§ Mr. Dobsonasked the Secretary of State for Social Services (1) if he will give for 1985–86 for each health authority the total expenditure on hospital catering, the total expenditure on services provided to hospitals by private catering companies, the latter figure as a percentage of the former and the difference between that percentage and the percentage in 1984–85;
(2) if he will give for 1985–86 for each health authority the total expenditure on hospital cleaning, the total expenditure on services provided to hospitals by private cleaning companies, the latter figure as a percentage of the former and the difference between that percentage and the percentage in 1984–85;
(3) if he will give for 1985–86 for each health authority the total expenditure on hospital laundry, the total expenditure on services provided to hospitals by private laundry companies, the latter figure as a percentage of the former and the difference between that percentage and the percentage in 1984–85.
§ Mr. Newton[pursuant to his reply, 24 November 1986, c. 128–129]: The following table, which is derived from the annual accounts of regional and district health authorities, and the special health authorities for the London postgraduate teaching hospitals, shows their total current expenditure on catering, domestic and cleaning, and laundry services and the expenditure on private contracts included in these totals. The bulk of the total expenditure relates to hospital services but they are not identified separately within the figures for private contract expenditure.
631W
632W633W
Catering Domestic/Cleaning Laundry Total expenditure Private contracts Total expenditure Private contracts Total expenditure Private contracts Health Districts £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 Scarborough 775,216 — — — 819,632 3,339 0.41 20.05 118,525 12,039 10.16 5.47 Harrogate 1,099,842 — — — 1,206,378 98,403 8.16 7.73 141,480 5,184 3.66 20.92 Bradford 2,629,809 — — — 2,775,977 165,538 5.96 5.12 417,474 5,657 1.35 20.83 Airedale 1,492,812 — — — 1,128,773 10,168 0.90 0.10 215,536 1,114 0.52 21.43 Calderdale 1,335,488 — — — 1,092,987 252,462 23.10 22.44 273,491 2,505 0.92 0.10 Huddersfield 1,902,979 — — — 2,044,307 48,483 2.37 1.74 301,616 6,030 2.00 20.32 Dewsbury 882,504 — — — 1,354,005 6,755 0.50 0.18 194,515 193,870 99.67 53.81 Leeds Western 3,173,915 — — — 3,364,387 559,116 16.62 0.48 808,637 17,444 2.16 22.21 Leeds Eastern 2,632,271 — — — 3,727,880 49,188 1.32 0.17 512,634 — — — Wakefield 1,995,159 — — — 1,517,449 10,649 0.70 20.43 447,678 144,423 32.26 32.26 Pontefract 943,177 — — — 1,276,292 96,003 7.52 6.92 146,849 2,399 1.63 1.29 Regional Health Authority 78,508 — — — 183,771 10,757 5.85 1.55 17,214 11,153 64.79 64.79 Regional Total 26,963,957 23,239 0.09 0.01 30,421,803 1,707,367 5.61 3.01 4,879,746 533,829 10.94 6.22 Trent Region North Derbyshire 1,796,362 — — — 2,016,633 108,748 5.39 5.05 279,122 34,021 12.19 3.83 South