Cornwall (Hansard, 22 May 1975)

§ Mr. Pardoe
asked the Secretary of State for Social Services if she will compare over each of the past five years the total expenditures and expenditures per head of population for Cornwall and England and Wales on total national health and welfare services, hospitals' current and capital expenditure, general medical costs, pharmaceutical costs, local authority health services, and local authority personal services.

§ Dr. Owen
It is not practicable to identify a specific part of the total cost of all national health and personal social services as being attributable to Cornwall. The other figures requested are summarised below: 581W

1969–70 1970–71 1971–72 1972–73 1973–74

Expenditure Per Capita Expenditure Per Capita Expenditure Per Capita Expenditure Per Capita Expenditure Per Capita

£m. £ £m £ £m £ £m £ £m £

Total Cost of Health and Personal Social Services (England and Wales) … 1,804 36.95 2,111 43.09 2,405 49.27 2,768 56.46 3,213 65.34

England and Wales

£000 £ £000 £ £000 £ £000 £ £000 £

Hospital Current … … … … 839,696 17.20 997,220 20.36 1,168,513 23.94 1,339,743 27.33 1,551,218 31.54

Hospital Capital … … … … 108,835 2.23 128,270 2.62 158,918 3.26 191,648 3.91 214,809 4.37

General Medical … … … … 128,602 2.63 158,235 3.23 171,339 3.51 185,332 3.78 199,519 4.06

Pharmaceutical … … … … 175,365 3.59 191,043 3.90 214,749 4.40 243,479 4.97 268,697 5.46

Local Authority Health Services … 154,453 3.16 183,055 3.74 132,696 2.72 154,095 3.14 181,382 3.69

Local Authority Personal Social Services 124,536 2.55 150,203 3.07 257,186 5.27 324,020 6.61 416,080 8.46

Cornwall £000 £ £000 £ £000 £ £000 £ £000 £

Hospital Current … … … … 5,142 14.20 5,914 16.25 6,966 18.36 7,904 20.51 9,343 23.74

Hospital Capital … … … … 81 0.22 95 0.26 541 1.43 673 1.75 718 1.82

General Medical … … … … 1,150 3.18 1,426 3.92 1,566 4.13 1,734 4.50 1,888 4.80

Pharmaceutical … … … … 1,687 4.66 1,852 5.09 2,151 5.67 2,445 6.34 2,731 6.94

Local Authority Health Services … 1,082 2.99 1,295 3.56 1,022 2.69 1,214 3.15 1,422 3.61

Local Authority Personal Social Services 466 1.29 870 2.39 1,443 3.80 1,701 4.41 2,053 5.22

Notes:

(i) Figures are in all cases gross, i.e. contributions from persons using the service have not been deducted, except in the case of local authority services.

(ii) Hospital expenditure covers all hospitals situated in Cornwall, including those administered by the former Plymouth and District Hospital Management Committee. It does not include expenditure on the treatment of patients resident in Cornwall by hospitals outside the county.

(iii) Expenditure for General Medical and Pharmaceutical Services relates to the former Cornwall Executive Council, it will include expenditure in respect of some patients resident outside the county but exclude expenditure by other Executive Councils on some Cornish residents.

(iv) Local Authority figures include loan charges and revenue contributions to capital expenditure. Following the coming into force of the Local Authority Social Services Act 1970 on 1st April 1971, the personal social services comprise the former local authority welfare services, child care services and certain of the former local health authority services. Personal social services expenditure for Cornwall for 1969–70 excludes child care services, figures for which are not available.

582W 583W

§ Mr. Pardoe
asked the Secretary of State for Social Services what are the total numbers, and numbers per head of population, in Cornwall of midwives, health visitors home nurses, and home helps;

Cornwall and Isles of Scilly England and Wales

Total Whole-time equivalent WTE per 1,000 population Total Whole-time equivalent WTE per 1,000 population

Health Visitors^* … … … … 60 0.1527 8,864.4 0.1802

Home Nurses^* … … … … 80 0.2033 13,149.9 0.2673

Midwives^* … … … … 25.4 0.0645 3,730.8 0.0758

Home Help† … … … … 249 0.62 43,533 0.88

^* Staffing position at 1st April 1974.

