§ Mr. MilburnTo ask the Secretary of State for Health how many(a) managerial staff and (b) administrative and clerical staff have been employed by (i) regional health authorities, (ii) district health authorities and (iii) family health services authorities in each of the last five years.
§ Mr. MaloneIn the following figures, managers are defined as those staff directly employed on general and senior manager terms and administrative and clerical staff are those directly employed on A and C terms. At 30 September 1989, there were 360 managers and 8,630 administrative and clerical staff in regional health authority headquarters, there were 30 managers and 4,360 administrative and clerical staff in family health services authorities. At 30 September 1990, the figures were 1,010 and 8,080, and 640 and 4,350 respectively. At 30 September 1993, the figures were 1,400 and 5,330, and 1,060 and 4,800 respectively.
The increase in the number of managers is due largely to the reclassification of administrative and professional staff, including many senior nurses, as general and senior 523W managers. In FHSAs, the increase is also due to new or greater managerial responsibilities of FHSAs for primary care development, general practitioner contracts, medical audit advisory groups, budgetary control, health promotion monitoring—immunisation targets and increased roles in community care.
Data for 1991 and 1992 cannot be provided because the figures were collected on an aggregate basis and it is not possible to identify staff in regional and district health authorities and FHSAs separately. Data for DHAs cannot be provided for 1989, 1990 and 1993 because the aggregate figures collected for those years do not identify staff in DHA headquarters separately.
§ Mr. Nicholas BrownTo ask the Secretary of State for Health how many managers and administrators were employed by the national health service(a) in 1989 and (b) at present.
§ Mr. MaloneAt 30 September 1989 and 30 September 1993, the latest date for which figures are available, there were respectively 121,450 and 152,660 whole-time equivalent directly employed staff engaged on general and senior manager and administrative and clerical terms in the NHS. The figures are not directly comparable. Many professional staff including many senior nurses, and other staff have been reclassified as general and senior managers. In addition, certain NHS functions, including finance, personnel and information, have been strengthened. Over a quarter of administrative staff work in direct support to clinicians, allowing clinicians to concentrate their skills and experience on direct patient care.