§ Mr. Dobsonasked the Secretary of State for Social Services if he will give for the latest available year and for 67W each region, and for England as a whole, the number of deaths and discharges among, and the number of beds occupied on 31 December by, patients receiving treatment under contractual arrangements with institutions outside the National Health Service; and if he will break down these figures into the categories of (a) medical, (b) surgical, (c) pre-convalescent and post-operative, (d) convalescent, (e)geriatric, (f) diseases of the chest, (g) maternity, (h) mental illness, (i) mental handicap, (j) rehabilitation, (k) terminal care and (l) others.
§ Mr. Kenneth ClarkeThe information requested is given in the following tables.
Patients receiving treatment under contractual arrangements with institutions outside the National Health Service in 1982 England Specialty Deaths and discharges Beds occupied at 31 December Medical 1,740 200 Surgical 9,284 83 Preconvalescent and post operative 285 9 Convalescent 6,594 143 Geriatric 1,253 871 Diseases of the chest 845 48 Maternity 653 8 Mental illness 474 136 Mental Handicap 278 652 Rehabilitation 293 23 Terminal care 2,942 304 Others 167 288 Totals 24,808 2,765
Northern regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical — 1 Surgical 110 3 Preconvalescent and post operative — — Convalescent 972 22 Geriatric 8 20 Diseases of the chest — — Maternity — — Mental illness — — Mental Handicap 2 99 Rehabilitation — — Terminal care — — Others 15 33 Totals 1,107 178
68W
Yorkshire regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 58 6 Surgical 336 — Preconvalescent and post operative — — Convalescent 679 21 Geriatric 247 61 Diseases of the chest — — Maternity — — Mental illness 52 16 Mental Handicap — — Rehabilitation 12 — Terminal care 96 14 Others 13 15 Totals 1,493 133
Trent regional health authority Speciality Deaths and discharges Beds occupied at 31 December Medical 607 1 Surgical 1,214 — Preconvalescent and post operative — — Convalescent 288 10 Geriatric — 1 Diseases of the chest — — Maternity 126 — Mental illness —> — Mental Handicap — — Rehabilitation — — Terminal care 327 22 Others — — Totals 2,562 34
East Anglian regional health authority Speciality Deaths and discharges Beds occupied at 31 December Medical 678 12 Surgical 2,513 15 Preconvalescent and post operative — — Convalescent — — Geriatric 42 15 Diseases of the chest — — Maternity 527 8 Mental illness — — Mental Handicap — 30 Rehabilitation — — Terminal care 33 3 Others — — Totals 3,793 83
North West Thames regional health authority Speciality Deaths and discharges Beds occupied at 31 December Medical — 1 Surgical 1,556 24 Preconvalescent and post operative — — Convalescent 86 — Geriatric 7 4 Diseases of the chest — — Maternity — — Mental illness — — Mental Handicap 204 99 Rehabilitation — — Terminal care 36 2 Others 45 54 Totals 1,934 184
69W
North East Thames regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 21 43 Surgical — — Preconvalescent and post operative 20 — Convalescent 1,453 — Geriatric 19 80 Diseases of the chest — — Maternity — — Mental illness 3 4 Mental handicap — 69 Rehabilitation 210 15 Terminal care 698 116
Specialty Deaths and discharges Beds occupied at 31 December Others 58 80 Totals 2,482 407
South East Thames regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical — — Surgical — — Preconvalescent and post operative — — Convalescent 1,005 31 Geriatric 129 71 Diseases of the chest 9 2 Maternity — — Mental illness 1 — Mental handicap — — Rehabilitation 15 5 Terminal care 25 3 Others 13 32 Totals 1,197 144
South West Thames regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 150 108 Surgical 847 5 Preconvalescent and post operative 265 9 Convalescent 540 22 Geriatric 102 121 Diseases of the chest 799 44 Maternity — — Mental illness 6 3 Mental handicap 4 41 Rehabilitation — — Terminal care 342 22 Others 8 37 Totals 3,063 412
Wessex regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 3 11 Surgical — — Preconvalescent and post operative — — Convalescent 38 3 Geriatric 69 99 Diseases of the chest 37 2 Maternity — — Mental illness 2 6 Mental handicap — 5 Rehabilitation — — Terminal care 1 4 Others 1 26 Totals 151 156
