HC Deb 08 February 1988 vol 127 cc99-109W
Mr. Hunter

To ask the Secretary of State for Social Services (1) what has been the approved financial programme of the Basingstoke and North Hampshire health authority for each year since 1974–75, expressed(a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a real term percentage increase or decrease on each preceding year and on the 1974–75 approved financial programme;

(2) what has been the cost of the Basingstoke and North Hampshire health authority's development schemes for each year since 1974–75, expressed (a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a real term percentage increase or decrease on each preceding year and as a real term percentage increase or decrease on the 1974–75 development scheme;

(3) what directly allocated growth and capital funding the Basingstoke and North Hampshire health authority has received each year since 1974–75, expressed (a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a real term percentage increase or decrease on each preceding year and on the 1974–75 allocations;

Per annual accounts At 1987–88 prices As a percentage of total revenue expenditure Annual increase/(decrease) in real terms at 1987–88 prices
£'000s £'000s Annual figure Increase/(decrease) in annual figure £'000s Per cent.
1982–83 23,581 29,384 74.95
1983–84 25,038 29,807 74.55 (0.40) 423 1.44
1984–85 26,375 30,058 74.43 (0.12) 251 0.84
1985–86 27,477 29,550 73.69 (0.74) (508) (1.69)
1986–87 29,666 30,927 74.27 0.58 1,377 4.66

1. The figures have been expressed at 1987–88 prices by the use of the Gross Domestic Product deflator.

2. Prior to 1 April 1982 the authority's predecessor health district formed part of the Hampshire area health authority and district based figures were not collected centrally.

Mr. Hunter

To ask the Secretary of State for Social Services what have been the costs incurred in each year since 1974–75 by the Basingstoke and North Hampshire health authority for (i) cleaning, (ii) catering and (iii) laundry services, expressed(a) in cash terms, (b) in

(4) by how much in each year since 1974–75 funds budgeted by the Basingstoke and North Hampshire health authority for annual National Health Services pay settlements have exceeded, or been exceeded by, the cost of such settlements expressed (a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a percentage excess-deficit.

Mrs. Currie

Allocations to the Basingstoke and North Hampshire health authority and the other information my hon. Friend requests are matters for the Wessex regional health authority. He may like to contact the regional chairman for the information he requires.

Mr. Hunter

To ask the Secretary of State for Social Services what funds the Basingstoke and North Hampshire health authority has raised in each year since 1974–75 through cost improvement programmes-savings against previous years or self-generated additional income, expressed(a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a real term percentage increase or decrease on each preceding year and on the 1974–75 cost improvement programme.

Mrs. Currie

In 1986–87, the Basingstoke and North Hampshire health authority reported cash savings of £419,000 from its cost improvement programme. Information is not available centrally for earlier years, but the hon. Member may wish to approach Wessex regional health authority for this information.

Mr. Hunter

To ask the Secretary of State for Social Services what has been the percentage cost in each year since 1974–75 to the approved financial programme of the Basingstoke and North Hampshire health authority of wages and salaries of National Health Service employees, expressed(a) in cash terms, (b) in real terms (based on 1987–88) and (c) as a percentage increase or decrease for each year.

Mrs. Currie

Following is information derived from the annual accounts of the Basingstoke and North Hampshire health authority since its establishment on 1 April 1982.

real terms (based on 1987–88) and (c) as a percentage increase on the cost of the previous year and on the 1974–75 costs.

Mrs. Currie

Following is the information requested derived from the annual accounts of the Basingstoke and North Hampshire health authority since its establishment on 1 April 1982:

Domestic/cleaning services Catering services Laundry services
Expenditure per annual accounts Expenditure at 1987–88 prices Per cent. increase/(decrease) at 1987–88 prices Expenditure per annual accounts Expenditure at 1987–88 prices Per cent. increase/(decrease) at 1987–88 prices Expenditure per annual accounts Expenditure at 1987–88 prices Per cent. increase/(decrease) at 1987–88 prices
£000 £000 over previous year over 1982–83 £000 £000 over previous year over 1982–83 £000 £000 over previous year over 1982–83
1982–83 2,120 2,642 1,588 1,979 211 263
1983–84 2,171 2,585 (2.16) (2.16) 1,663 1,980 0.05 0.05 223 265 0.76 0.76
1984–85 2,147 2,447 (5.34) (7.38) 1,739 1,982 0.10 0.15 227 259 (2.26) (1.52)
1985–86 2,046 2,200 (10.01) (16.73) 1,829 1,967 (0.76) (0.61) 210 226 (12.74) (14.07)
1986–87 1,931 2,013 (8.50) (23.81) 1,870 1,949 (0.92) (1.52) 196 205 (9.25) (22.05)

