Kidney Disease (Hansard, 19 April 1991)

§ Mr. Ian Bruce
To ask the Secretary of State for Health what is the number of renal dialysis units and nephrologists within(a) Wessex regional health authority and (b) other regional health authorities within the United Kingdom.

§ Mr. Dorrell
The table shows the number of NHS dialysis and transplant units and nephrologists employed by region in England, and the totals for Wales, Scotland and Northern Ireland.

Region Number of Renal Dialysis/Transplant Units Number of Nephrologists (and Whole time equiv's)

Wessex 1 7 (6.6)

Northern 3 22 (19.1)

Yorkshire 3 13 (12.6)

Trent 5 22 (22.0)

East Anglia 4 4 (4.0)

NW Thames 6 15 (14.0)

NE Thames 7 27 (24.3)

SE Thames 6 38 (34.1)

SW Thames 2 4 (4.0)

Oxford 3 11 (9.6)

South Western 4 12 (11.0)

284W

Region Number of Renal Dialysis/Transplant units Number of Nephrologists (and Whole time equiv's)

West Midlands 1 6 (4.9)

Mersey 5 10 (10.0)

Northern Western 5 16 (15.4)

Wales 5 2 (1.1)

Scotland 13 17 (17.0)

Northern Ireland 1 11 (11.0)

Manpower figures include permanent paid and honorary staff.

§ Mr. Ian Bruce
To ask the Secretary of State for Health what is the number of surviving renal transplant patients per million population within Wessex regional health authority; and what is the United Kingdom average per million.

§ Mr. Dorrell
Information is not available in the form requested. According to the latest information provided by the United Kingdom transplant support services, the patient survival rate one year after transplantation in 1987–88 was 88 per cent. for Wessex and 92 per cent. for the United Kingdom.
This information is based on a follow-up study of 1,750 patients, including 74 in Wessex, receiving first cadaveric kidney transplants.

§ Mr. Ian Bruce
To ask the Secretary of State for Health what assessment he has made of the demand for renal services within Wessex regional health authority; and what is the relative rate of treatment per million population for end-stage renal failure in Wessex and other regional health authorities within the United Kingdom.

§ Mr. Dorrell
No assessment specific to Wessex has been undertaken. The need for renal services will be reviewed as part of the purchasing process in 1991–92. These services have expanded steadily in Wessex over the last few years, and no patient whom consultants believe to require treatment has knowingly been turned away.
According to information provided by the European Dialysis and Transplant Association, the number of new patients per million population accepted for treatment of end-stage renal failure during 1988, the last year for which complete data are available, by regional health authority is as follows:

Region Treatment for end stage renal failure in 1988 (pmp)

Wessex 44.8

Northern 58.4

Yorkshire 44.2

Trent 49.1

East Anglia 65.0

North West Thames 49.7

North East Thames 61.1

South East Thames 76.1

South West Thames 23.3

Oxford 50.4

South Western 51.2

West Midlands 52.0

Mersey 34.6

North Western 83.8

Wales 66.4

Scotland 62.8

Northern Ireland 42.5

Region	Number of Renal Dialysis/Transplant Units	Number of Nephrologists (and Whole time equiv's)
Wessex	1	7	(6.6)
Northern	3	22	(19.1)
Yorkshire	3	13	(12.6)
Trent	5	22	(22.0)
East Anglia	4	4	(4.0)
NW Thames	6	15	(14.0)
NE Thames	7	27	(24.3)
SE Thames	6	38	(34.1)
SW Thames	2	4	(4.0)
Oxford	3	11	(9.6)
South Western	4	12	(11.0)

Region	Treatment for end stage renal failure in 1988 (pmp)
Wessex	44.8
Northern	58.4
Yorkshire	44.2
Trent	49.1
East Anglia	65.0
North West Thames	49.7
North East Thames	61.1
South East Thames	76.1
South West Thames	23.3
Oxford	50.4
South Western	51.2
West Midlands	52.0
Mersey	34.6
North Western	83.8
Wales	66.4
Scotland	62.8
Northern Ireland	42.5