§ Sir David Priceasked the Secretary of State for Social Services what has been the increase in resources devoted to health and the personal social services for each year since 1979, measured in real terms; and how much of that increase has been on improved pay and working conditions for the staffs concerned.
§ Mr. WhitneyThe table gives the information requested for revenue spending on the hospital and community health services (HCHS) and local authority personal social services (LAPSS).
column 153, to the hon. Member for Brent, South (Mr. Pavitt) if he will give a table setting out, for each year from 1979–80 to 1986–87 and cumulatively to 1985–86 and to 1986–87, expenditure on hospital and community health service giving (a) gross spending in cash terms, (b) the percentage increase for each year on the previous year as measured by the gross domestic product deflator, (c) the percentage increase on the previous year of National Health Service pay and prices in excess of inflation as measured by the gross domestic product deflator, (d) the percentage increase on the previous year of demographic pressures over and above inflation as measured by the gross domestic product deflator and (e) the additional expenditure on the previous year the Department of Health and Social Security estimated is required, over and above inflation as measured by the gross domestic product deflator, as a contribution to the costs of the process of medical innovation in health care and its costs 1983.
§ Mr. Hayhoe[pursuant to his reply, 30 June 1986]: The figures for year on year changes requested at (b), (c) and (d) were given in my reply to the hon. Member on 11 June at columns 219–22. The following tables set out the additional information now sought. The figures for demographic pressure and medical progress represent the extent to which services need to grow to meet them. Service growth is produced by a combination of higher cash spending and improved efficiency. Health authorities cash savings have cumulated to nearly £500 million a year (5 per cent.) by the end of the period. In addition, more patients are being treated within existing resources.
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Gross revenue spending £ million Medical progress Per cent. 1979–80 5,279 0.5 1980–81 6,963 0.5 1981–82 7,681 0.5 1982–83 8,244 0.5
Gross revenue spending £ million Medical progress Per cent. 1983–84 8,667 0.5 1984–85 9,161 0.5 *1985–86 9,678 0.5 †1986–87 10,423 0.5
Gross revenue spending *Real terms increase †NHS pay and prices Demographic pressure Medical progress £ million Per cent. Per cent. Per cent. Per cent. Cumulative increase 1979–80 to 1985–86 119.7 16.5 10.3 5.2 3.6 Cumulative increase 1979–80 to 1986–87 136.6 20.7 n.a. 6.3 4.1 * Spending measured against the GDP deflator. † Increase in hospital and community health service pay and prices compared with general inflation.