HC Deb 20 June 1991 vol 193 cc298-309W
Mr. Andrew Mitchell

To ask the Secretary of State for Health what has been the change in revenue spending in both cash and real terms between 1985 and the latest year for which figures are available for each of the regional and district health authorities in England.

Mr. Dorrell

Figures of total revenue expenditure derived from the annual accounts of regional and district health authorities in England for 1985–86 and 1989–90 (the latest available) are shown in the table.

Although their expenditure cannot be attributed to particular regions, figures for the special health authorities for the London postgraduate teaching hospitals have been included for completeness.

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000(Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
Trent RHA 21,453 26,703 29,354 36.8 9.9
North Derbyshire 42,151 52,465 65,289 54.9 24.4
South Derbyshire 86,730 107,955 124,701 43.8 15.5
Leicestershire 145,232 180,773 210,723 45.1 16.6
North Lincolnshire 52,135 64,894 72,592 39.2 11.9
South Lincolnshire 41,696 51,900 62,536 50.0 20.5
Bassetlaw 14,149 17,611 20,767 46.8 17.9
Central Nottinghamshire 46,598 58,001 68,476 47.0 18.
Nottinghamshire 134,470 167,378 184,313 37.1 10.1
Barnsley 32,606 40,585 47,294 45.1 16.5
Doncaster 45,363 56,465 68,696 51.4 21.7
Rotherham 34,459 42,892 50,647 47.0 18.1
Sheffield 146,114 181,871 206,517 41.3 13.6
Trent region total 843,156 1,049,493 1,211,905 43.7 15.5

1985–86 £00 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
East Anglia RHA 8,176 10,177 14,103 72.5 38.6
Cambridge 64,418 80,183 93,403 45.0 16.5
Peterborough 34,457 42,889 54,307 57.6 26.6
West Suffolk 32,917 40,972 49,164 49.4 20.0
East Suffolk 56,543 70,380 79,085 39.9 12.4
Norwich 86,543 107,722 122,587 41.6 13.8
Great Yarmouth and Waveney 30,044 37,396 43,579 45.0 16.5
West Norfolk and Wisbech 25,168 31,327 38,836 54.3 24.0
Huntingdon 19,981 24,871 33,130 65.8 33.2
East Anglia regional total 358,247 445,917 528,194 47.4 18. 5

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
North West Thames R.H.A. 23,531 29,290 14,529 (38.3) (50.4)
North Bedfordshire 33,936 42,241 47,610 40.3 12.7
South Bedfordshire 39,211 48,806 57,034 45.5 16.9
North Hertfordshire 23,349 29,063 35,899 53.8 23.5
East Hertfordshire 28,513 35,490 44,191 55.0 24.5
North West Hertfordshire 50,752 63,172 89,881 77.1 42.3
South West Hertfordshire 38,540 47,971 39,198 1.7 (18.3)
Barnet 65,574 81,621 100,785 53.7 23.5
Harrow 36,573 45,524 52,870 44.6 16.1
Hillingdon 54,951 68,399 81,347 48.0 18.9
Hounslow and Spelthorne 51,572 64,193 73,745 43.0 14.9
Ealing 40,265 50,119 58,157 44.4 16.0
Riverside 128,455 159,890 171,387 33.4 7.2
Parkside 113,626 141,433 158,079 39.1 11.8
North West Thames region total 728,848 907,212 1,024,712 40.6 13.0

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £ (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
North East Thames RHA 28,508 35,484 22,791 (20.1) (35.8)
Basildon and Thurrock 43,163 53,726 65,015 50.6 21.0
Mid Essex 42,665 53,106 68,785 61.2 29.5
North East Essex 55,571 69,170 74,673 34.4 8.
West Essex 36,868 45,890 55,172 49.6 20.2
Southend 42,657 53,096 64,492 51.2 21.5
Barking, Havering and Brentwood 72,033 89,661 98,707 37.0 10.1
Hampstead 55,633 69,247 80,152 44.1 15.7
Bloomsbury 122,450 152,417 164,928 34.7 8.2
Islington 49,194 61,233 69,701 41.7 13.8
City and Hackney 81,517 101,466 112,469 38.0 10.8
Newham 41,765 51,986 56,489 35.3 8.7
Tower Hamlets 67,183 83,624 96,389 43.5 15.3

