HC Deb 08 December 1992 vol 215 cc643-50W
27. Mr. Simon Coombs

To ask the Secretary of State for Health how many extra patients are expected to be treated as a result of the financial settlement for the NHS in 1993–94.

Mr. Sackville

We expect an increase of at least 2.5 per cent. in hospital and community health service activity in the national health service in 1993–94. This corresponds to about 190,000 acute in-patients and day cases and an extra 1 million community nursing contacts with equivalent increases in other areas.

28. Mr. Moss

To ask the Secretary of State for Health how much the Government plans to spend on the NHS in 1993–94; and what was spent in 1978–79.

Mr. Sackville

Government spending on the NHS in England is planned to be £29 billion in 1993–94, compared with £6.3 billion in 1978–79. This represents a real terms increase of over 59 per cent.

Mr. Blunkett

To ask the Secretary of State for Health what was the level of current spending on the hospital and community health services for each NHS region and for the special health authorities, in each year since 1974–75(a) in cash terms, (b) adjusted using the gross domestic product deflator and (c) adjusted using the NHS pay and prices index.

Mr. Sackville

[holding answer 11 November 1992]: The information requested for the financial years 1974–75 to 1990–91 is shown in the table. Information for 1991–92 will be available shortly.

Total revenue expenditure on hospital and community health services (HCHS) 1974–75
£000
Regions Cash Input volume terms Real terms
Northern 146,761 854,296 714,204
Yorkshire 166,145 967,130 808,535
Trent 182,485 1,062,245 888,052
East Anglian 77,289 449,899 376,122
North West Thames 212,895 1,239,262 1,036,041
North East Thames 231,944 1,350,146 1,128,742
South East Thames 208,755 1,215,163 1,015,894
South West Thames 171,278 997,009 833,514
Wessex 117,059 681,400 569,661
Oxford 98,613 574,026 479,894
South Western 143,467 835,121 698,174
West Midlands 224,244 1,305,324 1,091,270
Mersey 130,351 758,773 634,345
North Western 196,021 1,141,038 953,924
SHAs 43,821 255,082 213,252
Total 2,351,128 13,685,916 11,441,623

1975–76
£000
Cash Input volume terms Real terms
Regions
Northern 192,196 868,534 745,088
Yorkshire 216,894 980,144 840,835
Trent 244,361 1,104,267 947,317
East Anglian 103,253 466,600 400,282
North West Thames 276,796 1,250,841 1,073,058
North East Thames 298,422 1,348,569 1,156,896
South East Thames 279,572 1,263,386 1,083,820
South West Thames 220,010 994,225 852,915
Wessex 152,292 688,208 590,392
Oxford 129,757 586,372 503,030
South Western 188,419 851,465 730,446
West Midlands 297,457 1,344,208 1,153,155
Mersey 169,250 764,841 656,133
North Western 255,945 1,156,615 992,225
SHAs 56,548 255,540 219,220
Total 3,081,172 13,923,816 11,944,810

1976–77
£000
Regions Cash Input volume terms Real terms
Northern 215,974 857,633 737,486
Yorkshire 249,753 991,769 852,832
Trent 283,301 1,124,988 967,388
East Anglian 119,672 475,218 408,644
North West Thames 308,533 1,225,185 1,053,548
North East Thames 338,128 1,342,706 1,154,606
South East Thames 321,373 1,276,172 1,097,392
South West Thames 247,062 981,083 843,643
Wessex 175,498 696,903 599,273
Oxford 148,581 590,015 507,360
South Western 215,618 856,219 736,271
West Midlands 339,911 1,349,787 1,160,694
Mersey 189,657 753,128 647,622
North Western 294,868 1,170,921 1,006,886
SHAs 64,423 255,824 219,985

Regions Cash Input volume terms Real terms
Total 3,512,352 13,947,550 11,993,628

1977–78
£000
Regions Cash Input volume terms Real terms
Northern 242,429 886,563 728,140
Yorkshire 279,253 1,021,228 838,742
Trent 321,868 1,177,071 966,737
East Anglian 136,202 498,091 409,085
North West Thames 345,017 1,261,727 1,036,265
North East Thames 372,460 1,362,086 1,118,691
South East Thames 356,258 1,302,836 1,070,028
South West Thames 271,952 994,528 816,813
Wessex 198,111 724,492 595,030
Oxford 163,895 599,364 492,262
South Western 241,844 884,424 726,383
West Midlands 380,897 1,392,940 1,144,032
Mersey 213,117 779,369 640,101
North Western 335,239 1,225,969 1,006,897
SHAs 72,560 265,352 217,935
Total 3,931,102 14,376,040 11,807,143

