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Iran-Iraq War

Mr. Atkinson : To ask the Secretary of State for Health how many Iraqi casualties from the Iran-Iraq war were treated in British hospitals ; and if he will make a statement.

Mr. Dorrell : This information is not available centrally.

St. Thomas's Hospital, London

Mr. Speller : To ask the Secretary of State for Health if he will make a statement on the ownership of the vacant buildings on the site of the old St. Thomas's hospital ; how long they have been empty ; and what plans exist for their future.

Mr. Dorrell : The site of the old St. Thomas's hospital in St. Thomas's street, London SE1 is no longer in the ownership of the NHS.


Column 475

Calorie Intakes

Miss Lestor : To ask the Secretary of State for Health what is the Health Education Authority's recommended daily calorie intake from food for (a) an adult, (b) a child 16 to 17 years, (c) a child 11 to 15 years, (d) a child six to 10 years, (e) a child three to five years and (f) a child up to two years.

Mr. Dorrell : The Health Education Authority has not made any recommendations on daily calorie intakes. Advice on daily energy requirements is provided by the chief medical officer's independent Committee on the Medical Aspects of Food Policy--COMA. Current advice--for males and females in different age bands from those requested--is contained in the COMA report "Recommended Daily Amounts of Food Energy and Nutrients for Groups of People in the United Kingdom" published in 1979. Copies are available in the Library. COMA is nearing completion of a re-assessment of the evidence and publication of an updated report is expected later this year.

Nuclear Power Station, Dungeness

Mr. Bellotti : To ask the Secretary of State for Health if he will make it his policy to institute a full medical survey into the possible public health implications in respect of radiation levels as a result of the operation of the nuclear power station at Dungeness ; and if he will make a statement.

Mr. Dorrell : In its third report to the Government, copies of which are in the Library, the Committee on Medical Aspects of Radiation in the Environment--COMARE--stated that investigations of the incidence of childhood cancer in the vicinity of nuclear installations would be difficult to interpret until the results of studies of the distribution of childhood cancer incidence on a nationwide basis become available. The committee will then be asked to participate in a review of the evidence relating to the incidence of childhood cancer around nuclear installations. If the hon. Member has any information that he feels may be relevant, perhaps he would write to me.

Old People's Homes

Mr. Janner : To ask the Secretary of State for Health what representations he has received about the privatisation of old people's homes in Leicestershire.

Mrs. Virginia Bottomley : We have received no such representations.

Consultation

Mr. Hinchliffe : To ask the Secretary of State for Health if he will ensure that community health councils are fully consulted by district health authorities and hospital trusts before NHS contracts are awarded ; and if he will make a statement.

Mrs. Virginia Bottomley : District health authorities are responsible for placing contracts with providers, including NHS trusts. They will be expected to seek the views of all interested parties including community health councils, on their overall contracting plans.


Column 476

Mr. Hinchliffe : To ask the Secretary of State for Health if community health councils will continue to be fully consulted before the disposal, change of use or closure of health authority and hospital trust premises and resources ; and if he will make a statement.

Mrs. Virginia Bottomley : A district health authority considering a proposal involving the closure or change of use of a health building which it manages will be required to consult the relevant community health council and other interested parties about the proposal. Ministers will continue to make decisions on contested closures. NHS trusts have no duty to consult community health councils on how they manage their premises and resources.

Community Health Councils

Mr. Hinchliffe : To ask the Secretary of State for Health if community health councils will retain the right to attend health authority or hospital trust meetings, including the confidential parts of such meetings after 1 April ; and if he will make a statement.

Mrs. Virginia Bottomley : Community health council representatives will have the right to attend district health authority and NHS trust board meetings that are open to the public. As previously, it remains for a health authority to decide which of their discussions that are closed to the general public the community health council representative may attend. NHS trust boards will be free to extend similar invitations to their local community health council if they wish.

Mr. Hinchliffe : To ask the Secretary of State for Health what safeguards he has considered to ensure that the regional health authority role in funding community health councils and as the employer of community health council staff does not undermine the independence and impartiality of community health councils.

