§ Mr. Robin CookTo ask the Secretary of State for Health what has been the total level of expenditure on the resource management initiative.
§ Mr. WaldegraveAt 31 March 1991, the Department had made available £97.6 million of central funds to support the resource management initiative and the subsequent resource management programme. Regional and district health authorities and individual hospitals have provided some additional funding for individual projects.
§ Mr. Robin CookTo ask the Secretary of State for Health what progress has been made in the joint evaluation of the resource management initiative by the NHS management executive and the joint consultants committee.
§ Mr. WaldegraveDiscussions between the NHS management executive and the joint consultants committee in 1989 and 1990 concluded that a formal full-scale joint evaluation of the resource management initiative was 591W impracticable. The NHS management executive has taken account of evidence from the evaluation of resource management commissioned from Brunel university and other sources in reaching decisions to extend the resource management programme. The joint consultants committee issued its own guidance on hospital management arrangements in June 1990.
§ Mr. Robin CookTo ask the Secretary of State for Health what work has been undertaken by his Department and by consultants retained by his Department on the effectiveness of the resource management initiative; and what have been the conclusions of this work.
§ Mr. WaldegraveThe Department commissioned Brunel university to undertake an evaluation of resource management as demonstrated at the six acute pilot sites included in the initial resource management initiative. The evaluation began in 1988 and was completed at the end of 1990. The final report, "The Brunel University evaluation of Resource Management", a copy of which will be placed in the Library, concluded that progress in implementing
HCHS Capital since 1974–75 Public expenditure Capital receipts (mainly land sales) Total Expenditure Total at 1990–91 prices adjusted: by the GDP deflator for the change in input unit costs A B A B A B A B A B 1974–75 — 243 — — — 243 — 1,101 — 1,157 1975–76 — 327 — — — 327 — 1,181 — 1,192 1976–77 — 356 — — — 356 — 1,132 — 1,159 1977–78 — 315 — — — 315 — 881 — 897 1978–79 — 358 — 8 — 366 — 923 — 933 1979–80 — 395 — 10 — 405 — 876 — 855 1980–81 — 540 — 16 — 556 — 1,016 — 933 1981–82 — 651 — 20 — 671 — 1,118 — 1,091 1982–83 — 682 — 19 — 701 — 1,091 — 1,122 1983–84 — 692 — 33 — 725 — 1,078 — 1,137 1984–85 — 767 — 50 — 817 — 1,156 — 1,230 1985–86 899 803 85 85 985 888 1,322 1,192 1,400 1,262 1986–87 915 — 149 — 1,064 — 1,380 — 1,441 — 1987–88 914 — 201 — 1,115 — 1,373 — 1,436 — 1988–89 922 — 279 — 1,201 — 1,377 — 1,462 — 1989–90 1,206 — 232 — 1,438 — 1,549 — 1,603 — 1990–91 1,458 — 220 — 1,678 — 1,678 — 1,678 — Because of transfers between programmes it is not possible to produce a consistent run of figures over the whole period. Figures in Presentation A have been adjusted to reflect the transfer to HCHS of FHS Administration, Disablement Services Authority and FHS cash limited spending. The figures in Presentation B do not reflect these transfers and are therefore not comparable with those for later years.