§ Mr. BurnsTo ask the Secretary of State for Health if he will make a statement on the level of funding of the North East Thames regional health authority broken down by region between 1978–79 and 1991–92; and the projected funding for 1992–93.
§ Mr. Dorrell[holding answer 11 December 1991]: Information derived from the annual accounts of the health authorities comprising the North East Thames region is shown in table 1.
257WOver a period expenditure figures will exceed fundings allocated because in meeting their expenditure health authorities have the use of additional resources such as local receipts. Basic revenue allocations for the region for 1991–92 and 1992–93 are currently £1,332.5 million and £1,448.2 million respectively. Allocations to district health authorities within the region are a matter for the North East Thames regional health authority.
Table II shows analysis of the region's total expenditure figures to authority levels for the years since the establishment of district health authorities—1 April 1982.
Table II North East Thames region Total revenue expenditure on hospital and community health services (HCHS) 1982–83 1983–84 1984–85 Cash At 1990–91 prices Cash At 1991–92 prices Cash At 1991–92 prices £'000s £'000s £'000s £'000s £'000s £'000s North East Thames RHA 22,442 37,335 23,393 37,198 26,531 40,149 Basildon and Thurrock DHA 42,407 70,549 44,495 70,754 47,215 71,449 Mid Essex DHA 35,555 59,150 38,426 61,103 40,099 60,681 North East Essex DHA 48,242 80,256 51,301 81,576 56,123 84,929 West Essex DHA 29,864 49,682 30,831 49,026 32,568 49,284 Southend DHA 35,085 58,368 38,422 61,097 40,589 61,422 Barking, Havering and Brentwood DHA 62,219 103,508 65,669 104,424 68,424 103,544 Hampstead DHA 58,525 97,363 61,308 97,489 65,016 98,387 Bloomsbury DHA 107,685 179,146 112,417 178,760 116,946 176,971 Islington DHA 42,185 70,179 42,928 68,262 44,185 66,864 City and Hackney DHA 70,791 117,769 75,294 119,729 78,683 119,069 Newham DHA 30,613 50,928 32,282 51,333 34,180 51,724 Tower Hamlets DHA 60,464 100,589 64,197 102,083 64,748 97,981 Enfield DHA 30,392 50,560 32,088 51,025 33,473 50,654 Haringey DHA 36,483 60,693 37,498 59,627 38,127 57,696 Redbridge DHA 32,058 53,332 33,491 53,256 35,347 53,490 Waltham Forest DHA 55,667 92,608 57,090 90,782 59,072 89,392 TOTAL 800,677 1,332,015 841,130 1,337,524 881,326 1,333,686
258W
1985–86 1986–87 1987–88 Cash At 1991–92 prices Cash At 1991–92 prices Cash At 1991–92 prices £'000s £'000s £'000s £'000s £'000s £'000s North East Thames RHA 28,508 40,911 30,859 42,820 17,678 23,262 Basildon and Thurrock DHA 43,163 61,941 47,975 66,571 52,061 68,507 Mid Essex DHA 42,665 61,227 53,145 73,745 57,589 75,781 North East Essex DHA 55,571 79,748 54,641 75,820 61,447 80,857 West Essex DHA 36,868 52,908 40,300 55,921 44,206 58,170 Southend DHA 42,657 61,215 46,608 64,674 52,045 68,485 Barking, Havering and Brentwood DHA 72,033 103,372 76,018 105,483 85,557 112,584 Hampstead DHA 55,633 79,837 59,334 82,332 64,957 85,476 Bloomsbury DHA 122,450 175,723 128,901 178,864 138,578 182,353 Islington DHA 49,194 70,596 51,459 71,405 56,266 74,040 City and Hackney DHA 81,517 116,982 87,558 121,496 92,785 122,095 Newham DHA 41,765 59,935 42,995 59,660 46,803 61,588 Tower Hamlets DHA 67,183 96,412 71,231 98,841 77,089 101,441 Enfield DHA 38,144 54,739 39,918 55,391 43,485 57,221 Haringey DHA 46,312 66,460 49,277 68,377 52,246 68,750 Redbridge DHA 37,799 54,244 40,890 56,739 44,391 58,414 Waltham Forest DHA 52,726 75,665 54,991 76,306 61,763 81,273 TOTAL 914,188 1,311,915 976,100 1,354,445 1,048,946 1,380,297
259W
Table I North East Thames region total revenue expenditure on Hospital and Community Health Services (HCHS) £ thousands (cash) £ thousands (at 1991–92 prices) 1978–79 413,284 1,114,783 1979–80 488,198 1,128,601 1980–81 636,251 1,243,024 1981–82 700,172 1,247,517 1982–83 800,677 1,332,015 1983–84 841,130 1,337,524 1984–85 881,326 1,333,686 1985–86 914,188 1,311,915 1986–87 976,100 1,354,445 1987–88 1,048,946 1,380,297 1988–89 1,178,457 1,445,224 1989–90 1,276,820 1,472,084 1990–911 1,373,232 1,469,359 1 Latest available year. Provisional figure (as yet subject to audit).
1988–89 1989–90 1990–91 Cash At 1991–92 prices Cash At 1991–92 prices Cash At 1991–92 prices £'000s £'000s £'000s £'000s £'000s £'000s North East Thames RHA 20,723 25,414 22,791 26,276 26,710 28,580 Basildon and Thurrock DHA 59,287 72,708 65,015 74,958 69,265 74,114 Mid Essex DHA 63,732 78,159 68,785 79,304 73,806 78,972 North East Essex DHA 68,573 84,096 74,673 86,093 79,182 84,725 West Essex DHA 50,079 61,415 55,172 63,609 59,231 63,377 Southend DHA 58,464 71,698 64,492 74,355 71,078 76,053 Barking, Havering and Brentwood DHA 93,995 115,273 98,707 113,802 106,172 113,604 Hampstead DHA 74,566 91,445 80,152 92,410 89,477 95,740 Bloomsbury DHA1 155,397 190,574 164,928 190,150 — — Islington DHA1 62,884 77,119 69,701 80,360 246,389 263,636 City and Hackney DHA 104,893 128,638 112,469 129,669 119,894 128,287 Newham DHA 52,457 64,332 56,489 65,128 62,356 66,721 Tower Hamlets DHA 87,743 107,605 96,389 111,130 102,350 109,515 Enfield DHA 48,861 59,922 52,316 60,317 56,467 60,420 Haringey DHA 56,426 69,199 64,093 73,895 70,016 74,917 Redbridge DHA 50,488 61,917 54,559 62,903 57,580 61,611 Waltham Forest DHA 69,889 85,710 76,089 87,725 83,259 89,087 TOTAL 1,178,457 1,445,224 1,276,820 1,472,084 1,373,232 1,469,359 1 Bloomsbury and Islington DHA from 1990–91. Source:
Annual accounts of the regional Health Authority and the district health authorities comprising the North East Thames region.
Notes to the table:
1. 1990–91 figures are provisional (as yet subject to audit).
2. Figures have been expressed at 1991–92 prices by the use of Gross Domestic Product deflators.
3. Expenditure on HCHS covers all services directly managed by the health authorities including hospital, patient transport (i.e. ambulance), blood transfusion and other services.
4. The pattern of expenditure at district levels varies between 1984–85 and 1985–86 reflecting a change in the methodology for determining the fundings and the accounting arrangements for long-stay patients in the region.