§ Mrs. BeckettTo ask the Secretary of State for Health (1) if she will give the number of general and senior managers in(a) regional health authorities, (b) district health authorities, (c) family health services authorities, (d) trusts, (e) general practitioner practices, w the national health service executive and (g) her Department in each year since 1989–90.
(2) if she will give the salary costs of general and senior managers in (a) regional health authorities, (b) district health authorities, (c) family health services authorities, (d) trusts, (e) general practitioner practices, (f) the national health service executive and (g) her Department in each year since 1989–90.
§ Mr. Malone[holding answer 30 January 1995]: The available information is shown in the tables.
The increase in the number of managers in health authorities and trusts and therefore in costs, is largely due to the reclassification of administrative and professional staff—including many senior nurses—as general and senior managers. In family health services authorities, the increase is due to new or greater managerial responsibilities for primary care development, including medical audit advisory groups, budgetary control and health promotion monitoring, and developments in community care.
Information is not available centrally on general practitioner practice managers. The national health service executive and the Department of Health do not categorise staff in terms of general and senior managers in any way which permits comparison with those defined in this way in health authorities and trusts. Numbers of general and senior managers for 1991 and 1992 cannot be provided because the figures were collected on an aggregate basis and it is not possible to identify such staff in regional and district health authorities and FHSAs separately. The number of general and senior managers in DHAs cannot be provided for 1989, 1990 and 1993 because the aggregate figures collected for those years do not identify such staff in DHA headquarters separately. Information on salary costs is not available centrally for managers in FHSAs because their accounts and financial returns do not contain any breakdown of expenditure between staff groups.
839W
Table 1 General and senior managers within regional health headquarters or headquarter units, family health services authorities and trusts— whole time equivalents at 30 September 1989 1990 1993 Regional health authorities 360 1,010 1,400 Family health services authorities 30 640 1,060 Trusts — — 9,210 Source:
Department of Health non-medical workforce census.
Table 2 Salary costs of general and senior managers 1989–90 to 1993–94 1989–90 £000s 1990–91 £000s 1991–92 £000s 1992–93 £000s 1993–94 £000s Regional health authorities 11,145 24,142 46,922 58,560 58,984 District health authorities 145,337 223,221 277,179 287,987 229,765 Trusts — — 54,296 143,145 313,704 Source:
Annual accounts—1989–90 and 1990–91—and annual financial retums—1991–92 to 1993–94—of regional and district health authorities. Annual financial returns of NHS trusts—1991–92 to 1993–94.
Notes to tables:
1. The number of general and senior managers in trusts in 1993 differs from that published in October 1994 in table E of the Statistical Bulletin—the latter erroneously included some 280 staff from Wales.
2. Salary costs are based upon gross pay costs including employers' national insurance and superannuation contributions.
3. Salary costs for 1992–93 differ from those given previously due to validation work carried out in 1994.
4. Salary costs for 1993–94 are provisional.
5. First wave trusts did not become operational until 1 April 1991.