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Mr. Connarty: To ask the Secretary of State for Health if he will set out the process by which the Government will determine whether to make recombinant available to all people with haemophilia; if he will outline the considerations being taken into account in coming to this decision; and if he will indicate when he expects this process to be complete. [50849]

Yvette Cooper: The Government is considering whether to make recombinant clotting factors available to all haemophiliacs in England taking full account of representations made by the All Party Parliamentary Group on Haemophilia, the Haemophilia Society, the United Kingdom Haemophilia Centre Doctors Organisation and others. A decision will be taken later this year.

Nursing Care Standards

Miss McIntosh: To ask the Secretary of State for Health what recent assessment he has made of the standard of (a) medical and (b) nursing care in (i) NHS and (ii) private hospitals. [51754]

Ms Blears: The Commission for Health Improvement (CHI) plays a central role in our plans to drive up the quality of care in the national health service. CHI assess systems and processes through clinical governance reviews and comment on where and when they think the potential to deliver good care is compromised.

CHI has published 102 clinical governance reports on NHS trust.

Under the Registered Homes Act 1984, which was in force until 31 March 2002, health authorities carried out biannual inspections of the facilities, equipment and staffing levels in private hospitals, but had no powers to assess standards of medical or nursing care.

On 1 April this year, under the Care Standards Act 2000, the National Care Standards Commission took over the role of registering and inspecting independent health care providers, who for the first time are required to meet national minimum standards, including those for medical and nursing care. The commission is required to provide

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information about independent health care services to the Secretary of State for Health and to the public, but as it has been operating only since 1 April, it has not yet had time to gather this information.

We have announced our intention to establish a new tough independent healthcare regulator/inspectorate, the Commission for Healthcare Audit and Inspection which will have responsibility for inspecting both public and private health care sectors.

Occupational Therapists

Lembit Öpik: To ask the Secretary of State for Health what plans his Department has to increase the availability of occupational therapists to health authorities in England and Wales; and if he will make a statement. [52875]

Mr. Hutton: The NHS plan sets out our intention to increase numbers of staff across the healthcare professions. The targets for increasing the size of the workforce include 6,500 more therapists and other health professionals by 2004 over the 1999 baseline. Occupational therapists are included in this target and

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there are 1,250 more working in the national health service now than there were in 1999. "Delivering the NHS Plan", published in April 2002, sets out the expected increase in the workforce. It is expected that there will be 30,000 more therapists and scientists (including occupational therapists) between now and 2008.

The NHS plan also sets a target for 4,450 more therapists and other key professional staff entering training each year by 2004. Overall since 1996–97 the number of places available to train as an occupational therapist has increased by 427 (44 per cent.) This will continue to rise as we make further progress towards achieving the NHS plan target.

Lembit Öpik: To ask the Secretary of State for Health (1) how many residents per occupational therapist there are in each health authority in England and Wales; and if he will make a statement; [52873]

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

NHS hospital and community health services (HCHS): Scientific, therapeutic and technical staff employed in the occupational therapy area of work and the ratio per population by health authority area as at 30 September 2001