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/(decrease) in cash terms per cent. Increase/(decrease) in real terms per cent.
Enfield 38,144 47,478 52,316 37.2 10.2
Haringey 46,312 57,646 64,093 38.4 11.2
Redbridge 37,799 47,049 54,559 44.3 16.0
Waltham Forest 52,726 65,629 76,089 44.3 15. 9
North East Thames Region 914,188 1,137,908 1,276,820 39.7 12.2

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
South East Thames R.H.A. 22,014 27,401 25,964 17.9 (5.2)
Brighton 55,475 69,051 79,969 44.2 15.8
Eastbourne 40,508 50,421 57,338 41.5 13.7
Hastings 27,412 34,120 39,727 44.9 16.4
South East Kent 34,369 42,779 51,820 50.8 21.1
Canterbury and Thanet 57,195 71,192 77,325 35.2 8.6
Dartford and Gravesham 44,350 55,203 54,245 22.3 (1.7)
Maidstone 34,565 43,024 47,560 37.6 10.5
Medway 45,252 56,326 66,983 48.0 18.9
Tunbridge Wells 44,976 55,983 59,360 32.0 6.0
Bexley 35,608 44,322 48,473 36.1 9.4
Greenwich 61,135 76,096 79,534 30.1 4.5
Bromley 51,136 63,649 73,192 43.1 15.0
West Lambeth 78,949 98,270 110,218 39.6 12.2
Camberwell 65,562 81,606 96,741 47.6 18.5
Lewisham and North Southwark 109,019 135,699 147,141 35.0 8.4
South East Thames/Thames region 807,525 1,005,142 1,115,590 38.1 11.0

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
South West Thames RHA 21,797 27,131 72,403 232.2 166.9
North West Surrey 38,359 47,746 54,029 40.9 13.2
West Surrey and North East Hants 37,912 47,189 46,466 22.6 (1.5)
South West Surrey 33,733 41,988 59,690 76.9 42.2
Mid Surrey 39,694 49,408 54,934 38.4 11.2
East Surrey 45,661 56,836 62,004 35.8 9.1
Chichester 29,626 36,876 43,302 46.2 17.4
Mid Downs 41,518 51,678 60,602 46.0 17.3
Worthing 31,931 39,745 49,875 56.2 25.5
Croydon 58,042 72,246 82,053 41.4 13.6
Kingston and Esher 40,135 49,957 54,258 35.2 8.6
Richmond, Twickenham and Roehampton 34,799 43,315 48,141 38.3 11.1
Wandsworth 88,156 109,730 125,594 42.5 14. 5
Merton and Sutton 66,913 83,289 89,873 34.3 7.9
South West Thames region total 608,276 757,134 903,224 48.5 19. 3

1985–86 £ thousands (Cash) 1985–86 £ thousands (at 1989–90 prices) 1989–90 £ thousands (Cash) Increase/(decrease) in cash terms per cent. Increase/(decrease) in real terms per cent.
Wessex RHA 8,584 10,684 11,992 39.7 12.22
East Dorset 66,703 83,027 101,743 52.5 22.5
West Dorset 35,419 44,086 46,916 32.5 6.4
Portsmouth and South-East Hampshire 77,200 96,092 111,011 43.8 15.5
Southampton and South-West Hampshire 92,872 115,600 129,484 39.4 12.0
Winchester 34,358 42,766 52,061 51.5 21.7
Basingstoke 37,284 46,408 51,103 37.1 10.1
Salisbury 29,021 36,123 40,130 38.3 11.1
Swindon 39,474 49,135 57,393 45.4 16. 8
Bath 63,564 79,119 90,425 42.3 14.3
Isle of Wight 22,462 27,959 32,518 44.8 16.3
Wessex region total 506,941 630,999 724,776 43.0 14.9