1978–79
£000
Regions Cash Input volume terms Real terms
Northern 277,406 925,426 751,437
Yorkshire 313,533 1,045,946 849,298
Trent 369,227 1,231,741 1,000,162
East Anglian 154,459 515,275 418,399
North West Thames 380,010 1,267,713 1,029,371
North East Thames 413,284 1,378,715 1,119,504
South East Thames 395,880 1,320,656 1,072,360
South West Thames 303,176 1,011,395 821,243
Wessex 223,569 745,826 605,604
Oxford 184,427 615,248 499,576
South Western 272,319 908,456 737,658
West Midlands 432,881 1,444,091 1,172,588
Mersey 238,074 794,215 644,895
North Western 382,627 1,276,444 1,036,460
SHAs 80,619 268,945 218,381
Total 4,421,491 14,750,094 11,976,935

1979–80
£000
Regions Cash Input volume terms Real terms
Northern 337,997 935,914 784,684
Yorkshire 380,746 1,054,286 883,928
Trent 449,348 1,244,245 1,043,193
East Anglian 188,939 523,172 438,635
North West Thames 450,636 1,247,811 1,046,183
North East Thames 488,198 1,351,820 1,133,386
South East Thames 471,151 1,304,617 1,093,810
South West Thames 361,292 1,000,418 838,765
Wessex 271,164 750,853 629,526
Oxford 223,651 619,290 519,221
South Western 332,138 919,690 771,082
West Midlands 532,172 1,473,584 1,235,475
Mersey 287,489 796,057 667,426

Regions Cash Input volume terms Real terms
North Western 463,250 1,282,739 1,075,467
SHAs 94,751 262,366 219,971
Total 5,332,922 14,766,861 12,380,752

1980–81
£000
Regions Cash Input Volume Terms Real Terms
Northern 437,025 945,285 857,417
Yorkshire 494,198 1,068,950 969,587
Trent 585,409 1,266,240 1,148,537
East Anglian 244,605 529,081 479,900
North West Thames 580,117 1,254,793 1,138,155
North East Thames 636,251 1,376,211 1,248,286
South East Thames 603,001 1,304,291 1,183,052
South West Thames 465,365 1,006,584 913,018
Wessex 349,377 755,702 685,457
Oxford 285,343 617,197 559,826
South Western 426,839 923,253 837,433
West Midlands 681,869 1,474,883 1,337,786
Mersey 368,928 797,991 723,815
North Western 603,630 1,305,652 1,184,286
SHAs 123,474 267,074 242,249
Total 6,885,431 14,893,187 13,508,802

1981–82
£000
Regions Cash Input volume terms Real terms
Northern 482,670 964,857 863,632
Yorkshire 547,802 1,095,056 980,171
Trent 646,945 1,293,243 1,157,566
East Anglian 269,169 538,069 481,619
North West Thames 649,984 1,299,318 1,163,003
North East Thames 700,172 1,399,644 1,252,804
South East Thames 662,702 1,324,741 1,185,759
South West Thames 515,008 1,029,501 921,494
Wessex 389,027 777,665 696,078
Oxford 313,135 625,957 560,286
South Western 474,291 948,108 848,639
West Midlands 751,667 1,502,582 1,344,943
Mersey 407,417 814,427 728,983
North Western 679,828 1,358,976 1,216,403
SHAs 140,168 280,196 250,800
Total 7,629,985 15,252,340 13,652,180

1982–83
£000
Regions Cash Input volume terms Real terms
Northern 520,838 977,613 869,982
Yorkshire 583,406 1,095,053 974,492
Trent 696,746 1,307,792 1,163,810
East Anglian 288,951 542,361 482,649
North West Thames 633,215 1,188,545 1,057,691
North East Thames 800,677 1,502,871 1,337,411
South East Thames 700,421 1,314,690 1,169,948
South West Thames 530,393 995,548 885,942
Wessex 418,407 785,350 698,886

