HC Deb 25 November 1985 vol 87 cc480-97W
Mr. Dobson

asked the Secretary of State for Social Services if he will list those health authorities whose private practice is authorised in terms of an annual number of bed days.

Mr. Hayhoe

The information is as follows:

Region District Health Authority
Northern Darlington
South Tyneside
Sunderland
Yorkshire Airedale
Huddersfield
Scunthorpe
York
Harrogate
Leeds Eastern
Trent North Derbyshire
South Lincolnshire
Nottingham
East Anglian Huntingdon

Region District Health Authority
North West Thames North West Hertfordshire
Riverside
North East Thames Barking, Havering and Brentwood
Enfield
South East Thames Eastbourne
Bromley
South West Thames North East Surrey
West Surrey and North East Hampshire
Chichester
Kingston and Esher
Wessex Portsmouth and South East Hampshire
Southampton and South West Hampshire
Winchester
Basingstoke and North Hampshire
Oxford Kettering
South Western Bristol and Weston
Frenchay
Somerset (Yeovil Hospital only)
West Midlands North Warwickshire
Rugby
Bromsgrove and Redditch
Sandwell
Solihull
Coventry
Shropshire
Mersey Southport and Formby
North Western Bury
Tameside and Glossop
Special Health Authority Hospitals for Sick Children

Mr. Dobson

asked the Secretary of State for Social Services (1) if he will give for each year since 1970 and for each region the number of attendances by (a) private out-patients, (b) private day cases and (c) private regular day patients;

(2) if he will give, for each special health authority, district health authority, regional health authority and for England as a whole (a) the number of authorised amenity beds on 31 December 1984, (b) the average daily number

Number of authorised pay beds on 31 December in NHS hospitals
Region* 1979 1980 1981 *1982 1983 1984
Northern 56 56 78 103 103 105
Yorkshire 140 140 154 182 199 199
Trent 130 130 150 143 143 143
East Anglian 90 90 94 106 106 108
North West Thames* 339 339 352 292 292 292
North East Thames* 278 278 286 398 404 410
South East Thames* 263 263 302 332 337 337
South West Thames* 156 156 168 180 182 194
Wessex 99 99 106 117 120 120
Oxford 164 164 180 180 180 180
South Western 78 78 82 102 104 104
West Midlands 181 181 217 258 267 276
Mersey 67 67 92 112 123 123
North Western 170 170 214 231 244 245
Special Health Authorities/Boards of Governors* 194 194 202 183 183 183
England 2,405 2,405 2,677 2,919 2,987 3,019

of beds occupied by amenity patients, (c) the discharges and deaths of amenity patients and (d) the income from amenity patients; and if he will give the 1983 figures for comparison;

(3) if he will explain the classification private regular day cases in Form SBH 211;

(4) if he will give, for each special health authority, district health authority, regional health authority and for England as a whole, the number of attendances during 1984 by (a) private out-patients, (b) private day cases and (c) private regular day patients; and if he will also give the 1983 figures for comparison;

(5) if he will give, for each special health authority, district health authority, regional health authority and for England as a whole (a) the number of authorised pay beds at 31 December 1984, (b) the average daily number of beds occupied by private patients during 1984 and (c) the number of discharges and deaths of private patients during 1984; and if he will give the 1983 figures for comparison;

(6) if he will list the private hospitals and nursing homes which treat National Health Service patients under contractual arrangements with health authorities.

Mr. Hayhoe

I shall let the hon. member have replies as soon as possible.

Mr. Dobson

asked the Secretary of State for Social Services if he will list those health authorities which have applied for limited authorisations for out-patient private practice to be replaced by general authorisations stating which applications were granted and which refused.

Mr. Hayhoe

The information requested is not readily available in the form requested, but 191 district and special health authorities now have general authorisations for private out-patients. All requests for such authorisations received since March 1982 have been granted.

Mr. Dobson

asked the Secretary of State for Social Services if he will give for each year since 1979 and for each region, the total number of authorised pay beds, the total number of deaths and discharges of private patients occupying those beds and the average daily occupation of those beds by private patients.

Mr. Hayhoe

The information requested is given in the tables.

