§ Mr. Gerald Bowdenasked the Secretary of State for Social Services what savings have been achieved through the competitive tendering programme in the latest year for which figures are available.
§ Mr. NewtonHealth authorities continue to make very substantial progress in testing the cost effectiveness of their domestic cleaning, catering and laundry services. By 31 December 1986, almost three quarters of these services had been tested. Our latest estimates show that annual savings of £86 million have been generated. This is an increase of £13 million over the figure reached at 30 September 1986. These figures come in part from the use of private contractors who have secured a total of 187 contracts saving £25.7 million a year. In-house organisations have demonstrated their own cost effectiveness in a total of 936 tendering exercises saving £60.3 million a year.
Table A summarises the progress of and savings made by each Health Authority.
Table B lists the results of tendering exercises where decisions have been made in the quarter October—December 1986.
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Districts Percentage of service put out to Tender Estimated Annual Saving Catering Domestic Laundry £'000 Wakefield 11 86 100 369 Pontefract 100 100 100 556 Trent RHA North Derbyshire 100 100 100 611 South Derbyshire 100 100 100 169 Leicestershire 66 80 nil 1,790 North Lincolnshire 100 100 100 361 South Lincolnshire 100 100 nil 319 Bassetlaw nil 100 100 112 Notts nil 100 100 476 Nottingham 100 100 100 1,330 Barnsley 100 100 100 846 Doncaster 100 100 100 304 Rotherham 100 100 100 499 Sheffield 100 100 100 699 East Anglian RHA Cambridge 100 85 100 481 Peterborough 100 100 100 115 Huntingdon 100 100 100 498 Great Yarmouth/Waverley 100 100 100 319 West Norfolk/Wosbech 100 100 100 399 Norwich 100 100 100 1,239 West Suffolk nil 100 100 421 East Suffolk 19 98 100 417 North West Thames RHA North Bedfordshire 100 100 100 436 South Bedfordshire nil 100 100 653 North Hertfordshire nil 100 100 18 North West Hertfordshire 33 99 100 305 South West Hertfordshire nil 65 nil 223 East Hertfordshire nil 100 100 50 Barnet 100 100 100 258 Harrow 100 100 100 422 Hilingdon 100 100 100 469 Ealing 100 100 100 656 Hounsolw/Spelthorne nil 100 100 1,412 Hammersmith/Fulham nil 100 100 1,097 Paddington & North Kensington 100 100 100 1,104 Riverside 100 100 75 1,549 Brent nil nil nil nil Barking 100 97 nil 784 Basildon 100 100 100 543 Bloomsbury nil nil 100 265 City and Hackney nil 49 100 1,039 Enfield nil 100 100 508 Hampstead nil 50 67 26 Haringey 55 100 100 661 Islington 2 58 nil 146 Mid Essex nil 100 100 1,016 Newham 80 100 100 517 Redbribge nil 55 nil 239 Tower Hamlets nil 89 100 379 Waltham Forest 10 77 100 1,012 West Essex 100 100 100 497 Southend nil 100 100 499 North East Essex 72 71 nil 233 South East Thames RHA Bexley 100 100 100 334 Brighton 100 100 100 154 Bromley 100 100 100 1,185 Camberwell 100 100 100 864 Canterbury/Thanet 100 100 nil 527 Dartfond/Gravesham 100 59 100 231 Eastbourne 100 100 nil 326 Greenwich nil nil nil nil Hastings 100 100 100 105 Lewisham/North Southwark nil nil nil nil Maidstone 22 62 100 496 Medway 100 100 100 326 South East Kent 100 100 nil 573 618W619W
