To ask the Scottish Executive what the cost increase to the NHS has been between 1999-2000 and 2004-05 in respect of (a) medical secretaries, (b) record keepers, (c) health educators, (d) IT technicians, (e) financial managers, (f) caterers, (g) launderers, (h) cleaners and (i) all other staff and what proportion of the total NHS budget was spent on administrative staff in (i) 1999-2000 and (ii) 2004-05, broken down by NHS board.
The NHS is a team operation. Staff such as those listed in your question, play a vital role in keeping a hospital running smoothly. Behind every nurse or doctor there is someone making sure their equipment works, that test results are processed accurately, that appointments are scheduled and that patient records are up to date. These staff groups also play a key role in planning better services for the future.
Every member of staff in the NHS, regardless of their specialism, plays a vital part in saving lives in the modern NHS.
Information on expenditure by NHS boards on the specific groups of staff requested is not collected centrally; however, information on the following groups of staff is available:
Group | Examples |
Specialists | Consultant, Senior House Officer, Registrar |
Medical and Dental | Medical Advisor |
Nursing - Trained | Nurse Grades “C” – “I”, Nurse Manager |
Nursing - In Training | Student Nurse |
Nursing - Other | Auxiliary |
P and T “A” - Para-Med. | Dietician, Radiographer, Occupational Therapist |
P and T “B” - Para-Med. | Medical Laboratory Scientific Officer, Medical Technician |
P and T “B” - Works | Building Officer, Engineering Officer |
Administrative and Clerical | Senior Manager, Medical Records, Medical Secretary |
Domestic and Ancillary | Porter, Gardener, Kitchen |
Tradesmen | Electrician, Plumber, Joiner |
Other Staff | Pharmacist, Chaplain, Other |
(Categories of staff are grouped to associate as closely as possible with the appropriate Whitley Council salary scales).
Information on the costs of these groups of staff and the increase between 1999-00 and 2004-05 is given in table 1 of NHS Staff Expenditure 1999-2000 and 2004-05, a copy of which has been placed in the Scottish Parliament Information Centre (Bib. number 38186).
The staff figures are taken from Scottish Financial Return 15 which were completed by all boards and trusts and returned to the Scottish Executive Health Expenditure with their annual accounts.
Proportion of NHS Budget
It is not possible to identify exactly what each NHS board spends on administrative staff as there is no definition of this with which to collate information. However, expenditure on staff on administration and clerical pay scales has been used as an approximation although this may include staff who might not be considered administrative and conversely may exclude those that are who are paid on a different pay scale, such as senior managers.
Another issue is that the budgets in 1999-2000 and 2004-05 are not directly comparable due to the introduction of resource budgeting in 2002-03. Therefore expenditure on administrative and clerical staff has been expressed as a percentage of total revenue expenditure for the two years in question in the table.
Health Board | Administration and Clerical Staff Costs |
1999-2000 | % of total Expenditure | 2004-05 | % of total Expenditure |
(£000) | (£000) |
Argyll and Clyde | 22,966 | 6% | 37,373 | 6% |
Ayrshire and Arran | 19,015 | 6% | 33,834 | 6% |
Borders | 6,814 | 7% | 10,302 | 6% |
Dumfries and Galloway | 8,648 | 6% | 13,516 | 6% |
Fife | 16,247 | 5% | 28,914 | 6% |
Forth Valley | 13,790 | 6% | 24,286 | 6% |
Grampian | 28,336 | 6% | 44,346 | 6% |
Greater Glasgow | 59,042 | 6% | 93,898 | 6% |
Highland | 12,390 | 6% | 22,827 | 7% |
Lanarkshire | 24,435 | 5% | 40,526 | 5% |
Lothian | 45,884 | 7% | 73,719 | 6% |
Orkney | 1,086 | 5% | 2,350 | 7% |
Shetland | 1,524 | 6% | 3,254 | 8% |
Tayside | 27,992 | 7% | 47,958 | 7% |
Western Isles | 2,009 | 5% | 3,719 | 6% |
| 290,179 | - | 480,822 | - |