§ Mr. Colin ShepherdTo ask the Secretary of State for Health if he will set out in theOfficial Report a table showing, for the years 1987–88 and 1988–89 (estimated), the average cost per head of spending in the National Health Service by health authorities, broken down into groups as follows: births, ages up to four years, five to 15 years, 16 to 64 years, 65 to 74 years and 75 plus years.
§ Mr. FreemanDistrict-based figures of average total revenue expenditure per head of resident population for 1987–88 and 1988–89 are shown in the table. (The figures for 1988–89 are provisional in that they are as yet subject to audit.)
451WAlthough the greatest use of health care facilities tends to be the very young and the elderly it is not practicable centrally specifically to assign district health authorities' total expenditure to particular age groups.
452W
Total revenue expenditure per resident 1988–89 (cash) £
1987–88(cash) £
Northern Region Hartlepool 266 233 North Tees 194 181 South Tees 285 253 East Cumbria 252 229 South Cumbria 185 169 West Cumbria 215 195 Darlington 278 253 Durham 162 149 North West Durham 244 215 South West Durham 250 223 Northumberland 243 220 Gateshead 183 168 Newcastle upon Tyne 575 514 North Tyneside 152 134 South Tyneside 178 161 Sunderland 248 223 Districts Total 254 229 Yorkshire Region Hull 265 236 East Yorkshire 223 212 Grimsby 227 207 Scunthorpe 171 151 Northallerton 145 139 York 242 225 Scarborough 185 167 Harrogate 230 211 Bradford 237 214 Airedale 209 191 Calderdale 208 187 Huddersfield 248 224 Dewsbury 181 162 Leeds Western 301 275 Leeds Eastern 301 263 Wakefield 368 339 Pontefract 187 172 Districts Total 240 218 Trent Region North Derbyshire 163 143 Southern Derbyshire 216 201 Leicestershire 221 196 North Lincolnshire 247 228 South Lincolnshire 190 172 Bassetlaw 184 167 Central Nottinghamshire 216 196 Nottingham 282 254 Barnsley 199 178 Doncaster 215 191 Rotherham 188 170 Sheffield 357 322 Districts Total 234 212 East Anglian Region Cambridge 313 282 Peterborough 240 202 West Suffolk 197 177 East Suffolk 226 206 Norwich 243 219 Great Yarmouth and Waveney 202 184 West Norfolk and Wisbech 186 166 Huntingdon 219 189 Districts Total 233 209 North-West Thames Region North Bedfordshire 173 159 South Bedfordshire 186 171 North Hertfordshire 173 149 East Hertfordshire 135 118
453W
1988–89 (cash) £
1987–88 (cash) £
North-West Hertfordshire 320 283 South-West Hertfordshire 146 126 Barnet 299 263 Harrow 246 218 Hillingdon 321 282 Hounslow and Spelthorne 243 211 Ealing 179 158 Riverside 601 514 Parkside 394 341 Districts Total 269 236 North-East Thames Region Basildon and Thurrock 210 185 Mid-Essex 219 199 North-East Essex 220 202 West Essex 200 175 Southend 180 161 Barking/Havering/Brentwood 207 188 Hampstead 688 592 Bloomsbury 1,226 1,076 Islington 372 334 City and Hackney 543 483 Newham 253 227 Tower Hamlets 542 485 Enfield 187 166 Haringey 293 270 Redbridge 219 193 Waltham Forest 328 288 Districts Total 307 273 South-East Thames Region Brighton 240 218 Eastbourne 221 203 Hastings 217 202 South-East Kent 175 158 Canterbury and Thanet 234 217 Dartford and Gravesham 246 229 Maidstone 226 208 Medway 185 164 Tunbridge Wells 283 260 Bexley 212 190 Greenwich 342 300 Bromley 233 205 West Lambeth 640 568 Camberwell 438 374 Lewisham and North Southwark 437 386 Districts Total 279 251 South-West Thames Region North-West Surrey 235 217 West Surrey and North East Hampshire 151 134 South-West Surrey 305 271 Mid Surrey 305 276 East Surrey 318 288 Chichester 216 199 Mid Downs 201 179 Worthing 182 162 Croydon 237 209 Kingston and Esher 283 258 Richmond, Twickenham, Roehampton 195 176 Wandsworth 620 543 Merton and Sutton 256 227 Districts Total 259 231 Wessex Region East Dorset 206 183 West Dorset 216 199 Portsmouth and South East Hampshire 194 172 Southampton and South West Hampshire 290 262 Winchester 223 198 Basingstoke and North Hampshire 217 199
454W
1988–89 (cash) £
1987–88 (Cash) £
Salisbury 312 278 Swindon 225 201 Bath 207 190 Isle of Wight 229 207 Districts Total 226 203 Oxford Region East Berkshire 189 171 West Berkshire 195 173 Aylesbury Vale 349 315 Wycombe 143 126 Milton Keynes 161 143 Kettering 165 148 Northampton 222 205 Oxfordshire 255 229 Districts Total 209 187 South Western Region Bristol and Weston 310 279 Frenchay 282 255 Southmead 246 221 Cornwall/Isles of Scilly 195 181 Exeter 280 254 North Devon 218 199 Plymouth 268 241 Torbay 210 190 Cheltenham 186 165 Gloucester 224 208 Somerset 210 192 Districts Total 240 218 West Midlands Region Bromsgrove and Redditch 188 177 Herefordshire 203 192 Kidderminster 293 273 Worcester 211 195 Shropshire 201 185 Mid Staffordshire 171 153 North Staffordshire 244 223 South-East Staffordshire 196 178 Rugby 170 160 North Warwickshire 239 213 South Warwickshire 236 215 Central Birmingham 580 521 East Birmingham 232 211 North Birmingham 245 223 South Birmingham 323 283 West Birmingham 355 322 Coventry 247 220 Dudley 210 190 Sandwell 153 136 Solihull 170 155 Walsall 196 174 Wolverhampton 250 228 Districts Total 236 214 Mersey Region Chester 300 283 Crewe 185 171 Halton 142 128 Macclesfield 226 208 Warrington 287 265 Liverpool 365 325 St. Helens and Knowsley 197 182 Southport and Formby 268 234 South Sefton 416 321 Wirral 217 196 Districts Total 265 237 North Western Region Lancaster 385 353 Blackpool, Wyre and Fylde 206 186 Preston 616 582 Blackburn, Hyndburn and Ribble Valley 200 181 Burnley, Pendle and Rossendale 327 300
1988–89 (cash) £
1987–88 (cash) £
West Lancashire 252 228 Chorley and South Ribble 88 79 Bolton 201 181 Bury 173 152 North Manchester 499 434 Central Manchester 633 562 South Manchester 571 518 Oldham 189 165 Rochdale 160 143 Salford 400 363 Stockport 194 176 Tameside and Glossop 172 148 Trafford 162 146 Wigan 191 172 Districts Total 267 241 Sources:
- (a) 1987-88 and 1988-89 annual accounts of district health authorities.
- (b) Mid-year estimates of resident population—1987 and 1988 respectively (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 populations.