§ Mr. Denzil DaviesTo ask the Secretary of State for Wales how much money was spent by the NHS Wales, per capita, in the area of(a) East Dyfed health authority and (b) Pembrokeshire health authority in 1991–92.
§ Mr. Nicholas Bennett[holding answer 18 February 1992]: Information is not available on the geographical distribution of expenditure by the Dyfed family health services authority as between the areas served by the East Dyfed and Pembrokeshire health authorities. It is therefore not possible to provide figures on overall NHS expenditure per capita in East Dyfed and Pembrokeshire.
Indeed, some of the expenditure on hospital and community services within these districts will in fact relate 216W to cross-boundary flows of patients from other parts of the country. Similarly, there are cross-boundary flows of patients from East Dyfed and Pembrokeshire to other districts, and that needs to be taken into account if valid comparisons of per capita expenditure are to be made as between the two authorities.
The following information therefore relates to the prospective per capita revenue expenditure on hospital and community health services by these authorities in 1991–92 on behalf of their resident populations, irrespective of where those services are provided.
£ East Dyfed 428 Pembrokeshire 400 The figures are inclusive of capital charges based upon the recent revised estimates of their incidence across authorities. Capital expenditure is excluded, since that cannot be apportioned on a resident population basis.
As indicated in my right hon. Friend's announcement of allocations for 1992–93 on 4 February 1992, at column 125–28, under the new resident population funding arrangements both authorities are set to benefit from higher than average rates of revenue growth over the next seven years as they progress towards their weighted capitation formula shares. Indeed, that process has already begun with the allocation of discretionary revenue cash increases of 7.6 per cent. and 8 per cent. respectively to the East Dyfed and Pembrokeshire health authorities in 1992–93.
§ Mr. Denzil DaviesTo ask the Secretary of State for Wales how much money will be spent, per capita, by the NHS Wales in the area of Pembrokeshire health authority in 1992–93.
§ Mr. Nicholas Bennett[holding answer 18 February 1992]: Information is not available on the anticipated geographical distribution of expenditure by Dyfed family health services authority in 1992–93, as between the areas served by the East Dyfed and Pembrokeshire health authorities. It is therefore not possible to provide figures on overall NHS expenditure per capita in East Dyfed and Pembrokeshire.
Indeed, some of the expenditure on hospital and community services within these districts will in fact relate to cross-boundary flows of patients from other parts of the country. Similarly there are cross-boundary flows of patients from East Dyfed and Pembrokeshire to other districts, and that needs to be taken into account if valid comparisons of per capita provision are to be made as between the two authorities.
On the basis of the allocations to district health authorities in 1992–93 that my right hon. Friend announced on 4 February at column 125–28, the 217W anticipated revenue expenditure on hospital and community health services for the population resident within the boundaries of Pembrokeshire health authority in the next financial year—irrespective of where those services are provided—will be of the order of £422 per capita.
It should, however, be noted that that figure is based on the discretionary revenue funds already allocated to Pembrokeshire health authority together with an estimate of its prospective share of the additional revenue that will be made available to meet the capital financing needs of the Pembrokeshire health trust. It does not take into account expenditure on any centrally funded developments, details of which are still to be announced. Nor does it take account of the supplementary funding that is to be provided in respect of the recently announced pay increases for doctors, nurses and professions allied to medicine.
§ Mr. Denzil DaviesTo ask the Secretary of State for Wales how much money will be spent, per capita, by the NHS Wales in the area of East Dyfed health authority in 1992–93.
§ Mr. Nicholas Bennett[holding answer 18 February 1992]: Information is not available on the anticipated geographical distribution of expenditure by the Dyfed family health services authority in 1992–93 as between the areas served by the East Dyfed and Pembrokeshire health authorities. It is therefore not possible to provide figures on overall NHS expenditure per capita in East Dyfed and Pembrokeshire.
Indeed, some of the expenditure on hospital and community services within these districts will in fact relate to cross-boundary flows of patients from other parts of the county. Similarly there are cross-boundary flows of patients from East Dyfed and Pembrokeshire to other districts and that needs to be taken into account if valid comparisons of per capita provision are to be made as between the two authorities.
On the basis of the allocations to district health authorities in 1992–93 that my right hon. Friend announced on 4 February, at columns 125–28, the anticipated revenue expenditure on hospital and community health services for the population resident within the boundaries of East Dyfed health authority in the next financial year—irrespective of where those services are provided—will be of the order of £449 per capita.
It should, however, be noted that that estimate is based on the discretionary revenue funds already allocated to the East Dyfed health authority. It does not take into account expenditure on any centrally funded developments, details of which are still to be announced. Nor does it take account of the supplementary funding that is to be provided in respect of the recently announced pay increases for doctors, nurses and professions allied to medicine.
Discretionary minor capital provision has been excluded because that has been allocated pro rata to the anticipated income (from all resources) of district managed units in Wales—ie, it has been allocated on a catchment rather than a resident population basis—and East Dyfed's share therefore takes account of cross-boundary flows from other authorities. Similar considerations will apply to major capital provision, details of which will be announced soon.