§ Mrs. Dunwoodyasked the Secretary of State for Social Services how many district health authorities in each regional authority do not have (a) a district dental officer, (b) midwifery divisions and (c) functional divisions for each of the professions supplementary to medicine, as opposed to geographical divisions.
§ Mr. Kenneth ClarkeFinal reports of DHA's management structures have not all been received and analysed. Each DHA is making its own decisions of the best structure of unit management for its various services. The latest information on(a) and (b) available centrally is as follows. As to (c), DHAs have in most cases proposed a mix of client care and geographical units within which members of the professions supplementary to medicine will work. The question as to what clinical support services should be provided in a particular management unit is for DHAs themselves to decide in the light of local circumstances:
(a) District dental officers: it is not yet possible to say which districts do not have district dental officers (DDOs).As my hon. Friend explained in his reply to the hon. Member for St. Pancras, North (Mr. Stallard) on 15 April 1983 — [Vol. 40, c. 483.] — some districts will be sharing the services of DDOs and some have not yet completed consideration of appointments.
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(b) Midwifery units: RHA No. of DHAs DHAs without separate midwifery/maternity management units* Northern 16 6 Yorkshire 17 5 Trent 12 11 East Anglian 8 1 North West Thames 15 4 North East Thames 16 5 South East Thames 15 10
(b) Midwifery units: RHA No. of DHAs DHAs without separate midwifery/maternity management units* South West Thames 13 3 Wessex 10 6 Oxford 8 4 South Western 11 3 West Midlands 22 14 Mersey 10 nil North Western 19 7 * Based on RHA's interim reports on the position at 30 June 1982. Figures quoted do not include mixed midwifery/gynaecology/paediatric/centre etc management units.