HC Deb 05 March 1993 vol 220 cc314-5W
Ms Primarolo

To ask the Secretary of State for Health what is the amount of money in real terms spent from the national health service budget per head of population for each family health service authority, district health authority and regional health authority in(a) 1991–92 and (b) 1992–93.

Mr. Sackville

The allocation of funds to district health authorities (DHAs) is a matter for regional health authorities (RHAs) and detailed information is not collected centrally. The spending of family health services authorities (FHSAs) is primarily demand-led and funded accordingly. However, information which relates the 1991–92 total revenue expenditure of RHAs, DHAs and FHSAs to their resident populations have been placed in the Library. Similar information for 1992–93 will be available towards the end of the year.

The figures for the FHSAs do not include the full cost of general dental services as the Dental Practice Board became responsible for making most payments direct to dental practitioners from 1 April 1991. Consequently the figures are not fully comparable with those for earlier years. I refer the hon. Member to my reply to the hon. Member for Don Valley (Mr. Redmond) on 7 December 1992 at columns 515–20.

The RHA and DHA figures for 1991–92 are not comparable with those for earlier years as they show the authorities primarily as purchasers rather than providers of health care. The figures for DHAs will vary significantly reflecting a transitional position as each RHA moves towards allocating funds to DHAs on a weighted capitation basis. Figures for total spending per capita include other resources (such as regional budgets and local income) in addition to allocations for resident population.

General and acute activity growth by region 1989–90 to 1992–93 Ordinary admissions and day cases
Changes Overall
1989–90 1990–91 1991–92 1992–92 @ Q3 1989–90 to 1990–91 1990–91 to 1991–92 1991–92 to 1992–93 1989–90 to 1992–93
Actual Actual Actual Forecast Actual per cent. Actual per cent. Forecast per cent. Forecast per cent.
A Northern 487,996 505,216 532,953 564,980 3.5 5.5 6.0 15.8
B Yorkshire 564,200 580,596 614,400 659,560 2.9 5.8 7.4 16.9
C Trent 619,246 641,330 666,702 705,949 3.6 7.1 2.8 14.0
D East Anglia 282,671 285,833 305,930 324,239 1.1 7.0 6.0 14.7
E North West Thames 434,450 427,509 468,976 524,638 -1.6 9.7 11.9 20.8
F North East Thames 540,113 547,003 587,704 606,363 1.3 7.4 3.2 12.3
G South East Thames 493,396 490,349 534,695 553,668 ‭0.6 9.0 3.5 12.2
H South West Thames 360,174 356,058 392,617 410,082 -1.1 10. 3 4.4 13.9
J Wessex 391,005 409,328 446,205 477,409 4.7 9.0 7.0 22.1
K Oxford 297,099 288,064 311,548 345,501 ‭3.0 8.2 10.9 16.3
L South Western 461,908 461,902 505,148 538,226 0.0 9.4 6.5 16.5
M West Midlands 709,679 735,613 782,583 793,803 3.7 6.4 1.4 11.9
N Marsey 392,991 397,085 424,739 437,169 1.0 7.0 2.9 11.2
P North Western 696,469 710,967 751,267 758,796 2.1 5.7 1.0 8.9
S Special Health Authorities 102,498 103,945 111,534 108,860 1.4 7.3 ‭2.4 6.2
T England 6,833,895 6,940,798 7,457,001 7,809,243 1.6 7.4 4.7 14.3

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