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Consultants

Mr. Burns: To ask the Secretary of State for Health what estimate he has made of how many additional consultants are needed if consultants work the European legal limit of hours each week. [46693]

Mr. Hutton: We expect that the growth in consultant numbers to deliver the NHS Plan (7,500 more by 2004) and strong continuing growth thereafter will provide sufficient numbers for all consultants to adhere to the European working time directive.

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Through new ways of working, supported by pay modernisation, we expect to see increased numbers of staff working more flexibly with increased productivity and some roles currently carried out by consultants being transferred to other members of the health care team.

Mr. Burns: To ask the Secretary of State for Health how many consultants practising in the NHS are aged over 55 years; and how many consultants aged over 55 years were practising in (a) 2000, (b) 1998, (c) 1996, (d) 1994 and (e) 1992. [46690]

Mr. Hutton: The information requested is shown in the table.

Hospital, Public Health Medicine and Community Health Services (HCHS): medical and dental consultants, England at 30 September each year

199219941996199820002001
Consultants over 553,2503,2003,2703,4903,7203,890
Percentage of all consultants19.017.716.115.715.315.1

Source:

Department of Health medical and dental workforce census


The number of consultants practising in the NHS has increased by 50 per cent. since 1992 and the age profile of the consultant workforce has become younger.

Mr. Burns: To ask the Secretary of State for Health how many consultant vacancies there are. [46691]

Mr. Hutton: The information requested is shown in the table.

Consultant vacancies in NHS trusts, England—3 month vacancy rates(146),(147) and numbers(148)

Whole-time equivalents
3 month vacancy rates (percentage)3.0
3 month vacancies (number)670
Staff in post21,630

Notes:

1. Three month vacancies are vacancies as at 31 March 2001 which trusts are actively trying to fill, which had lasted for three months or more (whole time equivalents).

2. Three month vacancy rates are three month vacancies expressed as a percentage of three month vacancies plus staff in post from the September 2000 medical and dental workforce census (whole-time equivalent).

3. Numbers are rounded to the nearest ten.

4. Percentages are rounded to one decimal place.

5. Due to rounding calculating the vacancy rates using the above data may not equal the actual vacancy rates.

Source:

Department of Health Vacancies Survey 2001

Department of Health medical and dental workforce census 2000


Mr. Burns: To ask the Secretary of State for Health how many hours consultant physicians are contracted to work per week; how many hours were worked by consultant physicians over the contracted time, on average, in the last 12 months; and how many additional consultants would be needed to maintain levels of service if consultants worked only their contracted hours. [46694]

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Mr. Hutton: Consultants hold a professional contract that does not specify particular hours of work. Whole-time and maximum part-time contract holders have a contractual commitment to devote substantially the whole of their professional time, up to 11 sessions, to their NHS duties.

The table shows the number of hospital medical consultants by contract in England as at 30 September 2001. The table gives a breakdown of contract holders on national terms and conditions of service by (a) whole time, (b) maximum part time and (c) part time. The number of honorary contract holders is also provided.

Hospital medical consultants by nature of contract—England at 30 September 2001

Consultant
All contracts24,400
Whole time
Number13,810
Percentage56.6
Max. part-time
Number5,520
Percentage22.6
Part-time
Number3,530
Percentage14.5
Honorary
Number1,550
Percentage6.3

Notes:

1. Figures are rounded to the nearest 10.

2. Due to rounding figures may not equal the sum of component parts.

3. Percentages were calculated using unrounded figures.

Source:

Department of Health 2001 medical and dental workforce census.


A 1999 survey by management consultants KPMG for the 28th report of the Review Body on Doctors' and Dentists' Remuneration showed that the average number of hours worked per week for whole time consultants, excluding emergency recalls, was 51.3 hours and for maximum part-timers 48.7 hours.

