§ Mr. WigleyTo ask the Secretary of State for Wales if he will list by health authority the amount of money spent on mental health services each year since 1979, the percentage increase in real terms and the percentage of overall spending on health services, both in the National Health Service and in the private sector.
§ Mr. GristThe information requested cannot be provided, since only limited data on mental health services' expenditure within the National Health Service in Wales is available for the years before 1987–8 and information on health-care spending within the private sector is not collected by the Department.
The more comprehensive information now available on NHS spending on mental health services in 1987–88 is as follows:
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National Health Service mental health services expenditure: 1987–881 District health authority Mental health services' expenditure2 Total as a percentage of overall district health authorities' services expenditure (£000) (per cent.) Clwyd 7,974 0.99 East Dyfed 7,649 0.95 Gwent 13,923 1.73 Gwynedd 4,384 0.55 Mid Glamorgan 18,563 2.31 Pembrokeshire 768 0.10 Powys 5,587 0.70 South Glamorgan 12,070 1.50 West Glamorgan 6,396 0.80 Wales 277,315 9.63 1 The figures presented are provisional at this stage. 2 The figures in respect of mental health services relate to hospital services' expenditure and community health services' expenditure (where this can be separately identified) in respect of the mentally ill, the mentally handicapped, child and adolescent psychiatry, forensic psychiatry and psychotherapy. The hospital services' figures relate only to direct clinical and diagnostic services to patients and therefore do not include any attribution of expenditure in respect of general services such as administration, transport, hotel services or estate management. Similarly the community health services' figures relate only to the nursing element of community services for these client groups.
Source: District Health Authorities Financial Returns.
§ Mr. WigleyTo ask the Secretary of State for Wales if he will make a statement on the methods of monitoring the use of the proceeds from the sales of National Health Service buildings used for the mentally ill and mentally handicapped; and if he will seek to ensure that these proceeds are put back into those services rather than the regional budget.
§ Mr. GristCounty plans, produced by Social Services and health authorities and other interests provide the basis for the development of services under the all-Wales mental handicap strategy and make clear the source of investment. Similar arrangements are proposed in our draft proposals for the future development of services for those suffering from mental illness. In addition, the strategic, operational and capital plans of district health authorities provide details of the proposed use of Health Service resources, and their source, including capital receipts.