§ Mr. DunnTo ask the Secretary of State for Health if he will publish expenditure per capita by each regional health authority in England, indicating in the presentation of figures any distortions because of non-regional specialist units and teaching hospitals situated in each regional health authority.
467W
§ Mr. Dorrell[holding answer 6 February 1991]: Following is information derivable from 1989–90 annual accounts submitted to the Department:
Total Revenue Expenditure on Hospital and Community Health Services (HCHS) Per Head of Resident Population—1989–90 Region £ (cash) Northern 281 Yorkshire 267 Trent 259 East Anglian 258 North West Thames 294 North East Thames 338 South East Thames 305 South West Thames 304 Wessex 247 Oxford 232 South Western 262 West Midlands 265 Mersey 291 North Western 293 Sources:
1. Annual accounts of regional and district health authorities for 468W 1989–90.
2. Mid 1989 estimates of resident population (Office of Population Censuses and Surveys).
Notes:
1. Revenue expenditure on HCHS covers the total revenue expenditure by the health authorities concerned including that on hospital, community health, patient transport (i.e. ambulance), blood transfusion and other services. All capital expenditure and expenditure on family health services (formerly family practitioner services) is excluded.
2. Expenditure by the special health authorities for the London postgraduate teaching hospitals is excluded but expenditure by regional and district health authorities on non-regional specialist units and teaching hospitals is not separately identifiable in their accounts and cannot be similarly excluded.
3. Figures of expenditure per head of resident population vary between regions for a number of reasons other than the location of specialist units and teaching facilities. For example:
- (a) people quite commonly cross regional boundaries for treatment and the population figures make no allowance for this or for differences in the age/sex structure and morbidity of particular populations.
- (b) the expenditure figures for the Thames regions will be influenced by the payment of London weighting allowances to staff employed in relevant districts and by a generally higher level of costs than pertains in other parts of the country.