Table 2.2.1
HCHS PROGRAMME BUDGET EXPENDITURE, 1996-97
PRICES
£ million at 1996-97 prices
Programme
| | | Mental
| Learning
| General and Acute
|
| | |
| | |
| Service Type | Total
| Maternity
| Illness
| Disabilities
| Children
| Adults
| Elderly
|
| Total Hospital | 16,131 | 952
| 2,139 | 547 | 1,814
| 4,929 | 5,752 |
| Ordinary admissions (1) | 11,657
| 836 | 1,681 | 484
| 1,152 | 3,351 | 4,154
|
| Day cases | 1,085 | —
| — | — | 96
| 715 | 274 |
| Outpatients | 2,396 | 118
| 197 | 15 | 479
| 609 | 979 |
| Day Care | 420 | —
| 261 | 48 | —
| 29 | 82 |
| Accident and Emergency | 573 |
— | — | —
| 83 | 226 | 265
|
| | | |
| | |
| |
| Total Community | 4,011 | 150
| 652 | 700 | 610
| 807 | 1,091 |
| Community nursing | 1,702 |
146 | 335 | 96
| 47 | 390 | 688
|
| Health visiting | 311 | —
| — | — | 198
| 101 | 13 |
| Professional staff groups | 556
| — | 17 | 1
| 45 | 254 | 238
|
Immunisation, surveillance
and screening
|
349 |
—
|
— |
—
|
310 |
38
|
1 |
| Residential care | 1,008 |
— | 288 | 598
| — | — | 122
|
| Health Promotion | 85 | 5
| 12 | 5 | 10
| 24 | 29 |
| | |
| | | |
|
| Ambulance journeys | 435 |
26 | 58 | 15
| 49 | 133 | 155
|
| Other Patient related | 670 |
37 | 93 | 41
| 80 | 191 | 227
|
| Non-Patient related | 1,664 |
91 | 231 | 103
| 200 | 474 | 566
|
| Total HCHS | 22,911 | 1,256
| 3,173 | 1,406 | 2,749
| 6,535 | 7,792 |
| | |
| | | |
|
Footnotes:
1. Includes regular day/night attenders.
2. Figures may not sum due to rounding.
3. Expenditure on RHA Direct spending including SIFT,
R&D etc is now allocated centrally.
SECTION 2—TRADITIONAL
PROGRAMME BUDGET
METHODOLOGY
9. This section of the reply discusses trends in Hospital
and Community Health Services (HCHS) gross current expenditure
over the period 1986-87 to 1995-96. Figures are provided for 1996-97
but are not on a comparable basis with earlier years.
10. Expenditure on HCHS is shown in Table 2.2.2. The
corresponding annual growth rates are also given. However, as
said earlier, these rates are for the period 1991-92 to 1995-96
and not 1996-97. This table illustrates the breakdown of expenditure
between the main programmes and how this has changed since 1986-87.
1996-97 HCHS expenditure figures are provisional (final accounts
figures will be available in the autumn). The breakdown of expenditure,
by programme, from 1991-92 to 1995-96 is shown in Figure 2.2.4.
11. Acute hospital services expenditure accounts for
the largest proportion of HCHS expenditure: £11.7 billion
in 1995-96 or 48 per cent of the HCHS total, and its share of
the HCHS total has remained roughly the same since 1991-92.
12. Although acute hospital services have been growing,
long stay hospital services have been declining, as care has shifted
to the community. Hospital inpatient expenditure in the geriatric,
mental health and learning disability sectors accounted for 21
per cent of total HCHS expenditure in 1991-92, but had fallen
to 17 per cent by 1995-96. At the same time, total community expenditure
was constant, at 15 per cent of HCHS spend, in both 1991-92 and
1995-96.
Abbreviations used in Tables 2.2.1 and 2.2.2:IP = inpatient;
OP = outpatient, DP = day patient; CHS = community health services;
JF = joint finance; HCHS = Hospital and Community Health Services;
Res = residential; YPD = younger people with physical and/or sensory
disabilities; LD = learning disabilities; MH = mental health (previously
mental illness); PSS = Personal Social Services; MI = mental illness;
LA = Local Authority.
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