§ Mr. Spearingasked the Secretary of State for Social Services if, pursuant to the reply to the hon. Member for Tooting (Mr. Cox), 2 April, Official Report, column 1221, he will tabulate in the Official Report, for each of the London region health authorities and health districts, respectively, the expenditure of each in real terms in 1979 and in 1986, showing the percentage increase or decrease stating or using the same statistical criteria.
§ Mr. Newton[pursuant to his reply, 9 April 1987, c. 412]: The table shows gross revenue expenditure of the Thames regional health authorities, London area and district health authorities and boards of governors and special health authorities for the London postgraduate teaching hospitals in 1978–79 and 1985–86 at 1985–86 price 387W levels as measured by the gross domestic product deflator, and, where appropriate, the percentage growth in real terms over the period. Comparisons between individual authorities across the period are invalidated by the effects of the boundary changes following the reorganisation of the National Health Service in 1982.
Area Health Authority Gross revenue expenditure 1978–79 £000 1985–86 prices District Health Authorities Gross revenue expenditure 1985–86 £000 1Percentage real terms growth in gross revenue ex-penditure 1978–79 to 1985–86 Barnet 63,647 Barnet 65,574 — Brent and Harrow 81,949 Harrow 36,573 — Brent 50,553 — Ealing Hammersmith and Hounslow 143,929 Hounslow and Spelthorne 51,572 — Ealing 40,265 — Hillingdon 49,419 Hillingdon 54,951 — Kensington, Chelsea and Westminster 169,778 Paddington 63,073 — Riverside 128,455 — Barking and Havering 63,137 Barking/Havering/Brentwood 72,033 — Camden and Islington 156,798 Hampstead 55,633 — Bloomsbury 122,451 — Islington 49,194 — City and East London 174,264 City and Hackney 81,517 — Newham 41,765 — Tower Hamlets 67,183 — Enfield and Haringey 71,788 Enfield 38,144 — Haringey 46,313 — Redbridge and Waltham Forest 89,526 Redbridge 37,799 — Waltham Forest 52,726 — Greenwich and Bexley 94,870 Bexley 35,608 — Greenwich 61,135 — Bromley 51,192 Bromley 51,135 — Lambeth, Southwark and Lewisham 237,286 West Lambeth 78,949 — Camberwell 65,562 — Lewisham and North Southwark 109,019 — Croydon 53,072 Croydon 58,042 — Kingston and Richmond 46,044 Kingston and Esher 40,135 — Merton, Sutton and Wandsworth 172,326 Richmond/Twickenham/Roehampton 34,799 — Wandsworth 88,156 — Sutton and Merton 66,913 — 1 Not available as figures distorted by boundary changes
388W
Boards of Governors for the London postgraduate teaching hospitals Gross revenue expenditure for 1978–79 1985–86 prices £000 Special health authorities for London postgraduate teaching hospitals Gross revenue expenditure for 1985–86 £000 1Percentage real-terms growth in the gross revenue expenditure 1978–79 to 1985–86 Hospitals for sick Children 26,335 Hospitals for sick children 30,319 — National Hospitals for nervous Diseases 16,174 National Hospitals for Nervous Diseases 17,024 — Royal National Throat Nose and Ear Hospitals 7,332 — — — Moorfields Eye Hospital 12,041 Moorfields Eye Hospital 12,640 — Bethlem Royal and Maudsley Hospitals 14,090 Bethlem Royal and Maudsley Hospitals 17,773 — St. John's Hospital for Diseases of the Skin 2,827 — — — National Heart and Chest Hospitals 24,466 National Heart and Chest Hospitals 28,798 — Royal National Orthopaedic Hospital 11,128 — — — St. Peter's Hospitals 6,708 — — — Royal Marsden Hospital 18,285 Royal Marsden Hospital 21,514 — Queen Charlotte's Hospital for Women 9,299 Hammersmith and Queen Charlotte's 41,921 — Eastman Dental Hospital 3,660 Eastman Dental Hospital 4,804 — Greater London Total 1,871,372 Greater London Total 2,020,020 7.9 1 Not available as figures distorted by boundary changes The percentage real terms increase on all health services, that is hospital and community health services' revenue expenditure and expenditure on the family practitioner services, in Greater London between 1978–79 and 1985–86 was 10.6 per cent.
389W
Regional Health Authorities Gross revenue expenditure 1978–79 1985–86 prices £000 Regional Health Authorities Gross revenue expenditure 1985–86 Percentage real terms growth in gross revenue expenditure 1978–79 to 1985–86 North West Thames 718,105 North West Thames 728,848 — North East Thames 780,983 North East Thames 914,188 — South East Thames 748,094 South East Thames 807,525 — South West Thames 572,912 South West Thames 608,276 — Total Thames Regions and Boards of Governors Special Health Authorities 2,972,440 Total Thames Regions and Special Health Authorities 3,233,629 8.8 1 Figures distorted by 1982 boundary changes Notes:
(1) The figures are derived from health authorities summarised income and expenditure accounts.
(2) The 1982 reorganisation of the National Health Service resulted in substantial and complex boundary changes and changes in management responsibility, and it is therefore not possible to make direct comparisons between the pre- and post-1982 authorities. In addition to these changes there was a major restructuring of the boards of governors for the London postgraduate teaching hospitals as follows:
(a) Bloomsbury health authority now manages the Royal national throat nose and ear hospitals, the Royal national orthopaedic hospitals and St. Peter's hospitals.
(b) West Lambeth health authority now manages St. John's hospital for diseases of the skin.
(c) Hammersmith hospital was given special health authority status.