§ Mr. Dobsonasked the Secretary of State for Social Services if he will give for 1984–85 for each region the figures for payments to outside contractors for support services and for contractual arrangements for patient care indicating the services provided; if he will also give each figure a percentage of the total expenditure on the relevant service in each region; and if he will also give the 1983–84 figures for comparison.
§ Mr. Hayhoe[pursuant to his reply, 25 November 1985, c. 498]: Following is the information requested derived from the annual accounts of regional and district health authorities for 1984–85. For 1983–84, I refer the hon. Member to my predecessor's reply to him on 14 February 1985 at columns 281–82. Figures for the two years are not entirely comparable as value added tax on contracted-out services became reclaimable by health authorities on 1 September 1983. The annual accounts do not give a detailed analysis of expenditure on contractual arrangements for patient care.
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Medical & surgical equipment maintenance X-ray equipment maintenance Laboratory equipment maintenance Catering Laundry Domestic/Cleaning Region £ 000 per cent £ 000 per cent. £ 000 per cent. £ 000 per cent. £ 000 per cent. £ 000 per cent. Northern 473 2.44 538 50.42 493 11.48 7 0.03 208 5.25 239 0.85 Yorkshire 815 3.76 354 21.38 260 5.27 20 0.08 220 4.72 780 2.60 Trent 1,006 3.71 736 43.51 551 9.19 93 0.30 95 1.86 467 1.22 East Anglian 287 2.45 325 52.38 257 10.92 Nil Nil 94 3.70 1,074 7.04 North West Thames 1,254 5.84 685 40.18 403 6.82 48 0.18 944 20.34 666 1.87 North East Thames 1,262 4.42 876 47.31 885 11.24 60 0.19 733 12.97 881 1.95 South East Thames 1,256 4.41 906 52.31 550 11.27 189 0.65 551 9.60 1,154 3.11 South West Thames 742 4.28 812 61.20 341 10.57 114 0.47 1,483 31.57 887 3.12 Wessex 1,068 6.61 561 53.71 275 10.05 10 0.05 261 8.90 189 0.89 Oxford 930 7.49 192 43.23 208 6.71 14 0.11 592 20.31 675 4.46 South Western 757 4.20 562 42.78 572 13.13 26 0.11 460 11.57 165 0.68 West Midlands 1,529 4.87 740 44.28 648 9.47 20 0.05 522 8.24 476 1.33 Mersey 771 5.11 630 55.92 442 11.73 — — 67 1.46 252 1.11 North Western 1,088 4.03 641 40.96 913 14.98 Nil Nil 412 7.43 518 1.53
Engineering maintenance Building maintenance Grounds, etc. maintenance Vehicle maintenance Computers—contract services Contractual arrangements for patient care Region £ 000 per cent. £ 000 per cent. £ 000 per cent. £ 000 per cent. £ 000 per cent. £ 000 per cent. Northern 3,041 16.73 3,680 32.78 102 6.64 517 20.20 76 5.80 1,406 0.29 Yorkshire 3,542 19.75 5,164 43.58 140 8.10 252 8.11 81 4.97 1,878 0.35 Trent 4,291 18.78 6,930 45.59 180 7.55 675 19.13 493 60.79 720 0.11 East Anglian 1,349 14.28 1,487 29.81 49 5.60 312 13.75 99 10.12 457 0.17 North West Thames 5,243 26.98 5,273 42.97 278 19.87 398 11.45 1,001 85.92 3,489 0.62 North East Thames 6,115 23.71 6,210 41.31 299 17.97 527 12.78 830 23.93 5,685 0.78 South East Thames 5,193 22.23 5,301 41.57 246 17.71 409 10.31 550 48.12 2,650 0.43 South West Thames 4,390 24.99 4,929 45.53 471 32.82 536 16.61 247 11.59 6,023 1.28 Wessex 2,480 20.26 2,404 29.48 86 6.81 409 18.47 194 31.39 1,942 0.50 Oxford 1,967 19.86 2,398 40.20 180 24.10 380 19.29 141 20.70 1,149 0.38 South Western 3,414 21.41 3,558 34.41 51 2.99 871 25.22 196 28.57 2,421 0.53 West Midlands 4,926 16.29 7,251 39.60 349 13.29 444 9.79 474 17.45 2,425 0.33 Mersey 3,353 22.84 6,164 53.25 185 14.74 275 12.19 50 4.73 2,354 0.60 North Western 4,637 22.89 5,382 33.90 236 11.22 287 7.64 211 20.87 6,919 1.07 Notes:
1. All figures are for current expenditure: capital is excluded.
2. For contractual arrangements for patient care, "total expenditure on the relevant service" is taken as total current expenditure on hospital services.
3. Payments to doctors, pharmacists, dentists, opticians and others contracted to the NHS to provide family practitioner services are excluded.
4. Minimal expenditure and percentages (ie less than £500 or 0.01 per cent.) as indicated by the use of a dash (—).
5. Information in the table has been prepared on as consistent a basis as practicable but comparisons of percentages between services may in some cases be misleading as the basis of the total relevant expenditure figures for different services are not completely uniform.