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Mental Illness Services

Volume 892: debated on Wednesday 21 May 1975

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asked the Secretary of State for Social Services if she will list, for the South-West Thames Regional Health Authority, for each of the years 1965 to 1975 and estimate 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, (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:ill and mentally handicapped from that on other services.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.

SOUTH WEST METROPOLITAN 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 Illness10,09710,93511,49811,98313,07513,80015,65818,06120,61023,044
(b) Mental Handicap3,3043,5483,7093,9484,3924,8255,7987,0758,0239,015
2. All Regional Hospital Board Hospitals34,76837,98940,46842,98546,43050,15358,85868,09877,16586,715
3. All Hospitals—England*465,428515,722554,717591,518645,264702,689830,597974,6931,117,2851,297,903
Total Revenue Expenditure Regional Hospital Board40,34643,91246,75249,64353,33357,58267,80378,12188,80499,776
Total Revenue Expenditure England*526,138580,253642,921667,350725,703792,030940,6161,100,2731,262,6791,461,574

* 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 South West Thames Regional Health Authority were £143·582 million and £151·361 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 London Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the Southern Region for the years 1965 to 1975, (a)the total annual capital expenditure on social services, (b)the total annual capital expenditure on services for the mentally ill within the social services provisions and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the Yorkshire Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the Northern Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the West Midlands Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the London North Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the North Western Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the South Western Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the East Midlands Region for the years 1965 to 1975, (a) the total annual capital expenditure on social services, (b) the total annual capital expenditure on services for the mentally ill within the social services provision, and (c) the total annual capital expenditure on services for the mentally handicapped within the social services provision.

The information requested is not available. The only figures that can be provided are as follows:

1971–72

1972–73

Total capital expenditure on personal social services

Total capital expenditure on mental health

Total capital expenditure on personal social services

Total capital expenditure on mental health

Region

£m.£m.£m.£m.
Northern2·1470·3243·3750·502
Yorkshire3·4380·5804·0630·676
North Western5·3670·9666·8841·194
East Midlands2·5020·2603·8110·809
West Midlands3·5380·4834·1400·703
London, North3·1500·6995·4011·429
London10·1191·85311·7811·389
Southern3·7120·6136·3080·917
South Western2·4400·2822·8670·193

Notes:

1. Figures submitted by local authorities do not distinguish between capital expenditure on services for the mentally ill and the mentally handicapped.
2. Information is not yet available for the financial years 1973–74 and 1974–75.

asked the Secretary of State for Social Services if she will list, for the London region for the years 1976 to 1980 (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the Southern Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the Yorkshire Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the Northern Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital

expenditure on services for the mentally ill within the social services provision and ( c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the West Midlands Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the London north region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the North Western Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision, and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list for the South Western Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision and (c) the estimated total capital expenditure on services for the mentally handicapped within the social services provision.

asked the Secretary of State for Social Services if she will list, for the East Midlands Region for the years 1976 to 1980, (a) the estimated total capital expenditure on social services provision, (b) the estimated total capital expenditure on services for the mentally ill within the social services provision, and (c) the estimated total capital expenditure on services for the mentally handicapped.

I am discussing with local authorities the revision of the provisional building programme for 1975–76 in the light of the Budget Statement by my right hon. Friend the Chancellor of the Exchequer. Programmes for 1976–77 onwards have not yet been drawn up.

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the North East Thames Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the North West Thames Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental hadicap hospitals with more than 200 beds, in the East and West Midlands Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the Yorkshire Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied, respectively, by mental illness hospitals with more than 200 beds and by mental handicap hospitals with more than 200 beds, in the South West Thames Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Trent Regional Health Authority.

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Oxford Regional Health Authority;(2) what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the East Anglia Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap hospitals with more than 200 beds and by mental illness hospitals with more than 200 beds, respectively, in the South-East Thames Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the Wessex Regional Health Authority.

