§ Mrs. DunwoodyTo ask the Secretary of State for Health if he will make it his policy to require that the organisational structure of national health service trusts includes qualified health visitors and community nurses at management levels. [29551]
§ Mr. HoramDecisions concerning staffing, including the employment of health visitors and community nurses at management level, are the responsibility of local managers, who are in the best position to consider the amount and type of work to be done in the light of the services they have contracted to provide.