Select Committee on Health Minutes of Evidence


Annex B

EXAMPLES OF INEQUALITY OF ACCESS TO MARIE CURIE NURSING SERVICES

  The examples depicted in the table below are drawn from the attached Nursing Statistics and provide evidence of the inequalities of access to Marie Curie Cancer Care nursing services.

    —  The first example shows two PCTs in Scotland which receive approximately the same number of nursing hours even though one serves a population more than double the size of the other.

    —  The second example shows two PCTs in the North East where the first has almost double the population of the other but commissions almost half the amount of nursing hours.

  Further examples can be drawn out of the attached tables.




Unit Name
Population Size
Patients nursed
by
MCCC
Total
Hours
Adverage Hours
Per
Patient
Adverage Hours
Per 1,000 Population

Scotland
Dumfries and Galloway Primary Care NHS Trust
145,800
96
7,011
73.03
48.09
Fife Primary Care NHS Trust
350,400
95
6,809
71.67
19.43
North East
Morecambe Bay Primary Care Trust
306,955
105
4,896.00
46.63
15.95
Scarborough, Whitby and Ryedale PCT
155,055
105
9,306.75
88.64
60.02


MARIE CURIE CANCER CARE—PRELIMINARY NURSING SERVICE STATISTICS 2003-04

Unit Name
Population Size
Patients nursed
by
MCCC
Total
Hours
Adverage Hours
Per
Patient
Adverage Hours
Per 1,000 Population
 
Scotland
Tayside Primary Care NHS Trust
385,500
254
4,992
19.65
12.95
Western Isles NHS Board
29,040
12
605
50.38
20.82
Renfrewshire and Inverclyde Primary Care NHS Trust
111,000
49
2,138
43.62
19.26
Morayshire Local Health Care Coop
84,143
25
2,490
99.60
29.59
Forth Valley Primary Care NHS Trust
278,000
83
4,845
58.37
17.43
Grampian Primary Care NHS Trust
253,400
80
4,936
61.70
19.48
Highland Primary Care NHS Trust
208,600
106
8,368
78.94
40.12
Lothian Primary Care NHS Trust
620,000
123
7,042
57.25
11.36
Dumfries and Galloway Primary Care NHS Trust
145,800
96
7,011
73.03
48.09
Argyll and Bute Local Healthcare Coop
65,000
7
169
24.14
2.60
Marie Curie Centre Fairmile
0
0
1,189
0.00
0.00
West Lothian Primary Care NHS Trust
163,535
34
2,203
64.79
13.47
Fife Primary Care NHS Trust
350,400
95
6,809
71.67
19.43
Greater Glasgow Primary Care NHS Trust
911,500
282
18,159
64.39
19.92
Borders Primary Care NHS Trust
106,900
41
1,903
46.41
17.80
Ayrshire and Arran Primary Care NHS Trust
373,400
115
6,627
57.63
17.75
NHS Argyll and Clyde Primary Care NHS Trust
74,544
22
963
43.76
12.91
Marie Curie Centre Hunters Hill
0
0
1,129
0.00
0.00
Lanarkshire Primary Care NHS Trust
562,000
209
20,237
96.83
36.01
Total
4,197,222
1,318
94,080
898.53326
305.95768
 
