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Health Expenditure

Volume 129: debated on Tuesday 15 March 1988

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To ask the Secretary of State for Social Services if he will publish a table showing expenditure per head in (a) London and (b) the rest of England on (i) general hospital expenditure, (ii) community health services and (iii) psychiatric hospitals.

Per capita figures based on total populations of the district health authorities covering the area of the former Greater London council and in England as a whole are shown in the table.

Revenue expenditure—Per capita 1986–87
Total hospital1servicesPsychiatric2hospitalsCommunity health services
£££
London2362727
Rest of England1601721
England total31751922
1 The figures for expenditure on total hospital services cover spending on all categories of hospital including "Mental Illness".
2 The figures for expenditure on psychiatric hospitals comprise those classified as "Mental Illness". These figures neither include expenditure on the growing volume of activity in psychiatric units in general hospitals and within community health services etc. nor expenditure on hospitals classified as "Mental Handicap".
3 Relevant expenditure recorded in the accounts of the special health authorities for the London postgraduate teaching hospitals is recorded in the England total figures only. Such expenditure cannot strictly be attributed to London or to particular health regions.

Note: The population figures used make no allowance for people resident in particular districts who receive treatment in others or for differences in morbidity and age/sex structure of particular populations.

Sources:

(a) Annual accounts of regional and district health authorities in England.

(b) Costing returns for hospitals categorised "Mental Illness".

(c) Mid-year estimates of population 1986 (Office of Population Censuses and Surveys).

To ask the Secretary of State for Social Services (1) if he will list for each year since 1979 expenditure per head on the hospital service in England, by regional health authority;(2) if he will list for each year since 1979 expenditure per head on the hospital service in England, Scotland and Wales.

Per capita figures based on total population of the health regions are shown in the table.Information about hospital services in Wales and Scotland are matters for my right hon. Friend the Secretary of State for Wales and my right hon. and learned Friend the Secretary of State for Scotland.

Revenue expenditure on hospital services—per capita

Region

1979–80

1980–81

1981–82

1982–83

1983–84

1984–85

1985–86

1986–87

£

£

£

£

£

£

£

£

Northern88114125136144153162173
Yorkshire87112125132140148157167
Trent80104114124132139147158
East Anglian81105115123131139146156
North-West Thames108139153150157163169178
North-East Thames109142154179187195202214
South-East Thames109139150159168173180187
South-West Thames102132141146153159164174
Wessex82104114122129138143152
Oxford7798107113117126131137
South-Western84107125133140146153162
West Midlands84107117127134142150161
Mersey96124136147153162170180
North-Western92120135145153161170181
All Regions91118129138146153160170
England93121133142150157165175

Sources:

(a) Annual accounts of regional and district health authorities (Predecessor authorities for the years prior to 1982–83).

(b) Mid-year estimates of population 1979 to 1986 inclusive (Office of Population Censuses and Surveys).

Notes:

1. The figures exclude capital expenditure and all expenditure on other health services (for example, community health, ambulance and blood transfusion services).

2. The population figures used make no allowance for people resident in one region who receive treatment in another or for differences in morbidity and age/sex structure of particular populations.

3. The figures for England include relevant expenditure recorded in the annual accounts of the special health authorities for the London postgraduate teaching hospitals (Predecessor authorities for the years prior to 1982–83). Such expenditure cannot strictly be attributed to particular regions.