HC Deb 18 November 1992 vol 214 cc286-90W
Mr. Blunkett

To ask the Secretary of State for Health (1) what was the level of capital spending on hospital and community health services in net terms after deducting proceeds from land and property sales, in each year since 1974–75(a) in cash terms, (b) adjusted using the gross domestic product deflator and (c) adjusted using the relevant index of NHS prices;

(2) what was the level of (a) total NHS expenditure, (b) current expenditure on the hospital and community health services, (c) capital expenditure on the hospital and community health services, (d) expenditure on the family practitioner services, (e) expenditure on Centrally funded NHS services and (f) expenditure on personal social services, in each year since 1974–75, (i) in cash terms, (ii) adjusted using the relevant pay and prices index and (iii) adjusted using the gross domestic product deflator.

Mr. Sackville

[holding answer 11 November 1992]The information requested is given in the table. In addition, a net increase in 1993–94 of £1.066 million for the national health service as a whole was announced in the "Autumn Statement"—a real increase of 1 per cent. over 1992–93.

NHS expenditure: gross (excludes trust debt remuneration)
Year Cash Adjusted by the GDP 1990–91 prices Adjusted for input unit cost 1990–91 prices
1974–75 3,426 15,577 18,194
1975–76 4,511 16,339 18,599
1976–77 5,149 16,428 18,771
1977–78 5,689 15,965 19,044
1978–79 6,525 16,514 19,767
1979–80 7,755 16,821 19,578
1980–81 10,103 18,520 20,131
1981–82 11,329 18,938 20,805
1982–83 12,353 19,277 21,281
1983–84 13,114 19,559 21,537
1984–85 14,102 20,031 21,828
1985–86 14,923 20,088 21,957
1986–87 16,044 20,909 22,207
1987–88 17,653 21,819 22,624
1988–89 19,599 22,591 22,814
1989–90 21,112 22,831 23,075
1990–91 23,632 23,632 23,632
1991–92 26,739 24,931 —
1992–93 29,379 26,276 —

HCHS current gross expenditure (excluding trusts' capital expenditure)
Year Cash Adjusted by GDP 1990–91 prices Adjusted input unit costs 1990–91 prices
A B A B A B
1974–75 — 2,346 — 10,667 — 12,613
1975–76 — 3,073 — 11,131 — 12,828
1976–77 — 3,508 — 11,192 — 12,868
1977–78 — 3,925 — 11,015 — 13,257
1978–79 — 4,509 — 11,412 — 13,896
1979–80 — 5,375 — 11,659 — 13,747
1980–81 — 7,072 — 12,964 — 14,130
1981–82 — 7,804 — 13,045 — 14,411
1982–83 — 8,403 — 13,113 — 14,570
1983–84 — 8,842 — 13,187 — 14,587
1984–85 — 9,344 — 13,272 — 14,570
1985–86 — 9,852 — 13,262 — 14,603
B:
1985–86 10,053 — 13,533 — 14,901 —
1986–87 10,820 — 14,101 — 15,003 —
1987–88 11,960 — 14,783 — 15,284 —
1988–89 13,268 — 15,294 — 15,331 —
1989–90 14,222 — 15,380 — 15,459 —
1990–91 16,027 — 16,027 — 16,027 —
1991–92 18,232 — 17.000 — — —
1992–93 19,818 — 17,725 — — —

HCHS capital gross expenditure (including trusts' capital expenditure)
Year Cash Adjusted by GDP 1990–91 prices Adjusted input unit costs 1990–91 prices
A B A B A B
1974–75 — 242 — 1,100 — 1,043
1975–76 — 326 — 1,181 — 1,075
1976–77 — 355 — 1,133 — 1,046
1977–78 — 314 — 881 — 809
1978–79 — 365 — 924 — 842
1979–80 — 402 — 872 — 768
1980–81 — 552 — 1,012 — 838
1981–82 — 666 — 1,113 — 980
1982–83 — 695 — 1,085 — 1,006
1983–84 — 718 — 1,071 — 1,019
1984–85 — 810 — 1,151 — 1,104
1985–86 — 881 — 1,186 — 1,133
1985–86 964 — 1,298 — 1,240 —
1986–87 1,041 — 1,357 — 1,275 —
1987–88 1,103 — 1,363 — 1,286 —
1988–89 1,186 — 1,367 — 1,307 —
1989–90 1,423 — 1,539 — 1,436 —
1990–91 1,551 — 1,551 — 1,551 —
1991–92 1,635 — 1,524 — — —
1992–93 2,001 — 1,790 — — —