Mrs. Virginia Bottomley : Such safeguards have not proved necessary in the 16 years that community health councils have existed. We have no evidence to suggest they are necessary now.

Mr. Hinchliffe : To ask the Secretary of State for Health what action he has taken to improve the community health council role of monitoring quality assurance in all health service provision ; and if he will make a statement.

Mrs. Virginia Bottomley : The Government have put quality at the top of the agenda for all National Health Service staff and managers. Health authorities have been urged to test the quality of their services through consumer surveys and by other means. The views of community health councils will be important and if a particular community health council has special expertise there is no reason why its health authority should not commission it to undertake such surveys.

Mr. Hinchliffe : To ask the Secretary of State for Health if community health council representatives will have a right to speak at health authority or hospital trust meetings after 1 April.

Mrs. Virginia Bottomley : The Government's primary objective is that district health authorities should secure full, effective and early consultation with community health councils ; the manner in which they do so is largely


Column 477

for the authority's decision. National Health Service trust boards will decide for themselves whether to involve their community health councils in meetings.

Mr. Hinchliffe : To ask the Secretary of State for Health what has been the level of his Department's financial support for the work of the Association of Community Health Councils, for each of the last five years ; and what the level of support will be in the next financial year.

Mrs. Virginia Bottomley : The Department has provided funding as follows :


Year      |Grant (£)          

------------------------------

1986-87   |40,000             

1987-88   |50,000             

1988-89   |50,000             

1989-90   |50,000             

1990-91   |50,000             

The level of funding for 1991-92 has yet to be decided.

Mr. Hinchliffe : To ask the Secretary of State for Health if he will directly grant aid to community health councils.

Mrs. Virginia Bottomley : There are no plans to alter the funding arrangements of community health councils. Each CHC will continue to be funded by the regional health authority which covers its district.

Incinerators

Mr. Hinchliffe : To ask the Secretary of State for Health what research his Department has carried out into the effects on human health of substances emitted from waste disposal incinerators.

Mr. Dorrell : I refer the hon. Member to the reply given to him by my hon. Friend the then Parliamentary Under-Secretary of State for Environment on 21 January at columns 97-98. The Government are currently funding the small area health statistics unit at the London School of Hygiene and Tropical Medicine to investigate possible links between pollution from waste incinerators and ill health in the local community.

General Practitioners

Mr. Hinchliffe : To ask the Secretary of State for Health what role he envisages for community health councils in respect of the work of general practitioners who become budget holders.

Mrs. Virginia Bottomley : The responsibility of ensuring that adequate patient care is provided will rest with the family health service authority and the regional health authority. The patient will give the GP direct feedback about the service being provided. Patients will still be able to complain to a service committee whether a GP is a fund holder or not. No special role is envisaged for community health councils in respect of the work of GPs who become budget holders.

NHS Funding

Mr. Redmond : To ask the Secretary of State for Health what funding for health services was provided in each year since 1985 (a) nationally and (b) to the Doncaster health area.


Column 478

Mr. Dorrell : The table shows total spending by Doncaster health authority from 1985-86 to 1989-90--the latest year for which information is available--and total NHS spending for the same years.


               Gross total expenditure                  

                                                        

              |NHS England  |Doncaster                  

              |(£ million)  |Health                     

                            |Authority                  

                            |(£ thousands)              

--------------------------------------------------------

1985-86       |14,923       |48,842                     

1986-87       |16,060       |53,520                     

1987-88       |17,659       |60,197                     

1988-89       |19,606       |68,670                     

1989-90       |21,139       |73,298                     

Notes:                                                  

The source for the Doncaster spending figure is the     

annual accounts of Doncaster health authority. The      

figures in the table include the cost of capital        

schemes borne by the district and those borne in the    

accounts of Trent regional health authority for the     

district.                                               

HIV

Mr. Hinchliffe : To ask the Secretary of State for Health (1) how long a person claiming payments, as a haemophiliac infected with HIV through NHS treatment, must wait before receiving full payment of the moneys awarded ;

(2) if he will take steps to ensure that haemophiliac payment claims relating to HIV contamination are dealt with quickly and in full ; and if he will make a statement.

