House of Commons Hansard Written Answers for 11 Feb 2004 (pt 24)

11 Feb 2004 : Column 1534W—continued

Children's Respite Care

Mr. Hoyle: To ask the Secretary of State for Health how much money Chorley and South Ribble Primary Care Trust gave to projects dealing with children's respite care in 2003. [153490]

Dr. Ladyman: During 2002–03, the Chorley and South Ribble Primary Care Trust (PCT) provided recurrent funding of £11,000 to Derian House Hospice. In addition, the PCT has also agreed to provide funding to the Chorley and South Ribble Crossroads Care scheme. £6,760 will be provided annually for three years and will help to employ three care attendants to work specifically with young adults with mental health needs, learning difficulties or physical difficulties which prevent them taking part in usual social activities with their peers. This scheme currently supports nine families.

Audited accounts are not yet available for 2003–04.

Cisapride

Paul Flynn: To ask the Secretary of State for Health if he will conduct an investigation into the safety of the drug cisapride. [153258]

11 Feb 2004 : Column 1535W

Mr. Caton: To ask the Secretary of State for Health what assessment his Department made of the impact of the drug cisapride before its withdrawal in the United Kingdom. [153754]

Ms Rosie Winterton: In 2000, the former Medicines Control Agency (now the Medicines and Healthcare products Regulatory Agency) and the Committee on Safety of Medicines (CSM) conducted a thorough review of the balance of risks and benefits of cisapride (Prepulsid, licensed for the treatment of motility-related gastrointestinal disorders). As cisapride was also authorised in other European Union (EU) Member States, a safety review by the European Committee for Proprietary Medicinal Products (CPMP) was also taken forward at this time.

Following careful review of efficacy studies and consideration of reports of suspected cardiac adverse reactions, the CSM concluded that the balance of risks and benefits for cisapride was no longer favourable and the Licensing Authority suspended the UK marketing authorisations (MAs) pending the outcome of the EU review. Following an opinion of the CPMP, the European Commission issued a Decision in May 2002 allowing restricted MAs for cisapride for use in certain indications in clinical trials or via a safety registry.

However, the UK MAs remained suspended until 17 October 2003 when the company, Janssen Cilag, cancelled them.

Consultants

Mr. Burstow: To ask the Secretary of State for Health if he will make a statement on the New Consultant Entry Scheme; and whether doctors on the Scheme count as consultants for the sake of the NHS Plan consultant recruitment targets. [152819]

11 Feb 2004 : Column 1536W

Mr. Hutton: The New Consultant Entry Scheme (NCES) has been developed for specialist registrars who have recently acquired the certificate of completion of specialist training and would like more practical support to help make the transition to consultant grade in their first consultant post. Placements are for six months in vacant consultant posts, after which the doctors can apply for substantive appointment in open competition.

Appointments of NCES doctors to consultant vacancies are counted for the purposes of consultant recruitment targets.

Dentistry

Mr. Burstow: To ask the Secretary of State for Health what the (a) headcount and (b) whole-time equivalent figures are for dentists for each year since 1996 for (i) England, (ii) each NHS region and (iii) each strategic health authority. [150810]

Ms Rosie Winterton: The information on the number of national health service dentists on a headcount basis in each region of England and by strategic health authority (SHA) at September each year from 1996 to 2002 is shown in the table.

Information is not available on a whole-time equivalent (wte) basis because general dental service dentists are self employed dentists who do not work standard hours and who are able to vary their hours and their NHS commitment.

NHS dentists cover dentists working in the general dental service (GDS), hospital dental service (HDS), community dental service (CDS), personal dental service (PDS) and salaried service of the GDS. Dentists working in more than one dental service are included in each service apart from dentists working in both PDS and GDS who are counted in the GDS only.

Information for 2003 on all NHS dentists is not yet available.

National Health Service: Number of dentists in England by region and Strategic Health Authority at September each year

1996 1997 1998 1999 2000 2001 2002

England 19,980 20,483 21,041 21,556 21,902 22,438 22,810

NHS Region

Northern and Yorkshire 2,401 2,477 2,540 2,558 2,589 2,668 —

Trent 1,749 1,799 1,820 1,900 1,915 1,918 —

West Midlands 1,895 1,938 1,982 1,998 2,058 2,134 —

North West 2,740 2,777 2,846 2,900 2,887 2,929 —

Eastern 1,961 2,050 2,110 2,206 2,259 2,329 —

London 3,633 3,680 3,807 3,821 3,875 3,967 —

South East 3,538 3,627 3,683 3,840 3,915 4,033 —

South and West 2,063 2,135 2,253 2,333 2,404 2,460 —

Strategic Health Authority

Avon, Gloucestershire and Wiltshire 943 983 1,043 1,084 1,096 1,115 1,114

Bedfordshire and Hertfordshire 634 648 684 729 748 801 803

Birmingham and The Black Country 891 909 918 910 924 965 964

Cheshire and Merseyside 1,010 1,045 1,070 1,089 1,093 1,107 1,161

County Durham and Tees Valley 383 413 425 422 422 436 455

Coventry, Warwickshire, Herefordshire and Worcestershire 549 564 584 597 622 636 664

