§ Mr. CousinsTo ask the Secretary of State for Health if he will state for each English regional health authority the value of resources available for service development in each year including the current year since 1983, expressed in cash terms, and as a percentage of total resources both including and excluding the effects of the cost improvement programme.
§ Mr. MellorThe information requested is given in the table. Figures for 1988–89 are not yet available.
631W632W633W
1982–83 1983–84 1984–85 1985–86 1986–87 1987–881 East Anglian Net spending (£ million) 285.4 308.4 331.1 354.9 385.9 427.1 Charges (£ million) 3.6 4.1 4.2 3.3 3.5 4.2 Total spending (£ million) 289.0 312.5 335.3 358.2 389.4 431.3 Increase (per cent.) — 8.1 7.3 6.8 8.7 10.8 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 2.9 1.4 1.6 1.7 2.1 (£ million) — 9.1 4.8 5.6 6.6 9.0 Change in real terms (per cent.) — 3.4 2.1 1.4 5.2 5.2 Cash releasing cost improvements New (£ million) — — 3.3 2.9 4.5 4.0 Recurrent (£ million) — — 3.3 6.4 11.2 16.1 Increase—new cost improvements (per cent.) — — 1.0 0.8 1.2 0.9 Margin available for service development in year (per cent.) — 2.9 2.4 2.4 2.9 3.0 (£ million) — 9.1 8.2 8.5 11.3 12.9 North West Thames Net spending (£ million) 624.6 656.3 691.6 719.6 769.2 821.5 Charges (£ million) 8.6 9.1 9.6 9.2 8.6 11.3 Total spending (£ million) 633.2 665.4 701.2 728.8 777.8 832.8 Increase (per cent.) — 5.1 5.4 3.9 6.7 7.1 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.0 -0.4 -1.2 -0.2 -1.3 (£ million) — -0.1 -2.8 -8.7 -1.4 -10.9 Change in real terms (per cent.) — 0.5 0.3 -1.4 3.3 1.7 Cash releasing cost improvements New (£ million) — — 10.6 14.4 15.8 13.8 Recurrent (£ million) — — 10.6 24.2 39.8 56.2 Increase—new cost improvements (per cent.) — — 1.5 1.9 2.1 1.8 Margin available for service development in year (per cent.) — 0.0 1.1 0.7 1.9 0.5 (£ million) — -0.1 7.6 5.0 14.9 3.8 North East Thames Net spending (£ million) 788.9 829.2 869.2 902.6 965.1 1,037.9 Charges (£ million) 11.7 12.0 12.2 11.6 11.0 11.1 Total spending (£ million) 800.7 841.1 881.3 914.2 976.1 1,049.0 Increase (per cent.) — 5.1 4.8 3.7 6.8 7.5 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.0 -1.0 -1.4 -0.1 -1.0 (£ million) — -0.4 -8.5 -12.8 -1.2 -10.0 Change in real terms (per cent.) — 0.5 -0.3 -1.6 3.3 2.1 Cash releasing cost improvements New (£ million) — — 11.7 17.2 16.4 19.7 Recurrent (£ million) — — 11.7 27.6 45.3 66.2 Increase—new cost improvements (per cent.) — — 1.4 1.8 1.7 1.8 Margin available for service development in year (per cent.) — 0.0 0.4 0.4 1.6 0.8 (£ million) — -0.4 3.7 3.4 15.4 8.7 South East Thames Net spending (£ million) 691.3 729.7 762.1 797.9 847.6 919.1 Charges (£ million) 9.2 9.7 10.0 9.6 9.5 9.8 Total spending (£ million) 700.4 739.4 772.1 807.5 857.1 928.9 Increase (per cent.) — 5.6 4.4 4.6 6.1 8.4 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.4 -1.3 -0.6 -0.7 -0.1 (£ million) — 3.3 -10.1 -4.7 -6.1 -1.0 Change in real terms (per cent.) — 1.0 -0.6 -0.8 2.7 2.9 Cash releasing cost improvements New (£ million) — — 14.0 14.3 12.7 12.1 Recurrent (£ million) — — 14.0 29.0 43.1 58.1 Increase—new cost improvements (per cent.) — — 1.9 1.8 1.5 1.5 Margin available for service development in year (per cent.) — 0.4 0.6 1.2 0.8 1.4 (£ million) — 3.3 4.4 9.7 6.7 12.9 South West Thames Net spending (£ million) 525.7 554.0 580.9 603.8 645.5 703.8 Charges (£ million) 4.7 5.1 5.4 4.5 4.6 4.9 Total spending (£ million) 530.4 559.1 586.3 608.3 650.1 708.7 Increase (per cent.) — 5.4 4.9 3.8 6.9 9.0 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.3 -0.9 -1.4 0.0 0.5 634W635W
1982–83 1983–84 1984–85 1985–86 1986–87 1987–881 (£ million) — 1.7 -5.2 -8.4 -0.2 3.4 Change in real terms (per cent.) — 0.8 -0.2 -1.6 3.4 3.6 Cash releasing cost improvements New (£ million) — — 6.9 8.5 10.9 6.5 Recurrent (£ million) — — 6.9 15.0 25.3 33.5 Increase—new cost improvements (per cent.) — — 1.2 1.3 1.7 0.9 Margin available for service development in year (per cent.) — 0.3 0.3 -0.1 1.7 1.4 (£ million) — 1.7 1.7 -0.6 10.9 9.8 Wessex Net spending (£ million) 414.2 444.4 477.9 503.2 545.4 595.9 Charges (£ million) 4.2 4.8 4.8 3.7 3.8 3.9 Total spending (£ million) 418.4 449.1 482.6 506.9 549.2 599.8 Increase (per cent.) — 7.3 7.5 5.0 8.3 9.2 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 2.1 1.6 -0.2 1.3 0.7 (£ million) — 9.6 7.6 -0.8 7.3 4.0 Change in real terms (per cent.) — 2.7 2.3 -0.3 4.8 3.7 Cash releasing cost improvements New (£ million) — — 4.2 4.7 8.5 10.5 Recurrent (£ million) — — 4.2 8.6 17.4 27.5 Increase—new cost improvements (per cent.) — — 0.9 0.9 1.6 1.8 Margin available for service development in year (per cent.) — 2.1 2.5 0.7 3.0 2.5 (£ million) — 9.6 12.0 3.8 16.2 14.9 Oxford Net spending (£ million) 330.0 348.0 376.4 397.3 427.9 472.3 Charges (£ million) 4.6 4.8 5.6 5.1 5.9 6.6 Total spending (£ million) 334.7 352.8 381.9 402.4 433.8 478.9 Increase (per cent.) — 5.4 8.3 5.3 7.8 10.4 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.3 2.3 0.1 0.9 1.7 (£ million) — 1.1 8.8 0.6 3.7 8.4 Change in real terms (per cent.) — 0.8 3.0 0.0 4.3 4.9 Cash releasing cost improvements New (£ million) — — 3.7 4.8 4.6 5.3 Recurrent (£ million) — — 3.7 8.6 13.6 19.5 Increase—new cost improvements (per cent.) — — 1.0 1.2 1.1 1.3 Margin available for service including cost improvements (per cent.) — 0.3 3.3 1.3 2.0 3.1 (£ million) — 1.1 12.8 5.4 8.5 14.7 South Western Net spending (£ million) 503.7 535.8 566.3 599.4 645.9 705.1 Charges (£ million) 3.6 4.6 4.7 3.9 4.1 4.9 Total spending (£ million) 507.3 540.4 571.0 603.3 650.0 710.0 Increase (per cent.) — 6.5 5.7 5.6 7.8 9.2 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 1.4 -0.1 0.4 0.8 0.7 (£ million) — 7.4 -0.8 2.6 5.2 4.8 Change in real terms (per cent.) — 1.9 0.6 0.2 4.3 3.7 Cash releasing cost improvements New (£ million) — — 4.7 6.2 6.6 11.4 Recurrent (£ million) — — 4.7 11.2 18.1 30.2 Increase—new cost improvements (per