HC Deb 06 February 1992 vol 203 cc276-9W
Mr. Kennedy

To ask the Secretary of State for Health if he will list, by staff grade and specialty, the number of full-time equivalent medical and nursing posts available to health service hospitals in 1976, 1981, 1986 and 1991.

Mrs. Virginia Bottomley

Information for 1991 is not yet available and 1990 data are shown in the tables. Information for 1976, 1981 and 1986 can be found in the publication "Health and Personal Social Services Statistics for England" copies of which are available in the Library.

Table 1
Hospital Medical Staff: Analysis by specialty and grade England—30 September 1990
Grade All staff Consultant Staff grade Associate Specialist Senior registrar Registrar Senior house officer House officer Other House Practitioner Clinical assistant
All medical specialties 39,760.8 13,897.3 239.7 717.1 3,143.9 5,934.8 10,692.5 3,016.0 10.8 186.9 1,921.6
General Medicine1 4,643.4 1,155.7 3.5 14.0 239.2 628.7 1,145.7 1,283.3 0.8 20.8 151.7
Cardiology 437.4 132.8 0.0 2.4 42.8 114.7 103.7 23.0 1.0 2.2 14.8
Diabetes and Endocrinology2 85.9 17.2 0.9 1.1 14.2 21.5 14.0 5.0 0.0 1.6 10.4
Gastroenterology 138.5 33.6 1.0 0.0 11.3 44. 1 18.1 21.0 0.0 1.5 7.9
Nephrology 218.8 59.3 3.5 4.8 15.0 45.9 72.9 10.0 0.0 0.8 6.6
Palliative Medicine3 25.9 13.1 0.0 0.0 1.5 0.5 7.0 0.0 0.0 0.7 3.1
Thoracic Medicine4 283.8 83.7 0.0 13.1 26.6 47.3 81.7 13.0 0.0 2.7 15.7
Geriatric Medicine 1,897.0 483.9 18.5 42.4 81.6 183.3 776.8 103.2 1.0 33.4 172.9
Audiological Medicine 15.2 10.9 0.0 0.0 4.0 0.0 0.0 0.0 0.0 0.0 0.3
Clinical Genetics5 47.4 29.3 0.0 1.5 7.2 6.1 0.0 0.0 0.0 0.5 2.8
Clinical Neuro. Phys. 61.8 49.8 0.0 1.0 7.0 0.0 3.0 0.0 0.0 0.0 1.0
Clinical Pharm. and Thera. 59.6 24.9 0.0 0.0 9.6 16.1 3.0 1.0 0.0 0.0 5.0
Clinical Physiology 15.7 11.9 0.0 0.0 0.5 2.0 1.0 0.0 0.0 0.1 0.2
Clinical Immun. and Aller.6 2.7 1.5 0.0 0.0 0.0 1.2 0.0 0.0 0.0 0.0 0.0
Rehabilitation7 17.6 8.8 0.0 0.0 3.6 1.0 3.0 0.0 0.0 0.0 1.2
Dermatology 431.8 223.1 0.4 7.5 49.1 39. 4 40.2 4.0 0.5 9.3 58.3
Genito-Urinary Medicine 335.9 157.9 3.9 8.1 37. 9 42.3 27.6 0.7 0.8 5.7 51.0
Medical Oncology 69.5 23.2 0.0 0.0 9.9 13.1 15.8 3.0 0.0 0.3 4.2
Infectious Diseases 76.4 26.8 0.0 1.0 7.5 10.6 28.0 1.0 0.0 0.0 1.5
Neurology 376.0 167.1 0.0 1.3 36.9 57.1 89.3 13.0 0.0 1.2 10.1
Occupational Health8 62.9 27.2 1.0 0.0 5.6 2.7 1.0 0.0 0.0 1.2 24.2
Rheumatology1 470.5 221.9 3.9 10.6 48.5 36.2 94.9 17.0 0.0 5.6 31.9
Other 189.1 28.1 2.6 2.1 10.2 34.4 40.2 6.0 0.0 4.7 60.8
