HC Deb 21 May 1975 vol 892 cc452-64W
Mr. Arnold Shaw

asked the Secretary of State for Social Services if she will list, for the South-West Thames Regional Health Authority, for each of the years 1965 to 1975 and estimate for 1976 to 1980 (a) the total NHS capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the mentally ill, (d) (b) as a proportion of (a), (e) (c) as a proportion of (a), (f) the total NHS revenue expenditure, (g) the total revenue expenditure on services for the mentally handicapped, and (h) the total revenue expenditure on services for the mentally ill.

Dr. Owen

Following are the figures:

ill and mentally handicapped from that on other services.

The table below gives for the former regional hospital board areas and for England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.

SOUTH WEST METROPOLITAN REGIONAL HOSPITAL BOARD AREA—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in 1964–65 1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness … … … … 10,097 10,935 11,498 11,983 13,075 13,800 15,658 18,061 20,610 23,044
(b) Mental Handicap … … … … 3,304 3,548 3,709 3,948 4,392 4,825 5,798 7,075 8,023 9,015
2. All Regional Hospital Board Hospitals … … 34,768 37,989 40,468 42,985 46,430 50,153 58,858 68,098 77,165 86,715
3. All Hospitals—England* … … … … 465,428 515,722 554,717 591,518 645,264 702,689 830,597 974,693 1,117,285 1,297,903
Total Revenue Expenditure Regional Hospital Board 40,346 43,912 46,752 49,643 53,333 57,582 67,803 78,121 88,804 99,776
Total Revenue Expenditure England* … … 526,138 580,253 642,921 667,350 725,703 792,030 940,616 1,100,273 1,262,679 1,461,574
* Including hospitals administered by boards of governors of teaching hospitals.
Accounts for 1974–75 and regional estimates of expenditure for subsequent years are not yet available but the revenue allocations for 1974–75 and 1975–76 to the South West Thames Regional Health Authority were £143.582 million and £151.361 million respectively. Allocations for 1976–77 onwards have not yet been made.

Mr. Gorst

asked the Secretary of State for Social Services if she will list, for the London Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Arnold Shaw

asked the Secretary of State for Social Services if she will list, for the Southern Region for the years 1965 to 1975, (a)the total annual capital expenditure on social services, (b)the total annual capital expenditure on services for the mentally ill within the social services provisions and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Alison

asked the Secretary of State for Social Services if she will list for the Yorkshire Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Blenkinsop

asked the Secretary of State for Social Services if she will list for the Northern Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Faulds

asked the Secretary of State for Social Services if she will list for the West Midlands Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Dr. Boyson

asked the Secretary of State for Social Services if she will list for the London North Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mrs. Kellett-Bowman

asked the Secretary of State for Social Services if she will list for the North Western Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Watkinson

asked the Secretary of State for Social Services if she will list for the South Western Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Holland

asked the Secretary of State for Social Services if she will list, for the East Midlands Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision, and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

Dr. Owen

The information requested is not available. The only figures that can be provided are as follows:

1971–72 1972–73
Total capital expenditure on personal social services Total capital expenditure on mental health Total capital expenditure on personal social services Total capital expenditure on mental health
Region £m. £m. £m. £m.
Northern … … … … 2.147 0.324 3.375 0.502
Yorkshire … … … … 3.438 0.580 4.063 0.676
North Western … … … … 5.367 0.966 6.884 1.194
East Midlands … … … … 2.502 0.260 3.811 0.809
West Midlands … … … … 3.538 0.483 4.140 0.703
London, North … … … … 3.150 0.699 5.401 1.429
London … … … … … 10.119 1.853 11.781 1.389
Southern … … … … 3.712 0.613 6.308 0.917
South Western … … … … 2.440 0.282 2.867 0.193
Notes:
1. Figures submitted by local authorities do not distinguish between capital expenditure on services for the mentally ill and the mentally handicapped.
2. Information is not yet available for the financial years 1973–74 and 1974–75.

Mr. Gorst

asked the Secretary of State for Social Services if she will list, for the London region for the years 1976 to 1980 (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Arnold Shaw

asked the Secretary of State for Social Services if she will list, for the Southern Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Alison

asked the Secretary of State for Social Services if she will list, for the Yorkshire Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Blenkinsop

asked the Secretary of State for Social Services if she will list, for the Northern Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital

expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Faulds

asked the Secretary of State for Social Services if she will list for the West Midlands Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Dr. Boyson

asked the Secretary of State for Social Services if she will list, for the London north region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mrs. Kellett-Bowman

asked the Secretary of State for Social Services if she will list for the North Western Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision, and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Watkinson

asked the Secretary of State for Social Services if she will list for the South Western Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

Mr. Holland

asked the Secretary of State for Social Services if she will list, for the East Midlands Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision, and (c) the estimated total capital expenditure on services for the mentally handicapped.

Dr. Owen

I am discussing with local authorities the revision of the provisional building programme for 1975–76 in the light of the Budget Statement by my right hon. Friend the Chancellor of the Exchequer. Programmes for 1976–77 onwards have not yet been drawn up.

Mr. Moonman

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the North East Thames Regional Health Authority.

Mr. Clemitson

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the North West Thames Regional Health Authority.

Mr. Kenneth Lewis

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental hadicap hospitals with more than 200 beds, in the East and West Midlands Regional Health Authority.

Mr. Ford

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the Yorkshire Regional Health Authority.

Mr. Arnold Shaw

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the South West Thames Regional Health Authority.

