§ Mr. Meacherasked the Secretary of State for Social Services what has been the total expenditure on the National Health Service each year since 1960 in current prices and at 1983 prices; what has been the percentage 285W change in real terms each year; and what was National Health Service expenditure each year as a percentage of gross national product that year.
§ Mr. Kenneth Clarke[pursuant to his reply, 8 November 1983, c. 82–83]: Following are the figures requested from 1970–71 to 1982–83. Comparable figures for earlier years are not readily available.
England cash expenditure £ million gross England expenditure at 1982–83 prices Annual percentage change per cent. 1970–71 1,767 7,681 — 1971–72 2,000 7,954 3.6 1972–73 2,281 8,470 6.5 1973–74 2,592 8,710 2.8 1974–75 3,426 9,773 12.2 1975–76 4,511 10,328 5.7 1976–77 5,149 10,224 -1.0 1977–78 5,689 9,918 -3.0 1978–79 6,455 10,381 4.7 1979–80 7,712 10,711 3.2 1980–81 9,917 11,843 10.6 1981–82 11,158 11,950 0.9 1982–83 12,229 12,229 2.3 Figures deflated by the retail price index. Gross United Kingdom expenditure on the NHS as a proportion of United Kingdom GDP (at market prices) in the equivalent calendar years is as follows:
Per cent. 1970 4.0 1971 4.1 1972 4.3
Table A: Expenditure Total Expenditure on Salaries and Wages in HCHS Salary and Wages Expenditure on Specified Groups (£ million) Cash £ million Percentage increase (year on year) Percentage of Total HCHS Current Expenditure Medical and Dental Nurses and Midwives Admin and Clerical Ancillary 1974–75 1,793 76.3 210 762 204 424 1975–76 2,359 31.6 76.6 288 985 278 539 1976–77 2,692 14.1 76.6 325 1,123 335 601 1977–78 2,922 8.5 74.3 347 1,220 366 651 1978–79 3,278 12.2 74.2 392 1,375 412 717 1979–80 3,993 21.8 74.9 508 1,679 498 722 1980–81 5,243 31.3 76.1 683 2,338 613 861 1981–82 5,725 9.2 75.0 745 2,554 670 921 1982–83 6,079 6.2 74.7 797 2,737 683 943 Notes:* Figures include payments to agency staff.
Table B: Average Earnings Admin and Clerical £pa* Nurses and Midwives £pa* Ancillaries £ pw* Senior House Officer £pat† Consultants £ pa║ 1978–79 3,574 3,448 58.26 6,483 14,109 1979–80 4,265 3,758 64.50 7,927 17,943 1980–81 4,767 5,195 81.19 10,336 23,400 1981–82 5,068 5,384 87.96 10,975 24,780 1982–83 5,505 5,950 92.13 11,873 26,200 Notes:
* Figures are for estimated average earnings of all staff in each group. Figures for non-medical staff groups are not strictly comparable because of changes over time in the methods used to collect earnings data.
† Agency staff are not included.
‡ On scale maximum with 12 "A" UMTs.
║ On scale maximum with "C" Distinction Award.
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Per cent. 1973 4.2 1974 4.8 1975 5.1 1976 5.0 1977 4.9 1978 4.8 1979 4.8 1980 5.3 1981 5.5 1982 5.4
§ Mr. Meacherasked the Secretary of State for Social Services what was the total wage and salary bill of the National Health Service each year since 1960; and what has been the percentage annual change since then and the percentage that this represents of total National Health Service costs; what was the breakdown each year as between (i) administrative staff, (ii) hospital medical specialists, (iii) general practitioners, (iv) nursing staff, and (v) ancillary workers; what was the average pay each year of staff in each category; and what was the percentage change each year in the average pay of each staff group.
§ Mr. Kenneth Clarke[pursuant to his reply, 8 November 1983, c. 82–83.]: Information on wage and salary expenditure and on rates of pay for the various groups, is not readily available in comparable form for the years before 1974–75. Information on average earnings of the main groups is not readily available for years before 1978–79. Family practitioner services are provided by self-employed contractors, so the information given in the following tables relates to hospital and community health services.
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Table C Annual percentage increases in HCHS average basic scale rates Administration and Clerical Nurses and Midwives Ancillary and Maintenance Medical and Dental 1974–75 22.2 54.9 25.0 12.7 1975–76 23.1 20.1 28.0 26.8 1976–77 12.9 13.1 10.2 2.9 1977–78 4.8 5.4 7.8 2.7 1978–79 9.5 8.6 9.1 7.3 1979–80 15.7 16.1 18.3 24.8 1980–81 21.7 28.4 18.5 30.3 1981–82 6.0 6.0 7.4 5.9 1982–83 6.0 7.6 6.4 6.6 Notes:
(1) Increases in average earnings may have been different from increases in basic rates. but information on them is not available over this period.
(2) The increases shown take no account of decreases in the
PSS Expenditure (£ million)* Increase over previous year PSS expenditure as percentage of GDP† Cash Cost Terms Cash Per cent. Cost Terms Per cent. Cash Per cent. 1970–71 180 782 — — 0.34 1971–72 221 879 22.9 12.4 0.38 1972–73 280 1,039 26.5 18.1 0.42 1973–74 358 1,204 28.0 15.9 0.48 1974–75 529 1,510 47.8 25.4 0.60 1975–76 718 1,645 35.7 8.9 0.65 1976–77 839 1,667 16.9 1.4 0.65 1977–78 939 1,636 11.8 -1.8 0.63 1978–79 1,062 1,707 13.1 4.3 0.62 1979–80 1,305 1,812 22.9 6.2 0.64 1980–81 1,616 1,930 23.8 6.5 0.69 1981–82 1,792 1,920 10.9 -0.5 0.70 1982–83‡ 1,982 1,982 10.6 3.3 0.70 * Net current spending by local authorities in England. Before 1972–73 the figures are for health and welfare services. † Gross Domestic Product at market prices for United Kingdom (England figures not available for financial years). ‡ Established.