Mrs. Virginia Bottomley : The detailed provisions of the proposed settlement are under discussion with lawyers representing the plaintiffs. Payments will be made as quickly as possible once a settlement has been reached and agreed by the courts.

Mr. Hinchliffe : To ask the Secretary of State for Health what information he has received concerning mosquitoes and other biting insects as vectors for HIV and other blood-transmitted conditions ; and if he will make a statement.

Mrs. Virginia Bottomley : There is no evidence that mosquitoes and other biting insects act as biological vectors of HIV or blood-borne hepatitis viruses.

Cholesterol Tests

Mr. Gareth Wardell : To ask the Secretary of State for Health what was the number of tests for high cholesterol blood counts carried out, and the corresponding number of such tests requested, for each health authority, for the latest available year.

Mr. Dorrell: This information is not collected centrally.

Hospital Costs

Mr. Cohen : To ask the Secretary of State for Health what is the current average cost of (a) building a hospital and (b) running a hospital for one year.

Mr. Dorrell : The average capital cost of a 300-bed district general hospital designed in accordance with principles recommended by the Department would be about £32.5 million at current prices. The running cost of such a hospital would be about £15 million per annum.


Column 479

Kidney Transplants

Mr. Rooker : To ask the Secretary of State for Health what information he has on the numbers of people waiting, by region, for kidney transplants and the trends in transplants and available treatment for those awaiting a donor kidney.

Mrs. Bottomley : The table gives the number of people waiting for kidney transplants by region as at 18 January 1991. The number of cadaveric kidney transplants performed in the United Kingdom has risen from 849 in 1978 to 1,732 in 1989 ; an increase of 104 per cent. The most common forms of treatment available for those awaiting a transplant are haemodialysis and continuous ambulatory peritoneal dialysis. The number of renal patients receiving such treatment has risen from 2,947 in 1978 to 7,751 in 1988 ; an increase of 163 per cent.


                  |Number       

--------------------------------

Northern          |229          

Yorkshire         |187          

Devon             |321          

East Anglia       |321          

North West Thames |207          

North East Thames |419          

South West Thames |292          

South East Thames |78           

Western           |100          

Oxford            |81           

South Western     |220          

West Midlands     |397          

Mersey            |96           

North Western     |281          

Wales             |96           

Scotland          |436          

Northern Ireland  |76           

                  |---          

    Total         |3,620        

Source:  United Kingdom         

Transplant Service.             

Heart Attacks

Mrs. Gorman : To ask the Secretary of State for Health how many men had heart attacks for each of the last three years for which figures are available aged (a) 20 to 30 years, (b) 31 to 40, (c) 41 to 50, (d) 51 to 60 and (e) 61 to 70 years.

Mrs. Virginia Bottomley : Information is not available in the form requested. The table gives, by age, the number of deaths of men caused by acute myocardial infarction in the last three years for which figures are available.


Age    |1987  |1988  |1989         

-----------------------------------

20-29  |20    |27    |27           

30-39  |307   |294   |246          

40-49  |1,744 |1,600 |1,441        

50-59  |6,163 |5,451 |4,861        

60-69  |14,454|13,984|12,955       

Source: Office of Population       

Censuses and Surveys.              

Dental Service

Mr. Robin Cook : To ask the Secretary of State for Health what was the number of dental examinations in each of the last 12 quarters.

Mr. Dorrell : Information on the number of dental examinations scheduled for payment under the general dental services in England and Wales in each of the last 12 quarters is provided in the table :


Column 480


General Dental Services: Number of           

Examinations Scheduled for                   

Payment (including Trauma) by quarter for    

England and Wales                            

Quarter ending |Number of                    

               |treatments                   

---------------------------------------------

March 1988     |7,530,040                    

June 1988      |7,433,470                    

September 1988 |7,948,830                    

December 1988  |8,292,230                    

March 1989     |7,948,220                    

June 1989      |7,793,040                    

September 1989 |7,378,850                    

December 1989  |7,449,590                    

March 1990     |7,084,060                    

June 1990      |7,738,310                    

September 1990 |7,390,200                    

December 1990  |Not available                

Mr. Robin Cook : To ask the Secretary of State for Health what proportion of the costs of the general dental service came from patients' charges in each of the last five years.

