§ Mr. Robin CookTo ask the Secretary of State for Scotland if he will give for Scotland for each year since 1974–75 (i) total National Health Service expenditure, (ii) current expenditure on the hospital and community health services, (iii) capital expenditure on the hospital and community health services, (iv) expenditure on the family practitioner services, (v) expenditure on centrally funded National Health Service services, and (vi) expenditure on personal social services, giving each in(a) cash terms, (b) adjusted using the relevant pay and prices index and (c) adjusted using the gross domestic product deflator; and if he will place in the Library details of the methods used to make these adjustments.
§ Mr. RifkindThe information in the format requested is not fully available. As I indicated to the hon. Member in my letter of 30 March 1988, there is no index which relates to the movement of pay and prices within the Health Service in Scotland. The Department of Health maintains indices for pay and price movements in England, but the composition of expenditure on hospital and community health services in Scotland—particularly the proportions accounted for by the various categories of staff costs— differs from that in England. Details of gross expenditure, broken down by service, in both cash terms and adjusted by the gross domestic product deflator, are given in the tables.
(i) Total National Health Service Expenditure At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 458 1,809 1975–76 603 1,894 1976–77 685 1,898 1977–78 777 1,891 1978–79 893 1,964 1979–80 1,064 2,003 1980–81 1,343 2,137 1981–82 1,531 2,219 1982–83 1,660 2,244 1983–84 1,773 2,289 1984–85 1,901 2,339 1985–86 2,015 2,352 1986–87 2,144 2,421 1987–88 2,328 2,497 1988–89 2,591 2,591 876W
(ii) Hospitals and community health services: current expenditure At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 323 1,276 1975–76 421 1,322 1976–77 479 1,327 1977–78 549 1,336
£ million cash Adjusted by the GDP deflator 1978–79 627 1,379 1979–80 749 1,410 1980–81 964 1,534 1981–82 1,081 1,567 1982–83 1,154 1,658 1983–84 1,227 1,584 1984–85 1,307 1,608 1985–86 1,380 1,611 1986–87 1,474 1,665 1987–88 1,605 1,721 1988–89 1,783 1,783
(iii) Hospitals and community health services: capital expenditure At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 30 118 1975–76 39 122 1976–77 37 103 1977–78 38 93 1978–79 51 112 1979–80 58 109 1980–81 59 94 1981–82 84 122 1982–83 92 124 1983–84 99 128 1984–85 107 130 1985–86 119 139 1986–87 104 117 1987–88 107 115 1988–89 117 117
(iv) Family practitioner services At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 80 316 1975–76 109 342 1976–77 129 357 1977–78 145 352 1978–79 167 367 1979–80 197 370 1980–81 246 391 1981–82 281 407 1982–83 322 435 1983–84 347 448 1984–85 382 470 1985–86 402 469 1986–87 440 496 1987–88 485 520 1988–89 545 545 877W
(v) Centrally Financed Services At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 25 99 1975–76 34 107 1976–77 40 111 1977–78 45 110 1978–79 47 103 1979–80 61 115 1980–81 74 118 1981–82 85 123 1982–83 92 124 1983–84 100 129 1984–85 106 130 1985–86 114 133 1986–87 125 141 1987–88 130 139 1988–89 146 146
(vi) Social Work Services At 1988–89 prices £ million cash Adjusted by the GDP deflator 1974–75 77 304 1975–76 93 292 1976–77 118 327 1977–78 123 299 1978–79 149 328 1979–80 189 356 1980–81 239 380 1981–82 263 381 1982–83 285 385 1983–84 302 390 1984–85 323 397 1985–86 348 406 1986–87 356 402 1987–88 417 447 1988–891 466 466 1 provisional outturn