§ Mr. BattleTo ask the Secretary of State for Health (1) what is hospital expenditure per head for each of the regional health authorities in Yorkshire and Humberside for each of the last 10 years;
(2) if he will give the figures for hospital expenditure per head of population for each Yorkshire and Humberside health authority for each year since 1979.
§ Mr. FreemanFigures of revenue expenditure per head of population on hospital services (HS) and on hospital and community health services (HCHS) for the district health authorities providing health services in Yorkshire470W and Humberside are shown in the table for the years since the establishment of those authorities on 1 April 1982. I should point out that the table includes all the district health authorities comprising the Yorkshire health region with the addition of Barnsley, Doncaster, Rotherham and Sheffield health authorities which form part of the Trent health region.
Total revenue expenditure per resident for hospital services (HS) and hospital and community health services (HCHS) 1982–1983 £ cash District health authorities HS HCHS Hull 126 160 East Yorkshire 149 171 Grimsby 107 126 Scunthorpe 84 102 Northallerton 68 97 York 146 184 Scarborough 91 110 Harrogate 137 154 Bradford 136 159 Airedale 119 139 Calderdale 113 136 Huddersfield 142 170 Dewsbury 98 118 Leeds Western 171 184 Leeds Eastern 156 184 Wakefield 228 259 Pontefract 98 118 Barnsley 98 120 Doncaster 114 133 Rotherham 89 109 Sheffield 200 224
1983–1984 £ cash District health authorities HS HCHS Hull 134 171 East Yorkshire 157 181 Grimsby 121 142 Scunthorpe 90 109 Northallerton 73 105 York 144 183 Scarborough 97 117 Harrogate 151 170 Bradford 143 167 Airedale 124 147 Calderdale 119 144 Huddersfield 146 176 Dewsbury 103 123 Leeds Western 184 204 Leeds Eastern 167 192 Wakefield 236 273 Pontefract 107 126 Barnsley 105 127 Doncaster 120 141 Rotherham 95 117 Sheffield 216 241
471W
1984–1985 £ cash District health authorities HS HCHS Hull 144 184 East Yorkshire 161 187 Grimsby 129 152 Scunthorpe 98 119 Northallerton 77 111 York 150 191 Scarborough 104 127 Harrogate 156 178 Bradford 149 176 Airedale 132 155 Calderdale 125 152 Huddersfield 154 184
District health authorities HS HCHS Dewsbury 107 130 Leeds Western 196 218 Leeds Eastern 176 205 Wakefield 258 293 Pontefract 111 135 Barnsley 113 138 Doncaster 127 150 Rotherhara 103 126 Sheffield 229 256
1985–86 £ cash District health authorities HS HCHS Hull 152 193 East Yorkshire 165 193 Grimsby 152 176 Scunthorpe 107 130 Northallerton 80 116 York 154 198 Scarborough 111 138 Harrogate 161 184 Bradford 154 182 Airedale 145 170 Calderdale 133 161 Huddersfield 163 195 Dewsbury 114 139 Leeds Western 208 232 Leeds Eastern 190 220 Wakefield 270 307 Pontefract 119 145 Barnsley 120 146 Doncaster 133 157 Rotherham 112 136 Sheffield 243 271
1986–87 £ cash District health authorities HS HCHS Hull 164 210 East Yorkshire 168 198 Grimsby 165 194 Scunthorpe 110 135 Northallerton 86 125 York 163 211 Scarborough 122 151 Harrogate 171 196 Bradford 165 195 Airedale 152 177 Calderdale 140 173 Huddersfield 171 206 Dewsbury 121 149 Leeds Western 222 247 Leeds Eastern 206 237 Wakefield 282 321 Pontefract 129 159 Barnsley 134 162 Doncaster 145 174 Rotherham 124 152 Sheffield 262 294
472W
1987–88 £ cash District health authorities HS HCHS Hull 178 236 East Yorkshire 175 212 Grimsby 172 207 Scunthorpe 120 151 Northallerton 94 139 York 167 225 Scarborough 129 167 Harrogate 178 211 Bradford 175 214 Airedale 158 191
District health authorities HS HCHS Calderdale 149 187 Huddersfield 181 224 Dewsbury 125 162 Leeds Western 246 275 Leeds Eastern 218 263 Wakefield 297 339 Pontefract 135 172 Barnsley 141 178 Doncaster 155 191 Rotherham 137 170 Sheffield 273 322
1988–1989 £ cash District health authorities HS HCHS Hull 198 265 East Yorkshire 181 223 Grimsby 186 227 Scunthorpe 134 171 Northallerton 99 145 York 179 242 Scarborough 143 185 Harrogate 190 230 Bradford 191 237 Airedale 167 209 Calderdale 163 208 Huddersfield 197 248 Dewsbury 138 181 Leeds Western 260 301 Leeds Eastern 252 301 Wakefield 317 368 Pontefract 141 187 Barnsley 158 199 Doncaster 170 215 Rotherham 151 188 Sheffield 307 357 Sources:
(a) Annual accounts of the named health authorities.
(b) Mid-year estimates of resident populations 1982 to 1988 (Office of Population, Censuses and Surveys).
Notes:
1. Hospital and community health services (HCHS) covers total expenditure including that on hospital, community health and where applicable patient transport (i.e. ambulance), blood transfusion and other services. District capital expenditure and expenditure on family practitioner services is excluded.
2. The table also excludes all revenue and capital expenditure incurred by the Yorkshire and Trent regional health authorities on behalf of their regions as a whole. Such revenue expenditure on health and community health services was equivalent to about £7 and 14 per head for the Yorkshire and Trent regions respectively in 1988–89.
3. Significant variations in expenditure figures per head of population 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 differences in morbidity and age/sex structure of particular populations.