§ Mrs. Ann WintertonTo ask the Secretary of State for Social Services what has been the total per capita expenditure by the National Health Service in each district health authority in the north-west region upon(a) inpatients, (b) out-patients and (c) the total population, in each of the last three years for which figures are available.
§ Mrs. Currie[holding answer 30 November 1987]: Per capita figures based on total populations of the district health authorities in the north-western region are shown in the table. For information on average treatment costs of in-patients and out-patients by type of hospital within the region, I refer my hon. Friend to the Department's annual publication "Health Services Costing Returns" (the latest being for 1985–86)—copies of which are held in the Library.
Hospital and Community Health Services total per capita expenditure District Health Authority 1984–85 1985–86 1986–87 £ £ £ Lancaster 327 334 346 Blackpool, Wyre and Fylde 159 175 184 Preston 544 565 561 Blackburn, Hyndburn and Ribble Valley 197 213 217 Burnley, Pendle and Rossendale 215 241 245 West Lancashire 207 213 225 Chorley and South Ribble 70 71 77 Bolton 159 159 175 Bury 141 151 165 North Manchester 372 396 414 Central Manchester 480 508 563 South Manchester 454 483 484 Oldham 146 168 195 Rochdale 129 137 141 Salford 321 318 338 Stockport 158 156 168 Tameside and Glossop 134 151 158 Trafford 136 136 138 Wigan 155 151 164 Sources:
(a) Annual accounts of health authorities comprising the North Western Region.
586W(b) Mid-year estimates of population 1984, 1985 and 1986 (Office of Population Censuses and Surveys).
Notes:
- 1. The expenditure figures used for each district include both revenue and capital expenditure together with sums in respect of capital schemes within each district recorded in the annual accounts of the North Western Regional Health Authority. Revenue and capital expenditure incurred by the latter authority for the region as a whole is excluded.
- 2. Expenditure on family practitioner services is excluded: such expenditure is accounted for by family practitioner committees (FPCs) and cannot strictly be attributed to particular districts. However, prior to 1 April 1985 many of the health districts had an associated FPC and their total district health authority expenditure for 1984–85 included small, not separately identifiable elements relating to FPCs' administrative expenses.
- 3. Significant variations in per capita expenditure figures at district level arise principally because:
- (i) people travel across district boundaries for treatment and sub-regional resource allocations reflect the pattern of service provision locally.
- (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.