Mental Illness Services

asked the Secretary of State for Social Services if she will list, for the North West Thames Regional Health Authority, for each of the years 1965 to 1975 and as estimates for 1976 to 1980, (a) the total NHS capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the mentally ill, (d) (b) as a proportion of (a), (e) (c) as a proportion of (a), (f) the total NHS revenue expenditure,

NORTH WEST THAMES REGIONAL HEALTH AUTHORITY
		Total capital expenditure £000	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure £000	mentally ill £000	mentally handicapped £000	mentally ill Percentage	mentally handicapped Percentage
1964–65	…	6,275	383	138	6·1	2·2
1965–66	…	7,416	807	141	10·9	1·9
1966–67	…	6,236	589	121	9·5	1·9
1967–68	…	6,923	617	452	8·9	6·5
1968–69	…	8,491	747	457	8·8	5·4
1969–70	…	11,771	590	323	5·0	2·7
1970–71	…	11,719	1,093	379	9·3	3·2
1971–72	…	12,831	1,483	475	11·6	3·7
1972–73	…	15,136	1,875	538	12·4	3·6
1973–74	…	19,331	2,196	617	11·4	3·2
1974–75^*	…	16,700	2,103	548	12·6	3·3
1975–76^*	…	19,700	Not available	Not available	Not available	Not available
^* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are no included in total expenditure for 1964–65 to 1973–74.
Allocations of capital for 1976–77 onwards have not yet been made

Expenditure on family practitioner services and local health authority services has not been analysed so the total revenue expenditure in areas now covered by regional health authorities is not available. Also it is not possible to segregate fully expenditure on services for the mentally ill and mentally handicapped from that on other services.

( g) the total revenue expenditure on services for the mentally handicapped, and ( h) the total revenue expenditure on services for the mentally ill.

asked the Secretary of State for Social Services what was the total capital expenditure for services to (a) the mentally ill and (b) the mentally handicapped in the North West Thames Regional Health Authority in the years 1965 to 1975; and what proportions these sums were of all capital expenditure on National Health Service projects during this period.

Following are the figures:The table below gives for the former regional hospital board areas and for England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.

NORTH WEST METROPOLITAN REGIONAL HOSPITAL BOARD—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in					1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness	…	…	…	…	5,492	6,025	6,413	6,701	7,490	7,969	9,587	11,306	12,450	14,093
(b) Mental Handicap	…	…	…	…	2,531	2,827	2,969	3,173	3,420	4,131	4,729	5,213	6,757	8,304
2. All Regional Hospital Board Hospitals				…	35,947	39,226	42,391	45,081	46,904	50,891	60,244	70,231	81,423	93,928
3. All Hospitals—England^*	…	…	…	…	465,428	515,722	554,717	591,518	645,264	702,689	830,597	974,693	1,117,285	1,297,903
Total Revenue Expenditure Regional Hospital Board					42,216	45,716	49,350	52,396	54,396	58,929	70,107	81,341	94,107	107,933
Total Revenue Expenditure England^*			…	…	526,138	580,253	642,921	667,350	725,703	792,030	940,616	1,100,273	1,262,679	1,461,574
^* Including hospitals administered by boards of governors of teaching hospitals.
Accounts for 1974–75 and regional estimates of expenditure for subsequent years are not yet available but the revenue allocations for 1974–75 and 1975–76 to the North West Thames Regional Health Authority were £178·429 million and £184·242 million respectively. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services if she will list, for the East and West Midlands Regional Health Authority, for each of the years 1965 to 1975 and as estimates for 1976 to 1980, (a) the total NHS capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure

WEST MIDLANDS REGIONAL HEALTH AUTHORITY
		Total capital expenditure£000	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure£000	mentally ill£000	mentally handicapped£000	mentally ill Percentage	mentally handicapped Percentage
1964–65	…	7,647	446	1,104	5·8	14·4
1965–66	…	8,867	427	309	4·8	3·5
1966–67	…	8,675	308	114	3·6	1·3
1967–68	…	9,960	802	107	8·1	1·1
1968–69	…	9,528	1,175	50	12·3	0·5
1969–70	…	7,497	109	186	1·5	2·5
1970–71	…	9,869	972	707	9·8	7·2
1971–72	…	15,131	1,822	664	12·0	4·4
1972–73	…	18,240	1,680	1,106	9·2	6·1
1973–74	…	17,180	790	827	4·6	4·8
1974–75^*	…	24,800	1,090	1,040	4·4	4·2
^* Estimated.

TRENT REGIONAL HEALTH AUTHORITY
		Total capital expenditure£000	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure£000	mentally ill £000	mentally handicapped £000	mentally ill Percentage	mentally handicapped Percentage
1964–65	…	4,519	444	218	9·8	4·8
1965–66	…	5,093	516	115	10·1	2·3
1966–67	…	1,904	1,126	240	14·3	3·0
1967–68	…	9,903	895	326	9·0	3·3
1968–69	…	9,205	829	95	9·0	1·0
1969–70	…	8,306	815	98	9·8	1·2
1970–71	…	10,340	535	457	5·2	4·4
1971–72	…	15,005	578	929	3·8	6·2
1972–73	…	19,511	488	1,128	2·5	5·3
1973–74	…	22,383	838	1,376	3·7	6·2
1974–75^*	…	28,800	712	1,240	2·5	4·3
^* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.
Allocations of capital for 1976–77 onwards have not yet been made.

Expenditure on family practitioner services and local health authority services has not been analysed so the total revenue expenditure in areas now covered by regional health authorities is not available. Also it is not possible to segregate fully expenditure on services for the mentally ill and mentally handicapped from that on other services.

on services for the mentally ill, ( d) ( b) as a proportion of ( a), ( e) ( c) as a proportion of ( a), ( f) the total NHS revenue expenditure, ( g) the total revenue expenditure on serveces for the mentally handicapped, and ( h) the total revenue expenditure on services for the mentally ill.

Following are the figures:The table below gives for the former regional hospital board areas and for England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.

