Finance

asked the Secretary of State for Social Services if he will give for each year since 1979 the total income in each region under section 58, section 65 and section 66 of the National Health Service Act 1977; and if he will give these figures (a) in cash terms, (b) deflated to take account of inflation generally, (c) deflated to take account of the movement of National Health Service pay and prices and (d) as a percentage of total National Health Service expenditure.

[pursuant to his reply, 24 November 1986, c. 122]: The following figures are derived from the annual accounts of health authorities. Reliable figures for section 58 income are not available for years before 1983–84.

	1983–84				1984–85				1985–86
Regions	a	b	c	d	a	b	c	d	a	d
	£	£000	£000	per cent.	£	£000	£000	per cent.	£	per cent.
Oxford	15,865	18	18	—	44,566	47	47	0·01	60,747	0·01
South Western	57,430	63	64	0·01	60,854	65	64	0·01	74,919	0·01
West Midlands	31,215	35	35	—	77,303	82	81	0·01	67,627	—
Mersey	22,860	25	25	—	43,108	46	45	0·01	47,444	0·01
North Western	28,530	32	32	—	33,651	36	36	—	80,897	0·01
Special Health
Authorities for the London Postgraduate Teaching Hospitals	43,458	48	48	0·02	88,918	94	94	0·05	141,804	0·07
Total	296,531	328	330	—	604,488	641	636	—	1,018,943	0·01

Table 2. Income under Section 65 of the National Health Service Act 1977
	1979–80				1980–81
	a	b	c	d	a	b	c	d
	£000	£000	£000	per cent.	£000	£000	£000	per cent.
Regions
Northern	520	839	897	0·11	767	1,044	1,034	0·13
Yorkshire	1,701	2,746	2,934	0·32	2,130	2,898	2,871	0·31
Trent	1,303	2,103	2,248	0·20	1,730	2,354	2,332	0·21
East Anglian	1,116	1,801	1,925	0·41	1,500	2,041	2,022	0·43
North West Thames	5,464	8,820	9,426	0·90	6,511	8,859	8,777	0·85
North East Thames	3,989	6,439	6,881	0·63	4,978	6,773	6,710	0·59
South East Thames	4,414	7,125	7,614	0·71	5,781	7,866	7,793	0·73
South West Thames	1,811	2,923	3,124	0·37	2,236	3,042	3,014	0·36
Wessex	1,199	1,935	2,068	0·31	1,711	2,328	2,306	0·34
Oxford	2,076	3,351	3,581	0·67	2,537	3,452	3,420	0·64
South Western	910	1,469	1,570	0·19	1,257	1,710	1,694	0·21
West Midlands	2,094	3,380	3,612	0·28	2,809	3,822	3,787	0·30
Mersey	766	1,237	1,321	0·19	1,065	1,449	1,436	0·21
North Western	2,119	3,420	3,655	0·32	2,863	3,896	3,859	0·34
Special Health Authorities for the London Postgraduate Teaching Hospitals	3,838	6,195	6,621	3·76	4,744	6,456	6,395	3·64
Total	33,320	53,783	57,477	0·45	42,619	57,990	57,450	0·45

	1981–82				1982–83
	a	b	c	d	a	b	c	d
Regions	£000	£000	£000	per cent.	£000	£000	£000	per cent.
Northern	901	1,116	1,123	0·13	592	684	693	0·08
Yorkshire	2,626	3,252	3,272	0·34	2,016	2,328	2,359	0·24
Trent	1,789	2,216	2,229	0·19	1,714	1,980	2,005	0·17
East Anglia	1,917	2,374	2,389	0·49	1,552	1,793	1,816	0·36
North West Thames	7,360	9,115	9,171	0·85	6,073	7,014	7,105	0·69
North East Thames	5,793	7,175	7,218	0·62	8,520	9,841	9,968	0·80
South East Thames	6.472	8,016	8,064	0·74	6,135	7,086	7,178	0·65
South West Thames	2,597	3,216	3,236	0·37	2,573	2,972	3,010	0·35
Wessex	2,097	2,597	2,613	0·37	1,802	2,081	2,108	0·29
Oxford	2,773	3,434	3,455	0·62	2,599	3,002	3,041	0·53
South Western	1,462	1,811	1,822	0·21	1,359	1,570	1,590	0·18
West Midlands	3,314	4,104	4,129	0·31	2,395	2,766	2,802	0·21
Mersey	1,531	1,896	1,908	0·27	1,281	1,480	1,499	0·21
North Western	3,287	4,071	4,096	0·34	2,244	2,592	2,625	0·22
Special health authorities for the London postgraduate Teaching hospitals	5,425	6,720	6,758	3·63	5,309	6,130	6,213	3·28
Total	49,344	61,113	61,483	0·47	46,164	53,319	54,012	0·40

