Regional Allocations

To ask the Secretary of State for Health if he will publish a table showing the allocations to National Health Service regions from 1982–83 to 1990–91 were 119,000 people receiving income support in residential care homes and 57,000 claimants in nursing homes.

To ask the Secretary of State for Health (1) how many in-patients and out-patients, respectively, were treated, and what was the hospital's revenue, in respect of (a) the Christie hospital, Manchester, and (b) the Royal Marsden hospital, London, in the most recent year for which figures are available; and if he will make a statement about the cost-effectiveness of treatment in the case of each of those hospitals;(2) if he will publish the cost

(a) per in-patient case and (b) per out-patient attendance at the Christie hospital, Manchester, and at the Royal Marsden hospital, London, in respect of the most recent year for which figures are available; and what are the reasons for the disparity in cost between these two cancer treatment hospitals.

[holding answer 14 December 1989]: For the purposes of specialty costing, financial returns from health authorities provided to the Department categorise expenditure on direct patient services according to the main specialty of the consultant in charge of the treatment, rather than upon the specific treatment received.Under this categorisation, the expenditure on patient treatment of the Royal Marsden special health authority is categorised under "other medical", which includes medical oncology amongst other specialty functions. Christie hospital, Manchester, however, undertakes work covering a wider range of specialties in addition to those categories which include treatment of cancer, so direct comparisons of cost are not practicable centrally.Following is a table of data derived from financial returns held by the Department.There are often good reasons for differences between hospitals in particular costs which can arise from differences in the particular diagnoses of the patients treated, the severity of the condition treated and length of time required for treatment, and whether treatment can be provided on an out-patient basis or requires admission to a hospital bed.in current and standard prices in the case of each region indicating the value of these allocations in standard prices on a per capita basis.

[holding answer 10 January 1990]: The information requested is shown in the tables, at current cash levels and at 1990–91 cash levels using the GDP deflator. The allocations shown relate to the main

Allocations									£000s at cash
Region	1982–83	1983–84	1984–85	1985–86	1986–87	1987–88	1988–89	1989–90	1990–91
Northern	479,616	539,388	560,701	601,519	639,403	679,482	735,253	817,311	884,179
Yorkshire	537,778	606,123	629,450	676,116	720,831	767,080	829,677	920,376	999,322
Trent	631,328	717,046	746,789	810,705	866,468	926,641	1,010,146	1,126,131	1,227,583
East Anglian	269,985	307,251	321,224	345,723	371,144	400,572	437,676	488,050	539,690
North West Thames	581,173	626,483	649,174	686,495	723,116	748,568	808,071	895,111	968,446
North East Thames	681,128	792,648	806,429	853,455	900,051	933,655	1,007,139	1,114,489	1,197,287
South East Thames	628,878	697,381	715,293	756,200	796,566	830,504	897,538	1,000,077	1,092,602
South West Thames	505,602	544,658	558,782	590,095	620,117	690,592	745,778	828,304	900,756
Wessex	383,805	434,435	454,024	491,471	527,732	564,636	614,551	687,346	757,653
Oxford	307,453	345,704	357,430	386,127	412,181	440,700	482,415	548,386	595,806
South Western	505,602	528,459	550,356	594,068	634,384	672,786	731,564	818,155	896,046
West Midlands	749,136	841,616	875,293	944,388	1,015,057	1,088,488	1,185,562	1,316,619	1,419,349
Mersey	395,333	442,733	457,822	486,642	513,227	542,546	585,517	652,367	699,175
North Western	661,535	742,325	771,417	826,052	875,174	928,848	1,004,859	1,117,456	1,199,999
Total	7,281,698	8,166,250	8,454,184	9,049,056	9,615,451	10,215,098	11,276,275	12,330,178	13,377,893

Notes:

1. To allow for consistency of comparison the allocations shown above exclude the special allocations such as the Service Increment for Teaching and Supra Regional Services etc.