North East
Northumbria Health Care Trust
305,472
15
1,424.10
94.94
4.66
Fylde Primary Care Trust
66,014
225
6,747.40
29.99
102.21
Morecambe Bay Primary Care Trust
306,955
105
4,896.00
46.63
15.95
Marie Curie Centre Newcastle
0
0
1,207.00
0.00
0.00
Durham Dales Primary Care Trust
0
45
1,528.00
33.96
0.00
Hartlepool Primary Care Trust
88,599
34
2,239.00
65.85
25.27
Preston Primary Care Trust
135,263
15
828.00
55.20
6.12
Hyndburn and Ribble PCT
245,255
105
5,388.00
51.31
21.97
Selby and York Primary Care Trust
267,998
58
3,231.00
55.71
12.06
Scarborough, Whitby and Ryedale PCT
155,055
105
9,306.75
88.64
60.02
Hambleton and Richmondshire PCT
105,704
54
4,673.75
86.55
44.22
Craven, Harrogate and Rural District Primary Care Trust
201,950
67
4,566.50
68.16
22.61
Sunderland Teaching Primary Care Trust
276,076
87
6,350.50
72.99
23.00
Eden Valley Primary Care Trust
70,160
26
7,329.00
281.88
104.46
Sedgefield Primary Care Trust
0
30
1,049.00
34.97
0.00
North Tyneside Primary Care Trust
195,751
71
2,097.00
29.54
10.71
Derwentside PCT
164,060
59
2,832.50
48.01
17.27
West Cumbria (Eden Valley) Primary Care Trust
70,160
46
901.50
19.60
12.85
Gateshead Primary Care Trust
195,929
50
2,520.00
50.40
12.86
South Tyneside Healthcare NHS Trust
152,597
40
4,506.25
112.66
29.53
Easington Primary Care Trust
96,141
46
2,720.00
59.13
28.29
North Tees Teaching Primary Care Trust
177,324
35
1,611.50
46.04
9.09
Middlesbrough PCT, Langbaurgh PCT
177,055
74
3,452.00
46.65
19.50
Newcastle Primary Care Trust
197,633
47
2,285.00
48.62
11.56
Total
3,279,665
1,199
75,518.25
1,402.48387
487.338794
 
North West
Doncaster and South Humber Health Care NHS Trust (DON)
293,000
180
3,300.90
18.34
11.27
Barnsley Primary Care Trust
221,800
162
2,585.80
15.96
11.66
Calderdale Primary Care Trust
197,800
98
1,946.00
19.86
9.84
Halton Primary Care Trust
273,756
61
3,185.00
52.21
11.63
Sheffield South West Primare Care Trust
517,407
611
15,516.00
25.39
29.99
Central Cheshire Primary Care Trust
269,000
249
6,755.10
27.13
25.11
Rotherham Primary Care Trust
251,500
101
1,872.00
18.53
7.44
Ellesmere Port and Neston PCT
235,576
135
5,277.00
39.09
22.40
Southport and Formby Primary Care Trust
122,500
45
0.00
0.00
0.00
Stockport Primary Care Trust
291,400
26
1,764.00
67.85
6.05
Chorley and S Ribble Primary Care Trust
200,500
37
2,571.00
69.49
12.82
Ashton, Leigh and Wigan Primary Care Trust
313,000
31
1,972.25
63.62
6.30
Bury Primary Care Trust
182,200
29
987.50
34.05
5.42
Heywood and Middleton Primary Care Trust
202,117
49
2,766.00
56.45
13.69
Bolton Primary Care Trust
265,000
65
3,839.00
59.06
14.49
Oldham Primary Care Trust
220,300
27
901.00
33.37
4.09
Tameside and Glossop Primary Care Trust
223,142
46
1,955.00
42.50
8.76
Salford Primary Care Trust
230,700
17
494.50
29.09
2.14
Bradford North Primary Care Trust
784,861
70
4,358.00
62.26
5.55
Bebington and West Wirral Primary Care Trust
312,120
61
2,438.00
39.97
7.81
Trafford South Primary Care Trust
207,810
17
1,634.00
96.12
7.86
East Cheshire Primary Care Trust
182,000
43
1,103.00
25.65
6.06
Airedale NHS Trust
311,756
17
1,229.00
72.29
3.94
Yorkshire Wolds and Coast PCT
522,000
154
11,597.75
75.31
22.22
North Kirklees Primary Care Trust
166,553
45
1,433.00
31.84
8.60
Leeds North West Primary Care Trust
574,643
23
772.00
33.57
1.34
Eastern Wakefield Primary Care Trust
325,745
37
1,523.00
41.16
4.68
Total
5,638,347
839
43,338
933.643628
141.8339
 
