HC Deb 24 February 1988 vol 128 cc242-3W
Mr. Goodlad

To ask the Secretary of State for Social Services if he will give(a) the number of administrative staff employed and (b) the total sums each years spent on administrative salaries in (i) the Crewe health district (ii) the Chester health district and (iii) the Halton health district in each of the past five years.

Mrs. Currie

Staff-in-post figures are shown in the table. Comparable information on staff costs is not available centrally and my hon. Friend may care to contact the appropriate district chairmen.

National Health Service administrative and clerical staff in post1 Crewe, Chester and Halton health authorities at 30 September
Whole Time Equivalents2
Year Crewe Chester Halton
1982 344 3305 100
1983 350 501 123
1984 364 486 135
1985 372 408 165
1986 372 409 173
Source: DHSS Annual Census of Non-Medical Manpower
1 Includes General Managers.
2 Figures independently rounded to nearest whole time equivalent.
3 Figures do not include 222.7 (WTE) administrative and clerical staff who continued to provide support to supra district services to the five Cheshire health authorities after NHS Reorganisation.

Hospital and community health services1total expenditure per head (at 1987–88 prices)
1982–83 1983–84 1984–85 1985–86 1986–87
£ £ £ £ £
(a) England 151 167 186 207 231
(b) Mersey region 155 170 189 209 237
(c) District health authorities
Crewe 107 119 134 141 155
Chester 191 204 217 233 257
Halton 70 84 85 105 118
1 Includes revenue and capital expenditure on hospital, community health, ambulance, blood transfusion and other services.

Sources:

1. Annual accounts of:

(a) regional and district health authorities in England and those of the London post-graduate teaching hospitals

(b) the regional health authority and district health authorities comprising the Mersey region

(c) the district health authorities shown.

2. Mid-year estimates of population 1982, 1983, 1984, 1985 and 1986 (Office of Population and Censuses Surveys).

Notes:

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

2. Expenditure on family practitioner services is excluded: such expenditure is accounted for by family practitioner committees (FPCs) and cannot be attributed to particular regions or districts. However, prior to 1 April 1985 some 90 district health authorities in England (including Chester and others within the Mersey region) had an associated FPC and those authorities total expenditure figures for the years before that date include elements relating to FPCs' administration expenses which are not separately identifiable.

3. Expenditure by special health authorities and other bodies providing central services to the National Health Service and expenditure met centrally by the Department is also excluded.

4. Prior to 1 April 1982 the district health authorities' predecessor health districts formed part of the Cheshire Area Health Authority and district based figures were not collected centrally.

5. The expenditure figures used for each district health authority include both revenue and capital expenditure together with sums in respect of capital schemes within each district recorded in the annual accounts of the Mersey Regional Health Authority. Revenue and capital expenditure incurred by the latter authority for the region as a whole is included in the figures for Mersey region but excluded from the districts' figures.

6. Significant variations in figures of expenditure per head at district level arise principally because:—

(a) people travel across district boundaries for treatment and sub-regional resource allocations reflect the pattern of service provision locally;

(b) 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.

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