§ Mr. HarveyTo ask the Secretary of State for Health how many managers and administrators were employed by the NHS in each of the last five years; at what cost;320W what was the total cost to the NHS of management and administration in each of those years; and if he will make a statement. [112400]
§ Mr. DenhamThe available information is contained in the tables.
National Health Service Hospital and Community Health Services (HCHS): Administration and estates staff working in the senior
manager, manager, and clerical and administrative areas of work,
in England as at 30 September of each year
whole-time equivalent 1995 1996 1997 1998 Senior Managers and Managers 20,050 20,590 21,430 21,850 Administrative and Clerical 133,12 132,29 131,86 132,96 Notes:
Figures are rounded to the nearest ten
Figures from before 1995 were not collected on a comparable basis
Source:
Department of Health Non-Medical Workforce Census
Paybill for Administrative and Clerical Staff, Managers and Senior Managers, in the NHS in England for 1994–95 to 1998–99 £ million Managers and Senior Managers Administrative and Clerical 1994–95 716 1,582 1995–96 792 1,647 1996–97 867 1,731 1997–98 912 1,766 1998–99 953 1,866 Source:
Health Authority and NHS Trust financial returns
Paybill costs of staff in senior management, management and administrative and clerical grades are not a reliable indicator of overall administration costs because they include, for example, large numbers of support staff employed to enable medical staff to concentrate on treating patients. In addition, salary measures do not include the non-staff costs of management, such as Health Authority accommodation.
Expenditure against the published definition of NHS management costs is the most reliable indicator of the cost of administration in the NHS. The definition of management costs includes the staff costs of managers in Health Authorities, Primary Care Groups and NHS Trusts, as well as non-staff of HAs and PCGs.
Total NHS Management costs in 1998–99 prices £ million 1995–96 2,063 1996–97 1,949 1997–98 1,846 1997–98 11,928 1998–99 1,870 1 Rebased Note:
The definition of management costs was revised for 1998–99 to capture some management activity previously excluded, mainly related to NHS Trusts purchasing private sector support services. To provide a consistent time series, the 1997–98 figure was rebased on the new definition.
Source:
Health Authority and NHS Trust annual accounts