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12 Jul 2004 : Column 935W—continued

NHS Managerial Salaries

Mr. Norman: To ask the Secretary of State for Health what the average salary of NHS (a) managers and (b) senior managers has been in each year since 1997. [182033]

Mr. Hutton: It is not possible to separate earnings of managers and senior managers. Robust data on the pay of managers and senior managers was first collected in 2002. For 2002, the average earnings of managers and senior managers was estimated to be £35,700. Of this, £34,900 was made up of basic salary, No data is available for 2003 as the national health service staff earnings survey only proceeds every two years, but estimates put the figures at £36,900 and £36,000 respectively.

NHS Staff Suspensions

Mr. Burstow: To ask the Secretary of State for Health if he will estimate the cost to the national health service of suspensions of medical and dental staff for the latest quarter for which figures are available. [182405]

Mr. Hutton: Information is collected about hospital and community medical and dental staff suspended for more than six months, including information about approximate costs. The reported cumulative approximate cost of the 21 doctors and dentists currently suspended for more than six months is £2.1 million. This figure includes some legal and locum fees, as well as salary costs.

NHS Temporary Staff

Mr. Burstow: To ask the Secretary of State for Health what assessment he has made of the risk of fraud in nurse banks and medical locum agencies; and if he will make a statement. [182657]


 
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Mr. Hutton: No such assessment has been made but the National Health Service counter fraud and security management service is currently reviewing staff bank systems with local counter fraud specialists.

NHS Work Force Definitions

Dr. Murrison: To ask the Secretary of State for Health (1) what plans he has to expand the NHS workforce described as consultant from non-medically or dentally qualified practitioners; [180656R]

(2) what measures he will take to ensure that patients are not misled by the term consultant into believing that they are seeing a doctor or dentist, in the context of non-medically or non-dentally qualified practitioners in the NHS; [180657R]

(3) what assessment has been made of the public's understanding of the term consultant in the context of practitioners they have seen in the NHS. [180671R]

Mr. Hutton: Appointments to nurse, midwife, health visitor, allied health professions, or healthcare scientist consultant posts are the responsibility of the potential national health service employers, who should take account of any relevant guidance. The Department does not intend to inhibit such appointments. Nor is it aware of any evidence that patients are misled by the use of the term consultant in relation to NHS staff who are not doctors or dentists, although no research has been commissioned by the Department into the public's understanding of this term.

Obesity-related Sleep Apnoea

Mr. Burstow: To ask the Secretary of State for Health pursuant to the Answer of 21 June 2004, Official Report, columns 1281–2W, on obesity-related sleep apnoea, if he will estimate the number of paediatric finished consultant episodes for obesity-related sleep apnoea in each year since 1997. [182426]

Miss Melanie Johnson: The table shows information on the number of finished consultant episodes (FCEs) for sleep related apnoea, for children under 16 from the (financial) year 1996–97 onwards.
Obesity-related sleep apnoea (1C 10 primary diagnosis G47.3 (sleep apnoea) with secondary mention E66 (obesity) for children under 16, FCEs, national health service hospitals in England, 1996–97 to 2002–03

Financial yearFCEs
1996–975
1997–983
1998–9917
1999–200015
2000–0129
2001–0224
2002–0348




Notes:
1. The primary diagnosis is the first of up to 14 (7 prior to 2002–03) diagnosis fields in the Hospital Episodes Statistics (HES) data set and provides the main reason why the patient was in hospital.
2. A FCE is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year.
3. Figures are grossed for coverage, except for 2001–02 and 2002–03 which are not yet adjusted for shortfalls.
Source:
Hospital Episode Statistics, Department of Health.




 
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Paramedics

Mr. Jim Cunningham: To ask the Secretary of State for Health what measures his Department plans to increase the recruitment of paramedics. [177890]

Mr. Hutton [holding answer 14 June 2004]: The number of paramedics employed in the national health service is increasing. As at September 2003, there were 7,094 paramedics employed in the NHS, an increase of 730 or 11 per cent., since 1997. The March 2003 national vacancy rate for ambulance staff was 0.7 per cent., indicating that local and national recruitment and retention initiatives are working. These include improving pay and conditions, encouraging the NHS to become a better, more flexible and diverse employer, increasing training, investing in child care and continuing professional development and running national and local recruitment campaigns. NHS Careers, in association with the Ambulance Service Association, has published a new brochure specifically to showcase careers in the ambulance services. Copies are available in the Library.

