Nhs Expenditure

Mr. Robin Cook

To ask the Secretary of State for Health if he will publish figures for each district health authority showing their revenue and capital allocations for NHS review expenditure in 1990–91 and 1991–92.

This information is not held centrally.

To ask the Secretary of State for Health if he will publish table 3 of Cm 1913 adjusted for input unit costs.

The information requested for the hospital and community health services—HCHS—family health services and for the health service as a whole for the years 1986–87 and 1990–91 is given in the table. Information is not available in this form for other parts of the programme or for later years.This information measures changes in total inputs at constant factor cost but ignores the continuing success of the national health service in increasing the efficiency with which it uses resources. Therefore, in order to give a complete picture, figures adjusted by the GDP deflator have also been included.Since it has not been possible to adjust these figures for certain review-related changes, figures for 1991–92 onwards are not directly comparable with those for earlier years. The main points are:

i. Sums provided for trust debt remuneration are included in HCHS current in 1991–92 and 1992–93;

ii. Trusts' capital financed via health authorities' payments for services is included in HCHS current for 1991–92 and 1992–93;

iii. GP fund holders' expenditure on drugs is included in HCHS current in 1991–92 only.

Further explanation is given in paragraph 3.4 of the departmental report and other tables, for example, table 9 which gives the full picture of HCHS capital spending.

Expenditure figures as they appear in table 3 of Cm 1913 adjusted for changes in input unit costs and by the GDP deflator (all at 1990–91 prices)
£ million
	1986–87	1987–88	1988–89	1989–90	1990–91	1991–92	1992–93
NHS hospital, community health, family health (cash limited) and related services:
Current expenditure
Adjusted for change in input unit cost
Gross	14,977	15,251	15,311	15,329	16,081	¹—	¹—
Net	14,540	14,818	14,876	14,873	15,590	¹—	¹—
Adjusted by GDP deflator
Gross	14,178	14,857	15,377	15,483	16,081	17,098	18,091
Net	13,764	14,434	14,940	15,022	15,590	16,643	17,678
Capital expenditure
Adjusted for change in input unit cost
Gross	1,423	1,425	1,450	1,591	1,555	¹—	¹—
Net	1,221	1,166	1,110	1,332	1,377	¹—	¹—
Adjusted by the GDP deflator
Gross	1,372	1,369	1,376	1,548	1,555	1,536	1,368
Net	1,178	1,121	1,054	1,296	1,377	1,338	1,189
NHS family health services (non cash limited) current/total expenditure
Adjusted for change in input unit cost
Gross	5,146	5,323	5,489	5,470	5,304	¹—	¹—
Net	4,593	4,763	4,891	4,807	4,690	¹—	¹—
Adjusted by the GDP deflator
Gross	4,740	4,976	5,261	5,219	5,304	5,424	5,567
Net	4,231	4,452	4,688	4,587	4,690	4,805	4,930
Total health services
Current expenditure
Adjusted for change in input unit cost
Gross	20,777	21,223	21,400	21,436	22,017	¹—	¹—
Net	19,774	20,218	20,364	20,317	20,889	¹—	¹—
Adjusted by the GDP deflator
Gross	19,524	20,446	21,216	21,314	22,017	23,239	24,395
Net	18,581	19,477	20,189	20,201	20,889	22,136	23,313
Capital expenditure
Adjusted for change in input unit cost
Gross	1,474	1,454	1,487	1,621	1,603	¹—	¹—
Net	1,273	1,193	1,121	1,361	1,425	¹—	¹—
Adjusted by the GDP deflator
Gross	1,422	1,398	1,411	1,577	1,603	1,621	1,529
Net	1,227	1,147	1,064	1,325	1,425	1,423	1,350
Total expenditure
Adjusted for change in input unit cost
Gross	22,271	22,696	22,908	23,064	23,620	¹—	¹—
Net	21,061	21,429	21,517	21,688	22,314	¹—	¹—
Adjusted by the GDP deflator
Gross	20,945	21,843	22,628	22,891	23,620	24,860	25,924
Net	19,808	20,624	21,253	21,526	22,314	23,559	24,663
¹— Estimates are not made for changes in input unit cost until the financial year has ended.

Volume 204: debated on Tuesday 18 February 1992