§ Mr. KnoxTo ask the Secretary of State for Health whether any changes will be made in the cash limits of his Department for 1989–90.
§ Mr. Kenneth ClarkeSubject to parliamentary approval of the necessary supplementary estimates, the following changes will be made.
The cash limit for class XIV vote 1 (Hospital and community health and other services, England) will be increased by £47,879,000 (from £11,861,947,000 to £11,909,826,000). This increase provides an additional £32,000,000 for expenditure in connection with the implementation of the NHS review; £17,340,000 for the carry forward of underspends under the end year flexibility arrangements as announced by my right hon. Friend and Chief Secretary to the Treasury on 20 July 1989; and £539,000 in respect of a transfer from class XIV, vote 3 (subhead G2) for a management communications programme to inform NHS staff about the NHS review proposals. These increases are partly offset by a reduction of £2,000,000 in respect of a transfer to class XIV, vote 3 (subhead G3) for AIDS publicity.
The cash limit for class XIV, vote 3 (Department of Health, administration, miscellaneous health services and personal social services, England) will be increased by £8,891,000 (from £688,170,000 to £677,061,000). This increase provides an additional £7,400,000 for expenditure on Departmental administration in connection with the NHS review; £2,000,000 for a transfer from class XIV, vote 1 for AIDS publicity; and £30,000 for a transfer from class XV, vote 7 to adjust the apportionment of resources following the split of the former Department of Health and Social Security. These increases are partly offset by £539,000 in respect of a transfer to class XIV, vote 1 for a management communications programme to inform NHS staff about the NHS review proposals. As a result of the changes on this vote, the Department's running costs limit is increased by £7,341,000 from £238,815,000 to £246,156,000.
The net effect of these changes will be charged to the Reserve and will not therefore add to the planned total of public expenditure.