§ Mr. AlexanderTo ask the Secretary of State for Health how many managers and administrators are currently employed by(a) regional health authorities, (b) district health authorities and (c) family health service authorities; at what cost to taxpayers; and what were the corresponding figures in 1991 and 1992.
§ Dr. MawhinneyThe available information is shown in the tables.
Table 1 General and senior managers and administrative and clerical staff employed in the Regional/District Health Authority structure at 30 September—whole time equivalents. 1991 1992 General/senior managers 10,640 10,470 Administrative and Clerical 100,660 82,530
Table 2 General and senior managers and administrative and clerical staff employed in Family Health Service Authorities in England at 30 September—whole time equivalents 1991 1992 General/senior managers 790 1,040 Administrative and clerical 4,650 5,240 Source: DH Form KM49.
Notes:
1. Table 1 provides the numbers of staff in regional health authority and district health authority headquarters and directly managed units; NHS trusts, the London ambulance service, special health authorities and other statutory authorities are excluded.
2. A small number of FHSA staff are employed by the RHAs and are included in table 1. These staff are excluded from the FHSA figures given in table 2.
3. Figures are rounded to the nearest 10 whole-time equivalents.
4. 30 September 1992 is the latest date for which information is
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Table 3 Salaries and Wages Costs of General and Senior Managers in England £000s 1990–91 1991–92 1992–93 Regional Health Authorities 24,142 46,922 59,106 District Health Authorities 223,221 277,179 290,149
Table 4 Salaries and Wages Costs of Administration and Clerical Staff in England £000s 1990–91 1991–92 1992–93 Regional Health Authorities 114,146 131,275 109,104 District Health Authorities 1,050,370 1,056,824 920,570 Sources:
1. Annual accounts of RHAs and DHAs for 1990–91.
2. Annual financial returns of RHAs and DHAs for 1991–92 and 1992–93.
Notes:
1. The figures are for RHAs and DHAs. They include directly managed units, but exclude NHS Trusts, special health authorities and other statutory authorities.
2. 1992–93 figures are provisional.
3. The figures for general and senior managers should be treated with caution because the national increase in their number—and hence salary costs—is largely due to the reclassification of other professional and administrative staff as general and senior managers.
Table 5 Salaries and Wages Costs of all Staff in FHSA's in England 1990–91 1991–92 1992–93 £000s £000s £000s Family health services authorities 67,393 88,564 111,480 Source: Annual accounts of FHSAs.
Notes:
1. Salaries and wages costs are not identified in separate categories for FHSA staff. The majority of expenditure will be for administration/ management staff.
2. Figures for 1992–93 are provisional.
3. "Salaries and wages costs" represent all employers' costs including gross salaries, national insurance and employers' pension costs.