§ Mr. Whittingdale
To ask the Secretary of State for Health what is the amount of funding per capita for health care for each of the last five years for(a) the North East Essex health district and (b) the East Suffolk health district.
§ Mr. Sackville
[holding answer 1 February 1993]: The allocation of funds to the district health authorities is a matter for the North East Thames and the East Anglian regional health authorities respectively and detailed information is not collected centrally.
Information which relates the expenditure of the DHAs to their resident populations is shown in the table.
The figures which for the years before 1991–92 predate the national health service reforms, show the DHAs as 826W providers of health care. Expenditure per head of population therefore reflects patterns of local service provision and the effects of patient flows across health authority boundaries.
The figures for 1991–92, which show the DHAs as purchasers and are not comparable to those for earlier years, reflect a transitional position as each RHA moves towards allocating funds to DHAs on a weighted capitation basis. Figures for total spending per capita include other resources, such as regional budgets and local income, in addition to allocations for resident population.
Revenue expenditure per head of population Year North East Essex district health authority £ Mid Essex district health authority £ East Suffolk district health authority £ 1987–88 202 199 206 1988–89 220 219 226 1989–90 236 237 245 1990–91 247 255 270 1991–92 317 316 345
a. Annual accounts of the North East Essex, the Mid Essex and the East Suffolk district health authorities.
b. Mid-year estimates of resident population—1987–91 (Office of Population, Censuses and Surveys).
1. For the years prior to 1991–92, the figures for the DHAs are based upon their total revenue expenditure on the services which they managed or accounted for in the relevant financial years. For 1991–92 the figures for the DHAs are based upon their total revenue expenditure on purchases of health care and directly related services through contracts placed with their own Directly Managed Units and other providers of health care. Expenditure incurred on the authorities' administrative and purchasing functions is excluded.
2. Capital expenditure incurred by the DHAs and all expenditure incurred by RHAs on behalf of their regions as a whole is excluded.
3. The population figures used make no allowance for people resident in particular districts who receive treatment in others. For consistency the population estimates employed are those based on the 1981 Census.