BIRMINGHAM REGIONAL HOSPITAL BOARD AREA—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in					1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness	…	…	…	…	6,152	6,852	7,206	7,472	8,158	8,704	10,136	11,877	13,596	15,732
(b) Mental Handicap	…	…	…	…	2,405	2,757	3,035	3,234	3,639	3,909	4,704	5,674	6,504	7,573
2. All Regional Hospital Board Hospitals				…	37,997	42,443	45,802	48,948	53,348	58,018	69,211	81,731	93,379	109,387
3. All Hospitals—England^*	…	…	…	…	465,428	515,722	554,717	591,518	645,264	702,689	830,597	974,693	1,117,285	1,297,903
Total Revenue Expenditure Regional Hospital Board					43,500	48,369	52,298	56,047	61,059	66,944	80,330	94,649	108,453	126,269
Total Revenue Expenditure England^*			…	…	526,138	580,253	642,921	667,350	725,703	792,030	940,616	1,100,273	1,262,679	1,461,574

SHEFFIELD REGIONAL HOSPITAL BOARD AREA—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in					1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness	…	…	…	…	5,283	5,743	5,920	6,221	6,840	7,341	8,368	9,790	11,378	13,331
(b) Mental Handicap	…	…	…	…	2,161	2,389	2,596	2,761	3,049	3,356	4,053	5,099	6,003	7,160
2. All Regional Hospital Board Hospitals				…	31,986	35,483	37,957	40,630	44,282	48,503	57,409	68,620	78,961	93,935
3. All Hospitals—England^*	…	…	…	…	465,428	515,722	554,717	591,518	645,264	702,689	830,597	974,693	1,117,285	1,297,903
Total Revenue Expenditure Regional Hospital Board					36,576	40,390	43,314	46,404	50,428	55,372	66,048	78,461	90,402	106,637
Total Revenue Expenditure England^*			…	…	526,138	580,253	642,921	667,350	725,703	792,030	940,616	1,100,273	1,262,679	1,461,574
^* Including hospitals administered by boards of governors of teaching hospitals.
Accounts for 1974–75 and regional estimates of expenditure for subsequent years are not yet available, but the revenue allocations for 1974–75 and 1975–76 to West Midlands Regional Health Authority were £193·296 million and £204·359 million respectively. The allocations to the Trent Regional Health Authority were £159·307 million and £169·355 million. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services if she will list, for the Yorkshire Regional Health Authority, for each of the years 1965 to 1975 and as estimates for 1976 to 1980, (a) the total NHS capital expenditure, (b) the total capital expenditure on services for the mentally handicapped, (c) the total capital expenditure on services for the

YORKSHIRE REGIONAL HEALTH AUTHORITY
		Total capital expenditure	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure	mentally ill	mentally handicapped	mentally ill	mentally handicapped
		£000	£000	£000	Percentage	Percentage
1964–65	…	6,989	467	20	6·7	0·3
1965–66	…	5,917	582	70	9·8	1·2
1966–67	…	4,482	374	111	8·3	2·5
1967–68	…	5,444	293	186	5·4	3·4
1968–69	…	7,101	699	321	9·8	4·5
1969–70	…	4,880	450	478	9·2	9·8
1970–71	…	5,801	266	1,120	4·6	19·3
1971–72	…	8,271	714	1,178	8·6	14·2
1972–73	…	11,094	1,215	840	11·0	7·6
1973–74	…	12,707	981	664	7·7	5·2
1974–75^*	…	18,700	620	194	3·3	1·0
^* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.
Allocations of capital for 1976–77 onwards have not vet been made.

Expenditure on family practitioner services and local health authority services has not been analysed so the total revenue expenditure in areas now covered by regional health authorities is not available. Also it is not possible to segregate fully expenditure on services for the mentally ill and mentally handicapped from that on other services.

mentally ill, ( d) ( b) as a proportion of ( a), ( e) ( c) as a proportion of ( a), ( f) the total NHS revenue expenditure, ( g) the total revenue expenditure on services for the mentally handicapped, and ( h) the total revenue expenditure on services for the mentally ill.

Following are the figures.The table below gives for the former regional hospital board areas and for England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.

LEEDS REGIONAL HOSPITAL BOARD AREA—HOSPITAL EXPENDITURE
£ thousands
Analysed Revenue Expenditure in					1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
1. Regional Hospital Board Hospital for:
(a) Mental Illness	…	…	…	…	5,063	5,465	6,027	6,221	6,701	7,157	8,226	9,581	10,670	12,320
(b) Mental Handicap	…	…	…	…	1,802	1,992	2,116	2,209	2,515	2,787	3,460	4,255	4,987	5,800
2. All Regional Hospital Board Hospitals				…	28,588	31,901	34,628	37,048	40,388	43,591	51,404	60,688	68,394	79,748
3. All Hospitals—England^*	…	…	…	…	465,428	515,722	554,717	591,518	645,264	702,689	830,597	974,693	1,117,285	1,297,903
Total Revenue Expenditure Regional Hospital Board					32,406	35,971	39,077	41,881	45,495	49,193	58,324	68,570	77,384	89,931
Total Revenue Expenditure England*			…	…	526,138	580,253	642,921	667,350	725,703	792,030	940,616	1,100,273	1,262,679	1,461,574
^* Including hospitals administered by boards of governors of teaching hospitals.
Accounts for 1974–75 and regional estimates of expenditure for subsequent years are not yet available but the revenue allocations for 1974–75 and 1975–76 to the Yorkshire Regional Health Authority were £142·148 million and £149·648 million respectively. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the Trent Regional Health Authority for the years 1965 to 2975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the East Anglia Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the South-East

CAPITAL EXPENDITURE ON SERVICES FOR MENTALLY HANDICAPPED
£000
Regional Authority^*			1964–65	1965–66	1966–67	1967–68	1968–69	1969–70
Trent	…	…	218	115	240	326	95	98
South East Thames			43	109	95	79	60	308
Mersey	…	…	185	382	456	255	65	212
East Anglia	…	…	322	495	320	229	261	305
West Midlands		…	1,104	309	114	107	50	186
Oxford	…	…	385	482	229	238	821	772

