§ Mr. Raymond S. RobertsonTo ask the Secretary of State for Scotland if he will publish a progress report on the Scottish breast screening programme; and if he will make a statement.
§ Mr. LangI have today approved the publication of a report covering the background, introduction arid structure of the Scottish breast screening programme together with the 1991–92 results and a copy has been placed in the Library of the House. The report shows that
The Scottish Breast Screening Programme is based on 3 key issues: quality, patient acceptability and continual monitoring and evaluation of the programme;The primary target of the Programme is to reduce mortality in the screened population in Scotland by 30 per cent. overall;Each year in Scotland approximately 2,600 new cases of breast cancer are diagnosed and a total of 1,300 women of all ages die from the disease;Mammographic screening is but one strategy in the fight to defeat breast cancer and, by the year 2000, the Screening Programme is expected to result in about 1,650 extra years of life gained annually in Scotland; on average, each of the women in whom death from breast cancer is prevented will have an additional 15 years of life;In 1991–92, 126,867 Scottish women were invited for screening;The United Kingdom target for uptake of invitation is 70 per cent. and Scotland is above this with an average uptake of 72 per cent. of all women invited for screening;539W0.9 per cent. of all women screened went on to have a biopsy, and 72 per cent. of these women were diagnosed with cancer; this level of diagnosis is well above the 50 per cent. target set by the United Kingdom standards;In 1991–92, 578 cancers were detected, equalling 6.3 per 1,000 women screened; this again is well above the United Kingdom detection standard of 5 per 1,000 women screened.The Scottish breast screening programme is an example of the increased emphasis on improving health structures set out as a goal in the patients charter. It also accords with the patients charter in seeking to provide a high-quality service and standards and value for money.
Junior hospital doctors: contracted average weekly hours of work; as at 30 September 19921 Average hours contracted Type of contract Number of doctors Basic Additional duty Total Maximum hours contracted total Whole time: Full shift 142 40 21 61 108 Partial shift 138 40 30 70 78 Rota (on call) 2,631 40 40 80 116 All whole time contracts 2,911 40 39 279 116 Part time: Rota (on call) 28 20 26 46 n/a Others 91 37 — 37 n/a Notes:
Doctors contracted for full or partial shift patterns of working are not contracted for on call work.
1 Data are provisional.
Excludes staff with honorary contracts and staff in dental specialities.
Excludes data for the Dundee Teaching Hospitals NHS Trust.
Grades included in the table are: senior registrar; registrar; senior house officer; and house officer.
2 Includes both shift and on call additional duty hours.
Provisional information collected for the half-year to 31 March 1993 shows that only 130 junior doctors—3.9 per cent.—were contracted for more than 83 hours of duty per week.