§ Mr. BlunkettTo ask the Secretary of State for Health what information she has on the administration costs of each regional health authority for each year since 1989–90; and if she will make a statement.
§ Dr. Mawhinney[holding answer 30 November 1992]: Figures of expenditure on headquarters administration for each regional health authority and region as a whole, for
Expenditure on headquarters administration—1989–90 Region Regional Health Authority £000 (cash) District Health Authorities £000 (cash) Region Total £000 (cash) Region Total as a proportion of total expenditure Per cent. Northern 7,475 30,429 37,904 4.07 Yorkshire 10,706 35,213 45,919 4.34 Trent 11,498 35,111 46,609 3.54 East Anglian 8,140 16,761 24,901 4.37 North West Thames 9,119 38,050 47,169 4.09 North East Thames 13,065 47,480 60,545 4.33 South East Thames 15,044 42,846 57,890 4.74 South West Thames 13,720 30,713 44,433 4.45 Wessex 6,244 26,586 32,830 3.98 Oxford 4,704 22,511 27,215 4.22 South Western 8,000 30,223 38,223 4.01 West Midlands 18,019 46,946 64,965 4.32 Mersey 6,044 25,640 31,684 4.22 North Western 12,356 41,094 53,450 4.26
Expenditure on headquarters administration—1990–91 Region Regional Health Authority £000 (cash) District Health Authorities £000 (cash) Region Total £000 (cash) Region Total as a proportion of total expenditure Per cent. Northern 9,329 36,603 45,932 4.54 Yorkshire 13,158 45,205 58,363 5.01 Trent 11,797 44,113 55,910 3.85 East Anglian 11,487 19,730 31,217 4.91 North West Thames 12,110 47,386 59,496 4.81 North East Thames 15,335 54,770 70,105 4.69 South East Thames 16,516 55,852 72,368 5.51 South West Thames 15,234 36,958 52,192 5.02 Wessex 8,578 34,128 42,706 4.85 Oxford 6,266 26,101 32,367 4.66 South Western 10,556 36,621 47,177 4.52 West Midlands 27,353 54,661 82,014 4.89 Mersey 6,336 28,012 34,348 4.13 North Western 13,634 52,887 66,521 4.77 Source: Annual accounts of regional and district health authorities in England.
Notes to the tables:
1. The figures for expenditure on headquarters administration include all current expenditure on the pay and pay related costs of staff of all disciplines—including general managers—employed at regional or district headquarters levels and their office costs and overheads. The costs of clerical and secretarial support staff employed in departments in hospitals and at other local levels are excluded: such costs are regarded as operational.
2. The expenditure by each regional health authority will be influenced by a number of factors such as the size of the total budgets managed, the population served, the extent to which services are directly managed, the balance of management between regional and district levels and the number of district health authorities involved all of which differ between regions.