HC Deb 25 May 1976 vol 912 cc118-23W
Mr. Moonman

asked the Secretary of State for Social Services what was the total annual National Health Service revenue expenditure on services for the mentally ill and for the mentally handicapped for the East Anglia Regional Health Authority for the years 1966 to 1976.

Mr. Ogden

asked the Secretary of State for Social Services (1) what was the total annual National Health Service revenue expenditure on services for the mentally ill for the North Western Regional Health Authority for the years 1966 to 1976;

(2) what was the total annual National Health Service revenue expenditure on services for the mentally handicapped for the North Western Regional Health Authority for the years 1966 to 1976.

(3) what was the total annual National Health Service revenue expenditure on services to the mentally ill in the North-West Thames Regional Health Authority in the years 1965 to 1975.

Dr. Owen

The revenue expenditure on services in hospitals devoted wholly or mainly to the mentally ill or mentally handicapped for the years 1965–66 to 1973–74 by the East Anglian, Liverpool, Manchester and the North West Metropolitan Regional Hospital Boards is shown in the tables below.

Corresponding information is not available for 1974–75 and 1975–76 in respect of the regional health authorities which took over from the boards. Revised cost statements, introduced on reorganisation of the service, were not submitted by all health authorities for 1974–75; the cost accounts for 1975–76 have not yet been received in my Department.

National Health Service Expenditure on services for the mentally ill and mentally handicapped other than in hospitals wholly or mainly for them is not separately identified in the annual financial or cost accounts of health authorities.

EAST ANGLIA REGIONAL HOSPITAL BOARD HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness 2,389 2,545 2,684 2,908 3,229 3,781 4,526 5,324 6,082
(b) Mental Handicap 813 907 1,024 1,129 1,282 1,600 2,031 2,425 2,858

LIVERPOOL REGIONAL HOSPITAL BOARD HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness 3,879 3,984 4,213 4,544 4,894 4,361 5,140 5,758 8,471
(b) Mental Handicap 679 727 799 907 953 1,504 1,774 2,091 2,401

NORTH WEST METROPOLITAN REGIONAL HOSPITAL BOARD HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness 6,025 6,413 6,701 7,490 7,969 9,587 11,306 12,450 14,093
(b) Mental Handicap 2,827 2,969 3,173 3,420 4,131 4,729 5,213 6,757 8,304

MANCHESTER REGIONAL HOSPITAL BOARD HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness 4,542 4,754 3,631 3,981 4,240 4,860 5,827 6,789 8,091
(b) Mental Handicap 3,344 3,541 3,668 4,065 4,414 5,460 6,615 7,623 8,727

Mr. Moonman

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the East Anglia Regional Health Authority for the years 1977 to 1981.

Mr. Ogden

asked the Secretary of State for Social Services (1) what is the estimated proportion of total National Health Service capital expenditure for the years 1977 to 1981 which will be spent in the Mersey Regional Health Authority on services for the mentally handicapped;

(2) what is the estimated annual National Health Service capital expenditure in the Mersey Regional Health Authority on services for the mentally ill for the years 1977 to 1981;

(3) what is the estimated proportion of the total annual National Health Service capital expenditure in the Mersey Regional Health Authority for the years 1977 to 1981 for services for the mentally ill;

(4) what is the estimated total annual revenue expenditure on services for the mentally ill for the Mersey Regional Health Authority for the years 1977 to 1981;

(5) what is the estimated total annual revenue expenditure on services for the mentally handicapped in the Mersey Regional Health Authority for the years 1977 to 1981.

Dr. Owen

Planning capital and revenue expenditure on particular services in particular localities is for the health authorities concerned within planning guidelines and total resource assumptions provided by my Department. Revenue and capital allocations have been notified to RHAs for 1976–77 and resource assumptions for subsequent years will be notified very shortly together with general planning guidelines. Health authorities have been asked to draw up plans for the future development of services and deployment of available resources in keeping with this guidance, which will reflect national priorities proposed in my Department's recent consultative document on "Priorities for Health and Personal Social Services".

Mr. Moonman

asked the Secretary of State for Social Services what was the expenditure on mental health in Great Britain, compared with other countries in the EEC, at the latest available date.

Dr. Owen

The information on which to base such a comparison is not available.

Mr. Moonman

asked the Secretary of State for Social Services (1) what was the total annual National Health Service capital expenditure on services for the mentally ill in the East Anglia Regional Health Authority for the years 1966 to 1976;

(2) what proportion of the total annual National Health Service capital expenditure for the years 1966 to 1976 was spent on services for the mentally handicapped in the East Anglia Regional Health Authority;

(3) what proportion of the total annual National Health Service capital expenditure in the East Anglia Regional Health Authority was spent on services for the mentally ill for the years 1966 to 1976;

(4) what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the East Anglia Regional Health Authority for the years 1966 to 1976;

(5) if he will list, for the North East Thames Regional Health Authority, for each of the years 1965 to 1975 and as estimates for 1976 to 1980: (a) the total National Health Service capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the mentally ill, (d), (b) as a proportion of (a), (e) (c) as a proportion of (a), (f) the total National Health Service revenue expenditure, (g) the total revenue expenditure on services for the mentally handicapped, and (h) the total revenue expenditure on services for the mentally ill;

(6) if he will list, for the Eastern Regional Health Authority, for each of the years 1965 to 1975 and estimate for 1976 to 1980: (a) the total National Health Service capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the mentally ill, (d) giving (b) as a proportion of (a), (e) giving (c) as a proportion of (a), (f) the total National Health Service revenue expenditure, (g) the total revenue expenditure on services for the mentally handicapped and (h) the total revenue expenditure on services for the mentally ill.

Dr. Owen

As regards the years 1965–66 to 1973–74, I would refer my hon.

£000
Total National Health Service expenditure on hospital and community health services Expenditure on services for
Mentally handicapped Mentally ill (b)as percentage of (a) (c) as percentage of (a)
(a) (b) (c) (d) (e)
North East Thames Regional Health Authority
Capital
1974–75 (provisional) 21,418 1,132 1,836 5.3 8.6
1975–76 (estimated) 21,871 1,791 2,537 8.2 11.6
1976–77 (estimated) 22,300 627 659 2.8 3.0
Revenue
1974–75 231,944
1975–76 (allocation) 300,400
1976–77 (allocation) 328,385
East Anglian Regional Health Authority
Capital
1974–75 (provisional) 11,258 553 163 4.9 1.4
1975–76 (estimated) 14,715 1,262 376 8.6 2.6
1976–77 (estimated) 12,600
Revenue
1974–75 77,289
1975–76 (allocation) 102,900
1976–77 (allocation) 118,772

Figures of capital expenditure for 1976–77 and of revenue expenditure on services for the mentally handicapped and the mentally ill are not available.

As regards the forward years, planning of capital and revenue expenditure on particular services in particular localities is for the health authorities concerned within planning guidelines and total resource assumptions provided by my Department. Capital and revenue allocations have been notified to regional health authorities for 1976–77 and resource assumptions for subsequent years will be notified very shortly together with general planning guidelines. Health authorities have been asked to draw up plans for the future development of services which will reflect the national priority proposed in my Department's recent consultative document on priorities for health and personal social services.