§ Mr. MealeTo ask the Secretary of State for Health (1) if he will list by each district health authority area the overall levels of spending per head of population;
(2) if he will list by each district health authority area the levels of spending per head of population by each identifiable cost centre.
§ Mr. Freeman[holding answer 19 December 1988]: District based figures of total revenue expenditure per head of resident population for 1987–88 are shown in the table.
For information on average treatment costs by type of hospital for health regions and England as a whole I refer the hon. Member to the Department's annual publication "Health Services Costing Returns" (the latest being for 1986–87)—copies of which are held in the Library.
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District health authorities Total revenue expenditure per resident £ cash1987–88 Northern region Hartlepool 233 North Tees 181 South Tees 253 East Cumbria 229 South Cumbria 169 West Cumbria 195 Darlington 253 Durham 149 North West Durham 215 South West Durham 223 Northumberland 220 Gateshead 168 Newcastle 514 North Tyneside 134 South Tyneside 161 Sunderland 223 Districts total 229 Yorkshire region Hull 236 East Yorkshire 212 Grimsby 207 Scunthorpe 151 Northallerton 139 York 225 Scarborough 167 Harrogate 211 Bradford 214 Airedale 191 Calderdale 187 Huddersfield 224 Dewsbury 162 Leeds Western 275 Leeds Eastern 263 Wakefield 339 Pontefract 172 Districts total 218 Trent region North Derbyshire 143 South Derbyshire 201 Leicestershire 196 North Lincolnshire 228 673W
District health authorities Total revenue expenditure per resident £ cash 1987–88 South Lincolnshire 172 Bassetlaw 167 Central Nottinghamshire 196 Nottingham 254 Barnsley 178 Doncaster 191 Rotherham 170 Sheffield 322 Districts total 212 East Anglian Region Cambridge 282 Peterborough 202 West Suffolk 177 East Suffolk 206 Norwich 219 Great Yarmouth and Waveney 184 West Norfolk and Wisbech 166 Huntingdon 189 Districts Total 209 North West Thames Region North Bedfordshire 159 South Bedfordshire 171 North Hertfordshire 149 East Hertfordshire 118 North West Hertfordshire 283 South West Hertfordshire 126 Barnet 263 Harrow 218 Hillingdon 282 Hounslow and Spelthorne 211 Ealing 158 Brent 220 Paddington 599 Riverside 514 Districts Total 236 North East Thames Region Basildon and Thurrock 185 Mid Essex 199 North East Essex 202 West Essex 175 Southend 161 Barking, Havering and Brentwood 188 Hampstead 592 Bloomsbury 1,076 Islington 334 City and Hackney 483 Newham 227 Tower Hamlets 485 Enfield 166 Haringey 270 Redbridge 193 Waltham Forest 288 Districts Total 273 South East Thames Brighton 218 Eastbourne 203 Hastings 202 South East Kent 158 Canterbury and Thanet 217 Dartford and Gravesham 229 Maidstone 208 Medway 164 Tunbridge Wells 260 Bexley 190 Greenwich 300 Bromley 205 West Lambeth 568 674W
District health authorities Total revenue expenditure per resident £ cash 1987–88 Camberwell 374 Lewisham and North Southwark 386 Districts Total 251 South West Thames North West Surrey 217 West Surrey and North East Hampshire 134 South West Surrey 271 Mid Surrey 276 East Surrey 288 Chichester 199 Mid Downs 179 Worthing 162 Croydon 209 Kingston and Esher 258 Richmond, Twickenham and Roehampton 176 Wandsworth 543 Merton and Sutton 227 Districts Total 231 Wessex Region East Dorset 183 West Dorset 199 Portsmouth and South East Hampshire 172 Southampton and South West Hampshire 262 Winchester 198 Basingstoke and North Hampshire 199 Salisbury 278 Swindon 201 Bath 190 Isle of Wight 207 Districts Total 203 Oxford Region East Berkshire 171 West Berkshire 173 Aylesbury Vale 315 Wycombe 126 Milton Keynes 143 Kettering 148 Northampton 205 Oxfordshire 229 Districts Total 187 South Western Region Bristol and Weston 279 Frenchay 255 Southmead 221 Cornwall and Isles of Scilly 181 Exeter 254 North Devon 199 Plymouth 241 Torbay 190 Cheltenham 165 Gloucester 208 Somerset 192 Districts Total 218 West Midlands region Bromsgrove and Redditch 177 Herefordshire 192 Kidderminster 273 Worcester 195 Shropshire 185 Mid Staffordshire 153 North Staffordshire 223 South East Staffordshire 178 Rugby 160 North Warwickshire 213 South Warwickshire 215
District health authorities Total revenue expenditure per resident £ cash 1987–88 Central Birmingham 521 East Birmingham 211 North Birmingham 223 South Birmingham 283 West Birmingham 322 Coventry 220 Dudley 190 Sandwell 136 Solihull 155 Walsall 174 Wolverhampton 228 District Total 214 Mersey region Chester 283 Crewe 171 Halton 128 Macclesfield 208 Warrington 265 Liverpool 325 St. Helens and Knowsley 182 Southport and Formby 234 South Sefton 321 Wirral 196 Districts Total 237 North Western region Lancaster 353 Blackpool, Wyre and Fylde 186 Preston 582 Blackburn, Hyndburn and Ribble Valley 181 Burnley, Pendle and Rossendale 300 West Lancashire 228 Chorley and South Ribble 79 Bolton 181 Bury 152 North Manchester 434 Central Manchester 562 South Manchester 518 Oldham 165 Rochdale 143 Salford 363 Stockport 176 Tameside and Glossop 148 Trafford 146 Wigan 172 District Total 241 Sources:
(a) 1987–88 annual accounts of district health authorities.
(b) Mid-year estimates of resident population:–1987 (Office of Population Censuses and Surveys).
Notes:
1. District capital expenditure and all expenditure incurred by regional health authorities on behalf of their regions 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.
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 difference in morbidity and age/sex structure of particular population.