Cumbria and Lancashire 738 742 776 773 760 797 787

Dorset and Somerset 466 475 494 500 520 519 540

Essex 557 577 579 599 621 627 625

Greater Manchester 1,122 1,115 1,127 1,162 1,155 1,149 1,161

Hampshire and Isle of Wight 681 685 704 735 762 793 800

Kent and Medway 641 664 654 679 668 663 686

Leicestershire, Northants and Rutland 491 504 517 523 519 524 541

Norfolk, Suffolk and Cambridgeshire 770 825 847 878 890 901 941

North and East Yorkshire and North Lincolnshire 573 584 592 611 632 664 671

North Central London 696 730 750 767 755 768 765

North East London 575 568 579 605 632 673 626

North West London 935 947 1,012 992 1,000 998 978

Northumberland, Tyne and Wear 584 594 616 635 655 645 688

Shropshire and Staffordshire 455 465 480 491 512 533 551

South East London 810 788 798 768 809 811 800

South West London 617 647 668 689 679 716 707

South West Peninsula 654 677 716 749 788 826 834

South Yorkshire 519 537 522 547 558 553 578

Surrey and Sussex 1,191 1,208 1,222 1,250 1,297 1,350 1,387

Thames Valley 832 875 902 971 989 1,029 1,069

Trent 839 854 886 933 942 941 990

West Yorkshire 824 860 876 868 854 898 924

	1996	1997	1998	1999	2000	2001	2002
England	19,980	20,483	21,041	21,556	21,902	22,438	22,810
NHS Region
Northern and Yorkshire	2,401	2,477	2,540	2,558	2,589	2,668	—
Trent	1,749	1,799	1,820	1,900	1,915	1,918	—
West Midlands	1,895	1,938	1,982	1,998	2,058	2,134	—
North West	2,740	2,777	2,846	2,900	2,887	2,929	—
Eastern	1,961	2,050	2,110	2,206	2,259	2,329	—
London	3,633	3,680	3,807	3,821	3,875	3,967	—
South East	3,538	3,627	3,683	3,840	3,915	4,033	—
South and West	2,063	2,135	2,253	2,333	2,404	2,460	—

Strategic Health Authority
Avon, Gloucestershire and Wiltshire	943	983	1,043	1,084	1,096	1,115	1,114
Bedfordshire and Hertfordshire	634	648	684	729	748	801	803
Birmingham and The Black Country	891	909	918	910	924	965	964
Cheshire and Merseyside	1,010	1,045	1,070	1,089	1,093	1,107	1,161
County Durham and Tees Valley	383	413	425	422	422	436	455
Coventry, Warwickshire, Herefordshire and Worcestershire	549	564	584	597	622	636	664
Cumbria and Lancashire	738	742	776	773	760	797	787
Dorset and Somerset	466	475	494	500	520	519	540
Essex	557	577	579	599	621	627	625
Greater Manchester	1,122	1,115	1,127	1,162	1,155	1,149	1,161
Hampshire and Isle of Wight	681	685	704	735	762	793	800
Kent and Medway	641	664	654	679	668	663	686
Leicestershire, Northants and Rutland	491	504	517	523	519	524	541
Norfolk, Suffolk and Cambridgeshire	770	825	847	878	890	901	941
North and East Yorkshire and North Lincolnshire	573	584	592	611	632	664	671
North Central London	696	730	750	767	755	768	765
North East London	575	568	579	605	632	673	626
North West London	935	947	1,012	992	1,000	998	978
Northumberland, Tyne and Wear	584	594	616	635	655	645	688
Shropshire and Staffordshire	455	465	480	491	512	533	551
South East London	810	788	798	768	809	811	800
South West London	617	647	668	689	679	716	707
South West Peninsula	654	677	716	749	788	826	834
South Yorkshire	519	537	522	547	558	553	578
Surrey and Sussex	1,191	1,208	1,222	1,250	1,297	1,350	1,387
Thames Valley	832	875	902	971	989	1,029	1,069
Trent	839	854	886	933	942	941	990
West Yorkshire	824	860	876	868	854	898	924

11 Feb 2004 : Column 1537W

Mr. Burstow: To ask the Secretary of State for Health how many whole-time equivalent NHS dentists there were per head of population (a) in total and (b) offering NHS treatment in (i) England and (ii) each strategic health authority in each year since 1997. [151464]

Ms Rosie Winterton: The available information is for the number of national health service dentists (headcount) per 10,000 population and is shown in the table for September in each of the years 1997 to 2002.

