To ask the Secretary of State for Health if he will publish a table showing the amount and proportion of the national health service budget spent on acute hospital care, chronic and long-term hospital care, health promotion advice and services and primary health care in each of the years from 1985–86 to 1991–92.
[holding answer 13 January 1992]: Information is not collected centrally in precisely the form requested, but the available figures are given in the table.
1978–79
| 1985–86
| 1986–87
| 1987–88
| 1988–89
| 1989–90
| 1990–91
| 1 1991–92
| |
| Total | 2,325 | 2,476 | 2,750 | 3,005 | 3,131 | — | — | |
| As a percentage of expenditure on the HCHS3 | 24·2 | 24·0 | 24·4 | 23·9 | 23·1 | |||
| Health promotion and advice services4 5 | ||||||||
| Health visiting | 149 | 164 | 188 | 221 | — | — | — | |
| Professional advice and support | — | — | — | 173 | 200 | — | — | |
| Health promotion | — | — | — | 62 | 72 | — | — | |
| Total | 149 | 164 | 188 | 221/235 | 272 | — | — | |
| As a percentage of expenditure on the HCHS3 | 1·5 | 1·6 | 1·7 | 1·8/1·9 | 2·0 | |||
| Primary care services: | ||||||||
| Hospital and Community Health Services5 | ||||||||
| District nursing | 293 | 332 | 402 | 490 | — | — | — | |
| General community patient care. | — | — | — | 558 | 581 | — | — | |
| Community mental illness | — | — | — | 120 | 154 | — | — | |
| Community learning disability | — | — | — | 60 | 77 | — | — | |
| Total | 3 | 332 | 402 | 490/738 | 812 | — | — | |
| As a percentage of expenditure on the HCHS3 | 3·0 | 3·2 | 3·6 | 3·9/5·9 | 6·0 | |||
| Family Health Services 6 | ||||||||
| Non-cash limited7 | 3,376 | 3,631 | 4,019 | 4,554 | 4,811 | 5,304 | 5,804 | |
| GMS cash limited8 | 162 | 175 | 201 | 232 | 302 | 464 | 592 | |
| Total | 3,538 | 3,806 | 4,220 | 4,786 | 5,113 | 5,768 | 6,396 | |
| As a percentage of total NHS expenditure | 23·7 | 23·7 | 23·9 | 24·4 | 24·2 | 24·4 | 24·0 | |
1 Estimated outturn | ||||||||
2 Expenditure on hospital care is classified by specialty according to the consultant responsible for the care of the patient. Acute services are defined as all specialities except maternity, mental illness and learning disability (mental handicap). Expenditure on the latter three specialities cannot be broken down between short episodes and long stay. | ||||||||
3 Figures shown are drawn from the Programme Budget. Disaggregated figures are not yet available for years after 1989–90. The HCHS current expenditure covered by the Programme Budget represents around 64 per cent, of total NHS expenditure. | ||||||||
4 Health promotion and advice form part of many programmes of care, particularly in primary care and community health services and the expenditure shown above under this heading reflects only part of the total expenditure in this area. | ||||||||
5 From 1988–89, the classification of expenditure on community health services has changed, and it is not possible to provide figures on a consistent basis with those for earlier years. In particular, expenditure on "health visiting" recorded under either "immunisation", "surveillance" or professional advice and support. Expenditure on "district nursing" is now recorded under "general community patient care", which also includes expenditure on paramedical services. Figures for 1988–89 have been provided on both old and new bases, for comparison with earlier and later years. | ||||||||
6 Expenditure on Family Health Services (excluding administration) provided by family doctors, dentists, community pharmacists and opticians. | ||||||||
7 1991–92 figure includes provision of £141 million for drug costs of GP fundholders which is incorporated in the cash limited Class XIII Vote 1. | ||||||||
8 GP practice expenses cash limited from April 1990. | ||||||||