Derbyshire 3,776,022 7,362 0.19 20.04 3,563,175 84,207 2.36 20.13 513,424 8,604 1.68 1.18 Leicestershire 5,390,198 2,430 0.05 0.05 5,842,389 94,210 1.61 0.54 676,588 17,953 2.65 20.17 North Lincolnshire 1,862,189 — — — 2,330,420 65,675 2.82 2.11 238,776 5,483 2.30 20.70 South Lincolnshire 1,709,095 — — — 2,058,503 16,060 0.78 0.21 381,362 1,852 0.49 0.10 Bassetlaw 494,428 — — — 441,988 8,249 1.87 0.23 110,866 1,371 1.24 0.12 Central Nottinghamshire 2,027,040 — — 20.64 2,145,111 7,023 0.79 0.51 327,906 325 0.10 21.97 Nottingham 4,071,183 — — — 6,403,547 158,538 2.48 1.01 783,622 2,604 0.33 21.16 Barnsley 1,230,045 4,576 0.37 20.04 1,629,625 16,489 1.01 0.02 289,149 12,491 4.32 0.08 Doncaster 2,038,132 — — — 1,518,216 6,193 0.41 0.12 277,598 781 0.28 — Rotherham 1,313,921 — — — 1,448,206 18,315 1.26 20.06 217,925 367 0.17 0.17 Sheffield 5,168,951 — — — 6,982,463 73,932 1.06 — 702,151 430 0.06 20.05 — — — Regional Health Authority 79,795 69,815 870.49 3.76 239,354 51,037 21.32 5.47 10,660 3,902 36.60 221.12 — — — Regional Total 30,957,361 84,183 0.27 20.03 36,619,630 718,676 1.96 0.74 4,809,149 90,184 1.88 0.02 — — — East Anglian Region Cambridge 2,032,496 — — — 2,007,312 859,928 42.84 8.37 322,525 2,924 0.91 0.04 Peterborough 1,672,220 — — — 1,586,347 9,422 0.59 0.01 301.384 — — — West Suffolk 1,469,247 — — — 1,470,826 110,355 7.50 5.68 392,566 — — — East Suffolk 2,506,704 — — — 2,622,832 11,484 0.44 20.12 443,167 167 0.04 — Norwich 3,723,852 — — — 4,082,069 16,305 0.40 0.02 575,594 6,742 1.17 20.25 Great Yarmouth 1,351,327 — — — 1,199,886 69,682 5.81 4.96 274,206 262,757 95.82 94.57 West Norfolk and Wisbech 961,686 — — — 1,093,117 3,095 0.28 20.36 163,226 152,296 93.30 93.30 Huntingdon 522,519 — — — 448,259 324,787 72.46 22.98 136,625 134,102 98.15 1.11 — — — Regional Health Authority 7,956 — — — 36,639 31,259 85.32 20.51 927 231 24.92 13.19 — — — Regional Total 14,248,007 — — — 14,547,287 1,436,317 9.87 2.83 2,610,220 559,219 21.42 17.72 — — — North West Thames Region North Bedfordshire 1,190,267 845 0.07 0.04 1,551,895 6,146 0.40 20.29 237,883 1,066 0.45 24.76 South Bedfordshire 1,484,985 — — — 1,746,284 83,656 4.79 3.68 387,001 273,773 70.74 6.88 North Hertfordshire 983,396 — — — 1,208,647 10,664 0.88 20.76 130,316 1,587 1.22 0.02 East Hertfordshire 665,932 — — — 977,370 77,687 7.95 4.63 277,156 31,134 11.23 22.29 North West Hertfordshire 2,405,588 — — — 2,300,163 16,603 0.72 0.41 497,515 51,623 10.38 9.15 South West Hertfordshire 1,781,067 — — — 1,996,919 29,699 1.49 0.06 248,823 13,624 5.48 213.73 Barnet 2,812,901 — — — 3,512,769 38,180 1.09 0.13 323,658 10,973 3.39 2.71 Harrow 1,334,275 20,713 1.55 0.25 1,630,334 8,407 0.52 21.35 138,109 5,348 3.87 28.50 Hillingdon 1,320,601 — — — 2,772,875 158,214 5.71 5.06 201,273 309 0.15 20.40 Hounslow and Spelthorne 1,629,247 — — — 2,168,447 466,529 21.51 18.15 502,031 387,294 77.15 46.07 Ealing 1,705,989 — — — 2,063,848 362,202 17.55 17.19 280,403 69,444 27.77 