Mr. Dorrell : The proportion of gross costs of the general dental service in England met from patient charges is given in the table :


Charge income as a proportion 

of gross cost                 

          |Per cent.          

------------------------------

1985-86   |29.8               

1986-87   |29.9               

1987-88   |29.4               

1988-89   |30.7               

1989-90   |38.7               

New NHS Facilities

Ms. Harman : To ask the Secretary of State for Health if he will specify by district the new national health service facilities which are planned to be opened after 1 April.

Mr. Dorrell : According to information held centrally, 96 schemes each costing over £1 million are due for completion between 1 April 1991 and 31 March 1992. A list of these has been placed in the Library. The Department does not routinely collect information on smaller schemes or hold details of health authorities' plans for the opening of new facilities.

NHS Trusts

Mr. Rowe : To ask the Secretary of State for Health if he will announce NHS trusts' external financing limits for 1991-92 ; and if he will make a statement.

Mr. Waldegrave : The external financing limits for 1991-92 for all NHS trusts which will become operational on 1 April 1991, excluding that for the Northern Devon healthcare trust which will be announced later, are set out in the table. These limits do not include provision for medical audit and resource management developments in trusts which will be added subsequently.

Capital expenditure by NHS trusts forms part of the public expenditure provision in the health programme. The NHS and Community Care Act 1990, however, provides no power for the Department to fund NHS trusts directly or to give them cash limits. Trusts can only obtain funding from the income they receive from purchasers or from borrowing. An annual external financing limit--EFL--controls access by NHS trusts to external finance in all


Column 481

its forms. The EFL is a net financing concept measured by new loans taken out by the NHS Trust less loans repaid, plus or minus changes in deposits. The NHS Management Executive will monitor each NHS trust regularly to see that the EFL is not exceeded.


