§ Ms. HarmanTo ask the Secretary of State for Health if he will list for(a) each regional health authority and (b) each district health authority the number of (i) nurses and midwives, (ii) medical staff, (iii) general and senior managers, (iv) administrative and clerical staff, (v) ancillary staff and (vi) ambulance staff for 1986 and for 1990.
§ Mrs. Virginia Bottomley[holding answer 13 February 1992]: Regional health authority data are shown in the table. District data could not be produced without incurring disproportionate cost.
The new grades of general and senior manager were introduced following the recommendations of the 1983 Griffiths report to strengthen accountability for the delivery of health authority objectives. An expansion in numbers occurred from 1989 following the extension of senior manager arrangements beyond the most senior posts in regions and districts and their introduction to units and family practitioner committees. Staff employed in these grades generally hold posts which were previously occupied by staff in other groups such as administrative and clerical or senior nursing grades.
327W
National Health Service directly employed staff in post by specific staff groups as at 30 September 1990 England by Regional Health Authorities Whole-time equivalent1 Region Nursing and midwifery2 Medical and dental3 General and senior managers4 Administration and clerical staff Ancillary staff Ambulance staff Northern Regional Health Authority 27,310 2,990 550 6,940 7,330 1,320 Yorkshire Regional Health Authority 30,140 3,120 930 7,870 7,000 1,560 Trent Regional Health Authority 38,220 4,170 600 10,120 10,760 1,890 East Anglia Regional Health Authority 16,420 1,810 480 4,070 3,920 790 North West Thames Regional Health Authority 27,560 3,480 80 8,160 5,460 540 North East Thames Regional Health Authority 34,170 4,250 1,030 10,450 8,290 550 South East Thames Regional Health Authority 30,110 3,800 780 10,030 8,020 860 South West Thames Regional Health Authority 23,070 2,650 520 6,340 4,390 660 Wessex Regional Health Authority 23,690 2,540 610 5,840 5,360 940 Oxford Regional Health Authority 17,310 2,180 420 5,150 3,470 800 South Western Regional Health Authority 27,490 2,780 610 6,980 6,370 1,460 West Midlands Regional Health Authority 43,220 4,800 1,060 11,950 11,100 1,850 Mersey Regional Health Authority 21,180 2,440 500 5,810 4,690 880 North Western Regional Health Authority 37,120 4,450 690 10,070 8,020 1,580 London Post-graduate Special Health Authorities 4,970 1,380 130 1,840 1,080 — ENGLAND TOTALS5 402,070 46,900 9,680 120,040 95,690 18,130 Source: Department of Health (SM13) Annual Census of National Health Service medical and non-medical manpower. 1 All figures are independently rounded to the nearest ten (10) whole-time equivalent. 2 Includes agency staff. 3 Includes permanent paid, honorary and locum staff. Differences in the sum of numbers of staff for all regions are due to duplication of staff holding appointments in more than one region. Such staff are included separately in each region. 4 Senior managers were progressively introduced from 1987. 5 Includes staff at the Dental Estimates Board, Prescription Pricing Authority, London Ambulance Service, Family Practitioner Committees and other Statutory Authorities (eg. public Health Laboratory service and the Health Education Authority).