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by hospitals for the mentally-handicapped with more than 200 beds in the Northern Regional Health Authority;(2) what is the estimated total acreage occupied by hospitals for the mentally ill with more than 200 beds in the Northern Regional Health Authority.

asked the Secretary of State for Social Services (1) what is the estimated total acreage occupied by hospitals for the mentally ill with more than 200 beds in the Mersey Regional Health Authority;(2) what is the estimated total acreage occupied by hospitals for the mentally handicapped with more than 200 beds in the Mersey Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the North Western Regional Health Authority.

asked the Secretary of State for Social Services what is the estimated total acreage occupied by mental handicap and mental illness hospitals with more than 200 beds in the South Western Regional Health Authority.

Following is the estimate for NHS hospitals:

Regional Health AuthorityMental Illness Hospitals with over 200 beds Acreage occupiedMental Handicap Hospitals with over 200 beds Acreage occupied
Northern1,268742
Yorkshire1,990427
Trent1,390875
East Anglian520209
North West Thames962*684
North East Thames1,034†462
NORTH EAST THAMES REGIONAL HOSPITAL BOARD
Total capital expenditure £000Capital expenditure on services for theProportion of total capital expenditure on services for the
mentally ill £000mentally handicapped £000mentally ill Percentagementally handicapped Percentage
1964–655,3855994611·10·9
1965–665,442275585·11·1
1966–677,47791524112·23·2
1967–689,2898753449·43·7
1968–698,4104191285·01·5
1969–707,8482141582–72·0
1970–719,0764504155·04·6
1971–7212,6535723564·52·8
1972–7316,3751,0904416–72–7
1973–7417,8511,7469329·85·2
1974–75*18,7002,5431,65113·68·8
1975–76*23,300Not yet availableNot yet availableNot yet availableNot yet 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 not included in total expenditure for 1964–65 to 1973–74.
Allocations of capital for 1976–77 onwards have not yet been made.

South East Thames1,422‡§431
South West Thames1,320779
Wessex1,142342
Oxford675355
Southwestern1,3131,111
West Midlands1,700997
Mersey1,095║478
North Western700498
16,5318,390

* Includes 162 acres in respect of 2 hospitals in South West Thames Regional Health Authority area managed extra-territorially.

† Includes 115 acres in respect of 1 hospital in North West Thames Regional Health Authority area managed extra-territorially.
‡ Includes 61 acres in respect of 1 hospital in South West Thames Regional Hospital Authority area managed extra-territorially.
§ Includes 274 acres in respect of 2 hospitals managed by a Board of Governors.
║ Includes 127 acres in respect of 1 hospital in North Western Regional Hospital Authority area managed extra-territorially.

asked the Secretary of State for Social Services if she will list, for the North East 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, (g), the total revenue expenditure on services for the mentally handicapped, and (h) the total revenue expenditure on services for the mentally ill.

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 segregatefully expenditure on services for the mentally ill and mentally handicapped from that on other services.England the total revenue expenditure on hospital and specialist services and the expenditure on hospitals devoted mainly to the mentally ill and mentally handicapped.
The table below gives for the former regional hospital board areas and for

NORTH EAST METROPOLITAN 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 Illness4,3734,2755,0025,2505,3955,8146,7407,6698,96010,490
(b) Mental Handicap1,8702,0222,1472,2652,4812,7553,2694,0114,7005,605
2. All Regional Hospital Board Hospitals32,32036,33239,37641,88443,58347,25754,81063,12572,52184,361
3. All Hospitals—England*465,428515,722554,717591,518645,264702,689830,597974,6931,117,2851,297,903
Total Revenue Expenditure Regional Hospital Board37,42441,85645,38948,23150,03354,24563,28072,56483,20396,249
Total Revenue Expenditure England*526,138580,253642,921667,350725,703792,030940,6161,100,2731,262,6791,461,574

* 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 East Thames Regional Health Authority were £194·075 million and £201·721 million respectively. Allocations for 1976–77 onwards have not yet been made.