Trent
South Leicestershire NHS Primary Care Trust
908,443
739
12,323.00
16.68
13.56
North East Lincolnshire NHS Primary Care Trust
163,333
247
6,263.80
25.36
38.35
West Lincolnshire Primary Care Trust
207,646
113
5,871.25
51.96
28.28
North Lincolnshire Primary Care Trust
153,368
81
4,938.00
60.96
32.20
Nottingham City NHS Primary Care Trust
616,706
172
5,077.50
29.52
8.23
East Lincolnshire NHS Primary Care Trust
265,297
70
5,369.50
76.71
20.24
Greater Derby Primary Care Trust
567,294
134
6,572.00
49.04
11.58
Ashfield Primary Care Trust
284,249
88
11,089.50
126.02
39.01
Bassetlaw Primary Care Trust
104,178
23
1,129.00
49.09
10.84
Lincolnshire South West Primary Care Trust
180,908
29
2,426.00
83.66
13.41
High Peak and Dales NHS Primary Care Trust
363,278
72
2,816.00
39.11
7.75
Total
2,742,924
782
45,288.75
566.063481
171.542337
 
Wales
Rhondda Cynon Taff Local Health Board
231,952
43
2,402.00
55.86
10.36
Blaenau Gwent Local Health Board
554,442
104
6,101.00
58.66
11.00
Anglesey and Gwynedd Local Health Board
183,666
69
6,141.50
89.01
33.44
Bridgend Local Health Board
262,121
128
9,473.50
74.01
36.14
Swansea Local Health Board
223,293
95
6,385.25
67.21
28.60
Holme Tower Marie Curie Centre
0
1
1,749.25
1,749.25
0.00
Powys Local Health Board
126,344
60
3,248.00
54.13
25.71
Carmarthenshire NHS Trust
173,635
67
4,814.50
71.86
27.73
Ceredigion Local Health Board
126,344
32
3,549.00
110.91
28.09
Flintshire and Wrexham Local Health Boards
277,042
95
4,545.00
47.84
16.41
Conwy and Denbighshire Local Health Boards
202,629
45
2,300.00
51.11
11.35
Merthyr Tydfil Local Health Board
55,923
42
3,052.00
72.67
54.58
Cardiff Local Health Board
424,633
71
3,342.75
47.08
7.87
Total
2,842,024
852
57,103.75
2,549.60471
291.264058
 
South West
Plymouth Primary Care Trust
240,994
225
4,469.80
19.87
18.55
Kennett and North Wiltshire Primary Care Trust
302,100
19
1,044.00
54.95
3.46
Somerset Coast Primary Care Trust
495,346
3
828.50
276.17
1.67
South Somerset Primary Care Trust
0
31
1,191.00
38.42
0.00
Central Cornwall Primary Care Trust
688,367
179
7,661.00
42.80
11.13
Weston Hospice
0
18
389.00
21.61
0.00
Bristol South and West Primary Care Trust
184,904
41
1,342.00
32.73
7.26
North Somerset Primary Care Trust
186,054
53
1,912.00
36.08
10.28
Mendip Primary Care Trust
108,091
13
448.00
34.46
4.14
Tauton Deane Primary Care Trust
102,287
23
1,574.00
68.43
15.39
Tiverton, Marie Curie Day Centre
0
0
564.50
0.00
0.00
South West Dorset Primary Care Trust
134,402
40
1,360.50
34.01
10.12
Torbay Primary Care Trust
337,962
56
2,361.00
42.16
6.99
Mid Devon Primary Care Trust
338,980
103
6,878.00
66.78
20.29
South Gloucestershire Primary Care Trust
230,258
62
2,924.00
47.16
12.70
Bristol North Primary Care Trust
209,496
81
4,436.00
54.77
21.17
North Dorset Primary Care Trust
86,833
36
1,709.00
47.47
19.68
Poole Primary Care Trust
466,371
65
1,673.00
25.74
3.59
South Wiltshire Primary Care Trust
115,477
62
2,493.00
40.21
21.59
Swindon Primary Care Trust
183,188
24
690.00
28.75
3.77
Bath and North East Somerset Primary Care Trust
174,221
15
354.00
23.60
2.03
Northern Devon Primary Care Trust
147,196
60
3,485.00
58.08
23.68
Total
4,491,533
984
45,317.5
1,074.37721
198.928957
 
