§ Mr. Ralph HowellTo ask the Secretary of State for Health if he will give details of the total annual cost and the average annual cost of full-time posts in the National health service; and if he will break down the average cost for a full-time equivalent post into pay, national insurance superannuation, and other costs such as office space, heating, lighting etc., for 1979–80 and each subsequent year.
§ Mr. Dorrell[holding answer 21 May 1990]: Information on salaries and wages costs derived from annual accounts and manpower returns submitted to the Department for the financial years 1979–80 to 1988–89 (the latest available) is shown in the table.
The format of the annual accounts of health authorities does not provide for office, other accommodation, heating, lighting and similar costs to be assigned between staff and patients. Similarly, comprehensive data to permit the derivation of annual figures for particular elements within the average total salaries and wages cost per whole-time equivalent are not available centrally.
National Health Service (England)—Total salaries and wages costs £ Million (cash) Average total salaries and wages cost per whole time equivalent post1 £ (cash) 1979–80 3,971.8 5,160 1980–81 5,217.1 6,620 1981–82 5,706.7 6,970 1982–83 6,068.7 7,350 1983–84 6,405.4 7,760 1984–85 6,753.1 8,300 1985–86 7,100.0 8,800 1986–87 7,628.5 9,600 1987–88 8,353.7 10,600 1988–89 9,409.1 12,030 1 Approximate. Sources: (a) Annual accounts of regional and district health authorities, special health authorities for the London postgraduate teaching hospitals, family practitioner committees, the Dental Estimates Board and the Prescription Pricing Authority. (b) Department of Health annual censuses of NHS medical and 553W non-medical manpower as at 30 September of each year.
Notes:
1. The figures are gross salaries and wages costs (including employers' national insurance and superannuation contributions) and relate to directly employed NHS staff. The costs of non-NHS staff (agency, etc), locums, and payments to contractors for family practitioner services are excluded.
2. The whole time equivalent figures used are not adjusted for the reduction in nurses' working hours during 1980–81 and exclude certain special health authorities and other NHS bodies such as the Health Education Authority. The comparatively small total whole time equivalent figures for such authorities and bodies were not collected until 1987 and thus for comparability all relevant other data have been excluded.
Average daily available beds1 and in-patient cases treated National Health Service hospitals: 1979 and 1988–89 1979 1988–89 District health authority Average daily available beds In-patient cases treated In-patients per available bed Average daily available beds In-patient cases treated In-patients per available bed North West Thames RHA Barnet 2,841 33,616 11.8 2,114 36,482 17.3 Harrow 908 24,082 26.5 802 25,486 31.8 Hillingdon 1,628 38,926 23.9 1,184 40,826 34.5 Hounslow and Spelthorne n/a n/a n/a 1,208 38,176 31.6 Ealing 1,709 11,443 6.7 1,299 24,741 19.0 Riverside n/a n/a n/a 2,702 51,066 18.9 Parkside 3,681 54,802 14.9 2,634 52,548 19.9 North East Thames RHA Barking, Havering and Brentwood 3,283 44,180 13.5 2,562 46,123 18.0 Hampstead n/a n/a n/a 1,683 26,601 15.8 Bloomsbury n/a n/a n/a 1,912 59,318 31.0 Islington n/a n/a n/a 813 29,541 36.3 City and Hackney n/a n/a n/a 1,477 37,322 25.3 Newham 941 20,471 21.8 785 21,909 27.9 Tower Hamlets n/a n/a n/a 1,196 33,493 28.0 Enfield 1,234 20,528 16.6 977 23,191 23.7 Haringey 1,236 37,693 22.4 799 22,321 27.9 Redbridge 1,655 20,320 12.3 1,383 20,485 14.8 Waltham Forest 3,311 32,753 9.9 2,120 39,339 18.6 South East Thames RHA Bexley 1,653 16,601 10.0 1,108 21,407 19.3 Greenwich 1,777 39,803 22.4 1,150 34,554 30.0 Bromley 2,591 29,822 11.5 1,757 28,508 16.2 West Lambeth n/a n/a n/a 1,537 32,736 21.3 Camberwell 1,432 35,266 24.6 1,147 35,883 31.3 Lewisham and North Southwark 2,336 54,467 23.3 1,657 54,154 32.7 South West Thames RHA Croydon 3,192 26,861 8.4 2,026 34,969 17.3 Kingston and Esher n/a n/a n/a 1,242 24,189 19.5 Richmond, Twickenham and Roehampton n/a n/a n/a 684 16,739 24.5 Wandsworth 2,871 43,654 15.2 2,095 41,757 19.9 Merton and Sutton 2,687 32,195 12.0 1,921 36,691 19.1 Special Health Authorities The Hospitals for Sick Children 571 15,569 30.1 387 15,921 41.2 The National Hospitals for Nervous Diseases 357 6,349 17.8 304 5,794 19.0 Moorfields Eye Hospital 208 9,050 43.6 143 11,553 80.7 Bethlem Royal and Maudsley Hospitals 472 2,495 5.3 466 2,666 5.7 The National Heart and Chest Hospitals 603 13,068 21.7 359 17,627 49.1 The Royal Marsden Hospital 361 10,993 30.5 311 11,027 35.5 Hammersmith and Queen Charlotte's n/a n/a n/a 810 25,666 31.7 The Eastman Dental Hospital n/a n/a n/a 12 687 57.3 Source: SH3 return 1979, KHO3 and SH3a returns 1988–89.
1 Excluding neonatal cots on maternity units.
n/a Comparable data not available due to NHS restructuring in 1979.