Regional Health Authority^*			1970–71	1971–72	1972–73	1973–74	1974–75 (estimated)
Trent	…	…	457	929	1,128	1,376	1,240
South East Thames			263	289	485	800	613
Mersey	…	…	116	90	81	78	108
East Anglia	…	…	171	361	152	263	802
West Midlands		…	707	664	1,106	827	1,040
Oxford	…	…	943	1,011	844	527	384
^* Figures for 1964–65 to 1973–74 relate to the former Regional Hospital Board and Board of Governors.

asked the Secretary of State for Social Services (1) what is the estimated total annual revenue expenditure on services for the mentally ill for the Oxford Regional Health Authority for the years 1976 to 1980;(2) what is the estimated total annual revenue expenditure on services for the mentally ill for the East Anglia Regional Health Authority for the years 1976 to 1980;(3) what is the estimated proportion of total NHS capital expenditure for the years 1976 to 1980 which will be spent in the East Anglia Regional Health Authority on services for the mentally handicapped.

asked the Secretary of State for Social Services (1) what is

Thames Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the Mersey Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the West Midlands and Oxford Regional Health Authorities for the years 1965 to 1975.

The figures are shown in the following table:the estimated total annual National Health Service capital expenditure in the East Anglia Regional Health Authority on services for the mentally handicapped for the years 1976 to 1930;(2) what is the estimated proportion of total NHS capital expenditure for the years 1976 to 1980, which will be spent on the mentally sick and handicapped in the North East Thames Regional Health Authority.

asked the Secretary of State for Social Services (1) what is the estimated proportion of total NHS capital expenditure for the years 1976 to 1980 which will be spent in the Oxford Regional Health Authority on services for the mentally handicapped;

(2) what is the estimated total annual revenue expenditure on services for the mentally handicapped in the East Anglia Regional Health Authority for the years 1976 to 1980;

(3) what is the estimated proportion of the total annual National Health Service capital expenditure in the East Anglia Regional Health Authority for the years 1976 to 1980 for services for the mentally ill.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the South East Thames Regional Health Authority for the years 1976 to 1980, and the estimated total annual National Health Service capital expenditure by that authority on services for the mentally handicapped for the same years.

asked the Secretary of State for Social Services what is the estimated proportion of total National Health Service capital expenditure for the years 1976 to 1980 which will be spent in the South-East Thames Regional Health Authority on services for the mentally handicapped.

asked the Secretary of State for Social Services if she will list, for the Northern Regional Health Authority, her estimates for each of the years 1976 to 1980 of (a) total National Health Service capital expenditure as a whole and for services for the mentally handicapped, (b) total National Health Service revenue expenditure on services for the mentally handicapped, and (c) the proportion of total capital expenditure which will be spent on services for the mentally handicapped.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the Trent Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the Wessex and North Thames Regional Health Authorities for the years to 1976 to 1980.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally handicapped in the North Western Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the Northern Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services (1) what is the estimated proportion of the total annual capital expenditure for the Oxford Region for 1976 to 1978 for services for the mentally ill;(2) what is the estimated annual NHS capital expenditure in the Oxford Regional Health Authority for 1976 to 1980;(3) what is the estimated total annual revenue expenditure on services for the mentally handicapped in the Oxford Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services (1) what is the estimated total annual revenue expenditure on services for the mentally handicapped in the Mersey Regional Health Authority for the years 1976 to 1980;(2) what is the estimated total annual revenue expenditure on services for the mentally ill for the Mersey Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services what is the estimated total annual revenue expenditure on services for the mentally ill for the North-Western Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services what is the estimated annual National Health Service capital expenditure in the North-West and East Anglia Regional Health Authorities on services for the mentally ill for the years 1976 to 1980.

asked the Secretary of State for Social Services (1) what was the estimated total annual revenue expenditure on services for the mentally handicapped in the West Midlands and Wessex Regional Health Authorities for the years 1976 to 1980;(2) what is the estimated total annual revenue expenditure on services for the mentally handicapped in the South-East Thames and West Midlands Regional Health Authority for the years 1976 to 1980.

asked the Secretary of State for Social Services (1) what is the estimated total annual National Health Service capital expenditure in the South Western Regional Health Authority on services for the mentally handicapped for the years 1976 to 1980; and what for the same years is the estimated proportion of total NHS capital expenditure which will be spent in this authority on services for the mentally handicapped;(2) what is the estimated total annual revenue expenditure on services for the mentally ill for the South Western Regional Health Authority for the years 1976 to 1980;(3) what is the estimated annual National Health Service capital expenditure in the South Western Regional Health Authority on services for the mentally ill for the years 1976 to 1980;(4) what is the estimated total National Health Service capital expenditure in the Oxford and South West Regional Health Authorities for the years 1976, 1977, 1978, 1979, and 1980.

asked the Secretary of State for Social Services what is the estimated annual National Health Service capital expenditure in the Trent Regional Health Authority on services for the mentally ill for the years 1976 to 1980.

The information is not available as the authorities have not completed their consideration of the estimates of expenditure for 1975–76, and alloca- tions for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the East Anglia Regional Health Authority.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the South-East Thames Regional Health Authority.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the Oxford and North-West Thames Regional Health Authorities.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the Trent Regional Health Authority.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the Mersey Regional Health Authority.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure for the years 1965 to 1975 was spent on services for the mentally handicapped in the South Western Regional Health Authority.

