§ Mr. John Marshall
To ask the Secretary of State for Health what changes he has made to the cash limits and running cost limits of his Department in 1990–91.
§ Mr. Waldegrave
Subject to parliamentary approval of the necessary supplementary estimates, the following changes will be made.
The cash limit for class XIII, vote 1 (hospital and community health services, family health services (part) and other services, England) will be increased by £291,932,000 (from £13,902,857,000 to £14,194,789,000). This increase provides an additional £159,484,000 for VAT on construction and other minor capital expenditure; £110,000,000 for the cost of commitments for GPs' practice staff and premises improvements scheme; £23,284,000 for the full take-up of end-year flexibility entitlements arrangements as announced by my right hon. Friend the Chief Secretary to the Treasury on 25 July 1990; £1,704,000 for the pay award for senior nurses and midwives; £350,000 for a transfer from class VI, vote 1 for the North London School of Physiotherapy and £56,000 in respect of a transfer from class XIII, vote 3 for the artificial eye service. These increases are partly offset by a transfer of £2,746,000 to class XIII, vote 3 for management communication funding and £200,000 for work done by the Audit Commission.
The cash limits for class XIII, vote 3 (Department of Health administration, miscellaneous health services and personal social services, England) will be increased by £3,335,000 (from £687,918,000 to £691,253,000). This increase provides an additional £516,000 for expenditure on VAT on construction; £14,000 for the nurse regrading package and pay award for senior nurses and midwives; £2,746,000 transferred from class XIII, vote 1 in respect of management communication funding; £200,000 transferred from class XIII, vote 1 for work done by the Audit Commission; £100,000 from class II, vote 5, £100,000 from class XI, vote 1, £65,000 from class XVI, vote 1 and £35,000 from Department of Health and Social Services Northern Ireland, vote 3 for contributions to the international Peto institute; and £257,000 from class XII, vote 3 for the United Kingdom drug reduction task force. These increases are partly offset by £224,000 in respect of a net transfer to class XIV, vote 7 for reapportionment of staff resources following the splitting of DHSS; and £56,000 to class XIII, vote 1 in respect of the artificial eye service, and also a reduction of £418,000 for EC receipts for emergency payments for injuries resulting from the storms last winter. The provision for running costs on class XIII, vote 3 and the Department's running cost limit is reduced by £38,000 from £202,087,000 to £202,049,000. The increase is within the forecast outturn for the planning total included in the Chancellor's autumn statement today.