Average daily number of beds occupied by private patients in NHS hospitals
Region* 1979 1980 1981 *1982 1983 1984
Northern 26 31 35 19 28 26
Yorkshire 85 87 89 68 76 77
Trent 69 68 62 54 52 37
East Anglian 57 58 64 47 55 40
North West Thames* 230 225 210 155 138 131
North East Thames* 165 158 154 198 186 172
South East Thames* 190 197 184 155 144 132
South West Thames* 88 90 87 75 81 64
Wessex 60 69 69 58 57 52
Oxford 103 103 85 84 81 85
South Western 46 46 49 43 53 42
West Midlands 109 109 108 80 82 80
Mersey 38 40 47 42 44 38
North western 105 106 111 74 84 75
Special Health Authorities/Boards of Governors* 136 126 117 107 103 104
England† 1,508 1,514 1,469 1,259 1,264 1,156

Discharges and deaths of private patients in NHS hospitals
Region* 1979 1980 1981 *1982 1983 1984
Northern 2,812 2,901 3,704 1,555 2,382 2,261
Yorkshire 5,606 6,229 6,049 4,008 4,462 4,877
Trent 4,795 5,065 4,584 3,834 3,976 2,979
East Anglian 3,401 3,923 4,425 3,136 3,617 2,715
North West Thames* 11,699 12,395 12,357 9,331 8,891 8,008
North East Thames* 9,229 9,787 9,441 11,412 11,170 10,531
South East Thames* 10,087 11,107 10,925 9,309 9,090 8,751
South West Thames* 5,545 5,819 6,156 5,103 5,638 5,144
Wessex 4,462 4,947 5,306 4,425 4,395 4,129
Oxford 6,110 6,587 5,412 5,607 5,927 5,927
South Western 2,962 3,352 3,492 3,333 3,038 2,914
West Midlands 7,356 8,011 7,876 5,597 6,015 5,716
Mersey 2,333 2,770 3,156 2,370 2,651 2,599
North western 8,313 9,293 9,203 5,878 5,946 5,499
Special Health Authorities/Boards of Governors* 6,418 6,379 5,653 5,788 5,740 5,439
England 91,128 98,565 97,739 80,686 82,938 77,489
* Because of NHS restructuring in 1982 the regional figures are not strictly comparable over the whole period.
† Regional figures may not sum exactly to the England total because of rounding.

Mr. Dobson

asked the Secretary of State for Social Services, if he will give, for 1984–85 and for each region, district and special health authority, the total income received under (a) section 58, (b) section 65 and (c) section 66 of the National Health Service Act 1977; and if he will give the 1983–84 figures for comparison.

1983–84 1984–85
Section 58 £ Section 65 £ Section 66 £ Section 58 £ Section 65 £ Section 66 £
Northern Region
Regional Health Authority — — — — — —
Districts:
Hartlepool — 27,211 8,682 11 21,371 11,334
North Tees 282 31,806 4,594 102 30,823 7,383
South Tees — 105,448 38,330 975 114,684 42,192
East Cumbria — 83,370 12,713 — 57,818 11,479
South Cumbria — 96,425 13,447 — 135,388 16,374
West Cumbria — 30,001 3,643 — 2,210 977
Darlington — 53,125 7,146 — 48,703 16,626
Durham — 19,802 4,855 — 14,838 13,037
North West Durham — 22,277 2,288 — 33,085 4,987
South West Durham 95 20,573 4,386 472 10,112 4,002
Northumberland — 29,103 4,762 — 43,761 6,961
Gateshead — 6,529 7,050 — 6,890 7,148
Newcastle upon Tyne 425 257,962 42,621 — 278,701 56,268
North Tyneside — 27,490 1,407 — 11,864 1,593

Mr. Hayhoe

Following are the figures shown by the authorities' annual accounts for 1983–84 and 1984–85. All 1984–85 figures are, at this stage, provisional.