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
Oxford RHA 12,949 16,119 13,189 1.8 (18.2)
East Berkshire 50,361 62,685 74,578 48.1 19.0
West Berkshire 67,196 83,640 95,085 41.5 13.7
Aylesbury 38,457 47,868 55,015 43.1 14.9
Wycombe 27,751 34,543 42,123 51.8 21.9
Milton Keynes 18,580 23,127 32,046 72.5 38.6
Kettering 30,846 38,394 46,867 51.9 22.1
Northampton 53,389 66,454 74,155 38.9 11.6
Oxfordshire 102,845 128,013 154,322 50.1 20.6
Oxford region total 402,374 500,843 587,380 46.0 17.3

Total revenue expenditure by health authorities
1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £00 (Cash) Increase/ (decrease) in cash terms per cent. Increase) (decrease) in real terms per cent.
South Western RHA 10,119 12,596 15,612 54.3 23.9
Bristol and Weston 81,977 102,039 110,609 34.9 8.4
Frenchay 51,638 64,275 64,872 25.6 0.9
Southmead 46,786 58,235 64,700 38.3 11.1
Cornwall and Isles of Scilly 68,393 85,130 98,584 44.1 15. 8
Exeter 73,958 92,057 87,392 18.2 (5.1)
North Devon 21,030 26,177 36,456 73.4 39.3
Plymouth 65,265 81,236 91,788 40.6 13.0
Torbay 35,258 43,886 63,313 79.6 44.3
Cheltenham 28,340 35,276 48,973 72.8 38.8
Gloucester 52,981 65,946 74,855 41.3 13.5
Somerset 67,521 84,044 94,943 40.6 13.0
South Western region total 603,266 750,897 852,097 41.2 13. 5

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £ (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
West Midlands RHA 33,075 41,169 47,625 44.0 15.7
Bromsgrove and Redditch 23,196 28,872 33,176 43.0 14.9
Herefordshire 25,400 31,616 34,993 37.8 10.7
Kidderminster 23,928 29,784 31,512 31.7 5.8
Worcester 42,840 53,324 55,121 28.7 3.4
Shropshire 61,269 76,263 90,752 48.1 19.0
Mid Staffs 40,503 50,414 56,768 40.2 12.6
North Staffs 85,660 106,623 124,025 44.8 16.3
South East Staffs 32,753 40,769 54,062 65 .1 32.6
Rugby 11,043 13,745 15,667 41.9 14.0
North Warwickshire 30,538 38,012 44,789 46.7 17.8
South Warwickshire 40,296 50,157 56,635 40.5 12.9
Central Birmingham 77,172 96,057 117,036 51.7 21.8
East Birmingham 36,015 44,829 50,430 40.0 12.5
North Birmingham 35,914 44,703 43,488 21.1 (2.7)
South Birmingham 57,549 71,633 84,331 46.5 17.7
West Birmingham 58,768 73,150 77,116 31.2 5.4
Coventry 58,592 72,930 82,969 41. 6 13.8
Dudley 48,093 59,862 69,667 44.9 16.4
Sandwell 36,257 45,130 49,421 36.3 9.5
Solihull 27,498 34,227 37,595 36.7 9.8
Walsall 39,171 48,757 55,745 42.3 14.3
Wolverhampton 48,385 60,226 68,249 41.1 13.3
West Midlands Region Total 973,915 1,212,252 1,381,172 41.8 13.9

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase) (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
Mersey RHA 17,385 21,640 12,772 (26.5) (41.0)
Chester 42,572 52,990 57,214 34.4 8.0
Crewe 36,011 44,824 49,407 37.2 10.2
Halton 13,844 17,232 22,060 59.4 28.0

