Road Traffic Accidents

To ask the Secretary of State for Health what is the total amount charged by each health authority for treatment given to patients following road traffic accidents for each of the last 10 years; and if he will give the comparable figures for NHS trusts.

[holding answer 14 February 1992]: The information requested, which is derived from annual accounts submitted to the Department, is shown in the tables for the financial years to 1990–91—the latest available. Such information is not collected in-year.Table 1 shows the figures for the 10 years by region and table 2 for each health authority for the most recent three years. A complete analysis to each health authority for the entire 10-year period could be provided only at disproportionate cost.

Table 2
Income from charges under the Road Traffic Acts
	1988–89 (£)	1989–90 (£)	1990–91 (£)
Northern Region
Hartlepool	10,779	18,973	21,645
North Tees	17,948	21,272	22,311
South Tees	27,630	47,551	34,229
East Cumbria	39,031	45,766	51,260
South Cumbria	28,259	29,854	37,415
West Cumbria	12,349	13,135	11,410
Darlington	10,209	10,238	14,161
Durham	26,503	30,837	29,808
North West Durham	6,826	21,562	16,017
South West Durham	22,965	13,040	25,609
Northumberland	20,434	44,926	42,923
Gateshead	10,734	12,570	10,517
Newcastle	129,785	36,664	36,495
North Tyneside	11,842	8,794	12,052
South Tyneside	9,121	8,436	5,702
Sunderland	12,215	19,952	18,269
Total	396,630	383,570	389,823
Yorkshire Region
Hull	153,110	125,621	152,581
East Yorkshire	5,148	4,302	4,350
Grimsby	20,682	31,113	37,678
Scunthorpe	13,499	17,120	28,640
Northallerton	24,201	15,932	12,925
York	26,556	38,971	31,291
Scarborough	33,488	34,655	55,701
Harrogate	27,745	30,428	28,731
Bradford	47,252	66,756	50,563
Airedale	29,637	37,418	57,086
Calderdale	37,74!	25,640	35,644
Huddersfield	66,754	35,713	30,219
Dewsbury	28,108	38,417	41,807
Leeds Western	78,784	57,920	38,736
Leeds Eastern	117,071	80,582	90,796
Wakefield	26,002	19,155	33,125
Pontefract	15,694	19,835	13,731
Total	751,472	679,578	743,604
Trent Region
North Derbyshire	63,128	39,661	56,000
South Derbyshire	137,672	138,300	108,772
Leicestershire	172,495	79,819	140,508
North Lincolnshire	87,372	74,019	134,055
South Lincolnshire	108,796	107,585	131,640
Bassetlaw	11,172	15,307	19,860
Central Notts	61,453	61,481	55,035
Nottingham	123,754	133,736	98,694
Barnsley	21,357	48,687	30,990
Doncaster	81,221	104,048	108,534
Rotherham	50,955	44,696	65,161
Sheffield	85,881	84,061	44,535
Total	1,005,256	931,400	993,784
East Anglian Region
Cambridge	46,271	138,388	86,301
Peterborough	47,584	109,887	89,459
West Suffolk	37,573	49,872	42,756
East Suffolk	43,814	36,469	31,302
Norwich	190,102	204,360	213,959
Great Yarmouth and Waveney	28,721	75,331	41,905
West Norfolk and Wisbech	95,884	73,973	92,552
Huntingdon	23,649	28,080	26,962
Total	513,598	716,360	625,196
North West Thames Region
North Bedfordshire	80,820	86,996	46,780
South Bedfordshire	53,266	74,524	68,648
North Hertfordshire	41,081	47,942	12,698