Regions Cash Input volume terms Real terms
Oxford 334,669 628,174 559,014
South Western 507,281 952,166 847,337
West Midlands 809,722 1,519,848 1,352,519
Mersey 436,241 818,824 728,675
North Western 729,550 1,369,365 1,218,604
SHAs 150,712 282,886 251,742
Total 8,141,229 15,281,087 13,598,702

1983–84
£000
Regions Cash Input volume terms Real terms
Northern 553,996 989,437 884,416
Yorkshire 619,586 1,106,581 989,126
Trent 742,437 1,325,992 1,185,249
East Anglian 312,485 558,098 498,860
North West Thames 665,435 1,188,467 1,062,320
North East Thames 841,130 1,502,258 1,342,805
South East Thames 739,438 1,320,636 1,180,461
South West Thames 559,102 998,556 892,567
Wessex 449,145 802,173 717,029
Oxford 352,838 630,169 563,281
South Western 540,430 965,208 862,759
West Midlands 861,251 1,538,194 1,374,927
Mersey 456,590 815,470 728,914
North Western 769,183 1,373,761 1,227,947
SHAs 162,311 289,887 259,118
Total 8,625,357 15,404,888 13,769,779

1984–85
£000
Regions Cash Input volume terms Real terms
Northern 586,852 990,606 892,256
Yorkshire 657,579 1,109,993 999,790
Trent 795,285 1,342,441 1,209,159
East Anglian 335,302 565,990 509,797
North West Thames 701,170 1,183,575 1,066,066
North East Thames 881,327 1,487,680 1,339,978
South East Thames 772,108 1,303,318 1,173,921
South West Thames 586,260 989,607 891,356
Wessex 482,636 814,690 733,805
Oxford 381,948 644,728 580,718
South Western 571,018 963,878 868,181
West Midlands 919,255 1,551,702 1,397,644
Mersey 483,314 815,834 734,835
North Western 814,490 1,374,859 1,238,359
SHAs 166,310 280,731 252,859
Total 9,134,854 15,419,634 13,888,723

1985–86
£000
Regions Cash Input volume terms Real terms
Northern 620,085 995,236 893,468
Yorkshire 699,526 1,122,739 1,007,933
Trent 843,156 1,353,265 1,214,887
East Anglian 358,247 574,986 516,191

Regions Cash Input volume terms Real terms
North West Thames 728,848 1,169,801 1,050,183
North East Thames 914,188 1,467,272 1,317,235
South East Thames 807,525 1,296,078 1,163,547
South West Thames 608,276 976,283 876,453
Wessex 506,941 813,640 730,441
Oxford 402,374 645,810 579,773
South Western 603,266 968,242 869,234
West Midlands 973,915 1,563,134 1,403,295
Mersey 507,924 815,218 731,858
North Western 860,336 1,380,839 1,239,641
SHAs 174,792 280,541 251,854
Total 9,609,399 15,423,085 13,845,991

1986–87
£000s
Regions Cash Input volume terms Real terms
Northern 664,666 997,664 927,196
Yorkshire 748,109 1,122,912 1,043,597
Trent 914,488 1,372,646 1,275,692
East Anglian 389,423 584,524 543,237
North West Thames 777,781 1,167,449 1,084,989
North East Thames 976,100 1,465,126 1,361,640
South East Thames 857,088 1,286,489 1,195,621
South West Thames 650,071 975,757 906,836
Wessex 549,152 824,277 766,056
Oxford 433,809 651,147 605,155
South Western 650,026 975,689 906,773
West Midlands 1,049,734 1,575,651 1,464,358
Mersey 542,821 814,774 757,224
North Western 922,352 1,384,450 1,286,663
SHAs 191,546 287,511 267,203
Total 10,317,166 15,486,066 14,392,240

