§
Mrs. Currie
We encourage health authorities to consider entering into contractual arrangements with the private sector whenever it would be a cost-effective way of providing services. Expenditure for 1985–86 (latest available) on contractual arrangements for patient care by health authorities in England is given in the following table:
| Expenditure on Contractual Arrangements for Patient Care |
| District Health Authorities |
1985–86 |
|
£ |
| Northern Region |
| Hartlepool |
— |
| North Tees |
— |
| South Tees |
6,932 |
| East Cumbria |
279,450 |
| South Cumbria |
43,800 |
| West Cumbria |
— |
| Darlington |
635,013 |
| Durham |
4,238 |
| North West Durham |
— |
| South West Durham |
— |
| Northumberland |
428,277 |
| Gateshead |
— |
| Newcastle upon Tyne |
95,069 |
| North Tyneside |
— |
| South Tyneside |
— |
| Sunderland |
— |
| Total |
1,492,779 |
| Yorkshire Region |
| Hull |
4,593 |
| East Yorkshire |
— |
| Grimsby |
— |
| Scunthorpe |
151,794 |
| Northallerton |
1,359,892 |
620W
| District Health Authorities |
1985–86 |
|
£ |
| York |
— |
| Scarborough |
— |
| Harrogate |
— |
| Bradford |
29,600 |
| Airedale |
36,112 |
| Calderdale |
56,556 |
| Huddersfield |
55,093 |
| Dewsbury |
22,711 |
| Leeds Western |
85,223 |
| Leeds Eastern |
32,846 |
| Wakefield |
— |
| Pontefract |
— |
| Total |
1,834,420 |
| Trent Region |
| North Derbyshire |
— |
| South Derbyshire |
— |
| Leicestershire |
76,363 |
| North Lincolnshire |
— |
| South Lincolnshire |
— |
| Bassetlaw |
— |
| Central Nottinghamshire |
52,954 |
| Nottingham |
1,500 |
| Barnsley |
64,582 |
| Doncaster |
12,350 |
| Rotherham |
47,083 |
| Sheffield |
631,671 |
| Total |
886,503 |
| East Anglian Region |
| Cambridge |
1,730,046 |
| Peterborough |
24,076 |
| West Suffolk |
169,522 |
| East Suffolk |
118,757 |
| Norwich |
113,583 |
| Great Yarmouth |
— |
| West Norfolk and Wisbech |
— |
| Huntingdon |
25,697 |
| Total |
2,181,681 |
| North West Thames Region |
| North Bedfordshire |
16,800 |
| South Bedfordshire |
40,540 |
| North Hertfordshire |
108,120 |
| East Hertfordshire |
722,376 |
| North West Hertfordshire |
24,563 |
| South West Hertfordshire |
109,338 |
| Barnet |
37,655 |
| Harrow |
2,345 |
| Hillingdon |
1,714,610 |
| Hounslow and Spelthorne |
151,744 |
| Ealing |
10,392 |
| Brent |
— |
| Paddington |
191,725 |
| Riverside |
272,386 |
| TOTAL |
3,402,594 |
| North East Thames Region |
| Basildon and Thurrock |
7,544 |
| Mid Essex |
309,666 |
| North East Essex |
587,565 |
| West Essex |
— |
| Southend |
52,598 |
| Barking, Havering and Brentwood |
672,720 |
| Hampstead |
95,292 |
| Bloomsbury |
559,481 |
| Islington |
111,762 |
| City and Hackney |
1,529,655 |
| Newham |
128,217 |
| Tower Hamlets |
144,436 |
| Enfield |
786,603 |
| Haringey |
376,801 |
621W
| District Health Authorities |
1985–86 |
|
£ |
| Redbridge |
133,525 |
| Waltham Forest |
134,595 |
| TOTAL |
5,630,460 |
| South East Thames Region |
| Brighton |
314,161 |
| Eastbourne |
338,515 |
| Hastings |
50,302 |
| South East Kent |
55,122 |
| Canterbury and Thanet |
101,272 |
| Dartford and Gravesham |