24.67 Brent 2,277,128 — — — 2,450,794 38,345 1.56 0.76 399,567 — — — Paddington 2,502,185 513,607 20.53 20.53 3,659,712 272,686 7.45 6.74 187,949 3,805 2.02 237.39 Riverside 4,716,604 — — — 7,362,085 783,555 10.64 6.75 780,954 170,366 21.82 220.53 Regional Health Authority 41,905 23,307 55.62 15.36 155,164 38,869 25.05 210.67 11,075 3,324 30.01 30.01 Region Total 26,852,070 558,472 2.08 1.90 35,557,306 2,391,442 6.73 4.86 4,603,713 1,023,670 22.24 1.90 North East Thames Region Basildon and Thurrock 1,713,332 — — — 2,578,289 19,079 0.74 0.09 468,272 61 0.01 0.01 Mid Essex 1,117,126 — — 20.02 1,652,060 369,411 22.36 19.89 360,441 10,950 3.04 20.14 North East Essex 2,572,195 — — — 2,640,199 284,206 10.76 5.98 430,682 1,353 0.31 21.16 West Essex 1,181,742 — — — 1,461,104 38,490 2.63 20.08 215,600 2,274 1.05 1.05 Southend 1,647,271 — — — 2,213,256 23,741 1.07 0.01 267,195 — — 244.41 Barking/Havering/Brentwood 2,497,033 — — — 3,650,447 132,859 3.64 2.78 462,215 20,703 4.48 0.18 Hampstead 2,336,900 — — — 3,124,553 89,103 2.85 1.83 380,070 — — — Bloomsbury 3,976,279 — — — 5,464,391 95,676 1.75 20.22 578,211 407,673 70.51 214.38 Islington 1,841,905 7,982 0.43 20.05 2,187,830 15,242 0.70 20.06 230,064 4,507 1.96 0.28 City and Hackney 2,506,122 — — — 4,175,440 81,436 1.95 0.25 462,132 42,537 9.20 7.58 Newham 1,159,335 — — 20.19 1,718,223 7,230 0.42 20.27 197,611 4,415 2.23 0.67 Tower Hamlets 1,896,799 22,400 1.18 0.19 2,822,128 49,728 1.76 0.16 456,275 2,760 2.80 20.61 Enfield 956,305 — — — 1,660,839 3,836 0.23 20.89 207,105 4,839 2.34 20.48 Haringay 989,354 — — — 1,784,844 12,288 0.69 0.28 349,763 10,620 3.04 0.79
634W635W
Catering Domestic/Cleaning Laundry Total expenditure Private contracts Total expenditure Private contracts Total expenditure Private contracts Health Districts £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 Redbridge 1,548,640 4,526 0.29 0.29 1,717,257 243,329 14.17 3.25 317.777 5,999 1.89 1.69 Waltham Forest 2,388,818 — — — 3,523,099 16,860 0.48 20.12 316,003 6,266 1.98 20.89 Regional Health Authority 97,786 30,665 31.36 22.07 238,270 25,852 10.85 26.70 9,085 3,323 36.58 20.80 Region Total 30,426,942 65,573 0.22 0.03 42,612,229 1,508,366 3.54 1.59 5,708,501 538,280 9.43 23.54 South East Thames Region Brighton 1,953,147 2,672 0.14 0.14 2,275,828 22,354 0.98 20.82 227,872 24,075 10.57 20.67 Eastbourne 1,460,642 — — 20.10 1,862,680 6,282 0.34 0.06 372,690 36,530 9.80 2.48 Hastings 1,151,651 — — — 1,157,181 8,466 0.73 20.03 266,230 5,474 2.06 20.12 S E Kent 1,216,816 — — — 1,527,488 38,571 2.53 0.26 430,433 7,188 1.67 0.28 Canterbury and Thanet 2,188,127 — — — 2,663,903 597,389 22.43 21.69 704,214 11,814 1.68 0.39 Dartford and Gravesham 1,844,507 — — — 2,574,182 130,246 5.06 4.45 408,832 7,025 1.72 20.04 Maidstone 1,371,693 1,329 0.10 0.10 1,359,309 664,567 48.89 30.94 230,104 98,350 42.74 22.54 Medway 1,208,066 — — — 957,810 326,445 34.08 1.91 221,737 5,539 2.50 0.51 Tunbridge Wells 1,907,187 — — — 2,098,054 21,869 1.04 0.43 378,474 12,364 3.27 215.95 Bexley 1,361,937 — — — 1,933,582 44,400 2.30 0.65 293,954 357 0.12 23.17 Greenwich 2,342,443 — — — 3,280,297 8,338 0.25 20.05 335,187 2,189 0.65 21.25 Bromley 2,186,401 469,597 21.48 16.29 1,377,708 716,423 52.00 42.29 487,207 18,135 3.72 20.05 W Lambeth 3,215,953 — — — 4,069,642 70,402 1.73 1.18 415,211 88,282 21.26 228.77 Camberwell 2,191,432 — — — 2,742,192 19,521 0.71 — 332,171 88,447 26.63 5.60 Lewisham and N Southwark 3,391,643 53,198 1.57 0.42 5,144,405 74,126 1.44 0.15 459,992 3,063 0.67 20.66 Regional Health Authority 56,435 46,427 82.27 31.38 98,412 25,154 25.56 28.87 7,094 1,589 22.40 220.90 Regional Total 29,048,080 573,223 1.97 1.32 35,086,623 2,774,553 7.91 4.80 5,571,402 410,419 7.37 22.23 South West Thames Region N W Surrey 1,622,466 — — — 1,740,302 228,806 13.15 11.89 306,852 209,827 68.38 10.01 W Surrey/N E Hants 1,903,830 — — — 1,924,358 29,132 1.51 0.09 150,860 6,427 4.26 2.56 S W Surrey 1,197,070 30,822 2.57 0.22 1,452,682 143,071 9.85 6.58 250,909 3,374 1.34 0.61 Mid Surrey 2,298,920 — — — 2,209,862 33,806 1.53 0.36 375,220 721 0.19 20.35 E Surrey 1,935,274 5,112 0.26 0.07 1,762,850 562,889 31.93 23.70 401,869 213,539 53.14 12.91 Chichester 1,285,581 — — — 706,150 259,109 36.69 35.34 158,832 3,068 1.93 22.98 Mid Downs 1,644,195 2,517 0.15 0.04 1,337,186 224,925 16.82 8.75 214,466 33,666 15.70 5.85 Worthing 992,285 2,071 0.21 20.11 1,266,048 173,505 13.70 12.21 148,540 8,881 5.98 0.68 Croydon 2,607,135 — — — 2,731,962 63,959 2.34 1.41 590,225 269,787 45.71 11.36 Kingston and Esher 1,825,359 24,212 1.33 — 2,507,512 48,253 1.92 0.19 270,028 181,503 67.22 2.27 Richmond, Twickenham and Roehampton 1,213,155 — — — 1,514,870 302,176 19.95 17.54 358,771 344,387 95.99 16.05 Wandsworth 3,286,237 8,960 0.27 20.04 4,379,700 17,790 0.41 20.12 478,019 111,348 23.29 25.09 Merton and Sutton 2,574,601 — — 20.69 2,711,392 631,822 23.30 18.95 620,237 161,661 26.06 25.60 Regional Health Authority 39,657 30,996 78.16 8.40 158,633 158,633 100.00 — 35,730 35,730 100.00 — Regional Total 24,425,765 104,690 0.43 20.4 26,403,507 2,877,876 10.90 7.78 4,360,558 1,583,919 36.32 4.75 Wessex Region East Dorset 2,445,497 — — — 2,599,867 50,450 1.94 1.31 535,283 10,412 1.95 21.35 West Dorset 1,706,999 — — — 1,558,109 11,040 0.71 20.23 271,811 13,282 4.89 2.10 Portsmouth and South East Hampshire 3,078,955 — — — 3,213,887 11,028 0.34 20.14 374,725 5,333 1.42 0.21 Southampton and South West Hampshire 3,359,581 — — — 4,291,382 20,081 0.47 0.02 625,818 5,201 0.83 20.29 Winchester 970,230 2,612 0.27 0.16 1,088,542 103,193 9.48 6.50 165,894 12,441 7.50 275.19 Basingstoke and North Hampshire 1,828,649 — — 20.02 2,046,007 5,841 0.29 20.10 210,405 9,922 4.72 0.19 Salisbury 1,292,910 330 0.03 0.03 1,069,238 3,465 0.32 0.11 165,541 5,508 3.33 20.38 Swindon 1,334,591 — — 20.66 1,360,045 7,393 0.54 0.09 207,534 3,548 1.71 0.11 Bath 2,528,630 — — — 2,479,389 11,482 0.46 