	1988–89 (£)	1989–90 (£)	1990–91 (£)
East Hertfordshire	4,405	20,174	17,618
North West Hertfordshire	58,989	59,945	37,027
South West Hertfordshire	20,935	25,478	16,912
Barnet	24,425	33,575	22,299
Harrow	10,547	5,328	10,747
Hillingdon	55,837	40,118	32,498
Hounslow and Spelthorne	71,732	71,828	51,160
Ealing	10,084	(6,191)	10,109
Riverside	1,815	3,529	2,837
Parkside	4,374	4,170	4,162
Total	438,310	467,416	333,495
North East Thames Region
Basildon and Thurrock	20,987	15,315	15,306
Mid Essex	97,613	67,113	89,729
North East Essex	13,281	33,168	28,039
West Essex	54,092	36,825	23,204
Southend	32,672	13,939	24,717
Barking, Havering and Brentwood	55,163	79,143	56,546
Hampstead	23,128	24,431	23,913
City and Hackney	7,639	28,122	12,120
Newham	36,878	25,319	43,134
Tower Hamlets	27,326	2,601	26,073
Enfield	7,647	5,860	16,137
Haringey	1,683	1,848	2,537
Redbridge	8,909	4,901	16,064
Waltham Forest	16,470	35,507	29,963
Bloomsbury and Islington	26,787	17,104	10,067
Total	430,275	391,196	417,549
South East Thames Region
Brighton	36,344	29,647	29,915
Eastbourne	59,396	36,938	55.990
Hastings	7,102	8,201	8,926
South East Kent	21,307	28,065	49.105
Canterbury and Thanet	95,067	95,510	76.468
Dartford and Gravesham	32,325	54,094	21.810
Maidstone	28,501	5,892	26,755
Medway	35,357	54,143	124,693
Tunbridge Wells	95,992	44,651	71,635
Bexley	24,187	(9,522)	7,358
Greenwich	15,015	15,585	10,575
Bromley	27,992	5,402	16,606
West Lambeth	30,925	10,674	570
Camberwell	734	5,916	(7,260)
Lewisham and North Southwark	2,609	6,241	14,304
Total	512,853	391,437	507,450
South West Thames Region
North West Surrey	23,458	14,503	21,760
West Surrey and North East Hampshire	32,032	26,611	39,082
South West Surrey	54,672	20,440	44,572
Mid Surrey	16,443	740	8,715
East Surrey	12,679	14,674	12,754
Chichester	60,350	49,988	60,201
Mid Downs	60,609	71,512	90,627
Worthing	190,269	233,194	(17,151)
Croydon	15,465	69,794	32,204
Kingston and Esher	10,042	38,429	40,102
Richmond, Twickenham and Roehampton	(623)	930	(804)
Wandsworth	7,898	2,895	4,963
Merton and Sutton	33,875	29,760	32,068
Total	517,169	573,470	211,093

