§ Mr. K. Robinsonasked the Minister of Health how much of the total expenditure of the local health authorities on mental health services was devoted to those services which are mandatory in the last year for which figures are available; and what is the estimated proportion for the years 1959–60 and 1960–61.
§ Mr. Walker-SmithWhile all authorities do not necessarily classify this expenditure in exactly the same way, in 1957–58 a total sum of £3,412,000 was brought to account by local health authorities as their net expenditure in carrying out duties under the Lunacy and Mental Treatment Acts, 1890 to 1930, and the Mental Deficiency Acts, 1913 to 1938. This sum represents about 93½ per cent. of the estimated total net expenditure by local authorities on their mental health services in that year.
The estimates of total net expenditure on mental health services taken into consideration in fixing the totals of general grant for the years 1959–60 and 1960–61 were approximately £5 million and £5.9 million respectively. These sums cannot be apportioned between mandatory services and others.
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§ Mr. K. Robinsonasked the Minister of Health if he will state the amounts spent by each local health authority on mental health services in the last year for which figures are available; and the estimated expenditure of each of these services for the years 1959–60 and 1960–61.
§ Mr. Walker-SmithThe following table shows the sum brought to account in 1957–58 by each local health authority in England and Wales as expenditure in carrying out duties under the Lunacy and Mental Treatments Acts, 1890 to 1930, and the Mental Deficiency Acts, 1913 to 1938:
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ENGLAND County Councils … … £ Bedfordshire … … 22,000 Berkshire … … 13,000 Buckinghamshire … … 38,000 Cambridgeshire … … 21,000 Cheshire … … 54,000 Cornwall … … 27,000 Cumberland … … 13,000 Derbyshire … … 28,000 Devonshire … … 33,000 Dorset … … 27,000 Durham … … 44,000 Ely, Isle of … … 8,200 Essex … … 124,000 Gloucestershire … … 45,000 Herefordshire … … 9,400 Hertfordshire … … 40,000 Huntingdonshire … … 3,600 Kent … … 109,000 Lancashire … … 177,000 Leicestershire … … 35,000 Lincolnshire (Holland) … … 8,900 Lincolnshire (Kesteven) … … 2,600 Lincolnshire (Lindsey) … … 28,000 London … … 246,000 Middlesex … … 196,000 Norfolk … … 37,000 Northamptonshire … … 13,000 Northumberland … … 28,000 Nottinghamshire … … 41,000 Oxfordshire … … 12,000 Peterborough, Soke of … … 2,100 Rutland … … 300 Salop … … 10,000 Somerset … … 51,000 Southampton (Hampshire) … … 40,000 Staffordshire … … 74,000 Suffolk, East … … 7,000 Suffolk, West … … 2,700 Surrey … … 67,000 Sussex, East … … 16,000 Sussex, West … … 14,000 Warwickshire … … 31,000 Westmorland … … 2,600 Wight, Isle of … … 8,400 Wiltshire … … 32,000 Worcestershire … … 30,000 Yorkshire, East Riding … … 6,700 Yorkshire, North Riding … … 23,000 Yorkshire, West Riding … … 118,000 96W
County Borough Councils £ Barnsley … … 9,800 Barrow-in-Furness … … 2,100 Bath … … 8,100 Birkenhead … … 6,300 Birmingham … … 85,000 Blackburn … … 12,000 Blackpool … … 7,200 Bolton … … 11,000 Bootle … … 4,500 Bournemouth … … 13,000 Bradford … … 30,000 Brighton … … 11,000 Bristol … … 44,000 Burnley … … 6,700 Burton-upon-Trent … … 4,300 Bury … … 6,500 Canterbury … … 2,500 Carlisle … … 7,800 Chester … … 4,300 Coventry … … 17,000 Croydon … … 20,000 Darlington … … 4,200 Derby … … 11,000 Dewsbury … … 6,300 Doncaster … … 6,700 Dudley … … 7,800 Eastbourne … … 6,100 East Ham … … 13,000 Exeter … … 9,900 Gateshead … … 9,200 Gloucester … … 2,500 Great Yarmouth … … 5,600 Grimsby … … 14,000 Halifax … … 8,400 Hastings … … 6,400 Huddersfield … … 8,000 Ipswich … … 8,500 Kingston-upon-Hull … … 44,000 Leeds … … 97,000 Leicester … … 30,000 Lincoln … … 6,100 Liverpool … … 65,000 Manchester … … 40,000 Middlesbrough … … 11,000 Newcastle-upon-Tyne … … 25,000 Northampton … … 6,800 Norwich … … 7,800 Nottingham … … 31,000 Oldham … … 26,000 Oxford … … 12,000 Plymouth … … 17,000 Portsmouth … … 23,000 Preston … … 9,100 Reading … … 14,000 Rochdale … … 10,000 Rotherham … … 14,000 St. Helens … … 8,300 Salford … … 24,000 Sheffield … … 57,000 Smethwick … … 9,000 Southampton … … 8,800 Southend-on-Sea … … 8,000 Southport … … 11,000 South Shields … … 17,000 Stockport … … 15,000 Stoke-on-Trent … … 33,000 Sunderland … … 11,000 Tynemouth … … 2,300 Wakefield … … 4,300 Wallasey … … 6,700
£ Walsall … … … 7,000 Warrington … … … 6,300 West Bromwich … … … 6,600 West Ham … … … 17,000 West Hartlepool … … … 8,000 Wigan … … … 9,800 Wolverhampton … … … 12,000 Worcester … … … 1,700 York … … … 16,000
WALES County Councils Anglesey … … 1,700 Breconshire … … 500 Caernarvonshire … … 2,700 Cardiganshire … … 1,200 Carmarthenshire … … 8,800 Denbighshire … … 8,600 Flintshire … … 9,700 Glamorganshire … … 40,000 Merionethshire … … 300 Monmouthshire … … 39,000 Montgomeryshire … … 1,200 Pembrokeshire … … 2,200 Radnorshire … … 2,200 County Borough Councils Cardiff … … 21,000 Merthyr Tydfil … … 1,800 Newport (Mon.) … … 7,300 Swansea … … 15,000 England ?3,248,800 Wales 163,200 Total £3,412,000 Mental health services are also provided under Section 28 of the National Health Service Act, 1946, and although no information is available as to the expenditure incurred by each local health authority in providing mental health services under this Section, it is estimated that in 1957–58 the expenditure amounted in aggregate to about £235,000.
The estimated expenditure on mental health services taken into consideration after discussion with representatives of the local authorities in fixing the totals of general grant for 1959–60 and 1960–61, exceeded the aggregate of the estimates for these services originally submitted by individual local health authorities, and cannot be precisely apportioned between them.