ratio of 6.1 is two and a half times the recommended U.K. norm. For planning purposes an overall ratio of 4.0 has been chosen as more appropriate.

(g) Geriatrics provision is not made separately at present. For

planning purposes a ratio of one nurse to 2.5 beds is assumed.

72. Planning ratios for nurses can then be summarized as follows:

Requirements for Nurses in Hospitals

Year

Medical Surg.

and

and

Mater- nity

T.B.

Paed.

Gyn.

Infect. and Lep.

Geriatric

Total General

Psychi-

atric

1972

813

1,332

770

1973

890

1,408

856

1974

945

1,477

963

1975

992

1,542

1,015

1976

1,042

1,625

1,059

1977

1,095

1,704

1,104

1978

1,151

1,789

1,148

Beds per Nurse

1979

1,211

1,879

1,190

66666666I

57

58

3,030

1,234

57

58

13

3,282

1,256

57

58

28

3,421

1,278

57

99

44

3,749

1,301

57

98

60

3,941

1,325

57

95

76

4,131

1,350

57

94

92

4,331

1,376

57

1980

1,274

1,973

1,232

57

Specialty

1981

1,340

2,073

1,277

57

1982

1,411

2,181

1,322

57

8863

90

108

4,535

1,408

89

124

4,749

1,431

87

140

4,984

1,460

85

158

5,214

1,489

Present Range

Johnson Oxford Planning Report R.H.B. Ratio

Medical and Paed.

Requirements for Nurses in Clinics

1.98-2.25

2.19

1.9

2.2

Year

Surgical and Gyn.

1.36-1.83

1.81

1.7

Maternity

1.18-1.43

1.33

1.0

T.B.

2.71

1.9

229

1.8

General General O.P.D.

Spec.

E.N.T.

M.C.H. T.B.

Social Hygiene

Eye

Total General

Psychi- atric

1.3

1972

243

42

145

65

69

29

602

70

1973

255

46

2.7

1974

265

50

Infectious diseases including

leprosy

1975

275

53

1976

286

57

10

1977

297

61

10

1.9

2.2

1978

310

65

10

1979

321

69

10

aaao000

161

65

76

29

641

76

183

65

82

31

685

89

195

65

82

31

710

95

212

65

88

31

749

108

223

65

88

33

777

115

240

65

95

33

823

127

256

65

95

33

849

146

Psychiatric

0.76-6,1

1980

333

74

10

273

65

101

35

891

159

2.4

4.0

1981

347

79

10

295

65

107

35

938

178

Geriatric

1982

362

84

10

306

65

107

35

969

197

1.8

2.5

The above ratios for medical and surgical beds are for the current mixture of acute and non-acute (mostly acute) cases in Government hospitals. For non-acute beds only, the ratio for general medical and surgical could be increased from 2.2 and 1.8 respectively to 3.0 beds per nurse. Similarly, a ratio of 3 beds per nurse would be suitable for day-beds if any of these are provided.

73. Planning ratios for nurses in clinics are assumed to be the existing ratios (paragraph 70) which, generally speaking, are satisfactory.

74. Future needs for the Medical and Health Department can then be calculated, using the above planning ratios and the forecast require- ments for Government hospital beds (see Appendix 2) and doctors in clinics (see paragraph 60) as follows:

32

75. The combined totals for Government hospitals and clinics are therefore:

Year

:

General

Nurses

Psychiatric Nurses

1972

3,632

1,304

1973

3,923

1,332

1974

4,106

1,367

1975

4,459

1,396

1976

4,690

1,433

1977

4,908

1,465

1978

5,154

1,503

1979

5,384

1,554

1980

5,640

1,590

1981

5,922

1,638

1982

6,183

1,686

33

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