	1988–89 (£)	1989–90 (£)	1990–91 (£)
Wessex Region
East Dorset	121,668	107,252	150,008
West Dorset	27,559	33,077	28,386
Portsmouth and South East Hampshire	114,425	112,389	121,614
Southampton and South West Hampshire	151,657	171,367	164,717
Winchester	85,145	80,716	92,925
Basingstoke	71,611	44,390	99,669
Salisbury	84,498	119,673	113,194
Swindon	59,130	70,023	58,485
Bath	109,021	104,188	212,102
Isle of Wight	11,624	17,524	36,046
Total	836,338	860,599	1,077,146
Oxford Region
East Berkshire	43,424	87,948	54,094
West Berkshire	100,400	100,611	142,669
Aylesbury	49,064	57,278	54,586
Wycombe	46,800	64,532	21,031
Milton Keynes	24,752	20,647	18,260
Kettering	62,696	116,378	69,867
Northampton	61,946	69,051	55,119
Oxfordshire	144,844	212,922	248,941
Total	533,926	729,367	664,567
South Western Region
Bristol and Weston	71,158	178,126	101,851
Frenchay	35,647	122,324	79,091
Southmead	40,030	33,196	29,645
Cornwall and Isles of Scilly	121,422	140,566	120,609
Exeter	106,093	99,823	109,024
North Devon	21,775	18,317	19,311
Plymouth	83,094	79,930	81,415
Torbay	67,092	55,320	60,506
Cheltenham	37,104	16,218	22,466
Gloucester	42,902	38,907	36,811
Somerset	93,116	107,007	80,012
Total	719,433	889,734	740,741
West Midlands Region
Bromsgrove and Redditch	14,559	11,200	19,453
Herefordshire	10,657	23,033	28,517
Kidderminster	26,017	24,717	19,991
Worcester	15,720	32,890	17,955
Shropshire	166,282	161,089	153,432
Mid Staffordshire	25,500	31,674	28,908
North Staffordshire	150,086	131,227	90,594
South East Staffordshire	35,257	92,865	41,077
Rugby	20,813	24,222	52,406
North Warwickshire	37,985	34,173	17,277
South Warwickshire	23,730	20,974	28,442
Central Birmingham	21,679	6,124	47,317
East Birmingham	37,770	43,996	67,506
North Birmingham	27,792	39,839	31,773
South Birmingham	84,783	98,091	75,284
West Birmingham	6,539	5,343	4,350
Coventry	36,022	32,774	35,276
Dudley	59,849	65,359	80,807
Sandwell	14,041	30,883	25,976
Solihull	16,657	10,161	8,533
Walsall	51,118	36,567	43,685
Wolverhampton	46,439	82,686	50,900
Total	929,295	1,039,887	969,459
Mersey Region
Chester	60,056	69,636	86,583
Crewe	62,641	91,408	74,816
Halton	1,605	2,927	3,493
Macclesfield	14,475	16,224	31,067
Warrington	40,127	18,792	59,658

	1988–89 (£)	1989–90 (£)	1990–91 (£)
Liverpool	53,831	88,046	143,966
St. Helens and Knowsley	14,028	20,060	31,466
Southport and Formby	13,979	8,018	12,967
South Sefton	65,363	83,329	105,334
Wirral	80,564	121,217	74,492
Total	406,669	519,657	623,842
North Western Region
Lancaster	24,361	28,694	19,253
Blackpool, Wyre and Fylde	33,991	28,575	26,962
Preston	64,692	67,831	50,448
Blackburn, Hyndburn and Ribble Valley	29,764	24,677	42,611
Burnley, Pendle and Rossendale	49,985	48,386	45,247
West Lanchashire	37,224	37,274	43,768
Chorley and South Ribble	6,820	8,502	10,352
Bolton	31,775	30,248	35,816
Bury	12,212	12,488	13,334
North Manchester	40,150	20,856	28,968
Central Manchester	43,440	58,256	59,019
South Manchester	45,720	62,781	55,148
Oldham	35,224	19,351	19,910
Rochdale	51,859	19,592	29,064
Salford	81,598	35,670	38,929
Stockport	89,610	77,476	82,642
Tameside and Glossop	30,981	28,699	51,028
Trafford	11,722	12,186	12,477
Wigan	31,587	58,882	114,267
Total	752,715	680,424	779,243
Hospitals for Sick Children	15	14	22
Hammersmith and Queen Charlottes Hospital	4,369	2,246	2,855
S.H.As Total	4,384	2,260	2,877
England Total	8,748,323	9,256,355	9,079,869

Source: Annual accounts of district health authorities in England and those of the special health authorities for the London post-graduate teaching hospitals. (Predecessor authorities for 1981–82).

Notes:

1. The annual figures are for total income from charges for emergency and further treatment under the Road Traffic Acts (RTA) and represent sums due for the financial year but not necessarily received.

2. The figures also reflect accounting adjustments and RTA charges written-off as bad debts in the year of account. Such adjustments and write-offs include RTA sums due from earlier years and a negative income figure may occasionally result for a particular year (figures shown in brackets in the tables).

3. The annual accounts of the fourteen regionl health authorities (RHAs) in England and six of the eight special health authorities (SHAs) for the London post-graduate teaching hospitals record no income from RTA in the period 1988–89 to 1990–91 and are omitted from table 2.

Volume 205: debated on Friday 13 March 1992