House of Commons Hansard Written Answers for 24 Nov 2005 (pt 36)

24 Nov 2005 : Column 2286W—continued

NHS Commissioning

Mr. Gerrard: To ask the Secretary of State for Health if she will list the primary care trusts proposed for merger or reconfiguration in plans submitted by strategic health authorities under Commissioning a Patient-led NHS; and how she expects each primary care trust will be affected. [21093]

Mr. Byrne: The information requested is available on the NHS Office of the Strategic Health Authorities' website at:

www.osha.nhs.uk/publicpage.aspx?id_Content=618

The process for considering and deciding on these proposals was set out in the written ministerial statement on 18 October 2005, Official Report, columns 49–50WS.

NHS Finance

Mr. Lansley: To ask the Secretary of State for Health what the total wage bill has been in the NHS in each year since 1997 (a) in total and (b) broken down by staff group in (i) nominal and (ii) real terms; and what proportion of the overall NHS budget this represented in each year. [18336]

Mr. Byrne: The information requested is shown in the tables.
Table 1: Absolute and proportion of National Health Service expenditure on staff and pay (nominal) £ millions

Data source 1996–97 1997–98 1998–99 1999–2000 2000–01 2001–02 2002–03 2003–04

Total NHS DEL⁽²⁶⁾ DR2005 3.1 32,997 34,664 36,608 41,241 44,881 52,469 56,083 63,000

Pay bill: Trusts, PCTs and SHAs DHAccounts:Table7.9

General and senior managers 867 912 952 1,055 1,187 1,331 1,571 1,777

Medics 2,654 2,848 3,122 3,464 3,896 4,473 5,038 6,023

Dentists 83 85 85 94 100 115 123 119

Nurses 6,294 6,415 6,710 7,330 7,902 8,825 9,643 10,371

Profession allied to medicine 843 873 928 1,022 1,116 1,246 1,356 1,479

Professional and scientific 567 593 623 687 757 852 932 1,037

Professional and technical 458 482 528 568 631 704 796 893

Other scientific, therapeutic and technical 82 82 93 102 111 116 115 129

Admin and clerical 1,733 1,766 1,865 1,989 2,161 2,444 2,724 3,000

Maintenance 244 228 229 231 235 240 239 237

Ambulance 325 333 355 364 395 433 478 524

Health care assistants 922 947 962 1,013 1,047 1,113 1,182 1,251

All other staff 33 31 22 27 44 55 130 125

Non-NHS staff 451 480 586 730 912 1,189 1,462 1,446

Chairmen 25 24 22 33 34 72 125 147

Miscellaneous DH Wall 36, Wall 26

Department admin (current) ⁽²⁷⁾270 ⁽²⁷⁾270 271 270 291 314 336 329

Centrally held managed services current (excluding EEA medical costs) ⁽²⁷⁾120 ⁽²⁷⁾140 ⁽²⁷⁾210 314 313 414 313 632

Family health services gross expenditure (cash and resource) England DR Table 6. 10

Total general medical services and personal medical services 2,873 3,033 3,158 3,420 3,734 3,919 4,084 4,623

General dental services 1,325 1,349 1,439 1,479 1,561 1,638 1,709 1,767

Personal dental services (discretionary) — — 4 12 21 36 41 65

General ophthalmic services 237 241 240 281 290 302 304 322

Grand total expenditure on staff and pay 20,405 21,132 22,403 24,484 26,742 29,834 32,699 36,298

Percentage of total expenditure on staff and pay 62% 61% 61% 59% 60% 57% 58% 58%

⁽²⁶⁾Effect of HMT technical change (discount rate from 6 per cent. to 3.5 per cent. on provisions) increased the total Department spend by about £2 billion in 2001–02. This did not affect the purchasing power of the Department. However, leads to a 2 per cent. reduction in the percentage of total expenditure on staff and pay.
⁽²⁷⁾Estimated.

24 Nov 2005 : Column 2287W

Table 2: Absolute and proportion of NHS expenditure on staff and pay (real in 2003–04 prices) £ million