In addition to the traditional paramedic training routes for ambulance technicians, the development of degree courses in paramedic science and foundation degrees with flexible entry and exit points, combined with career development in supervisory skills, team leadership and management, will help to encourage further new entrants into the profession. Other developments within ambulance services, such as expanding the role of paramedics to provide more out of hospital care, thus enabling faster treatment, and the development of new ways of working such as the first responder schemes, will continue to ensure there are attractive and rewarding careers for all ambulance staff, including paramedics.
 
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Patient Episodes

Ian Lucas: To ask the Secretary of State for Health how many patient episodes have been carried out by the English NHS on patients from Wales in each year since 1999, broken down by (a) medical specialism and (b) county borough of residence of patient. [182446]

Mr. Hutton: The numbers of finished in year admissions to national health service hospitals in England, for patients resident in Welsh local authority areas are given in table 1 for 1999–2002. The numbers of finished in-year admissions for the patients in table 1 are given by the main specialty of the consultant in table 2.
Table 1: Finished in year admissions to NHS hospitals in England for patients resident in Wales, by local authority of residence, 1999–2002

Local authority districtFinished in year admissions
of residence1999–20002000–012001–022002–03
All Welsh districts41,50941,31340,51939,070
Isle of Anglesey1,1471,2031,2511,218
Gwynedd1,8391,9311,8931,823
Conwy1,6921,7781,7121,669
Denbighshire1,6571,6051,7161,549
Flintshire12,84412,69111,94311,057
Wrexham4,1773,0722,8742,785
Powys11,16212,23812,41012,189
Ceredigion423419431412
Pembrokeshire350445432425
Carmarthenshire446495474516
Swansea574553560529
Neath Port Talbot316299274318
Bridgend452412370380
The Vale of Glamorgan284331339317
Rhondda, Cynon, Taff500471518478
Merthyr Tydfil166113134138
Caerphilly381363405438
Blaenau Gwent190204220191
Torfaen292283274281
Monmouthshire1,3411,2901,1931,160
Newport548481468499
Cardiff729636628698

Table 2: Finished in year admissions to NHS hospitals in England for patients resident in Wales, by main specialty of consultant, 1999–2002

Finished in year admissions
Main specialty of consultant1999–20002000–012001–022002–03
All specialties41,50941,31340,51939,070
Not known1726051013
General surgery4,4214,5194,1554,151
Urology1,6701,7111,7171,775
Trauma and Orthopaedics5,0074,9565,3325,557
Ear Nose and Throat (ENT)1,0901,2521,2841,226
Ophthalmology2,0552,3562,2371,889
Oral surgery731783563507
Restorative dentistry265
Paediatric Dentistry10152123
Neurosurgery664711697708
Plastic surgery1,2351,3111,3311,242
Cardiothoracic surgery8491,0371,035924
Paediatric Surgery409467470439
Accident and emergency (A and E)160151193136
Anaesthetics270298285253
Pain Management58485374
General Medicine5,3385,2804,7284,486
Gastroenterology8066829661,042
Endocrinology31262959
Haematology (clinical)489869792701
Clinical Pharmacology242613
Audiological medicine1
Clinical genetics2
Clinical immunology and Allergy2062010
Rehabilitation46513244
Palliative Medicine111
Cardiology2,1572,5242,9072,857
Dermatology61865870
Thoracic medicine283237260227
Infectious diseases10252519
Nephrology126133176261
Medical oncology578627545400
Nuclear Medicine4115
Neurology703781847730
Rheumatology520440447439
Paediatrics2,6772,8232,7622,152
Paediatric neurology54565745
Geriatric medicine413433464612
Medical Ophthalmology222
Obstetrics for patients using a hospital bed1,9842,1172,5662,487
Gynaecology1,7351,8851,5471,543
Mid-wife episodes22611
General practice with maternity function23231424
General practice other than maternity91876788
Mental handicap1271
Mental illness298263271244
Child and adolescent psychiatry10687
Forensic Psychiatry33
Psychotherapy2101
Old age psychiatry910910
Clinical oncology (previously Radiotherapy)4,0291,5011,3801,479
Radiology89766966
Chemical Pathology2731226
Haematology587246
Medical microbiology1




'—' = zero
Notes:
1. Finished in-year admissions
A finished in-year admission is the first period of in-patient care under one consultant within one healthcare provider, excluding admissions beginning before 1 April at the start of the data year. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
2. Local authority of residence
This is the local authority district using the latest available boundaries for the data year, where postcodes were known.
3. Specialty
Care is needed when analysing HES data by specialty, or by groups of specialties (such as acute). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information.
4. Grossing
Figures are grossed for both coverage and missing/invalid clinical data, except for 2001–02 and 2002–03, which are not yet adjusted for shortfalls.
Source:
Hospital Episode Statistics (HES), Department of Health.





 
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