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National Health Service Spending

Volume 165: debated on Friday 19 January 1990

The text on this page has been created from Hansard archive content, it may contain typographical errors.

To ask the Secretary of State for Health if he will set out in the Official Report a table showing, for the years 1987–88 and 1988–89 (estimated), the average cost per head of spending in the National Health Service by health authorities, broken down into groups as follows: births, ages up to four years, five to 15 years, 16 to 64 years, 65 to 74 years and 75 plus years.

District-based figures of average total revenue expenditure per head of resident population for 1987–88 and 1988–89 are shown in the table. (The figures for 1988–89 are provisional in that they are as yet subject to audit.)

Although the greatest use of health care facilities tends to be the very young and the elderly it is not practicable centrally specifically to assign district health authorities' total expenditure to particular age groups.

Total revenue expenditure per resident

1988–89 (cash)
£

1987–88(cash)
£

Northern Region

Hartlepool266233
North Tees194181
South Tees285253
East Cumbria252229
South Cumbria185169
West Cumbria215195
Darlington278253
Durham162149
North West Durham244215
South West Durham250223
Northumberland243220
Gateshead183168
Newcastle upon Tyne575514
North Tyneside152134
South Tyneside178161
Sunderland248223
Districts Total254229

Yorkshire Region

Hull265236
East Yorkshire223212
Grimsby227207
Scunthorpe171151
Northallerton145139
York242225
Scarborough185167
Harrogate230211
Bradford237214
Airedale209191
Calderdale208187
Huddersfield248224
Dewsbury181162
Leeds Western301275
Leeds Eastern301263
Wakefield368339
Pontefract187172
Districts Total240218

Trent Region

North Derbyshire163143
Southern Derbyshire216201
Leicestershire221196
North Lincolnshire247228
South Lincolnshire190172
Bassetlaw184167
Central Nottinghamshire216196
Nottingham282254
Barnsley199178
Doncaster215191
Rotherham188170
Sheffield357322
Districts Total234212

East Anglian Region

Cambridge313282
Peterborough240202
West Suffolk197177
East Suffolk226206
Norwich243219
Great Yarmouth and Waveney202184
West Norfolk and Wisbech186166
Huntingdon219189
Districts Total233209

North-West Thames Region

North Bedfordshire173159
South Bedfordshire186171
North Hertfordshire173149
East Hertfordshire135118

1988–89 (cash)
£

1987–88 (cash)
£

North-West Hertfordshire320283
South-West Hertfordshire146126
Barnet299263
Harrow246218
Hillingdon321282
Hounslow and Spelthorne243211
Ealing179158
Riverside601514
Parkside394341
Districts Total269236

North-East Thames Region

Basildon and Thurrock210185
Mid-Essex219199
North-East Essex220202
West Essex200175
Southend180161
Barking/Havering/Brentwood207188
Hampstead688592
Bloomsbury1,2261,076
Islington372334
City and Hackney543483
Newham253227
Tower Hamlets542485
Enfield187166
Haringey293270
Redbridge219193
Waltham Forest328288
Districts Total307273

South-East Thames Region

Brighton240218
Eastbourne221203
Hastings217202
South-East Kent175158
Canterbury and Thanet234217
Dartford and Gravesham246229
Maidstone226208
Medway185164
Tunbridge Wells283260
Bexley212190
Greenwich342300
Bromley233205
West Lambeth640568
Camberwell438374
Lewisham and North Southwark437386
Districts Total279251

South-West Thames Region

North-West Surrey235217
West Surrey and North East Hampshire151134
South-West Surrey305271
Mid Surrey305276
East Surrey318288
Chichester216199
Mid Downs201179
Worthing182162
Croydon237209
Kingston and Esher283258
Richmond, Twickenham, Roehampton195176
Wandsworth620543
Merton and Sutton256227
Districts Total259231

Wessex Region

East Dorset206183
West Dorset216199
Portsmouth and South East Hampshire194172
Southampton and South West Hampshire290262
Winchester223198
Basingstoke and North Hampshire217199

1988–89 (cash)
£

1987–88 (Cash)
£

Salisbury312278
Swindon225201
Bath207190
Isle of Wight229207
Districts Total226203

Oxford Region

East Berkshire189171
West Berkshire195173
Aylesbury Vale349315
Wycombe143126
Milton Keynes161143
Kettering165148
Northampton222205
Oxfordshire255229
Districts Total209187

South Western Region

Bristol and Weston310279
Frenchay282255
Southmead246221
Cornwall/Isles of Scilly195181
Exeter280254
North Devon218199
Plymouth268241
Torbay210190
Cheltenham186165
Gloucester224208
Somerset210192
Districts Total240218

West Midlands Region

Bromsgrove and Redditch188177
Herefordshire203192
Kidderminster293273
Worcester211195
Shropshire201185
Mid Staffordshire171153
North Staffordshire244223
South-East Staffordshire196178
Rugby170160
North Warwickshire239213
South Warwickshire236215
Central Birmingham580521
East Birmingham232211
North Birmingham245223
South Birmingham323283
West Birmingham355322
Coventry247220
Dudley210190
Sandwell153136
Solihull170155
Walsall196174
Wolverhampton250228
Districts Total236214

Mersey Region

Chester300283
Crewe185171
Halton142128
Macclesfield226208
Warrington287265
Liverpool365325
St. Helens and Knowsley197182
Southport and Formby268234
South Sefton416321
Wirral217196
Districts Total265237

North Western Region

Lancaster385353
Blackpool, Wyre and Fylde206186
Preston616582
Blackburn, Hyndburn and Ribble Valley200181
Burnley, Pendle and Rossendale327300

1988–89 (cash)
£

1987–88 (cash)
£

West Lancashire252228
Chorley and South Ribble8879
Bolton201181
Bury173152
North Manchester499434
Central Manchester633562
South Manchester571518
Oldham189165
Rochdale160143
Salford400363
Stockport194176
Tameside and Glossop172148
Trafford162146
Wigan191172
Districts Total267241

Sources:

  • (a) 1987-88 and 1988-89 annual accounts of district health authorities.
  • (b) Mid-year estimates of resident population—1987 and 1988 respectively (Office of Population Censuses and Surveys).
  • Notes:

  • 1. District capital expenditure and all expenditure incurred by regional health authorities on behalf of their regions as a whole is excluded.
  • 2. Expenditure on family practitioner services is excluded: such expenditure is accounted for by family practitioner committees (FPCs) and cannot strictly be attributed to particular districts.
  • 3. Significant variations in per capita expenditure figures at district level arise principally because:
  • (i) people travel across district boundaries for treatment and sub-regional resource allocations reflect the pattern of service provision locally;
  • (ii) the population figures used make no allowance for people resident in one district who receive treatment in another or for the difference in morbidity and age/sex structure of particular populations.