§ Mr. MilburnTo ask the Secretary of State for Health (1) what was the total pay bill for(a) managerial staff, (b) administrative and clerical staff, (c) nursing and midwifery staff, (d) medical staff and (e) ancillary staff in each region of the NHS in each year since 1989;
(2) what is the average cost of employing each managerial staff member in the NHS;
(3) what was the total pay bill for (a) managerial staff, (b) administrative and clerical staff, (c) nursing and midwifery staff, (d) medical staff and (e) ancillary staff of the NHS in England in each year since 1989.
§ Dr. Mawhinney[holding answer 18 January 1993]: Analyses of the annual total salaries and wages costs for hospital and community health services (HCHS) in England are shown in the tables. The figures for 1991–92 are provisional.
The average gross pay costs of employing a whole-time general or senior manager in 1991–92 was approximately £31,000.
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HCHS—Expenditure on salaries and wages 1989–90 £000 (cash) Region General and Senior Managers Administrative and Clerical staff Nursing and Midwifery staff Medical staff Ancillary staff All other staff Total Northern 9,809 59,873 327,831 93,683 59,834 103,285 654,315 Yorkshire 13,035 68,955 355,540 103,543 58,598 130,941 730,611 Trent 9,183 90,140 451,088 125,776 86,490 156,349 919,025 East Anglian 8,505 36,648 193,638 54,868 35,166 71,833 400,658 North West Thames 13,778 77,690 350,313 111,860 51,511 154,204 759,357 North East Thames 19,180 101,809 431,427 138,033 85,665 203,574 979,688 South East Thames 12,959 98,880 381,547 114,443 71,195 157,768 836,792 South West Thames 9,230 72,451 304,296 85,108 49,876 153,005 673,966 Wessex 8,648 52,498 278,293 74,506 46,679 93,274 553,899 Oxford 5,402 48,151 216,270 65,414 32,244 79,021 446,501 South Western 11,573 59,830 326,431 84,687 51,142 111,667 645,330 West Midlands 17,007 110,015 503,545 145,171 92,504 177,848 1,046,090 Mersey 8,399 52,959 258,812 74,885 42,625 87,762 525,442 North Western 9,773 90,513 448,128 129,066 76,097 145,171 898,747 SHAs 2,362 18,245 66,060 36,636 10,426 50,805 184,534 England Totals 158,844 1,038,657 4,893,219 1,437,676 850,053 1,876,506 10,254,955
HCHS—Expenditure on salaries and wages 1990–91 £000 (cash) Region General and Senior Managers Administrative and Clerical staff Nursing and Midwifery staff Medical staff Ancillary staff All other staff Total Northern 15,301 68,294 351,182 103,492 61,433 116,663 716,365 Yorkshire 23,502 76,647 380,633 115,336 59,614 146,208 801,940 Trent 14,969 102,750 484,754 139,725 89,687 175,125 1,007,009 East Anglian 11,232 43,159 211,961 62,127 37,190 80,766 446,435 North West Thames 19,568 94,959 373,184 120,722 50,384 163,728 822,545 North East Thames 29,011 116,802 467,107 148,854 85,613 216,304 1,063,691 South East Thames 19,933 111,716 412,477 127,686 72,806 167,778 912,397 South West Thames 16,167 83,251 328,232 93,518 51,097 161,443 733,708 Wessex 15,718 58,770 299,341 82,274 46,918 103,738 606,760 Oxford 10,123 55,314 234,391 72,106 32,804 87,900 492,638 South Western 15,670 70,223 353,054 92,927 54,289 125,014 711,177 West Midlands 23,498 123,706 543,884 160,645 97,803 204,872 1,154,408 Mersey 13,801 58,602 270,931 83,382 42,288 97,028 566,032 North Western 18,870 100,325 477,019 142,292 71,874 163,833 974,213 SHAs 4,111 22,513 70,730 40,263 11,185 53,927 202,729 England Totals 251,475 1,187,029 5,258,882 1,585,351 864,985 2,064,325 11,212,046
HCHS—Expenditure on salaries and wages 1991–92 £000 (cash) Region General and Senior Managers Administrative and Clerical staff Nursing and Midwifery staff Medical staff Ancillary staff All other staff Total Northern 21,007 74,453 357,000 104,844 59,979 121,775 739,058 Yorkshire 27,129 71,166 346,178 93,480 46,275 127,696 711,923 Trent 24,547 110,586 488,210 143,992 84,816 179,762 1,031,912 East Anglian 14,833 47,768 221,075 69,079 39,527 83,692 475,974 North West Thames 25,020 103,337 366,548 117,086 46,246 149,101 807,338 North East Thames 33,824 112,462 417,118 126,804 69,135 176,245 935,588 South East Thames 27,186 115,472 414,065 125,237 65,765 155,083 902,807 South West Thames 19,595 84,719 285,757 80,749 44,964 149,365 665,149 Wessex 21,698 66,360 309,975 88,333 46,354 111,118 643,838 Oxford 15,622 62,209 255,309 79,346 32,989 96,428 541,903 South Western 14,860 52,830 243,011 62,379 36,749 90,818 500,647 West Midlands 34,907 136,390 567,466 184,334 96,743 230,994 1,250,833 Mersey 12,391 42,190 172,056 57,076 22,207 62,420 368,340 North Western 28,864 106,841 490,832 143,869 67,196 169,232 1,006,835 SHAs 5,440 26,702 84,210 43,910 12,950 56,224 229,436 NHS Trusts 54,538 168,578 747,160 294,836 129,352 344,072 1,738,536 England Totals 381,461 1,382,064 5,765,968 1,815,353 901,248 2,304,024 12,550,118 Sources:
(a) Annual accounts (1989–90 and 1990–91) and annual financial returns (1991–92) of regional and district health authorities in England and
86W87Wthose of the special health authorities for the London postgraduate teaching hospitals. (Annual financial returns of the first wave national health service trusts–1991–92.)
(b) Annual census of manpower as at 30 September 1991 (Department of Health).
Notes to the tables:
- 1. HCHS covers the total expenditure by the health authorities and the national health service trusts including hospital, community health, patient transport (i.e. ambulances), blood transfusion and other services.
- 2. The figures are for gross pay costs including employers' national insurance and superannuation contributions. Some columns and rows may not add up precisely because of roundings.
- 3. The figures for "all other staff" include dental, ambulance, maintenance and professional and technical staff together with the total costs of all the categories of non-national health service (agency, etc.) staff.
- 4. Salaries and wages costs incurred by family health services authorities and special health authorities providing central services to the national health service are excluded.
- 5. The decrease in nursing and midwifery pay as a proportion of total is partially attributable to senior nurses being regraded to senior manager pay scales.