HC Deb 18 January 1984 vol 52 cc251-4W
Mr. Ralph Howell

asked the Secretary of State for Social Services, in money and percentage terms, how much of the overall annual National Health Service expenditure is spent on (a) pay and related costs, (b) drugs, medicines, bandages, and so on, (c) medical equipment, (d) hospital building and maintenance, (e) administration and (f) general services and so on, catering, laundry and so on, in 1983 and for each year since and including 1979.

Mr. Kenneth Clarke

[pursuant to his reply, 11 November 1983, c. 253]: I have written to my hon. Friend as follows: Further to my reply of 11 November 1983 (Official Report Volume 48 c. 253] I now enclose two tables which analyse health

Table 1
Current Expenditure by Health Authorities Analysed by Function
1979–80 1980–81 1981–82 1982–83
£ million per cent. £ million per cent. £ million per cent. £ million per cent.
A. Patient Care Services
Medical Staff Services 437.5 8.20 587.2 8.53 646.5 8.47 698.3 8.58
Nursing Staff Services 1,683.0 31.57 2,345.2 34.06 2,563.4 33.60 2,762.7 33.93
Other Direct Treatment Services and Supplies 444.8 8.34 547.7 7.95 633.2 8.30 705.8 8.67
Diagnostic Departments 265.3 4.97 344.5 5 00 388.0 5.09 419.5 5.15
Other Medical and Paramedical Services, Ambulance Services etc. 377.0 7.07 486.0 7.06 548.3 7.18 596.5 7.33
TOTAL 3,207.6 60.15 4,310.6 62.60 4,779.4 62.64 5,182.8 63 66
B. General Services
Unit Administration and Clerical Support Services 311.6 5.84 385.6 5.60 434.2 5.69 473.3 5.82
Medical Records 60.4 113 73.3 1.06 79.8 1.05 87.1 1.07
Training and Education 25.7 0.48 32.3 0.47 37.6 0.49 41.0 0.50
Catering 280.4 5.26 317.7 4.61 339.5 4.45 349.3 4.29
Domestic/Cleaning 321.8 6.03 379.5 5.52 407.7 5.34 422.2 5.19
Portering 106.2 1.99 127.1 1.85 135.3 1.77 140.1 1.72
Laundry 51.8 0.97 60.0 0.87 65.5 0.86 65.9 0.81
Linen Services 85.3 1.60 98.0 1.42 105.0 1.38 109.4 1.34
Transport 35.1 0.66 42.7 0.62 41.4 0.54 43.7 0.54
Engineering Maintenance 153.0 2.87 189.3 2.75 219.8 2.88 236.9 2.91
Energy and Utility Services 202.4 3.80 250.1 3.63 288.7 3.78 297.8 3.66
Building Maintenance 99.6 1.87 128.6 1.87 151.3 1.98 152.9 1.88
Grounds and Gardens 17.2 0.32 20.8 0.30 22.5 0.30 22.8 0.28
General Estate Expenses 85.0 1.60 105.9 1.54 126.7 1.66 142.8 1.75

authority current expenditure by function (table 1) and subjectively (table 2). These do not quite correspond with the terms of your question in that:

  1. (a) information available centrally does not in all cases match precisely the components you request.
  2. (b) those components are not mutually exclusive.
  3. (c) it is not clear the extent, if at all, you were asking for capital expenditure to be included.

I trust, however, that information in the form provided will be helpful.

As regards capital the total expenditure by the health authorities whose current expenditure is included in the tables was:

£ million
1979–80 416.4
1980–81 563.2
1981–82 671.4
1982–83 686.4

1979–80 1980–81 1981–82 1982–83
£ million per cent. £ million per cent. £ million per cent. £ million per cent.
Miscellaneous Services and Expenses 3.4 0.06 5.9 0.09 9.5 0.13 4.2 0.05
TOTAL 1,838.9 34.48 2,216.8 32.20 2,464.5 32.30 2,589.4 31.81
C. Other
Headquarters Administration 268.0 5.03 332.3 4.83 342.3 4.49 350.4 4.30
Other Services and Expenses 18.4 0.34 25.7 0.47 43.8 0.57 18.6 0.23
TOTAL 286.4 5.37 3580 5.20 386.1 5.06 369.0 4.53
D. TOTAL 5,332.9 100.0 6,885.4 100.0 7,630.0 100.0 8,141.2 100.0

Note: The figures are derived from the annual accounts submitted to the Department by health authorities for the respective financial years. They include all current expenditure except that on the family practitioner services and the expenses of the Dental Estimates Board and Prescription Pricing Authority.

