Hospital And Community Health Services

To ask the Secretary of State for Health if he will give for the northern region and its constituent areas and districts, for each year from 1978–79 onwards, current expenditure on the hospital and community health services (a) in cash terms and (b) adjusted for NHS pay and prices.

Tables I and II show the information requested for the northern region.Both tables show expenditure in cash and in input volume terms. Changes in input volumes are, however, an inadequate guide to the level of service the NHS can be expected to achieve, since they do not reflect the continuing success of the NHS in increasing the efficiency with which it uses its resources. The third column of each table therefore shows the relevant expenditure figures in real terms, ie adjusted by the GDP deflator.

Table 1
Northern region—revenue expenditure on hospital and community health services (HCHS)
	1978–79
	cash £000	input volume terms £000	real terms £000
Northern RHA	9,583	29,371	24,295
Cleveland	46,448	142,362	117,759
Cumbria	36,569	112,085	92,714
Durham	46,474	142,443	117,826
Northumberland	26,511	81,256	67,213
Gateshead	13,457	41,246	34,118
Newcastle on Tyne	53,699	164,586	136,142
North Tyneside	9,029	27,674	22,891
South Tyneside	9,434	28,917	23,919
Sunderland	26,202	80,310	66,431
Northern Region Total	277,406	850,250	703,308

	1979–80
	cash £000	input volume terms £000	real terms £000
	£000	£000	£000
Northern RHA	12,363	31,452	26,864
Cleveland	57,350	145,899	124,616
Cumbria	43,755	111,312	95,075
Durham	56,071	142,645	121,837
Northumberland	31,819	80,949	69,140
Gateshead	16,436	41,812	35,713
Newcastle on Tyne	66,041	168,008	143,500
North Tyneside	10,965	27,895	23,826
South Tyneside	11,307	28,766	24,570
Sunderland	31,889	81,125	69,291
Northern Region Total	337,996	859,863	734,433

	1980–81
	cash £000	input volume terms £000	real terms £000
Northern RHA	15,519	30,835	28,497
Cleveland	74,296	147,627	136,430
Cumbria	57,163	113,582	104,968
Durham	73,147	145,343	134,320
Northumberland	41,055	81,576	75,389
Gateshead	21,173	42,072	38,881

	1980–81
	cash £000	input volume terms £000	real terms £000
Newcastle upon Tyne	84,200	167,305	154,616
North Tyneside	14,209	28,234	26,093
South Tyneside	14,814	29,435	27,202
Sunderland	41,449	82,359	76,113
Northern Region Total	437,025	868,368	802,508

	1981–82
	cash £000	input volume terms £000	real terms £000
Northern RHA	17,042	31,307	28,537
Cleveland	81,897	150,446	137,137
Cumbria	62,835	115,429	105,218
Durham	80,908	148,627	135,480
Northumberland	45,503	83,588	76,194
Gateshead	23,263	42,735	38,954
Newcastle upon Tyne	94,708	173,978	158,588
North Tyneside	15,748	28,929	26,370
South Tyneside	16,293	29,930	27,282
Sunderland	44,473	81,696	74,469
Northern Region Total	482,670	886,665	808,231

Table
II Northern Region—revenue expenditure on hospital and community health services (HCHS)
	1982–83
	cash £000	input volume terms £000	real terms £000
Northern RHA	18,694	32,247	29,222
Hartlepool	14,038	24,216	21,945
North Tees	22,658	39,085	35,419
South Tees	53,150	91,684	83,084
East Cumbria	29,143	50,272	45,557
South Cumbria	19,301	33,295	30,172
West Cumbria	19,048	32,858	29,776
Darlington	22,746	39,237	35,557
Durham	26,540	45,782	41,488
North West Durham	13,552	23,378	21,185
South West Durham	24,001	41,401	37,518
Northumberland	48,677	83,968	76,092
Gateshead	24,973	43,078	39,038
Newcastle	101,394	174,905	158,499
North Tyneside	16,984	29,298	26,550
South Tyneside	17,999	31,049	28,136
Sunderland	47,938	82,694	74,937
Northern Region Total	520,838	898,446	814,174