Mr. Burns: To ask the Secretary of State for Health what progress has been made in consultant recruitment in the last 12 months. [46735]

Mr. Hutton: As at 30 September 2001, the date of the Department's annual work force censuses, 1,380 more consultants were working in the national health Service than there were at 30 September 2000. Overall since 1997 the number of consultants employed in the national health service has increased by 4,320 (20 per cent.).

Mr. Burns: To ask the Secretary of State for Health how many consultant physicians there are; and how many there were in each year since 1992. [46692]

Mr. Hutton: The information requested is shown in the table.

The number of consultant physicians has increased by 47 per cent. since 1992.

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Hospital medical consultant physicians(146)—all specialties

Number
19924,040
19934,090
19944,110
19954,510
19964,720
19974,940
19985,050
19995,290
20005,540
20015,930

(146) Physicians as recognised by the Royal College of Physicians includes staff in the listed specialties:

Allergy, Audiological medicine, Cardiology, Clinical genetics, Clinical Neurophysiology, Clinical pharmacology and therapeutics, Dermatology, Endocrinology and diabetes mellitus, Gastroenterology, General Medicine, Genito-urinary medicine, Geriatric medicine, Haematology, Immunology, Infectious diseases, Medical oncology, Neurology, Nuclear medicine, Palliative medicine, Rehabilitation medicine, Renal medicine, Respiratory medicine, Rheumatology.

Source:

Department of Health medical and dental workforce census


NHS Staff Suspensions

Mr. Burns: To ask the Secretary of State for Health (1) how many staff within the NHS have been suspended from work as a result of allegations and complaints by whistleblowers in the last two full available years; [46826]

Mr. Hutton: We expect a climate of openness and dialogue in the national health service and a culture and an environment that encourages staff to feel able to raise concerns about health care matters sensibly and responsibly without fear of victimisation.

NHS trusts routinely report suspensions lasting six months or longer to the Department. As at 31 December 2001, the latest date for which figures are available, 29 hospitals and community medical and dental staff had been suspended for more than six months. These suspensions are not as a result of individuals whistleblowing.

Information on the suspension of individuals in other staff groups is not collected within the Department.

Performance Targets

Mr. Bercow: To ask the Secretary of State for Health what trend data are available to measure progress against the PSA target for a reduction in the death rate from suicide and undetermined injury. [47299]

Jacqui Smith: Data to monitor the PSA target to reduce the death rate from suicide and undetermined injury (less inquest-adjourned cases) are obtained from mortality data published by the Office for National Statistics. Data are for England.

This PSA target is the target published in 2000 in the NHS Plan and previously in 1999 in the White Paper "Saving Lives: Our Healthier Nation" for a 20 per cent. reduction against a baseline of the average age standardised mortality rate for the three years 1995–97.

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The trend data are as follows:

Three-year average age standardised

PeriodMortality rate per 100,000 population
1995–96–979.07
1996–97–989.18
1997–98–999.33
1998–99–20009.44

Mr. Bercow: To ask the Secretary of State for Health if the PSA target for efficiency and other value for money gains in personal social services expenditure in 2001–02 will be met. [47285]

Jacqui Smith: No more figures are available since the answer I gave the hon. Member on 25 February 2002, Official Report, column 938W. The in-year estimates I quoted then are what are used to monitor efficiency gains and no further information will be available.

Information provided by councils during in-year monitoring suggests that for social services in England the estimated efficiency gain was 2.1 per cent. for 1999–2000, 2.3 per cent. for 2000–01 and 2.5 per cent. for 2001–02. This means the efficiency gains achieved in 2001–02 fell short of the 3 per cent. target, although the targets of 2 per cent. for each of the previous two years were exceeded. Over the three years the total estimated efficiency gain was 7.1 per cent, all but meeting the total of the efficiency targets over three years of 7.2 per cent.

Mr. Bercow: To ask the Secretary of State for Health if the PSA target for all NHS trusts to achieve three per cent. procurement savings in 2000–01 was met. [47292]

Mr. Hutton: I refer the hon. Member to the reply I gave on 28 November 2001, Official Report, column 987W.


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