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To ask the Secretary of State for Health, how many consultant paediatricians have left the NHS in each of the last six years; and for what reasons. - Including no figures.

Asked by

Tim Loughton (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

18 December 2003

Reference

143048; 415 c1132W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many referrals of children up to the age of five years there were to the Community Paediatric Service in England and Wales in each year since 1997; and who initiated the referrals. - Including table and ref to Patient Care in...

Asked by

Barry Gardiner (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

10 December 2003

For answer on

18 December 2003

Answered on

18 December 2003

Mr. Gardiner: To ask the Secretary of State for Health how many referrals of children up to the age of five years there were to the Community Paediatric Service in England and Wales in each year since 1997; and who initiated the referrals. [144137] Dr. Ladyman: Information is not available in the form requested. Data about new episodes of care with the community paediatric nursing services in England are published in "Patient Care in the Community, NHS Specialist Care Nursing, Summary information for 2002-03, England"-- available at http://www.doh.gov.uk/kc590203. The data collected do not include the age of the children involved or source of referral. The table shows numbers of new episodes in the financial years 1997-98 to 2002-03. Initial contacts with community paediatric nurses, England, 1997-98 to 2002-03 _________________________________________________________________________________________________. Number of initial contacts 1997-98 33,200 1998-99 36,000 1999-2000 37,100 2000-01 40,200 2001-02 41,100 2002-03 43,600 _________________________________________________________________________________________________. Note: Referrals to community paediatric nurses are not necessarily the same as referrals to community paediatric services--which usually relate to medical services and a different client mix.

Date

18 December 2003

Reference

144137; 415 c1118-9W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what preventative measures are being taken by NHS trusts to prevent respiratory syncytial virus; how many paediatric wards have been closed due to respiratory syncytial virus infection in the last 12 months, broken down by NHS trust; how many babies contracted respiratory...

Asked by

Lord Mann (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

16 December 2003

Reference

415 c894W; 143683;143684;143685;143686

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many consultant paediatricians are currently employed in the NHS on a (a) part-time and (b) full-time basis; how many new consultant paediatricians have been appointed in each of the last six years; what is the age profile of consultant paediatricians currently...

Asked by

Tim Loughton (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

4 December 2003

For answer on

15 December 2003

Answered on

15 December 2003

Tim Loughton: To ask the Secretary of State for Health (1) how many consultant paediatricians are currently employed in the NHS on a (a) part-time and (b) full-time basis; [143046] (2) how many new consultant paediatricians have been appointed in each of the last six years; [143047] (3) what the age profile is of consultant paediatricians currently working in the NHS. [143049] Mr. Hutton: The Department does not collect data on the number of newly appointed consultant paediatricians. Workforce data is collected through the annual Department of Health medical workforce census. The census is a snapshot of data as at 30 September in the appropriate year. The information in table 1 shows the net increases in the number of paediatric consultants since 1997. Table 1: Hospital, Public Health Medicine and Community Health Services (HCHS) Staff Consultants in the paediatric group of specialities--England Number (headcount) _________________________________________________________________________________________________. 1997 1998 1999 2000 2001 2002 March 2003 June 2003 Paediatrics Group 1,227 1,299 1,355 1,443 1,507 1,695 1,768 1,801 Of which: Paediatric cardiology 16 17 18 23 29 64 58 63 Paediatrics 1,211 1,282 1,337 1,420 1,478 1,631 1,710 1,738 _________________________________________________________________________________________________. Note: All data as at 30 September except 2003 which is at 31 March and 30 June. Source: Department of Health Medical and Dental Workforce Census. Between September 1997 and June 2003, there has been a 47 per cent. increase in the number of consultants in the paediatrics group. Table 2 shows how many consultant paediatricians were employed in the national health service on (a) part-time and (b) whole-time basis as at 30 June 2003. Table 2: Hospital, Public Health Medicine and Community Health Services (HCHS): Consultants within the paediatrics group of specialties by nature of contract Number (headcount) _________________________________________________________________________________________________. As at June 2003 All contracts Full-time1 Part-time Honorary Paediatric Group 1,801 1,360 290 151 Of which: Paediatric cardiology 63 45 7 11 Paediatrics 1,738 1,315 283 140 _________________________________________________________________________________________________. 1 Consists of staff on whole time and maximum part time contracts Note: In these figures, honorary doctors are staff who provide clinical services to an NHS organisation whilst not having a paid substantive or locum contract with that organisation. Source: Department of Health medical and dental workforce census. The age profiles of consultants in the paediatric group working in the NHS, as at June 2003, are shown in table 3. Table 3: Hospital, Public Health Medicine and Community Health Services (HCHS) Staff Consultants in the paediatric group of specialities Number (headcount) _________________________________________________________________________________________________. Of which: England at All ages 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 and 30 June 2003 over Paediatrics 1,801 18 280 430 412 322 238 80 20 1 Group Of which: Paediatric 63 0 10 18 14 7 7 5 2 0 cardiology Paediatrics 1,738 18 270 412 398 315 231 75 18 1 _________________________________________________________________________________________________. Source: Department of Health Medical and Dental Workforce Census

Date

15 December 2003

Reference

415 c781-2W; 143046;143047;143049

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, what action he is taking to ensure that drug treatments currently licensed for adults are evaluated and made available for paediatric use.

