§ Mr. Galbraithasked the Secretary of State for Social Services if he will publish a table showing the number of whole-time and the number of part-time consultants in each surgical specialty in each hospital in England and Wales.
§ Mr. NewtonThe information is not held centrally in the form requested. The table sets out available data in respect of employing authorities in England. The information about Wales is the responsibility of my right hon. Friend, the Secretary of State for Wales.
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Employing Authority General Surgery Cardio-thoracic Surgery Otolaryngology Whole-time 2Part-time Honorary Whole-time 2 Part-time Honorary Whole-time 2 Part-time Honorary North West Thames RHA 7 43 1 2 3 — 4 12 1 Paddington and North Kensington DHA 2 4 6 — 1 1 — 2 1 Riverside DHA 1 7 5 — 1 1 — 5 — North East Thames RHA 6 42 1 2 — 1 2 16 2 Hampstead DHA 1 4 4 1 — — 1 2 — Bloomsbury DHA 1 6 6 1 2 1 1 12 3 City and Hackney DHA — 10 3 1 1 — 1 4 — Tower Hamlets DHA — 5 3 — 3 — — 2 — South East Thames RHA 8 47 4 4 1 — 4 18 — West Lambeth DHA — 6 3 — 2 — — 3 — Camberwell DHA 1 3 3 — 2 — — 3 — Lewisham and North Southwark DHA 1 9 5 — 3 — 3 4 — South West Thames RHA 2 42 4 2 3 4 5 20 — Wandsworth DHA — 6 2 2 2 — — 4 — Wessex RHA 7 28 1 — — — 7 14 — Southampton and South West Hampshire DHA — 4 3 2 4 — 1 2 — Oxford RHA 4 28 — 2 — — 6 8 — Oxfordshire DHA 1 9 5 1 — — — 3 1 South Western RHA 13 32 6 3 3 1 3 16 1 Bristol and Western DHA — 8 3 2 1 — — 4 — West Midlands RHA 15 64 3 5 4 — 10 29 — Central Birmingham DHA 3 7 4 2 2 — 3 2 — Mersey RHA 12 28 1 3 — — 4 7 1 Liverpool Central DHA 3 5 6 6 2 — — 4 1 North Western RHA 16 43 — 3 5 — 5 22 — Central Manchester DHA — 4 3 2 1 — — 3 — South Manchester DHA 2 4 3 4 2 — 1 3 — Salford DHA 1 3 2 1 — — — 2 — Hospital for Sick Children — — — — 3 — 1 2 — The National Hospitals for Nervous Diseases — — — — — 1 1 1 — Moorfields Eye Hospitals — — — — — — — 1 — The Bethlem Royal Hospital and Maudsley Hospital — — — — — — — — — The National Heart and Chest Hospitals — — — 1 9 1 1 1 — The Royal Marsden Hospital — 4 1 — — — — 1 — Hammersmith Special Health Authority and Queen Charlotte's Hospital for Women — 1 10 — 1 3 — — 1 The Eastman Dental Hospital — — — — — — — — — Total 182 660 120 78 75 15 89 310 13 1 Including Senior Hospital Medical Officer with allowance. Figures relate to the number of contracts. Consultants holding multiple contracts within same or different Employing Authority are counted more than once. 2 Including maximum part time.