	1983–84
	cash £000	input volume terms £000	real terms £000
	£000	£000	£000
Northern RHA	19,861	32,591	29,672
Hartlepool	14,679	24,089	21,931
North Tees	24,310	39,893	36,319
South Tees	55,879	91,698	83,483
East Cumbria	30,842	50,611	46,077
South Cumbria	20,703	33,974	30,930
West Cumbria	20,544	33,713	30,693
Darlington	24,038	39,446	35,913
Durham	27,338	44,861	40,843
North West Durham	14,180	23,269	21,185
South West Durham	25,938	42,565	38,752

	1983–84
	cash £000	input volume terms £000	real terms £000
Northumberland	51,771	84,956	77,345
Gateshead	26,495	43,478	39,584
Newcastle	108,216	177,583	161,675
North Tyneside	18,708	30,700	27,950
South Tyneside	19,061	31,279	28,477
Sunderland	51,432	84,400	76,840
Northern Region Total	553,996	909,107	827,670

	1984–85
	cash £000	input volume terms £000	real terms £000
Northern RHA	20,834	32,313	29,644
Hartlepool	15,679	24,318	22,309
North Tees	25,451	39,474	36,214
South Tees	58,141	90,177	82,729
East Cumbria	32,460	50,346	46,188
South Cumbria	22,894	35,509	32,576
West Cumbria	21,682	33,629	30,852
Darlington	25,625	39,745	36,462
Durham	28,834	44,721	41,028
North West Durham	15,018	23,293	21,369
South West Durham	27,584	42,783	39,249
Northumberland	55,168	85,566	78,499
Gateshead	28,308	43,906	40,280
Newcastle	114,164	177,068	162,444
North Tyneside	20,961	32,511	29,826
South Tyneside	20,048	31,095	28,527
Sunderland	54,000	83,755	76,837
Northern Region Total	586,852	910,207	835,031

	1985–86
	cash £000	input volume terms £000	real terms £000
Northern RHA	22,432	33,064	30,249
Hartlepool	16,980	25,029	22,898
North Tees	26,751	39,430	36,073
South Tees	60,693	89,461	81,844
East Cumbria	34,282	50,532	46,229
South Cumbria	24,433	36,015	32,948
West Cumbria	22,998	33,899	31,013
Darlington	26,771	39,460	36,101
Durham	29,999	44,218	40,453
North West Durham	15,713	23,161	21,189
South West Durham	29,209	43,054	39,388
Northumberland	57,893	85,334	78,068
Gateshead	29,795	43,918	40,179
Newcastle	121,728	179,427	164,150
North Tyneside	21,950	32,354	29,600
South Tyneside	20,879	30,776	28,155
Sunderland	57,580	84,873	77,647
Northern Region Total	620,085	914,005	836,184

	1986–87
	cash £000	input volume terms £000	real terms £000
	£000	£000	£000
Northern RHA	22,735	31,352	29,681
Hartlepool	18,391	25,361	24,009
North Tees	28,890	39,840	37,716
South Tees	65,963	90,963	86,115
East Cumbria	37,270	51,396	48,656
South Cumbria	26,348	36,334	34,397

	1986–87
	cash £000	input volume terms £000	real terms £000
	£000	£000	£000
West Cumbria	24,492	33,775	31,975
Darlington	28,983	39,968	37,838
Durham	32,344	44,602	42,225
North West Durham	16,776	23,134	21,901
South West Durham	31,230	43,066	40,770
Northumberland	61,546	84,872	80,348
Gateshead	32,434	44,727	42,343
Newcastle	129,754	178,931	169,394
North Tyneside	23,792	32,809	31,060
South Tyneside	22,519	31,054	29,399
Sunderland	61,197	84,391	79,893
Northern Region Total	664,666	916,574	867,721

