§ 27. Mr. Simon CoombsTo 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. SackvilleWe 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. MossTo 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. SackvilleGovernment 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. BlunkettTo 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.
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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
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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
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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
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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
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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
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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
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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.