1983–84 1984–85
Section 58 £ Section 65 £ Section 66 £ Section 58 £ Section 65 £ Section 66 £
South Tyneside — 29,785 7,202 — 27,088 8,286
Sunderland — 89,017 23,546 — 123,225 22,318
Total 802 929,926 186,674 1,560 960,561 231,420
Yorkshire Region
Regional Health Authority — — 5,200 — — —
Districts:
Hull 4,675 66,702 24,901 8,452 67,458 18,212
East Yorks — 59,038 10,216 — 77,036 16,262
Grimsby — 76,473 37,534 — 95,780 41,748
Scunthorpe 2,297 84,061 13,071 1,020 109,621 15,650
Northallerton — 39,706 4,452 — 31,905 6,271
York — 88,096 35,112 — 87,644 39,654
Scarborough — 23,112 24,422 — 7,518 28,050
Harrogate — 144,084 8,317 — 114,993 10,683
Bradford — 168,005 35,508 — 118,123 43,379
Airedale — 230,612 15,158 — 306,132 16,420
Calderdale — 412,497 38,006 — 409,780 42,630
Huddersfield — 156,764 20,549 — 191,590 21,348
Dewesbury — 61,650 7,957 — 56,624 11,760
Leeds Western — 724,139 48,446 1,346 900,826 67,317
Leeds Eastern — 175,857 20,564 — 188,328 26,069
Wakefield — 159,808 26,146 — 107,267 29,647
Pontefract — 59,392 12,435 — 38,173 11,970
Total 6,972 2,729,993 387,996 10,818 2,908,796 445,433
Trent Region
Regional Health Authority — — — — — —
Districts:
North Derbyshire — 67,550 12,189 — 81,939 18,439
South Derbyshire 3,250 181,315 34,671 1,425 166,211 42,541
Leicestershire — 339,204 40,823 — 365,973 51,661
North Lincolnshire 6,297 95,728 41,189 9,283 66,519 47,144
South Lincolnshire — 196,359 24,623 14 205,954 34,572
Bassetlaw — 42,151 9,441 — 38,872 10,144
Central Nottinghamshire — 109,764 21,742 — 31,106 19,076
Nottingham 2,798 296,982 44,787 15,492 143,130 57,313
Barnsley — 45,387 11,515 — 39,290 13,328
Doncaster 4,768 25,548 10,598 6,817 33,868 11,774
Rotherham — — — — — —
Sheffield 1,273 174,373 35,311 7,923 198,302 41,679
Total 18,386 1,574,360 286,889 40,955 1,371,163 347,671
East Anglian Region
Regional Health Authority — — — — — —
Districts:
Cambridge — 268,031 40,248 34,834 173,144 55,480
Peterborough 10,923 31,414 17,417 13,822 19,844 17,724
West Suffolk 5,145 156,399 12,488 5,028 168,954 18,292
East Suffolk — 425,352 8,889 — 256,027 30,571
Norwich — 634,809 38,420 — 528,310 40,524
Great Yarmouth — 68,670 11,015 — 61,960 15,108
West Norfolk and Wisbech — 125,540 15,192 — 144,181 25,476
Huntingdon — 52,790 2,513 — 123,692 3,120
Total 16,068 1,763,004 146,183 53,685 1,476,111 206,295
North West Thames Region
Regional Health Authority — — — — — —
Districts:
North Bedfordshire — 156,898 23,249 — 146,930 28,056
South Bedfordshire 1,203 49,886 20,250 2,038 36,853 19,111
North Hertfordshire 4,327 51,875 8,346 5,548 43,620 12,201
East Hertfordshire — 108,911 19,463 — 107,359 25,074
North West Hertfordshire 18 223,761 22,435 106 196,835 32,424
South West Hertfordshire 2,431 67,440 9,049 8,570 69,724 8,624
Barnet 1,666 141,269 50,098 1,553 103,662 49,404
Harrow 2,250 94,489 11,999 9,720 114,816 15,955
Hillingdon — 472,123 45,468 — 504,970 58,619
Hounslow and Spelthorne — 100,514 32,141 — 118,632 57,243
Ealing — 6,642 5,084 — 1,164 5,029
Brent — 73,095 10,552 — 37,243 8,265