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
Macclesfield 32,327 40,238 43,673 35.1 8.5
Warrington 43,471 54,109 57,775 32.9 6.8
Liverpool 132,580 165,024 184,732 39.3 11.9
St. Helens and Knowsley 55,248 68,769 71,856 30.1 4.5
Southport and Formby 24,231 30,161 35,243 45.4 16.8
South Sefton 49,699 61,861 81,196 63.4 31.3
Wirral 60,556 75,375 83,555 38.0 10.9
Mersey region total 507,924 632,223 699,483 37.7 10.6

Total revenue expenditure by health authorities
1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase/ (decrease) in cash terms per cent. Increase/ (decrease) in real terms per cent.
North Western RHA 37,803 47,054 42,576 12.6 (9.5)
Lancaster 40,593 50,527 53,607 32.1 6.1
Blackpool, Wyre and Fylde 48,810 60,755 69,926 43.3 15.1
Preston 65,304 81,285 80,794 23.7 (0.6)
Blackburn, Hyndburn and Ribble Valley 54,427 67,747 56,911 4.6 (16.0)
Burnley, Pendle and Rossendale 48,735 60,661 77,402 58.8 27.6
West Lancashire 21,463 26,715 28,388 32.3 6.3
Chorley and South Ribble 13,182 16,409 18,986 44.0 15. 7
Bolton 38,693 48,161 55,469 43.4 15. 2
Bury 21,995 27,377 33,892 54.1 23.8
North Manchester 54,516 67.857 73,998 35.7 9.0
Central Manchester 59,871 74,522 84,856 41.7 13.9
South Manchester 80,731 100,487 111,538 38.2 11.00
Oldham 31,492 39,199 44,901 42.6 14.5
Rochdale 27,193 33,848 37,238 36.9 10.0
Salford 73,500 91,487 99,268 35.1 8.5
Stockport 43,631 54,309 60,186 37.9 10.8
Tameside and Glossop 29,165 36,303 45,691 56.7 25.9
Trafford 26,970 33,570 36,224 34.3 7.9
Wigan 42,262 52,605 62,727 48.4 19.2
North Western regional total 860,336 1,070,878 1,174,578 36.5 9.7

1985–86 £000 (Cash) 1985–86 £000 (at 1989–90 prices) 1989–90 £000 (Cash) Increase) (decrease) in cash terms per cent. Increase! (decrease) in real terms per cent.
Hospitals for Sick Children 30,319 37,739 49,994 64.9 32.5
National Hospital for Neurology & Neurosurgery 17,023 21,190 25,145 47.7 18.7
Moorfields Eye Hospital 12,640 15,733 17,216 36.2 9.4
Bethlem Royal & Maudsley Hospitals 17,773 22,122 26,051 46.6 17. 8
National Heart & Chest Hospitals 28,798 35,845 43,757 51.9 22.1
Royal Marsden Hospital 21,514 26,779 31,684 47.3 18.3
Hammersmith & Queen Charlottes 41,921 52,179 59,267 41.4 13.6
Eastman Dental Hospital 4,804 5,980 6,283 30.8 5.1
London SHAs total 174,792 217,567 259,397 48.4 19.2
Total-England 9,609,399 11,961,011 13,573,377 41.2 13.4

Notes:

1. The expenditure and percentage figures for individual authorities can be expected to vary and are influenced by patterns of local service provision, the fact that people do cross authority boundaries for treatment and other factors. Those for regional health authorities (RHAs) in particular, reflect the extent to which they directly manage services.

2. The balance of service management and accounting responsibility between RHA and districts and between districts varies from region to region and has been subject to changes during the period. For example, in 1989–90 the South West Thames RHA accounted for the total costs of the London ambulance service which in 1985–86 were shared between the four Thames RHAs, and the Mersey RHA devolved responsibility for the Mersey metropolitan ambulance service to the South Sefton (Merseyside) district. Similarly, responsibility for particular hospitals passed from the South West Hertfordshire to the North West Hertfordshire and from the Blackburn to the Burnley district health authorities (DHAs) during the period.

3. Parkside DLIA was recently created through the merger of former DHAs from which annual accounts comparative figures for 1985–86 are derived.

