Expenditure (Hansard, 2 November 2000)

§ Mr. Harvey

To ask the Secretary of State for Health (1) if he will set out the gross expenditure on family 603W health services, by service, for each year since 1979–80, in the same format as figure 11.12 of Cm 4603, "The Government's Expenditure Plans 2000–01"; [136023]

(2) what was the gross expenditure on general medical services, as a percentage of gross family health services expenditure, in each year since 1979–80; [136022]

(3) what percentage of gross NHS expenditure was represented by gross general medical services expenditure in each year since 1979–80. [136024]

Family health services gross expenditure, 1989–90 to 1998–99
£ million
	1989–90	1990–91	1991–92	1992–93	1993–94	1994–95	1995–96	1996–97	1997–98	1998–99	% real terms growth 1989–90 to 1998–99
Drugs non-discretionary	1,952	2,091	2,210	2,356	2,352	2,243	2,210	2,014	2,171	1,837	¹—
Drugs discretionary	0	0	125	295	628	1,009	1,296	1,794	1,936	2,519	¹—
Drugs Total	1,952	2,091	2,335	2,651	2,980	3,252	3,506	3,808	4,107	4,356	81.6
General Medical Services
Non-discretionary	1,569	1,484	1,656	1,768	1,840	1,902	1,965	2,073	2,198	2,243	16.3
Discretionary	0	464	600	686	715	723	754	800	835	878	54.0
Total General Medical Services discretionary and non-discretionary	1,569	1,948	2,256	2,454	2,555	2,625	2,719	2,873	3,033	3,121	61.9
PMS²	¹—	¹—	¹—	¹—	¹—	¹—	¹—	¹—	¹—	37	¹—
General Dental Services	948	1,040	1,246	1,306	1,222	1,279	1,290	1,323	1,348	1,438	23.4
PDS²	¹—	¹—	¹—	¹—	¹—	¹—	¹—	¹—	¹—	4	¹—
Dispensing Costs	518	561	603	658	677	679	706	746	768	781	22.7
General Ophthalmic Services	108	111	141	172	192	213	223	237	241	240	80.8
Total FHS spend	5,095	5,751	6,581	7,241	7,626	8,048	8,444	8,987	9,497	9,977	59.4
Gross GMS as a percentage of Gross FHS	30.8	33.9	34.3	33.9	33.5	32.6	32.2	32.0	31.9	31.3
Total NHS expenditure (Gross)	21,132	23,654	26,785	29,371	31,075	32,890	34,430	35,729	37,793	39,884	53.6
Total GMS as a percentage of gross NHS	7.4	8.2	8.4	8.4	8.2	8.0	7.9	8.0	8.0	7.8
¹n/a
²Discretionary

Notes:

1. Data are taken from the Published Departmental Report for GMS data.

2. Personal Medical Services (PMS) and Personal Dental Services(PDS) schemes are Primary Care Act pilots designed to test locally managed approaches to the delivery of primary care. PDS and PMS expenditure figures, although not allocations. exclude any related capital investment by NHS trusts. PDS expenditure figures are also gross of patient charge income whereas allocations are net of charges.

3. From 1993–94 onwards, gross HCHS revenue, gross NHS revenue and NHS total gross expenditure is inflated because of the interest dividends paid by NHS Trusts.

4. Please note that Discretionary GMS data were not available in 1998–99 as they did not start until 1990–91.