Health Expenditure

Dr. Owen

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 hospital¹services	Psychiatric²hospitals	Community health services
	£	£	£
London	236	27	27
Rest of England	160	17	21
England total³	175	19	22
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
	£	£	£	£	£	£	£	£
Northern	88	114	125	136	144	153	162	173
Yorkshire	87	112	125	132	140	148	157	167
Trent	80	104	114	124	132	139	147	158
East Anglian	81	105	115	123	131	139	146	156
North-West Thames	108	139	153	150	157	163	169	178
North-East Thames	109	142	154	179	187	195	202	214
South-East Thames	109	139	150	159	168	173	180	187
South-West Thames	102	132	141	146	153	159	164	174
Wessex	82	104	114	122	129	138	143	152
Oxford	77	98	107	113	117	126	131	137
South-Western	84	107	125	133	140	146	153	162
West Midlands	84	107	117	127	134	142	150	161
Mersey	96	124	136	147	153	162	170	180
North-Western	92	120	135	145	153	161	170	181
All Regions	91	118	129	138	146	153	160	170
England	93	121	133	142	150	157	165	175

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.

Volume 129: debated on Tuesday 15 March 1988