4. The figures for 1985–86 have been expressed at 1989–90 prices by the use of gross domestic product deflators.

Mr. Andrew Mitchell

To ask the Secretary of State for Health what has been the change in revenue spending in both cash and real terms between 1985 and the latest year for which figures are available of each of the family health services authorities in England.

Mr. Dorrell

Family health services authorities(FHSAs) were established under the National Health Service and Community Care Act 1990. Figures of total revenue expenditure derived from the annual accounts of

Total revenue expenditure by family practitioner committees (FPCs)
1985–86£000 1985–86£000 (at 1989–90 prices) 1989–90£000 Increase/(decrease) in cash terms Increase/(decrease) in real terms
(Cash) (Cash) per cent. per cent.
Northern region
Cleveland 38,681 48,147 56,041 44.9 16.4
Cumbria 34,734 43,234 49,078 41.3 13.5
Durham 43,327 53,929 59,967 38.4 11.2
Northumberland 20,950 26,076 30,774 46.9 18.0
Gateshead 14,487 18,032 19,978 37.9 10.8
Newcastle 20,815 25,908 28,277 35.9 9.1
North Tyneside 14,457 17,995 20,345 40.7 13.1
South Tyneside 10,467 13,028 15,399 47.1 18.2
Sunderland 20,635 25,685 29,972 45.2 16.7
Yorkshire region
Humberside 58,050 72,256 83,867 44.5 16.1
North Yorkshire 50,665 63,063 72,694 43.5 15.3
Bradford 31,818 39,604 46,166 45.1 16.6
Calderdale 13,531 16,842 19,089 41.1 13.3
Kirklees 23,334 29,045 34,031 45.8 17.2
Leeds 50,784 63,211 73,676 45.1 16.6
Wakefield 22,086 27,491 32,881 48.9 19.6
Trent region
Derbyshire 58,527 72,850 86,356 47.5 18.5
Leicestershire 55,857 69,526 80,852 44.7 16.3
Lincolnshire 39,703 49,420 61,077 53.8 23.6
Nottinghamshire 61,736 76,844 89,379 44.8 16.3
Barnsley 16,030 19,952 22,683 41.5 13.7
Doncaster 20,110 25,031 29,787 48.1 19.0
Rotherham 14,760 18,373 22,693 53.7 23.5
Sheffield 36,971 46,018 52,560 42.2 14.2
East Anglian region
Cambridgeshire 41,397 51,528 60,049 45.1 16.5
Norfolk 51,846 64,534 78,408 51.2 21.5
Suffolk 42,882 53,376 62,387 45.5 16.9
North West Thames region
Bedfordshire 34,304 42,699 47,914 39.7 12.2
Hertfordshire 68,282 84,991 94,745 38.8 11.5
Barnet 21,336 26,557 29,141 36.6 9.7
Brent and Harrow 36,493 45,423 47,640 30.5 4.9
Ealing, Hammersmith and Hounslow 44,941 55,939 63,597 41.5 13.7
Hillingdon 15,093 18,787 21,622 43.3 15.1
Kensington, Chelsea and Westminster 29,982 37,319 36,613 22. (1.9)
North East Thames region
Essex 98,721 122,881 146,149 48.0 18.9
Barking and Havering 24,298 30,245 33,133 36.4 9.5
Camden and Islington 27,584 34,335 39,041 41.5 13.7
City and East London 39,673 49,382 61,244 54.4 24.0
Enfield and Haringey 31,533 39,250 44,213 40.2 12.6
Redbridge and Waltham Forest 30,043 37,395 41,973 39.7 12.2
South East Thames region
East Sussex 51,956 64,670 72,058 38.7 11.4
Kent 102,493 127,575 146,651 43.1 15.0
Greenwich and Bexley 26,365 32,817 39,507 49.8 20.4
Bromley 18,897 23,522 26,473 40.1 12.5
Lambeth, Southwark and Lewisham 49,958 62,184 69,755 39.6 12.2
South West Thames region
Surrey 67,457 83,966 93,653 38.8 11.5
West Sussex 50,789 63,219 71,915 41.6 13.8
Croydon 21,642 26,938 28,900 33.5 7.3
Kingston and Richmond 22,059 27,457 29,458 33.5 7.3
Merton, Sutton and Wandsworth 41,548 51,716 55,930 34.6 8.1

their predecessor family practitioner committees (FPCs) for 1985–86 and 1986–90 the latest available, are shown in the table.