Notes:

1. The figures have been expressed at 1987–88 prices by the use of the Gross Domestic Product deflator.

2. Prior to 1 April 1982 the authority's predecessor health district formed part of the Hampshire Area Health Authority and district based figures were not collected centrally.

Mr. Hunter

To ask the Secretary of State for Social Services (1) how many in-patient cases have been treated by the Basingstoke and North Hampshire health authority in each year since 1974–75 and what has been the percentage increase or decrease on the preceding year and on the 1974–75 number of in-patient cases;

(2) how many day-patient cases have been treated by the Basingstoke and North Hampshire health authority in each year since 1974–75; and what has been the percentage increase or decrease on the preceding year and on the 1974–75 number of day-patient cases;

(3) how many out-patient cases have been treated by the Basingstoke and North Hampshire health authority in each year since 1974–75; and what has been the percentage increase or decrease on the preceding year and on the 1974–75 out-patient cases;

(4) how many patients have been treated for chronic renal failure in the Basingstoke and North Hampshire health authority district since 1974–75, or the year in which such treatment became significantly available, expressed also as a percentage increase or decrease on the previous year and on the first year of significant statistics;

(5) how many hip replacement operations have been performed in the Basingstoke and North Hampshire health authority district since 1974–75, or the year in which such treatment became significantly available, expressed also as a percentage increase or decrease on the previous year and on the first year of significant statistics;

(6) how many coronary artery by-pass grafts have been performed in the Basingstoke and North Hampshire health authority district since 1974–75, or the year in which

NHS hospitals, Basingstoke and North Hampshire District Health Authority All specialties
Year Number In-patients per cent. change over previous year Per cent. change over 1974 Number Day cases per cent. change over previous year Per cent. change over 1974 Number Out-patients per cent. change over previous year Per cent. change over 1974
1974 16,713 0 0 3,341 0 0 78,724 0 0
1975 15,540 -7.0 -7.0 3,548 6.2 6.2 60,647 -23.0 -23.0
1976 17,143 10.3 2.6 5,000 40.9 49.7 71,796 18.4 -8.8
1977 17,871 4.2 6.9 3,551 -29.0 6.3 76,533 6.6 -2.8

such treatment became significantly available, expressed also as a percentage increase or decrease on the previous year and on the first year of significant statistics;

(7) how many surgical beds have been available in the Basingstoke and North Hampshire health authority each year since 1974–75, expressed also as a percentage increase or decrease on the previous year and on the 1974–75 number of surgical beds;

(8) how many patients have been treated in surgical beds in the Basingstoke and North Hampshire health authority in each year since 1974–75, expressed also as a percentage increase or decrease on the previous year and on the 1974–75 number of patients;

(9) how many general medical beds have been available in the Basingstoke and North Hampshire health authority in each year since 1974–75, expressed also as a percentage increase or decrease on the previous year and on the 1974–75 number of general medical beds;

(10) how many patients have been treated in general medical beds in the Basingstoke and North Hampshire health authority in each year since 1974–75, expressed also as a percentage increase or decrease on the previous year and on the 1974–75, number of patients;

(11) how many geriatric patients attended day units in the Basingstoke and North Hampshire health authority district in each year since 1974–75 expressed also as a percentage increase or decrease on each preceding year and on the 1974–75 number of geriatric patients.

Mrs. Currie

I regret that I cannot give my hon. Friend all the information he seeks. The available information is given in the tables. My hon. Friend may like to approach the chairman of the Basingstoke and North Hampshire health authority for the further information he requires.

