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WALES

NHS Trusts

Sir Wyn Roberts: To ask the Secretary of State for Wales if he will publish information on the management costs of NHS trusts in Wales; and if he will make a statement. [6023]

Mr. Richards [pursuant to his reply 12 December 1995]: Management cost savings targets for 1996-97 amounting to £3.25 million will be issued today to health authorities and NHS trusts in Wales. This completes the transfer of £12.5 million to direct patient services which was announced in "Caring for the Future". A copy of the letter (DGM(96)10) has been placed in the Library of the House.

There are currently 29 NHS trusts in Wales. My right hon. Friend and I have received applications from the last three directly-managed-units in Wales to become NHS trusts from April 1996. Public consultation on these three applications ended on 24 December 1995.

Taking full account of the many representations received, and of the individual merits of each case, my right hon. Friend has decided to approve the applications.

Merthyr and Cynon Valley health unit will become the North Glamorgan NHS trust on 26 February 1996. The Glan Hafren NHS trust and Bridgend and district NJS trust will both be dissolved on 31 March 1996 and immediately re-established incorporating the Rhymney Valley health unit and Hensol health unit respectively. All three new trusts will become operational on 1 April.

The orders giving effect to these decisions have been signed today. We will announce shortly the details on the chairman and non-executive directors of the new North Glamorgan NHS trust.

Today's announcement confirms that, from 1 April 1996, all acute, community health, mental health and ambulance services in Wales will be delivered by NHS trusts. This will be a further stimulus to improving efficiency in the NHS in Wales.

Hospital Patients

Mr. Ieuan Wyn Jones: To ask the Secretary of State for Wales what was the average number of patients per hospital bed for each major specialty in each year since 1989-90; and what was the percentage change over the entire period. [10784]

Mr. Richards: The information, which relates to NHS hospitals in Wales, is given in the following table. Only acute specialities where there were in-patient cases in both 1989-90 and 1994-95 have been included.

Number of in-patient cases per average daily available bed
Percentage change

1989-901990-911991-921992-931993-941994-951989-90 to 1994-95
General surgery43.042.844.847.050.052.121
Urology46.045.549.049.951.455.521
Trauma and orthopaedic30.631.534.135.835.637.623
Ear, nose and throat67.566.271.577.480.678.616
Ophthalmology51.553.857.964.667.072.541
Oral surgery92.892.187.087.986.488.7-4
Neurosurgery26.723.426.223.623.426.60
Plastic surgery39.836.435.936.040.529.4-26
Burns surgery13.515.213.415.116.33.5-74
Cardiac surgery21.525.427.325.722.925.117
Thoracic surgery25.425.422.921.219.921.0-17
Paediatric surgery61.656.352.954.256.849.9-19
Anaesthetics14.911.717.518.911.516.07
General medicine36.939.642.243.645.747.027
Gastroenterology22.2----46.8538.9146.5560
Haematology (clinical)51.951.751.150.343.846.1-11
Palliative medicine21.216.019.618.719.518.7-12
Cardiology49.054.158.554.451.954.712
Dermatology15.817.819.718.018.620.731
Thoracic medicine31.632.240.343.446.448.854
Genito urinary medicine1.810.29.515.014.812.5594
Nephrology41.838.737.641.041.447.413
Medical oncology13.114.1----147.587.2566
Spinal injuries8.97.65.57.06.76.0-33
Other neurology21.521.824.424.422.823.17
Rheumatology17.515.921.623.126.224.641
Paediatrics56.059.063.964.468.574.032
Gynaecology70.170.073.073.474.270.50
GP other16.116.017.016.916.716.84
Radiotherapy29.528.030.034.440.544.451
Total all specialties23.924.826.827.929.130.528

29 Jan 1996 : Column: 595

29 Jan 1996 : Column: 595

Mr. Jones: To ask the Secretary of State for Wales what was the average length of an in-patient hospital stay for each specialty in each year since 1989-90. [10732]

29 Jan 1996 : Column: 596

Mr. Richards: The information, which relates to NHS hospitals in Wales, is given in the following table.

29 Jan 1996 : Column: 595

Average duration of stay (days)

1989-901990-911991-921992-931993-941994-95
General surgery6.36.36.26.05.85.7
Urology6.15.95.95.55.15.2
Trauma and orthopaedic9.28.88.48.08.07.6
Ear, nose and throat3.33.43.22.92.82.7
Opthalmology4.44.03.73.12.72.5
Oral surgery2.32.42.32.22.42.3
Restorative dentistry------18.31.40.4
Neurosurgery10.712.611.412.512.010.9
Plastic surgery5.55.55.95.75.16.1
Burns surgery15.012.513.613.412.439.9
Cardiac surgery14.013.212.212.413.812.3
Thoracic surgery9.610.211.210.511.411.4
Paediatric surgery3.43.33.83.63.13.0
Anaesthetics7.43.42.62.22.64.7
General medicine8.07.77.26.96.96.8
Gastroenterology16.4----7.312.42.4
Haematology (clinical)5.76.05.66.06.36.3
Clinical physiology--------60.2--
Rehabilitation----36.941.744.730.4
Palliative medicine12.114.512.812.711.612.4
Cardiology6.25.35.04.95.25.2
Dermatology15.915.113.814.814.913.6
Thoraic medicine7.67.67.16.76.76.2
Infectious diseases8.811.00.7------
Genito urinary medicine21.916.411.010.112.313.4
Nephrology6.37.79.17.88.16.6
Medical oncology13.915.5----2.54.2
Spinal injuries27.833.933.029.835.436.2
Other neurology10.611.111.011.110.510.1
Rheumatology11.612.811.09.99.79.2
Paediatrics3.53.43.22.93.12.9
Paediatric neurology--7.17.92.53.85.4
Geriatric medicine28.526.523.621.920.820.3
Obstetrics3.53.43.43.13.03.0
Gynaecology3.43.33.33.23.13.3
GP maternity4.03.43.22.52.73.0
GP other16.916.515.916.216.616.1
Mental handicap525.9315.2323.8266.2235.9376.7
Mental illness73.267.754.347.346.741.2
Child and adolescent psychiatry134.2105.497.053.449.547.9
Forensic psychiatry53.845.148.3153.2151.8170.0
Old age psychiatry107.5104.496.195.982.266.3
Radiotherapy8.48.68.57.76.86.2
Radiology--3.70.96.89.80.8
Chemical pathology3.7--2.0------
Occupational medicine--------141.839.7
Haematology (non clinical)8.16.1--------
Neuropathology--18.3--------
Accident and emergency1.51.31.21.21.41.2
Total11.711.210.410109.2

Note:

'--' means no in-patients were treated.


29 Jan 1996 : Column: 597

29 Jan 1996 : Column: 597

Gross Domestic Product

Mr. Morgan: To ask the Secretary of State for Wales what was Welsh gross domestic product per head as a percentage of United Kingdom gross domestic product per head for each year since 1978; and if he will include the latest available statistical revisions with the date and explanation of each revision. [12445]

Mr. Hague: The latest available estimates are shown in the following table. Figures for 1994 were published in the article "Regional Accounts 1994: part 1" in the December 1995 edition of "Economic Trends". The article includes revisions to data on gross domestic product per head for earlier years and an explanation of the reasons for the revisions. Copies of "Economic Trends" are available in the Library of the House.


29 Jan 1996 : Column: 598


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