1983–84 1984–85
Section 58 £ Section 65 £ Section 66 £ Section 58 £ Section 65 £ Section 66 £
Paddington — 1,881,595 91,800 — 1,783,525 108,261
Hammersmith and Fulham — 1,025,952 119,949 — 1,033,474 132,248
Victoria — 1,454,800 125,957 — 1,434,557 120,536
Total 11,941 5,909,250 595,840 27,535 5,733,365 681,049
North East Thames Region
Regional Health Authority — — — — — —
Districts:
Basildon and Thurrock — 145,625 32,075 — 152,877 25,511
Mid Essex — 380,860 49,189 — 452,077 88,934
North East Essex — 143,205 25,739 — 140,206 29,672
West Essex — 276,443 36,347 — 300,902 47,893
Southend 1,510 139,595 29,446 4,258 117,087 28,666
Barking, Havering and Brentwood — 228,274 93,712 — 218,108 76,895
Hampstead — 1,179,757 125,321 — 1,257,286 149,196
Bloomsbury — 4,115,076 306,035 — 3,770,188 294,770
Islington — 90,362 8,232 — 68,670 12,913
City and Hackney — 365,813 19,360 — 341,095 22,848
Newham — 12,239 875 — 14,973 3,827
Tower Hamlets — 895,519 56,666 — 953,178 59,667
Enfield — 55,519 12,704 — 58,265 10,741
Haringey — 50,592 24,148 — 30,374 24,701
Redbridge — 133,588 24,579 — 113,514 24,657
Waltham Forest 3,329 94,622 17,576 1,543 74,528 21,523
Total 4,839 8,307,089 862,005 5,801 8,063,327 922,413
South East Thames Region
Regional Health Authority — — — — — —
Districts:
Brighton 5,240 345,878 42,393 — 396,575 54,965
Eastbourne — 53,152 29,140 56 79,995 27,516
Hastings 10 102,134 15,703 — 86,129 20,539
South East Kent — 52,644 12,077 127 73,397 10,402
Canterbury and Thanet 5,515 77,926 54,812 260 70,394 49,777
Dartford and Gravesham 60 54,634 23,219 — 41,854 25,346
Maidstone 2,046 44,774 23,029 11,175 45,207 24,561
Medway — 42,319 40,925 — 27,430 29,994
Tunbridge Wells — 712,129 69,613 26,270 648,672 80,186
Bexley — 132,496 24,318 — 124,106 24,161
Greenwich 4,236 174,459 35,447 17,688 122,807 32,869
Bromley — 206,008 44,131 — 102,663 32,653
West Lambeth — 1,379,422 74,539 1,493 1,408,203 85,046
Camberwell — 1,315,985 66,396 — 1,257,097 70,145
Lewisham and North Southwark — 1,495,880 45,209 — 1,409,048 66,281
Total 17,107 6,189,838 600,952 57,069 5,893,576 634,441
South West Thames Region
Regional Health Authority — — — — — —
Districts:
North West Surrey — 236,785 43,073 — 278,186 49,651
West Surrey and North East Hampshire 5,874 162,959 37,792 13,149 155,480 44,642
South West Surrey — 93,984 60,470 — 206,028 77,382
Mid Surrey — 371,122 32,438 2,277 243,843 25,979
East Surrey — 368,219 16,586 8,700 128,547 15,750
Chichester — 109,743 19,094 — 116,297 27,862
Mid Downs — 408,446 49,956 30 401,058 51,832
Worthing — 43,757 562 — 47,453 758
Croydon — 81,728 12,493 — 103,698 13,982
Kingston and Esher — 143,423 14,476 — 154,329 24,341
Richmond, Twickenham and Roehampton — 46,815 19,050 — 22,032 17,119
Wandsworth 14 302,086 35,150 810 376,473 42,239
Merton and Sutton 3,860 251,266 24,908 5,013 267,307 37,413
Total 9,748 2,620,333 366,048 29,979 2,500,730 428,949
Wessex Region
Regional Health Authority — — — — — —
Districts:
East Dorset — 147,630 30,489 — 130,632 40,461
West Dorset 11,310 26,893 4,598 17,576 19,489 4,405
Portsmouth and South East Hampshire — 398,471 62,790 — 379,452 76,936