NHS dentists cover dentists working in the general dental service (GDS), hospital dental service (HDS),

11 Feb 2004 : Column 1538W

community dental service (CDS), personal dental service (PDS) and salaried service of the GDS.

Dentists working in more than one dental service are included in each service, apart from dentists working in both PDS and GDS, who are counted in the GDS only. Information for 2003 is not yet available.

Information on a whole time equivalent basis is not available, as dentists working in the GDS are able to vary the amount of hours they work and to vary their NHS commitment. The majority of dentists working in the GDS do some NHS work.

National health service: number of dentists per 10,000 population in England by strategic health authority for September each year

1997 1998 1999 2000 2001 2002

England 4.22 4.32 4.41 4.47 4.54 4.60

Strategic health authority

Avon, Gloucestershire and Wiltshire 4.64 4.90 5.05 5.08 5.15 5.13

Bedfordshire and Hertfordshire 4.16 4.36 4.60 4.70 4.99 5.00

Birmingham and the Black Country 3.98 4.03 4.01 4.09 4.26 4.24

Cheshire and Merseyside 4.42 4.53 4.63 4.65 4.71 4.95

County Durham and Tees Valley 3.61 3.72 3.71 3.72 3.85 4.02

Coventry, Warwickshire, Herefordshire and Worcester 3.75 3.87 3.94 4.10 4.17 4.31

