§ Mr. DarlingTo ask the Secretary of State for Scotland if he will provide health boards with an additional allocation to cover the cost of merit awards; and if he will make a statement.
§ Mr. Michael ForsythNo. The costs of distinction and meritorious service awards along with all other pay-related costs fall to be met from health boards' general allocations.
§ Mr. DarlingTo ask the Secretary of State for Scotland if he will give individual health boards control over the granting of merit awards; and if he will make a statement.
§ Mr. Michael ForsythThis would not be practicable. The objective of the present system is to ensure that the awards available for distribution are allocated fairly and equitably on a Great Britain basis and this could not be achieved if allocation was determined separately by individual health boards.
§ Mr. DarlingTo ask the Secretary of State for Scotland what was the total value of merit awards for each health board in Scotland for each of the financial years from 1979–80 to 1987–88.
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§ Mr. Michael ForsythThe information requested is not collected centrally, but an estimate can be made from the number and value of awards at 30 November each year. Estimates are shown in the table for 1983–87; figures for earlier years are not readily available.
Estimated annual value of Distinction Awards awarded: as at 30 November £'000s Health Board 1983 1984 1985 1986 1987 Argyll and Clyde 123 151 137 144 186 Ayrshire and Arran 140 124 137 127 126 Borders 22 29 35 44 59 Dumfries and Galloway 103 97 103 121 154 Fife 72 84 99 109 130 Forth Valley 98 126 137 140 168 Grampian 396 430 458 541 662 Greater Glasgow 1,864 2,092 2,376 2,614 2,748 Highland 183 190 213 250 235 Lanarkshire 168 182 192 226 224 Lothian 1,027 1,179 1,256 1,390 1,507 Tayside 508 529 557 568 632 Orkney, Shetland and Western Isles 13 15 5 11 12
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Consultants by specialty, contract and health board at 30 September 1987 Type of contract: Whole-time Specialty Specialty code Argyll Clyde Ayr and Arran Border Dumfries and Galloway Fife Forth Valley Grampian Greater Glasgow Highland Lanark Lothian Orkney Shetland Tayside Western Isle All Specialties 86 77 25 43 77 71 127 396 71 144 220 1 2 147 5 Surgical Specialties Cardiothoracic surgery 07 — — — — — — 2 5 — 2 2 — — — — ENT surgery 03 1 — — 2 2 1 1 6 2 4 2 — — 4 — General surgery 01 5 5 3 4 5 4 8 23 9 10 11 1 2 8 1 Neurosurgery 06 — — — — — — 2 4 — — 1 — — 2 — Ophthalmology 04 2 2 — 1 1 4 3 10 3 4 — — — 3 — Orthopaedic surgery 02 5 3 2 2 4 4 5 13 3 11 4 — — 10 — Plastic surgery 08 — — — — — — 1 1 — — 2 — — 1 — Surgical Paediatries 39 — — — — — — — 4 — — 3 — — — — Urology 05 — — — — 2 2 2 4 — 2 1 — — 1 — Accident and Emergency 49 2 1 — — 1 — 2 3 — 2 2 — — — — Anaesthetics 41 10 14 4 5 12 9 12 63 8 23 36 — — — — Medical Specialties Communicable diseases 31 — — — — 2 — — 3 — 1 3 — — 3 — Dermatology 23 — 2 — — — 1 2 5 2 1 2 — — 4 — General medicine (group) Cardiology 17 — — — — — — 1 7 — — 4 — — 1 — Clinical pharmacology and therapeutics 20 — — — — — — — — — — — — — — — Endocrinology and diabetes 18 — — — — — — — 2 — — 1 — — 1 — Gastroenterology 21 — — — — — — — — — — 2 — — — — General medicine 16 10 11 3 4 6 7 12 25 6 15 17 — — 8 1 Homeopathy 36 — — — — — — — 1 — — — — — — — Medical oncology 37 — — — — — — 2 1 — — 3 — — — — Nephrology 24 — — — — — — — 4 — — 2 — — 1 — Rheumatology 25 — — — — — — 3 2 — 1 1 — — 1 — Sexually transmitted diseases 32 — — — — — 1 1 3 1 — 4 — — 1 — Geriatric medicine 50 5 4 2 2 4 4 7 18 2 5 8 — — 7 — Medical paediatrics 40 4 3 2 2 3 3 6 16 2 4 12 — — 6 — Neurology 19 — — — — — — 2 5 — — 3 — — 1 — Radiotherapy and oncology 34 — — — — — — 2 9 1 — 4 — — 3 — Rehabilitation medicine 26 — — — — — — — — 1 — 3 — — 1 — Respiratory medicine 28 — — — — 2 — 3 11 2 — 3 — — 2 — Dental Specialties Oral surgery and oral medicine 12 — 1 — — — — 2 5 1 1 1 — — 2 — Othodontics and paediatric dentistry 11 2 1 — — — 1 2 3 2 2 2 — — 1 — Restorative dentistry 13 — — — — — — — 3 — — — — — 1 — Obstetrics and Gynaecology 42 5 4 1 1 5 4 6 19 5 11 9 — — 6 1 Psychiatric Specialties Child and Adolescent psychiatry 56 2 1 — 2 2 2 3 4 1 3 5 — — 4 — Forensic psychiatry 58 — — — — — — 1 4 — — 2 — — — — Mental handicap 59 — 1 — 1 2 2 4 — 1 — — — — 1 — Mental illness 53 17 6 4 7 11 10 12 38 8 15 24 — — 17 1 Psychotherapy 55 — — — — — — 1 3 — — 2 — — 1 — Laboratory and Support Specialties Blood transfusion 63 — — — — — — — — — — — — — — —
Health Board 1983 1984 1985 1986 1987 Common Services Agency and State Hospital 42 56 64 66 83 Scotland 4,759 5,283 5,770 6,350 6,926 Notes:
(1) The estimates are based on the value of awards multiplied by the whole time equivalent of the doctors and dentists receiving them. Honorary staff are given a notional WTE of 7/11.
(2) Other employers' costs, such as national insurance contributions for example, are not included in these estimates.