§ Mrs. DunwoodyTo ask the Secretary of State for Health how much money has been spent(a) on the national health service reforms and (b) on sustaining the new market structures.
§ Mr. CohenTo ask the Secretary of State for Health what has been the cost to date of the Government's reforms of the national health service; and if he will make a statement.
§ Mr. DorrellAround £380 million has been made available to the NHS for implementing the NHS reforms this year. This is in addition to sums of £300 million and £80 million provided in 1990–91 and 1989–90. All this money is in addition to that needed to maintain service levels. An analysis of how this money is expected to be spent is shown in the table.
£ million NHS Review Expenditure 1989–90 1990–91 1991–92 HCHC Revenue 100 Consultants initiative 3.0 26.5 37.0 Resource management initiative, clinical audit and IT 20.7 64–7 87.0 Enhancement of personnel, finance and other key staff functions and training 18.0 66.8 87.0 NHS Trusts-mainly consultation and start up costs — 12.5 22.0 Family Health Service Authorities' Administration — 29–0 36.0 Other—mainly quality initiatives, pilot projects and capital charges 17.0 29.5 34.0 Total revenue 58–7 229.0 303.0 HCHS capital Resource management initiative, medical audit and IT 13.0 54.6 65.0 Quality initiative — 5.0 5.0 Total capital 13.0 59.6 70.0 FHS Practice funds management allowance — 6.0 6.0 Total FHS — 6.0 6.0 CFS/DH Admin. DH staff and consultancy costs related to the Review 7.4 — — Prescription Pricing Authority — 9.0 4.0 Post Royal Assent Publicity — 2.7 — Total CFS/DH Admin/FHS Admin 7–4 11.7 4.0 Total NHS Review 79.1 306.3 383.0