† Position at 30th September 1974.

Population at 30th June 1974:

Cornwall and Isle of Scilly 393,600

England and Wales 49,195,100.

	1969–70	1970–71	1971–72	1972–73	1973–74
	Expenditure	Per Capita	Expenditure	Per Capita	Expenditure	Per Capita	Expenditure	Per Capita	Expenditure	Per Capita
	£m.	£	£m	£	£m	£	£m	£	£m	£
Total Cost of Health and Personal Social Services (England and Wales)	…	1,804	36.95	2,111	43.09	2,405	49.27	2,768	56.46	3,213	65.34
England and Wales
	£000	£	£000	£	£000	£	£000	£	£000	£
Hospital Current	…	…	…	…	839,696	17.20	997,220	20.36	1,168,513	23.94	1,339,743	27.33	1,551,218	31.54
Hospital Capital	…	…	…	…	108,835	2.23	128,270	2.62	158,918	3.26	191,648	3.91	214,809	4.37
General Medical	…	…	…	…	128,602	2.63	158,235	3.23	171,339	3.51	185,332	3.78	199,519	4.06
Pharmaceutical	…	…	…	…	175,365	3.59	191,043	3.90	214,749	4.40	243,479	4.97	268,697	5.46
Local Authority Health Services	…	154,453	3.16	183,055	3.74	132,696	2.72	154,095	3.14	181,382	3.69
Local Authority Personal Social Services	124,536	2.55	150,203	3.07	257,186	5.27	324,020	6.61	416,080	8.46
Cornwall	£000	£	£000	£	£000	£	£000	£	£000	£
Hospital Current	…	…	…	…	5,142	14.20	5,914	16.25	6,966	18.36	7,904	20.51	9,343	23.74
Hospital Capital	…	…	…	…	81	0.22	95	0.26	541	1.43	673	1.75	718	1.82
General Medical	…	…	…	…	1,150	3.18	1,426	3.92	1,566	4.13	1,734	4.50	1,888	4.80
Pharmaceutical	…	…	…	…	1,687	4.66	1,852	5.09	2,151	5.67	2,445	6.34	2,731	6.94
Local Authority Health Services	…	1,082	2.99	1,295	3.56	1,022	2.69	1,214	3.15	1,422	3.61
Local Authority Personal Social Services	466	1.29	870	2.39	1,443	3.80	1,701	4.41	2,053	5.22
Notes:
(i) Figures are in all cases gross, i.e. contributions from persons using the service have not been deducted, except in the case of local authority services.
(ii) Hospital expenditure covers all hospitals situated in Cornwall, including those administered by the former Plymouth and District Hospital Management Committee. It does not include expenditure on the treatment of patients resident in Cornwall by hospitals outside the county.
(iii) Expenditure for General Medical and Pharmaceutical Services relates to the former Cornwall Executive Council, it will include expenditure in respect of some patients resident outside the county but exclude expenditure by other Executive Councils on some Cornish residents.
(iv) Local Authority figures include loan charges and revenue contributions to capital expenditure. Following the coming into force of the Local Authority Social Services Act 1970 on 1st April 1971, the personal social services comprise the former local authority welfare services, child care services and certain of the former local health authority services. Personal social services expenditure for Cornwall for 1969–70 excludes child care services, figures for which are not available.

	Cornwall and Isles of Scilly	England and Wales
	Total Whole-time equivalent	WTE per 1,000 population	Total Whole-time equivalent	WTE per 1,000 population
Health Visitors^*	…	…	…	…	60	0.1527	8,864.4	0.1802
Home Nurses^*	…	…	…	…	80	0.2033	13,149.9	0.2673
Midwives^*	…	…	…	…	25.4	0.0645	3,730.8	0.0758
Home Help†	…	…	…	…	249	0.62	43,533	0.88
^* Staffing position at 1st April 1974.
† Position at 30th September 1974.
Population at 30th June 1974:
Cornwall and Isle of Scilly 393,600
England and Wales 49,195,100.