§ Mr. John Browneasked the Secretary of State for Social Services if he will publish for each health authority in England the number of cases and the average length of stay for each of private patients and National Health Service patients for each specialty covered by National Health Service statistical returns.
§ Mr. Newton[pursuant to his reply, 10 December 1986, c. 209]: I am sorry I cannot give my hon. Friend all the information he seeks. Information at district level can be obtained only at disproportionate cost and the numbers in the central data sample are too small for reliable estimates to be made for private patients in most specialties at regional level. The available information is given in the following table:
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National Health Service Patients England Northern RHA Yorkshire RHA Trent RHA East Anglian RHA North West Thames RHA North East Thames RHA South East Thames RHA South West Thames RHA Neurology Estimated number 42,930 3,180 3,260 2,720 1,350 1,810 4,820 2,240 2,940 Mean duration of stay 12.4 13.4 11.2 8.6 8.8 21.5 16.1 11.9 10.3 Cardiology Estimated Number 54,370 2,910 5,670 3,470 1,650 5,530 4,250 7,320 320 Mean duration of stay 6.7 6.2 6.5 4.7 6.1 7.4 6.6 7.2 5.7 Rehabilitation Estimated Number 8,300 660 50 1,170 1,150 1,080 1,560 60 1,060 Mean duration of stay 31.3 23.1 33.8 40.7 22.5 32.6 24.4 17.5 27.3 Genito-urinary medicine Estimated Number 460 10 30 90 — 20 180 — — Mean duration of stay 5.4 14.0 2.7 5.8 — 2.0 8.1 — — Rheumatology Estimated Number 27,320 2,180 2,920 2,340 1,610 1,340 1,440 2,490 790 Mean duration of stay 18.0 17.8 17.4 15.2 17.8 17.7 19.7 14.9 16.0 Geriatric medicine Estimated Number 332,710 17,420 39,010 35,800 15,940 19,550 22,370 27,410 19,870 Mean duration of stay 55.0 54.6 41.2 55.9 49.2 73.6 73.0 53.1 48.7 Units for younger disabled Estimated Number 4,740 300 870 810 220 240 390 460 300 Mean duration of stay 147.1 117.6 81.2 31.9 45.2 268.8 261.4 180.7 17.8 General surgery Estimated Number 971,780 66,490 71,340 93,630 40,600 70,600 90,610 80,500 56,730 Mean duration of stay 7.1 7.4 7.6 6.3 7.1 7.6 8.0 7.0 7.2 Ear, Nose and Throat Estimated Number 257,960 15,920 20,740 23,120 11,660 17,040 26,230 21,390 14,090 Mean duration of stay 3.5 3.2 3.4 3.4 2.8 3.7 4.0 3.6 3.3 Orthopaedic surgery Estimated Number 500,300 33,190 44,560 44,240 17,810 34,970 39,430 38,310 28,990 Mean duration of stay 11.1 12.0 10.3 11.1 10.7 11.3 13.5 11.4 11.7 Ophthalmology Estimated Number 135,540 8,240 10,050 12,750 6,610 7,240 7,760 10,590 7,140 Mean duration of stay 5.7 4.7 6.4 5.9 4.8 6.2 6.2 6.0 5.4 Radiotherapy Estimated Number 59,310 3,760 3,260 7,010 2,680 4,540 6,990 2,590 1,540 Mean duration of stay 10.5 10.3 12.9 12.0 11.0 9.0 11.9 11.8 9.4 Urology Estimated Number 146,460 8,000 15,560 9,970 8,460 7,110 18,450 14,710 8,220 Mean duration of stay 