Health authorityWhole-time equivalents2000 population figuresResidents per occupational therapistHeadcount
England total11,82050,187,0004,25013,910
QA2 Hillingdon40260,7006,52040
QA3 Kensington, Chelsea and Westminster200415,2002,030220
QA5 Redbridge and Waltham Forest110459,8004,230120
QA6 Bedfordshire120570,3004,630150
QA7 Berkshire140826,5005,840180
QA8 Buckinghamshire180702,7003,910230
QAD Croydon30348,40010,26040
QAE East Kent160607,1003,710206
QAF West Kent160984,1006,340180
QAG Kingston and Richmond30349,60012,76030
QAH Lambeth, Southwark and Lewisham210757,0003,620240
QAJ Merton, Sutton and Wandsworth260641,3002,510290
QAK East Surrey150427,4002,880180
QAL West Surrey190651,2003,410240
QAM East Sussex, Brighton and Hove180765,0004,150220
QAN West Sussex140771,6005,490170
QAP Barking and Havering60381,2005,90070
QAR Brent and Harrow70480,3007,03080
QAT Camden and Islington150379,0002,460170
QAV Ealing, Hammersmith and Hounslow140700,4005,050160
QAW East London and the City170642,4003,740180
QAX North Essex240911,5003,760290
QAY South Essex160718,4004,590180
QC1 South Lancashire50312,9006,48060
QC2 Liverpool80454,2005,91090
QC3 Manchester140426,5003,090160
QC4 Morecambe Bay90313,7003,660100
QC5 St. Helen's and Knowsley50328,1006,02060
QC6 Salford and Trafford 150445,2002,900170
QC7 Sefton90284,1003,070110
QC8 Stockport60294,2004,84080
QC9 West Pennine100471,3004,830110
QCC Northamptonshire120628,3005,400140
QCE Oxfordshire150633,4004,130190
QCF Suffolk130684,3005,220160
QCG Barnsley40228,6005,11050
QCH North Derbyshire100372,3003,900120
QCJ Southern Derbyshire160574,3003,620200
QCK Doncaster90288,9003,290100
QCL Leicestershire230947,6004,120260
QCM Lincolnshire90640,6007,380100
QCN North Nottinghamshire230388,2001,720250
QCP Nottingham150647,6004,200170
QCQ Rotherham100253,1002,480120
QCR Sheffield160530,1003,340190
QCT Bury and Rochdale60392,8006,09070
QCV North Cheshire90314,4003,560110
QCW South Cheshire100680,4006,790140
QCX East Lancashire100512,3004,890120
QCY North West Lancashire140469,8003,310170
QD1 North and Mid Hampshire50574,00010,91070
QD3 Southampton and South West Hampshire160552,8003,480200
QD5 Somerset120498,9004,150150
QD6 South and West Devon170598,7003,620200
QD7 Wiltshire60621,2009,82080
QD8 Avon3501,012,6002,890440
QD9 Birmingham2801,012,8003,670310
QDA Wigan and Bolton150577,7003,780170
QDC Wirral100322,9003,170120
QDD Bradford110487,5004,270130
QDE County Durham and Darlington90607,8007,110100
QDF East Riding and Hull110581,7005,180130
QDG Gateshead and South Tyneside80350,5004,150100
QDH Leeds180731,1003,960210
QDJ Newcastle and North Tyneside140468,1003,380160
QDK North Cumbria70321,2004,57080
QDL South Humber30304,9009,86040
QDM Northumberland70310,4004,54080
QDN Sunderland40289,3007,05040
QDP Tees150552,5003,790160
QDQ Wakefield140317,2002,270150
QDR North Yorkshire170756,7004,590210
QDT Calderdale and Kirklees160587,7003,580190
QDV Cornwall and Isles of Scilly110499,0004,520130
QDW Dorset230708,2003,120280
QDX North and East Devon160489,2003,080200
QDY Gloucestershire160565,6003,430200
QEA Coventry70304,6004,57080
QEC Dudley60311,3005,04070
QED Herefordshire50171,9003,69060
QEE Sandwell50288,4006,41050
QEF Shropshire110437,1004,160120
QEG Solihull(24)206,500(24)(24)
QEH North Staffordshire140464,8003,380150
QEJ South Staffordshire90599,5006,460120
QEK Walsall30259,4008,32030
QEL Warwickshire90513,0005,450110
QEM Wolverhampton70240,2003,32090
QEN Worcestershire120548,1004,750150
QER Cambridgeshire170743,6004,420200
QET Norfolk230806,0003,550270
QEV Isle of Wight, Portsmouth and South East Hampshire120681,6005,480150
QEW Barnet, Enfield and Haringey200854,3004,220230
QEX Hertfordshire1201,052,3008,510160
QEY Bexley, Bromley and Greenwich100736,5007,380120

(24) There were no occupational therapists employed in the organisation within Solihull health authority as at 30 September 2001.


1. Figures are round to the nearest 10.

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

3. Residents per occupational therapist is based on wte data.

4. Occupational therapists are also employed by local authorities.


1. Department of Health Non-Medical Workforce Census

2. Office for National Statistics (ONS)

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14 May 2002 : Column 623W

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