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Number Employing authority Neurosurgery Ophthalmology Paediatric Surgery Whole-time Part-time2 Honorary Whole-time Part-time2 Honorary Whole-time Part-time2 Honorary Northern RHA 2 — — 12 10 — — — — Newcastle DHA 3 1 — 3 5 — 2 — 1
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Employing authority Neurosurgery Ophthalmology Paediatric Surgery Whole-time Part-time2 Honorary Whole-time Part-time2 Honorary Whole-time Part-time2 Honorary Yorkshire RHA 1 3 — 5 21 — — 1 — Leeds Western DHA 2 — — 1 2 — — 1 — Leeds Eastern DHA — — — — 2 — 1 — — Trent RHA 2 — — 1 17 1 — — — Leicestershire DHA 2 — — — 5 2 — — — Nottingham DHA 3 — — — 5 1 2 — — Sheffield DHA 3 — — — 4 1 2 — — East Anglia RHA 2 1 — 10 8 — — — — Cambridge DHA 1 2 — 1 3 1 — — — North West Thames RHA — — 2 3 13 1 — — — Paddington and North Kensington DHA — 1 — 1 4 — — — 1 Riverside DHA 1 1 — 1 6 1 — 2 — North East Thames RHA 1 2 — 5 14 — — — — Hampstead DHA — 2 — — 2 — — — — Bloomsbury DHA 1 1 — — 4 — 1 — — City and Hackney DHA — 2 — — 2 — — — — Tower Hamlets DHA — 1 1 — 2 — — — — South East Thames RHA 2 2 1 4 24 — 1 1 — West Lambeth DHA — — 1 1 8 — — — — Camberwell DHA — 1 — — 3 — — — — Lewisham and North Southwark DHA 2 — — 1 4 — — 2 — South West Thames RHA — 4 1 5 19 1 1 2 1 Wandsworth DHA 2 2 — — 3 1 1 — — Wessex RHA 1 — — 4 16 — — — — Southampton and South West Hampshire DHA — — 1 1 4 — 2 1 — Oxford RHA 1 1 1 1 14 — — — — Oxfordshire DHA 1 2 1 — 3 3 — — — South Western RHA 2 4 — 5 19 2 — — — Bristol and Weston DHA — — — — 5 2 1 1 — West Midlands RHA 2 5 3 6 32 — — — — Central Birmingham DHA — 3 — 1 1 — 1 2 — Mersey RHA 5 1 — 6 10 — 1 — — Liverpool Central DHA — — — — 6 — 2 1 1 North Western RHA 5 4 — 6 21 — — 1 1 Central Manchester DHA 1 1 1 1 6 1 2 1 1 South Manchester DHA — — — — 2 — 2 — — Salford DHA 2 1 — — 3 — 1 1 — Hospital for Sick Children — 2 — — 3 — 1 2 3 The National Hospitals for Nervous Diseases 1 3 2 — 2 — — — — Moorfields Eye Hospital — — — — 21 9 — — — The Bethlem Royal Hospital and Maudsley Hospital 1 2 — — — — — — — The National Heart and Chest Hospitals— — — — — — — — — The Royal Marsden Hospital — — — — 2 — — — — Hammersmith Special Health Authority and Queen Charlotte's Hospital for Women — — — 2 — — 1 — — The Eastman Dental Hospital — — — — — — — — — Total 52 55 15 87 360 27 25 19 9 1 Including Senior Hospital Medical Officer with allowance. Figures relate to the number of contracts. Consultants holding multiple contracts within same or different Employing Authority are counted more than once. 2 Including maximum part-time.
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Number Plastic Surgery Traumatic and Orthopaedic Surgery Urology Employing authority1 Whole time Part time2 Honorary Whole time Part time2 Honorary Whole time Part time2 Honorary Northern RHA 2 3 — 17 27 — 2 7 — Newcastle DHA — 4 — 3 3 1 1 3 — Yorkshire RHA 1 4 — 10 33 — 2 8 — Leeds Western DHA — — — 1 3 1 — 2 — Leeds Eastern DHA 1 2 — — 4 1 1 1 — Trent RHA — 5 — 7 30 — 3 3 — Leicestershire DHA — 2 — — 8 1 — 3 — Nottingham DHA 1 2 — — 8 1 2 2 — Sheffield DHA 2 1 — 1 7 1 2 2 — East Anglia RHA 1 4 — 9 20 1 1 7 — Cambridge DHA — 2 — — 5 1 1 2 — North West Thames RHA — 8 — 10 24 1 1 4 — Paddington and North Kensington DHA — 1 — 1 3 — — 2 — Riverside DHA — 4 — — 8 1 — 4 — North East Thames RHA — 6 1 6 36 1 2 6 2 Hampstead DHA — 1 — — 3 — — 1 — Bloomsbury DHA — 4 — 2 13 4 1 9 3 City and Hackney DHA — 2 — 1 4 — — 2 — Tower Hamlets DHA — 2 1 — 4 1 — 1 2 South East Thames RHA 1 5 — 3 35 — 4 9 — West Lambeth DHA — 1 — — 3 — — 3 1 Camberwell DHA — 1 — — 4 — — 3 — Lewisham and North Southwark DHA 1 2 — 2 5 — — 3 1 South West Thames RHA — 5 — 1 32 3 — 9 — Wandsworth DHA — 2 1 — 4 — — 3 — Wessex RHA 1 5 — 7 25 — 2 6 — Southampton and South West Hampshire DHA — — — — — 2 — 2 — Oxford RHA 2 5 — 9 16 1 — 5 — Oxfordshire DHA — 2 — 1 7 2 — 1 — South Western RHA 1 5 1 7 26 4 3 6 — Bristol and Weston DHA — — — 1 8 1 — 2 — West Midlands RHA 2 7 — 20 65 4 6 12 — Central Birmingham DHA — 2 — — 7 — — 2 — Mersey RHA 3 2 — 8 19 — 3 3 — Liverpool Central DHA 2 3 1 4 4 2 3 1 — North Western RHA 1 6 — 7 50 — 2 11 — Central Manchester DHA — 1 — — 2 — — 2 — South Manchester DHA 1 3 — — 5 — 1 1 3 Salford DHA — 1 — 2 2 2 — 2 — Hospital for Sick Children — 2 — — 3 — — 2 1 The National Hospitals for Nervous Diseases — — — — — — — — — Moorfields Eye Hospital — — — — — — — — — The Bethlem Royal Hospital and Maudsley Hospital — — — — — — — — — The National Heart and Chest Hospitals — — — — — — — — — The Royal Marsden Hospital — 1 — — — — — 3 — Hammersmith Special Health Authority and Queen Charlotte's Hospital for Women 1 — — — 2 1 1 — — The Eastman Dental Hospital — — — — — — — — — Total 24 118 5 140 567 38 44 160 13 1 Including Senior Hospital Medical Officer with allowance. Figures relate to the number of contracts. Consultants holding multiple contracts within same or different Employing Authority arc counted more than once.
2 Including maximum part-time.
§ Mr. Kirkwoodasked the Secretary of State for Social Services when his Department last invited proposals from National Health Service managers on the provision of new consultant posts; what arrangements exist for the funding of consultant posts, including the initial funding of new posts; and if he will make a statement.
§ Mr. NewtonUnder normal circumstances, funding for consultant posts is a matter for regional and special health authorities to determine, within their overall budget and as an integral part of service development. In addition to this, the Department has recently invited bids from health authorities for additional consultant posts in general medicine, general surgery and traumatic and orthopaedic surgery, under the pump-priming scheme set out in last year's consultative document "Hospital Medical Staffing: Achieving a Balance". This scheme is intended to boost normal consultant expansion, both on service and career grounds, by providing an additional 100 posts over the two years 1987–88 to 1988–first 45 of these posts were announced on 20 July, when HAs were also asked to bid for the remaining 55, to be allocated in 1988–89.
The Department has set aside £8.6 million for this purpose. This additional funding will be provided centrally to each regional and special health authority and will be earmarked up to the end of 1990–91. After that time it will be built into each authority's baseline revenue allocations.
§ Mr. Kirkwoodasked the Secretary of State for Social Services what studies have been made by his Department of the impact of new consultant posts on waiting lists for National Health Service treatment; and if he will make a statement.
§ Mr. NewtonNo specific studies have been made. However several of the projects funded from the £25 million waiting list fund in 1987–88 involve the appointment (or earlier appointment) of consultants. Such projects will certainly result in more waiting list cases being treated but since these posts could also, in time, attract additional referrals from general practitioners the overall impact on waiting lists is more difficult to predict. There could, however, be a reduction in waiting times. The projects will be closely monitored.
§ Mr. Kirkwoodasked the Secretary of State for Social Services whether his Department has invited proposals from National Health Service managers on the provision of new consultant posts in connection with waiting lists for treatment; and if he will make a statement.
§ Mr. NewtonA number of the projects proposed by regions and supported from the waiting list fund have involved the appointment or earlier appointment of consultants (some on a temporary basis) in areas with problem waiting lists. An additional 100 consultant posts are also to be established as a result of the consultative document "Hospital Medical Staffing: Achieving a Balance", in general medicine, general surgery, and690W trauma and orthopaedic surgery. These appointments should have a further impact on waiting lists. The allocation to regions of the first 45 posts, announced on 20 July, took account of current staffing levels in those specialties, to ensure that they were allocated where most needed on service as well as career grounds.