§ Mr. FatchettTo ask the Secretary of State for Health if he will set out the administrative costs as a percentage of total costs for the national health service for each financial year since 1980–81 and the projected figure for 1990–91.
§ Mr. Dorrell[holding answer 5 June 1990]: Following is information, covering both hospital and community health services and family practitioner services, derived from annual accounts submitted to the Department for the years 1980–81 to 1988–89 (the latest available).
We do not collect such information in-year and consequently cannot provide an estimate for 1990–91, but equivalent information for the financial year 1989–90 will be available in the autumn.
715W
National Health Service (England)—Headquarters Administration (Hospital and Community Health Services [HCHS] and Family
Practitioner Services)
Expenditure £000(cash) As a proportion of total current expenditure Per cent. As a proportion of total expenditure (Current and Capital) Per cent. 1980–81 378,311 4.26 4.00 1981–82 393,377 3.97 3.72 1982–83 403,292 3.75 3.52 1983–84 418,429 3.66 3.45
Expenditure £000 (cash) As a proportion of total current expenditure Per cent. As a proportion of total expenditure (Current and Capital) Per cent. 1984–85 444,016 3.63 3.41 1985–86 479,047 3.71 3.47 1986–87 516,624 3.72 3.48 1987–88 574,198 3.76 3.53 1988–89 624,496 3.66 3.44 Sources
Annual financial accounts of:
i. regional and district health authorities and the special health authorities for the London postgraduate teaching hospitals (predecessor authorities for years prior to 1982–83)
ii. family practitioner committees
iii. The Dental Estimates Board and the Prescription Pricing Authority.
Notes to the Table
1. HCHS covers the total expenditure of the health authorities concerned including hospital, community health, patient transport (ie ambulance), blood transfusion and other services.
2. Expenditure on headquarters administration includes all current expenditure on the pay and pay related costs of staff of all disciplines (including general managers) employed at headquarters levels and their office costs and overheads. It excludes the cost of clerical and secretarial support staff employed in departments at hospital and unit levels; such costs are regarded as operational.
£ million Region Shops Offices Factories Hotels and Boarding Houses Mines Without transition With transition Without transition With transition Without transition With transition Without transition With transition Without transition With transition Northern -14.86 -4.66 -13.40 -3.35 -72.44 -15.89 1.85 0.33 0.39 0.19 Yorkshire and Humberside -5.90 -4.40 -20.05 -5.64 85.65 -20.75 3.15 0.93 9.99 1.51 East Midlands -1.60 0.09 -10.33 -2.56 -71.76 -19.34 3.17 0.77 6.78 1.44 East Anglia 20.33 6.96 1.71 0.56 -9.23 -3.68 2.75 0.68 — — Inner London 207.22 40.52 259.78 100.00 4.62 0.20 55.42 7.54 — — Outer London 54.94 14.06 -0.17 2.28 -36.07 -11.73 4.17 1.21 — — Rest of South East 131.80 38.99 91.64 31.95 -51.06 -16.14 16.78 3.24 0.13 0.06 South West 53.81 15.13 9.45 3.58 -21.07 -6.90 6.71 1.49 -0.14 -0.04 West Midlands -27.80 -7.64 -19.18 -5.92 -144.42 -32.39 4.43 1.15 3.27 0.56 North West -39.28 -9.56 -48.01 -11.13 -150.04 -32.17 3.54 1.17 0.75 0.26 England 378.22 89.39 251.45 109.78 -637.13 -158.79 101.97 18.52 21.16 4.00 Note: The totals for England may not sum due to rounding.