§ Mr. Moonmanasked the Secretary of State for Social Services (1) what were the overall budgets of the Oxford Regional Health Authority for the years 1975–76, 1976–77 and 1977–78: and what proportions of these budgets were spent on (a) mental illness services and (b) mental handicap services;
(2) what was the overall budget of the North West Thames Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental 433W illness services and (b) on mental handicap services;
(3) what was the overall budget of the South West Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental illness services and (b) on mental handicap services;
(4) what was the overall budget of the South East Thames Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental illness services and (b) on mental handicap services;
(5) what were the overall budgets for the Wessex Regional Health Authority for 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent on (a) mental illness services and (b) mental handicap services;
(6) what were the overall budgets for the East Anglian Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental illness services and (b) mental handicap services.
§ Mr. James Johnsonasked the Secretary of State for Social Services what was the overall budget of the Yorkshire Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these figures were allocated to (a) mental illness services and (b) mental handicap services.
§ Mr. Cowansasked the Secretary of State for Social Services what was the overall budget for the Northern Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on services for the mentally handicapped and (b) on services for the mentally ill.
§ Mr. McCrindleasked the Secretary of State for Social Services what was the overall budget of the North East Thames Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent on (a) mental illness services and (b) mental handicap services.
§ Mr. Forresterasked the Secretary of State for Social Services what were the 434W overall budgets for the Trent Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental illness services and (b) mental handicap services.
§ Mr. Dudley Smithasked the Secretary of State for Social Services what were the overall budgets for the West Midlands Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were allocated to (a) mental illness services and (b) mental handicap services.
§ Mr. Stephen Rossasked the Secretary of State for Social Services what were the overall budgets for the South Western Regional Health Authority for the years 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were allocated to (a) mental illness services and (b) mental handicap services.
§ Mr. Steenasked the Secretary of State for Social Services what were the overall budgets for the North Western Regional Health Authority for 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent (a) on mental illness services and (b) mental handicap services.
§ Mr. Ogdenasked the Secretary of State for Social Services what were the overall budgets for the Mersey Regional Health Authority for 1975–76, 1976–77 and 1977–78; and what proportions of these budgets were spent on (a) mental illness services and (b) mental handicap services.
§ Mr. EnnalsThe table below provides, for the years 1975–76 and 1976–77, figures which represent the combined capital and revenue expenditure outturn of each regional health authority. For the year 1977–78, for which final expenditure figures are not yet available, the combined net cash limit is given.
As information in the accounts and costing returns rendered by National Health Service authorities about the treatment of patients suffering from specified diseases or conditions is limited to expenditure on services in single-specialty hospitals, I regret that it is not possible to identify the overall cost of providing services for the mentally ill and the men- 435W tally handicapped, and the proportions requested cannot be provided.
£million Expenditure outturn Net cash limit Region 1975–76 1976–77 1977–78 1. Northern … … 211.0 241.0 264.5 2. Yorkshire … … 242.6 272.5 301.2 3. Trent … … 285.4 328.5 369.5 4. East Anglian … … 117.4 132.5 150.8 5. North West Thames … … 297.0 327.0 356.9 6. North East Thames … … 319.9 362.4 392.4 7. South East Thames … … 305.2 344.9 370.2 8. South West Thames … … 247.1 272.7 295.8 9. Wessex … … 170.7 193.6 219.3 10. Oxford … … 146.8 164.1 179.4 11. South Western … … 206.1 236.2 259.7 12. West Midlands … … 330.3 368.0 404.7 13. Mersey … … 189.5 213.5 236.8 14. North Western … … 282.2 321.7 361.1 Total … … 3,351.2 3.778.6 4,162.3
§ Mr. Richard Wainwrightasked the Secretary of State for Social Services what ratio of staff to residents is used in calculating the weekly costs per resident in (a) local authority hostels for the mentally ill and (b) local authority hostels for the mentally handicapped.
§ Mr. MoyleRatios of staff to residents are not used in calculating weekly costs per resident. The costs are arrived at by dividing expenditure by the average number of residents.
§ Mr. Sainsburyasked the Secretary of State for Social Services (1) what proportion of joint funding allocations for 1976–77 and 1977–78 has been spent on revenue grants to (a) local authorities and (b) voluntary organisations to provide services for mentally handicapped people;
(2) what proportion of joint funding allocations for 1976–77 and 1977–78 has been spent on capital grants to (a) local authorities and (b) voluntary organisations to provide services for mentally handicapped people;
(3) what proportion of joint funding allocations for 1976–77 and 1977–78 has been spent on revenue grants to services for the mentally ill provided by (a) local authorities and (b) voluntary organisations.