70W
Oxford regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 17 5 Surgical 23 — Preconvalescent and post operative — —
Specialty Deaths and discharges Beds occupied at 31 December Convalescent — — Geriatric 29 1 Diseases of the chest — — Maternity — — Mental illness 59 34 Mental handicap — 2 Rehabilitation — — Terminal care — — Others 14 — Totals 142 42
South Western regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical 206 7 Surgical 1,629 18 Preconvalescent and post operative — — Convalescent 1,435 22 Geriatric 2 4 Diseases of the chest — — Maternity — — Mental illness — — Mental handicap — 1 Rehabilitation — — Terminal care 70 11 Others — 7 Totals 3,342 70
West Midlands regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical — — Surgical 1,056 18 Preconvalescent and post operative — — Convalescent — — Geriatric 1 — Diseases of the chest — — Maternity — — Mental illness — — Mental Handicap 1 9 Rehabilitation 55 3 Terminal care 497 35 Others — — Totals 1,610 65
71W
Mersey regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical — — Surgical — — Preconvalescent and post operative — — Convalescent — — Geriatric 101 66 Diseases of the chest — — Maternity — — Mental illness — — Mental Handicap 63 170 Rehabilitation — — Terminal care 76 15 Others — — Totals 240 251
North Western regional health authority Specialty Deaths and discharges Beds occupied at 31 December Medical — 5 Surgical — — Preconvalescent and post operative — — Convalescent 98 12 Geriatric 497 328 Diseases of the chest — — Maternity — — Mental illness 351 73 Mental Handicap 4 127 Rehabilitation 1 — Terminal care 741 57 Others — 4 Totals 1,692 606
Expenditure on contractual arrangements for patient care Region 1974–75 1975–76 1976–77 1977–78 1978–79 1979–80 1980–81 1981–82 1982–83 £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. £'000 Per cent. Northern 421 0.29 523 0.27 580 0.27 664 0.27 701 0.25 778 0.23 925 0.21 1,046 0.22 1,191 0.23 Yorkshire 595 0.36 728 0.34 895 0.36 948 0.34 886 0.28 1,060 0.28 1,302 0.26 1,452 0.27 1,702 0.29 Trent 332 0.18 392 0.16 546 0.19 708 0.22 1,110 0.30 941 0.21 1,054 0.18 1,210 0.19 1,285 0.18 East Anglian 456 0.59 599 0.58 790 0.66 887 0.65 921 0.60 1,208 0.64 1,350 0.55 1,618 0.60 1,756 0.61 North West Thames 1,226 0.58 1,556 0.56 1,870 0.61 1,862 0.54 2,246 0.59 2,790 0.62 3,421 0.59 3,615 0.56 3,142 0.50 North East Thames 1,058 0.46 1,078 0.36 1,302 0.39 1,573 0.42 1,205 0.29 2,275 0.47 3,032 0.48 3,208 0.46 4,213 0.53 South East Thames 655 0.31 798 0.29 834 0.26 810 0.23 1,014 0.26 1,087 0.23 1,506 0.25 1,752 0.26 1,950 0.28 South West Thames 1,890 1.10 2,347 1.07 2,610 1.06 2,721 1.00 3,404 1.12 4,058 1.12 5,168 1.11 5,716 1.11 5,717 108 Wessex 400 0.34 408 0.27 529 0.30 394 0.20 619 0.28 708 0.26 895 0.26 1,042 0.27 1,307 0.31 Oxford 245 0.25 317 0.24 382 0.26 377 0.23 467 0.25 606 0.27 780 0.27 1,002 0.32 1,249 0.37 South Western 385 0.27 506 0.27 567 0.26 629 0.26 831 0.31 958 0.29 1,222 0.29 1,499 0.32 1,677 0.33 West Midlands 709 0.32 1,729 0.58 1,922 0.57 1,535 0.40 1,205 0.28 1,214 0.23 1,474 0.22 1,910 0.25 1,787 0.22 Mersey 850 0.65 1,286 0.76 731 0.39 1,551 0.73 1,823 0.77 1,835 0.64 1,905 0.52 1,576 0.39 1,730 0.40 North Western 1,170 0.60 1,748 0.68 2,167 0.73 2,408 0.72 2,666 0.70 3,511 0.76 4,503 0.75 5,154 0.76 5,494 0.75 All Regions 10,393 0.45 14,015 0.46 15,745 0.46 17,067 0.44 19,098 0.44 23,029 0.44 28,537 0.42 31,800 0.42 34,200 0.43 Boards of Governors etc. 5 0.01 5 0.01 13 0.02 9 0.01 8 0.01 7 0.01 4 — 42 0.03 2 — England Total 10,398 0.44 14,020 0.46 15,758 0.45 17,076 0.43 19,106 0.43 23,036 0.43 28,541 0.41 31,842 0.42 34,202 0.42 Notes
1. All figures are derived from the annual accounts submitted to the Department by health authorities.
2. The percentages are based on a comparison with total current expenditure on all services except payments made to contractors providing family practitioner services. For England totals, the expenses of the Dental Estimates Board and Prescription Pricing Authority have been excluded.
3. 'Boards of Governors etc.', which are included for completeness, are those Boards or successor Special Health Authorities responsible for the administration of certain London post-graduate teaching hospitals.