Districts Percentage of Service put out to Tender Estimated Annual Savings Catering Domestic Laundry £ '000 Tunbridge Wells 13 26 100 215 West Lambeth 5 40 100 244 South West Thames RHA North West Surrey nil 100 100 482 West Surrey/North East Hants 64 91 94 272 East Surrey 22 92 36 463 Mid Surrey 30 90 30 107 South West Surrey 95 100 nil 461 Mid Downs 100 100 100 393 Chichester 93 92 100 389 Worthing 100 100 100 330 Kingston/Esher 8 53 94 564 Croydon 28 65 62 318 Richmond/Twickenham Roehampton 96 86 93 925 Wandsworth 65 98 100 967 Merton/Sutton 54 100 26 1,248 Wessex RHA East Dorset 100 100 nil 1,024 West Dorset 100 100 100 69 Portsmouth 100 100 100 1,163 Southampton 100 100 100 527 Winchester 100 100 100 209 Basingstoke 100 100 100 147 Salisbury 100 100 100 392 Swindon 100 100 100 198 Bath nil 100 100 644 Isle of Wight 100 100 100 15 Oxford RHA East Berkshire nil 90 100 351 West Berkshire 6 94 50 235 Aylesbury Vale 54 100 100 526 Milton Keynes 100 100 100 99 Wycombe nil 100 100 134 Kettering nil 100 100 167 Northampton 44 100 100 319 Oxford 7 76 100 705 South Western RHA Cheltenham 100 50 100 129 Gloucester 70 72 100 205 Frenchay 37 36 nil 76 Bristol/Weston nil 100 100 593 Southmead 40 25 100 241 Somerset 100 100 100 933 Exeter 11 14 100 172 North Devon nil 100 100 131 Torbay 100 100 100 271 Plymouth 100 nil 100 60 Cornwall/Isles of Scilly 78 89 100 811 West Midlands RHA Mid Staffordshire 100 100 100 537 South Warwickshire 44 72 100 314 Kidderminster nil 83 100 222 Shropshire 100 92 nil 817 North Staffordshire 69 94 nil 899 Coventry 87 79 95 381 Bromsgrove and Redditch nil 40 100 109 Herefordshire nil 85 nil 175 Rugby 100 100 100 51 North Warwickshire 97 60 100 176 Solihull 97 98 nil 435 Woverhampton 100 100 100 1,219 Walsall 100 100 95 602 North Birmingham 100 100 100 102 Dudley nil 95 100 677 Sand well 65 16 100 45 East Birmingham nil 97 79 371 Central Birmingham 100 72 100 1,167 South Birmingham 49 98 100 400 South East Staffordshire 43 92 100 454
Districts Percentage of Service put out to Tender Estimated Annual Savings Catering Domestic Laundry £'000 Worcester nil 73 100 193 West Birmingham nil 100 100 196 Mersey RHA Southport/Formby 100 100 100 158 South Sefton nil 100 100 603 St. Helens/Knowsley 100 38 100 817 Wirral 100 100 100 715 Liverpool 100 100 100 nil Macclesfield nil 84 nil 398 Malton 100 100 100 47 Warrington 58 100 100 829 Chester 100 100 100 1,086 Crewe 43 100 100 614 North Western RHA North Manchester 100 100 100 48 Central Manchester 100 100 100 657 Wigan 100 100 100 350 Stockport 100 100 100 844 Tameside/Glossop 28 100 100 80 Bolton 100 100 100 713 Bury 100 100 100 429 Chorley/South Ribble 100 100 100 153 Preston 100 100 100 204 Lancaster 100 100 100 198 Blackpool 100 100 100 128 Burnley 100 100 100 659 South Manchester 100 100 100 310 Trafford nil 98 100 279 Oldham 100 100 100 160 Salford 75 100 64 479 West Lancashire 100 100 100 25 Blackburn 100 100 100 149 Rochdale 100 100 100 38 Special Health Authorities Bethlem & Maudsley 100 100 100 87 Eastman 100 100 100 nil Hammersmith nil 90 100 969 Hospital for Sick Children nil nil 100 nil Moorfields nil 100 100 30 National Heart and Chest nil 76 100 50 National Hospital for Nervous Diseases nil nil 100 — Royal Marsden 46 100 100 214 620W
Table B Results of Tendering Exercises
Domestic Services
Health Authority Hospital Contractor on In-House Northern RHA Durham Dryburn In-House East Cumbria Garlands/Mental Health Unit In-House Hartlepool District In-House Hartlepool General In-House North Tees District In-House South Tees St. Luke's ISC Sunderland DGH In-House Sunderland Cherry Knowle In-House Yorkshire RHA Airedale General Taylor-Plan Bradford Royal Infirmary In-House Grimsby DGH North Side Initial Harrogate District and General In-House Hull Withernsea In-House Leeds East St. George's In-House Leeds West Community In-House 621W