	1983–84				1984–85				1985–86
Regions	a	b	c	d	a	b	c	d	a	d
	£000	£000	£000	per cent.	£000	£000	£000	per cent.	£000	per cent.
Northern	930	1,028	1,035	0·12	961	1,019	1,011	0·11	960	0·11
Yorkshire	2,730	3,018	3,038	0·31	2,909	3,084	3,060	0·31	2,940	0·29
Trent	1,574	1,740	1,752	0·15	1,371	1,453	1,442	0·12	1,497	0·12

	1983–84				1984–85				1985–86
Regions	a	b	c	d	a	b	c	d	a	d
	£000	£000	£000	per cent.	£000	£000	£000	per cent.	£000	per cent.
East Anglian	1,763	1,949	1,962	0·39	1,476	1,565	1,553	0·30	1,784	0·34
North West Thames	5,909	6,532	6,577	0·64	5,733	6,077	6,031	0·58	5,727	0·55
North East Thames	8,307	9,182	9,246	0·74	8,063	8,547	8,482	0·68	8,134	0·66
South East Thames	6,190	6,842	6,889	0·62	5,894	6,248	6,200	0·56	6,267	0·56
South West Thames	2,620	2,896	2,916	0·34	2,501	2,651	2,631	0 31	2,256	0·26
Wessex	2,028	2,242	2,257	0·31	1,760	1,866	1,852	0·24	1,430	0·19
Oxford	2,734	3,022	3,043	0·53	2,882	3,055	3,032	0·51	3,190	0·54
South Western	1,585	1,752	1,764	0·20	1,426	1,512	1,500	0·17	1,678	0·19
West Midlands	2,938	3,248	3,270	0·24	2,890	3,063	3,040	0·22	2,794	0·19
Mersey	1,382	1,528	1,538	0·22	1,390	1,473	1,462	0·20	1,689	0·24
North Western	2,688	2,971	2,992	0·25	2,750	2,915	2,893	0·24	3,029	0·25
Special Health
Authorities for the London Postgraduate Teaching Hospitals	6,116	6,759	6,808	3·42	6,681	7,082	7,030	3·66	8,412	4·32
Total	49,494	54,709	55,087	0·41	48,687	51,610	51,219	0·37	51,787	0·38

Table 3. Income under Section 65 of the National Health Service Act 1977
	1979–80				1980–81
	a	b	c	d	a	b	c	d
Region	£000	£000	£000	per cent.	£000	£000	£000	per cent.
Northern	79	128	136	0·02	121	165	163	0·02
Yorkshire	151	243	261	0·03	233	317	314	0·03
Trent	124	200	214	0·02	189	257	255	0·02
East Anglian	62	100	107	0·02	105	143	142	0·03
North West Thames	398	643	687	0·07	505	687	681	0·07
North East Thames	268	433	462	0·04	479	652	646	0·06
South East Thames	229	369	395	0·04	369	502	497	0·05
South West Thames	173	279	299	0·04	218	297	294	0·03
Wessex	89	144	154	0·02	154	210	208	0·03
Oxford	109	176	188	0·03	164	223	221	0·04
South Western	75	121	129	0·02	143	195	193	0·02
West Midlands	119	192	205	0·02	193	263	260	0·02
Mersey	66	106	114	0·02	115	156	155	0·03
North Western	182	294	314	0·03	233	317	314	0·03
Special health authorities for the London postgraduate teaching hospitals	459	741	791	0·45	544	739	732	0·42
Total	2,583	4,169	4,456	0·04	3,765	5,123	5,075	0·04

