Hospital and Community Health Service

HC Deb 13 January 1988 vol 125 cc338-41W

Sir Barney Hayhoe

To ask the Secretary of State for Social Services whether he will publish in tabular form for the four Thames regions jointly and separately the comparable information given for HCHS current funding in his Department's evidence to the Social Services Select Committee about trends in actual and planned expenditure in health services earlier in the current year.

Mr. Newton

[holding answer 15 December 1987]: The table provided in the Department's evidence to the Social Services Select Committee is drawn from the Government's public expenditure survey database. Directly comparable information in terms of expenditure by individual health authorities is not available.

An analysis of trends in expenditure in the Thames regions over the period 1982–83 to 1986–87 is given in the table. Expenditure figures for 1987–88 will not be available until after the end of the financial year.

Thames Regions: Trends in actual expenditure on hospital and community health services
	1982–83	1983–84	1984–85	1985–86	1986–87
North West Thames
Net spending (£ million)	624.6	666.3	691.6	719.6	789.2
Charges (£ million)	8.6	9.1	9.6	9.2	8.6
Total spending (£ million)	633.2	665.4	701.2	728.8	777.8
Increase (per cent.)	—	5.1	5.4	3.9	6.7
Inflation etc in service (per cent.)	—	5.1	5.8	5.2	6.9
Change in purchasing power (per cent.)	—	0.0	-0.4	-1.2	-0.2
Change in real terms (per cent.)	—	0.5	0.9	-2.0	3.8
Cash releasing cost improvements
new (£ million)	—	—	10.6	14.4	15.8
recurrent (£ million)	—	—	10.6	24.2	39.8
increase (per cent.) new cost improvements	—	—	1.5	1.9	2.1
Margin available for service development in year (per cent.)	—	0.0	1.1	0.7	1.9
North East Thames
Net spending (£ million)	788.9	829.2	869.2	902.8	986.1
Charges (£ million)	11.7	12.0	12.2	11.6	11.0
Total spending (£ million)	800.7	841.1	881.3	914.2	976.1
Increase (percentage)	—	5.1	4.8	3.7	6.8
Inflation etc. in service (percentage)	—	5.1	5.8	5.2	8.9
Change in purchasing power (percentage)	—	0.0	-1.0	-1.4	-0.1
Change in real terms (percentage)	—	0.4	0.4	-2.2	3.7
Cash releasing cost improvements
new (£ million)	—	—	11.7	17.2	16.4
recurrent (£ million)	—	—	11.7	27.8	45.3
increase (percentage)—new cost improvements	—	—	1.4	1.8	1.7
Margin available for service development in year (percentage)	—	0.0	0.4	0.4	1.6
South East Thames
Net spending (£ million)	691.3	729.7	762.1	797.9	847.6
Charges (£ million)	9.2	9.7	10.0	9.6	9.6
Total spending (£ million)	700.4	739.4	772.1	807.5	857.1
Increase (percentage)	—	6.6	4.4	4.6	8.1
Inflation etc. in service (percentage)	—	5.1	5.8	5.2	6.9
Change in purchasing power (percentage)	—	0.4	-1.3	-0.6	-0.7
Change in real terms (percentage)	—	0.9	0.0	-1.4	3.0
Cash releasing cost improvements
new (£ million)	—	—	14.0	14.3	12.7
recurrent (£ million)	—	—	14.0	29.0	43.1
increase (percentage)—new cost improvements	—	—	1.9	1.8	1.5
Margin available for service developments in year (percentage)	—	0.4	0.6	1.2	0.8
South West Thames
Net spending (£ million)	525.7	554.0	580.9	603.8	645.5
Charges (£ million)	4.7	5.1	5.4	4.5	4.6
Total spending (£ million)	530.4	559.1	586.3	608.3	650.1
Increase (per cent.)	—	5.4	4.9	3.8	6.9
Inflation etc. in service (per cent.)	—	5.1	5.8	5.2	6.9
Change in purchasing power (per cent.)	—	0.3	-0.9	-1.4	0.0
Change in real terms (per cent.)	—	0.8	0.4	-2.2	3.7
Cash releasing cost improvements
new (£ million)	—	—	6.9	8.5	10.9
recurrent (£ million)	—	—	6.9	15.0	25.3
increase (per cent.)—new cost improvements	—	—	1.2	1.3	1.7
Margin available for service development in year (per cent)	—	0.3	0.3	-0.1	1.7
Thames Regions
Net spending (£ million)	2,830.5	2,769.2	2,803.8	3,024.0	3,227.4
Charges (£ million)	34.2	35.9	37.1	34.8	33.7
Total spending (£ million)	2,664.7	2,805.1	2,940.9	3,058.8	3,261.0

	1982–83	1983–84	1984–85	1985–86	1986–87
Increase (per cent.)	—	5.3	4.8	4.0	8.8
Inflation etc. in service (per cent.)	—	5.1	5.8	5.2	6.9
Change in purchasing power (per cent.)	—	0.2	-0.9	-1.1	-0.3
Change in real terms (per cent.)	—	0.6	0.4	-1.9	3.5
Cash releasing cost improvements
new (£ million)	—	—	43.2	64.3	55.8
recurrent (£ million)	—	—	43.2	95.8	154.5
increase (per cent.)—new cost improvements	—	—	1.5	1.7	1.7
Margin available for service development in year (per cent.)	—	0.2	0.6	0.6	1.4
Change in GDP deflator	—	4.60	4.40	8.04	3.01

Notes:

Income and expenditure figures are based on health authorities' summarised accounts; figures for 1986–87 are provisional. Real terms growth has been calculated using the Gross Domestic Product deflator.