HC Deb 13 March 1992 vol 205 cc756-8W
Mr. Robin Cook

To ask the Secretary of State for Health if he will publish annex B of Cm 1913 adjusted for input unit costs.

Mr. Dorrell

[holding answer 3 March 1992]: The information requested for the hospital and community health services, family health services and the health service as a whole for the years 1986–87 to 1990–91 is given in the table. Information is not available in this form for other parts of the programme or for later years.

This information measures changes in total inputs at constant factor cost but ignores the continuing success of the national health service in increasing the efficiency with which it uses resources. Therefore, in order to give a complete picture, figures adjusted by the gross domestic product deflator have also been included.

It has not been possible to adjust these figures for certain national health service review related changes. Figures for 1991–92 onwards are therefore not directly comparable with those for earlier years. The main points are:

Expenditure figures as they appear in Annex B of Cm 1913 adjusted for changes in input unit costs and by the GDP deflator (All at 1990–91 prices)
£ million
NHS hospital, community health, family health (cash limited) and related services 1986–87 1987–88 1988–89 1989–90 1990–91 1991–92 1992–93
Current expenditure
Adjusted for change in input unit cost
gross 18,790 19,112 19,202 19,241 20,073 (a) (a)
net 18,273 18,602 18,687 18,710 19,513 (a) (a)
Adjusted by the GDP deflator
gross 17,787 18,618 19,285 19,434 20,073 21,582 22,748
net 17,298 18,120 18,767 18,898 19,513 21,050 22,256
Capital expenditure
Adjusted for change in input unit cost
gross 1,703 1,697 1,731 1,930 1,864 (a) (a)
net 1,491 1,420 1,365 1,638 1,661 (a) (a)
Adjusted by the GDP deflator
gross 1,642 1,631 1,643 1,878 1,864 1,911 1,731
net 1,437 1,364 1,295 1,594 1,661 1,698 1,538
NHS family health services (non cash limited)
Current expenditure
Adjusted for change in input unit cost
gross 6,097 6,306 6,491 6,460 6,275 (a) (a)
net 5,454 5,658 5,802 5,704 5,574 (a) (a)
Adjusted by the GDP deflator
gross 5,616 5,895 6,222 6,164 6,275 6,263 6,535
net 5,024 5,289 5,561 5,442 5,574 5,552 5,803
Total health services
Current expenditure
Adjusted for change in input cost
gross 25,776 26,300 26,536 26,601 27,247 (a) (a)
net 24,600 25,130 25,325 25,310 25,960 (a) (a)
Adjusted by the GDP deflator
gross 24,221 25,337 26,309 26,450 27,247 28,851 30,329
net 23,117 24,209 25,108 25,166 25,960 27,575 29,069
Capital expenditure
Adjusted for change in input unit cost
gross 1,774 1,744 1,786 1,981 1,933 (a) (a)
net 1,561 1,463 1,394 1,688 1,729 (a) (a)
Adjusted by the GDP deflator
gross 1,710 1,676 1,695 1,928 1,933 2,080 1,910
net 1,505 1,407 1,323 1,642 1,729 1,801 1,717
Total expenditure
Adjusted for change in input cost
gross 27,572 28,069 28,350 28,592 29,180 (a) (a)
net 26,179 26,616 26,758 27,011 27,689 (a) (a)
Adjusted by the GDP deflator
gross 25,931 27,015 28,003 28,377 29,180 30,932 32,239
net 24,622 25,616 26,431 26,809 27,689 29,376 30,786

(a) Estimates are not made for changes in input unit cost until the financial year has ended.

  1. (i) Sums provided for trust debt remuneration are included in hospital and community health services current in 1991–92 and 1992–93;
  2. (ii) Trusts' capital spending financed via health authorities' payments for services is included in hospital and community health services current, for 1991–92 and 1992–93;
  3. (iii) General practitioner fundholders' expenditure on drugs is included in hospital and community health services current in 1991–92 only.

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