The figures are given in the following table:

PROPORTION OF TOTAL CAPITAL EXPENDITURE IN REGION SPENT ON SERVICES FOR THE MENTALLY HANDICAPPED
Percentage
Regional Health Authority			1964–65	1965–66	1966–67	1967–68	1968–69	1969–70
East Anglia	…	…	14·8	16·0	9·5	4·5	5·0	5·2
North West Thames			2·2	1·9	1·9	6·5	5·4	2·7
Oxford	…	…	10·9	13·3	6·1	6·1	18·7	14·7
Mersey	…	…	8·9	12·0	8·9	4·5	1·2	3·6
Trent	…	…	4·8	2·3	3·0	3·3	1·0	1·2
South East Thames			1·0	2·4	1·8	1·3	0·8	3·1
South Western		…	2·8	0·8	2·4	4·6	1·8	5·9
Regional Health Authority			1970–71	1971–72	1972–73	1973–74	1974–75 (estimated)
East Anglia	…	…	2·4	4·9	1·9	2·7	6·2
North West Thames			3·2	3·7	3·6	3·2	3·3
Oxford	…	…	12·0	12·5	9·4	4·8	2·1
Mersey	…	…	1·6	1·0	0·8	0·8	0·8
Trent	…	…	4·4	6·2	5·8	6·1	4·3
South East Thames			2·3	2·0	3·0	4·7	3·0
South Western		…	5·8	4·1	6·3	4·0	2·9
Notes:
1. Figures for 1964·65 to 1973·74 relate to the former Regional Hospital Board and Board of Governors.
2. For 1974·75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964·65 to 1973·74.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the Oxford Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the South East Thames Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for the Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the East Anglia Regional Health Authority for the years 1965 to 1975.

CAPITAL EXPENDITURE ON SERVICES FOR MENTALLY ILL
£000
Regional Health Authority^*			1964–65	1965–66	1966–67	1967–68	1968–69	1969–70
East Anglia	…	…	241	462	167	49	123	163
South East Thames			185	115	220	202	334	339
Oxford	…	…	235	295	280	19	157	564
Trent	…	…	444	516	1,126	895	829	815
Mersey	…	…	173	214	262	209	189	696
Wessex	…	…	106	217	291	208	168	282
South Western		…	487	495	365	308	300	208

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the Mersey Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the Trent Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill in the South Western Regional Health Authority for the years 1965 to 1975.

The information is as follows:

Regional Health Authority ^*			1970–71	1971–72	1972–73	1973–74	1974–75 (estimated)
East Anglia	…	…	313	824	1,138	729	474
South East Thames			388	766	901	952	603
Oxford	…	…	603	230	551	393	269
Trent	…	…	535	578	488	838	712
Mersey	…	…	738	887	823	642	738
Wessex	…	…	337	201	313	244	668
South Western		…	157	625	1,083	826	689
^* Figures for 1964–65 to 1973–74 relate to the former Regional Hospital Board and Board of Governors.

asked the Secretary of State for Social Services if she will list, for the Northern Regional Health Authority (a) the total NHS capital expenditure, (b) the total NHS capital expenditure on services for the mentally ill and the mentally handicapped,

NORTHERN REGIONAL HEALTH AUTHORITY
		Total capital expenditure	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure	mentally ill	mentally handicapped	mentally ill	mentally handicapped
		£000	£000	£000	Percentage	Percentage
1964–65	…	3,158	391	258	12·4	8·2
1965–66	…	2,836	384	71	13·5	2·5
1966–67	…	3,976	801	156	20·1	3·9
1967–68	…	5,035	936	366	18·6	7·3
1968–69	…	4,533	276	1,264	6·1	27·9
1969–70	…	4,806	400	880	8·3	18·3
1970–71	…	5,743	653	539	11·4	9·4
1971–72	…	9,206	1,088	343	11·8	3·7
1972–73	…	12,356	1,445	420	11·7	3·4
1973–74	…	13,482	1,010	342	7·5	2·5
1974–75^*	…	15,400	438	357	2·8	2·3
^* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.

asked the Secretary of State for Social Services if she will list, for the South-East Thames Regional Health Authority, her estimates for each of the years 1976 to 1980 of (a) total NHS revenue expenditure, (b) NHS capital expenditure on services for the mentally ill, and (c) the proportion which the latter represents of total NHS capital expenditure.

The estimated total revenue expenditure in 1975–76 is £188,171,000. The information requested on capital expenditure is not yet available as the authority has not considered its estimates of expenditure for 1975–76. Allocations of capital and revenue for 1976–77 onwards have not yet been made.

respectively, and ( c) the proportion of total capital expenditure represented by capital expenditure on services for the mentally handicapped, respectively, for each of the years 1965 to 1975.

Following are the details:

asked the Secretary of State for Social Services if she will list, for the South East Thames Regional Health Authority, the total National Health Service revenue expenditure, and the sums spent on services for the mentally ill and for the mentally handicapped, respectively, for each of the years 1965 to 1975.

asked the Secretary of State for Social Services what is the total annual National Health Service revenue expenditure on services for the mentally ill for the Trent Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure in the North West and Trent Regional Health Authorities for 1965 to 1975;

asked the Secretary of State for Social Services (1) what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the North Western Regional Health Authority for the years 1965 to 1975;(2) what is the total annual National Health Service revenue expenditure on services for the mentally ill for the North Western Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what was the total annual NHS revenue expenditure for the Mersey Regional Health Authority for the years 1965 to 1975;(2) what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the Mersey Regional Health Authority for the years 1965 to 1975;(3) what is the total annual National Health Service revenue expenditure on services for the mentally ill for the Mersey Regional Health Authority for the years 1965 to 1975;(4) what was the total annual National Health Service capital expenditure in the Mersey Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the Northern Regional Health Authority for the years 1965 to 1975;(2) what is the total annual National Health Service revenue expenditure on services for the mentally ill for the Northern Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the Oxford Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the Trent and North London Regional Health Authority for the years 1965 to 1975;(2) what is the total annual National Health Service revenue expenditure on services for the mentally ill for the Oxford and North London Regional Health Authorities for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what was the total annual National Health Service capital expenditure in the Wessex and North West Regional Health Authorities for the years 1965 to 1975.(2) what was the total annual National Health Service capital expenditure in the North West and South East Thames Regional Health Authorities for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what was the total annual NHS revenue expenditure for the West Midlands and Wessex Regional Health Authorities for the years 1965 to 1975;(2) what was the total National Health Service revenue expenditure for the South Western Regional Health Authority for the years 1965 to 1975;(3) what was the total annual National Health Service revenue expenditure on services for the mentally ill for the Wessex Regional Health Authority for the years 1965 to 1975;

asked the Secretary of State for Social Services what was the total annual revenue expenditure for the East and West Midlands and the Trent Regional Health Authorities for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service revenue expenditure for the West Midlands and Oxford Regional Health Authorities for the years 1965 to 1975.

asked the Secretary of State for Social Services what is the total annual National Health Service revenue expenditure on services for the mentally ill and for the mentally handicapped for the East Anglia Regional Health Authority for the years 1965 to 1975.

asked the Secretary of State for Social Services (1) what is the total annual National Health Service revenue expenditure on services for the mentally handicapped for the Southern, South West and Wessex Regional Health Authorities for the years 1965 to 1975;(2) what was the total annual National Health Service capital expenditure in the Southern and Oxford Regional Health Authorities for the years 1965 to 1975.

