To ask the Secretary of State for Health if he will give details of the total annual cost and the average annual cost of full-time posts in the National health service; and if he will break down the average cost for a full-time equivalent post into pay, national insurance superannuation, and other costs such as office space, heating, lighting etc·, for 1979–80 and each subsequent year.
[holding answer 21 May 1990]: Information on salaries and wages costs derived from annual accounts and manpower returns submitted to the Department for the financial years 1979–80 to 1988–89 (the latest available) is shown in the table.The format of the annual accounts of health authorities does not provide for office, other accommodation, heating, lighting and similar costs to be assigned between staff and patients. Similarly, comprehensive data to permit the derivation of annual figures for particular elements within the average total salaries and wages cost per whole-time equivalent are not available centrally.
| National Health Service (England)—Total salaries and wages costs £ Million (cash) | Average total salaries and wages cost per whole time equivalent post1 £ (cash) | |
| 1979–80 | 3,971·8 | 5,160 |
| 1980–81 | 5,217·1 | 6,620 |
| 1981–82 | 5,706·7 | 6,970 |
| 1982–83 | 6,068·7 | 7,350 |
| 1983–84 | 6,405·4 | 7,760 |
| 1984–85 | 6,753·1 | 8,300 |
| 1985–86 | 7,100·0 | 8,800 |
| 1986–87 | 7,628·5 | 9,600 |
| 1987–88 | 8,353·7 | 10,600 |
| 1988–89 | 9,409·1 | 12,030 |
| 1 Approximate. | ||
Sources: (a) Annual accounts of regional and district health authorities, special health authorities for the London postgraduate teaching hospitals, family practitioner committees, the Dental Estimates Board and the Prescription Pricing Authority. (b) Department of Health annual censuses of NHS medical and
non-medical manpower as at 30 September of each year.
Notes:
1. The figures are gross salaries and wages costs (including employers' national insurance and superannuation contributions) and relate to directly employed NHS staff. The costs of non-NHS staff (agency, etc), locums, and payments to contractors for family practitioner services are excluded.
2. The whole time equivalent figures used are not adjusted for the reduction in nurses' working hours during 1980–81 and exclude certain special health authorities and other NHS bodies such as the Health Education Authority. The comparatively small total whole time equivalent figures for such authorities and bodies were not collected until 1987 and thus for comparability all relevant other data have been excluded.
Average daily available beds1 and in-patient cases treated National Health Service hospitals: 1979 and 1988–89
| ||||||
1979
| 1988–89
| |||||
District health authority
| Average daily available beds
| In-patient cases treated
| In-patients per available bed
| Average daily available beds
| In-patient cases treated
| In-patients per available bed
|
North West Thames RHA
| ||||||
| Barnet | 2,841 | 33,616 | 11·8 | 2,114 | 36,482 | 17·3 |
| Harrow | 908 | 24,082 | 26·5 | 802 | 25,486 | 31·8 |
| Hillingdon | 1,628 | 38,926 | 23·9 | 1,184 | 40,826 | 34·5 |
| Hounslow and Spelthorne | n/a | n/a | n/a | 1,208 | 38,176 | 31·6 |
| Ealing | 1,709 | 11,443 | 6·7 | 1,299 | 24,741 | 19·0 |
| Riverside | n/a | n/a | n/a | 2,702 | 51,066 | 18·9 |
| Parkside | 3,681 | 54,802 | 14·9 | 2,634 | 52,548 | 19·9 |
North East Thames RHA
| ||||||
| Barking, Havering and Brentwood | 3,283 | 44,180 | 13·5 | 2,562 | 46,123 | 18·0 |
| Hampstead | n/a | n/a | n/a | 1,683 | 26,601 | 15·8 |
| Bloomsbury | n/a | n/a | n/a | 1,912 | 59,318 | 31·0 |
| Islington | n/a | n/a | n/a | 813 | 29,541 | 36·3 |
| City and Hackney | n/a | n/a | n/a | 1,477 | 37,322 | 25·3 |
| Newham | 941 | 20,471 | 21·8 | 785 | 21,909 | 27·9 |
| Tower Hamlets | n/a | n/a | n/a | 1,196 | 33,493 | 28·0 |
| Enfield | 1,234 | 20,528 | 16·6 | 977 | 23,191 | 23·7 |
| Haringey | 1,236 | 37,693 | 22·4 | 799 | 22,321 | 27·9 |
| Redbridge | 1,655 | 20,320 | 12·3 | 1,383 | 20,485 | 14·8 |
| Waltham Forest | 3,311 | 32,753 | 9·9 | 2,120 | 39,339 | 18·6 |
South East Thames RHA
| ||||||
| Bexley | 1,653 | 16,601 | 10·0 | 1,108 | 21,407 | 19·3 |
| Greenwich | 1,777 | 39,803 | 22·4 | 1,150 | 34,554 | 30·0 |
| Bromley | 2,591 | 29,822 | 11·5 | 1,757 | 28,508 | 16·2 |
| West Lambeth | n/a | n/a | n/a | 1,537 | 32,736 | 21·3 |
| Camberwell | 1,432 | 35,266 | 24·6 | 1,147 | 35,883 | 31·3 |
| Lewisham and North Southwark | 2,336 | 54,467 | 23·3 | 1,657 | 54,154 | 32·7 |
South West Thames RHA
| ||||||
| Croydon | 3,192 | 26,861 | 8·4 | 2,026 | 34,969 | 17·3 |
| Kingston and Esher | n/a | n/a | n/a | 1,242 | 24,189 | 19·5 |
| Richmond, Twickenham and Roehampton | n/a | n/a | n/a | 684 | 16,739 | 24·5 |
| Wandsworth | 2,871 | 43,654 | 15·2 | 2,095 | 41,757 | 19·9 |
| Merton and Sutton | 2,687 | 32,195 | 12·0 | 1,921 | 36,691 | 19·1 |
Special Health Authorities
| ||||||
| The Hospitals for Sick Children | 571 | 15,569 | 30·1 | 387 | 15,921 | 41·2 |
| The National Hospitals for Nervous Diseases | 357 | 6,349 | 17·8 | 304 | 5,794 | 19·0 |
| Moorfields Eye Hospital | 208 | 9,050 | 43·6 | 143 | 11,553 | 80·7 |
| Bethlem Royal and Maudsley Hospitals | 472 | 2,495 | 5·3 | 466 | 2,666 | 5·7 |
| The National Heart and Chest Hospitals | 603 | 13,068 | 21·7 | 359 | 17,627 | 49·1 |
| The Royal Marsden Hospital | 361 | 10,993 | 30·5 | 311 | 11,027 | 35·5 |
| Hammersmith and Queen Charlotte's | n/a | n/a | n/a | 810 | 25,666 | 31·7 |
| The Eastman Dental Hospital | n/a | n/a | n/a | 12 | 687 | 57·3 |
Source: SH3 return 1979, KHO3 and SH3a returns 1988–89.
1 Excluding neonatal cots on maternity units.
n/a Comparable data not available due to NHS restructuring in 1979.