6.7 6.1 6.8 7.1 5.8 6.8 7.2 6.6 5.9 Plastic surgery Estimated Number 53,500 6,360 5,090 4,580 1,720 3,270 4,040 3,260 1,970 Mean duration of stay 7.2 6.4 5.6 7.2 7.2 8.0 6.5 8.5 6.0 Thoracic surgery Estimated Number 39,970 2,300 3,750 3,590 1,040 3,150 2,500 2,840 670 Mean duration of stay 10.7 10.5 11.3 10.9 8.6 11.3 12.5 10.4 11.9 Oral surgery Estimated Number 86,700 3,800 7,570 6,310 4,460 8,260 9,170 7,770 5,190 Mean duration of stay 2.5 3.1 2.0 2.2 2.1 2.8 2.5 2.6 3.0 Orthodontics Estimated Number 250 30 — 50 — — 20 20 10 Mean duration of stay 4.0 0.3 — 1.2 — — 14.0 2.0 2.0 Neurosurgery Estimated Number 29,290 2,110 4,040 2,020 1,610 500 2,830 1,060 1,950 Mean duration of stay 11.8 15.0 9.0 13.7 7.6 10.9 17.8 14.2 10.1
National Health Service Patients England Northern RHA Yorkshire RHA Trent RHA East Anglian RHA North West Thames RHA North East Thames RHA South East Thames RHA South West Thames RHA Gynaecology Estimated Number 552,690 35,540 41,620 59,150 23,440 39,620 56,520 42,690 27,900 Mean duration of stay 4.1 4.0 4.6 3.9 3.6 4.0 4.3 3.9 4.3 Special Care Baby Unit Estimated Number 61,780 3,890 6,620 4,940 2,100 4,780 5,120 4,790 3,210 Mean duration of stay 10.7 9.4 10.7 11.5 8.7 9.7 11.3 11.6 7.7 General Practice (Other) Estimated Number 90,000 6,270 4,700 6,790 3,760 2,540 3,680 5,850 5,900 Mean duration of stay 20.3 19.2 14.8 21.9 16.9 32.9 20.6 21.4 22.6 General Practice (Dental) Estimated Number 930 — 30 10 — — — 70 670 Mean duration of stay 1.6 — 0.3 1.0 — — — 1.1 1.7 All other Specialties Estimated Number 167,340 9,650 18,980 12,060 6,210 11,540 13,700 17,630 4,130 Mean duration of stay 7.0 6.9 7.1 5.8 6.6 6.9 6.6 8.6 3.5
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National Health Service Patients Private patients England Wessex RHA Oxford RHA South Western RHA West Midlands RHA Mersey RHA North Western RHA Special Health Authority General medicine Estimated number 43,360 38,880 46,420 85,340 46,690 94,430 5,640 4,850 Mean duration of stay 10.1 8.2 8.5 9.8 10.6 10.0 7.8 6.2 Paediatrics Estimated number 14,700 15,270 19,270 31,360 18,920 35,540 1,560 450 Mean duration of stay 4.4 3.5 3.7 4.0 4.1 4.0 7.1 6.2 Infectious diseases Estimate number 20 540 690 1,020 980 3,000 20 70 Mean duration of stay 26.0 7.1 9.4 6.9 8.9 6.1 30.0 6.1 Diseases of the chest Estimated number 1,880 2,790 3,040 6,870 2,340 6,180 8,220 740 Mean duration of stay 11.0 12.6 13.8 14.0 16.9 12.2 8.0 8.0 Dermatology Estimated number 920 880 1,300 2,820 1,030 1,660 180 130 Mean duration of stay 39.7 24.7 16.6 19.5 25.2 20.4 8.1 14.5 Neurology Estimated number 1,630 2,760 2,240 4,710 2,030 4,180 3,060 1,030 Mean duration of stay 12.5 21.6 12.3 10.4 6.7 10.2 10.5 6.6 Cardiology Estimated Number 1,240 1,570 440 5,690 2,910 6,410 4,990 1,100 Mean duration of stay 7.5 5.0 5.7 6.7 9.3 5.9 7.7 3.9 Rehabilitation Estimated Number 630 450 — — 110 