NHS trust                           |External           

                                    |financing          

                                    |limit              

                                    |£000's             

--------------------------------------------------------

Great Yarmouth and Waveney          |2,151              

Norfolk Ambulances                  |921                

Broadgreen Hospital                 |-408               

Chester and Halton Community        |-200               

Crewe Acute                         |-1,208             

R.A.C.T.U. Liverpool                |376                

Royal Liverpool Children's Hospital |-1,028             

Royal Liverpool Hospital            |-257               

St. Helens and Knowsley             |1,425              

Wirral Hospital                     |-2,369             

London Hospital Group               |-7,373             

North Middlesex Hospital            |-1,992             

Royal Free Hampstead                |-857               

Royal National Orthopaedic          |-718               

Royal National N T and E            |137                

Southend District                   |-1,894             

Freeman Hospital                    |-1,124             

Newcastle Mental Health             |-1,146             

Northumbria Ambulance               |293                

Central Manchester H and C          |6,809              

Christie Hospital                   |351                

Central Middlesex Hospital          |-4,390             

Hillingdon Hospital                 |-2,410             

Mount Vernon Hospital               |-1,116             

North Herts. Acute and Community    |-2,291             

Nuffield Orthopaedic Centre         |-812               

Guy's and Lewisham Hospitals        |8,586              

Bristol United Healthcare           |-1,161             

Cornwall Community                  |-814               

Cornwall Mental Handicap            |-324               

East Gloucestershire                |-908               

East Somerset                       |-1,601             

South Devon Health Care             |-1,348             

West Somerset Acute and Community   |-2,320             

Weston Health                       |3,725              

Croydon Community                   |-125               

Croydon Mental Handicap             |-1,151             

Kingston Hospital                   |-1,428             

Mid Surrey General Unit             |-1,361             

South West Surrey Acute             |-2,913             

North West Surrey M.H.U.            |-763               

St. Helier and Sutton               |2,693              

Doncaster Royal and Montagu         |-1,666             

Lincolnshire Ambulance              |84                 

Northern General Sheffield          |7,515              

Royal National Rheumatic            |165                

West Dorset Community               |-451               

West Dorset General                 |-1,861             

West Dorset Mental Health           |-268               

Mid Staffs Community                |265                

Mid Staffs Mental Health            |-662               

Rugby District                      |8,054              

Walsall Acute                       |-2,487             

Bradford Acute                      |11,476             

Leeds General Infirmary             |243                

St. James's University              |3,473              

SOCIAL SECURITY

Pensioners, Canada

Mr. Andrew Bowden : To ask the Secretary of State for Social Security what percentage of British pensioners residing in Canada are in receipt of a full British state pension.


Column 482

Mr. Jack : We estimate that about 10 per cent. of British pensioners in Canada are receiving the same rate of pension as if they were in the United Kingdom. In addition, a large number of British pensioners who went to live in Canada during their working lives are receiving less than the full (100 per cent.) rate of pension because they stopped paying contributions when they left the United Kingdom and therefore their national insurance records are deficient.

Child Benefit

Mr. Spearing : To ask the Secretary of State for Social Security if he will state what the level of child benefit would be in April 1991 if it had been uprated in line with inflation since 1987.

Mr. Jack : The rate would be £9.55 a week for each child.

Children Come First"

Mr. Battle : To ask the Secretary of State for Social Security if he will publish in the Official Report his reply to the submission of Church Action on Poverty on the proposals in "Children Come First".

Mr. Jack : The submission from Church Action on Poverty has been acknowledged. So far, some 250 submissions have been received and it is not proposed to respond to each one in detail. We are grateful for all views expressed on the White Paper "Children Come First", they will be taken fully into account in finalising the policy and preparing legislation to give effect to our proposals.

Statutory Sick Pay

Mr. French : To ask the Secretary of State for Social Security what representations he has received about the compliance costs of the provisions in the Statutory Sick Pay Bill.

Mr. Jack : As at 25 January 1991, a total of 184 written representations, mainly from right hon. and hon. Members on behalf of employers and their organisations, had been received on the provisions contained in the Statutory Sick Pay Bill.

Community Charge Benefit

Sir Ian Gilmour : To ask the Secretary of State for Social Security what is the estimated cost of community charge benefit and transitional protection during 1990-91 and 1991-92 ; and what was the cost of rate rebates in each year since 1980, at current and at 1990 prices.

Miss Widdecombe : The estimated expenditure on community charge benefit for 1990-91 is £2.25 billion. The estimate for 1991-92 is just over £2 billion, this takes account of estimated expenditure on the community charge transitional relief and reduction schemes for 1990-91 and 1991-92 of £384 million and £1,852 million respectively. The information requested on rate rebate expenditure is listed in the table. Before 1982-83 assistance with housing costs was through the supplementary benefit scheme administered by the Department, and the rebate and allowance scheme run by the Department of the Environment. Housing benefit was introduced for some


Column 483

supplementary benefit claimants from November 1982 with full implementation for all claimants following from April 1983. The data for the years prior to 1982-83 are based on the rent rebate and allowance and rate rebate schemes only. The data for 1982-83 combine information from both the old and the new schemes.


          |Current  |1990-91            

          |prices   |prices             

          |£ million|£ million          

----------------------------------------

1980-81   |270      |494                

1981-82   |390      |651                

1982-83   |560      |873                

1983-84   |1,220    |1,817              

1984-85   |1,354    |1,919              

1985-86   |1,479    |1,988              

1986-87   |1,635    |2,125              

1987-88   |1,714    |2,113              

1988-89   |1,373    |1,577              

1989-90   |1,261    |1,362              

Notes:                                  

1. In 1988-89 maximum rates rebate was  

reduced from 100 per cent. to 80 per    

cent.                                   

2. Rates were replaced by community     

charge in 1989-90 in Scotland.          