Current Expenditure by Health Authorities Analysed Subjectively
1979–80 1980–81 1981–82 1982–83
£ million per cent. £ million per cent. £ million per cent. £ million per cent.
A. Pay
NHS Staff Salaries and Wages 3,937.5 73.83 5,173.9 75.14 5,659.1 74.17 6,018.4 73.92
Non-NHS Staff (Agency etc.) 55.2 1.04 68.1 0.99 64.6 0.85 59.3 0.73
Chairman's remuneration — — 0.8 0.01 0.8 0.01 1.7 0.02
Total 3,992.7 74.87 5,242.8 76.14 5,724.5 75.03 6,079.4 74.67
B.Non-Pay
Drugs 155.7 2.92 185.3 2.69 213.9 2.80 244.8 3.01
Medical Gases 7.2 0.14 8.4 0.12 9.4 0.12 9.9 0.12
Dressings 31.5 0.59 37.3 0.54 43.5 0.57 46.1 0.57
Medical and surgical equipment—purchases and maintenance contracts 149.4 2.80 189.7 2.76 225.5 2.95 252.5 3.10
X-ray equipment, film and materials—purchases and maintenance contracts 29.8 0.56 41.7 0.61 45.4 0.59 47.3 0.58
Patients appliances 40.4 0.76 47.0 0.68 51.4 0.67 58.0 0.71
Laboratory equipment, instruments and materials—purchases, maintenance contracts and services 41.6 0.78 50.8 0.74 61.0 0.80 69.1 0.85
Provisions—purchases and contract catering 147.5 2.77 155.1 2.25 166.6 2.18 169.7 2.08
Staff uniforms and patients clothing 34.4 0.65 37.3 0.54 40.3 0.53 41.7 0.51
Fuel, light and power 180.4 3.38 224.4 3.26 262.2 3.44 268.8 3.30
Laundry—equipment, materials and contracts 12.2 0.23 13.0 0.19 14.3 0.19 14.5 0.18
Cleaning—equipment, materials and contracts 28.5 0.53 34.4 0.50 35.5 0.47 36.6 0.45
Engineering maintenance—equipment, materials and contracts 651 1.22 84.4 1.23 99.3 1.30 102.7 1.26
Building maintenance—equipment, materials and contracts 51.6 0.97 681 0.99 85.3 1.12 82.1 1.01
Grounds and gardens maintenance—equipment, materials and contracts 4.4 008 5.4 0.08 6.3 0.08 6.1 0.08
Office equipment 16.0 0.30 21.7 0.31 25.8 0.34 30.2 0.37
Printing, stationery and postage 41.2 0.77 49.0 0.71 54.8 0.72 61.4 0.75
Telephones—rental etc. and call charges 32.4 0.61 43.2 0.63 56.7 0.74 64.7 0.80
Transport—purchase of vehicles, fuel and oil; and maintenance—equipment, materials and contracts etc. 39.4 0.74 47.4 0.69 47.9 0.63 50.7 0.62
Travelling, subsistence and removal expenses 72.7 1.36 97.6 1.42 111.9 1.47 127.8 1.57
Contributions in lieu of rates 65.2 1.22 82.2 1.19 101.5 1.33 116.3 1.43
Contractual arrangements for patient care 23.0 0.43 28.5 0.41 31.8 0.42 34.2 0.42
Other expenses 186.6 3.50 225.2 3.27 263.0 3.45 282.5 3.47
Total 1,456.2 27.31 1,777.1 25.81 2,053.3 26.91 2,217.7 27.24
C. Total pay and non pay 5,448.9 102.18 7,019.9 101.95 7,777.8 101.94 8,297.1 101.91
Less Direct Credits (Staff lodging charges, canteen and other sales etc.) 116.0 2.18 134.5 1.95 147.8 1.94 155.9 1.91
D. Total 5,332.9 100.00 6,885.4 100.00 7,630.0 100.00 8,141.2 100.00

Note:

The figures are derived from the annual accounts submitted to the Department by health authorities for the respective financial years. They include all current expenditure except that on the family practitioner services and the expenses of the Dental Estimates Board and Prescription Pricing Authority.