320 — 30 Mean duration of stay 22.1 23.3 — — 97.8 95.1 — 17.3 Genito-urinary medicine Estimated Number — — 4 9 — — — 10 Mean duration of stay — — 5.0 0.8 — — — 3.0 Rheumatology Estimated Number 1,880 1,610 1,790 2,210 750 3,610 360 340 Mean duration of stay 22.7 13.9 13.7 21.8 23.6 21.5 9.5 10.8 Geriatric medicine Estimated Number 13,490 15,670 21,280 29,030 18,330 36,800 740 90 Mean duration of stay 61.7 41.4 56.4 68.8 66.6 41.4 63.0 19.7 Units for younger disabled Estimated Number 60 10 290 210 130 450 — — Mean duration of stay 13.5 4.0 46.1 1,156.4 185.7 42.7 — —
National Health Service Patients Private patients England Wessex RHA Oxford RHA South Western RHA West Midlands RHA Mersey RHA North Western RHA Special Helath Authority General surgery Estimated Number 48,030 46,890 57,850 91,310 50,960 102,200 4,040 13,180 Mean duration of stay 6.9 5.8 7.0 6.8 8.0 7.1 7.8 6.2 Ear, Nose and Throat Estimated Number 12,750 14,280 14,940 24,500 13,110 27,360 830 6,300 Mean duration of stay 3.8 2.6 4.2 3.4 4.0 3.4 5.4 2.6 Orthopaedic surgery Estimated Number 28,680 29,290 30,910 58,370 24,180 45,380 1,990 8,680 Mean duration of stay 10.8 8.1 10.3 10.3 11.4 12.5 6.9 6.8 Ophthalmology Estimated Number 7,730 4,950 8,700 13,850 6,570 14,750 8,610 4,630 Mean duration of stay 7.2 4.4 5.6 6.2 5.7 5.9 4.3 3.1 Radiotheraphy Estimated Number 2,590 3,130 5,840 4,970 3,970 4,910 1,530 1,600 Mean duration of stay 10.1 9.3 8.5 6.0 12.9 12.2 8.0 7.5 Urology Estimated Number 7,520 2,890 8,300 14,730 5,000 15,710 1,830 3,150 Mean duration of stay 5.8 4.3 6.4 7.3 8.5 7.0 7.7 4.7 Plastic surgery Estimated Number 2,180 4,490 3,360 4,260 2,760 5,430 730 1,080 Mean duration of stay 12.2 6.8 8.5 7.3 5.4 7.9 5.6 3.2 Thoracic surgery Estimated Number 960 120 3,050 4,310 1,790 6,870 3,030 1,820 Mean duration of stay 6.4 4.0 9.3 9.3 10.0 11.1 13.2 11.1 Oral surgery Estimated Number 4,140 4,430 5,650 6,720 4,080 8,910 240 2,230 Mean duration of stay 2.9 2.2 2.2 1.9 2.7 2.6 2.8 2.0 Orthodontics Estimated Number — — 70 — 40 10 — — Mean duration of stay — — 4.6 — 4.8 9.0 — — Neurosurgery Estimated Number 740 1,210 2,120 3,390 1,700 2,930 1,080 1,280 Mean duration of stay 16.4 8.6 10.3 8.1 15.0 13.1 10.8 9.4 Gynaecology Estimated Number 28,710 25,430 33,190 50,360 25,830 57,610 5,080 8,150 Mean duration of stay 4.6 3.4 4.0 4.2 4.7 4.2 3.8 3.9 Special Care Baby Unit Estimated Number 2,860 2,250 2,160 8,070 3,970 6,110 910 40 Mean duration of stay 12.5 11.4 11.5 9.3 9.0 12.9 18.1 13.8 General Practice (Other) Estimated Number 9,800 6,980 18,950 10,220 2,740 1,820 — 80 Mean duration of stay 20.9 20.1 18.4 17.1 23.6 39.2 — 14.8 General Practice (Dental) Estimated Number 100 — 5 — — — — 2 Mean duration of stay 1.9 — 1.4 — — — — 1.0 All other Specialties Estimated Number 6,510 1,010 11,760 4,940 20,540 13,140 15,540 2,980 Mean duration of stay 6.1 24.2 6.9 7.7 5.3 6.5 8.8 7.6