	1987–88
	cash £000	input volume terms £000	real terms £000
	£000	£000	£000
Northern RHA	20,978	26,663	25,973
Hartlepool	20,888	26,549	25,862
North Tees	31,895	40,538	39,489
South Tees	73,203	93,040	90,632
East Cumbria	40,719	51,754	50,414
South Cumbria	29,120	37,011	36,053
West Cumbria	26,753	34,004	33,123
Darlington	31,4 18	39,932	38,899
Durham	35,005	44,491	43,340
North West Durham	18,585	23,621	23,010
South West Durham	34,224	43,499	42,373
Northumberland	66,239	84,190	82,011
Gateshead	34,789	44,216	43,072
Newcastle	145,364	184,758	179,976
North Tyneside	25,922	32,947	32,094
South Tyneside	25,147	31,962	31,135
Sunderland	66,176	84,109	81,932
Northern Region Total	726,424	923,285	899,386

	1988–89
	cash £000	input volume terms £000	real terms £000
Northern RHA	22,455	25,823	25,940
Hartlepool	23,529	27,059	27,181
North Tees	34,304	39,450	39,628
South Tees	81,915	94,202	94,628
East Cumbria	45,167	51,942	52,177
South Cumbria	31,978	36,774	36,941
West Cumbria	29,434	33,849	34,003
Darlington	34,595	39,785	39,964
Durham	37,827	43,501	43,698
North West Durham	20,946	24,088	24,197
South West Durham	38,069	43,780	43,978
Northumberland	73,107	84,072	84,453
Gateshead	37,737	43,398	43,594
Newcastle	160,885	185,018	185,855
North Tyneside	29,409	33,820	33,973
South Tyneside	27,745	31,907	32,051
Sunderland	73,559	84,593	84,976
Northern Region Total	802,662	923,061	927,235

	1989–90
	cash £000	input volume terms £000	real terms £000
Northern RHA	25,813	27,724	28,002
Hartlepool	26,858	28,846	29,136
North Tees	37,472	40,245	40,649
South Tees	86,059	92,428	93,357
East Cumbria	47,772	51,307	51,823
South Cumbria	35,090	37,687	38,066
West Cumbria	31,506	33,838	34,178
Darlington	37,285	40,045	40,447
Durham	37,981	40,791	41,201
North West Durham	22,496	24,161	24,404
South West Durham	40,337	43,322	43,758
Northumberland	77,989	83,760	84,602
Gateshead	40,496	43,492	43,930
Newcastle	173,702	186,556	188,432
North Tyneside	31,906	34,267	34,611
South Tyneside	30,098	32,325	32,650
Sunderland	79,543	85,429	86,288
Northern Region Total	862,403	926,221	935,535

1990–91
	Cash £000
Northern regional health authority	27,479
Hartlepool	28,589
North Tees	39,248
South Tees	93,727
East Cumbria	52,050
South Cumbria	38,647
West Cumbria	33,314
Darlington	39,145
Durham	40,698
North West Durham	23,812
South West Durham	43,169
Northumberland	82,563
Gateshead	44,040
Newcastle	190,898
North Tyneside	34,800
South Tyneside	33,384
Sunderland	85,835
NORTHERN REGION TOTAL	931,400

Notes to the tables:

1. Expenditure on the HCHS covers services directly managed and/or accounted for by the health authorities (at the relevant time) including hospital, community health, patient transport (i.e. ambulance), blood transfusion and other services.

2. The figures are derived from the annual accounts of the regional health authority (RHA) and the area health authorities (district health authorities from 1 April 1982) comprising the Northern region. 1990–91 figures are as yet subject to audit.

3. The volume input terms column of each table shows the cash figures for the relevant year expressed at 1990–91 prices after adjustment by the HCHS pay and prices index.

4. The real terms column of each table shows the cash figures for the relevant year expressed in 1990–91 prices after adjustment by the GDP deflator.

Volume 204: debated on Friday 21 February 1992