§ Mr. CousinsTo ask the Secretary of State for Health if she will publish a table showing(a) total and (b) per capita expenditure on anti-depressant drugs in each family health services authority area; and for each NHS region, during 1992–93.
§ Dr. MawhinneyInformation for the calendar year 1992 is shown in the table. The cost information is in terms of net ingredient cost, that is the basic cost of the drugs before discount and excluding dispensing costs and fees.
The antidepressant drugs are those shown in section 4.3 of the "British National Formulary".
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Antidepressant drugs—British National Formulary section 4.3 England 1992 Family Health Service Authority Net ingredient cost (£ thousands) Net ingredient cost per head of population (£) 321 Cleveland 1,044.7 1.87 322 Cumbria 1,050.2 2.14 323 Durham 1,368.7 2.25 324 Northumberland 634.3 2.06 325 Gateshead 453.6 2.23 326 Newcastle 548.3 1.95 327 North Tyneside 467.7 2.40 328 South Tyneside 246.3 1.57 329 Sunderland 555.4 1.87 Northern RHA 6,369.1 2.06 341 Humberside 1,434.9 1.63 342 North Yorkshire 1,214.1 1.68 343 Bradford 985.6 2.06 344 Calderdale 347.0 1.79 345 Kirklees 728.1 1.90 346 Leeds 1,506.7 2.09 347 Wakefield 516.1 1.63 Yorkshire RHA 6,732.5 1.82 361 Derbyshire 1,416.6 1.50 362 Leicestershire 1,652.0 1.83 363 Lincolnshire 1,303.7 2.18 364 Nottinghamshire 1,389.8 1.36 365 Barnsley 383.8 1.71 366 Doncaster 515.9 1.76 367 Rotherham 375.0 1.47 368 Sheffield 873.9 1.65 Trent RHA 7,910.8 1.66 381 Cambridgeshire 953.0 1.41 382 Norfolk 1,622.3 2.13 383 Suffolk 1,265.1 1.95 East Anglia RHA 3,840.5 1.84 401 Bedfordshire 795.7 1.48 402 Hertfordshire 1,571.2 1.58 403 Barnet 385.0 1.27 404 Brent and Harrow 495.6 1.10 129W
Family Health Service Authority Net ingredient cost (£thousands) Net ingredient cost per head of population (£) 405 Ealing, Hammersmith and Hounslow 853.7 1.32 406 Hillingdon 263.3 1.11 407 Kensington, Chelsea and Westminster 601.2 1.79 North West Thames RHA 4,965.6 1.42 421 Essex 2,373.1 1.53 422 Barking and Havering 403.3 1.07 423 Camden and Islington 567.5 1.60 424 City and East London 681.1 1.16 425 Enfield and Harringey 536.8 1.13 426 Redbridge and Waltham Forest 591.5 1.31 North East Thames RHA 5,153.4 1.36 441 East Sussex 1,418.9 1.97 442 Kent 2,278.2 1.48 443 Bexley and Greenwich 496.5 1.14 444 Bromley 434.4 1.48 445 Lambeth, Lewisham and Southwark 860.0 1.18 South East Thames RHA 5,488.0 1.48 461 Surrey 1.824.8 1.76 462 West Sussex 1,182.3 1.66 463 Croydon 413.1 1.29 464 Kingston and Richmond 546.4 1.80 465 Merton, Sutton and Wandsworth 891.8 1.46 South West Thames RHA 4,858.5 1.63 481 Dorset 1,281.5 1.93 482 Hampshire 2,758.6 1.74 483 Wiltshire 1,095.2 1.89 484 Isle of Wight 334.9 2.67 Wessex RHA 5,470.2 1.85 501 Berkshire 1,253.4 1.65 502 Buckinghamshire 806.8 1.25 503 Northamptonshire 890.1 1.51 504 Oxfordshire 827.1 1.41 Oxford RHA 3,777.4 1.46 521 Avon 1,262.9 1.30 522 Cornwall 865.2 1.82 523 Devon 1,755.9 1.68 524 Gloucestershire 940.7 1.74 525 Somerset 629.9 1.33 — South Western RHA 5,454.6 1.56 541 Hereford and Worcester 1,013.4 1.47 542 Shropshire 654.1 1.58 543 Staffordshire 1,863.8 1.77 544 Warwickshire 702.0 1.43 545 Birmingham 1,705.0 1.69 546 Coventry 413.5 1.36 547 Dudley 397.4 1.28 548 Sandwell 541.6 1.84 549 Solihull 359.0 1.79 551 Walsall 445.1 1.69 552 Wolverhampton 493.5 1.99 — West Midlands RHA 8,588.4 1.63 561 Cheshire 1,778.9 1.84 562 Liverpool 951.4 1.99 563 St. Helens and Knowsley 581.4 1.73
Family Health Service Authority Net ingredient cost (£thousands) Net ingredient cost per head of population (£) 564 Sefton 585.0 1.98 565 Wirral 682.4 2.04 — Mersey RHA 4,579.1 1.90 581 Lancashire 2,712.0 1.92 582 Bolton 427.6 1.62 583 Bury 370.5 2.05 584 Manchester 975.3 2.24 585 Oldham 304.4 1.38 586 Rochdale 489.1 2.38 587 Salford 509.1 2.21 588 Stockport 686.7 2.38 589 Tameside 370.1 1.68 591 Trafford 490.0 2.27 592 Wigan 595.0 1.90 — North Western RHA 7,929.6 1.99 — England 81,117.6 1.68
Incidence of certain anomalies of development of bones of head including cranio synostosis1:single years, 1983–92 for the regional health authorities of England and for Wales Rates per 100,000 births 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 England and Wales 32 26 31 28 28 17 15 15 15 11 England 34 32 27 32 29 29 17 16 16 11 Wales 22 22 8 8 13 13 24 8 3 8 Northern 20 33 46 30 30 42 43 17 15 17 Yorkshire 28 38 29 33 26 18 22 16 20 8 Trent 78 48 52 37 54 48 32 28 11 19 East Anglian 22 34 37 28 31 22 35 26 34 8 North West Thames 39 37 27 33 24 41 42 25 23 10 North East Thames 20 31 23 17 27 23 28 12 12 14 South East Thames 25 16 19 23 36 19 29 13 12 12 South West Thames 17 34 16 16 39 53 46 17 5 20 Wessex 30 56 40 22 24 18 32 13 5 8 Oxford 23 22 57 36 23 31 14 11 30 6 South Western 36 3 24 18 27 15 15 10 15 12 West Midlands 63 39 34 20 27 18 23 11 15 4 Mersey 9 44 21 30 33 33 15 12 15 19 North Western 15 37 25 30 42 29 35 20 19 7 1These data have been selected using code 756.0 of the International Classification of Disease (9th Revision). This code covers anomalies of the skull and face bones and includes cranio synostosis. The data presented are taken from the National Congenital Malformation Notification Scheme. This scheme is voluntary and includes all malformations identified at or within 10 days of birth. The system may not be very effective in identifying all cases of cranio synostosis as many cases do not become apparent for some months.