20.10 408,690 1,886 0.46 0.46 Isle of Wight 867,159 — — — 831,706 8,073 0.97 0.22 150,317 20,489 13.63 26.91 Regional Health Authority 21,546 12,097 56.14 56.14 50,196 27,736 55.26 243.06 2,587 2,587 100.00 — Regional Total 19,434,747 15,039 0.08 0.03 20,588,368 259,782 1.26 0.37 3,118,605 90,609 2.91 (5.99) Oxford Region East Berkshire 1,796,858 — — — 2,050,602 15,425 0.75 0.32 407,589 58,751 14.41 0.28 West Berkshire 2,503,595 2,630 0.11 20.03 2,907,161 62,818 2.16 0.16 322,432 12,607 3.91 3.62 Aylesbury 1,296,602 — — — 1,115,602 479,669 43.00 28.79 316,560 256,034 80.88 0.43 Wycombe 845,297 110 0.01 0.01 784,492 20,383 2.60 1.12 216,407 207,766 96.01 2.61 Milton Keynes 418,045 2,745 0.66 0.51 419,749 242,838 57.85 10.08 160,842 5 — — Kettering 1,090,394 — — — 1,351,034 5,453 0.40 20.24 322,944 978 0.30 0.06 Northampton 1,939,745 — — — 1,970,696 13,552 0.69 0.23 376,213 1,597 0.42 20.62 Oxford 3,277,159 10,786 0.33 0.03 3,490,202 689,461 19.75 15.94 826,750 8,558 1.04 25.29 Regional Health Authority 15,818 — — — 66,461 23,659 35.60 1.85 4,290 4,290 100.00 — Regional Total 13,183,513 16,271 0.12 0.01 14,155,999 1,553,258 10.97 6.51 2,954,027 550,586 18.64 21.67 South Western Region Bristol and Weston 2,619,695 — — 20.08 2,862,402 7,053 0.25 20.09 405,662 7,489 1.85 20.94 Frenchay 2,523,141 432,362 17.14 17.09 2,248,009 7,332 0.33 20.25 319,463 8,444 2.64 20.11 Southmead 1,657,090 — — — 2,134,980 19,279 0.90 0.43 375,846 5,488 1.46 0.65 Cornwall 2,120,052 — — — 2,746,789 169,670 6.18 5.23 701,205 353,454 50.41 9.66 Exeter 3,483,965 112 — 20.01 2,988,115 14,798 0.50 20.57 419,640 3,461 0.82 20.66 North Devon 700,146 — — — 723,718 3,143 0.43 — 175,786 3,467 1.97 0.07 Plymouth 2,361,771 — — — 2,710,957 15,731 0.58 20.04 496,299 7,241 1.46 0.73 Torbay 1,161,909 — — — 1,385,210 6,776 0.49 0.08 186,464 547 0.29 0.09
636W637W
Catering Domestic/Cleaning Laundry Total expenditure Private contracts Total expenditure Private contracts Total expenditure Private contracts Health Districts £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 Cheltenham 928,791 — — — 1,063,588 2,266 0.21 20.11 178,794 126,179 70.57 11.96 Gloucester 1,819,625 — — — 2,046,548 2,527 0.12 20.19 219,226 4,223 1.98 22.47 Somerset 2,943,759 2,599 0.09 20.10 2,927,646 431,423 14.74 13.69 423,313 3,308 0.78 0.03 — Regional Health Authority 46,668 13,910 29.81 21.06 113,186 5,116 4.52 0.27 5,225 — — — — Regional Total 23,366,612 448,983 1.92 1.81 23,951,148 685,114 2.86 2.18 3,906,923 523,301 13.39 1.82 West Midlands Region Bromsgrove and Redditch 849,526 — — — 686,329 2,055 0.30 0.05 264,883 5,838 2.20 230.11 Hereford 1,077,949 2,270 0.21 0.21 624,276 14,740 2.36 2.00 198,710 81 0.04 20.71 Kidderminster 1,182,209 — — — 978,094 5,475 0.56 20.31 114.857 1,588 1.38 0.57 Worcester 1,516,058 32 — — 1,624,837 23,191 1.43 0.46 283,544 7,745 2.74 21.41 Shropshire 2,264,933 — — — 2,064,698 8,626 0.42 20.02 476,035 101 0.02 0.02 Mid-Staffordshire 