Hospital Services, London (Hansard, 16 March 1992)

§ Mr. Peter Bottomley
To ask the Secretary of State for Health when he expects to receive the report on hospital services in London.

§ Mr. Dorrell
In October 1991, my right hon. Friend the Secretary of State and my right hon. and learned Friend the Secretary of State for Education and Science appointed Sir Bernard Tomlinson, assisted by a small team of experts, to advise us on London's health services, and on medical education and research issues in the capital. This appointment is for about 12 months. During that time Sir Bernard will provide us with advice on the many aspects of his remit. We have not requested the production of a single report.

§ Mr. Peter Bottomley
To ask the Secretary of State for Health if he will make a statement on recent changes in waiting lists and waiting times in Greenwich.

§ Mr. Dorrell
Provisional figures for January 1992 show that since last March, the number of patients waiting over two years in Greenwich health authority has fallen by 91 per cent. and the number over one year by 41 per cent. The authority—along with all other authorities—expects to have no patient waiting more than two years by 31 March.

§ Mr. Peter Bottomley
To ask the Secretary of State for Health what has been the spending, in real terms, each year since 1974 on the family health services authority and on the hospital services in the Greenwich area.

§ Mr. Dorrell
The information requested for the years since 1 April 1982, which is derived from annual accounts submitted to the Department, is shown in the table. This shows overall, real-terms increases, measured at 1991–92 prices, in revenue expenditure between 1982–83 and 1990–91 of 29.9 per cent. for family health services and 3.6 per cent. for hospital and community health services, Greenwich 1.2 per cent. and Bexley 7.7 per cent.
Expenditure figures for individual health authorities are not readily available centrally for 1974–75. However, for Greenwich and Bexley taken together the relevant annual 866W accounts record total revenue expenditure on hospital and community health services—HCHS—and family health services—formerly family practitioner services—of £44.4 million cash in 1975–76, £62 million cash in 1978–79 and £181.3 million cash in 1990–91, the latest year available.
The figures represent increased expenditure in 1990–91 in real terms of 12.5 per cent. on 1975–76 and 15.2 per cent. on 1978–79, measured at 1991–92 prices.

Total revenue expenditure in Greenwich and Bexley

Family Health Services (FHS)

Greenwich and Bexley Family Health Services Authority

£'000(Cash) £'000(At 1991–92 prices)

1982–83 21,748 36,376

1983–84 23,098 36,924

1984–85 25,439 38,731

1985–86 26,365 38,040

1986–87 29,330 40,971

1987–88 32,681 43,295

1988–89 36,993 45,727

1989–90 39,507 45,855

1990–91 44,158 47,249

Hospital and community health services (HCHS)

Greenwich health authority Bexley health authority Total

£000(cash) £000(at 1991–92 prices) £000(cash) £000(at 1991–92 prices) £000(cash) £000(at 1991–92 prices)

1982–83 54,159 90,586 30,536 51,075 84,695 141,661

1983–84 55,996 89,515 32,164 51,418 88,160 140,933

1984–85 57,825 88,039 34,447 52,445 92,272 140,484

1985–86 61,135 88,206 35,608 51,375 96,743 139,581

1986–87 61,441 85,827 38,012 53,099 99,453 138,926

1987–88 64,894 85,972 41,924 55,541 106,818 141,513

1988–89 73,312 90,621 46,685 57,707 119,997 148,328

1989–90 79,534 92,315 48,473 56,263 128,007 148,578

1990–91 85,685 91,683 51,431 55,031 137,116 146,714

Sources:
Annual accounts of the Greenwich and Bexley Health Authorities and the Greenwich and Bexley Family Health Services Authority. (Predecessor Greenwich and Bexley Area Health Authority: Greenwich and Bexley Family Practitioner Committee).
Notes:
1. The figures have been expressed at 1991–92 prices by the use of Gross Domestic Product deflators.
2. HCHS covers total expenditure managed or accounted for by the health authorities during the years concerned and includes hospital, community health and other services.
3. All expenditure on family health services—FHS (formerly family practitioner services) is essentially regarded as current (ie revenue) expenditure. It is not strictly attributable to particular districts and is recorded in annual accounts after the deduction of charges to patients.
867W
4. The FHS figures for the years since 1 April 1985 also include the administrative expenses of the Greenwich and Bexley Family Health Services Authority which are shown below. Prior to 1 April 1985 the Greenwich and Bexley Family Practitioner Committee was associated with the Bexley Health Authority/Greenwich and Bexley Area Health Authority and its administrative costs formed a comparatively small part of those health authorities' total expenditure and are not separately identifiable.

£ 000 (cash)

1985–86 612

1986–87 643

1987–88 676

1988–89 765

1989–90 805

1990–91 1,290

Total revenue expenditure in Greenwich and Bexley
Family Health Services (FHS)
Greenwich and Bexley Family Health Services Authority
	£'000(Cash)	£'000(At 1991–92 prices)
1982–83	21,748	36,376
1983–84	23,098	36,924
1984–85	25,439	38,731
1985–86	26,365	38,040
1986–87	29,330	40,971
1987–88	32,681	43,295
1988–89	36,993	45,727
1989–90	39,507	45,855
1990–91	44,158	47,249

Hospital and community health services (HCHS)
	Greenwich health authority	Bexley health authority	Total
	£000(cash)	£000(at 1991–92 prices)	£000(cash)	£000(at 1991–92 prices)	£000(cash)	£000(at 1991–92 prices)
1982–83	54,159	90,586	30,536	51,075	84,695	141,661
1983–84	55,996	89,515	32,164	51,418	88,160	140,933
1984–85	57,825	88,039	34,447	52,445	92,272	140,484
1985–86	61,135	88,206	35,608	51,375	96,743	139,581
1986–87	61,441	85,827	38,012	53,099	99,453	138,926
1987–88	64,894	85,972	41,924	55,541	106,818	141,513
1988–89	73,312	90,621	46,685	57,707	119,997	148,328
1989–90	79,534	92,315	48,473	56,263	128,007	148,578
1990–91	85,685	91,683	51,431	55,031	137,116	146,714

	£ 000 (cash)
1985–86	612
1986–87	643
1987–88	676
1988–89	765
1989–90	805
1990–91	1,290