1983–84 1984–85
Section 58 £ Section 65 £ Section 66 £ Section 58 £ Section 65 £ Section 66 £
Southampton and South West Hampshire — 339,742 49,523 — 247,886 67,499
Winchester — 121,586 8,817 — 107,170 17,016
Basingstoke and North Hampshire — 440,564 34,370 7,431 438,954 36,654
Salisbury — 33,756 12,863 — 16,717 15,791
Swindon — 308,719 51,640 — 220,664 29,554
Bath — 50,039 15,247 — 39,624 14,445
Isle of Wight — 160,089 14,854 3,679 159,524 15,231
Total 11,310 2,027,489 285,191 28,686 1,760,112 317,992
Oxford Region
Regional Health Authority — — 1,588 — — 1,775
Districts:
East Berkshire — 100,507 25,635 — 94,078 50,703
West Berkshire — 549,907 32,888 — 589,447 74,909
Aylesbury — 533,152 37,056 — 534,280 40,753
Wycombe 3,209 310,821 40,356 17,575 279,420 26,718
Milton Keynes — — 2,335 — — 5,161
Kettering — 260,612 28,710 — 285,941 36,463
Northampton 12,656 235,716 62,722 18,670 256,082 52,190
Oxford — 742,916 105,814 8,322 842,397 129,076
Total 15,865 2,733,629 337,105 44,567 2,881,646 417,748
South Western Region
Regional Health Authority — — — — — —
Districts:
Bristol and Weston — 105,618 39,719 — 108,385 50,865
Frenchay — 103,369 1,568 — 120,737 14,656
Southmead — 12,407 5,884 — 19,056 7,902
Cornwall 7,681 100,370 19,598 7,820 70,009 23,469
Exeter 14,330 72,419 27,262 12,180 70,784 29,184
North Devon — 54,938 8,455 — 55,991 11,736
Plymouth 13,422 118,676 20,085 12,343 91,355 21,321
Torbay — 115,569 34,005 4,266 58,008 24,148
Cheltenham 2,875 338,505 43,858 4,415 344,547 50,362
Gloucester — 270,890 32,390 — 223,025 31,306
Somerset 19,122 292,116 23,733 19,830 264,315 30,190
Total 57,430 1,584,877 256,577 60,854 1,426,211 295,140
West Midlands Region
Regional Health Authority — — — — — —
Districts:
Bromsgrove and Redditch — 30,437 9,427 — 49,602 11,912
Hereford 5,800 44,670 5,255 6,201 51,156 9,821
Kidderminster — 39,687 11,983 — 57,192 14,280
Worcester — 235,304 36,343 — 269,959 57,318
Shropshire 8,985 187,319 16,536 12,297 192,712 25,405
Mid Staffordshire — 173,400 18,328 — 168,433 17,179
North Staffordshire 10,427 161,212 47,644 42,591 172,523 51,940
South East Staffordshire — 137,258 20,289 990 147,656 31,417
Rugby — 115,676 11,921 — 139,261 7,069
North Warwickshire — 43,976 6,239 — 52,260 8,284
South Warwickshire — 181,070 8,599 275 188,935 11,329
Central Birmingham — 607,275 33,097 — 441,235 54,361
East Birmingham — 35,471 1,416 — 27,931 3,247
North Birmingham 3,043 191,846 73,015 1,788 173,218 28,348
South Birmingham — 125,512 3,789 11,154 126,536 8,536
West Birmingham 1,508 52,853 12,327 — 40,425 15,889
Coventry — 167,732 13,160 — 157,673 42,230
Dudley — 62,617 18,476 495 80,634 23,822
Sandwell — 80,782 8,279 — 71,480 18,661
Solihull 1,452 46,225 1,426 1,511 48,510 3,110
Walsall — 192,313 14,107 — 198,330 15,629
Wolverhampton — 25,283 11,558 — 34,603 15,416
Total 31,215 2,937,918 383,212 77,303 2,890,265 475,203
Mersey Region
Regional Health Authority — — — — — —
Districts:
Chester — 43,602 7,345 19,098 31,303 8,988
Crewe — 197,137 42,138 — 255,546 68,530
Halton — — 996 — — 764