Mr. Raymond Fletcher

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Trent Regional Health Authority.

Mr. Alan Lee Williams

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Oxford Regional Health Authority;

(2) what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the East Anglia Regional Health Authority.

Mr. Bidwell

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap hospitals with more than 200 beds and by mental illness hospitals with more than 200 beds, respectively, in the South-East Thames Regional Health Authority.

Mr. Corbett

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Wessex Regional Health Authority.

Mr. Willey

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by hospitals for the mentally-handicapped with more than 200 beds in the Northern Regional Health Authority;

(2) what is the estimated total acreage occupied by hospitals for the mentally ill with more than 200 beds in the Northern Regional Health Authority.

Mr. Steen

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by hospitals for the mentally ill with more than 200 beds in the Mersey Regional Health Authority;

(2) what is the estimated total acreage occupied by hospitals for the mentally handicapped with more than 200 beds in the Mersey Regional Health Authority.

Mr. Ronald Atkins

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the North Western Regional Health Authority.

Mr. Stephen Ross

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the South Western Regional Health Authority.

Dr. Owen

Following is the estimate for NHS hospitals:

Regional Health Authority Mental Illness Hospitals with over 200 beds Acreage occupied Mental Handicap Hospitals with over 200 beds Acreage occupied
Northern 1,268 742
Yorkshire 1,990 427
Trent 1,390 875
East Anglian 520 209
North West Thames 962* 684
North East Thames 1,034† 462

NORTH EAST THAMES REGIONAL HOSPITAL BOARD
Total capital expenditure £000 Capital expenditure on services for the Proportion of total capital expenditure on services for the
mentally ill £000 mentally handicapped £000 mentally ill Percentage mentally handicapped Percentage
1964–65 … 5,385 599 46 11.1 0.9
1965–66 … 5,442 275 58 5.1 1.1
1966–67 … 7,477 915 241 12.2 3.2
1967–68 … 9,289 875 344 9.4 3.7
1968–69 … 8,410 419 128 5.0 1.5
1969–70 … 7,848 214 158 2–7 2.0
1970–71 … 9,076 450 415 5.0 4.6
1971–72 … 12,653 572 356 4.5 2.8
1972–73 … 16,375 1,090 441 6–7 2–7
1973–74 … 17,851 1,746 932 9.8 5.2
1974–75* … 18,700 2,543 1,651 13.6 8.8
1975–76* … 23,300 Not yet available Not yet available Not yet available Not yet available
* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.
Allocations of capital for 1976–77 onwards have not yet been made.

South East Thames 1,422ठ431
South West Thames 1,320 779
Wessex 1,142 342
Oxford 675 355
Southwestern 1,313 1,111
West Midlands 1,700 997
Mersey 1,095║ 478
North Western 700 498
16,531 8,390
* Includes 162 acres in respect of 2 hospitals in South West Thames Regional Health Authority area managed extra-territorially.
† Includes 115 acres in respect of 1 hospital in North West Thames Regional Health Authority area managed extra-territorially.
‡ Includes 61 acres in respect of 1 hospital in South West Thames Regional Hospital Authority area managed extra-territorially.
§ Includes 274 acres in respect of 2 hospitals managed by a Board of Governors.
║ Includes 127 acres in respect of 1 hospital in North Western Regional Hospital Authority area managed extra-territorially.

Mr. Moonman

asked the Secretary of State for Social Services if she will list, for the North East Thames Regional Health Authority, for each of the years 1965 to 1975 and as estimates for 1976 to 1980, (a) the total NHS capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the mentally ill, (d) (b) as a proportion of (a), (e) (c) as a proportion of (a), (f) the total NHS revenue expenditure, (g), the total revenue expenditure on services for the mentally handicapped, and (h) the total revenue expenditure on services for the mentally ill.

Dr. Owen

Following are the figures:

Expenditure on family practitioner services and local health authority services has not been analysed so the total revenue expenditure in areas now covered by regional health authorities is not available. Also, it is not possible to segregate fully expenditure on services for the mentally ill and mentally handicapped from that on other services. England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.
The table below gives for the former regional hospital board areas and for
NORTH EAST METROPOLITAN REGIONAL HOSPITAL BOARD AREA—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in 1964–65 1965–66 1966–67 1967–68 1968–69 1969–70 1970–71 1971–72 1972–73 1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness … … … … 4,373 4,275 5,002 5,250 5,395 5,814 6,740 7,669 8,960 10,490
(b) Mental Handicap … … … … 1,870 2,022 2,147 2,265 2,481 2,755 3,269 4,011 4,700 5,605
2. All Regional Hospital Board Hospitals … 32,320 36,332 39,376 41,884 43,583 47,257 54,810 63,125 72,521 84,361
3. All Hospitals—England* … … … … 465,428 515,722 554,717 591,518 645,264 702,689 830,597 974,693 1,117,285 1,297,903
Total Revenue Expenditure Regional Hospital Board 37,424 41,856 45,389 48,231 50,033 54,245 63,280 72,564 83,203 96,249
Total Revenue Expenditure England* … … 526,138 580,253 642,921 667,350 725,703 792,030 940,616 1,100,273 1,262,679 1,461,574
* Including hospitals administered by boards of governors of teaching hospitals.
Accounts for 1974–75 and regional estimates of expenditure for subsequent years are not yet available but the revenue allocations for 1974–75 and 1975–76 to the North East Thames Regional Health Authority were £194.075 million and £201.721 million respectively. Allocations for 1976–77 onwards have not yet been made.