— |
| Maidstone |
11,799 |
| Medway |
49,025 |
| Tunbridge Wells |
168,563 |
| Bexley |
67,308 |
| Greenwich |
148,768 |
| Bromley |
499,315 |
| West Lambeth |
51,856 |
| Camberwell |
64,430 |
| Lewisham and North Southwark |
387,996 |
| TOTAL |
2,308,432 |
| South West Thames Region |
| North West Surrey |
215,186 |
| West Surrey and North East Hampshire |
382,110 |
| South West Surrey |
1,012,182 |
| Mid Surrey |
190,972 |
| East Surrey |
137,968 |
| Chichester |
1,024,215 |
| Mid Downs |
490,275 |
| Worthing |
558,464 |
| Croydon |
127,360 |
| Kingston and Esher |
146,044 |
| Richmond, Twickenham and Roehampton |
704,751 |
| Wandsworth |
602,386 |
| Merton and Sutton |
371,957 |
| Total |
5,963,870 |
| Wessex Region |
| East Dorset |
570,529 |
| West Dorset |
— |
| Portsmouth and South East Hampshire |
492,296 |
| Southampton and South West Hampshire |
79,981 |
| Winchester |
143,413 |
| Basingstoke and North Hampshire |
153,468 |
| Salisbury |
37,456 |
| Swindon |
3,237 |
| Bath |
394,674 |
| Isle of Wight |
— |
| Total |
1,875,054 |
| Oxford Region |
| East Berkshire |
154,474 |
| West Berkshire |
— |
| Aylesbury |
65,385 |
| Wycombe |
46,364 |
| Milton Keynes |
29,368 |
| Kettering |
16,213 |
| Northampton |
526,944 |
| Oxford |
249,807 |
| Total |
1,088,555 |
| South Western Region |
| Bristol and Weston |
82,578 |
| Frenchay |
67,801 |
| Southmead |
30,669 |
| Cornwall |
2,201,663 |
| Exeter |
— |
| North Devon |
2,034 |
| Plymouth |
200,363 |
| Torbay |
220,426 |
622W
| District Health Authorities |
1985–86 |
|
£ |
| Cheltenham |
41,884 |
| Gloucester |
109,700 |
| Somerset |
4,200 |
| Total |
2,961,318 |
| West Midlands Region |
| Bromsgrove and Redditch |
— |
| Hereford |
— |
| Kidderminster |
22,878 |
| Worcester |
62,442 |
| Shropshire |
110,789 |
| Mid Staffordshire |
81,713 |
| North Staffordshire |
230,899 |
| South East Staffordshire |
114,827 |
| Rugby |
51,939 |
| North Warwickshire |
800,564 |
| South Warwickshire |
555,231 |
| Central Birmingham |
2,517 |
| East Birmingham |
25,000 |
| North Birmingham |
15,579 |
| South Birmingham |
— |
| West Birmingham |
— |
| Coventry |
119,878 |
| Dudley |
116,494 |
| Sandwell |
68,221 |
| Solihull |
— |
| Walsall |
64,602 |
| Wolverhampton |
177,975 |
| Total |
2,621,548 |
| Mersey Region |
| Chester |
— |
| Crewe |
— |
| Halton |
— |
| Macclesfield |
120 |
| Warrington |
— |
| Liverpool |
1,735,153 |
| St. Helens and Knowsley |
— |
| Southport and Formby |
520,274 |
| South Sefton |
31,938 |
| Wirral |
— |
| Total |
2,287,485 |
| North Western Region |
| Lancaster |
312,849 |
| Blackpool, Wyre and Fylde |
588,584 |
| Preston |
1,042,094 |
| Blackburn, Hyndburn and Ribble Valley |
— |
| Burnley, Pendlc and Rossendale |
— |
| West Lancashire |
— |
| Chorley and South Ribble |
815,491 |
| Bolton |
— |
| Bury |
— |
| North Manchester |
834,359 |
| Central Manchester |
— |
| South Manchester |
722,529 |
| Oldham |
— |
| Rochdale |
— |
| Salford |
513,850 |
| Stockport |
— |
| Tameside and Glossop |
97,100 |
| Trafford |
— |
| Wigan |
79,000 |
| Total |
5,005,856 |