Health Authority Hospital Contractor on In-House Leeds West Leeds General Infirmary/Clarendon Wing Initial Northallerton District In-House Trent RHA Barnsley DGH In-House Central Notts Balderton In-House Doncaster Tickhill Rd/ Loversall In-House Leicestershire Stretton Hall/ Stoneygate Hostel In-House North Derbyshire Buxton/Cavendish In-House North Lincolnshire St. John's Taylor-Plan Nottingham QMC In-House Nottingham General In-House Nottingham Highbury In-House Nottingham City In-House Nottingham Community In-House Nottingham QMC (Med School) In-House Nottingham QMC (Staff Res) In-House Rotherham Firbeck In-House Rotherham DGH In-House Rotherham Wathwood In-House
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Health Authority Hospital Contractor on In-House Rotherham Doncaster Gate In-House Sheffield Mental Illness Unit In-House South Derbyshire City Hospital In-House South Derbyshire Babington Group In-House South Derbyshire Bretby In-House East Anglian RHA Norwich West Norwich In-house North West Thames RHA Paddington and North Kensington Samaritan/Western Ophthalmic In-house North East Thames RHA Enfield St. Michael's Initial Mid-Essex Black Notley In-house Newham General In-house North East Essex Heath In-house Redbridge Goodmayes In-house Tower Hamlets Mile End In-house South East Thames RHA Bromley Cheyne In-house Camberwell Kings/Belgrave In-house Camberwell Dulwich/St. Giles In-house Camberwell Community In-house Camberwell Dental School In-house Dartford Joyce Green In-house South East Kent Ashford In-house South West Thames RHA Merton and Sutton Nelson/others In-house North West Surrey Residences Andmarc Richmond, Twickenham & Roehampton St. John's In-house South West Surrey St. Luke's In-house Wessex RHA East Dorset Alderney In-house East Dorset Hahnemann Home In-house East Dorset Swanage/others In-house Portsmouth & South East Hampshire Community In-house Portsmouth & South East Hampshire Queen Alexandra In-house Southampton & South West Hampshire Tatchbury Knight+Co. Swindon Princess Margaret In-house Oxford RHA East Berkshire Church Hill House In-house East Berkshire Heatherwood In-house East Berkshire Wrexham Park Mediclean Northampton General In-house West Midlands RHA Bromsgrove and Redditch Highfield/St John's In-house Coventry City Unit In-house Herefordshire St. Mary's In-house Mid-Staffordshire White Lodge In-house Mid-Staffordshire DGH In-house North Staffordshire City Gen/N S Maternity In-house North Staffordshire Central Out-Patients/others In-house North Staffordshire Royal Infirmary In-house North Staffordshire St. Edwards In-house North Staffordshire Bucknall In-house
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Health Authority Hospital Contractor on In-House North Staffordshire Westcliffe In-house Sandwell Heath Lane/others In-house Shropshire Royal Shrewsbury In-house South Warwickshire Weston In-house South Warwickshire Stratford/others In-house South Warwickshire Central In-house Walsall Manor Hospital In-house Walsall St. Margaret's In-house Walsall Community In-house Walsall Goscote Hospital In-house Wolverhampton New Cross In-house Worcester and District Newtown In-house Mersey RHA Wirral Clatterbridge Mediguard South Sefton Walton In-house North Western RHA Blackburn, Hyndburn & Ribble Valley Royal Infirmary Mediclean Blackburn, Hyndburn & Ribble Valley Accrington Victoria In-house Blackpool, Wyre & Fylde Victoria In-house Burnley, Pendle & Rossendale