FHS gross expenditure
Year Cash Adjusted by GDP 1990–91 prices Adjusted input unit costs 1990–91 prices
A B A B A B
1974–75 — 697 — 3,169 — 3,736
1975–76 — 925 — 3,350 — 3,862
1976–77 — 1,078 — 3,439 — 4,047
1977–78 — 1,220 — 3,424 — 4,218
1978–79 — 1,473 — 3,728 — 4,499
1979–80 — 1,731 — 3,755 — 4,469
1980–81 — 2,173 — 3,983 — 4,583
1981–82 — 2,504 — 4,186 — 4,767
1982–83 — 2,894 — 4,516 — 5,087
1983–84 — 3,112 — 4,641 — 5,205

Year Cash Adjusted by GDP 1990–91 prices Adjusted input unit costs 1990–91 prices
A B A B A B
1984–85 — 3,432 — 4,875 — 5,349
1985–86 — 3,615 — 4,866 — 5,366
B:
1985–86 3,376 — 4,544 — 5,011 —
1986–87 3,631 — 4,732 — 5,123 —
1987–88 4,019 — 4,967 — 5,300
1988–89 4,554 — 5,249 — 5,474 —
1988–90 4,811 — 5,203 — 5,451 —
1990–91 5,304 5,304 — 5,304
1991–92 6,013 — 5,607 — — —
1992–93 6,458 — 5,776 — — —

Central health and miscellaneous services gross expenditure
Year Cash Adjusted by the GDP 1990–91 prices
1987–88 404 499
1988–89 411 474
1989–90 464 5(12
1990–91 506 506
1991–92 618 576
1992–93 633 566

PSS expenditure
Year Cash Adjusted by GDP deflator Adjusted for input unit cost
1974–75 602 3,062 3,262
1975–76 798 3,233 3,595
1976–77 90S 3,230 3,599

HCHS capital net expenditure (including trusts1 capital expenditure)
Year Cash Adjusted by GDP 1990–91 prices Adjusted input unit costs 1990–91 prices
A B A B A B
1974–75 — 242 — 1,100 — 1,043
1975–76 — 525 — 1,181 — 1,075
1976–77 — 355 — 1,133 — 1,046
1977–78 — 314 — 881 — 809
1978–79 — 357 — 904 — 824
1979–80 — 392 — 850 — 749
1980–81 — 536 — 983 — 814
1981–82 — 645 — 1,080 — 950
1982–83 — 675 — 1,055 — 979
1983–84 — 685 — 1,022 — 972
1984–85 — 760 — 1,080 — 1,035
1985–86 — 796 — 1,072 — 1,024
1985–86 888 — 1,195 — 1,142 —
1986–87 892 — 1,162 — 1,093 —
1987–88 902 — 1,115 — 1,051 —
1988–89 906 — 1,044 — 998 —
1989–90 1,191 — 1,288 — 1,202 —
1990–91 1,372 — 1,372 — 966 —
1991–92 1,427 — 1,331 — — —
1992–93 1,856 — 1,660 — — —

Note:

(a) All figures in HCHS, capital and current, and CHMS have been adjusted to reflect the transfer of public health laboratory services from the HCHS to CHMS.

(b) Figures in column A have been adjusted to reflect the transfer of the family health service administration, the family health services cash limited spending and the Disablement Services Authority partly to the HCHS and partly to CH MS, (and also take account of changes since 1990–91 relating to the NHS reforms). Figures in column B do not reflect these transfers and are therefore nut comparable with those for later years.

(c) CHMS figures only available from 1987-88 onwards. There is no pay and price index for the CHMS.

(d) 1991–;92 figures are provisional and 1992–93 figures ale estimated outturn.

Year Cash Adjusted by GDP deflator Adjusted for input unit cost
1977–78 988 3,101 3,584
1978–79 1,115 3,156 3,735
1979–80 1,375 3,336 3,907
1980–81 1,703 3,492 4,026
1981–82 1,879 3,513 3,695
1982–83 2,051 3,580 3,764
1983–84 2,218 3,700 3,861
1984–85 2,361 3,751 3,949
1985–86 2,453 3,694 3,886
1986–87 2,727 3,974 4,122
1987–88 3,073 4,249 4,326
1988–89 3,421 4,411 4,512
1989–90 3,893 4,709 4,772
1990–91 4,390 4,909 4,944
1991–92 4,809 5,025 5,061
1992–93 5,186 5,186 5,186