1987–88
£000
Cash Input volume terms Real terms
Regions
Northern 726,424 1,005,371 961,066
Yorkshire 817,426 1,131,318 1,081,463
Trent 1,009,393 1,397,000 1,335,437
East Anglian 431,278 596,889 570,585
North West Thames 832,775 1,152,561 1,101,770
North East Thames 1,048,946 1,451,741 1,387,766
South East Thames 928,872 1,285,559 1,228,907
South West Thames 744,435 1,030,298 984,895
Wessex 599,818 830,148 793,565
Oxford 478,889 662,782 633,575
South Western 710,039 982,694 939,389
West Midlands 1,149,328 1,590,670 1,520,572
Mersey 589,166 815,406 779,473
North Western 1,002,641 1,387,655 1,326,504
SHAs 207,281 286,877 274,235
Total 11,276,711 15,606,968 14,919,201

1988–89
£000
Regions Cash Input volume terms Real terms
Northern 802,662 1,004,933 990,332
Yorkshire 901,280 1,128,403 1,112,008
Trent 1,121,344 1,403,923 1,383,525
East Anglian 487,095 609,843 600,983
North West Thames 945,712 1,184,031 1,166,829
North East Thames 1,178,457 1,475,428 1,453,992
South East Thames 1,039,270 1,301,166 1,282,262
South West Thames 829,204 1,038,163 1,023,080
Wessex 671,018 840,115 827,909
Oxford 537,279 672,673 662,900
South Western 788,652 987,392 973,047
West Midlands 1,266,424 1,585,563 1,562,527
Mersey 647,160 810,244 798,472
North Western 1,104,796 1,383,205 1,363,108
SHAs 234,692 293,834 289,565
Total 12,555,045 15,718,916 15,490,540

1989–90
£000
Regions Cash Input Volume Terms Real Terms
Northern 862,403 1,008,149 998,344
Yorkshire 971,646 1,135,854 1,124,807
Trent 1,211,905 1,416,717 1,402,938
East Anglian 528,194 617,459 611,453
North West Thames 1,024,712 1,197,888 1,186,237
North East Thames 1,276,820 1,492,603 1,478,085
South East Thames 1,115,590 1,304,125 1,291,440
South West Thames 903,224 1,055,869 1,045,599
Wessex 724,776 847,263 839,022
Oxford 587,380 686,647 679,969
South Western 852,097 996,101 986,413
West Midlands 1,381,172 1,614,590 1,598,886
Mersey 699,483 817,696 809,743
North Western 1,174,578 1,373,082 1,359,727
SHAs 259,397 303,235 300,286
Total 13,573,377 15,867,278 15,712,948

1990–91
£000
Regions Cash Input volume terms
Northern 931,401 1,014,296 996,599
Yorkshire 1,057,999 1,152,161 1,132,059
Trent 1,303,099 1,419,075 1,394,316
East Anglian 580,241 631,882 620,858
North West Thames 1,102,738 1,200,882 1,179,930
North East Thames 1,373,232 1,495,450 1,469,358
South East Thames 1,216,480 1,324,747 1,301,634
South West Thames 960,135 1,045,587 1,027,344
Wessex 796,069 866,919 851,794
Oxford 635,679 692,254 680,177
South Western 934,319 1,017,473 999,721
West Midlands 1,510,106 1,644,505 1,615,813
Mersey 753,635 820,709 806,389
North Western 1,267,169 1,379,947 1,355,871
SHAs 287,586 313,181 307,717
Total 14,709,888 16,019,068 15,739,580

Source: Annual accounts of regional and district health authorities in England and those of the special health authorities for the London postgraduate teaching hospitals. (Predecessor authorities prior to 1982–83)

Notes:

1. HCHS—covers all the services managed and/or accounted for by the authorities during the relevant financial years. It includes hospital, community health, patient transport (ie ambulance), blood transfusion and other services.

2. The figures have been expressed in input volume terms at 1991–92 prices by the use of the HCHS revenue pay and prices index—currently available to 1991–92, only—and in real terms at 1991–92 prices by the use of gross domestic product deflators. Some columns may not add up precisely because of roundings.

3. The figures for all regions prior to 1985–86 include an element for the administrative expenses of family practitioner committees, which prior to 1 April 1985 were associated with district health authorities, and such costs were not separately identified.

4. During the period a number of boundary changes occurred—most significantly between North East and North West Thames regions between 1981–82 and 1982–83.

5. Capital expenditure and all expenditure incurred by special health authorities providing central services to the NHS is excluded.