Paediatrics 2,316.3 684.8 4.0 6.5 134.5 329.8 1,112.9 6.0 0.0 3.8 34.0
Paediatric Neurology9 22.8 9.5 0.0 1.7 2.0 1.0 8.0 0.0 0.0 0.0 0.6
Accident and Emergency 1,886.4 196.4 41.6 62.1 54.6 78.2 1,262.2 6.0 0.0 5.9 179.4
General Surgery 3,522.8 879.3 9.0 13.2 162.8 570.7 646.1 1,192.5 0.0 9.7 39.5
Cardio-Thoracic Surgery 352.5 116.0 0.0 4.0 30.0 95.6 96.0 9.0 0.0 0.0 1.9
Otolaryngology10 943.3 352.8 5.9 24.6 63.4 138.9 282.1 35.0 0.0 7.4 33.2
Neurosurgery 246.1 86.8 0.0 0.0 24.4 53.3 73.0 8.0 0.0 0.0 0.6
Ophthalmology 1,155.7 407.5 14.7 52.3 78.8 122.0 338.9 1.0 3.4 6.4 130.7
Paediatric Surgery 127.6 35.6 0.0 0.0 16.2 22.5 49.0 4.0 0.0 0.0 0.3
Plastic Surgery 258.8 93.4 2.8 1.0 22.0 49.2 84.0 1.0 0.0 1.1 4.3
Traumatic & Ortho. Surgery 2,199.2 696.8 17.8 59.5 145.0 386.9 685.5 149.3 0.0 7.7 50.7
Urology 500.2 205.7 0.0 2.8 48.2 82.1 90.8 63.0 0.0 1.1 6.5
Obstetrics and Gynaecology 2,814.9 736.4 11.0 38.1 135.5 510.3 1,251.2 5.0 0.2 10.6 116.6
Anaesthetics 4,497.4 1,986.3 31.9 125.2 378.2 821.7 971.7 2.0 1.5 16.5 162.4
Radiology 1,552.4 1,054.5 1.3 4.5 250.1 225.2 4.5 0.0 0.0 1.0 11.3
Nuclear Medicine 38.1 21.9 0.0 1.5 6.0 4.5 2.0 0.0 0.0 0.1 2.1
Radiotherapy 451.4 181.8 2.8 6.0 59.5 76.5 98.2 15.0 0.0 0.8 10.8
General Pathology 49.5 0.0 0.0 2.5 0.0 12.0 31.7 0.0 0.0 0.5 2.8
Blood Transfusion 97.0 32.3 2.9 20.7 3.5 1.0 0.0 0.0 0.0 0.0 36.6
Chemical Pathology 263.1 157.6 1.0 2.3 55 .3 32.4 13.0 0.0 0.0 0.1 1.4
Haematology 632.4 334.2 6.9 7.5 101.5 83.6 63.5 13.0 0.0 1.3 20.9
Histopathology 839.6 541.7 0.0 6.7 135.3 107.2 40.2 0.0 1.0 0.0 7.5
Immuno-Pathology 44.8 25.2 0.0 0.0 10.2 5.0 3.0 0.0 0.0 0.0 1.4
Medical Microbiology 388.8 239.3 0.0 2.1 72.6 54.6 17.0 0.0 0.0 0.0 3.2
Virology11 13.1 4.3 0.0 0.0 5.0 1.0 0.0 0.0 0.0 0.0 2.8
Neuropathology 38.1 25.5 0.0 0.0 9.9 1.0 1.0 0.0 0.0 0.2 0.5
Clinical Cytogenetics12 4.8 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.8
Mental Illness 3,359.8 1,095.5 39.2 124.7 292.8 642.2 861.1 22.0 0.0 11.1 291.2
Child and Adol. Psychiatry 478.1 326.5 0.0 3.2 91.9 24.6 13.1 0.0 0.6 1.3 16.9
Forensic Psychiatry 103.8 68.4 1.0 5.0 16.3 11.0 1.0 0.0 0.0 0.0 1.1
Mental Handicap 373.7 159.4 4.0 21.7 42.8 30.7 10.0 0.0 0.0 7.1 98.0
Old Age Psychiatry13 103.3 79.4 2.9 4.0 2.0 4.0 2.0 0.0 0.0 0.5 8.5
Psychotherapy 122.5 67.7 0.0 2.7 24.1 8.0 13.0 0.0 0.0 0.5 6.5

Notes:

1 In 1982 specialty of Rheumatology replaced Rheumatology and rehabilitation: Rehabilitation became a sub-specialty of General medicine.