South East
Isle of Wight Primary Care Trust
131,502
133
3,730.00
28.05
28.36
Mid Sussex NHS Trust
0
23
373.00
16.22
0.00
Maidstone Weald PCT
0
41
1,536.00
37.46
0.00
Portsmouth City Primary Care Trust
170,966
172
2,133.00
12.40
12.48
Southhampton City PCT
0
52
2,110.00
40.58
0.00
New Forest Primary Care Trust
174,101
78
715.00
9.17
4.11
East Hampshire Primary Care Trust
181,117
131
2,961.00
22.60
16.35
Fareham and Gosport Primary Care Trust
182,713
112
2,596.00
23.18
14.21
Adur, Arun and Worthing Primary Care Trust
212,787
77
1,450.10
18.83
6.81
Eastleigh and Test Valley South Primary Care Trust
149,562
20
585.00
29.25
3.91
Medway Primary Care Trust
265,088
88
3,091.00
35.13
11.66
South West Kent Primary Care Trust
179,466
28
485.00
17.32
2.70
East Surrey Primary Care Trust
151,556
29
874.00
30.14
5.77
East Elmbridge and Mid Surrey Primary Care Trust
253,956
35
1,196.00
34.17
4.71
Crawley Primary Care Trust
207,112
25
1,092.00
43.68
5.27
Guildford and Waverley Primary Care Trust
599,854
112
3,904.50
34.86
6.51
North Surrey Primary Care Trust
201,265
42
2,599.00
61.88
12.91
Countess Mountbatten House
0
24
738.00
30.75
0.00
West Sussex Primary Care Trust
198,667
97
3,654.00
37.67
18.39
Mid Hants Primary Care Trust (and over)
165,248
37
1,982.00
53.57
11.99
Sussex Downs and Weald Primary Care Trust
148,473
28
730.00
26.07
4.92
Canterbury and Coastal Primary Care Trust
588,808
107
3,385.50
31.64
5.75
Princess Alice Hospice
0
95
2,158.50
22.72
0.00
Bexhill and Rother Primary Care Trust
167,778
0
2,273.00
0.00
13.55
Reading Primary Care Trust
300,367
70
1,872.50
26.75
6.23
Windsor, Ascot and Maidenhead Primary Care Trust
513,630
36
1,238.00
34.39
2.41
Cherwell Vale Primary Care Trust
610,718
70
2,075.50
29.65
3.40
South Downs Health NHS Trust
253,874
53
1,803.00
34.02
7.10
Eastbourne Downs Primary Care Trust
165,692
25
892.00
35.68
5.38
Total
5,121,114
1021
36,628.5
649.336443
132.574442
 
