Select Committee on Health Memoranda


MEMORANDUM

Memorandum by the Department of Health

Table 2.2.5

HCHS PROGRAMME BUDGET HOSPITAL and COMMUNITY HEALTH SERVICES GROSS CURRENT EXPENDITURE AT 97-98 PRICES (1)


£ million
Average annual change in expenditur
    
1987-88
1988-89(a)
1988-89(b)
1989-90
1990-91
1991-92
1992-93
1993-94
1994-95
1995-96
1996-97
1997-98
1991-92 to 1995-96
1996-97 to 1997-98
(2) (3)
(2) (3)
(2)
(2)
(4)
(4)
(4)
(4)
(4)
(5)
(5)
(1)
(7)
(1)
(7)

Acute Inpatients
6,568
6,668
6,668
Acute Inpatients (Pats using a bed) inc DC
6,739
6,857
6,857
6,979
6,950
8,309
8,461
8,455
8,746
8,993
8,424
8,959
2.0%
3.6%
6.3%
5.6%
Acute Outpatients
2,158
2,145
2,145
Acute Outpatients (excluding Day Cases)
1,990
1,959
1,959
2,046
2,145
2,768
2,890
2,985
3,091
3,152
3,458
3,650
3.3%
4.9%
5.5%
4.8%
Obstetric Inpatients
856
840
840
805
780
854
832
777
776
751
731
730
-3.2%
-1.6%
-0.1%
-0.8%
Obstetric Outpatients
146
120
120
109
100
161
167
151
135
129
134
137
-5.4%
-3.9%
2.5%
1.8%
Geriatric Inpatients
1,701
1,665
1,665
1,603
1,553
1,769
1,731
1,663
1,613
1,523
1,274
1,210
-3.7%
-2.1%
-5.0%
-5.7%
Units for Young Disabled
Geriatric & YD Outpatients
46
37
37
36
41
50
50
50
55
51
44
46
0.6%
2.2%
3.9%
3.1%
Learning Disability Inpatients
914
919
919
910
882
988
969
918
875
842
853
834
-3.9%
-2.4%
-2.3%
-3.0%
Learning Disability Outpatients
5
4
4
3
4
4
7
9
10
11
22
22
27.9%
29.9%
3.6%
2.8%
Mental Health Inpatients
1,988
1,979
1,979
1,949
1,882
2,082
2,027
1,895
1,787
1,748
1,752
1,755
-4.3%
-2.8%
0.1%
-0.6%
Mental Health Outpatients
117
106
106
111
116
160
173
191
213
232
305
313
9.7%
11.4%
2.6%
1.9%
Non Psychiatric DP (gen & acute)
90
88
88
87
95
121
123
133
150
149
106
108
5.4%
7.1%
2.0%
1.3%
Learning Disability Day patients
0
0
0
0
0
33
37
52
46
43
56
54
7.2%
8.9%
-4.5%
-5.2%
Mental Illness Day patients
154
167
167
165
176
195
219
230
237
258
294
302
7.2%
8.9%
2.8%
2.0%
Other Hospital
902
944
944
1,013
1,128
940
987
1,147
1,255
1,306
480
455
8.6%
10.3%
-5.2%
-5.9%
     
TOTAL HOSPITAL
15,648
15,686
15,686
15,815
15,850
18,434
18,672
18,656
18,989
19,187
17,933
18,573
1.0%
2.6%
3.6%
2.8%
     
Health Visiting
326
347
District Nursing
696
768
Community Midwifery
181
179
Prevention
99
105
Chiropody
68
79
79
77
79
106
100
114
112
116
92
90
2.3%
3.9%
-3.2%
-3.9%
Family Planning
67
54
54
57
52
82
64
71
69
72
57
55
-3.3%
-1.7%
-3.3%
-4.0%
School Health
337
355
Immunisation & surveillance
270
269
246
310
305
337
343
343
272
263
2.6%
4.3%
-3.5%
-4.2%
Screening
77
77
81
88
82
76
64
68
53
53
-6.3%
-4.8%
1.4%
0.7%
     
Professional advice & support
272
294
305
351
333
336
325
329
277
266
-1.6%
0.0%
-4.0%
-4.7%
General Patient Care
876
857
848
1,034
930
1,007
926
939
973
952
-2.4%
-0.8%
-2.2%
-2.9%
Community MI Nursing
189
227
250
256
292
306
346
388
467
522
10.9%
12.7%
11.7%
10.9%
Community MH Nursing
94
114
126
168
228
284
315
314
359
414
16.9%
18.8%
15.4%
14.5%
Community Maternity
195
209
222
165
160
161
163
176
202
210
1.7%
3.3%
4.2%
3.4%
Health Promotion
97
107
115
101
97
97
96
100
74
68
-0.2%
1.4%
-7.9%
-8.5%
Community Dental
91
90
88
119
115
112
104
106
83
78
-2.8%
-1.2%
-5.1%
-5.8%
Services to GP's
162
204
230
310
295
333
340
377
273
271
5.0%
6.7%
-0.5%
-1.2%
Other CHS
590
637
68
64
62
377
361
391
429
478
388
372
6.1%
7.8%
-4.1%
-4.8%
     
TOTAL COMMUNITY
2,365
2,523
2,523
2,645
2,703
3,467
3,362
3,626
3,632
3,806
3,569
3,614
2.4%
4.0%
1.3%
0.5%
     
Ambulances
510
480
480
486
468
557
564
567
579
605
609
617
2.1%
3.7%
1.3%
0.6%
HQ Administration
868
839
839
922
1,052
813
849
976
974
1,048
959
779
6.6%
8.3%
-18.7%
-19.3%
TOTAL HCHS (EXCLUDING J/F)
19,390
19,528
19,528
19,868
20,073
23,270
23,447
23,825
24,174
24,646
23,070
23,584
1.4%
3.1%
2.2%
1.5%
Joint Finance
172
163
163
158
151
183
193
235
238
236
236
237
6.5%
8.2%
0.2%
-0.5%
TOTAL HCHS
19,562
19,691
19,692
20,026
20,225
23,453
23,640
24,060
24,412
24,882
23,306
23,820
1.5%
3.1%
2.2%
1.5%


Footnotes:

  (Figures may not sum to totals owing to rounding)
  1.  After allowing for HCHS pay and price inflation & (7) after allowing for general inflation.
  2.  Figures from 1987-88 onwards may not be entirely consistent with those for earlier years,owing to the changes in the data collection systems.
  3.  Expenditure categories were revised in 1988-89, in particular relating to community services.

Therefore the figures are shown on both the old and the new basis
  4.  Figures for 1991-92 onwards are not comparable with earlier years owing to revised NHS accounting practice.
  5.  For 1996-97 GP Fundholder expenditure has been allocated across the community sector to provide a more accurate picture. Hence figures may not be directly comparable with previous years.
  6.  In 1996-97 several categories of the programme budget were affected by changes to accounting practice and the changing structure of the the NHS. Included in these were the need to capitalise redundancy payments, and recharges, were no longer included.
  7.  1996-97 provisional figures have been replaced by final figures. Figures for 1997-98 are provisional.


 
previous page contents next page

House of Commons home page Parliament home page House of Lords home page search page enquiries

© Parliamentary copyright 1999
Prepared 18 October 1999