Year Number In-patients per cent. change over previous year per cent. change over 1974 Number Day cases per cent. change over previous year per cent. change over 1974 Number Out-patients per cent. change over previous year per cent. change over 1974
1978 19,395 8.5 16.0 2,996 -15.6 -10.3 84,445 10.3 7.3
1979 17,864 -7.9 6.9 3,065 2.3 -8.3 89,592 6.1 13.8
1980 19,704 10.3 17.9 4,188 36.6 25.4 92,490 3.2 17.5
1981 19,563 -0.7 17.1 4,188 0.0 25.4 98.338 6.3 24.9
1982 20,148 3.0 20.6 4.053 -3.2 21.3 99,882 1.6 26.9
1983 20,701 2.7 23.9 3,533 -12.8 5.7 105,677 5.8 34.2
1984 22,171 7.1 32.7 3,291 -6.8 -1.5 104,603 -1.0 32.9
1985 22,128 -0.2 32.4 4,117 25.1 23.2 103,510 -1.0 31.5
1986 23.201 4.8 38.8 4,431 7.6 32.6 107,532 3.9 36.6

Surgical specialties
Daily average of available beds In-patients
Year Number Per cent. change over previous year Per cent. change over 1974 Number Per cent. change over previous year per cent. change over 1974
1974 304.5 0 0 7,114 0 0
1975 300.2 -1.4 -1.4 6,206 -12.8 -12.8
1976 278.2 -7.3 -8.6 7,336 18.2 3.1
1977 287.7 3.4 -5.5 7,563 3.1 6.3
1978 299.3 4.0 -1.7 8,104 7.2 13.9
1979 299.7 0.1 -1.6 7,809 -3.6 9.8
1980 308.5 2.9 1.3 8,503 8.9 19.5
1981 314.4 1.9 3.3 8,866 4.3 24.6
1982 313.2 -0.4 2.9 8,970 1.2 26.1
1983 296.9 -5.2 -2.5 9,374 4.5 31.8
1984 315.6 6.3 3.6 9,805 4.6 37.8
1985 308.5 -2.2 1.3 9,170 -6.5 28.9
1986 288.7 -6.4 5.2 9,090 -0.9 27.8

Medical specialities
Daily average of available beds In-patients
Year Number Percentage change over previous year Percentage change over 1974 Number Percentage change over previous year Percentage change over 1974
1974 82.0 0 0 2,772 0 0
1975 85.0 3.7 3.7 2,669 -3.7 -3.7
1976 91.9 8.1 12.1 2,845 6.6 2.6
1977 89.9 -2.2 9.6 3,111 9.3 12.2
1978 104.3 16.0 27.2 3,500 12.5 26.3
1979 98.4 -5.7 20.0 3,089 -11.7 11.4
1980 101.9 3.6 24.3 3,356 8.6 21.1
1981 103.1 1.2 25.7 3,375 0.6 21.8
1982 106.2 3.0 29.5 3,763 11.5 35.8
1983 110.5 4.0 34.8 3,631 -3.5 31.0
1984 113.4 2.6 38.3 4,083 12.4 47.3
1985 115.8 2.1 41.2 4,051 -0.8 46.1
1986 115.0 -0.7 40.2 4,163 2.8 50.2

Geriatric regular day cases: Total attendances
Year Number Percentage change over previous year Percentage change over 1982
1974 n.a.
1975 n.a.
1976 n.a.
1977 n.a.
1978 n.a.
1979 n.a.
1980 n.a.
1981 n.a.
1982 1,131
1983 2,608 130.6 130.6
1984 2,913 11.7 157.6
1985 2,893 -0.7 155.8
1986 2,455 -15.1 117.1

Mr. Hunter

To ask the Secretary of State for Social Services (1) how many visits by health visitors have been made in the Basingstoke and North Hampshire health authority district in each year since 1974–75; and what has been the percentage increase or decrease on the preceding year and on the 1974–75 number of visits;

(2) how many people have been visited by health visitors in the Basingstoke and North Hampshire health

Persons visited by health visitors (first visit)
Basingstoke and North Hampshire District Health Authority
1982 1983 1984 1985 1986
Number of persons visited by Health Vistors 13,883 13,696 13,986 14,102 14,239
per cent. change year by year -1.3 2.1 0.8 1.0
per cent. change from 1982 -1.3 0.7 1.6 2.6

Notes:

1. A visit includes each occasion when professional help or advice is given by health visiting staff.

2. The "first visit" refers to the first visit received by a person from any member of the health visiting staff during the calendar year for any problem.