Greater London
St Francis Hospice
0
90
1,246.50
13.85
0.00
Waltham Forest Primary Care Trust
218,277
23
1,593.00
69.26
7.30
Havering Primary Care Trust
163,094
59
2,738.00
46.41
16.79
Westminster Primary Care Trust
181,279
8
188.00
23.50
1.04
Kensington and Chelsea Primary Care Trust
158,922
12
597.00
49.75
3.76
Hammersmith and Fulham Primary Care Trust
165,243
22
915.00
41.59
5.54
Barking and Dagenham Primary Care Trust
163,944
34
2,118.00
62.29
12.92
Wandsworth Primary Care Trust
260,383
21
1,054.00
50.19
4.05
Kingston Primary Care Trust
147,295
17
337.50
19.85
2.29
Ealing Primary Care Trust
300,947
31
1,498.50
48.34
4.98
Sutton and Merton Primary Care Trust
367,575
65
2,460.00
37.85
6.69
Richmond And Twickenham Primary Care Trust
172,801
30
1,015.00
33.83
5.87
Lewisham Primary Care Trust
172,327
48
3,474.50
72.39
20.16
Islington Primary Care Trust
175,787
42
1,421.00
33.83
8.08
St Christophers Hospice
0
29
1,530.50
52.78
0.00
Camden Primary Care Trust
330,688
38
1,697.50
44.67
5.13
Southwark Primary Care Trust
244,867
48
7,145.00
148.85
29.18
Barnet Primary Care Trust
314,561
64
1,898.00
29.66
6.03
Enfield Primary Care Trust
224,248
32
1,260.00
39.38
5.62
Lambeth Primary Care Trust
266,170
53
3,498.00
66.00
13.14
Harrow Primary Care Trust
207,389
44
1,227.00
27.89
5.92
Brent Primary Care Trust
263,463
19
456.00
24.00
1.73
Hounslow Primary Care Trust
212,344
37
1,029.00
27.81
4.85
Hillingdon Primary Care Trust
242,435
58
2,913.75
50.24
12.02
Redbridge Primary Care Trust
238,628
14
288.00
20.57
1.21
Tower Hamlets Primary Care Trust
196,121
25
1,592.00
63.68
8.12
Newham Primary Care Trust
243,737
29
2,599.00
89.62
10.66
Edenhall Marie Curie Centre
0
5
150.50
30.10
0.00
Haringey Primary Care Trust
216,510
30
2,222.00
74.07
10.26
Bexley Primary Care Trust
218,207
41
797.00
19.44
3.65
Queen Elizabeth Hospital NHS Trust
214,540
72
1,917.50
26.63
8.94
Bromley Primary Care Trust
295,530
107
3,783.00
35.36
12.80
City and Hackney Primary Care Trust
210,005
20
1,848.50
92.43
8.80
Croydon Primary Care Trust
330,688
19
437.00
23.00
1.32
Total
7,118,005
1196
57,698.75
1,575.2395
248.850213
 
Eastern
Huntingdonshire Primary Care Trust
143,532
117
1,454.30
12.43
10.13
West Norfolk Primary Care Trust
279,678
205
9,550.00
46.59
34.15
Aylesbury Vale Community Health Care NHS Trust
190,994
120
2,230.50
18.59
11.68
Basildon Primary Care Trust
383,703
290
5,441.80
18.76
14.18
Cambridge City Primary Care Trust
124,343
555
15,269.60
27.51
122.80
Southend Primary Care Trust
161,170
180
2,785.50
15.48
17.28
North Peterborough Primary Care Trust
103,915
236
13,694.00
58.03
131.78
Isobel Hospice
0
800
3,353.20
4.19
0.00
Harlow Primary Care Trust
82,102
19
1,759.00
92.58
21.42
North Norfolk Primary Care Trust
0
0
1,027.00
0.00
0.00
Broadland Primary Care Trust
0
28
882.00
31.50
0.00
Uttlesford Primary Care Trust
69,885
27
865.00
32.04
12.38
Bedford Primary Care Trust
144,551
45
1,550.50
34.46
10.73
Bedfordshire Heartlands Primary Care Trust
240,983
62
2,749.00
44.34
11.41
Luton Primary Care Trust
180,872
58
3,757.50
64.78
20.77
Brentwood Primary Care Trust
0
7
883.25
126.18
0.00
Tendring Primary Care Trust
294,170
101
6,537.25
64.73
22.22
Epping Forest Primary Care Trust
105,004
32
760.00
23.75
7.24
Maldon and South Chelmsford Primary Care Trust
80,513
79
5,312.00
67.24
65.98
Dacorum Primary Care Trust
524,948
137
7,355.25
53.69
14.01
Southern Norfolk Primary Care Trust
0
25
1,728.50
69.14
0.00
North Hertfordshire and Stevenage Primary Care Trust
182,237
63
1,767.00
28.05
9.70
Norwich City Primary Care Trust
538,633
119
7,219.50
60.67
13.40
Suffolk West Primary Care Trust
212,073
117
5,213.00
44.56
24.58
Central Suffolk Primary Care Trust
546,739
56
4,054.00
72.39
7.41
Daventry and South Northamptonshire Primary Care Trust
96,026
146
7,837.00
53.68
81.61
Milton Keynes Primary Care Trust
211,774
41
1,653.00
40.32
7.81
Chiltern and South Buckinghamshire Primary Care Trust
154,506
70
3,121.00
44.59
20.20
Welwyn Hatfield Primary Care Trust (East Hertfordshire)
347,015
57
3,794.00
66.56
10.93
Total
4,012,031
1,289
69,824.75
1,115.22339
361.806475
 
