (31)	378 (134)	450 (195)
Birmingham	168 (62)	204 (83)	57 (26)	67 (28)	149 (74)	165 (92)	62 (26)	61 (17)	115 (24)	147 (43)	551 (212)	644 (263)
Manchester	234 (101)	261 (131)	71 (30)	76 (38)	236 (109)	266 (147)	45 (21)	51 (24)	132 (31)	137 (32)	718 (292)	791 (372)
Liverpool	199 (57)	184 (55)	40 (16)	42 (18)	125 (40)	131 (43)	27 (11)	35 (12)	83 (13)	94 (10)	474 (137)	486 (138)
Wessex	82 (22)	92 (29)	22 (6)	23 (6)	35 (11)	51 (22)	23 (4)	22 (6)	45 (11)	45 (10)	207 (54)	233 (73)
Total	2,774 (1,031)	3,027 (1,219)	608 (228)	668 (290)	2,190 (1,025)	2,538 (1,313)	660 (236)	767 (255)	1,624 (327)	1,699 (343)	7,856 (2,847)	8,699 (3,420)

Classification by specialty and grade
Specialty	Grade	Total
Registrar	Junior Hospital Medical Officer	Senior House Officer
1960	1961	1960	1961	1960	1961	1960	1961
General Medicine	411 (108)	447 (139)	43 (22)	38 (22)	290 (117)	340 (173)	744 (247)	825 (334)
Cardiology	12 (5)	16 (9)	1 (1)	1 (1)	4 (—)	3 (1)	17 (6)	20 (11)
Geriatrics	28 (14)	46 (26)	34 (12)	49 (19)	50 (36)	73 (59)	112 (62)	168 (104)
Chest Diseases	80 (47)	83 (48)	56 (30)	57 (35)	50 (26)	74 (53)	186 (103)	214 (136)
Mental Illness	256 (62)	294 (73)	221 (61)	246 (89)	93 (28)	120 (49)	570 (151)	660 (211)
Mental Subnormality	11 (1)	12 (—)	38 (7)	42 (8)	—(—)	1 (1)	49 (8)	55 (9)
Neurology	21 (5)	27 (9)	1 (—)	3 (2)	18 (7)	25 (8)	40 (12)	55 (19)
Paediatrics	110 (36)	111 (46)	5 (1)	8 (4)	115 (42)	137 (56)	230 (79)	256 (106)
Radiology	78 (14)	81 (18)	—(—)	—(—)	28 (5)	28 (5)	106 (19)	109 (23)
Radiotherapy	41 (10)	40 (8)	7 (5)	5 (4)	16 (7)	19 (8)	64 (22)	64 (20)
Physical Medicine	21 (1)	20 (10)	—(—)	—(—)	2 (1)	5 (2)	23 (2)	25 (12)
Pathology	141 (17)	161 (35)	9 (1)	19 (—)	125 (26)	150 (52)	275 (44)	330 (87)
Infectious Diseases	13 (7)	17 (11)	18 (10)	13 (7)	21 (12)	31 (20)	52 (29)	61 (38)
Dermatology	28 (4)	24 (7)	—(—)	2 (—)	7 (2)	10 (4)	35 (6)	36 (11)
Venerealogy	3 (—)	5 (1)	1 (—)	—(—)	4 (—)	3 (—)	8 (—)	8 (1)
Ophthalmology	67 (35)	80 (36)	5 (3)	(2)	59 (32)	70 (39)	131 (70)	154 (77)
General Surgery	454 (251)	486 (256)	26 (15)	44 (30)	321 (219)	348 (213)	801 (485)	878 (499)
Urology	13 (7)	13 (4)	1 (1)	1 (1)	9 (6)	9 (8)	23 (14)	23 (13)
Anaesthetics	345 (74)	375 (91)	21 (8)	24 (8)	253 (75)	287 (94)	619 (157)	686 (193)
Neurosurgery	30 (16)	32 (24)	1 (1)	—(—)	22 (14)	23 (12)	53 (31)	55 (36)
Plastic Surgery	9 (6)	23 (10)	1 (1)	1 (1)	14 (13)	20 (14)	24 (20)	44 (25)
Thoracic Surgery	52 (35)	59 (44)	2 (2)	5 (2)	24 (16)	31 (25)	78 (53)	95 (71)
Traumatic and Orthopaedic Surgery	182 (93)	203 (119)	40 (21)	35 (20)	189 (122)	235 (164)	411 (236)	473 (303)
Ear, Nose and Throat	79 (42)	92 (57)	8 (4)	6 (3)	60 (46)	73 (63)	147 (92)	171 (123)
Obstetrics and Gynaecology	232 (122)	265 (134)	8 (1)	17 (6)	246 (100)	276 (110)	486 (223)	558 (250)
Others	57 (19)	15 (4)	61 (21)	48 (26)	170 (73)	147 (80)	288 (113)	210 (110)
Total	2,774 (1,031)	3,027 (1,219)	608 (228)	668 (290)	2,190 (1,025)	2,538 (1,313)	5,572 (2,284)	6,233 (2,822)
Note: The figures in brackets show the number of doctors born outside the United Kingdom and Eire who are included in the unbracketed figures.