§ Mr. AlexanderTo ask the Secretary of State for Health how many managers and administrators have been employed in NHS hospitals in each year since 1990.
§ Dr. MawhinneyThe information available is shown in the table. The figures provide the total number of managers and administrative and clerical staff in national health service regions including those in regional and district headquarters units. The general and senior manager class was introduced in phases from 1986 in recognition of the fact that the NHS was clearly undermanaged. The figures should be treated with caution because the increase is largely due to the reclassification of other professional and administrative staff as general and senior managers. My 315W right hon. Friend the Secretary of State for Health recently announced proposals for the future management of the NHS. These proposals will bear down on management numbers and maximise the amount spent on patient care. However, general and senior managers still account for only 2 per cent. of the total NHS work force.
General and senior managers and administrative and clerical staff as at 30 September, England Whole-time equivalents 1990 1991 1992 General and Senior Managers 8,990 12,420 14,980 Administrative and Clerical 111,730 118,900 122,990 Notes
1. It is not possible to give a figure for "NHS hospitals" as numbers of staff in HQ units cannot be disaggregated.
2. General and senior manager figures include regional, district and hospital managers plus a small number of family health services authority managers within the RHA/DHA/trust structure.
3. Apart from the small number mentioned in 2 above, the figures exlude managerial and administrative staff in FHSAs and Other Statutory Authorities, but include those in Ambulance Services.
4. Figures are rounded to the nearest 10.
Sources: Non-Medical Workforce Census—1990
DH form KM49–1991/92.