§ Mr. Dudley Smithasked the Secretary of State for Social Services what proportion of the joint funding allocations for 1976–77 and 1977–78 has been spent on capital grants for services for mentally ill to (a) local authorities and (b) voluntary organisations.
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§ Mr. MoyleInformation about joint finance sums provided to voluntary organisations is not separately available, but set out below are the proportions of the total joint finance allocations for each year that authorities informed me were being spent on the services specified.
Services for the mentally handicapped Services for the mentally ill per cent per cent. 1976–77: Capital … 16 5 Revenue … 4 1 1977–78: Capital … 18 6 Revenue … 9 3
§ Mr. Ronald Atkinsasked the Secretary of State for Social Services how many places there were in group homes for the mentally ill in 1975, 1976 and 1977.
§ Mr. MoyleThe number of places available in England for the mentally ill in local authority unstaffed homes and hostels at 31st March in the years 1975 to 1977 was as follows: 1975, 707; 1976, 825; 1977, 949.
§ Mr. Hal Millerasked the Secretary of State for Social Services how many local authorities are making no direct residential provision for the adult mentally ill—excluding voluntary/private provision.
§ Mr. Moyle11 local authorities in England did not record provision for mentally ill adults in local authority residential accommodation at 31st March 1977.
§ Mr. Richard Wainwrightasked the Secretary of State for Social Services how 437W many local authorities are making no direct day care provision for the adult mentally ill—excluding voluntary provision.
§ Mr. Moyle36 local authorities in England did not record places for mentally ill people in local authority day centres at 31st March 1977. However, 19 of these authorities provide mixed centres where places are not allocated to any specific group.
§ Mr. Ovendenasked the Secretary of State for Social Services how many local authorities have reached the guidelines figures in "Better Services for the Mentally Ill" for (a) day care places and (b) residential provision.
§ Mr. MoyleOf 108 authorities, three were known to have met the guideline planning ratio for day centre places at 31st March 1977. Information available centrally does not show how many of nearly 7,000 day centre places available nationally but not allocated to a specific group were used by the mentally ill; and 31 authorities had met the guideline planning ratio of 19 residential places to 100,000 population suggested as a minimum for areas of "average need".
§ Dr. M. S. Millerasked the Secretary of State for Social Services what was the total number of places in local authority and residential services for the adult mentally ill in 1974, 1975, 1976 and 1977.
§ Mr. MoyleThe number of places in England available in local authority residential accommodation for adult mentally ill people at 31st March in the years 1974 to 1977 was as follows:
The figures quoted include places made available to local authorities by other organisations.
1974 … … … 3,628 1975 … … … 4,496 1976 … … … 4,685 1977 … … … 5,299
§ Dr. M. S. Millerasked the Secretary of State for Social Services what was the total number of places in local authority day centres for the mentally ill in 1974, 1975, 1976 and 1977.
§ Mr. MoyleThe number of places in England available in local authority day438W centres for the mentally ill at 31st March in the years 1974 to 1977 was as follows:
The figures quoted include places made available to local authorities by other organisations, but do not take into account the increase in day places in mixed centres not allocated to particular client groups.
1974 … … … 5,922 1975 … … … 5,275 1976 … … … 4,874 1977 … … … 5,354
§ Mr. D. E. Thomasasked the Secretary of State for Social Services on what figures he bases the statement in the Department of Health and Social Services planning guidelines for 1978–79 (LAC(78)6) to the effect that the number of residential places is in line with "The Way Forward for the Mentally Ill."
§ Mr. EnnalsAccording to local authority returns, the number of places available to local authorities at 31st March 1976 was about 4,700. "The Way Forward" envisaged an increase to some 5,500 places by 1980. The number of places available at 31st March 1977, according to the latest figures, was about 5,300.
Mr. Alan Lee Williamsasked the Secretary of State for Social Services what provisions in terms of both capital grants and general funding are planned to assist voluntary organisations to maintain and improve their services for the mentally ill.
§ Mr. EnnalsIn 1977–78, £275,000, or about 8 per cent. of grants made by my Department under Section 64 of the Health Services and Public Health Act 1968 to voluntary organisations working in all the health and social services fields, was to organisations providing services for the mentally ill. The comparable figure for the year 1973–4 was £80,000. For 1978–9, £299,000 is provisionally committed by way of general funding grants already approved or under consideration, to voluntary organisations working for the mentally ill, and I am prepared to consider further applications. I have not received any application from such organisations for capital grants, which are only given in exceptional circumstances. Local and health authorities also have powers to make grants to assist 439W voluntary organisations, but information is not available about the provisions they are making in this field.