HC Deb 14 December 1988 vol 143 cc598-9W
Mr. Carttiss

To ask the Secretary of State for Health what was the level of expenditure for health services per 1,000 population for each of the health districts in the East Anglia region 1979–80 and for 1987–88.

Mr. Mellor

Figures based on the total populations of the district health authorities in the East Anglian region are shown in the table for the years 1982–83 (the first year following the establishment of those authorities) and 1987–88.

Total revenue expenditure on hospital and community health services (HCHS) per thousand population—East Anglian region
District health authorities 1982–83 (cash) £ 1982–83 (at 1987–88 prices) £ 1987–881 (cash) £ Real-terms increase per cent.
Cambridge 196,875 247,974 282,190 13.8
Peterborough 147,793 186,152 201,761 8.4
West Suffolk 122,989 154,911 177,316 14.5
East Suffolk 156,002 196,492 206,428 5.1
Norwich 163,649 206,124 218,825 6.2
Great Yarmouth and Waveney 127,619 160,742 184,129 14.6
West Norfolk and Wisbech 113,474 142,926 166,040 16.2
Huntingdon 86,731 109,243 189,427 73.4

1 Provisional (ie as yet unaudited figures).

HCHS covers all services provided (including hospital and community health services and where appropriate ambulance and other services).

Sources:

  1. (a) Annual accounts of the district health authorities.
  2. (b) Mid-year estimates of resident population 1982 and 1987 (Office of Population Censuses and Surveys).

Notes to the table:

  1. 1. The 1982–83 figures have been expressed at 1987–88 prices by the use of the Gross Domestic Product deflator.
  2. 2. District capital expenditure and all revenue and capital expenditure incurred by the East Anglian regional health authority for the region as a whole is excluded.
  3. 3. Expenditure on family practitioner services is excluded: such expenditure is accounted for by family practitioner committee (FPCs) and cannot strictly be attributed to particular districts. However, prior to 1 April 1985 the Cambridge, East Suffolk and Norwich district health authorities each had an associated FPC and their total revenue expenditure for 1982–83 included small, not separately identifiable, elements relating to FPCs' administrative expenses.
  4. 4. Significant variations in per capita expenditure figures at district level arise principally because:
  1. (i) people travel across district boundaries for treatment and sub-regional resource allocations reflect the pattern and changes in the pattern of service provision locally.
  2. (ii) the population figures used make no allowance for people resident in one district who receive treatment in another or for the differences in morbidity and age/sex structure of particular populations.

Mr. Robert G. Hughes

To ask the Secretary of State for Health by what proportion spending on the health services has increased over and above inflation since 1979; and what is his estimate of how much further that figure is likely to increase when the additional resources he has announced for the coming year are taken into account.

Mr. Mellor

The real terms increase in NHS gross expenditure since 1978–79 is 37 per cent. and is expected to rise to 40 per cent. in 1989–90. If, however, account is also taken of the extra cash released in 1989–90 by the reduction in employers' superannuation contributions and from health authorities' income generation and cost improvement schemes the value of the resources available is equivalent to a real terms increase of 4.5 per cent. over 1988–89.

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