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5 Nov 2002 : Column 265W—continued

Number of Doctors and Nurses

Mr. Laws: To ask the Secretary of State for Health (1) what estimate he has made of the number of doctors per head of population in (a) the United Kingdom and (b) each other European Union country; and if he will make a statement; [76295]

Mr. Hutton [holding answer 29 October 2002]: The information requested is shown in the tables.

The comparative information about the number of doctors in the United Kingdom and the European Union is published by the Organisation for Economic Co-operation and Development (OECD), and the latest figures are shown in the table. However, these figures need to be interpreted with caution because different countries calculate the figures in different ways. If

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comparing United Kingdom data with other countries, we consistently appear near the bottom for doctors per 1,000 head of population, but this is mainly because we count only national health service doctors, whereas most other countries figures include all registered doctors, therefore counting, for example, private sector doctors and doctors who are not actually working.

Health employment: practising physicians density per 1,000 population

United Kingdom1.8

All doctors and qualified nursing, midwifery, health visiting staff and practice nurses per 1,000 population, England, at 30 September 2001

Numbers per 1,000 population
All doctors2.0
of which:
General practitioners(26) 0.6
HCHS medical and dental staff(27) 1.4
All qualified nursing(28) 7.1
of which:
Qualified nursing, midwifery and health visiting staff6.7
Practice nurses0.4

(26) General medical practitioners includes unrestricted principals, PMS salaried GP's, PMS contracted GP's restricted principals, assistants, GP registrars, salaried doctors (para 52 SFA), PMS and others and GP retainers.

(27) Excludes medical hospital practitioners and medical clinical assistants, most of whom are also general practitioners working part-time in hospitals.

(28) Figures exclude learners and agency staff.


Department of Health Medical and Dental Work Force Census.Department of Health General and Personal Medical Services Statistics.Department of Health Non-medical Work Force Census.Office for National Statistics (ONS).


Population figures are rounded to one decimal point.

Pilot Schemes

Dr. Fox: To ask the Secretary of State for Health for what reason the Health Authorities Preparation of Proposals for Pilot Schemes (Personal Medical Services) (Amendment) Directions 2002 were laid before the House on 21 October. [78072]

Mr. Hutton: The Health Authorities Preparation of Proposals for Pilot Schemes (Personal Medical Services) (Amendment) Directions 2002 were not laid before the House on 21 October.

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Dr. Fox: To ask the Secretary of State for Health how many CAMHS psychiatrists were employed in each strategic health authority in each of the past five years. [78020]

Mr. Hutton: The number of child and adolescent psychiatrists is shown in the following table. The number of consultants in the specialty has increased by 9 per cent., between September 1997 and March 2002.

Hospital, Public Health Medicine and Community Health Services (HCHS): Medical and dental staff within Child and Adolescent Psychiatry by Strategic Health Authority(29)—England(30)

Numbers (headcount)
1998 1999
All staffConsultantAll staff Consultant
Avon, Gloucestershire and Wiltshire40304030
Bedfordshire and Hertfordshire20102010
Birmingham and The Black Country50204020
Cheshire and Merseyside40304030
Country Durham and Tees Valley10102010
Coventry, Warwickshire, Herefordshire and Worcestershire10101010
Cumbria and Lancashire20102010
Dorset and Somerset10101010
Greater Manchester60305030
Hampshire and Isle of Wight30203020
Kent and Medway10102010
Leicestershire, Northamptonshire and Rutland30203020
Norfolk, Suffolk and Cambridgeshire40205030
North and East Yorkshire and Northern Lincolnshire10101010
North Central London50305030
North East London30203020
North West London50304030
Northumberland, Tyne and Wear20203020
South East London40204030
Shropshire and Staffordshire20102010
South East London40204030
LondonSouth West London20103010
South West Peninsula10101010
South Yorkshire20101010
Surrey and Sussex30203020
Thames Valley50205020
West Yorkshire30203010