1,393,213 — — — 1,289,230 23,214 1.80 1.19 217,794 4,287 1.97 21.05 North-Staffordshire 3,009,607 — — — 3,999,658 18,278 0.46 20.06 471,592 14,423 3.06 20.14 South East Staffordshire 1,553,392 — — — 1,125,574 146,361 13.00 10.63 220,736 — — — Rugby 356,855 — — — 243,408 2,354 0.97 20.03 83,310 83,310 100.00 — North Warwickshire 1,189,807 — — 20.09 1,021,757 5,266 0.52 20.16 246,088 148,241 60.24 0.59 South Warwickshire 1,684,478 1,141 0.07 0.06 1,678,235 98,510 5.87 5.20 236,193 7,904 3.35 0.50 Central Birmingham 2,892,701 90,175 3.12 3.05 2,623,261 60,268 2.30 20.04 402,536 8,695 2.16 21.18 East Birmingham 1,100,038 — — — 1,224,092 104,515 8.54 8.30 161,338 2,647 1.64 24.26 North Birmingham 1,514,568 501 0.03 — 1,155,138 25,500 2.21 1.19 346,351 48 0.01 0.01 South Birmingham 2,153,342 — — — 2,248,099 23,754 1.06 20.58 330,227 1,996 0.60 21.02 West Birmingham 2,434,275 13,282 0.55 0.33 2,695,851 30,435 1.13 0.06 396,101 — — — Coventry 2,555,073 220 0.01 0.01 1,640,015 9,061 0.55 20.14 265,335 99,173 37.38 0.86 Dudley 1,794,148 3,191 0.18 0.06 1,845,521 49,058 2.66 1.33 364,466 3,846 1.06 0.06 Sandwell 1,086,472 — — — 1,286,397 14,109 1.10 20.21 357,583 9,051 2.53 0.52 Solihull 959,022 — — 20.01 1,001,791 108,518 10.83 8.86 279,588 4,192 1.50 0.61 Walsall 1,885,515 10,499 0.56 0.08 1,729,806 27,415 1.58 20.95 443,342 3,140 0.71 213.36 Wolverhampton 2,042,023 — — — 1,794,465 15,126 0.84 0.18 281,609 990 0.35 22.41 Regional Health Authority 138,106 — — — 174,703 69,196 39.61 25.02 44,469 36,488 82.05 21.41 Regional Total 36,633,310 121,311 0.33 0.28 34,754,235 885,025 2.55 1.22 6,485,687 443,784 6.84 21.40 Mersey Region Chester 1,638,542 1,587,054 10,842 0.68 0.03 132,049 5,031 3.81 24.39 Crewe 1,469,946 1,709,879 218,619 12.79 12.28 279,633 4,761 1.70 22.28 Halton 505,318 422,467 93,424 22.11 21.56 117,364 9,086 7.74 25.10 Macclesfield 1,385,679 1,561,511 108,456 6.95 6.12 339,161 5,738 1.69 20.18 Warrington 2,187,280 1,999,847 471,586 23.58 23.03 467,298 3,739 0.80 20.04 Liverpool 4,083,323 6,376,772 75,282 1.18 0.13 1,158,672 3,407 0.29 20.22 St. Helens & Knowsley 2,289,609 2,348,251 46,001 1.96 20.24 538,538 3,859 0.72 0.53 Southport & Formby 872,949 1,313,037 20,914 1.59 1.23 245,797 2,772 1.13 1.13 South Sefton 1,710,071 20.01 2,364,064 11,819 0.50 20.02 289,945 446 0.15 22.81 Wirral 2,191,297 2,656,075 11,019 0.41 20.47 1,002,444 450 0.04 Regional Health Authority 68,926 88,208 47,971 54.38 2.54 12,326 1,549 12.57 2.90 Regional Total 18,402,940 22,427,165 1,115,933 4.98 3.87 4,583,227 40,838 0.89 20.57 North Western Region Lancaster 2,008,466 — — — 1,833,622 12,028 0.66 20.26 386,682 3,367 0.87 0.51 Blackpool, Wyre and Fylde 1,931,494 — — — 1,886,349 7,112 0.38 20.02 270,456 276 0.10 0.04 Preston 3,480,375 — — — 2,444,447 20,833 0.85 0.40 443,968 8,968 2.02 20.46 Blackburn, Hyndburn and Ribble Valley 2,744,194 — — — 2,775,727 19,115 0.69 0.20 487,748 1,407 0.29 20.27 Burnley, Pendle and Rossendale 2,292,901 — — — 2,561,575 8,712 0.34 0.20 345,102 — — 20.05 West Lancashire 905,324 — — — 795,546 3,845 0.48 0.30 123,166 — — — Chorley and South Ribble 377,872 — — — 513,913 4,394 0.86 20.05 88,244 388 0.44 20.90 Bolton 1,490,323 — — — 1,472,860 21,594 1.47 0.02 336,927 1,290 0.38 0.38 Bury 746,998 — — — 754,765 56,066 7.43 5.96 280,052 261,786 93.48 0.41 North Manchester 2,439,841 — — — 2,631,581 23,316 0.89 0.38 314,248 1,191 0.38 20.32 Central Manchester 1,691,598 — — — 1,968,577 30,504 1.55 20.06 510,319 220,224 43.15 21.19 South Manchester 2,462,395 — — — 2,644,562 61,505 2.33 0.30 325,446 237 0.07 20.10 Oldham 836,815 — — — 1,249,488 4,512 0.36 0.19 100,013 4,238 4.24 23.15 Rochdale 998,290 — — — 760,291 12,854 1.69 20.21 164,755 8,085 4.91 3.33 Salford 2,879,403 — — — 2,933,507 64,539 2.20 21.63 547,552 4,063 0.74 20.19 Stockport 1,662,588 — — — 1,728,487 43,945 2.54 0.33 396,196 36,505 9.21 3.65 Tameside and Glossop 1,012,228 — — — 1,235,183 9,146 0.74 20.49 150,171 6,210 4.14 20.23 Trafford 1,001,807 — — — 991,066 52,522 5.30 22.28 171,878 4,383 2.55 22.81 Wigan 1,652,182 — — — 1,487,545 6,419 0.43 0.11 387,790 — — — Regional Health Authority 25,329 13,971 55.16 55.16 210,659 35,376 16.79 24.54 23,554 14,607 62.01 23.88 Regional Total 31,640,623 13,971 0.04 0.04 32,879,750 498,337 1.52 20.01 5,854,267 577,225 9.86 2.43 Special Health Authorities for the London Postgraduate Teaching Hospitals Hospital for Sick Children 830,558 — — — 1,306,426 7,059 0.54 0.29 157,247 10,058 6.40 24.16 National Hospital for Nervous Diseases 520,203 — — — 601,400 10,355 1.72 20.58 75,073 569 0.76 22.43 Moorfields Eye Hospital 341,805 — — — 430,160 21,549 5.01 218.37 37,780 3,502 9.27 225.48 Bethlem Royal Hospital 803,998 799,087 99.39 31.87 668,072 543,354 81.33 2.10 43,791 42,552 97.17 22.83 Maudsley Hospitals
Catering Domestic/Cleaning Laundry Total expenditure Private contracts Total expenditure Private contracts Total expenditure Private contracts Health Districts £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 £ £ Percentage of total Difference in percentage from 1984–85 National Heart and Chest 901,059 — — — 1,020,806 171,338 16.78 15.73 169,330 169,330 100.0 — Royal Marsden 676,474 — — — 746,318 13,436 1.80 20.20 79,096 6,142 7.77 20.07 Hammersmith and Queen Charlotte's 1,766,101 — — — 1,448,977 486,369 33.57 29.35 230,591 230,591 100.0 31.04 Eastman Dental 28,526 — — — 114,567 74,360 64.91 6.57 20,002 16,822 84.10 28.38 TOTAL 5,868,724 799,087 13.62 3.76 6,336,726 1,327,820 20.95 9.36 812,910 479,566 58.99 5.88 1The 1985–86 figures do not include expenditure by family practitioner committees following their separation from health authorities on 1 April 1985. The form of family practitioner committees' accounts does not permit a similar analysis but their total 1985–86 expenditure on contracted out services in these categories was a little over £200,000. 2Reductions in percentage between 1984–85 and 1985–86.