Cumbria and Lancashire 3.90 4.08 4.07 4.00 4.18 4.12

Dorset and Somerset 4.07 4.22 4.25 4.39 4.35 4.50

Essex 3.65 3.65 3.75 3.86 3.88 3.85

Greater Manchester 4.40 4.45 4.61 4.58 4.57 4.62

Hampshire and Isle of Wight 3.92 4.01 4.16 4.30 4.45 4.47

Kent and Medway 4.29 4.21 4.34 4.24 4.19 4.32

Leicester, Northants And Rutland 3.31 3.38 3.40 3.36 3.36 3.44

Norfolk, Suffolk and Cambridgeshire 3.87 3.94 4.07 4.09 4.13 4.29

North and East Yorkshire and North Lincolnshire 3.64 3.69 3.80 3.92 4.10 4.13

North Central London 6.43 6.58 6.65 6.48 6.39 6.29

North East London 3.94 3.98 4.11 4.26 4.42 4.07

North West London 5.73 6.08 5.89 5.86 5.64 5.48

Northumberland, Tyne and Wear 4.21 4.39 4.55 4.72 4.66 4.98

Shropshire and Staffordshire 3.15 3.24 3.31 3.45 3.58 3.69

South East London 5.44 5.48 5.23 5.47 5.36 5.28

South West London 5.19 5.33 5.46 5.35 5.51 5.42

South West Peninsula 4.41 4.64 4.82 5.02 5.23 5.25

South Yorkshire 4.20 4.10 4.31 4.40 4.37 4.56

Surrey and Sussex 4.83 4.86 4.92 5.09 5.28 5.42

Thames Valley 4.26 4.37 4.67 4.74 4.90 5.09

Trent 3.34 3.45 3.63 3.65 3.59 3.75

West Yorkshire 4.16 4.23 4.20 4.13 4.31 4.42

	1997	1998	1999	2000	2001	2002
England	4.22	4.32	4.41	4.47	4.54	4.60
Strategic health authority
Avon, Gloucestershire and Wiltshire	4.64	4.90	5.05	5.08	5.15	5.13
Bedfordshire and Hertfordshire	4.16	4.36	4.60	4.70	4.99	5.00
Birmingham and the Black Country	3.98	4.03	4.01	4.09	4.26	4.24
Cheshire and Merseyside	4.42	4.53	4.63	4.65	4.71	4.95
County Durham and Tees Valley	3.61	3.72	3.71	3.72	3.85	4.02
Coventry, Warwickshire, Herefordshire and Worcester	3.75	3.87	3.94	4.10	4.17	4.31
Cumbria and Lancashire	3.90	4.08	4.07	4.00	4.18	4.12
Dorset and Somerset	4.07	4.22	4.25	4.39	4.35	4.50
Essex	3.65	3.65	3.75	3.86	3.88	3.85
Greater Manchester	4.40	4.45	4.61	4.58	4.57	4.62
Hampshire and Isle of Wight	3.92	4.01	4.16	4.30	4.45	4.47
Kent and Medway	4.29	4.21	4.34	4.24	4.19	4.32
Leicester, Northants And Rutland	3.31	3.38	3.40	3.36	3.36	3.44
Norfolk, Suffolk and Cambridgeshire	3.87	3.94	4.07	4.09	4.13	4.29
North and East Yorkshire and North Lincolnshire	3.64	3.69	3.80	3.92	4.10	4.13
North Central London	6.43	6.58	6.65	6.48	6.39	6.29
North East London	3.94	3.98	4.11	4.26	4.42	4.07
North West London	5.73	6.08	5.89	5.86	5.64	5.48
Northumberland, Tyne and Wear	4.21	4.39	4.55	4.72	4.66	4.98
Shropshire and Staffordshire	3.15	3.24	3.31	3.45	3.58	3.69
South East London	5.44	5.48	5.23	5.47	5.36	5.28
South West London	5.19	5.33	5.46	5.35	5.51	5.42
South West Peninsula	4.41	4.64	4.82	5.02	5.23	5.25
South Yorkshire	4.20	4.10	4.31	4.40	4.37	4.56
Surrey and Sussex	4.83	4.86	4.92	5.09	5.28	5.42
Thames Valley	4.26	4.37	4.67	4.74	4.90	5.09
Trent	3.34	3.45	3.63	3.65	3.59	3.75
West Yorkshire	4.16	4.23	4.20	4.13	4.31	4.42

Note:

Population data are based on 2001 census mid-year estimates.

11 Feb 2004 : Column 1539W

Mr. Burstow: To ask the Secretary of State for Health what the gender breakdown of NHS dentists was in each year since 1997; and what the gender breakdown is of dentists in training. [151465]

Ms Rosie Winterton: The information in Table 1 shows the number of female and male national health service dentists on a head count basis for England at September each year from 1997 to 2003.

NHS dentists cover dentists working in the general dental service (GDS), hospital dental service (HDS),

11 Feb 2004 : Column 1540W

community dental service (CDS) and personal dental service (PDS). Dentists working in more than one dental service are included in each service apart from dentists working in both PDS and GDS who are counted in the GDS only. Excluded are the small number of salaried dentists in the GDS.

Information on CDS and HDS for September 2003 is not currently available.

Information on the gender breakdown of vocational trainees in the GDS is shown in Table 2.

Table 1: National health service—Number of dentists by gender at 30 September each year, England

General dental service Personal dental service Community dental service Hospital dental service Total

Female Male Female Male Female Male Female Male Female Male

1997 4,640 12,088 — — 881 498 683 1,505 6,204 14,091

1998 4,940 12,307 — — 888 497 704 1,521 6,532 14,325

1999 5,224 12,497 44 39 876 492 709 1,539 6,853 14,567

2000 5,444 12,605 103 89 866 477 711 1,476 7,124 14,647

2001 5,670 12,684 273 194 877 471 730 1,454 7,550 14,803

2002 5,758 12,642 376 280 922 509 759 1,464 7,815 14,895

2003 5,930 12,607 467 335 — — — — — —

	General dental service	Personal dental service	Community dental service	Hospital dental service	Total
	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male
1997	4,640	12,088	—	—	881	498	683	1,505	6,204	14,091
1998	4,940	12,307	—	—	888	497	704	1,521	6,532	14,325
1999	5,224	12,497	44	39	876	492	709	1,539	6,853	14,567
2000	5,444	12,605	103	89	866	477	711	1,476	7,124	14,647
2001	5,670	12,684	273	194	877	471	730	1,454	7,550	14,803
2002	5,758	12,642	376	280	922	509	759	1,464	7,815	14,895
2003	5,930	12,607	467	335	—	—	—	—	—	—

Note:

PDS numbers exclude dentists who also work in the GDS. Female and male numbers for 1999 are estimated. PDS started in October 1998.

Source:

Dental Practice Board and Department of Health medical and dental workforce census.

Table 2: General dental service—Number of vocational dental practitioners by gender at 30 September each year, England

Gender 1997 1998 1999 2000 2001 2002 2003

All dentists 532 563 584 612 658 589 576

Female 268 282 279 320 342 303 281

Male 264 281 305 292 316 286 295

Gender	1997	1998	1999	2000	2001	2002	2003
All dentists	532	563	584	612	658	589	576
Female	268	282	279	320	342	303	281
Male	264	281	305	292	316	286	295

Source:

Dental Practice Board.

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