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Health Expenditure (London)

Volume 115: debated on Tuesday 5 May 1987

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asked the Secretary of State for Social Services if, pursuant to the reply to the hon. Member for Tooting (Mr. Cox), 2 April, Official Report, column 1221, he will tabulate in the Official Report, for each of the London region health authorities and health districts, respectively, the expenditure of each in real terms in 1979 and in 1986, showing the percentage increase or decrease stating or using the same statistical criteria.

[pursuant to his reply, 9 April 1987, c. 412]: The table shows gross revenue expenditure of the Thames regional health authorities, London area and district health authorities and boards of governors and special health authorities for the London postgraduate teaching hospitals in 1978–79 and 1985–86 at 1985–86 price levels as measured by the gross domestic product deflator, and, where appropriate, the percentage growth in real terms over the period. Comparisons between individual authorities across the period are invalidated by the effects of the boundary changes following the reorganisation of the National Health Service in 1982.

Area Health AuthorityGross revenue expenditure 1978–79 £000 1985–86 pricesDistrict Health AuthoritiesGross revenue expenditure 1985–86 £0001Percentage real terms growth in gross revenue ex-penditure 1978–79 to 1985–86
Brent and Harrow81,949Harrow36,573
Ealing Hammersmith and Hounslow143,929Hounslow and Spelthorne51,572
Kensington, Chelsea and Westminster169,778Paddington63,073
Barking and Havering63,137Barking/Havering/Brentwood72,033
Camden and Islington156,798Hampstead55,633
City and East London174,264City and Hackney81,517
Tower Hamlets67,183
Enfield and Haringey71,788Enfield38,144
Redbridge and Waltham Forest89,526Redbridge37,799
Waltham Forest52,726
Greenwich and Bexley94,870Bexley35,608
Lambeth, Southwark and Lewisham237,286West Lambeth78,949
Lewisham and North Southwark109,019
Kingston and Richmond46,044Kingston and Esher40,135
Merton, Sutton and Wandsworth172,326Richmond/Twickenham/Roehampton34,799
Sutton and Merton66,913
1 Not available as figures distorted by boundary changes
Boards of Governors for the London postgraduate teaching hospitalsGross revenue expenditure for 1978–79 1985–86 prices £000Special health authorities for London postgraduate teaching hospitalsGross revenue expenditure for 1985–86 £0001Percentage real-terms growth in the gross revenue expenditure 1978–79 to 1985–86
Hospitals for sick Children26,335Hospitals for sick children30,319
National Hospitals for nervous Diseases16,174National Hospitals for Nervous Diseases17,024
Royal National Throat Nose and Ear Hospitals7,332
Moorfields Eye Hospital12,041Moorfields Eye Hospital12,640
Bethlem Royal and Maudsley Hospitals14,090Bethlem Royal and Maudsley Hospitals17,773
St. John's Hospital for Diseases of the Skin2,827
National Heart and Chest Hospitals24,466National Heart and Chest Hospitals28,798
Royal National Orthopaedic Hospital11,128
St. Peter's Hospitals6,708
Royal Marsden Hospital18,285Royal Marsden Hospital21,514
Queen Charlotte's Hospital for Women9,299Hammersmith and Queen Charlotte's41,921
Eastman Dental Hospital3,660Eastman Dental Hospital4,804
Greater London Total1,871,372Greater London Total2,020,0207·9
1 Not available as figures distorted by boundary changes

The percentage real terms increase on all health services, that is hospital and community health services' revenue expenditure and expenditure on the family practitioner services, in Greater London between 1978–79 and 1985–86 was 10·6 per cent.

Regional Health Authorities

Gross revenue expenditure 1978–79 1985–86 prices £000

Regional Health Authorities

Gross revenue expenditure 1985–86

Percentage real terms growth in gross revenue expenditure 1978–79 to 1985–86

North West Thames718,105North West Thames728,848
North East Thames780,983North East Thames914,188
South East Thames748,094South East Thames807,525
South West Thames572,912South West Thames608,276
Total Thames Regions and Boards of Governors Special Health Authorities2,972,440Total Thames Regions and Special Health Authorities3,233,6298·8

1 Figures distorted by 1982 boundary changes


(1) The figures are derived from health authorities summarised income and expenditure accounts.

(2) The 1982 reorganisation of the National Health Service resulted in substantial and complex boundary changes and changes in management responsibility, and it is therefore not possible to make direct comparisons between the pre- and post-1982 authorities. In addition to these changes there was a major restructuring of the boards of governors for the London postgraduate teaching hospitals as follows:

(a) Bloomsbury health authority now manages the Royal national throat nose and ear hospitals, the Royal national orthopaedic hospitals and St. Peter's hospitals.

(b) West Lambeth health authority now manages St. John's hospital for diseases of the skin.

(c) Hammersmith hospital was given special health authority status.