Expenditure on family practitioner services and local health authority services has not been analysed by regional hospital boards and total National Health Service expenditure in areas now covered by regional health authorities is therefore not available. Also it is not practicable to segregate fully expenditure on services for the mentally ill and mentally handicapped from that on other services. The tables published below give for each of the former regional hospital boards and for England the total expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill or mentally handicapped. The information covers the 10 years to 1973–74; accounts for 1974–75 are not yet available.

NEWCASTLE REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	3,895	4,256	4,509	4,721	5,064	5,393	6,216	7,398	8,227	9,727
(b) Mental Handicap		…	…	…	…	1,582	1,746	1,824	1,945	2,134	2,389	3,096	3,955	4,488	5,205
Total Revenue Expenditure		…	…	…	…	30,094	33,137	35,325	37,742	40,795	44,095	51,928	63,988	75,365	87,277
Total Capital Expenditure		…	…	…	…	3,023	2,717	3,850	4,710	4,297	4,511	5,426	9,097	12,356	13,482

LEEDS REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIAUST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	5,063	5,465	6,027	6,221	6,701	7,157	8,226	9,581	10,670	13,320
(b) Mental Handicap		…	…	…	…	1,802	1,992	2,116	2,209	2,515	2,787	3,460	4,255	4,887	5,800
Total Revenue Expenditure		…	…	…	…	32,406	35,971	39,077	41,881	45,495	49,193	58,324	68,570	77,384	89,931
Total Capital Expenditure		…	…	…	…	6,842	5,791	4,323	5,299	6,939	4,743	5,595	7,953	10,466	10,870

EAST ANGLIAN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	2,193	2,389	2,545	2,684	2,908	3,229	3,781	4,526	5,324	6,082
(b) Mental Handicap		…	…	…	…	733	813	907	1,024	1,129	1,282	1,600	2,031	2,425	2,858
Total Revenue Expenditure		…	…	…	…	13,008	14,315	15,477	16,715	18,637	20,998	25,308	30,272	35,235	41,606
Total Capital Expenditure		…	…	…	…	1,928	2,814	2,849	3,522	2,718	3,314	4,597	5,135	6,684	7,855

SHEFFIELD REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	5,283	5,743	5,920	6,221	6,840	7,341	8,368	9,790	11,378	13,331
(b) Mental Handicap		…	…	…	…	2,161	2,389	2,596	2,761	3,049	3,356	4,053	5,099	6,003	7,160
Total Revenue Expenditure		…	…	…	…	36,576	40,390	43,314	46,404	50,428	55,372	66,048	78,461	90,402	106,637
Total Capital Expenditure		…	…	…	…	4,229	4,788	7,217	9,054	8,546	7,610	8,819	13,048	17,421	20,010

NORTH-WEST METROPOLITAN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	5,492	6,025	6,413	6,701	7,490	7,969	9,587	11,306	12,450	14,093
(b) Mental Handicap		…	…	…	…	2,531	2,827	2,969	3,173	3,420	4,131	4,729	5,213	6,757	8,304
Total Revenue Expenditure		…	…	…	…	42,216	45,716	49,350	52,456	54,396	58,929	70,107	81,341	94,107	107,933
Total Capital Expenditure		…	…	…	…	5,306	6,798	5,554	5,700	6,275	6,884	7,212	8,550	10,409	14,054

NORTH-EAST METROPOLITAN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–49	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	4,373	4,725	5,002	5,250	5,395	5,814	6,740	7,669	8,960	10,490
(b) Mental Handicap		…	…	…	…	1,870	2,022	2,147	2,265	2,481	2,755	3,269	4,011	4,700	5,605
Total Revenue Expenditure		…	…	…	…	37,424	41,856	45,389	48,231	50,033	54,245	63,280	72,564	83,203	96,249
Total Capital Expenditure		…	…	…	…	4,705	4,436	6,447	7,004	5,853	4,917	4,973	7,675	9,671	11,991

SOUTH WEST METROPOLITAN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	10,097	10,935	11,498	11,983	13,075	13,800	15,658	18,061	20,610	23,044
(b) Mental Handicap		…	…	…	…	3,304	3,548	3,709	3,948	4,392	4,825	5,798	7,075	8,023	9,015
Total Revenue Expenditure		…	…	…	…	40,346	43,912	46,752	49,643	53,333	57,582	67,803	78,121	88,804	99,776
Total Capital Expenditure		…	…	…	…	3,049	3,194	3,740	4,077	4,641	5,011	5,429	6,216	8,008	8,708

SOUTH EAST METROPOLITAN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	4,761	5,200	5,469	5,706	6,151	6,507	7,477	8,817	10,049	11,505
(b) Mental Handicap		…	…	…	…	1,688	1,845	1,967	2,074	2,276	2,485	3,209	3,932	5,014	5,986
Total Revenue Expenditure		…	…	…	…	38,085	41,493	42,542	45,000	48,595	52,942	62,764	73,592	84,815	97,479
Total Capital Expenditure		…	…	…	…	2,853	2,824	3,523	4,455	5,473	5,446	6,197	7,441	10,311	11,249