Rossendale In-house Burnley, Pendle & Rossendale District In-house South Manchester Withington In-house Rochdale Infirmary In-house Salford Community In-house Salford Hope/Royal/others In-house Salford Ladywell In-house Stockport Mauldeth Home In-house Stockport Stepping Hill Mediguard Stockport Offerton House Mediguard Stockport Infirmary In-house Stockport St. Thomas' In-house Stockport Cherry Tree In-house Stockport Ollersett View In-house Tameside and Glossop Peripheral Hospitals In-house Trafford Altrincham General In-house Trafford Park Hospital In-house Catering Services Northern RHA Durham District In-house Hartlepool Brierton Hospital In-house Hartlepool General Hospital In-house Newcastle Hunter's Moor/ others In-house Newcastle RVI/others In house Newcastle St. Nicholas In-house North Tees North Tees General In-house North West Durham District In-house Yorkshire RHA Bradford District In-house Huddersfield H. Royal Infirmary In-house Hull Kingston General In-house Hull Tilworth Grange In-house Hull Hornsea In-house Hull Withernsea In-house Trent RHA Barnsley DGH In-house Doncaster St. Catherine's/others In-house North Lincolnshire Lincoln County/others In-house North Lincolnshire St. John's In-house North Lincolnshire Louth In-house
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Health Authority Hospital Contractor on In-House North Lincolnshire John Coupland In-house Rotherham Firbeck In-house Rotherham DGH In-house Rotherham Badsley Moor In-house Sheffield Jessop In-house North West Thames RHA Hillingdon Harefield In-house Riverside St. Stephen's/others Compass South East Thames RHA Brighton Bevendean In-house Brighton Brighton General In-house Canterbury and Thanet Mental Handicapped/Community Hotel In-house Eastbourne DGH/St. Mary's In-house West Lambeth District In-house South West Thames RHA Richmond, Twickenham and Roehampton Queen Mary's Putney In-house Richmond, Twickenham and Roehampton Normansfield In-house West Surrey and North East Hampshire Frimley Park/others In-house Wandsworth Springfield In-house Wessex RHA Basingstoke and North Hampshire Trelor Chase Unit In-house East Dorset Hahnemann Home In-house East Dorset St. Leonard's In-house Portsmouth and South East Hampshire St. James' In-house Portsmouth and South East Hampshire St. Mary's In-house Portsmouth and South East Hampshire Community In-house Oxford RHA Northampton St. Crispin/Princess Marina In-house South Western RHA Gloucester Royal Hospital In-house Somerset Taunton LMT In-house West Midlands RHA Coventry Walsgrave In-house Mid Staffordshiee Rugeley In-house Mid Staffordshire DGH In-house Mid Staffordshire St. George's/ Kingsmead In-house South Birmingham W. Heath In-house North Western RHA Bolton Royal Infirmary/ Bolton General/others In-house Burnley, Pendle and Rossendale Calderstones In-house Burnley, Pendle and Rossendale District In-house North Manchester Ancoats In-house Oldham DGH/Westhulme In-house Preston Royal Preston/ others In-house Salford Ladywell/others In-house
Health Authority Hospital Contractor on In-House Laundry services Northern RHA Hartlepool District In-house Newcastle Newcastle Gen/RVI In-house North Tees District In-house Yorkshire RHA Huddersfield Storthes Hall In-house Trent RHA Rotherham District In-house Oxford RHA East Berkshire District In-house West Midlands RHA Central Birmingham Queen Elizabeth In-house Walsall Manor In-house Mersey RHA Crewe Leighton Hospital In-house North Western RHA Blackpool, Wyre and Fylde District In-house