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Regional Health Authorities

Volume 124: debated on Tuesday 15 December 1987

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To ask the Secretary of State for Social Services when he will be making new appointments to regional health authorities; and if he will make a statement.

The term of office of about half the current members of regional health authorities ends on 30 September 1988 and, in accordance with the National Health Service Act 1977, we are seeking nominations for new members. If hon. Members wish to recommend any individuals for membership I invite them to write to me by 4 January 1988. Reappointments and changes will be announced in due course.

Revenue cash limits1
Region1979–80 £000s1980–81 £000s1981–82 £000s1982–83 £000s1983–84 £000s1984–85 £000s1985–86 £000s21986–87 £000s31987–88 £000s
East Anglian182,967244,748269,314291,011311,707331,700355,385385,129411,602
North West Thames438,733583,939643,693630,187654,944696,599713,194756,690786,508
North East Thames480,181635,907693,840795,234828,880867,137897,987955,433996,092
South East Thames451,820601,749656,510699,866729,510766,367797,993841,427874,233
South West Thames354,614466,979517,658535,726554,052588,383599,402639,732710,025
South Western329,628428,345472,900508,954538,149568,012598,751644,139688,642
West Midlands522,633678,995752,247814,275861,746908,176956,1201,025,3251,114,355
North Western456,855601,857675,155730,416763,336807,578848,196912,460959,886
1 Inclusive of all in-year adjustments, carry forward from previous financial year, and in-year transfers between revenue and capital.
2 Provisional.
3 Initial allocations shown. Final cash limits will reflect in-year adjustments (see note 1) which have not yet been finalised.

To ask the Secretary of State for Social Services what is the administrative cost of the regional health authorities in England in 1987–88.

The information requested is not collected in-year and the annual accounts of health authorities for 1987–88, from which it would be derived, are not due for submission to the Department until June 1988. Information is available for 1986–87 and is provided in the table.However, in this context, it would be misleading to interpret regional health authority data in isolation from

To ask the Secretary of State for Social Services when the extra funding outlined in the Chancellor's Autumn Statement for the Health Service is to be made available to the regional health authorities; what will be the amount for the Trent region; what funding was available to the regions in the years 1979 and 1987 and whether the resource allocation working party formula will continue to apply.

To ask the Secretary of State for Social Services if he has any plans to change the current policy of redistributing resources out of the North East Thames and other Thames regions in the light of its effects on London health districts; and if he will make a statement on the resource allocation working party formula as it applies to the North East Thames region.

Allocations to regional health authorities for 1988–89 will be announced shortly, including that for Trent regional health authority. The current review of the resource allocation working party formula is exploring the scope for improving the way in which the formula measures relative need for health care across the country. The review's programme of analysis and research is due for completion by around the end of the year, and any recommendations which may emerge will then be carefully considered. Meanwhile, the present arrangements will continue to apply, with the pace of change in allocations year by year remaining a matter for ministerial decision.Funding to regional health authorities in the years 1979–80 to 1987–88 is in the table.those for the districts they manage. Regions are managed in an integrated way and, therefore, to provide a more accurate picture, regional health authority and district health authority figures should be combined. In interpreting the figures, a number of factors need to be borne in mind, for example the size of the total budgets managed, the population of the region and the number of health autorities involved, all of which differ between regions. Similarly, the balance of management as between RHA and DHA headquarters that these figures appear to suggest will also vary from place to place according to such factors as geographical size, policy on centralisation of

services (for example supplies, ambulances, computers) to achieve economies of scale, whether the RHA has a policy of re-charging districts for services it provides etc.:

RegionRHA administration1expenditure (£000)DHA administration1expenditure (£000)Total administration1expenditure (£000)Total revenue (£000)Total capital (£000)Resident population (million)
East Anglian5,32211,54216,864389,42332,5291·90
North West Thames6,92625,50632,432777,78166,5433·49
North East Thames10,18732,62942,816976,10075,9043·76
South East Thames9,12829,41838,546857,08876,5173·60
South West Thames14,37617,96832,344650,07154,1722·96
South Western3,46622,21925,685650,02668,4033·14
West Midlands10,68435,17045,8541,049,734115,2595·17
North Western12,08926,59438,683922,35265,6733·95
1 Expenditure on headquarters administration includes the pay and pay related costs of staff of all disciplines employed at regional/district headquarters levels and their office costs and overheads. It excludes the cost of clerical and secretarial support staff employed in departments at hospital and unit levels: such costs are regarded as operational.
2 The figures in brackets in the second column of figures gives the numbers of Districts—191 in all (see (2))