§ Ms PrimaroloTo ask the Secretary of State for Health what is the budget for each regional health authority in real terms in each year from 1990 to 1995.
§ Mr. SackvilleRevenue expenditure by regional health authority for the years 1990–91, 1991–92 and 1992–93 is shown in the table. Figures are at 1990–91 prices. Information is not yet available for subsequent years.
Regional Health Authority Expenditure 1990–91 1991–92 1992–93 £ £ £ Northern RHA 27,478,537 59,513,076 76,381,350 Yorkshire RHA 42,094,481 61,031,661 120,150,053 Trent RHA 21,981,765 163,408,188 156,923,670 East Anglian RHA 19,510,247 42,799,580 47,488,086 North West Thames RHA 18,672,204 54,023,761 110,434,860 North East Thames RHA 26,709,607 177,877,094 206,053,038 South East Thames RHA 32,250,181 234,430,266 144,510,066 South West Thames RHA 70 499 365 139 774 170 151,590,767 Wessex RHA 14,664,593 23,456,189 88,797,258 Oxford RHA 15,815,923 46,282,644 51,341,427 South Western RHA 13,755,806 80,806,944 87,290,815 West Midlands RHA 53,916,553 104,086,235 130,368,208 Mersey RHA 14,706,421 22,465,660 35,066,712 North Western RHA 26,804,020 61,085,551 68,555,968 Source: Annual accounts for regional health authorities.
Notes
1. The table shows the total revenue expenditure of regional health authorities—RHAs.
2. The figures for 1991–92 and 1992–93 are not comparable with those for 1990–91—which pre-date the national health service reforms. In particular:
784WThe introduction of capital charges and other changes in accounting policy mean that the figures do not have the same basis.
Many RHAs became directly involved in the purchase of healthcare and related services for their region. Their 1991–92 and 1992–93 expenditure, therefore, includes substantial costs for patient treatment incurred under contracts with healthcare providers.
3. Following the implementation of the NHS reforms significant variations developed in the extent to which RHAs took on, retained or devolved, management support and operational services and the purchase of healthcare and in the extent to which their costs were borne or recharged to users. The expenditure of individual RHAs has also been influenced by other factors including variations in the size of the total populations served and the number of district health authorities comprising each region.