Northern Ireland
Newry and Mourne Trust
89,901
45
2,450.00
54.44
27.25
Armagh and Dungannon Health and
Social Services Trust
102,207
71
4,252.00
59.89
41.60
Marie Curie Centre Belfast
0
0
6,768.50
0.00
0.00
Sperrin Lakeland Health and Social Care Trust
118,827
93
6,915.25
74.36
58.20
Craigavon and Banbridge Trust
117,326
60
5,882.50
98.04
50.14
Homefirst Community Trust
330,072
154
6,867.00
44.59
20.80
Ulster Community and Hospital Trust
147,096
70
2,305.00
32.93
15.67
Down Lisburn Trust
175,075
80
4,668.50
58.36
26.67
North and West Belfast Health and Social Services Trust
157,720
85
6,812.00
80.14
43.19
South and East Belfast Health and Social Services Trust
193,403
91
4,104.50
45.10
21.22
Causeway Health and Social Services Trust
96,941
45
1,694.50
37.66
17.48
Foyle Health and Social Care Trust
162,599
72
3,554.00
49.36
21.86
Total
1,691,167
866
56,273.75
634.868931
344.078524
  
West Midlands
North Stoke Primary Care Trust
614,995
84
9,870.25
117.50
16.05
Warren Pearl Marie Curie Centre
0
1
35.75
35.75
0.00
Heart of Birmingham
277,555
15
472.00
31.47
1.70
North Birmingham Primary Care Trust
158,423
39
1,816.50
46.58
11.47
South Birmingham PCT
331,675
61
3,381.25
55.43
10.19
West Gloucestershire Primary Care Trust
216,724
48
2,417.00
50.35
11.15
Wyre Forest Primary Care Trust
106,295
22
916.00
41.64
8.62
Oldbury and Smethwick Primary Care Trust
295,178
60
3,110.00
51.83
10.54
Eastern Birmingham Primary Care Trust
233,548
40
2,494.25
62.36
10.68
South Worcestershire Primary Care Trust
272,580
95
4,568.00
48.08
16.76
Solihull Primary Care Trust
198,873
64
4,552.00
71.13
22.89
South Western Staffordshire Primary Care Trust
566,256
102
4,376.00
42.90
7.73
Herefordshire Primary Care Trust
173,142
61
2,861.50
46.91
16.53
North Warwickshire Primary Care Trust
412,558
75
4,656.00
62.08
11.29
Shropshire County Primary Care Trust
434,096
127
6,198.00
48.80
14.28
Dudley South Primary Care Trust
302,131
65
2,676.00
41.17
8.86
Wolverhampton Primary Care Trust
237,046
38
1,741.00
45.82
7.34
Cheltenham and Tewkesbury Primary Care Trust
157,701
34
1,377.00
40.50
8.73
Walsall Primary Care Trust
214,560
16
828.50
51.78
3.86
Coventry Primary Care Trust
315,619
27
2,324.00
86.07
7.36
Total
5,518,955
1,074
60,671
1,078.15151
206.02019




 
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