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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY M.R. HIGGINS OF ST HELIER
ANSWER TO BE TABLED ON TUESDAY 1st APRIL 2014
Question
- Further to the answer given on 19th January 2010 (5026) would the Minister provide an update, for each medical discipline/specialism (for example: cardiology, neurology, orthopaedics etc), of -
- the number of consultants employed on a full time and part time basis in each area?
- (i) the number of non-private health insurance people on waiting lists to see a consultant in each area; and
(ii) the average waiting time for these to see the consultant?
- (i) the number of private health insurance people on waiting lists to see a consultant in each area; and
(ii) the average waiting time for these people to see the consultant?
- The total number of operations performed in each discipline at the hospital for each year from 1st January 2008 to 31st December 2013 stating -
- the number of private and non-private operations carried out in each discipline for each year;
- the cost of performing these operations in each area for each year for non-private health insurance patients and private health insurance patients?
- The number, disciplines and costs of locums and agency nursing staff employed by the hospital for each year from 1st January 2009 to 31st December 2013?
Answer
I kindly refer Deputy Higgins to the response given to question 5026 in 2010 which was identical to this question. I have therefore attempted to combine the answers for ease of reference.
Answer to Question 1 a - Please see chart 1 below Chart 1 Number of Consultant Posts
Specialty | 2010 Number of consultant posts | 2014 Number of consultant posts |
A&E | 3 | 5 |
Anaesthetics | 6 | 7 |
Community Dental | 0.8 | 0.8 |
Oral Surgery | 1 | 1 |
Orthodontics | 0.8 +visiting | 0.9 + visiting |
ENT | 2 | 3 |
General Surgery Vascular surgery Urology | 3 | 1 1.3 (0.3 = regular visiting |
Colorectal surgery Breast surgery |
| consultant) 1 1 |
Trauma and Orthopaedics | 3 | 3 |
General medicine and specialties | 8 | 10 |
Obstetrics and Gynaecology | 3 | 4 |
Ophthalmology | 2 | 3 |
Paediatrics | 3 | 3 |
Pathology | 4 | 4 |
Radiology | 4 | 4 |
Oncology | 0.8 | 1.8 |
Psychiatry | 4 | 8 |
Total | 48.4 | 62.8 |
Answer to Question 1 b (i) & (ii) - Please see chart 2 below
Chart 2 Waiting List Numbers and Average Wait Times
| 2010 | 2014 | ||
Specialty | Numbers on list January 2010 | Average wait in weeks | Numbers on list March 2014 | Average wait in weeks in 2013 |
General Surgery (Inc breast, vascular, plastic, colo-rectal) | 361 | 18 | 379 | 6 |
Urology | 178 | 22 | 453 | 10 |
Orthopaedics | 382 | 11 | 1246 | 21 |
Paediatrics | 123 | 14 | 73 | 8 |
Sports Injury | 173 | 28 | 66 | 6 |
ENT | 164 | 4 | 474 | 6 |
Ophthalmology | 397 | 27 | 554 | 7 |
Pain | 296 | 17 | 600 | 9 |
Gynaecology | 167 | 9 | 291 | 6 |
Oral Surgery | 147 | 5 | 416 | 14 |
Orthodontics | 146 | 12 | 387 | 28 |
Community Dental | 83 | 10 | 488 | 12 |
Diabetes | 168 | 23 | 191 | 12 |
General Medicine (inc endocrinology, rheumatology, nephrology, geriatric) | 72 | 7 | 236 | 6 |
Respiratory | 57 | 21 | 68 | 5 |
Gastro-enterology | 205 | 48 | 270 | 17 |
Neurology | 269 | 31 | 215 | 13 |
Cardiology | 121 | 7 | 94 | 20 |
Dermatology | 535 | 34 | 469 | 13 |
Total | 4044 |
| 6591 |
|
Answer to Question 1c (i) & (ii)
HSSD does not hold any information on private waiting lists or times as this is managed by the consultants in their independent private businesses. Almost all private out-patient consultations take place off HSSD premises.
Answer to Question 2 a & b - Please see charts 3 and 4 below
Chart 3 - Number of Procedures by Speciality and Private or Public Patients
The table below sets out the number of procedures, by specialty, for each of the years 2010 to 2013. The available data for 2008 & 2009 was provided in response to the question raised in January 2010.
As reported in 2010 costs at this level of detail have not historically been available. These costs are available for 2013 and are shown in the table below.
Chart 4 - Cost of performing operations by Specialty and Public or Private Patients
Note 1: The costs above include only the direct costs of performing operations. Note 2: Private patient costs are fully recovered through charges raised.
Answer to Question 3 - Please charts 5 and 6
Chart 5 Medical Agency Costs and Numbers of Locum Doctors Used
| Total cost 2010 | Total cost 2011 | Total cost 2012 | Total cost 2013 |
Annual Cost | £1,635,659 | £2,252,920 | £1,799,508 | £2,081,315 |
Number of Locum Doctors Used | 304 | 322 | 261 | 234 |
Chart 6 Nursing Agency Costs and Numbers of Locum Nurses Used
| Total cost 2010 | Total cost 2011 | Total cost 2012 | Total Cost 2013 |
Annual Cost | £985,360 | £1,038,933 | £923,643 | £810,788 |
Number of Agency Nurses Used | Not available | Not available | 97 | 84 |