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Health Expenditure

Volume 111: debated on Tuesday 3 March 1987

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asked the Secretary of State for Social Services if he will list total Government expenditure in real terms and in cash terms on provision for the elderly in each of the last 10 years.

[pursuant to her reply,2 February, 1987 c. 550.]: I regret that it is not possible to identify fully, and on a consistent basis, all expenditure on elderly people.Social security expenditure in Great Britain on benefits payable only to elderly people, in cash and in real terms, for each year between 1976–77 and 1985–86 was as follows :

Great Britain (£ million)
CashReal terms at 1984–85prices1
1976–776,48014,530
1977–787,66015,090
1978–798,74015,550
1979–8010,13015,420
1980–8112,14015,580
1981–8214,33016,750
1982–8316,12017,570
1983–8417,67018,430
1984–8518,81018,810
1985–8620,47019,270
1 Adjusted in line with the GDP deflator at market prices.
These figures do not include expenditure on benefits paid to elderly people for reasons other than of age as these cannot be identified separately. For example, the figures do not include attendance allowances paid to elderly people because of disability.It is estimated that some 43 per cent. of total revenue expenditure on health and personal social services is currently spent on people aged 65 and over, but I regret that similar estimates are not available for the whole period requested. However estimates of expenditure on hospital and community health services and on personal social services used mainly by elderly people are available from the Department's programme budget analysis, details of which are submitted annually to the Select Committee on Social Services and are published by the Committee in minutes of evidence associated with its reports on public expenditure on the social services, the latest being HC 387-II published in July 1986. Estimates for current and capital expenditure, in cash and in real terms, on these services are given below for each year between 1975–76 and 1984–85, the latest year for which these estimates are available.
England
Estimated net expenditure on hospital and community health services used mainly by elderly people
£ million
CurrentCapital
CashReal terms at 1984–85prices1CashReal terms at 1984–85prices1
1975–763508883383
1976–774079142965
1977–784629092345
1978–795319452749
1979–806409752537
1980–818581,1013342
1981–829481,1084147
1982–831,0171,1093437
1983–841,0731,1203840
1984–851,1551,1554242
England
Estimated net expenditure (including Joint Finance) on personal social services used mainly by elderly people
£ million
CurrentCapital
CashReal terms at 1984–85prices1CashReal terms at 1984–85prices1
1975–76260661n/an/a
1976–773006733068
1977–783336561937
1978–793836802544
1979–804717173452
1980–815707324558
1981–826207254147
1982–836787394043
1983–847427744041
1984–8537967964242
The above estimates do not cover the totality of health and personal social services expenditure on elderly people. They do not for example reflect the considerable use which elderly people make of the acute services, nor the expenditure on services for elderly mentally infirm people, nor do they include expenditure on family practitioner services, and on social work and administration relating to elderly people.Further expenditure arising through the care in the community pilot projects and on other centrally funded initiatives on elderly people is given below.

England
£million

Care in the Community Pilot projects 2

Other Centrally funded initiatives

Cash

Real terms at 1984–85 prices 1

Cash

Real terms at 1984–85 prices1

1984–850·20·2
1985–860·80·70·30·3
1986–8731·41·20·80·7

1 Adjusted in line with the GDP deflator at market prices.

2 Including expenditure on the elderly mentally infirm.

3 Provisional.

n/a = Not available.

In addition, grants are made to voluntary organisations mainly towards their general costs but I regret that details for the whole period are not available in the form requested.

asked the Secretary of State for Social Services if he will list total Government expenditure in real terms and in cash terms on provision for the mentally handicapped in each of the last 10 years.

[pursuant to her reply, 2 February 1987, c. 550]: I regret that total expenditure on provision for mentally handicapped people cannot be identified fully. Within the scope of the responsibilities of the Department the position is as follows. Estimates of expenditure on hospital and some community health services, and on local authority residential and day care services are available from the Department's programme budget analysis, details of which are submitted annually to the Select Committee on Social Services and are published by the Committee in minutes of evidence associated with its reports on Public Expenditure on the Social Services, the latest being HC 387-II published in July 1986. Figures on actual spending on centrally funded initiatives for mentally handicapped people are collected centrally. It is not possible however to identify the use mentally handicapped people make of the family practitioner services and of the other health and personal social services, nor to separate out social security payments made to mentally handicapped people.Estimates of current and capital expenditure in England on hospital and community health services and local authority services for mentally handicapped people, in cash and in real terms, are given below for each year between 1975–76 and 1984–85, the latest year for which these estimates are available.

England
Hospital and Community Health Services Net expenditure
£ million
CurrentCapital
CashReal terms at 1984–85 prices1CashReal terms at 1984–85 prices1
1975–761624121332
1976–771814071330
1977–78205404918
1978–79229407916
1979–802754191421
1980–813554551925
1981–823894551821
1982–834194562527
1983–844374562425
1984–854624623232

England

Personal Social Services Net expenditure (including Joint Finance)

£ million

Current

Capital2

Cash

Real terms at 1984–85 prices1

Cash

Real terms at 1984– prices1

1975–7641103Not available
1976–77511151227
1977–78621221019
1978–79731301120
1979–80931411422
1980–811191531722
1981–821431671619
1982–831661811314
1983–841891971414

31984–85

2112111515

Further expenditure arising through care in the community pilot projects and through other centrally funded initiatives is listed below.

England

£ million

Care in the community Pilot projects

Other centrally funded initiatives

Cash

Real terms at 1984–85 prices1

Cash

Real terms at 1984–85 prices1

1983–840·606
1984–850·60·62·52·5
1985–862·52·43·43·2

31986–87

3·73·41·91·8

1 Adjusted in line with the GDP deflator at market prices.

2 Figures for 1976–77 to 1980–81 also include expenditure on mentally ill people.

3 Provisional.

In addition grants are made to voluntary organisations mainly towards their general costs but I regret that details for the whole period are not available in the form requested.