§ Mr. BayleyTo ask the Secretary of State for Health what was the increase in activity rates, overall and by specialty, in each region in 1990–91 and 1991–92; and what is the Department of Health estimate for the increase in activity by specialty in each region in 1992–93.
§ Dr. MawhinneyInformation about activity rates for the major specialties in each regional health authority is given in the table. Activity forecasts by district and specialty are not collected centrally.
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Total finished consultant episodes (ordinary plus day case admissions), total all specialties and selected specialties Specialty 1990–91 1991–92 Percentage change England All specialties 8,785,252 9,306,707 6 General surgery 1,252,832 1,300,343 4 Urology 291,582 333,963 15 Trauma and orthopaedics 652,157 688,099 6 ENT 340,271 366,123 8 Ophthalmology 219,897 247,987 13 General medicine 1,200,726 1,251,775 4 Paediatrics 1,051,000 1,061,201 1 Geriatric medicine 471,130 513,433 9 Obstetrics 927,845 949,502 2 Gynaecology 762,332 786,797 3 Northern Regional Health Authority All specialties 628,583 655,287 4 General surgery 98,285 99,348 1 Urology 24,837 24,648 -1 Trauma and orthopaedics 43,785 48,195 10 ENT 24,918 25,883 4 Ophthalmology 15,610 16,278 4 General medicine 101,230 104,346 3 Paediatrics 76,653 80,937 6 Geriatric medicine 28,160 30,859 10 Obstetrics 61,953 61,449 -1 Gynaecology 54,688 55,836 2 Yorkshire Regional Health Authority All specialties 722,130 751,428 4 General surgery 100,833 108,683 8 Urology 29,196 29,847 2 Trauma and orthopaedics 54,898 54,389 -1 ENT 27,958 29,248 5 Ophthalmology 14,875 16,575 11 General medicine 94,580 85,410 -10 Paediatrics 63,674 66,853 5 Geriatric medicine 51,712 53,250 3 Obstetrics 83,632 82,461 -1 Gynaecology 65,258 69,874 7 Trent Regional Health Authority All specialties 809,186 858,823 6 General surgery 113,208 118,643 5 Urology 24,076 28,581 19 Trauma and orthopaedics 61,223 64,647 6 ENT 30,950 32,768 6 Ophthalmology 18,890 19,767 5 General medicine 114,822 126,800 10 Paediatrics 95,323 99,420 4 Geriatric medicine 47,547 53,965 13 Obstetrics 84,733 85,742 1 Gynaecology 76,470 76,020 -1 East Anglian Regional Health Authority All specialties 360,934 379,294 5 General surgery 50,822 51,661 2 Urology 12,274 16,864 37 Trauma and orthopaedics 27,329 29,203 7 ENT 15,703 16,334 4 Ophthalmology 9,604 10,231 7 General medicine 45,912 49,638 8 Paediatrics 43,533 41,569 -5 Geriatric medicine 23,803 26,006 9 Obstetrics 36,456 38,387 5 Gynaecology 31,403 33,073 5 North West Thames Regional Health Authority All specialties 536,203 576,714 8 General surgery 75,230 76,830 2 Urology 18,508 18,131 -2 Trauma and orthopaedics 37,312 40,984 10 ENT 17,636 19,998 13 Ophthalmology 11,869 14,484 22 General medicine 63,279 70,175 11 Paediatrics 67,271 64,990 -3 Geriatric medicine 28,626 33,287 16 90W
