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26 Jan 2004 : Column 182W—continued

Health Professionals

Dr. Kumar: To ask the Secretary of State for Health how many additional (a) doctors, (b) nurses and (c) matrons have been employed (i) in each region and (ii) in Middlesbrough South and East Cleveland since (A) 1997 and (B) 2001. [148405]

Mr. Hutton: Information on the number of doctors and nurses in England, each Government Office Region and within County Durham and Tees Valley and Northumberland, Tyne and Wear Strategic Health Authorities areas for the years requested is shown in the table. Separate information is not collected centrally on the number of matrons employed in the national health service.

NHS doctors(49)by Government Office Region
England(50)    Number (headcount)

North East 5,0335,6565,823790167
Of which:
County Durham and Tees Valley 2,0152,2282,25223724
Northumberland, Tyne and Wear3,0183,4283,571553143
North West12,87014,08214,4971,627415
Yorkshire and the Number9,05710,07510,6011,544526
East Midlands6,6917,1627,343652181
West Midlands8,9169,96310,3871,471424
East of England8,3299,1259,5901,261465
South East13,05614,31315,0281,972715
South West8,2779,54510,0421,765497
Special Health Authorities and Other Statutory Bodies283200167-116-33

(49) Excludes GP Retainers and medical hospital practitioners and medical clinical assistants most of whom are also GPs working part-time in hospitals.

(50) 1997 GPs data as at 1 October 1997, all other data as at 30 September.


Department of Health medical and dental workforce census.

General and Personal Medical Services Statistics.

NHS hospital and community health services: Qualified nursing, midwifery and health visiting staff, and Practice Nurses employed by UPEs(51) by Government Office Region
England(52)    Number (headcount)

North East18,39020,72721,5043,114777
Of which:
County Durham and Tees Valley SHA 7,5248,3508,6471,123297
Northumberland Tyne and Wear SHA10,86612,37712,8571,991480
Yorkshire and the Number33,60636,06437,8034,1971,739
East Midlands24,27526,25127,5973,3221,346
West Midlands33,13237,14338,9495,8171,806
East of England28,48133,02834,6516,1701,623
South East46,70251,20253,3976,6952,195
South West31,86734,86836,4614,5941,593
Special Health Authorities and Other Statutory Bodies50659153125-60

(51) UPEs include GMS Unrestricted Principals, PMS Contracted GPs and PMS Salaried GPs.

(52) 1997 practice nurse data as at 1 October 1997, all other data as at 30 September.


1. Government Office Regions are based on grouped Strategic Health Authority areas.

2. 1997 and 2001 include estimated data for County Durham and Tees Valley based upon the proportioning of staff who moved from Northallerton NHS Trust.

3. Other Government Office Regions include estimated data for Trent, North West London, Cheshire and Merseyside SHA's and Special Health Authorities based on staff at Rampton, Broadmoor and Ashworth Special Hospitals.


Department of Health Non-Medical Workforce Census.

Department of Health General and Personal Medical Services Statistics.

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Health Services (Lancashire)

Mr. Hoyle: To ask the Secretary of State for Health (1) what assessment he has made of the impact population growth will have on Chorley and South Ribble primary care trust; and what extra monies will be made available; [148214]

Miss Melanie Johnson: An assessment of the impact of population growth on the local health economy has been made by Lancashire Teaching Hospitals National Health Services Trust. It is noted from population forecasts provided by local councils that the population is due to decline slowly over the 10 years from 2001. There is no perceived impact on the local health economy, including Chorley and South Ribble Primary Care Trust (PCTs), or Lancashire Teaching Hospitals NHS Trust and its services across Chorley, South Ribble or Preston, and Chorley Hospital in particular.

For each round of allocations, the weighted capitation formula used to inform funding for PCTs is updated to take account of the best available measure of population from the Office for National Statistics.

Revenue allocations for PCTs covering the period 2003–04 to 2005–06 were announced on 11 December 2002. There are no plans to revisit these allocations.

Any changes in population figures will be used for the next round of allocations. We will commence preparatory work on the next round of allocations early this year.

Healthy Living Centres

Chris Grayling: To ask the Secretary of State for Health pursuant to his answer of 18 December 2003, Official Report, column 1124W, on healthy living centres, what funding he is providing for centres (a) providing activities covering diet and nutrition and (b) offering physical and sporting activities. [148039]

Miss Melanie Johnson: 114 healthy living centres—167 in the United Kingdom—are providing activities covering diet and nutrition and 207 healthy living centres—282 in the UK—are offering physical and sporting activities. A substantial number of health living centres are addressing all of these: diet, nutrition and physical activity. Healthy living centres are funded through the New Opportunities Fund and do not receive any central funding from Department of Health.

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Hip and Knee Replacements

Sandra Gidley: To ask the Secretary of State for Health what the cost per operation is for (a) hip and (b) knee replacements in each hospital trust; and if he will make a statement. [149007]

Mr. Hutton: The information requested has been placed in Library. The table contains the average unit costs (per operation) for each national health service trust in England for primary hip replacements and primary knee replacements where the operation is undertaken as an elective (planned) admission.

The data source is the Reference Costs 2002 Collection, relating to the financial year 2001–02. This is the most current data available in the public domain.

Calculation of the costs provided are based on all activity and costs associated with each procedure, regardless of the specialty in which the activity is recorded.

Hospital-acquired Infection

Dr. Murrison: To ask the Secretary of State for Health what proportion of patients with MRSA bacteraemia in NHS hospitals in England died of their infection in the last 12 months for which figures are available; and what comparable figures his Department has collated regarding mortality in other countries. [147499]

Miss Melanie Johnson: Information on deaths from methicillin resistant Staphylococcus aureus (MRSA) bacteraemias is not routinely available. Currently, mortality data can only be provided by enhanced surveillance or special studies. We do not have figures for other countries.

Tim Loughton: To ask the Secretary of State for Health (1) which members of staff and at what level of seniority will be filling the new posts of directors of infection control; [144139]

Miss Melanie Johnson: The director of infection prevention and control is not a new post but an extra responsibility for an existing senior health professional within every organisation providing national health service services. They will:

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We would expect consultant microbiologists and infection control nurses to be among the healthcare professionals taking on this role but designation of the new director is a local decision. However, what is important is that the individuals concerned have the appropriate expertise and authority to act to reduce infection rates.

Strategic health authorities will monitor performance against the objectives of "Winning ways" and the Commission for Healthcare Audit and Inspection will be asked to give priority to assessing NHS performance in reducing health care associated infection.

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