1983–84 1984–85
Section 58 £ Section 65 £ Section 66 £ Section 58 £ Section 65 £ Section 66 £
Macclesfield — 63,144 18,087 — 91,091 24,224
Warrington — 327,347 11,949 — 284,053 14,013
Liverpool — 316,585 28,941 — 305,863 38,521
St. Helens and Knowsley 15,505 106,658 36,886 15,665 102,721 34,764
Southport and Formby — 116,039 12,301 — 123,817 22,641
South Sefton 7,355 59,615 15,315 7,290 77,130 19,635
Wirral — 151,938 32,055 1,056 118,109 24,662
Total 22,860 1,382,065 206,012 43,109 1,389,633 256,743
North Western Region
Regional Health Authority — — — — — —
Districts:
Lancashire — 278,849 23,089 — 247,640 20,283
Blackpool, Wyre and Fylde 17,158 66,073 8,724 19,947 60,494 8,242
Preston 300 98,358 37,965 — 166,932 56,690
Blackburn, Hyndburn and Ribble Valley 9,098 35,954 1,685 7,671 30,410 5,960
Burnley, Pendle and Rossendale — 100,612 18,171 — 131,666 5,677
West Lancashire — 199,179 15,099 — 212,178 23,726
Chorley and South Ribble — 6,480 1,751 — 3,940 1,596
Bolton — 99,089 6,267 — 11,329 171
Bury — 238,386 17,321 — 209,407 23,027
North Manchester — 40,666 14,525 — 27,191 16,542
Central Manchester 706 690,531 37,454 2,280 774,780 49,853
South Manchester 1,268 492,093 105,749 3,053 487,631 124,789
Oldham — 71,872 12,760 — 75,244 17,621
Rochdale — 6,047 6,495 — 10,895 5,596
Salford — 38,254 8,565 5 69,482 18,694
Stockport — 32,898 15,639 — 42,177 19,112
Tameside and Glossop — 11,489 6,966 — 23,924 12,228
Trafford — 58,908 7,821 — 48,230 9,471
Wigan — 122,291 15,231 695 116,888 18,859
Total 28,530 2,688,028 361,278 33,651 2,750,437 438,137
Special Health Authorities for the London postgraduate teaching hospitals
Hospitals for Sick Children — 1,446,546 52,419 — 1,663,748 55,059
National Hospital for Nervous Diseases 43,458 622,421 40,992 58,206 537,618 91,556
Moorfields Eye Hospital — 622,255 26,185 — 553,490 38,417
Bethlem Royal and Maudsley Hospitals — 88,494 7,554 — 110,306 6,258
National Heart and Chest Hospitals — 1,208,289 29,667 30,712 1,644,836 42,936
Royal Marsden Hospital — 1,043,733 422,369 — 1,102,392 453,993
Hammersmith and Acton — 504,343 87,462 — 1,068,329 127,519
Queen Charlotte's Hospitals — 579,719 26,640
Eastman Dental Hospitals — — 5,821 — — 6,569
Total 43,458 6,115,801 699,110 88,918 6,680,719 822,307
Total (England) 296,531 49,493,601 5,961,054 604,488 48,686,653 6,920,940

Note: All figures have been rounded and may not in all cases add up exactly to the totals shown.

Mr. Dobson

asked the Secretary of State for Social Services if he will list, for each year since 1979, the health authorities for which statutory auditors have issued reports of poor control over private patient income.

Mr. Hayhoe

The information is as follows:

Financial year and name of authority

1979–80

  • Lincolnshire AHA
  • Camden and Islington AHA
  • East Sussex AHA

1980–81

  • Bedfordshire AHA
  • Hertfordshire AHA
  • Kent AHA
  • Greenwich and Bexley AHA
  • Bromley AHA
  • Lambeth, Southwark and Lewisham AHA(T)
  • Surrey AHA
  • West Sussex AHA
  • Merton, Sutton and Wandsworth AHA(T)
    • 492
  • Liverpool AHA(T)
  • National Heart and Chest Hospitals BG

1981–82

  • Nil

1982–83

  • Central Nottinghamshire DHA
  • Leicestershire DHA
  • Lambeth DHA
  • Bexley DHA
  • Canterbury and Thanet DHA
  • West Lambeth DHA
  • Lewisham and North Southwark DHA
  • Queen Charlotte's Hospital for Women BG

1983–84

  • Bradford DHA
  • South Tees DHA
  • Darlington DHA
  • Durham DHA
  • Southern Derbyshire DHA
  • Sheffield DHA
    • 493
  • Nottingham DHA
  • Calderdale DHA
  • Dewsbury DHA
  • Airedale DHA
  • Islington DHA
  • Waltham Forest DHA
  • North East Essex DHA
  • West Suffolk DHA
  • Camberwell DHA
  • Brighton DHA
  • Lewisham and North Southwark DHA
  • Croydon DHA
  • Mid Downs DHA
  • Merton and Sutton DHA
  • National Hospitals for Nervous Diseases SHA
  • Wycombe DHA
  • Oxfordshire DHA
  • West Berkshire DHA

1983–84

  • Kettering DHA
  • Coventry DHA
  • Torbay DHA
  • Portsmouth and South East Hampshire DHA
  • Shropshire DHA
  • North Birmingham DHA
  • North Staffordshire DHA
  • Crewe DHA

