§ Mr. Penhaligonasked the Secretary of State for Social Services if he will list for the district health authorities in England the ratio of health visitors, district nurses and midwives to the population.
§ Mr. Geoffrey Finsberg[pursuant to his reply, 22 November 1982, c. 367]: Information about the ratios of health visitors, district nurses and midwives to population related to district health authorities is not available. The latest figures cover those employed by the former area health authorities in September 1981 and are as follows.
394W
Ratio of staff (WTE) per thousand of managed population 1981 Health Visitors* District Nursing Staff† Midwives‡ Northern RHA Cleveland 0.19 0.34 0.38 Cumbria 0.21 0.44 0.32 Durham 0.18 0.29 0.32 Northumberland 0.19 0.29 0.27 Gateshead 0.19 0.30 0.25 Newcastle-upon-Tyne 0.24 0.31 0.55 North Tyneside 0.22 0.38 0.19 South Tyneside 0.17 0.32 0.31 Sunderland 0.20 0.31 0.32 Yorkshire RHA Humberside 0.18 0.28 0.27 North Yorkshire 0.20 0.31 0.30 Bradford 0.25 0.39 0.43 Calderdale 0.16 0.33 0.32 Kirklees 0.24 0.34 0.42 Leeds 0.20 0.25 0.30 Wakeneld 0.03 0.30 0.45 395W
Health Visitors* District Nursing Staff† Midwives‡ Trent RHA Derbyshire 0.18 0.29 0.31 Leicestershire 0.19 0.29 0.32 Lincolnshire 0.18 0.30 0.28 Nottinghamshire 0.20 0.29 0.40 Barnsley 0.19 0.28 0.35 Doncaster 0.18 0.30 0.35 Rotherham 0.17 0.31 0.35 Sheffield 0.18 0.36 0.38 East Anglia RHA Cambridgeshire 0.20 0.32 0.38 Norfolk 0.09 0.28 0.38 Suffolk 0.17 0.27 0.32 North West Thames RHA Bedfordshire 0.16 0.16 0.28 Hertfordshire 0.20 0.26 0.29 Barnet 0.19 0.22 0.30 Brent/Harrow 0.24 0.25 0.29 Ealing/Hammersmith/Hounslow 0.25 0.32 0.36 Hillingdon 0.19 0.25 0.28 Kensington/Chelsea/Westminster 0.25 0.35 0.44 North East Thames RHA Essex 0.17 0.21 0.27 Barking/Havering 0.15 0.25 0.33 Camden/Islington 0.16 0.34 0.51 City and East London 0.22 0.32 0.46 Enfield/Haringey 0.19 0.26 0.37 Redbridge/Waltham Forest 0.17 0.33 0.35 South East Thames RHA East Sussex 0.23 0.40 0.22 Kent 0.16 0.32 0.33 Greenwich/ Bexley 0.16 0.40 0.43 Bromley 0.20 0.23 0.32 Lambeth/Lewisham/Southwark 0.22 0.34 0.43 South West Thames RHA Surrey 0.22 0.32 0.28 West Sussex 0.20 0.31 0.28 Croydon 0.18 0.26 0.29 Kingston/ Richmond 0.27 0.45 0.25 Merton/Sutton/ Wandswoith 0.23 0.31 0.44 Wessex RHA Dorset 0.17 0.33 0.21 Hampshire 0.21 0.30 0.32 Wiltshire 0.20 0.23 0.33 Isle of Wight 0.16 0.35 0.35 Oxford RHA Berkshire 0.21 0.31 0.32 Buckinghamshire 0.24 0.30 0.35 Northamptonshire 0.25 0.35 0.36 Oxfordshire 0.08 0.31 0.29 South Western RHA Avon 0.21 0.28 0.27 Cornwall and Isles of Scilly 0.20 0.30 0.17 Devon 0.18 0.32 0.29 Gloucestershire 0.19 0.34 0.29
Health Visitors* District Nursing Staff† Midwives‡ Somerset 0.23 0.28 0.20 West Midlands RHA Hereford and Worcester 0.22 0.39 0.23 Salop 0.21 0.31 0.24 Staffordshire 0.19 0.29 0.19 Warwickshire 0.22 0.35 0.33 Birmingham 0.15 0.30 0.39 Coventry 0.20 0.33 0.25 Dudley 0.20 0.31 0.28 Sandwell 018 0.26 0.19 Solihull 019 0.30 0.59 Walsall 0.20 0.25 O30 Wolverhampton 0.19 0.22 0.43 Mersey RHA Cheshire 0.18 0.31 0.32 Liverpool 0.18 0.34 0.43 St. Helens/Knowsley 0.19 0.28 0.31 Sefton 0.23 0.33 0.46 Wirral 0.21 0.28 0.45 North Western RHA Lancashire 0.24 0.37 0.35 Bolton 0.24 0.29 0.43 Bury 0.25 0.37 0.38 Manchester 0.20 0.42 0.61 Oldham 0.26 0.50 0.31 Rochdale 0.25 0.31 0.42 Salford 0.13 0.45 0.32 Stockport 0.23 0.34 0.41 Tameside 0.17 0.32 0.42 Trafford 0.18 0.39 0.32 Wigan 0.24 0.41 0.39 * Includes district nurse health visitor/midwife joint-duty staff. † Includes SRN and SEN with and without district training, and district nurse/midwife joint duty staff. ‡ Includes hospital and community staff. Includes agency midwives. Note: The staffing figures on which the above ratios are based are taken from the DHSS census of non-medical manpower. The area health authorities no longer exist and these figures cannot be checked. It is possible that the ratios have been affected by errors in the coding of grades or occupations. This could account for the low ratios of health visitors, district nurses or midwives in some areas.