	1981–82				1982–83
	a	b	c	d	a	b	c	d
Regions	£000	£000	£000	per cent.	£000	£000	£000	per cent.
Northern	156	193	194	0·02	114	132	133	0·02
Yorkshire	328	406	409	0·04	298	344	349	0·04
Trent	234	290	292	0·03	260	300	304	0·03
East Anglian	135	167	168	0·03	134	155	157	0·03
North West Thames	586	726	730	0·07	550	635	644	0·06
North East Thames	602	746	750	0·06	817	944	956	0·08
South East Thames	434	538	541	0·05	543	627	635	0·06
South West Thames	293	363	365	0·04	297	343	347	0·04
Wessex	222	275	277	0·04	258	298	302	0·04
Oxford	220	272	274	0·05	264	305	309	0·05
South Western	194	240	242	0·03	218	252	255	0·03
West Midlands	246	305	307	0·02	287	331	336	0·03
Mersey	175	217	218	0·03	191	221	223	0·03
North Western	348	431	434	0·04	299	345	350	0·03
Special Health Authorities for the London Postgraduate Teaching Hospitals	646	799	803	0·43	787	909	921	0·49
Total	4,819	5,968	6,004	0·05	5,317	6,141	6,221	0·05

	1983–84				1984–85				1985–86
	a	b	c	d	a	b	c	d	a	d
Regions	£000	£000	£000	per cent.	£000	£000	£000	per cent.	£000	per cent.
Northern	187	207	208	0·02	231	245	243	0·03	312	0·04
Yorkshire	388	429	432	0·04	446	473	469	0·05	533	0·05
Trent	287	317	319	0·03	348	369	366	0·03	534	0·04
East Anglian	146	161	162	0·03	206	218	217	0·04	335	0·06
North West Thames	596	659	663	0·06	681	722	716	0·07	810	0·08
North East Thames	862	953	959	0·08	922	977	970	0·08	1,078	0·09
South East Thames	601	664	669	0·06	635	673	668	0·06	797	0·07
South West Thames	366	405	407	0·05	429	455	451	0·05	485	0·06
Wessex	285	315	317	0·04	318	337	335	0·04	359	0·05
Oxford	337	373	375	0·06	418	443	440	0·07	640	0·11
South Western	257	284	286	0·03	295	313	310	0·03	418	0·05
West Midlands	383	423	426	0·03	475	504	500	0·04	669	0·05
Mersey	206	228	229	0·03	257	272	270	0·04	348	0·05
North Western	361	399	402	0·03	438	464	461	0·04	661	0·05
Special Health
Authorities for the Teaching Postgraduate Hospitals	699	772	781	0·39	822	871	865	0·45	1,150	0·59
Total	5,961	6,589	6,635	0·05	6,921	7,336	7,281	0·05	9,129	0·07

Notes:

1. The figures in columns b have been adjusted to 1985–86 prices using the gross domestic product deflator.

2. The figures in columns c have been adjusted to the same 1985–86 base using centrally assessed movements in NHS pay and prices. They should be interpreted with caution as the composition of expenditure in individual regions is bound to vary from the national average. The calculation takes account only of pay and price movements affecting current expenditure by health authorities and does not reflect the different elements making up capital expenditure and that of the family practitioner services.

3. The total expenditure figures used to calculate the percentages in columns d include all current and capital expenditure by authorities together with expenditure on family practitioner services. The latter expenditure cannot strictly be attributed to particular regions but has been assigned to regions on a geographical basis from the annual accounts of family practitioner committees. The totals used to calculate the percentages for special health authorities do not include any of this expenditure and these figures are therefore not strictly comparable with those for regions.

4. Percentages too low to round to 0·01 per cent. are omitted.

Volume 112: debated on Wednesday 18 March 1987