1984–85 (Not completed)

  • Southmead DHA
  • Northampton DHA
  • East Berkshire DHA
  • Cornwall and Isles of Scilly DHA
  • Milton Keynes DHA
  • Great Yarmouth and Waveney DHA
  • Aylesbury Vale DHA
  • Central Birmingham DHA
  • Mid-Staffordshire DHA
  • Rugby DHA
  • Hammersmith and Fulham DHA
  • South Manchester DHA

Mr. Dobson

asked the Secretary of State for Social Cambridge Services if he will give for each district the expenditure on contractual arrangements for patient care in 1983–84 and 1984–85.

Mr. Hayhoe

Following are provisional figures shown by the annual accounts of district health authorities for 1984–85. The figures for 1983–84 were given in my predecessor's reply to the hon. Member on 21 January 1985 at columns331–34.

Expenditure on contractual arrangements for patients care—1984–85
District health authorities £
Northern Region
Hartlepool —
North Tees —
South Tees 6,170
East Cumbria 269,200
South Cumbria 19,375
West Cumbria —
Darlington 604,215
Durham 6,863
North West Durham —
South West Durham —
Northumberland 407,606
Gateshead —
Newcastle upon Tyne 92,000
North Tyneside —
South Tyneside —
Sunderland —
TOTAL 1,405,429

District health authorities £
Yorkshire Region
Hull —
East Yorkshire —
Grimsby —
Scunthorpe 69,276
Northallerton 1,308,241
York —
Scarborough —
Harrogate 11,595
Bradford —
Airedale —
Calderdale 45,000
Huddersfield 145,796
Dewsbury 19,911
Leeds Western 105,881
Leeds Eastern 31,092
Wakefield 10,000
Pontefract —
TOTAL 1,746,792
Trent Region
North Derbyshire —
South Derbyshire —
Leicestershire 49,778
North Lincolnshire —
South Lincolnshire —
Bassetlaw —
Central Nottinghamshire 630
Nottingham —
Barnsley —
Doncaster —
Rotherham 87,249
Sheffield 582,773
TOTAL 720,430
East Anglian Region
Cambridge —
Peterborough 31,679
West Suffolk 192,181
East Suffolk 105,120
Norwich 95,568
Great Yarmouth —
West Norfolk and Wisbech —
Huntingdon 32,850
TOTAL 457,398
North West Thames Region
North Bedfordshire —
South Bedfordshire 16,460
North Hertfordshire 96,622
East Hertfordshire 720,472
North West Hertfordshire 27,364
South West Hertfordshire 119,362
Barnet 58,756
Harrow —
Hillingdon 1,701,571
Hounslow and Spelthorne 150,997
Ealing 6,803
Brent —
Paddington 240,785
Hammersmith and Fulham 110,205
Victoria 239,984
TOTAL 3,489,381
North East Thames Region
Basildon and Thurrock 26,183
Mid Essex 288,314
North East Essex 452,028

District health authorities £
West Essex 2,760
Southend 45,127
Barking, Havering and Brentwood 582,856
Hampstead 565,814
Bloomsbury 515,424
Islington 48,485
City and Hackney 1,349,350
Newham 66,211
Tower Hamlets 57,157
Enfield 747,549
Harringey 352,068
Redbridge 458,427
Waltham Forest 127,447
TOTAL 5,685,200
South East Thames Region
Brighton 318,712
Eastbourne 241,508
Hastings 19,031
South East Kent 46,278
Canterbury & Thanet 68,092
Dartford & Gravesham —
Maidstone 11,794
Medway 34,573
Tunbridge Wells 59,263
Bexley 66,053
Greenwich 115,874
Bromley 442,402
West Lambeth 73,080
Camberwell 34,515
Lewisham & North Southwark 440,112
TOTAL 1,971,287
South West Thames Region
North West Surrey 211,452
West Surrey & North East Hampshire 306,752
South West Surrey 1,155,584
Mid Surrey 188,580
East Surrey 159,620
Chichester 1,009,808
Mid Downs 410,866
Worthing 693,498
Croydon 115,051
Kingston & Esher 159,587
Richmond, Twickenham & Roehampton 714,212
Wandsworth 554,135
Merton & Sutton 337,265
TOTAL 6,016,410
Wessex Region
East Dorset 450,744
West Dorset —
Portsmouth & South East Hampshire 681,134
Southampton & South West Hampshire 102,262
Winchester 133,423
Basingstoke & North Hampshire 138,244
Salisbury 17,992
Swindon 16,449
Bath 401,655
Isle of Wight —
TOTAL 1,941,903
Oxford Region
East Berkshire 166,614
West Berkshire —
Aylesbury 35,228
Wycombe 41,724
Milton Keynes 156,736

