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Family Practitioner Service

Volume 124: debated on Friday 18 December 1987

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To ask the Secretary of State for Social Services if he will give a breakdown by programme of family practitioner service expenditure for 1986–87 and their latest estimate for 1987–88 for England, including administration costs.

The information requested in respect of the family practitioner services in England is set out in the following table:

Family Practitioner Services (England)—Net cost
£ million1986–871987–88 (Estimate)
General Medical Services1,1311,236
Pharmaceutical Services1,6391,827
General Dental Services521571
General Ophthalmic Services128148
FPS Administration9499
Payments to British Telecom for priority fault repair1
Compensation payments to pharmacists on withdrawal from contract4
Net FPS3,5133,886

To ask the Secretary of State for Social Services if he will give the total cost in the last full year for which figures are available, for England and Wales, of the 70 per cent. direct reimbursements to unrestricted principals in general practice under the ancillary staff scheme for ancillary staff salaries and a breakdown of the cost for each family practitioner committee.

The total cost during 1986–87 of the 70 per cent. reinbursement of ancillary staff salaries for England and Wales was £126 million. The breakdown for each family practitioner committee is as follows:

Ancillary Staff—70 per cent. Salaries—1986–87
Family Practitioner Committee£ million
Avon1·829
Barking and Havering0·607
Barnet0·761
Barnsley0·446
Bedfordshire1·572
Berkshire2·422
Birmingham2·403
Bolton0·512
Bradford0·924
Brent and Harrow1·163
Bromley0·801
Buckingham1·655
Bury0·356
Calderdale0·435
Cambridgeshire1·896
Camden and Islington1·004
Cheshire2·257
City and East London1·189
Cleveland1·363
Coventry0·690
Cornwall1·763
Croydon0·659
Cumbria1·366
Derbyshire2·110
Devon2·776
Doncaster0·650
Dorset2·059

Family Practitioner Committee

£ million

Dudley0·559
Durham1·795
Ealing, Hammersmith and Hounslow1·426
Enfield and Haringey1·145
Essex3·622
Gateshead0·509
Gloucester1·649
Greenwich and Bexley0·951
Hampshire4·817
Hereford and Worcester1·877
Hertfordshire3·064
Hillingdon0·470
Humberside2·020
Isle of Wight0·408
Kensington, Chelsea and Westminster1·096
Kent4·059
Kingston and Richmond0·913
Kirklees0·762
Lambeth, Southwark and Lewisham1·647
Lancashire2·607
Leeds1·700
Leicestershire2·171
Lincolnshire1·679
Liverpool0·909
Manchester1·070
Merton, Sutton and Wandsworth1·375
Newcastle0·784
Norfolk2·373
Northamptonshire1·550
Northumberland0·877
Nottinghamshire1·964
Oldham0·255
Oxfordshire1·879
Redbridge and Waltham Forest0·896
Rochdale0·353
Rotherham0·398
St. Helens and Knowsley0·689
Salford0·477
Shropshire1·085
Sandwell0·504
Sefton0·624
Sheffield1·184
Solihull0·594
Somerset1·423
Staffordshire2·162
Stockport0·638
Suffolk2·017
Sunderland0·561
Surrey2·880
Sussex (East)1·863
Sussex (West)1·604
Tameside0·439
Trafford0·465
Tyneside (North)0·378
Tyneside (South)0·340
Wakefield0·751
Walsall0·456
Warwickshire1·492
Wigan0·564
Wiltshire1·519
Wirral0·754
Wolverhampton0·469
Yorkshire (North)2·142
England119·411

Wales

Clwyd0·814
Dyfed0·951
Gwent0·929
Gwynedd0·728
Mid Glamorgan1·204
Powys0·355
South Glamorgan0·866
West Glamorgan0·913

Family Practitioner Committee

£ million
Wales6·760
£126·171
England and Wales Totalmillion

To ask the Secretary of State for Social Services if he will give for England and Wales for each year since 1979 the total family practitioner committee expenditure (a) under the ancillary staff scheme and (b) the cost of providing premises under the rent and rate scheme, with an indication of the costs adjusted for general price inflation.

