HC Deb 03 April 1973 vol 854 cc215-6
14. Mr. Winterton

asked the Secretary of State for Social Services what is the difference between the overall hospital capital expenditure for the current year programme compared with that of 1969–70.

Sir K. Joseph

Hospital capital expenditure in 1972–73 is estimated to be about £183 million compared with £101 million in 1969–70; this represents an increase in real terms of just over 50 per cent.

Mr. Winterton

May I thank my right hon. Friend for that most encouraging reply, which I am sure will be very welcome? What emphasis has he managed to place on the deprived sectors, such as the mentally ill, the chronically ill, the disabled and the long-stay patients?

Sir K. Joseph

A disproportionately large increase has been deliberately made in the non-acute sector. I have just said that an 80 per cent. increase in real terms has been made between the two years I mentioned in capital expenditure on mental handicap and mental illness, and almost as big an increase in services for the elderly.

Dr. Summerskill

Does the right hon. Gentleman agree that there is now a generally-accepted need to make preventive and curative medicine less hospital-oriented? What are his plans for reducing the proportion of the total National Health Service expenditure spent on hospitals and increasing the proportion spent on general practitioners and community services?

Sir K. Joseph

If the hon. Lady cares to put down a Question, I will give her the precise answer, but the general position is that, in each year for which the present Government have been responsible, there has been a shift, within the rising real expenditure on the health and personal and social services, away from hospitals towards the community services. That is deliberate and it will continue.