2 In 1987 specialty of Endocrinology renamed Diabetes and endocrinology.

3 New specialty introduced in 1989.

4 In 1984 specialty of Diseases of chest renamed Thoracic medicine.

5 New specialty introduced in 1979. Prior to 1979 staff in this specialty would usually have been included under "other".

6 New specialty introduced in 1990.

7 New specialty introduced in 1990.

8 New specialty introduced in 1983. Prior to 1983 staff in this specialty would usually have been included under "other".

9 New specialty introduced in 1980. Prior to 1980 staff in this specialty were included under Paediatrics.

10 In 1985 specialty of Ear nose and throat renamed Otolaryngology.

11 New specialty introduced in 1989.

12 New specialty introduced in 1989.

13 New specialty introduced in 1989.

Hospital based Nursing and Midwifery1 staff in post at 30 September 1990 England
Whole-time equivalent2
Hospital Nursing Staff 328,060
Qualified 188,770
Senior Nurses 1-5 570
Senior Nurses 6-83 —
Tutorial Nurses 5,240
Other Registered 131,410
Enrolled Nurses 51,550
Learners:
Post-Registered Student Nurses 1,640
Post-Enrolled Student Nurses 1,850
Pre-Registered Student Nurses 46,550
Pupil Nurses 2,470
Unqualified 86,790
Hospital Midwifery Staff 19,490
Qualified 15,660
Senior Nurses 1-5 40
Senior Nurses 6-83 —
Tutorial Midwifery Staff 660
Other State Certified Midwives 14,960
Learners: Student Midwifery 3,820

Source: Department of Health (SM13) annual census of National Health Service non-medical manpower.

1 Excludes agency staff.

2 All figures are independently rounded to the nearest ten (10) whole-time equivalents.

3 It is no longer appropriate to separate registered nurses between senior nurse 6 to 8 and other registered nurses.

31 December 1981 31 December 1982 31 December 1983 31 December 1984 31 December 1985 31 December 1986 31 March 1988 31 March 1989 31 March 1990 31 March 1991
Northern 3,022 2,938 2,859 2,681 2,568 2,478 n/a n/a 2,077 1,957
Yorkshire Trent 2,966 2,887 2,773 2,609 2,567 2,355 n/a n/a 1,980 1,313
Trent 4,028 3,882 3,777 3,419 3,122 2,820 n/a n/a 2,347 1,760
East Anglian 1,470 1,458 1,375 1,267 1,184 1,075 n/a n/a 893 906
North West Thames 3,413 3,297 3,205 3,085 2,934 2,808 n/a n/a 2,496 2,467
North East Thames 2,447 2,377 2,318 2,119 1,909 1,786 n/a n/a 1,274 1,274
South East Thames 2,877 2,743 2,596 2,418 2,123 1,843 n/a n/a 840 1,077
South West Thames 5,402 5,229 5,030 4,783 4,493 4,069 n/a n/a 2,948 2,704
Wessex 2,092 2,037 1,932 1,434 1,432 1,318 n/a n/a 1,214 1,116
Oxford 1,677 1,636 1,582 1,483 1,383 1,266 n/a n/a 853 843
South Western 4,164 4,049 3,896 3,184 2821 2,523 n/a n/a 2,314 1,495
West Midlands 3,839 3,726 3,632 3,342 3,179 2,980 n/a n/a 2,555 2,555
Mersey 2,156 2,062 1,952 1,828 1,729 1,566 n/a n/a 1,115 921
North Western 3,538 3,391 3,256 3,022 2,813 2,576 n/a n/a 2,003 1,729
ENGLAND 43,091 41,712 40,183 36,674 34,259 31,461 n/a 27,700 24,909 22,117

Source:

  • SKI2C
  • KHE for 1981–1986
  • HES for 1987–88 onwards
  • n/a = not readily available