3. Visits to households where there is tuberculosis or other infectious diseases are not included in this table.

Total visits made by health visitors
Basingstoke and North Hampshire District Health Authority
1982 1983 1984 1985 1986
Total visits 46,484 44,569 46,958 49,135 49,430
per cent. change year by year -4.1 5.4 4.6* 0.6
per cent. change from 1982 -4.1 1.0 5.7 6.3

Mr. Hunter

To ask the Secretary of State for Social Services what has been the cost of capital projects undertaken by the Basingstoke and North Hampshire health authority in each year since 1974–75, expressed(a) in cash terms, (b) in real terms based on 1987–88 figures

Total capital expenditure
Per annual accounts At 1987–88 prices Percentage increase/(decrease) at 1987–88 prices
£000 £000 On preceding year On 1982–83
1982–83 2,427 3,024
1983–84 2,356 2,805 (7.24) (7.24)
1984–85 3,081 3,511 27.17 16.10
1985–86 3,314 3,564 1.51 17.86
1986–87 3,682 3,838 7.69 26.92

Notes:

1. The figures have been expressed at 1987–88 prices by the use of the Gross Domestic Product deflator.

2. The figures include sums in respect of capital schemes within the district recorded in the annual accounts of the Wessex Regional Health Authority. Expenditure incurred by the latter authority for the region as a whole is excluded.

3. Prior to 1 April 1982 the authority's predecessor health district formed part of the Hampshire Area Health Authority and district based figures were not collected centrally.

Mr. Hunter

To ask the Secretary of State for Social Services (1) how many places there have been in adult training centres for the mentally handicapped in the Basingstoke and North Hampshire health authority in each year since 1974–75, or the first year of the significant availability of such places, expressed also as a percentage increase or decrease on the previous year and on the 1974–75 figure, or the first significant year;

(2) how many adults attended training centres for the mentally handicapped in the Basingstoke and North authority district in each year sinc 1974–75; and what has been the percentage increase or decrease on the preceding year and on the 1974–75 number of people visited.

Mrs. Currie

Basingstoke and North Hampshire District Health Authority was formed in 1982. Comparable figures are not available before that date when these data were collected by area health authority only. The available information is given in the table.

and (c) as a real term percentage increase or decrease on each preceding year and on the 1974–75, capital project cost.

Mrs. Currie

Following is the information derived from the annual accounts of the Basingstoke and North Hampshire health authority since its establishment on 1 April 1982:

Hampshire health authority in each year since 1974–75, or the first year of the significant availability of places at such centres, expressed also as a percentage increase or decrease on the previous year and on the 1974–75 figure, or for the first significant year.

Mrs. Currie

Information on the number of places for mentally handicapped people in adult training centres is given in the table. It is based on the number of places reported by Hampshire social services department. The information my hon. Friend seeks on the number of people attending adult training centres is not available centrally. He may wish to approach the Hampshire social services department for the further information he requires.

Number of places for mentally handicapped people in adult training centres in the area covered by Basingstoke and North Hampshire DHA, and percentage changes, 1982–87.
Percentage Change
Number of places (at 31 March) On 1982 On previous year
1982 232
1983 232 0.0 0.0
1984 246 6.0 6.0
1985 246 6.0 0.0
1986 252 8.6 2.4
1987 252 8.6 0.0

Mr. Hunter

To ask the Secretary of State for Social Services what funds have been devoted by the Basingstoke and North Hampshire health authority to the care and treatment of the mentally ill in each year since 1974–75, expressed(a) in cash terms, (b) in real terms based on 1974–75 and (c) as a real term percentage increase or decrease on each preceding year and on the 1974–75 allocation.

Mrs. Currie

Information on health authority expenditure by type of patient is not collected centrally: hospital costing returns submitted to the Department show expenditure on hospitals of different types and costing returns in respect of community health services show expenditure relating to the major areas of activity only.