Mr. Nellist : To ask the Secretary of State for Social Security (1) if he will publish the details of the poll tax benefit caseload, at the latest convenient date, for (a) Coventry, (b) Warwickshire and (c) each standard region ;

(2) if he is now in a position to give a substantive answer to the question from the hon. Member for Coventry, South-East, on poll tax benefit, to which a holding answer was given on Thursday 13 December 1990, written question 44.

Miss Widdecombe [holding answer 13 December 1990] : The latest available information, counting couples as one claim, and based on benefit caseload processed by 31 August 1990 is in the table.


                               |Caseload         

-------------------------------------------------

Coventry                       |42,511           

Warwickshire                   |45,864           

                                                 

Standard Regions                                 

North (including Cumbria)      |499,000          

Yorks and Humberside           |658,000          

East Midlands                  |486,000          

East Anglia                    |223,000          

London                         |675,000          

South East (excluding London)  |933,000          

South West                     |466,000          

West Midlands                  |664,000          

North West (excluding Cumbria) |963,000          

Wales                          |381,000          

Scotland                       |778,000          

Source: Community Charge Benefit and Housing     

Benefit Management Information System quarterly  

stock count of claims at 31 August 1990.         

The August 1990 figures are likely to underestimate the current position because some authorities still had a number of unprocessed claims at that time.

Pensioners

Sir Ian Gilmour : To ask the Secretary of State for Social Security if he will update the answer given to the then hon. Member for Kensington on 14 July 1987, Official Report,


Column 484

column 451, showing the number of pensioners with gross weekly incomes other than the state basic pension of up to £5, £5 to £10, £10 to £15, £15 to £20, £20 to £30, £30 to £40, £40 to £50, £50 to £60, £60 to £70, £70 to £80, £80 to £90, £90 to £100, £100 to £110, £110 to £120, £120 to £130, £130 to £140, £140 to £150, £150 to £200, £250 to £300, £300 to £400, £400 to £500 and over £500, distinguishing between single and married pensioners.

Miss Widdecombe : The information requested is given in the table.


               Numbers (000s)         

              |Married|Single         

--------------------------------------

 Up to £5     |130    |610            

  £5 to £10   |110    |360            

 £10 to £15   |120    |450            

 £15 to £20   |150    |480            

 £20 to £30   |330    |990            

 £30 to £40   |230    |450            

 £40 to £50   |180    |220            

 £50 to £60   |130    |160            

 £60 to £70   |120    |110            

 £70 to £80   |110    |80             

 £80 to £90   |120    |100            

 £90 to £100  |70     |80             

£100 to £110  |50     |60             

£110 to £130  |110    |70             

£130 to £150  |100    |50             

£150 to £200  |120    |70             

£200 and over |280    |120            

Note: The figures show respectively   

thousands of pensioner married        

couples and single pensioners. The    

income bands have been aggregated in  

some cases to provide a statistically 

adequate sample.                      

Source: Family Expenditure Survey     

1987.                                 

Sickness Benefit

Mr. Tony Lloyd : To ask the Secretary of State for Social Security if he will make a statement about the claim of Mr. K O (Ref. RM 173P/CO999/71/83/3) for sickness benefit and the reasons for the delays in this case.

Mr. Jack : The office of determination of contribution questions now has the information required to give a decision. A notice of that decision, given on behalf of the Secretary of State by an authorised officer of the Department, will be sent to Mr. O's solicitor, together with an explanatory covering letter, within the next few days. Any delay was due to the complexity of the case and the need thoroughly to investigate Mr. O's national insurance and benefits position over a period of 21 years.

Social Fund Loans

Mr. Nicholas Brown : To ask the Secretary of State for Social Security if he will estimate the cost of converting all outstanding social fund loans into grants.

Mr. Scott [holding answer 21 January 1991] : The cost of converting all social fund loans outstanding on 31 December 1990 into grants would be £137 million.

National Insurance

Mr. Nicholas Brown : To ask the Secretary of State for Social Security what is the estimated full year revenue effect in 1990-91 and 1991 -92 of (a) abolishing the upper earnings limit for employees' national insurance contributions, (b) allowing personal allowances against such contributions and (c) (a) and (b) together.


