§
Mr. Dorrell
Tables I and II show the information requested for the northern region.
Both tables show expenditure in cash and in input volume terms. Changes in input volumes are, however, an inadequate guide to the level of service the NHS can be expected to achieve, since they do not reflect the continuing success of the NHS in increasing the efficiency with which it uses its resources. The third column of each table therefore shows the relevant expenditure figures in real terms, ie adjusted by the GDP deflator.
Table 1 |
Northern region—revenue expenditure on hospital and community health services (HCHS) |
|
1978–79 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
9,583 |
29,371 |
24,295 |
Cleveland |
46,448 |
142,362 |
117,759 |
Cumbria |
36,569 |
112,085 |
92,714 |
Durham |
46,474 |
142,443 |
117,826 |
Northumberland |
26,511 |
81,256 |
67,213 |
Gateshead |
13,457 |
41,246 |
34,118 |
Newcastle on Tyne |
53,699 |
164,586 |
136,142 |
North Tyneside |
9,029 |
27,674 |
22,891 |
South Tyneside |
9,434 |
28,917 |
23,919 |
Sunderland |
26,202 |
80,310 |
66,431 |
Northern Region Total |
277,406 |
850,250 |
703,308 |
|
1979–80 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
|
£000 |
£000 |
£000 |
Northern RHA |
12,363 |
31,452 |
26,864 |
Cleveland |
57,350 |
145,899 |
124,616 |
Cumbria |
43,755 |
111,312 |
95,075 |
Durham |
56,071 |
142,645 |
121,837 |
Northumberland |
31,819 |
80,949 |
69,140 |
Gateshead |
16,436 |
41,812 |
35,713 |
Newcastle on Tyne |
66,041 |
168,008 |
143,500 |
North Tyneside |
10,965 |
27,895 |
23,826 |
South Tyneside |
11,307 |
28,766 |
24,570 |
Sunderland |
31,889 |
81,125 |
69,291 |
Northern Region Total |
337,996 |
859,863 |
734,433 |
|
1980–81 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
15,519 |
30,835 |
28,497 |
Cleveland |
74,296 |
147,627 |
136,430 |
Cumbria |
57,163 |
113,582 |
104,968 |
Durham |
73,147 |
145,343 |
134,320 |
Northumberland |
41,055 |
81,576 |
75,389 |
Gateshead |
21,173 |
42,072 |
38,881 |
328W
|
1980–81 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Newcastle upon Tyne |
84,200 |
167,305 |
154,616 |
North Tyneside |
14,209 |
28,234 |
26,093 |
South Tyneside |
14,814 |
29,435 |
27,202 |
Sunderland |
41,449 |
82,359 |
76,113 |
Northern Region Total |
437,025 |
868,368 |
802,508 |
|
1981–82 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
17,042 |
31,307 |
28,537 |
Cleveland |
81,897 |
150,446 |
137,137 |
Cumbria |
62,835 |
115,429 |
105,218 |
Durham |
80,908 |
148,627 |
135,480 |
Northumberland |
45,503 |
83,588 |
76,194 |
Gateshead |
23,263 |
42,735 |
38,954 |
Newcastle upon Tyne |
94,708 |
173,978 |
158,588 |
North Tyneside |
15,748 |
28,929 |
26,370 |
South Tyneside |
16,293 |
29,930 |
27,282 |
Sunderland |
44,473 |
81,696 |
74,469 |
Northern Region Total |
482,670 |
886,665 |
808,231 |
Table |
II Northern Region—revenue expenditure on hospital and community health services (HCHS) |
|
1982–83 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
18,694 |
32,247 |
29,222 |
Hartlepool |
14,038 |
24,216 |
21,945 |
North Tees |
22,658 |
39,085 |
35,419 |
South Tees |
53,150 |
91,684 |
83,084 |
East Cumbria |
29,143 |
50,272 |
45,557 |
South Cumbria |
19,301 |
33,295 |
30,172 |
West Cumbria |
19,048 |
32,858 |
29,776 |
Darlington |
22,746 |
39,237 |
35,557 |
Durham |
26,540 |
45,782 |
41,488 |
North West Durham |
13,552 |
23,378 |
21,185 |
South West Durham |
24,001 |
41,401 |
37,518 |
Northumberland |
48,677 |
83,968 |
76,092 |
Gateshead |
24,973 |
43,078 |
39,038 |
Newcastle |
101,394 |
174,905 |
158,499 |
North Tyneside |
16,984 |
29,298 |
26,550 |
South Tyneside |
17,999 |
31,049 |
28,136 |
Sunderland |
47,938 |
82,694 |
74,937 |