OXFORD REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
Analysed Revenue Expenditure in						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	2,530	2,758	2,945	3,075	3,317	3,520	4,085	4,676	5,204	5,912
(b) Mental Handicap		…	…	…	…	848	936	1,042	1,204	1,410	1,589	2,177	2,687	3,135	3,702
Total Revenue Expenditure		…	…	…	…	15,874	17,924	19,667	20,908	23,045	25,327	30,245	35,685	41,400	48,001
Total Capital Expenditure		…	…	…	…	3,055	3,172	3,372	3,446	3,706	4,298	6,448	6,723	7,481	9,928

SOUTH WESTERN REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
Analysed Revenue Expenditure in						1964–65	1965–66	1966–67	1967–68	1968–6?	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	5,357	5,811	6,129	6,452	7,030	7,421	8,545	9,871	11,421	13,325
(b) Mental Handicap		…	…	…	…	2,691	2,927	3,083	3,246	3,534	3,869	4,683	5,627	6,379	7,557
Total Revenue Expenditure		…	…	…	…	32,829	36,155	38,664	41,022	44,617	48,230	56,995	66,659	75,839	89,190
Total Capital Expenditure		…	…	…	…	3,228	4,038	3,872	4,796	5,173	6,186	7,042	9,663	12,060	13,245

BIRMINGHAM REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	6,152	6,852	7,206	7,472	8,158	8,704	10,136	11,877	13,596	15,732
(b) Mental Handicap		…	…	…	…	2,405	2,757	3,035	3,234	3,637	3,909	4,704	5,674	6,504	7,573
Total Revenue Expenditure		…	…	…	…	43,500	48,369	52,298	56,047	61,059	66,944	80,330	94,649	108,453	126,269
Total Capital Expenditure		…	…	…	…	6,923	8,274	7,366	8,262	8,426	7,111	9,197	13,336	17,200	15,886

MANCHESTER REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	4,666	4,542	4,754	3,631	3,981	4,240	4,860	5,827	6,789	8,091
(b) Mental Handicap		…	…	…	…	3,014	3,344	3,541	3,668	4,065	4,414	5,460	6,615	7,623	8,727
Total Revenue Expenditure		…	…	…	…	43,253	47,910	51,419	54,737	59,561	64,623	77,017	91,881	106,480	123,820
Total Capital Expenditure		…	…	…	…	4,001	4,851	5,438	5,608	7,036	8,413	8,964	11,189	11,870	13,604

LIVERPOOL REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	3,539	3,879	3,984	4,213	4,544	4,894	4,361	5,140	5,758	8,471
(b) Mental Handicap		…	…	…	…	576	679	727	799	907	953	1,504	1,774	2,091	2,401
Total Revenue Expenditure		…	…	…	…	24,516	26,903	28,656	30,767	33,224	36,010	42,293	49,183	54,161	59,535
Total Capital Expenditure		…	…	…	…	1,643	2,164	3,774	4,626	4,299	5,061	5,823	7,191	7,180	7,159

WESSEX REGIONAL HOSPITAL BOARD—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	3,293	3,663	3,785	4,015	4,286	4,604	5,322	6,241	7,359	8,402
(b) Mental Handicap		…	…	…	…	782	905	954	1,007	1,108	1,287	1,594	2,018	2,338	2,765
Total Revenue Expenditure		…	…	…	…	19,357	21,470	22,835	24,580	26,780	29,656	35,847	41,860	48,136	55,913
Total Capital Expenditure		…	…	…	…	2,268	3,224	3,249	3,858	3,651	3,864	5,077	6,933	9,044	9,787

ENGLAND—HOSPITAL AND SPECIALIST SERVICES EXPENDITURE
£ thousands
						1964–65	1965–66	1966–67	1967–68	1968–69	1969–70	1970–71	1971–72	1972–73	1973–74
Revenue Expenditure in Hospitals for:
(a) Mental Illness	…	…	…	…	…	67,870	73,500	77,573	79,841	86,969	93,092	106,332	124,078	141,493	164,699
(b) Mental Handicap		…	…	…	…	25,987	28,729	30,618	32,558	36,058	40,031	49,337	60,149	70,880	83,162
Total Revenue Expenditure		…	…	…	…	526,138	580,253	624,921	667,350	725,703	792,030	940,616	1,100,273	1,262,679	1,461,574
Total Capital Expenditure		…	…	…	…	60,631	67,950	75,426	89,876	94,685	100,807	119,228	151,466	183,066	204,425
Note: These figures include expenditure on services provided by the boards of governors of teaching hospitals.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the East Anglia and North West regional health authorities was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the Mersey Regional Health Authority was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the South East Thames Regional Health Authority was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the North West and Oxford Regional Health

PROPORTION OF TOTAL CAPITAL EXPENDITURE IN REGION SPENT ON SERVICES FOR THE MENTALLY ILL
Percentage
Regional Health Authority			1964–65	1965–66	1966–67	1967–68	1968–69	1969–70
East Anglia	…	…	11·1	14·9	5·0	1·0	2·4	2·8
North Western		…	6·5	4·2	3·6	5·3	10·5	6·7
Mersey	…	…	8·3	6·7	5·1	3·7	3·5	11·8
South East Thames			4·4	2·5	4·2	3·3	4·4	3·4
Oxford	…	…	6·6	8·2	7·3	0·5	3·6	10·7
Northern	…	…	12·4	13·5	20·1	18·6	6·1	8·3
South Western		…	13·2	10·8	8·1	5·5	4·7	2·6
Trent	…	…	9·8	10·1	14·3	9·0	9·0	9·8
Regional Health Authority			1970–71	1971–72	1972–73	1973–74	1974–75 (estimated)
East Anglia	…	…	4·5	11·3	13·9	7·4	3·7
North Western		…	6·2	5·6	6·9	5·7	5·5
Mersey	…	…	10·0	9·5	8·5	6·2	5·5
South East Thames			3·3	5·2	5·6	5·6	2·9
Oxford	…	…	7·7	2·8	6·1	3·1	1·5
Northern	…	…	11·4	11·8	11·7	7·5	2·8
South Western		…	1·8	5·5	7·9	5·7	3·7
Trent	…	…	5·2	3·8	2·5	3·7	2·5
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former Regional Hospital Boards and Boards of Governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.