Asked by

Lord Boswell of Aynho (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

22 October 2003

For answer on

6 November 2003

Answered on

6 November 2003

Mr. Boswell: To ask the Secretary of State for Health what action he is taking to ensure that drug treatments currently licensed for adults are evaluated and made available for paediatric use. [134495] Miss Melanie Johnson: The current legislative framework governing the authorisation of medicinal products contains neither obligations nor incentives to either evaluate medicinal products for use in the paediatric population or to make the products available for paediatric use. The United Kingdom is taking an active part in developing European legislation which will establish a system of obligations and incentives for the development and evaluation of medicines for paediatrics use. This is, however, unlikely to be finalised before 2006. In the meantime, the UK will continue to use the existing regulatory framework to encourage the pharmaceutical industry to evaluate medicines for use in the paediatric population. The Committee on Safety of Medicines, an independent expert committee that advises the Licensing Authority has established a paediatric sub-group to provide expert advice on the regulatory strategy to improve the availability of medicines licensed for use in children. The Medicines and Healthcare products Regulatory Agency (MHRA) routinely asks companies for paediatric development plans where appropriate, both pre- and post-licensing. In addition, when a marketing authorisation for a medicinal product is granted or amended the pharmaceutical companies are required by the Licensing Authority to provide evidence-based statements on paediatric use in the summary of product characteristics. The MHRA monitors authorisations granted for the paediatric use of medicines in the United States and contacts the marketing authorisation holder with a request for the data to be submitted to the MHRA for assessment. Several companies have submitted data in response to such requests and UK authorisations for paediatric use have been granted as a result. In other cases, the MHRA has asked companies to consider developing formulations of medicinal products that are specifically adapted for paediatric use. Following positive responses, the MHRA is actively discussing formulation development plans with several companies. The MHRA is keeping the UK pharmaceutical industry informed of legislative developments at the European level and has offered to give regulatory and scientific advice on the development of medicines for paediatric use.

Date

6 November 2003

Reference

412 c786-7W;412 c787-8W; 134495

House

House of Commons

The Victoria Climbie Inquiry Report. Government response to the Health Select Committee sixth report. (HC 570).

Type

Select Committee reports (Government responses); Command papers

Notes

Received 27.10.03

Date

20 October 2003

Reference

Cm 5992

House

House of Commons

Amos, Baroness

Further to the Written Answer by the Lord President on 10 September 2003, (WA 119) concerning renal isotope scanning service in Belfast, how much funding has been made available; and when the service will be reinstated [HL 4557] - Inc figure.

Asked by

Lord Laird (Crossbench)

Type

Written questions

Status

Answered

Date

14 October 2003

Reference

HL 4557; 653 c104WA

House

House of Lords

Westminster Hall adjournment debate on paediatric allergy services

Westminster Hall adjournment debate on paediatric allergy services.

Lead member

Jon Cruddas

Answering member

Melanie Johnson

Department

Department of Health

Type

Adjournment debates

Date

14 October 2003

Reference

411 c61-8WH

House

House of Commons

Andrews, Baroness

What assessment they have made of how the Children's National Service Framework will benefit children with nocturnal enuresis; and whether the Children's National Service Framework will set out suggested interventions and services for children with continence conditions, which primary care trusts would be expected to establish; and which aspects of...

Asked by

Earl Howe (Conservative)

Type

Written questions

Status

Answered

Date

6 October 2003

Reference

HL 4587; 653 c49WA

House

House of Lords

Andrews, Baroness

Whether any guidance on best practice has been issued to primary care trusts, concerning the benefits of dedicated paediatric continence services. [HL 4586]. (Guidance in Library Dep 03/2042)

Asked by

Earl Howe (Conservative)

Type

Written questions

Status

Answered

Date

6 October 2003

Reference

HL 4586; 653 c49WA

House

House of Lords

Williams of Mostyn, Lord

Further to the Written Answer by the Lord President on 25 June 2003 at 650 c21WA, concerning waiting lists in Northern Ireland since 1 January, whether all possible facilities for paediatric renal isotope scans have been in use; and if not, why. [HL 3668].

Asked by

Lord Laird (Crossbench)

Type

Written questions

Status

Answered

Date

10 September 2003

Reference

652 c119-20WA; HL 3668

House

House of Lords

Williams of Mostyn, Lord

Whether coroner's post-mortems in Northern Ireland involving the unexplained deaths of children are carried out in conjunction with a paediatric pathologist. [HL 3389].

Asked by

Baroness Blood (Crossbench)

Type

Written questions

Status

Answered

Date

10 July 2003

Reference

HL 3389; 651 c47-8WA

House

House of Lords

Williams of Mostyn, Lord

What steps they have taken in the past 12 months to reduce the waiting list for paediatric renal isotope scans in Northern Ireland; whether all possible facilities are currently in use, and if not, why. [HL 3183].

