HC Deb 10 April 1987 vol 114 cc508-11W
Mr. Ralph Howell

asked the Secretary of State for Social Services what was (a) the overall and (b) the per capita spending on health each year since 1979 in the United Kingdom, the United States of America, France and West Germany; and what percentage of each country's gross domestic product the overall spending represented.

Mr. Newton

The tables give the available information in respect of both total health spending, including that undertaken privately, and of public expenditure on health.

a.i Total Health Expenditure (in current United Stales $ million GDP Purchasing Power Parities)
United Kingdom France Germany United States
1979 21,517 36,561 40,387 215,052
1980 25,034 41,659 46,633 248,013
1981 28,472 47,638 52,518 285,828
1982 30,344 54,026 54,463 322,329
1983 34,346 56,977 n/a 355,400
1984 n/a n/a n/a n/a

a.ii Public Health Expenditure (in current United Stales $ million GDP Purchasing Power Parities)
United Kingdom France Germany United Stales
1979 19,281 26,443 32,691 90,860
1980 22,470 29,978 37,762 105,843
1981 25,476 34,241 42,400 121,667
1982 26,820 38,387 43,904 135,844
1983 30,374 40,589 n/a 148,783
1984 n/a n/a n/a n/a

Source: OECD "Measuring Health Care 1960–1983" Tables A.1, H.7

b.i Per Capita Spending on health (in current United States $ GDP Purchasing Power Parities)
United Kingdom France Germany United States
1979 382.7 683.7 658.2 955.6
1980 446.6 775.6 757.4 1,089.0
1981 505.0 882.8 851.4 1,242.6
1982 538.6 996.4 883.6 1,387.5
1983 609.2 1,046.6 n/a 1,515.6
1984 658.0 1,145.0 1,079.0 1,637.0

b.ii Per Capita Spending on Public Health (in current United States $ million GDP Purchasing Power Parities)
United Kingdom France Germany United States
1979 343.0 494.5 532.8 403.7
1980 399.1 558.1 618.4 464.8
1981 451.9 634.5 687.4 528.9
1982 476.1 708.0 712.3 584.8
1983 538.8 745.6 n/a 634.5
1984 n/a n/a n/a n/a

Source: OECD "Measuring Health Care 1960–1983" Tables A.1, H.1, H.7. "International Health Care Spending" George J. Schieber and Jean Pierre Poullier in Health Affairs 1986(4).

c.i Ratio of total health expenditure to GDP
United Kingdom France Germany United States
1979 5.3 8.3 7.8 9.0
1980 5.8 8.5 8.1 9.5
1981 6.1 8.9 8.3 9.7
1982 5.9 9.3 8.2 10.6
1983 6.2 9.3 n/a 10.8
1984 5.9 9.1 8.1 10.7

c.ii Ratio of public health expenditure to GDP
United Kingdom France Germany United States
1979 4.7 6.0 6.3 3.8
1980 5.2 6.1 6.5 4.1
1981 5.4 6.4 6.7 4.1
1982 5.2 6.6 6.6 4.5
1983 5.5 6.6 n/a 4.5
1984 5.2 6.4 6.3 4.4

Source: OECD "Measuring Health Care 1960–1983" Tables A.1, H.3. G. Schieber and Jean Pierre Poullier op. cit.

Mr. Meacher

asked the Secretary of State for Social Services what are the latest figures available for the percentage of gross domestic product spent on health, health expenditure per head of population, number of practising doctors per 100,000 of the population and hospital beds per 1,000 population for the United Kingdom; and what information is available on comparable figures in Germany, France, the Netherlands, Denmark, Belgium, Italy, Luxembourg, Ireland, Greece, Spain, Portugal, and the EEC on average, the United States of America and Sweden.

Mr. Norris

asked the Secretary of State for Social Services what has been the real growth in the United Kingdom in each year between 1978 and the latest year for which information is available of (a) total health spending per head and (b) public health spending per head; and what information he has about the equivalent figures for other member states in the European Economic Community and for Sweden and the United States of America.

Ratio of public health expenditure to GDP 1983 Ratio of total expenditure to GDP 1983 Public health2 expenditure per capita USS 1983 Total health2 expenditure per capita USS 1983 Practising3 doctors per 100,000 population 1984 Hospital beds per 1,000 population 1983 Real growth of public-health spending per head 1978–83 Real growth of total health spending per head 1978–83
United Kingdom 5.5 6.2 538.8 609.2 222 77.5 19.17 21.29
Belgium 6.0 6.5 636.4 689.6 275 19.5 14.85 7.46
Denmark 56 6.6 646.6 765.3 251 7.4 7.26 7.62
France 6.6 9.3 745.6 1,046.6 226 11.6 19.22 20.19
Germany 16.6 18.2 1712.3 1883.6 252 1111 n.a. n.a.
Greece 13.4 4.7 203.8 256.9 4253 16.2 18.71 16.54
Irish Republic 7.5 8.2 507.5 551.4 126 89.7 24.15 16.64
Italy 6.2 7.4 537.1 641.0 5397 7.7 10.2 17.67
Luxembourg3 n.a. n.a. n.a. n.a. 174 130 n.a. n.a.
Netherlands 6.9 8.8 709.1 899.3 215 120 10.72 9.41
Portugal 3.9 15.7 174.3 1248.0 1220 15.1 9.86 n.a.
Spain 4.4 16.3 1302.0 1417.0 6301 45.4 n.a. n.a.
Sweden 8.8 9.6 1,188.6 1,298.9 241 140 12.29 12.28
USA 4.5 10.8 634.5 1,515.6 4194 45.9 22.04 22.65
11982.
2 Measured in 1983 current GDP purchasing power parity rates.
3Source: Number of physicians and dentists in the member states of the community statistical office of the European Communities 1986. For Portugal, Sweden and USA OECD report used. Definition of practising doctors is not standard between countries.
4 1981.
5 Including dentists.
61983.
7Source: DHSS statistics.
81980.

SourceOECD Measuring Health Care 1960–83.