§ Lord James Douglas-Hamiltonasked the Secretary of State for Social Services in how many and which National Health Service hospitals patients have operations for (a) open heart surgery, (b) neurosurgery, (c) neo-natal surgery, and (d) radiotherapy; what percentage of patients occupied pay beds for each category of operation between the years 1960 and 1976, giving the exact percentages for each year; and what percentage of these patients came from abroad for each of those years.
§ 14. Mr. Ennals,pursuant to his reply [Official Report, 5th July 1976; [Vol. 914, c. 442], circulated the following information:
The following 36 hospitals in England undertake open-heart surgery:
Region and Hospital
Northern
- Shotley Bridge, Consett, Co. Durham
- Seaham Hall, Seaham, Co. Durham
Yorks
- Leeds Royal Infirmary
- Killingbeck (Leeds)
Trent
- United Sheffield Hospitals
- Northern General Hospital
East Anglia
- Papworth, Cambs
North-West Thames
- Hammersmith
- Hospital for Sick Children (GOS)
- Middlesex
- Harefield
- St. Mary's, Paddington
- University College Hospital
- National Heart Hospital
North-East Thames
- The London
- St. Bartholomew's
South-East Thames
535W
- Guy's
- Brook General
- Charing Cross
Region and Hospital
South-West Thames
- St. George's
- Westminster
- St. Thomas's
- The Brompton
- London Chest
Oxford
- The Radcliffe Infirmary
South-Western
- Royal Infirmary, Bristol
West Midlands
- Queen Elizabeth
- Children's—Birmingham
- King Edward VII Memorial Hospital, Hertford Hill, Warwicks
- Cheshire Joint Sanatorium, Stoke-on-Trent
North-Western
- Manchester Royal Infirmary
- Wythenshawe
Mersey
- Mossley Hill in association with Sefton General
- Broadgreen
- Myrtle Street Children's
Wessex
- Southampton Chest
Neurosurgical operations are undertaken at the following 45 hospitals in England but from time to time such operations are also undertaken elsewhere.
Northern
- Newcastle General
- Sunderland Royal Infirmary
- Middlesbrough-West Lane
Yorks
- Leeds General Infirmary
- Chapel Allerton
- Hull Royal Infirmary
- Wakefield-Pinderfields
Trent
- Sheffield Royal Infirmary
- Derby Royal Infirmary
- Leicester Infirmary
East Anglia
- Addenbrooke's
North-West Thames
- The Middlesex
- St. Mary's
- Maida Vale
- Charing Cross
- Central Middlesex
North-East Thames
536W
- The London
- St. Bartholomews
- University College
- The Hospital for Sick Children
- The National Hospital for Nervous Diseases (Queen Square)
- Whittington
- Oldchurch
Region and Hospital
South-East Thames
- Guy's
- Maudsley
- St. Thomas'
- Kings College
- The Brook
South-West Thames
- St. Georges
- Hurstwood Park
- Atkinson Morley
Wessex
- Southampton-Wessex Neurological Centre
Oxford
- Radcliffe Infirmary
South Western
- Frenchay
West Midlands
- Queen Elizabeth
- Birmingham Childrens
- Smethwick-Midland Centre of Neurology and Neurosurgery
North-Western
- Manchester Royal Infirmary
- Salford Royal
- Royal Manchester Childrens
- Crumpsall
- Booth Hall
- Preston Royal Infirmary
- Lancaster Moor
Mersey
- Walton
Neonatal surgery is carried out by paediatric surgeons, some general surgeons and specialists in neurosurgery, cardiac surgery and orthopaedics. I regret that information about the numbers of hospitals in which such work is undertaken is not readily available.
The 53 hospitals listed below have megavoltage equipment for radiotherapy. In addition an approximately similar number of smaller centres have only superficial or orthovoltage equipment. These are usually linked with one of the major centres.
Northern
- Newcastle General
- N. Ormesby
Yorkshire
- Cookridge
- Hull Royal Infirmary
Trent
- Weston Park
- Derbyshire Royal Infirmary
- St. George's
- Leicester Royal Infirmary
- Nottingham General
East Anglian
537W
- Addenbrookes
- Norfolk and Norwich
- Ipswich and East Suffolk
Region and Hospital
North-West Thames
- Hammersmith
- Middlesex
- Charing Cross
- Mouth Vernon
- St. Mary's
- Westminster
North-East Thames
- Royal Free
- University College Hospital
- London
- St. Bartholomew's
- North Middlesex
- Oldchurch
- Southend General
- Essex County
South-East Thames
- St Thomas
- Guy's
- Kings College
- Royal Sussex
- St Williams
- Pembury
- Kent & Canterbury
South-West Thames
- (Board of Governors
- St Lukes
- Royal Marsden)
- Sutton & Fulham Road
Wessex
- Poole General
- Royal South Hants
- St Mary's Portsmouth
Oxford
- Churchill
- Royal Berkshire
- Northampton General
South Western
- Bristol Radiotherapy Centre
- Royal Devon and Exeter
- Freedom Fields
- Cheltenham General
- Treliske
West Midlands
- Queen Elizabeth
- (United Birmingham)
- Coventry & Warwick
- Wolverhampton Royal Hospital
- North Staffordshire
Mersey
- Clatterbridge
North Western
538W
- Christie
I regret that information about the numbers of private patients undergoing open heart or neo-natal surgery is not available centrally as the necessary statistics are collected only on a specialty basis—e.g., cardiology, paediatricts, general surgery, etc.—and not by particular treatments or operations. However, in 1974, the latest year for which figures are available, the recorded number of private patients in cardiology, neurosurgery and radiotherapy as a percentage of all deaths and discharges in each of these specialties was 1.96 per cent., 2.26 per cent. and 2.21 per cent. respectively.
Detailed information about the numbers of private patients and the proportion who come from overseas who were admitted for treatment in these specialties varies widely from one region to another, depending in part, among other factors, on the willingness of consultants to give information to the NHS about their private patients.