Authorities was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the Northern Regional Health Authority was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the South Western Regional Health Authority was spent on services for the mentally ill for the years 1965 to 1975.

asked the Secretary of State for Social Services what proportion of the total annual National Health Service capital expenditure in the Trent Regional Health Authority was spent on services for the mentally ill for the years 1965 to 1975.

Details are given in the following table:

asked the Secretary of State for Social Services what is the estimated proportion of the total annual NHS capital expenditure in the Mersey Regional Health Authority for the years 1976 to 1980 for services for the mentally ill.

7·3 per cent. in 1975–76. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what is the estimated annual National Health Service capital expenditure in the Mersey Regional Health Authority on services for the mentally ill for the years 1976 to 1980.

£1·4 million in 1975–76. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what is the estimated total annual National Health Service capital expenditure in the Mersey Regional Health Authority on services for the mentally handicapped for the years 1976 to 1980.

£161,000 in 1975–76. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what is the estimated proportion of total National Health Service capital expenditure for the years 1976 to 1980 which will be spent in the Mersey Regional Health Authority on services for the mentally handicapped.

asked the Secretary of State for Social Services what is the estimated proportion of total NHS capital expenditure for the years 1976 to 1980 which will be spent in the Trent Regional Health Authority on services for the mentally handicapped.

Mersey 0·9 per cent. in 1975–76; Trent 6·0 per cent. in 1975–76. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what is the estimated proportion of the total annual National Health Service capital expenditure in the West Midlands and Trent Regional Health Authorities for the years 1976 to 1980 for services for the mentally ill and mentally handicapped; and if she will make a statement on future strategy.

The estimated proportion to be spent on services for the mentally handicapped in the Trent region in 1975–76 is 6 per cent. The other figures are not available because the authorities have not yet completed their consideration of the estimates of expenditure for 1975–76, and allocations have not yet been made for 1976–77 onwards. I would refer my hon. Friend to the statement made on 15th April by my right hon. Friend the Secretary of State for Social Services.—[Vol. 890, c. 85–8.]

asked the Secretary of State for Social Services what is the estimated total annual National Health Service capital expenditure in the Trent Regional Health Authority on services for the mentally handicapped for the years 1976 to 1980.

£2 million in 1975–6. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally ill and the mentally handicapped in the Wessex and West and East Midlands Regional Health Authorities for the years 1965 to 1975.

asked the Secretary of State for Social Services what was the total annual National Health Service capital expenditure on services for the mentally handicapped in the Wessex and South and West Midlands Regional Health Authorities for the years 1965 to 1975.

The figures are as follows:

CAPITAL EXPENDITURE ON SERVICES FOR THE MENTALLY ILL AND THE MENTALLY HANDICAPPED
				Wessex RHA^*		West Midlands RHA^*
				Mentally ill	Mentally handicapped	Mentally ill	Mentally handicapped
				£000	£000	£000	£000
1964–65	…	…	…	106	396	446	1,104
1965–66	…	…	…	217	42	427	309
1966–67	…	…	…	291	16	308	114
1967–68	…	…	…	208	68	802	107
1968–69	…	…	…	168	185	1,175	50
1969–70	…	…	…	282	188	109	186
1970–71	…	…	…	337	172	972	707
1971–72	…	…	…	201	358	1,822	664
1972–73	…	…	…	313	335	1,680	1,106
1973–74	…	…	…	244	152	790	827
1974–75 (estimated)		…	…	668	308	1,090	1,040
^* Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors (for West Midlands).

The figures for Trent Regional Health Authority are given in my replies today to my hon. Friend the Member for Ilkeston (Mr. Fletcher).

asked the Secretary of State for Social Services what is the estimated proportion of the total annual National Health Service capital expenditure in the West Midlands and Wessex Regional Health Authorities for the years 1976 to 1980 for services for the mentally ill and mentally handicapped.

The Wessex Regional Health Authority estimates that in 1975–76 8·3 per cent. of its capital allocation, excluding special allocations, will be spent on mental illness services and 3·4 per cent. on mental handicap services. Estimates of expenditure in other years are not available.The West Midlands Regional Health Authority has not yet completed its consideration of estimates of expenditure.

asked the Secretary of State for Social Services what is the estimated annual National Health Service capital expenditure in the East and West Midlands and Wessex Regional Health Authorities on services for the mentally ill for the years 1976 to 1980.

£1·1 million in 1975–76 for Wessex RHA. The Trent and West Midlands authorities have not yet completed

their consideration of the estimates of expenditure for that year. Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services how many places are available in adolescent units for mentally-ill people under the age of 18 years; how many people under the age of 18 years are currently in adult wards in mental hospitals; and if she will make a statement.

At the end of 1973, there were 1,094 places in units or wards for children and adolescents in mental illness hospitals and units in England and Wales. In 1971, when the census of patients in mental illness hospitals and units was undertaken, there were 468 people aged under 18 in general wards in mental illness hospitals and units.The level of in-patient provision for mentally ill adolescents is well below what has been estimated to be required. Where no other facilities are available, adolescents may have to be accommodated in adult wards; in a few cases this may be the most suitable placement. However, marked progress has been made in this field in the last decade, and priority will continue to be given to these services as far as is possible. The question of the pattern of services needed for mentally ill adolescents will be discussed in the forth coming White Paper.

asked the Secretary of State for Social Services if she will give for the South-Western Regional Health Authority for the years 1965 to 1975 (a) the total annual National Health Service capital expenditure, (b) the total annual capital expenditure on services for the mentally handicapped and (c) the total annual revenue expenditure on services for the mentally ill and the mentally handicapped, respectively.