2. 1989–90 is based on the allocations for services provided in the region using the Resource Allocation Working Party Formula (RAWP)

3. 1990–91 is based on the allocations for resident population, calculated using the new allocation formula, adjusted for the effect of cross boundary flows, so that they are on a comparable basis to 1989–90.

Allocations							£000s at constant 1990–91 cash levels
Region	1982–83	1983–84	1984–85	1985–86	1986–87	1987–88	1988–89	1989–90	1990–91
Northern	728,268	782,485	774,894	788,940	811,287	818,742	826,057	858,177	884,179
Yorkshire	816,584	879,297	869,906	886,780	914,605	924,293	932,142	966,395	999,322
Trent	958,634	1,040,211	1,032,070	1,063,304	1,099,392	116,566	1,134,899	1,182,438	1,227,583
East Anglian	409,956	445,726	443,935	453,443	470,915	482,669	491,729	512,453	539,690
North West Thames	882,476	908,833	897,165	900,393	917,504	901,987	907,868	939,867	968,446
North East Thames	1,034,252	1,149,887	1,114,493	1,119,375	1,142,003	1,125,008	1,131,521	1,170,213	1,197,287
South East Thames	954,914	1,011,684	988,542	991,817	1,010,699	1,000,716	1,008,384	1,050,081	1,092,602
South West Thames	767,726	790,130	772,242	773,957	786,817	832,129	837,882	869,719	900,756
Wessex	582,785	630,231	627,466	644,604	669,597	680,358	690,448	721,713	757,653
Oxford	466,849	501,509	493,972	506,436	522,983	531,021	541,993	575,805	595,806
South Western	767,726	766,630	760,597	779,168	804,919	810,673	821,912	859,063	896,046
West Midlands	1,137,518	1,220,924	1,209,664	1,238,640	1,287,925	1,311,574	1,331,979	1,382,450	1,419,349
Mersey	600,289	642,268	632,715	638,270	651,193	653,741	657,828	684,985	699,175
North Western	1,004,501	1,076,883	1,066,106	1,083,433	1,110,438	1,119,215	1,128,959	1,173,329	1,199,999
Total	11,056,822	11,846,697	11,683,767	11,868,561	12,200,277	12,308,682	12,668,895	12,946,687	13,377,893

Allocation per capita							£s At constant 1990–91 cash levels
Region	1982–83	1983–84	1984–85	1985–86	1986–87	1987–88	1988–89	1989–90	1990–91
Northern	236·28	251·30	249·42	256·79	264·64	267·60	269·19	282·08	289·12
Yorkshire	228·01	244·81	241·84	246·99	254·64	257·40	258·60	266·22	276·77
Trent	210·45	226·44	224·43	229·88	237·34	241·47	243·80	250·07	262·45
East Anglian	217·97	235·22	231·86	233·10	240·37	245·76	243·55	240·59	262·74
North West Thames	257·44	261·89	260·08	260·94	265·37	259·71	258·45	262·78	274·37
North East Thames	279·96	306·03	298·59	297·70	303·44	301·25	299·64	306·10	316·12
South East Thames	269·07	281·26	275·81	276·77	281·63	278·85	276·31	281·63	297·63
South West Thames	268·59	281·05	262·15	262·61	266·47	281·86	280·46	285·31	300·14
Wessex	215·61	232·25	225·98	227·35	234·41	237·10	236·26	235·32	255·39
Oxford	202·43	215·42	208·88	208·44	213·11	216·31	216·62	216·83	232·36
South Western	238·12	236·28	246·57	249·99	257·31	258·20	256·58	258·44	276·57
West Midlands	220·70	235·65	233·43	238·42	247·53	253·50	256·16	263·10	272·20
Mersey	245·20	261·83	259·00	264·67	270·96	272·03	273·47	287·57	291·81
North Western	250·99	266·85	265·33	271·65	278·49	281·63	283·44	294·72	301·51
England	237·95	253·21	249·66	252·78	259·34	261·87	266·77	267·65	280·16

Note. Calculated using actual populations within regional boundaries.

population based allocations and do not include additional special allocations such as the service increment for teaching.

Volume 168: debated on Wednesday 28 February 1990