cent.) — — 0.9 1.0 1.0 1.6 Margin available for service development in year (per cent.) — 1.4 0.8 1.4 1.8 2.3 (£ million) — 7.4 4.4 8.6 11.7 16.2 West Midlands Net spending (£ million) 804.0 854.3 911.8 967.7 1,043.5 1,143.0 Charges (£ million) 5.7 6.9 7.4 6.2 6.3 6.3 Total spending (£ million) 809.7 861.3 919.3 973.9 1,049.7 1,149.3 Increase (per cent.) — 6.4 6.7 5.9 7.8 9.5 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 1.2 0.9 0.7 0.8 0.9 (£ million) — 10.4 8.1 6.9 8.7 10.4 Change in real terms (per cent.) — 1.7 1.6 0.5 4.3 4.0 Cash releasing cost improvements New (£ million) — — 13.5 12.0 13.7 15.4 Recurrent (£ million) — — 13.5 26.2 38.3 54.6
1982–83 1983–84 1984–85 1985–86 1986–87 1987–881 Increase—new cost improvements (per cent.) — — 1.5 1.2 1.3 1.3 Margin available for service development in year (per cent.) — 1.2 2.4 1.9 2.1 2.2 (£ million) — 10.4 22.0 18.7 22.4 25.5 Mersey Net spending (£ million) 433.3 453.2 479.7 504.3 539.0 585.6 Charges (£ million) 3.0 3.4 3.6 3.6 3.8 3.6 Total spending (£ million) 436.2 456.6 483.3 507.9 542.8 589.2 Increase (per cent.) — 4.7 5.9 5.1 6.9 8.5 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — -0.4 0.1 -0.1 0.0 0.0 (£ million) — -1.9 0.2 -0.5 -0.2 0.3 Change in real terms (per cent.) — 0.1 0.8 -0.3 3.4 3.1 Cash releasing cost improvements New (£ million) — — 6.0 8.4 10.7 9.0 Recurrent (£ million) — — 6.0 14.2 25.6 36.4 Increase—new cost improvements (per cent.) — — 1.3 1.7 2.0 1.6 Margin available for service development in year (per cent.) — -0.4 1.4 1.6 2.0 1.6 (£ million) — -1.9 6.5 8.1 10.7 9.7 North Western Net spending (£ million) 724.8 763.4 808.2 854.7 916.5 996.4 Charges (£ million) 4.8 5.8 6.3 5.6 5.8 6.2 Total spending (£ million) 729.6 769.2 814.5 860.3 922.4 1,002.6 Increase (per cent.) — 5.4 5.9 5.6 7.2 8.7 Inflation in service (per cent.) — 5.1 5.8 5.2 6.9 8.5 Change in purchasing power (per cent.) — 0.3 0.1 0.4 0.3 0.2 (£ million) — 2.4 0.7 3.5 2.7 1.9 Change in real terms (per cent.) — 0.8 0.8 0.2 3.7 3.2 Cash releasing cost improvements New (£ million) — — 7.5 13.6 14.1 13.7 Recurrent (£ million) — — 7.5 18.5 32.9 48.5 Increase—new cost improvements (per cent.) — — 0.9 1.6 1.6 1.4 Margin available for service development in year (per cent.) — 0.3 1.0 2.0 1.9 1.6 (£ million) — 2.4 8.0 17.3 17.5 15.9 Change in GDP deflator — — 4.6 5.1 5.4 3.3 5.3 1 Provisional Notes:
Income and expenditure figures are based on health authorities' summarised accounts.
Health authorities have been required to make cost improvements since 1984–85. Data on efficiency savings made by authorities before that date were not collected centrally.
Real terms growth has been calculated using the gross domestic product deflator.
Responsibility for the cost of the London Ambulance Service, previously shared between all four Thames regions, was transferred to South West Thames in 1987–88.
The consequent increase in expenditure in that region has been excluded from the spending figures in the table.