Specialty 1990–91 1991–92 Percentage change Obstetrics 61,716 62,876 2 Gynaecology 44,972 48,594 8 North East Thames Regional Health Authority All specialties 695,279 746,633 7 General surgery 98,229 101,162 3 Urology 28,755 32,318 12 Trauma and orthopaedics 48,897 51,550 5 ENT 30,385 31,202 3 Ophthalmology 11,463 13,644 19 General medicine 95,804 92,551 -3 Paediatrics 88,401 77,902 -12 Geriatric medicine 35,407 37,865 7 Obstetrics 74,790 93,489 25 Gynaecology 71,251 72,818 2 South East Thames Regional Health Authority All specialties 629,250 673,068 7 General surgery 90,816 91,713 1 Urology 25,336 28,680 13 Trauma and orthopaedics 44,156 44,520 1 ENT 24,684 26,726 8 Ophthalmology 15,416 16,602 8 General medicine 88,339 87,362 -1 Paediatrics 81,882 88,772 8 Geriatric medicine 36,455 37,805 4 Obstetrics 71,785 72,304 1 Gynaecology 53,424 56,249 5 South West Thames Regional Health Authority All specialties 457,600 500,588 9 General surgery 67,027 71,983 7 Urology 16,103 19,760 23 Trauma and orthopaedics 33,786 37,227 10 ENT 17,233 19,911 16 Ophthalmology 11,347 13,539 19 General medicine 59,767 68,993 15 Paediatrics 56,924 58,494 3 Geriatric medicine 25,179 30,049 19 Obstetrics 50,430 52,148 3 Gynaecology 42,702 44,992 5 Wessex Regional Health Authority All specialties 526,284 562,571 7 General surgery 71,257 74,761 5 Urology 16,189 18,655 15 Trauma and orthopaedics 42,894 43,920 2 ENT 20,574 22,847 11 Ophthalmology 14,086 16,675 18 General medicine 73,067 78,026 7 Paediatrics 60,412 67,814 12 Geriatric medicine 29,914 34,257 15 Obstetrics 46,824 45,493 -3 Gynaecology 40,615 43,644 7 Oxford Regional Health Authority All specialties 383,333 404,923 6 General surgery 54,577 59,220 9 Urology 4,586 6,230 36 Trauma and orthopaedics 33,117 34,659 5 ENT 17,405 17,804 2 Ophthalmology 8,756 10,061 15 General medicine 50,701 52,630 4 Paediatrics 53,883 55,953 4 Geriatric medicine 13,870 14,975 8 Obstetrics 45,041 40,132 -11 Gynaecology 33,800 34,997 4 South Western Regional Health Authority All specialties 588,049 617,689 5 General surgery 86,917 92,618 7 Urology 15,063 21,804 45 Trauma and orthopaedics 46,039 49,764 8 ENT 19,490 22,013 13 Ophthalmology 16,272 18,863 16 General medicine 73,466 80,616 10 Paediatrics 65,525 62,008 -5
Specialty 1990–91 1991–92 Percentage change Geriatric medicine 33,171 33,883 2 Obstetrics 59,281 51,590 -13 Gynaecology 46,534 48,464 4 West Midlands Regional Health Authority All specialities 959,648 1,006,699 5 General surgery 135,227 141,046 4 Urology 26,288 32,256 23 Trauma and orthopaedics 78,064 81,399 4 ENT 37,182 40,647 9 Ophthalmology 22,165 23,045 4 General medicine 155,987 159,636 2 Paediatrics 128,908 124,426 -3 Geriatric medicine 36,860 40,283 9 Obstetrics 104,825 111,785 7 Gynaecology 75,900 77,898 3 Mersey Regional Health Authority All specialties 487,107 523,515 7 General surgery 82,084 81,108 -1 Urology 13,194 15,788 20 Trauma and orthopaedics 35,710 37,834 6 ENT 16,009 19,572 22 Ophthalmology 12,144 14,763 22 General medicine 63,781 66,258 4 Paediatrics 55,146 56,291 2 Geriatric medicine 27,019 30,727 14 Obstetrics 45,915 51,189 11 Gynaecology 41,799 39.048 -7 North Western Regional Health Authority All specialties 887,029 927,034 5 General surgery 125,263 128,609 3 Urology 34,638 37,682 9 Trauma and orthopaedics 62,744 67,282 7 ENT 38,437 39,282 2 Ophthalmology 25,618 30,060 17 General medicine 119,981 129,010 8 Paediatrics 103,530 105,819 2 Geriatric medicine 52,760 55,448 5 Obstetrics 92,006 92,534 1 Gynaecology 77,299 78,896 2 Special Health Authority All specialties 114,637 122,441 7 General surgery 3,057 2,958 -3 Urology 2,539 2,719 7 Trauma and orthopaedics 2,203 2,526 15 ENT 1,707 1,888 11 Ophthalmology 11,782 13,400 14 General medicine 10 324 3140 Paediatrics 9,935 9,953 0 Geriatric medicine 647 774 20 Obstetrics 8,458 7,923 -6 Gynaecology 6,217 6,394 3 Source: DH form KP70