Asked by

Lord Laird (Crossbench)

Type

Written questions

Status

Answered

Date

25 June 2003

Reference

HL 3183; 650 c21-2WA

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, what plans there are to create a paediatric facility at Newark Hospital. - (Holding answer 16 June 2003).

Asked by

Patrick Mercer (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

19 June 2003

Reference

119224; 407 c437W;407 c439W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many paediatrically trained doctors working in the NHS there are per head of population. - Including table.

Asked by

John Pugh (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

3 June 2003

For answer on

16 June 2003

Answered on

16 June 2003

Dr. Pugh: To ask the Secretary of State for Health how many paediatrically trained doctors working in the NHS there are per head of population. [117770] Mr. Hutton: The standard ratio used by the Department of Health is per 100,000 of population. The table shows how many doctors, trained in the paediatric specialties, were working in the National Health Service as at 30 September 2001, per head of population and per 100,000 of the population. In addition, there are a number of general practitioners who have undergone training in paediatrics as part of their general practice training. Hospital medical and hospital dental doctors with paediatric specialities by grade _________________________________________________________________________________________________. England, as at 30 September 2001 Headcount Per head population Per 100,000 head population All Grades Paediatric Group 5,070 0.0001031 10.31 Of which: Paediatric cardiology 68 0.0000014 0.14 Paediatrics 5,002 0.0001017 10.17 Paediatric surgery 285 0.0000058 0.58 Paediatric dentistry 64 0.0000013 0.13 Of which: Consultants Paediatric Group 1,507 0.0000306 3.06 Of which: Paediatric cardiology 29 0.0000006 0.06 Paediatrics 1,478 0.0000301 3.01 Paediatric surgery 114 0.0000023 0.23 Paediatric dentistry 22 0.0000004 0.04 Associate specialists and staff grades Paediatric Group 602 0.0000122 1.22 Of which: Paediatric cardiology -- -- -- Paediatrics 602 0.0000122 1.22 Paediatric surgery 10 0.0000002 0.02 Paediatric dentistry 4 0.0000001 0.01 Doctors in training1 Paediatric Group 2,875 0.0000585 5.85 Of which: Paediatric cardiology 39 0.0000008 0.08 Paediatrics 2,836 0.0000577 5.77 Paediatric surgery 159 0.0000032 0.32 Paediatric dentistry 24 0.0000005 0.05 _________________________________________________________________________________________________. 1 Comprises registrar group, senior house officers and house officers. Source: Department of Health medical and dental workforce census 2001 ONS Population Census

Date

16 June 2003

Reference

117770; 407 c73-4W

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many nurses with specialist qualifications in paediatric medicine are working in the NHS; how many NHS nurses with specialist qualifications in paediatric medicine there are per head of population. - Including figures.

Asked by

John Pugh (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

16 June 2003

Reference

407 c74W; 117768;117769

House

House of Commons

Dept of Health

To ask the Secretary of State for Health, how many trained paediatric consultants work in the NHS. - Including table.

Asked by

John Pugh (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

3 June 2003

For answer on

16 June 2003

Answered on

16 June 2003

Dr. Pugh: To ask the Secretary of State for Health how many trained paediatric consultants work in the NHS. [117767] Mr. Hutton: The table shows the number of hospital and hospital dental consultants in the paediatric specialties working in the national health service in England at 31 March 2002. Since September 1997, the number of consultants within the paediatrics group has risen by 29 per cent. Hospital medical and hospital dental consultants with paediatric specialties _________________________________________________________________________________________________. England, as at 31 March 2002 Numbers (headcount) Paediatric Group 1,586 of which: Paediatric cardiology 54 Paediatrics 1,532 Paediatric surgery 24 Paediatric dentistry 119 _________________________________________________________________________________________________. Note: Only consultant and GP data was collected in the March 2002 mini-census. Source: Department of Health medical and dental workforce census.

Date

16 June 2003

Reference

117767; 407 c73W

House

House of Commons

The Victoria Climbie Inquiry. Health Select Committee sixth report with proceedings, evidence (HC 570-i not printed separately) and appendices.

Type

Select Committee reports; House of Commons papers; Parliamentary committees

Committee

Health Committee

Notes

Received 25.06.03

Date

5 June 2003

Reference

HC 570 2002/03

House

House of Commons

Andrews, Baroness

What assessment they have made of the adequacy of paediatric continence services throughout the United Kingdom. [HL 2626].

Asked by

Lord Clement-Jones (Liberal Democrat)

Type

Written questions

Status

Answered

Date

7 May 2003

Reference

HL 2626; 647 c143-4WA

House

House of Lords

Dept of Health

To ask the Secretary of State for Health, what recent representations he has received on staff shortages in paediatric pathology; and if he will make a statement.

Asked by

Evan Harris (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

6 May 2003

Reference

109545; 404 c664-5W;404 c661-2W

House

House of Commons

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