1985–86£000 1985–86£000 (at 1989–90 prices) 1989–90£000 Increase/(decrease) in cash terms Increase/(decrease) in real terms
(Cash) (Cash) per cent. per cent.
Wessex region
Dorset 47,542 59,176 69,271 45.7 17.1
Hampshire 106,395 132,432 146,368 37.6 10.5
Wiltshire 33,771 42,035 48,847 44.6 16.2
Isle of Wight 9,712 12,089 13,912 43.2 15.1
Oxford region
Berkshire 49,560 61,688 68,667 38.6 11.3
Buckinghamshire 40,210 50,051 58,406 45.3 16.7
Northamptonshire 36,162 45,011 52,399 44.9 16.4
Oxfordshire 36,494 45,425 52,310 43.3 15.2
South Western region
Avon 61,175 76,146 87,325 42.7 14.7
Cornwall and Isles of Scilly 33,441 41,624 51,482 53.9 23.7
Devon 74,748 93,040 108,493 45.1 16.6
Gloucestershire 34,439 42,867 50,323 46.1 17.4
Somerset 31,115 38,730 46,583 49.7 20.3
West Midlands region
Hereford and Worcester 41,149 51,219 61,079 48.4 19.3
Shropshire 26,047 32,421 37,941 45.7 17.0
Staffordshire 63,573 79,130 91,252 43.5 15.3
Warwickshire 32,060 39,905 46,441 44.9 16.4
Birmingham 75,457 93,922 103,200 36.8 9.9
Coventry 22,339 27,806 31,250 39.9 12.4
Dudley 18,144 22,584 26,128 44.0 15.7
Sandwell 21,700 27,011 30,606 41.0 13.3
Solihull 13,408 16,689 19,690 46.9 18.0
Walsall 18,527 23,061 24,767 33.7 7.4
Wolverhampton 17,253 21,475 24,209 40.3 12.7
Mersey region
Cheshire 65,170 81,119 93,511 43.5 15.3
Liverpool 37,887 47,159 50,581 33.5 7.3
St. Helens and Knowsley 23,592 29,365 34,950 48.1 19.0
Sefton 20,023 24,924 29,574 47.7 18.7
Wirral 24,545 30,552 35,408 44.3 15.9
North Western region
Lancashire 99,004 123,232 142,826 44.3 15.9
Bolton 17,398 21,656 24,669 41.8 13.9
Bury 13,119 16,329 18,399 40.3 12.7
Manchester 36,081 44,911 51,052 41.5 13.7
Oldham 14,496 18,044 20,983 44.7 16.3
Rochdale 14,225 17,706 21,151 48.7 19.5
Salford 19,054 23,716 26,336 38.2 11.0
Stockport 20,652 25,706 29,582 43.2 15.1
Tameside 15,064 18,751 21,547 43.0 14.9
Trafford 16,182 20,142 22,695 40.2 12.7
Wigan 21,731 27,049 29,045 33.7 7.4
England total 3,266,729 4,066,165 4,663,050 42.7 14.7

Notes:

1. The figures of total revenue expenditure are primarily demand-led payments for family health services (FHS)—payments to general medical practitioners, phamacists, general dental practitioners and opticians. Expenditure is shown after deduction of charges to patients. Cash limited revenue expenditure by FPCs for their own administrative expenses is also included in the totals: £45.1 million (cash) in 1985–86 and £66.5 million (cash) in 1989–90.

2. The figures for 1985–86 have been expressed at 1989–90 prices by the use of gross domestic product deflators.

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