Northern Region Total |
520,838 |
898,446 |
814,174 |
|
1983–84 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
|
£000 |
£000 |
£000 |
Northern RHA |
19,861 |
32,591 |
29,672 |
Hartlepool |
14,679 |
24,089 |
21,931 |
North Tees |
24,310 |
39,893 |
36,319 |
South Tees |
55,879 |
91,698 |
83,483 |
East Cumbria |
30,842 |
50,611 |
46,077 |
South Cumbria |
20,703 |
33,974 |
30,930 |
West Cumbria |
20,544 |
33,713 |
30,693 |
Darlington |
24,038 |
39,446 |
35,913 |
Durham |
27,338 |
44,861 |
40,843 |
North West Durham |
14,180 |
23,269 |
21,185 |
South West Durham |
25,938 |
42,565 |
38,752 |
329W
|
1983–84 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northumberland |
51,771 |
84,956 |
77,345 |
Gateshead |
26,495 |
43,478 |
39,584 |
Newcastle |
108,216 |
177,583 |
161,675 |
North Tyneside |
18,708 |
30,700 |
27,950 |
South Tyneside |
19,061 |
31,279 |
28,477 |
Sunderland |
51,432 |
84,400 |
76,840 |
Northern Region Total |
553,996 |
909,107 |
827,670 |
|
1984–85 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
20,834 |
32,313 |
29,644 |
Hartlepool |
15,679 |
24,318 |
22,309 |
North Tees |
25,451 |
39,474 |
36,214 |
South Tees |
58,141 |
90,177 |
82,729 |
East Cumbria |
32,460 |
50,346 |
46,188 |
South Cumbria |
22,894 |
35,509 |
32,576 |
West Cumbria |
21,682 |
33,629 |
30,852 |
Darlington |
25,625 |
39,745 |
36,462 |
Durham |
28,834 |
44,721 |
41,028 |
North West Durham |
15,018 |
23,293 |
21,369 |
South West Durham |
27,584 |
42,783 |
39,249 |
Northumberland |
55,168 |
85,566 |
78,499 |
Gateshead |
28,308 |
43,906 |
40,280 |
Newcastle |
114,164 |
177,068 |
162,444 |
North Tyneside |
20,961 |
32,511 |
29,826 |
South Tyneside |
20,048 |
31,095 |
28,527 |
Sunderland |
54,000 |
83,755 |
76,837 |
Northern Region Total |
586,852 |
910,207 |
835,031 |
|
1985–86 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
22,432 |
33,064 |
30,249 |
Hartlepool |
16,980 |
25,029 |
22,898 |
North Tees |
26,751 |
39,430 |
36,073 |
South Tees |
60,693 |
89,461 |
81,844 |
East Cumbria |
34,282 |
50,532 |
46,229 |
South Cumbria |
24,433 |
36,015 |
32,948 |
West Cumbria |
22,998 |
33,899 |
31,013 |
Darlington |
26,771 |
39,460 |
36,101 |
Durham |
29,999 |
44,218 |
40,453 |
North West Durham |
15,713 |
23,161 |
21,189 |
South West Durham |
29,209 |
43,054 |
39,388 |
Northumberland |
57,893 |
85,334 |
78,068 |
Gateshead |
29,795 |
43,918 |
40,179 |
Newcastle |
121,728 |
179,427 |
164,150 |
North Tyneside |
21,950 |
32,354 |
29,600 |
South Tyneside |
20,879 |
30,776 |
28,155 |
Sunderland |
57,580 |
84,873 |
77,647 |
Northern Region Total |
620,085 |
914,005 |
836,184 |
|
1986–87 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
|
£000 |
£000 |
£000 |
Northern RHA |
22,735 |
31,352 |
29,681 |
Hartlepool |
18,391 |
25,361 |
24,009 |
North Tees |
28,890 |
39,840 |
37,716 |
South Tees |
65,963 |
90,963 |
86,115 |
East Cumbria |
37,270 |
51,396 |
48,656 |
South Cumbria |
26,348 |
36,334 |
34,397 |
330W
|
1986–87 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
|
£000 |
£000 |
£000 |
West Cumbria |
24,492 |
33,775 |
31,975 |
Darlington |
28,983 |
39,968 |
37,838 |
Durham |
32,344 |
44,602 |
42,225 |
North West Durham |
16,776 |
23,134 |
21,901 |
South West Durham |
31,230 |
43,066 |
40,770 |
Northumberland |
61,546 |
84,872 |
80,348 |
Gateshead |
32,434 |
44,727 |
42,343 |
Newcastle |
129,754 |
178,931 |
169,394 |
North Tyneside |
23,792 |
32,809 |
31,060 |
South Tyneside |
22,519 |
31,054 |
29,399 |
Sunderland |
61,197 |
84,391 |
79,893 |
Northern Region Total |
664,666 |
916,574 |
867,721 |
|
1987–88 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
|
£000 |
£000 |
£000 |
Northern RHA |
20,978 |
26,663 |
25,973 |
Hartlepool |
