NHS (Funding) (Hansard, 21 January 1988)

§ Mr. Cohen
To ask the Secretary of State for Social Services if he will list the amount of Government funding840W for each year since 1979 to (a) Waltham Forest district health authority and (b) North East Thames regional health authority, based on (i) actual amounts, (ii) in real terms at current years prices and (iii) in real terms at current years prices based on information he may have for Health Service inflation and costs.

§ Mrs. Currie
The available information is shown in the table. Information is not available on a district basis for the years prior to the 1982 reorganisation of the National Health Service. Comparable information for 1987–88 will not be available until after the end of the financial year.
It is inappropriate to revalue district health authority expenditure by reference to centrally assessed movements in hospital and community health services pay and prices as the local composition of that expenditure can differ substantially from the national average.
841W

North East Thames Region Net Revenue Expenditure¹ (£000) Waltham Forest District Net Revenue Expenditure¹ (£000)

1987–88 Prices 1986–87 Prices

Cash Using gross domestic product deflator Using HCHS pay and price deflator Cash Using gross domestic product deflator

1978–79 408,958 795,654 909,114 not available

1979–80 483,090 804,172 890,818

1980–81 629,213 883,466 906,696

1981–82 691,836 884,689 921,526

1982–83 788,936 941,114 986,170 55,436 66,129

1983–84 829,151 945,602 986,690 56,838 64,821

1984–85 869,167 949,432 977,813 58,862 64,298

1985–86 902,631 929,828 964,913 52,512 54,094

1986–87 965,116 965,116 965,116 54,796 54,796

Notes:

¹ As shown in health authorities' summarised accounts.

² The 1982 reorganisation of the NHS resulted in substantial and complex boundary changes and changes in management responsibility. Figures for pre- and post- 1982 authorities are not directly comparable.

³ District expenditure figures are distorted by a change in the region's accounting methodology which was introduced in 1985–86. Districts in North East Thames are now charged for the cost of "their" patients in large mental illness hospitals outside their boundaries.

Mr. Hartley
To ask the Secretary of State for Social Services what has been the allocation of funds to the South West Thames area authority and to the Richmond, Twickenham and Roehampton district health authority for each of the last 10 years; and what has been the percentage increase in each year.

Growth in net revenue expenditure 1978.79 to 1986–87

South West Thames region Richmond, Twickenham and Roehampton district

Net revenue expenditure¹ £000 Percentage increase over previous year per cent. Net revenue expenditure¹ cash £000 Percentage increase over previous year per cent.

1978–79 301,143 — ³ —

1979–80 358,664 19.1 ³ —

1980–81 461,750 28.7 ³ —

1981–82 510,712 10.6 ³ —

1982–83 525,671 ²— 30,649 —

1983–84 554,012 5.4 32,865 7.2

1984–85 580,905 4.9 33,104 0.7

1985–86 603,799 3.9 34,653 4.7

1986–87 645,521 6.9 37,076 7.0

¹ As shown in health authorities' summarised accounts.

² The 1982 reorganisation of the National Health Service resulted in substantial and complex boundary changes and changes in management responsibility. Figures for pre and post 1982 authorities are not directly comparable.

³ Not available.

	North East Thames Region Net Revenue Expenditure¹ (£000)	Waltham Forest District Net Revenue Expenditure¹ (£000)
		1987–88 Prices		1986–87 Prices
	Cash	Using gross domestic product deflator	Using HCHS pay and price deflator	Cash	Using gross domestic product deflator
1978–79	408,958	795,654	909,114	not available
1979–80	483,090	804,172	890,818
1980–81	629,213	883,466	906,696
1981–82	691,836	884,689	921,526
1982–83	788,936	941,114	986,170	55,436	66,129
1983–84	829,151	945,602	986,690	56,838	64,821
1984–85	869,167	949,432	977,813	58,862	64,298
1985–86	902,631	929,828	964,913	52,512	54,094
1986–87	965,116	965,116	965,116	54,796	54,796
Notes:
¹ As shown in health authorities' summarised accounts.
² The 1982 reorganisation of the NHS resulted in substantial and complex boundary changes and changes in management responsibility. Figures for pre- and post- 1982 authorities are not directly comparable.
³ District expenditure figures are distorted by a change in the region's accounting methodology which was introduced in 1985–86. Districts in North East Thames are now charged for the cost of "their" patients in large mental illness hospitals outside their boundaries.

Growth in net revenue expenditure 1978.79 to 1986–87
	South West Thames region	Richmond, Twickenham and Roehampton district
	Net revenue expenditure¹ £000	Percentage increase over previous year per cent.	Net revenue expenditure¹ cash £000	Percentage increase over previous year per cent.
1978–79	301,143	—	³	—
1979–80	358,664	19.1	³	—
1980–81	461,750	28.7	³	—
1981–82	510,712	10.6	³	—
1982–83	525,671	²—	30,649	—
1983–84	554,012	5.4	32,865	7.2
1984–85	580,905	4.9	33,104	0.7
1985–86	603,799	3.9	34,653	4.7
1986–87	645,521	6.9	37,076	7.0
¹ As shown in health authorities' summarised accounts.
² The 1982 reorganisation of the National Health Service resulted in substantial and complex boundary changes and changes in management responsibility. Figures for pre and post 1982 authorities are not directly comparable.
³ Not available.