Column 485

Mr. Jack [holding answer 21 January 1991] : The revenue effects of the measures described are estimated to be as follows :


National insurance contribution revenue 

effect                                  

          |1990-91  |1991-92            

          |£ billion|£ billion          

----------------------------------------

(a)       |+2.5     |+2.5               

(b)       |-1.5     |-1.5               

(c)       |+1.0     |+1.0               

The estimates assume a contribution-free band of employees' earnings up to a lower earnings limit equivalent to a single person's income tax allowance and a 9 per cent. contribution rate on earnings above that limit.

SCOTLAND

Energy Efficiency

Mr. Pendry : To ask the Secretary of State for Scotland what specific measures his Department has taken to promote energy efficiency ; what further measures his Department intends to take to promote energy efficiency ; and by what amount and what percentage of its total energy bill his Department's energy bill has been reduced over the past year.

Mr. Lang : A wide range of positive measures, including energy surveys of buildings and the active promotion of good housekeeping practices, has been, and will continue to be, undertaken. Very useful savings have been secured in recent years by positive management related to the setting of realistic but demanding targets. Because of changes in Departmental responsibility and limits on the data available it is not possible to give precise figures on a satisfactory basis for year on year comparisons of total expenditure.

Expenditure

Mr. Maxton : To ask the Secretary of State for Scotland if he will give, for each year since 1974-75 (a) the total national health service expenditure and (b) the capital expenditure, in Scotland, giving the figures at constant prices.

Mr. Michael Forsyth : The information requested is set out in the following table :



(a) Total National Health Service Expenditure in Scotland       

                |£ million cash |Adjusted by                    

                                |the GDP                        

                                |deflator to                    

                                |1990-91                        

                                |prices                         

----------------------------------------------------------------

1974-75         |458            |2,079                          

1975-76         |603            |2,181                          

1976-77         |685            |2,182                          

1977-78         |777            |2,177                          

1978-79         |893            |2,257                          

1979-80         |1,064          |2,304                          

1980-81         |1,343          |2,458                          

1981-82         |1,531          |2,555                          

1982-83         |1,660          |2,587                          

1983-84         |1,773          |2,640                          

1984-85         |1,901          |2,695                          

1985-86         |2,015          |2,709                          

1986-87         |2,144          |2,787                          

1987-88         |2,328          |2,870                          

1988-89         |2,591          |2,977                          

1989-90         |2,819          |3,045                          

<1>1990-91      |3,102          |3,102                          

<1> Provision                                                   

(b) Total Capital Expenditure on the                            

National Health Service in Scotland                             

                |£ million cash |Adjusted by the                

                                |GDP deflator to                

                                |1990-91 prices                 

1974-75         |33             |150                            

1975-76         |42             |152                            

1976-77         |41             |131                            

1977-78         |42             |118                            

1978-79         |56             |142                            

1979-80         |66             |143                            

1980-81         |67             |174                            

1981-82         |95             |159                            

1982-83         |104            |162                            

1983-84         |108            |161                            

1984-85         |118            |167                            

1985-86         |132            |177                            

1986-87         |116            |150                            

1987-88         |120            |148                            

1988-89         |131            |150                            

1989-90         |174            |188                            

<1>1990-91      |205            |205                            

<1> Provision includes £16 million for value added tax          

following the ending of exemption from value added tax of NHS   

capital expenditure.                                            


(b)  Total Capital Expenditure on the                                           

National Health Service in Scotland                                             

                |£ million cash |Adjusted by the                                

                                |GDP deflator to                                

                                |1990-91 prices                                 

33 150

1942 152

1941 131

1942 118

1956 142

1966 143

1967 174

1995 159

19104 162

19108 161

19118 167

19132 177

19116 150

19120 148

19131 150

19174 188

1990-91 205 205

Provision includes £16 million for value added tax following the ending of exemption from value added tax of NHS capital expenditure.


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