				South Western RHB and United Bristol BG
				Total capital expenditure	Capital expenditure on services for the mentally handicapped	Revenue expenditure in hospitals for mental illness	Revenue expenditure in hospitals for mental handicap
				£000	£000	£000	£000
1964–65	…	…	…	3,696	103	5,357	2,691
1965–66	…	…	…	4,605	37	5,811	2,927
1966–67	…	…	…	4,525	108	6,129	3,083
1967–68	…	…	…	5,622	261	6,452	3,246
1968–69	…	…	…	6,454	115	7,030	3,534
1969–70	…	…	…	8,086	477	7,421	3,869
1970–71	…	…	…	8,952	518	8,545	4,683
1971–72	…	…	…	11,279	459	9,871	5,808
1972–73	…	…	…	13,693	862	11,421	6,793
1973–74	…	…	…	14,417	576	13,325	8,062
1974–75^*	…	…	…	18,700^*	547^*	—†	—†
^* Estimated expenditure by the South Western Regional Health Authority.
† Estimates not available.

asked the Secretary of State for Social Services if she will give for the South-Western Regional Health Authority for the years 1976 to 1980 (a) the estimated total annual National Health Service capital expenditure, (b) the estimated total annual National Health Service revenue expenditure and (c) the estimated total annual revenue

It is not possible to segregate fully revenue expenditure on services for the mentally ill and the mentally handicapped from that on other services. Details of expenditure by the South Western Regional Hospital Board and the board of governors of the United Bristol Hospitals on hospitals devoted mainly to the mentally ill and mentally handicapped are given below.expenditure on services for the mentally handicapped.

The position in 1975–76 is as follows:

a. £16,800,000.

b. £129,120,000.

c. the authority has not yet completed its consideration of the allocation.

Allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services if she will list, for the North-Western Regional Health Authority, for the years 1965 to 1975 (a) the total annual National Health Service capital expenditure, (b) the total annual capital expenditure on services for

NORTH-WESTERN REGIONAL HEALTH AUTHORITY
		Total capital expenditure	Capital expenditure on services for the		Proportion of total capital expenditure on services for the
		Total capital expenditure	mentally ill	mentally handicapped	mentally ill	mentally handicapped
		£000	£000	£O00	Percentage	Percentage
1964–65	…	4,253	276	48	6·5	1·1
1965–66	…	5,201	219	341	4·2	6·5
1966–67	…	6,086	220	353	3·6	5·8
1967–68	…	6,962	366	432	5·3	6·2
1968–69	…	8,198	863	259	10·5	3·2
1969–70	…	9,370	629	107	6·7	1·1
1970–71	…	9,775	603	405	6·2	4·1
1971–72	…	11,684	651	600	5·6	5·1
1972–73	…	12,688	872	756	6·9	6·0
1973–74	…	14,263	814	505	5·7	3·5
1974–75^*	…	17,900	989	326	5·5	1·8
^* Estimated.
Notes:
1. Figures for 1964–65 to 1973–74 relate to the former regional hospital board and board of governors.
2. For 1974–75 total expenditure includes community services (e.g. health centres) formerly administered by local health authorities and purchases of land and property: these items are not included in total expenditure for 1964–65 to 1973–74.

asked the Secretary of State for Social Services if she will list for the North-Western Regional Health Authority for the years 1967 to 1980 (a) the estimated annual National Health Service capital expenditure on services for the mentally ill and the mentally handicapped, respectively, and (b) the estimated proportion of total National Health Service expenditure which will be spent on services for the mentally ill and the mentally handicapped, respectively.

The information is not available as the authority has not yet considered estimates of expenditure for 1975–76, and allocations for 1976–77 onwards have not yet been made.

asked the Secretary of State for Social Services (1) what is the estimated proportion of the total annual NHS capital expenditure in the Welsh and North-Western Regional Health Authorities for the years 1976 to 1980 for services for the mentally ill;(2) what is the estimated proportion of the total annual NHS capital expenditure in the Welsh and South-Western Regional

the mentally ill and the mentally handicapped, respectively, and ( c) the proportion of the total annual National Health Service capital expenditure spent on services for the mentally ill and the mentally handicapped, respectively.

The figures are as follows:Health Authorities for the year 1976 to 1980 for services for the mentally ill.

The information for the North-Western and South-Western Regional Health Authorities is not available because they have not yet completed their consideration of the estimates of expenditure for 1975–76 and allocations for 1976–77 have not yet been made.The expenditure in Wales is a matter for my right hon. and learned Friend, the Secretary of State for Wales.

asked the Secretary of State for Social Services if she will advise regional and local health authorities of the need, when informing themselves of the number and needs of permanently and substantially handicapped people, to include those who are severely mentally ill or mentally handicapped.

I assume my hon. Friend has in mind the duty which Section 1 of the Chronically Sick and Disabled Persons Act 1970 placed on local authorities—not on health authorities—to inform themselves of the number and needs of handicapped people. It has already been made clear to local authorities that this duty extends to mentally disordered persons of any description. I am happy to have this opportunity of stressing the point again.

asked the Secretary of State for Social Services if she will advise the appropriate authorities to provide sheltered accommodation for mentally ill and mentally handicapped people; and if she will make a statement.

Residential accommodation for mentally ill and mentally handicapped people in the community is mainly provided by local authorities. They are anxious to press ahead, but we are at present reviewing projects in the light of the Budget Statement made by my right hon. Friend the Chancellor of the Exchequer on 15th April.

asked the Secretary of State for Social Services if she will advise the appropriate authorities to assist persons who are rendered housebound by a mental illness such as agoraphobia and who are in need of a telephone to overcome their isolation.

It has already been made clear that Section 2 of the Chronically Sick and Disabled Persons Act applies to persons suffering from a mental disorder. Guidance already issued by my Department makes it clear that applications for assistance should be considered in the light of individual circumstances. Advice about assistance with telephones was issued by the former local authority associations.

asked the Secretary of State for Social Services what was the total National Health Service revenue expenditure on services to the mentally handicapped in the North-West Thames Regional Health Authority in the years 1965 to 1975; and what proportion this represented of all National Health Service current expenditure during this period.

It is not practicable to segregate fully expenditure on services for the mentally handicapped from that on other health and personal social services but I would refer my hon. Friend to my reply today to my hon. Friend the Member for Edmonton (Mr. Graham).

Volume 892: debated on Wednesday 21 May 1975