HC Deb 07 January 2003 vol 397 cc176-8W
Chris Grayling

To ask the Secretary of State for Health what proportion of minor injuries services in A and E departments are nurse-led. [87532]

Mr. Larnmy

Data on the proportion of minor injuries services in accident and emergency (A and E) departments that are nurse-led is not available centrally.

The Reforming Emergency Care Strategy, launched in October 2001, introduced a new streaming system so that patients with minor injuries or illness are separated from those with more serious problems. £40 million was invested to recruit 600 additional A and E nurses to help deliver streaming in A and E departments.

Chris Grayling

To ask the Secretary of State for Health how many of the additional accident and emergency nurses announced by his Department on 23 October 2001 have been recruited; and where they are located. [87529]

Mr. Lammy

On 25 October 2001, the Reforming Emergency Care Strategy was announced including £40 million to fund an additional 600 accident and emergency nursing (A&E) posts.

At 30 November 2002, 743 additional A&E nurses announced on 25 October 2001 had been recruited and 679 of these were in post.

The location by strategic health authority (StHA) of these additional nurses is shown in the table.

Number of these nurses in post by 30 November Number of these nurses appointed but not yet in post by 30 November
DHSC StHA Whole time equivalent
England 679.35 63.95
Y21 London 154.9 12
Y22 Midland and Eastern 159.22 14
Y23 North 194.8 30.35
Y24 South 170.43 7.6
Y21 Q04 North West London StHA 45 4
Y21 Q05 North Central London StHA 25 1
Y21 Q06 North East London StHA 35.4 1
Y21 Q07 South East London StHA 32.5 5
Y21 Q08 South West London StHA 17 1
Y22 Q24 Trent StHA 26 5
Y22 Q25 Leicestershire, Northamptonshire and Rutland StHA 14.06 0
Y22 Q26 Shropshire and Staffordshire StHA 9.8 1
Y22 Q27 Birmingham and the Black Country StHA 37 0
Y22 Q28 Coventry, Warwickshire, Herefordshire and Worcestershire StHA 16 0
Y22 Q01 Norfolk, Suffolk and Cambridgeshire StHA 10 3
Y22 Q02 Bedfordshire and Hertfordshire StHA 27.82 5
Y22 Q03 Essex StHA 18.54 0
Y23 Q09 Northumberland, Tyne and Wear StHA 15.9 1.5
Y23 Q10 County Durham and Tees Valley StHA 19 22.65
Y23 Q11 North and East Yorkshire and Northern Lincolnshire StHA 12 0
Y23 Q12 West Yorkshire StHA 33.2 1.2
Y23 Q13 Cumbria and Lancashire StHA 26 0
Y23 Q14 Greater Manchester StHA 34.75 0
Y23 Q15 Cheshire and Merseyside StHA 40.4 5
Y23 Q23 South Yorkshire StHA 13.55 0
Y24 Q16 Thames Valley StHA 21.5 0
Y24 Q17 Hampshire and Isle of Wight StHA 25.69 2
Y24 Q18 Kent and Medway StHA 13 0
Y24 QI9 Surrey and Sussex StHA 58.29 1.6
Y24 Q20 Avon, Gloucestershire and Wiltshire StHA 36.85 0
Y24 Q21 South West Peninsula StHA 8.6 1
Y24 Q22 Somerset and Dorset StHA 6.5 3

Chris Grayling

To ask the Secretary of State for Health what criteria are used for streaming patients on waiting lists in A&E units. [87528]

Mr. Lammy

The Reforming Emergency Care Strategy launched in October 2001, introduced a new streaming system in accident and emergency (A&E) departments so that patients with minor injuries or illness are separated from those with more serious problems. Each stream is seen in parallel by staff dedicated to that stream.

Streaming patients ensures that patients with minor conditions do not wait disproportionate lengths of time whilst safeguarding immediate treatment for the more seriously ill or injured. £40 million was invested to recruit 600 additional A&E nurses to help deliver streaming in A&E departments.

It is for clinical decision in individual A&E departments to decide which patients have minor injuries or illnesses that can be treated in a separate dedicated stream.

Chris Grayling

To ask the Secretary of State for Health how many of the additional Accident and Emergency consultants envisaged in the Government's strategy document have been recruited. [87531]

Mr. Lammy

The Reforming Emergency Care Strategy was launched in October 2001. It states that an additional 183 accident and emergency (A&E) consultants will be recruited by 2004, an increase of 40 per cent., as part of the planned expansion of consultant numbers in the NHS Plan.

As at 31 March 2002, there were 486 consultants in A&E. This represents an increase of 26 per cent. since September 1997.

Current workforce projections suggest that by March 2004, there may be sufficient trained specialists to increase numbers in A&E by around 190 over a 2,000 baseline. This takes account of expected numbers of additional recruits and numbers leaving due to retirement.

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