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NHS Reform

Mr. Kirkwood : To ask the Secretary of State for Health (1) how many of the units expressing interest in self-governing status have complied with paragraph 5.3 of the self-governing hospitals working paper No. 1 ; and if he will take steps to require the remainder to do so ;

(2) if he will list those units contained in his list of medical units expressing interest in becoming self-governing who have consulted staff and patient representatives and have met with their approval ;

(3) when considering applications for self-governing status from ambulance services, whether he intends consulting other emergency services ; and if he will make a statement ;

(4) whether he intends to consult medical staff and patient representatives when making a decision to approve or disapprove applications for self- governing status in light of his commitment to judge whether the changes would be in the interests of the National Health Service, hospitals and patients.

Mr. Mellor [holding answer 12 June 1989] : Expressions of interest are no more than that. We are aware that in many cases informal consultation has taken place but it would be unrealistic to engage in formal consultation at this stage, because people may not have enough information to give an informed opinion. All the main interests--including staff and the local community--will have an opportunity to express their views when detailed proposals have been worked up. We will take all responses into account when deciding whether to approve an application.

Mr. Kirkwood : To ask the Secretary of State for Health if he will list those units that are entire hospitals with 250 beds or over contained in his list of units expressing interest in becoming self-governing.

Mr. Mellor [holding answer 12 June 1989] : The information is not available in the form requested. The table lists those units which include entire hospitals with 250 beds or over :

Northern Regional Health Authority

Darlington--hospital and community services

Freeman Hospital, Newcastle

Hartlepool District

Mental Illness Services in Gateshead

Newcastle General Hospital

Newcastle Mental Health Unit

Northgate Hospital

North Tyneside District

Yorkshire Regional Health Authority

Bradford--Acute Hospital Trust

Calderdale Hospitals, Calderdale HA

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General Infirmary, Leeds and associated Units--Leeds Western Grimsby DGH and associated services

High Royds Hospital Mental Health Services, Leeds Western St. James's University Hospital, Leeds Eastern

Seacroft and Killingbeck Hospitals, Leeds Eastern

Wakefield District--Mental Health Unit

Trent Regional Health Authority

Bassetlaw Hospital and associated community services

Doncaster Royal Infirmary and Maxborough Montagu Hospital Nether Edge Hospital, Sheffield

Northern General Hospital, Sheffield

University Hospital, Nottingham

Royal Hallamshire Hospital, Sheffield

East Anglian Regional Health Authority

East Suffolk Psychiatric Services

Newmarket General Hospital

Peterborough DGH, Edith Cavell DGH, Stamford and Rutland Hospital Queen Elizabeth Hospital, Kings Lynn and associated services North West Thames Regional Health Authority

Central Middlesex Hospital

East Hertfordshire Acute Services Unit

North Hertfordshire Hospital and Community Services

North West Hertfordshire Priority Services Unit

Northwich Park Hospital

Mount Vernon/Hillingdon Hospitals with associated Community Services

Westminster and Westminster Children's Hospitals

North East Thames Regional Health Authority

Basildon and Thurrock HA

Central North London Mental Health Unit

London Hospital

Mid Essex Acute Unit

Royal Free Hospital North Middlesex Hospital

St. Bartholomews, Homerton and St. Marks Hospital Trust St. Bartholomew's Hospital

St. Margaret's Hospital, Epping

Southend Acute Unit

North East Essex Acute Unit

North East Essex Mental Handicap Unit

North East Essex Mental Health Unit

Waltham Forest Mental Health Unit

South West Thames Regional Health Authority

Croydon HA--Mental Handicap Unit

Croydon HA--Mental Illness Unit

East Surrey HA--Acute and Community Services Unit

Kingston and Esher HA--Kingston Hospital

Mid Downs HA--East Unit

Mid Downs HA--West Unit

Mid Surrey HA--General (Acute) Unit

Mid Surrey HA--Mental Illness Unit

North West Surrey HA--Acute Unit

North West Surrey HA--Mental Handicap and Mental Health Units St. George's Group Trust, Wandsworth HA

St. Helier and Sutton Hospitals, Merton and Sutton HA

South West Surrey HA--Acute Unit

Worthing and Southlands Hospitals, Worthing HA

South East Thames Regional Health Authority

Brighton HA--main acute hospitals

Bromley HA

Camberwell HA (excluding mental illness services)

Eastbourne Hospitals--Eastbourne HA

Guy's Hospital

Lewisham Hospital Unit

Maidstone DGH

Queen Mary's Hospital, Sidcup Erith and District Hospital Community

Queen Victoria Hospital, East Grinstead

St. Thomas' Hospital

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Tunbridge Wells Mental Handicap Unit

West Lambeth HA--Priority Care Unit

William Harvey and Buckland Hospitals--South East Kent HA Wessex Regional Health Authority

Bournemouth Acute Unit, East Dorset HA

Christchurch Hospital, East Dorset HA

Psychiatric Division, Basingstoke HA

Swindon HA--All District Services

West Dorset HA--All District Services comprises 1, 2, or 3 trusts South Western Regional Health Authority

Bristol Royal Infirmary Acute Services

Cheltenham and District

East Cornwall Acute Services

East Somerset (Yeovil) : Acute/Primary Care Services Yateman Hospital

North Devon DHA

Plymouth DHA

Torbay DHA

West Somerset (Musgrove) : Acute Services

Wonford Acute Services, Exeter

West Midlands Regional Health Authority

Alexandra DGH/Acute Services Unit (Bromsgrove and Redditch) Good Hope DGH/Northcroft/Jaffray/Community (N. Birmingham) Highcroft, Mental Illness Hospital (N. Birmingham)

Manor DGH/Acute Services Unit (Walsall)

Robert Jones and Agnes Hunt Orthopaedic Hospital (Shropshire) Royal Shrewsbury Hospital (Shropshire)

Rugby District

St. George's Hospital/Mental Health Unit (Mid Staffordshire) St. Margaret's, Mental Handicap Hospital, (Walsall)

Walsgrave DGH, Coventry

Mersey Regional Health Authority

Arrowe Park and Clatterbridge Hospitals

Broadgreen Hospital, exc. Mersey Regional Cardio-Thoracic Unit Cranage Hall, Crewe

Leighton Hospital, Crewe (Acute Services)

Liverpool Mental Health Services

Macclesfield DGH (Acute Services)

Macclesfield Mental Health Services

Royal Liverpool Children's Hospital (Alder Hey)

Royal Liverpool Hospital

Southport DGH (Acute Services)

Southport and Formby Psychiatric/Community Services

Walton and Fazakerley Hospitals, South Sefton

Warrington DGH

Whiston and St. Helen's Hospital

North Western Regional Health Authority

Christie Hospital, South Manchester HA

Manchester Royal Infirmary St. Mary's Hospital Royal Eye Hospital Royal Preston Hospital, Preston HA

Stepping Hill Hospital Stockport Infirmary, Stockport HA Wrightington Hospital, West Lancashire HA

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