Following is information derived from the hospital costing returns submitted by the Basingstoke and North Hampshire health authority since its establishment on 1 April 1982:

Revenue expenditure on hospitals categorised "mental illness"
Per costing returns At 1987–88 prices Percentage increase/(decrease) at 1987–88 prices
£000 £000 On preceding year On 1982–83
1982–83 8,285 10,324
1983–84 8,645 10,291 (0.32) (0.32)
1984–85 8,800 10,029 (2.55) (2.86)
1985–86 9,104 9,791 (2.37) (5.16)
1986–87 9,429 9,830 0.40 (4.78)

Notes:

1. The figures have been expressed at 1987–88 prices by the use of the Gross Domestic Product deflator.

2. The figures exclude expenditure on hospitals categorised "mental handicap" and expenditure incurred for the mentally ill within community health services. The latter costs are not separately identifiable centrally.

Mr. Hunter

To ask the Secretary of State for Social Services how many mentally ill patients have been treated

NHS Staff by Main Staff Groups: in Post Basingstoke and North Hampshire District Health Authority 30 September
Whole-time Equivalents1
1982 1983 1984 1985 1986
Medical and Dental2 100 90 100 90 90
Nursing and Midwifery3 1,710 1,730 1,710 1,660 1,680

by the Basingstoke and North Hampshire health authority in each year since 1974–75, expressed also as a percentage increase or decrease on each previous year and on the 1974–75 number of patients.

Mrs. Currie

The number of admissions of in-patients into mental illness hospitals and units, managed by the Basingstoke and North Hampshire health authority, for each year since 1974, are shown in the table.

The figures do not relate to individuals, and will include patients who have been discharged and readmitted during each year.

Year of admission Number of admissions of mentally ill patients Percentage change in admissions on previous year Percentage change in admissions on 1974
1974 1,001 1 1
1975 982 -1.9 -1.9
1976 1,103 +12.3 +10.2
1977 1,060 -3.9 +5.9
1978 1,138 +7.4 +13.7
1979 1,129 -0.8 +12.8
1980 1,278 +13.2 +27.7
1981 1,252 -2.0 +25.1
1982 1,034 -17.4 +3.3
1983 1,133 +9.6 +13.2
1984 1,102 -2.7 +101
1985 1,305 +18.4 +30.4
1986 1,518 +16.3 +51.6
1 Not available.

Mr. Hunter

To ask the Secretary of State for Social Services how many people in the Basingstoke and North Hampshire health authority district have received help to pay for residential and nursing care in each year since 1974–75, expressed also as a percentage increase or decrease on each previous year and on the 1974–75 number of patients.

Mrs. Currie

People in independent residential care or nursing homes can claim supplementary benefit to help with their fees. Information on the numbers claiming supplementary benefit in homes in the area of the Basingstoke and North Hampshire health authority could be obtained for this period only at disproportionate cost.

Health authorities may enter into contractual arrangements with private health care providers, but must meet the costs incurred. Health authorities have no power to pay part of the costs of a patient's care in private establishments.

Mr. Hunter

To ask the Secretary of State for Social Services how many people, divided into convenient categories of employment, particularly specifying nursing staff, have been employed by the Basingstoke and North Hampshire health authority in each year since 1974–75.

Mrs. Currie

Because of the 1982 NHS reorganisation, figures on a consistent basis are not held centrally for years prior to 1982.

The available information from 1982 is shown in the table.

1982 1983 1984 1985 1986
Professional and Technical (Excluding Works) 200 220 220 230 250
Works 20 20 20 20 20
Maintenance 90 90 80 80 70
Administrative and Clerical 360 390 370 380 380
Ancillary 740 730 710 660 600
Total NHS Staff 3,230 3,270 3,220 3,110 3,080
Source: DHSS Annual Censuses of NHS Medical and Non-medical Manpower.
1 Figures are independently rounded to the nearest ten (10) whole-time equivalents.
2 Includes permanent paid, honorary and locum staff. Excludes all Consultants and Senior Registrars whose contracts are held by the regional health authority.
3 Includes agency staff.

Forward to