Family practitioner committee expenditure since 1979–80 under the ancillary staff scheme (including related staff, national insurance contributions and training costs) and the rent and rate direct reimbursement scheme were as follows:

YearAncillary StaffRent and Rate Scheme
CashAt 1986–87 Prices1CashAt 1986–87 Prices1
£ million£ million£ million£ million
1979–8052862034
1980–8168952637
1981–82811043240
1982–83921103846
1983–841061214754
1984–851191305459
1985–861331376364
1986–871451457474
1 Adjusted in line with the GDP deflator at market prices.

To ask the Secretary of State for Social Services if he will give, for the last year for which figures are available, the total for England and Wales and a breakdown for each family practitioner committee, of (a) the number of general practice premises and (b) the amount directly reimbursed to unrestricted principals in general practice for the cost of providing premises under the rent and rates scheme.

The information requested on the number of general practice premises in England and Wales is not available and could be obtained only at disproportionate cost. The total amount directly reimbursed to unrestricted principals in England and Wales during 1986–87 under the rent and rates scheme was £74 million. The breakdown for each family practitioner committee is scheduled in the table.

Family Practitioner CommitteePractice accommodation. Rent—rates payments £ million
Avon1·108
Barking and Havering0·718
Barnet0·614
Barnsley0·250
Bedfordshire0·980
Berkshire1·612
Birmingham1·487
Bolton0·256
Bradford0·538
Brent and Harrow0·989
Bromley0·543
Buckingham1·316
Bury0·153

Family Practitioner Committee

Practice accommodation. Rent—rates payments £ million

Calderdale0·254
Cambridgeshire1·119
Camden and Islington0·768
Cheshire1·302
City and East London1·053
Cleveland0·585
Coventry0·486
Cornwall0·698
Croydon0·381
Cumbria0·551
Derbyshire1·130
Devon1·582
Doncaster0·197
Dorset1·257
Dudley0·262
Durham0·797
Ealing, Hammersmith and Hounslow1·280
Enfield and Haringey0·937
Essex2·594
Gateshead0·267
Gloucester0·950
Greenwich and Bexley0·673
Hampshire2·323
Hereford and Worcester0·767
Hertfordshire2·615
Hillingdon0·311
Humberside0·896
Isle of Wight0·187
Kensington, Chelsea and Westminster1·112
Kent2·361
Kingston and Richmond0·627
Kirklees0·374
Lambeth, Southwark and Lewisham1·052
Lancashire0·993
Leeds1·096
Leicestershire1·146
Lincolnshire0·828
Liverpool0·550
Manchester0·565
Merton, Sutton and Wandsworth0·726
Newcastle0·421
Norfolk1·333
Northamptonshire0·766
Northumberland0·337
Nottinghamshire0·983
Oldham0·115
Oxfordshire0·740
Redbridge and Waltham Forest0·910
Rochdale0·220
Rotherham0·222
St. Helens and Knowsley0·393
Salford0·266
Shropshire0·450
Sandwell0·344
Sefton0·355
Sheffield0·612
Solihull0·321
Somerset0·873
Staffordshire0·991
Stockport0·308
Suffolk1·319
Sunderland0·151
Surrey1·556
Sussex (East)0·996
Sussex (West)1·268
Tameside0·238
Trafford0·219
Tyneside (North)0·151
Tyneside (South)0·153
Wakefield0·518
Walsall0·372
Warwickshire0·792
Wigan0·314

Family Practitioner Committee

Practice accommodation. Rent—rates payments £ million

Wiltshire0·794
Wirral0·342
Wolverhampton0·314
Yorkshire (North)1·380
England total70·053

Wales

Clwyd0·440
Dyfed0·645
Gwent0·522
Gwynedd0·319
Mid Glamorgan0·869
Powys0·237
South Glamorgan0·631
West Glamorgan0·341
Wales total4·004
England and Wales total74·057