District health authorities £
Kettering 4,887
Northampton 445,914
Oxford 261,836
TOTAL 1,129,939
South Western Region
Bristol and Weston 88,012
Frenchay 61,691
Southmead 46,562
Cornwall 1,769,252
Exeter —
North Devon —
Plymouth 184,798
Torbay 157,061
Cheltenham 31,138
Gloucester 82,889
Somerset —
TOTAL 2,421,403
West Midlands Region
Bromsgrove and Redditch 1,424
Hereford —
Kidderminster 16,259
Worcester 32,451
Shropshire 85,877
Mid Staffordshire 100,100
North Staffordshire 218,490
South East Staffordshire 96,467
Rugby 23,053
North Warwickshire 737,469
South Warwickshire 507,118
Central Birmingham 4,028
East Birmingham 83,899
North Birmingham 13,771
South Birmingham 36,171
West Birmingham 5,475
Coventry 119,756
Dudley 110,069
Sandwell 53,967
Solihull —
Walsall 61,485
Wolverhampton 117,689
TOTAL 2,425,018
Mersey Region
Chester —
Crewe 9,730
Halton —
Macclesfield 471
Warrington —
Liverpool 1,674,903
St. Helens and Knowsley —
Southport and Formby 646,698
South Sefton 6,770
Wirral 15,000
TOTAL 2,353,572
North Western Region
Lancaster 360,443
Blackpool, Wyre and Fylde 236,325
Preston 888,512
Blackburn, Hyndburn and Ribble Valley —
Burnley, Pendle and Rossendale 34,868
West Lancashire —
Chorley and South Ribble 739,647
Bolton —
Bury —
North Manchester 826,780
Central Manchester —
South Manchester 690,402

District health authorities £
Oldham 75,000
Rochdale —
Salford 428,546
Stockport —
Tameside and Glossop 94,823
Trafford 20,925
Wigan 102,000
TOTAL 4,498,271

Mr. Dobson

asked the Secretary of State for Social Services if he will give for 1984, for each region and for England as a whole, the number of deaths and discharges a month and the number of beds occupied on a given date by patients receiving treatment under contractual arrangements with institutions outside the National Health Service; and if he will break down these figures in the categories of (a) medical, (b) surgical, (c) pre-convalescent and post-operative, (d) convalescent, (e) geriatric, (f) disease of the chest, (g) maternity, (h) mental illness, (i) mental handicap, (j) rehabilitation, (k) terminal care and (l) others; and if he will give the 1983 figures for comparison.

Mr. Hayhoe

I shall let the hon. Member have a reply as soon as possible.

Mr. Dobson

asked the Secretary of State for Social Services if he will give, for each year since 1979, the number of (a) in-patient discharges and deaths and (b) new out-patients treated among patients receiving acute treatment under contractual arrangements with institutions outside the National Health Service in England.

Mr. Hayhoe

The information requested is given in the table.

Patients receiving acute* treatment under contractual arrangements with institutions outside the National Health Service—England
Year In-patient deaths and discharges New out-patients treated
1979 21,976 40,202
1980 21,011 12,435
1981 21,463 12,229
1982 22,150 14,785
1983 22,360 13,327
1984† 24,945 14,296
* Acute is defined as all specialties except geriatrics, mental handicap, mental illness and maternity.
† Provisional.

Mr. Dobson

asked the Secretary of State for Social Services if he has issued any guidelines to health authorities as to the inclusion in consultants' contracts of any restriction on their participation in the medical committees of private hospitals or clinics; and if he will make a statement.

Mr. Hayhoe

No.

Mr. Dobson

asked the Secretary of State for Social Services if he has any evidence of shortages of specialist staff in National Health Service hospitals arising from the alleged actions of private hospitals or clinics in attracting staff away from the National Health Service by offers of improved salaries or conditions; and if he will make a statement.

Mr. Hayhoe

No.

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