20,888 |
26,549 |
25,862 |
North Tees |
31,895 |
40,538 |
39,489 |
South Tees |
73,203 |
93,040 |
90,632 |
East Cumbria |
40,719 |
51,754 |
50,414 |
South Cumbria |
29,120 |
37,011 |
36,053 |
West Cumbria |
26,753 |
34,004 |
33,123 |
Darlington |
31,4 18 |
39,932 |
38,899 |
Durham |
35,005 |
44,491 |
43,340 |
North West Durham |
18,585 |
23,621 |
23,010 |
South West Durham |
34,224 |
43,499 |
42,373 |
Northumberland |
66,239 |
84,190 |
82,011 |
Gateshead |
34,789 |
44,216 |
43,072 |
Newcastle |
145,364 |
184,758 |
179,976 |
North Tyneside |
25,922 |
32,947 |
32,094 |
South Tyneside |
25,147 |
31,962 |
31,135 |
Sunderland |
66,176 |
84,109 |
81,932 |
Northern Region Total |
726,424 |
923,285 |
899,386 |
|
1988–89 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
22,455 |
25,823 |
25,940 |
Hartlepool |
23,529 |
27,059 |
27,181 |
North Tees |
34,304 |
39,450 |
39,628 |
South Tees |
81,915 |
94,202 |
94,628 |
East Cumbria |
45,167 |
51,942 |
52,177 |
South Cumbria |
31,978 |
36,774 |
36,941 |
West Cumbria |
29,434 |
33,849 |
34,003 |
Darlington |
34,595 |
39,785 |
39,964 |
Durham |
37,827 |
43,501 |
43,698 |
North West Durham |
20,946 |
24,088 |
24,197 |
South West Durham |
38,069 |
43,780 |
43,978 |
Northumberland |
73,107 |
84,072 |
84,453 |
Gateshead |
37,737 |
43,398 |
43,594 |
Newcastle |
160,885 |
185,018 |
185,855 |
North Tyneside |
29,409 |
33,820 |
33,973 |
South Tyneside |
27,745 |
31,907 |
32,051 |
Sunderland |
73,559 |
84,593 |
84,976 |
Northern Region Total |
802,662 |
923,061 |
927,235 |
331W
|
1989–90 |
|
cash £000 |
input volume terms £000 |
real terms £000 |
Northern RHA |
25,813 |
27,724 |
28,002 |
Hartlepool |
26,858 |
28,846 |
29,136 |
North Tees |
37,472 |
40,245 |
40,649 |
South Tees |
86,059 |
92,428 |
93,357 |
East Cumbria |
47,772 |
51,307 |
51,823 |
South Cumbria |
35,090 |
37,687 |
38,066 |
West Cumbria |
31,506 |
33,838 |
34,178 |
Darlington |
37,285 |
40,045 |
40,447 |
Durham |
37,981 |
40,791 |
41,201 |
North West Durham |
22,496 |
24,161 |
24,404 |
South West Durham |
40,337 |
43,322 |
43,758 |
Northumberland |
77,989 |
83,760 |
84,602 |
Gateshead |
40,496 |
43,492 |
43,930 |
Newcastle |
173,702 |
186,556 |
188,432 |
North Tyneside |
31,906 |
34,267 |
34,611 |
South Tyneside |
30,098 |
32,325 |
32,650 |
Sunderland |
79,543 |
85,429 |
86,288 |
Northern Region Total |
862,403 |
926,221 |
935,535 |
1990–91 |
|
Cash £000 |
Northern regional health authority |
27,479 |
Hartlepool |
28,589 |
North Tees |
39,248 |
South Tees |
93,727 |
East Cumbria |
52,050 |
South Cumbria |
38,647 |
West Cumbria |
33,314 |
Darlington |
39,145 |
Durham |
40,698 |
North West Durham |
23,812 |
South West Durham |
43,169 |
Northumberland |
82,563 |
Gateshead |
44,040 |
Newcastle |
190,898 |
North Tyneside |
34,800 |
South Tyneside |
33,384 |
Sunderland |
85,835 |
NORTHERN REGION TOTAL |
931,400 |
Notes to the tables:
1. Expenditure on the HCHS covers services directly managed and/or accounted for by the health authorities (at the relevant time) including hospital, community health, patient transport (i.e. ambulance), blood transfusion and other services.
2. The figures are derived from the annual accounts of the regional health authority (RHA) and the area health authorities (district health authorities from 1 April 1982) comprising the Northern region. 1990–91 figures are as yet subject to audit.
3. The volume input terms column of each table shows the cash figures for the relevant year expressed at 1990–91 prices after adjustment by the HCHS pay and prices index.
4. The real terms column of each table shows the cash figures for the relevant year expressed in 1990–91 prices after adjustment by the GDP deflator.