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2000 2001 March 2002(31)
All staffConsultantAll staffConsultantAll staffConsultant
Avon, Gloucestershire and Wiltshire4020402020
Bedfordshire and Hertfordshire2010201010
Birmingham and The Black Country4020402020
Cheshire and Merseyside4030402020
Country Durham and Tees Valley2010202020
Coventry, Warwickshire, Herefordshire and Worcestershire1010101010
Cumbria and Lancashire2010201010
Dorset and Somerset1010201010
Greater Manchester5020502020
Hampshire and Isle of Wight4020603020
Kent and Medway2010101010
Leicestershire, Northamptonshire and Rutland2010201010
Norfolk, Suffolk and Cambridgeshire5030603030
North and East Yorkshire and Northern Lincolnshire1010101010
North Central London4030403030
North East London2020402020
North West London6030603030
Northumberland, Tyne and Wear3020202020
Shropshire and Staffordshire1010101010
South East London4030403030
South West London2010202020
South West Peninsula101010**
South Yorkshire3010201010
Surrey and Sussex4020403030
Thames Valley6030603030
West Yorkshire4020302020

(29) Staff holding appointments in more than one StHA are included separately in each StHA. The sum of StHA totals therefore differs slightly from the England total and a direct comparison is not advised.

(30) Data are at 31 March 2002 and 30 September in previous years.

(31) March 2002 data were a mini census which counted consultants only.


'—' denotes not available

'*' denotes five or less than five


Department of health medical and dental workforce census.

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Public Health Laboratory Service

Mr Liddell-Grainger: To ask the Secretary of State for Health what plans there are to maintain standards in the public health laboratories after their privatisation. [78740]

Ms Blears: All the laboratories of the Public Health Laboratory Service (PHLS) are Clinical Pathology Accreditation UK Ltd, accredited. It is envisaged that those PHLS laboratories that will transfer to the National Health Service in the coming months will maintain this accreditation. There is no plan to privatise PHLS laboratories.

Mr Ian Liddell-Grainger: To ask the Secretary of State for Health how many public health laboratories will be privatised. [78742]

Ms Blears: None of the laboratories will be privatised. From 1 April 2003, approximately 35 will transfer from the Public Health Laboratory Service to the management of National Health Service trusts. The remainder, approximately ten, will transfer to the Health Protection Agency when it is established.

Mr Ian Liddell-Grainger: To ask the Secretary of State for Health what co-ordination there will be between public health laboratories; and who will be responsible for checks on them after they are privatised. [78744]

Ms Blears: None of the laboratories will be privatised. The Health Protection Agency will be responsible for monitoring the specialist services across the National Health Service laboratories transferring from the Public Health Laboratory Service, as well as their own laboratories. NHS trusts will be responsible for the routine microbiology services in their own trusts. They will be subject to the same performance monitoring as well by primary care trusts. External accreditation programmes will also remain in place. In time, the laboratories will form part of local pathology managed clinical networks. It is hoped that, until then, informal links will be maintained and strengthened between individual laboratories.

Mr. Heald: To ask the Secretary of State for Health how many posts will be lost as a result of changes to the Public Health Laboratory Service. [78786]

Ms Blears: Under the change management protocol which has been agreed with the current employers and the unions concerned, all staff transferring to the Health Protection Agency on its establishment or to a National Health Service trust will have guaranteed continuity of employment until April 2004.

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Mr. Heald: To ask the Secretary of State for Health (1) whether the terms and conditions of employment of staff transferred to the proposed Health Protection Agency will be rationalised so that common terms and conditions apply to all staff, regardless of whether they came from the National Radiological Protection Board or the Public Health Laboratory Service; [78789]

Ms Blears: XHealth Protection: A Consultation Document on creating a health protection agency", published in June 2002, proposed that the agency would take on responsibilities in relation to the control and prevention of infectious disease, including most of the functions of the Public Health Laboratory Service (PHLS), radiological protection, protection against chemical and poisonous hazards and health emergency planning. All PHLS staff would transfer to the agency, other than those in the laboratories which will transfer to the national health service by 31 March 2003, under separate decisions announced on 3 September. We are currently considering responses to the consultation document and will announce our decisions as soon as possible.

The consultation document also proposed that staff would transfer on their existing terms and conditions of service. Future changes would be a matter for the board of the proposed agency to agree with the recognised trades unions.

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