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Health Services (Privatisation)

Volume 106: debated on Monday 24 November 1986

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asked the Secretary of State for Wales if he will give for each health district in 1985–86 the total as a whole the income from (a) private resident patients, (b) private non-resident patients and (c) services provided to private medical institutions; and if he will give the bad debts written off in each category.

The information requested is given in the following tables:notified to or authorised by him under the Health Services Act 1976 as amended by the Health Service Act 1980 giving the date in each case as well as the health district.

The information is as follows:expenditure on catering, the expenditure on services provided by private catering companies, the latter figure as a percentage of the former and the difference between that percentage in the previous year.

Catering expenditure

Total expenditure 1985–86 £000

External contracts 1985–86 £000

External contracts as a per cent. Of total expenditure

Difference between per cent. for 1985–86 and per cent. for 1984–85

Clwyd3,30500·013-0·004
East Dyfed1,967
Gwent4,167
Gwynedd1,974
Mid Glamorgan4,657-0·001
Pembrokshire484
Powys1,125
South Glamorgan4,62030·056-0·007
West Glamorgan2,638
WHCSA25
Wales24,96230·012-0·002

Source: The Annual Accounts of Health Authorities.

Notes: Minimal expenditure(ie less than £500) is indicated by the use of 0. Figures for 1985–86 are, at this stage, provisional.

asked the Secretary of State for Wales if he will give for each health district in 1985–86 the total expenditure on laundry, the expenditure on services

Laundry expenditure
Total expenditure 1985–86 £000External contracts 1985–86 £000External contracts as a percentage of total expenditureDifference between percentage for 1985–86 and percentage for 1984–85
Clwyd38761·50-1·61
East Dyfed25631·160·48
Gwent515112·15-0·21
Gwynedd25620·91-0·21
Mid Glamorgan72540·52-1·29
Pembrokeshire134134100·00
Powys15063·66-0·34
South Glamorgan65130·51-0·59
West Glamorgan599243·971·19
WHCSA
Wales3,6731935·25-0·44

Source: The Annual Accounts of Health Authorities.

Note: Figures for 1985–86 are, at this stage, provisional.

asked the Secretary of State for Wales if he will give for each health district in 1985–86 the total expenditure on cleaning, the expenditure on services

Domestic and cleaning services expenditure
Total Expenditure 1985–86 £000External Contracts 1985–86 £000External Contracts as a percentage of total expenditureDifference between percentage for 1985–86 and 1984–85
Clwyd3,107110·36-0·13
East Dyfed2,000492·451·77
Gwent4,331330·770·17
Gwynedd2,12290·430·01
Mid Glamorgan5,013240·480·02
Pembrokeshire53550·950·65
Powys94240·360·06
South Glamorgan5,021641·270·05
West Glamorgan3,55680·22-0·11
WHCSA242291·9040·58
Wales26,6512290·860·18

provided by private laundry companies, the latter figure as a percentage of the former and the difference between that percentage and the percentage in the previous year.

The information requested is given in the following table:provided by private cleaning contractors, the latter figure as a percentage of the former, and the difference between that percentage and the percentage in the previous year.

Source: The Annual Accounts of Health Authorities.

Note: Figures for 1985–86 are, at this stage, provisional.

12

asked the Secretary of State for Wales if he will give for each tendering exercise for hospital services of which his Department is aware (a) the health authority, (b) the hospital, (c) the service, (d) the successful tenderer, (e) the date of the tenders' approval and (f) the saving achieved.

Health AuthorityServiceHospital AreaSuccessful tendererEstimated savings(p.a.)£
GwentDomesticDHA headquartersReliance Cleaning5,080
Mid GlamorganLaundryWhole districtIn house200,000
PembrokeshireDomesticWithybushIn house164,618
DomesticS.Pembs/Tenby CottageIn house25,223
DomesticCommunity ServicesIn house6,782
CateringWithybushIn house60,468
CateringS.Pembs/Tenby Cottage In houseIn house
LaundryWhole districtInitial PLC82,950
PowysDomesticMachynlleth Hospitals and Health CentresIn house15000
DomesticLlandrindod Wells Builth Wells, and Knighton Hospitals, and associtated Health Centres/ClinicsIn house19,855
DomesticYstradgynlais Community HospitalIn houseNew hospital
DomesticLlanidloes Llys Maldwyn, Newtown, Brynhyfryd, and Welshpool Hospitals, and associated Health Centres and ClinicsIn house18000
CateringYstradgynlais Community HospitalIn houseNew Hospital
CateringLlandrindod Wells Builth Wells, and Knighton HospitalsIn house11,000
CateringLlanidloes Llys Maldwyn, Newtown, Welshpool and Brynhyfryd HospitalsIn house16,000
West GlamorganDomesticDHA Headquarters and Trinity BuildingsIn house19,868
DomesticOutpatient Department, Neath General HospitalIn house3,393
DomesticPublic Corridors and ResidencesAll in house
(i) Morriston(i) 5,000
(ii) Singleton(ii) 6,000
(iii) Neath(iii) 28,749
(iv) Cefn Coed(iv) 23,000
DomesticHealth Centres and ClinicsIn house32,000
CateringNeath General HospitalIn house60,000
LaundryWhole districtIn house199,000
Welsh Health Common Services AuthorityDomesticAll WHCSA PremisesCentral Cleaning Services18,000

Source: DHA returns.

asked the Secretary of State for Wales if he will give for each year since 1979 the percentage of

I assume the hon. Gentleman is referring to hospital "hotel" services (domestic, catering and laundry). Such information as is held centrally is given in the following tables:expenditure on

(a) catering, (b) laundry and (c) cleaning which has been paid to private contractors for services provided to the National Health Service in Wales.

The information requested is as follows:

Payment to private contractors as a percentage of relevant expenditure
CateringLaundryDomestic and Cleaning
1979–800·0133·790·64
1980–810·0115·450·68
1981–820·0472·640·72
1982–830·0136·810·69
1983–840·01328·250·64
1984–850·0145·690·68
11985–860·0125·250·86
Source: The annual accounts of health authoritiesNotes:(1) Figures for 1985–86 are, at this stage, provisional.(2) A fire in the central laundry in E. Dyfed led to some additional external contracts in 1983–84. This central laundry has since been repaired and re-opened.(3) The figures are not strictly comparable over the whole period as Value Added Tax on contracted out services became reclaimable by health authorities from 1 September 1983.