HC Deb 25 November 1993 vol 233 cc124-6W
Mr. Cousins

To ask the Secretary of State for Health what was the expenditure per head of population in each family health services authority area on general practitioner services, separately identifying general practitioner fund-holders in 1990–91 and 1991–92, in cash and standard prices; and what expenditure per head was attributable to expenditure on behalf of the under five, five to 15, 16 to 64, and 64 plus years age groups.

Dr. Mawhinney

This information is not available centrally.

Mr. Rooker

To ask the Secretary of State for Health if she will bring forward proposals to amend the contract between family health services authorities and general practitioners so that patients are able to make formal complaints about the staff employed by general practitioners.

Dr. Mawhinney

The contract to which the hon. Member refers is the statutory arrangement—known as the terms of servicefamily health services—under which general practitioners provide general medical services for the national health service. Where staff employed by a GP carry out duties within the terms of service on the GP's behalf, complaints about the performance of those duties can already be made

Area of usual residence 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992
Northern 39,117 39,248 40,878 40,239 40,404 40,105 39,097 40,656 41,128 40,003
Yorkshire 46,507 46,672 48,022 48,340 49,344 49,972 49,637 51,187 50,769 49,703
Trent 57,165 57,652 58,751 59,284 61,050 61,618 61,666 63,571 63,129 62,142
East Anglian 23,075 23,685 24,487 24,592 25,799 26,600 25,979 26,590 26,288 26,095
North West Thames 45,596 46,207 47,468 48,124 49,633 50,639 49,666 50,793 51,459 51,992
North East Thames 49,894 51,228 52,006 52,959 55,314 56,466 56,094 57,999 57,059 56,968
South East Thames 44,007 44,644 46,902 47,558 49,956 51,402 51,073 52,086 51,412 51,313
South West Thames 34,688 34,908 36,367 36,734 38,236 39,258 38,822 40,101 39,975 40,229
Wessex 33,044 33,810 34,957 35,772 37,175 37,942 37,810 38,571 37,122 37,205
Oxford 30,948 31,811 33,070 33,201 34,661 35,698 35,809 36,424 36,187 36,076
South Western 35,523 36,193 37,560 38,119 39,840 40,981 40,772 41,090 40,342 40,125
West Midlands 68,224 68,726 70,351 70,408 72,469 72,809 73,346 75,092 74,210 71,992
Mersey 31,850 31,601 32,889 32,712 32,788 33,515 32,934 33,771 33,361 31,675
North Western 53,617 54,188 55,593 55,567 56,661 57,358 56,652 58,989 58,365 56,266
Wales 35,494 35,861 36,771 37,038 37,816 38,824 38,019 38,866 38,079 37,523

Mr. Vaz

To ask the Secretary of State for Health how many live births have been recorded(a) per region and (b) per hospital for each year over the last 10 years.

Mr. Sackville

The information for England and Wales per region for 1991 and 1992 is shown in the table. The information relating to still births recorded by region for the years 1982–1990 is available from the Office of Population Censuses and Surveys annual reference volume DH3 mortality statistics, perinatal and infant: social and biological factors, table 7b, copies of which are available in the Library.

Information on the number of still births per hospital could be provided only at disproportionate cost.

Still births by regional health authority, England and Wales 1991 and 1992
1991 1Rate 1992 1Rate
England 3,072 4.6 2,777 4.2
Wales 177 4.6 153 4.1
Northern 220 5.3 157 3.9
Yorkshire 235 4.6 220 4.4
Trent 318 5.0 297 4.8
East Anglian 112 4.2 105 4.0
North West Thames 238 4.6 220 4.2
North East Thames 271 4.7 229 4.0
South East Thames 226 4.4 246 4.8
South West Thames 174 4.3 140 3.5
Wessex 160 4.3 155 4.1
Oxford 153 4.2 116 3.2
South Western 166 4.1 164 4.0
West Midlands 376 5.0 319 4.4

using the formal complaints procedure. Professor Alan Wilson of Leeds university is chairing a full review of national health service complaints systems which is due to report at the turn of the year.