Data source 1996–97 1997–98 1998–99 1999–2000 2000–01 2001–02 2002–03 2003–04

GDP deflator 84.46 86.95 89.21 90.97 92.16 94.43 97.43 100.00

Total NHS DEL DR2005 3.1 39,069 39,865 41,036 45,337 48,701 55,563 57,560 63,000

Pay bill: Trusts, PCTs and SHAs DHAccounts:Table7.9

General and senior managers 1,027 1,048 1,068 1,159 1,288 1,410 1,612 1,777

Medics 3,142 3,275 3,499 3,808 4,228 4,737 5,171 6,023

Dentists 98 98 95 103 109 122 126 119

Nurses 7,453 7,378 7,521 8,058 8,575 9,346 9,897 10,371

Profession allied to medicine 999 1,004 1,040 1,124 1,211 1,320 1,392 1,479

Professional and scientific 671 682 699 756 822 903 957 1,037

Professional and technical 542 554 592 624 685 746 816 893

Other scientific, therapeutic and technical 97 94 104 112 121 123 118 129

Admin and clerical 2,052 2,031 2,090 2,186 2,345 2,588 2,795 3,000

Maintenance 289 263 257 254 255 255 245 237

Ambulance 385 383 398 400 429 459 490 524

Health care assistants 1,091 1,089 1,078 1,114 1,136 1,179 1,213 1,251

All other staff 39 35 25 30 48 59 133 125

Non-NHS staff 534 552 656 803 990 1,259 1,500 1,446

Chairmen 29 27 25 36 37 76 129 147

Miscellaneous DH Wall 36, Wall 26

Department admin (current) ⁽²⁸⁾320 ⁽²⁸⁾311 304 297 316 332 345 329

Centrally held managed services current (excluding EEA medical costs) ⁽²⁸⁾142 ⁽²⁸⁾161 ⁽²⁸⁾235 ⁽²⁸⁾345 340 438 321 632

Family health services gross expenditure (cash and resource), England DR Table 6.10

Total general medical services and personal medical services 3,402 3,488 3,540 3,760 4,052 4,150 4,192 4,623

General dental services 1,569 1,551 1,613 1,626 1,694 1,735 1,754 1,767

Personal dental services (discretionary) — — 4 13 23 38 42 65

General ophthalmic services 281 277 269 309 315 320 312 322

Grand total expenditure on staff and pay 24,160 24,302 25,113 26,916 29,018 31,593 33,560 36,298

Percentage of total expenditure on staff and pay 62% 61% 61% 59% 60% 57% 58% 58%

⁽²⁸⁾Estimated.

24 Nov 2005 : Column 2289W

	Data source	1996–97	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
Total NHS DEL⁽²⁶⁾	DR2005 3.1	32,997	34,664	36,608	41,241	44,881	52,469	56,083	63,000

Pay bill: Trusts, PCTs and SHAs	DHAccounts:Table7.9
General and senior managers		867	912	952	1,055	1,187	1,331	1,571	1,777
Medics		2,654	2,848	3,122	3,464	3,896	4,473	5,038	6,023
Dentists		83	85	85	94	100	115	123	119
Nurses		6,294	6,415	6,710	7,330	7,902	8,825	9,643	10,371
Profession allied to medicine		843	873	928	1,022	1,116	1,246	1,356	1,479
Professional and scientific		567	593	623	687	757	852	932	1,037
Professional and technical		458	482	528	568	631	704	796	893
Other scientific, therapeutic and technical		82	82	93	102	111	116	115	129
Admin and clerical		1,733	1,766	1,865	1,989	2,161	2,444	2,724	3,000
Maintenance		244	228	229	231	235	240	239	237
Ambulance		325	333	355	364	395	433	478	524
Health care assistants		922	947	962	1,013	1,047	1,113	1,182	1,251
All other staff		33	31	22	27	44	55	130	125
Non-NHS staff		451	480	586	730	912	1,189	1,462	1,446
Chairmen		25	24	22	33	34	72	125	147
Miscellaneous	DH Wall 36, Wall 26
Department admin (current)		⁽²⁷⁾270	⁽²⁷⁾270	271	270	291	314	336	329
Centrally held managed services current (excluding EEA medical costs)		⁽²⁷⁾120	⁽²⁷⁾140	⁽²⁷⁾210	314	313	414	313	632
Family health services gross expenditure (cash and resource) England	DR Table 6. 10
Total general medical services and personal medical services		2,873	3,033	3,158	3,420	3,734	3,919	4,084	4,623
General dental services		1,325	1,349	1,439	1,479	1,561	1,638	1,709	1,767
Personal dental services (discretionary)		—	—	4	12	21	36	41	65
General ophthalmic services		237	241	240	281	290	302	304	322

Grand total expenditure on staff and pay		20,405	21,132	22,403	24,484	26,742	29,834	32,699	36,298
Percentage of total expenditure on staff and pay		62%	61%	61%	59%	60%	57%	58%	58%

	Data source	1996–97	1997–98	1998–99	1999–2000	2000–01	2001–02	2002–03	2003–04
GDP deflator		84.46	86.95	89.21	90.97	92.16	94.43	97.43	100.00
Total NHS DEL	DR2005 3.1	39,069	39,865	41,036	45,337	48,701	55,563	57,560	63,000

Pay bill: Trusts, PCTs and SHAs	DHAccounts:Table7.9
General and senior managers		1,027	1,048	1,068	1,159	1,288	1,410	1,612	1,777
Medics		3,142	3,275	3,499	3,808	4,228	4,737	5,171	6,023
Dentists		98	98	95	103	109	122	126	119
Nurses		7,453	7,378	7,521	8,058	8,575	9,346	9,897	10,371
Profession allied to medicine		999	1,004	1,040	1,124	1,211	1,320	1,392	1,479
Professional and scientific		671	682	699	756	822	903	957	1,037
Professional and technical		542	554	592	624	685	746	816	893
Other scientific, therapeutic and technical		97	94	104	112	121	123	118	129
Admin and clerical		2,052	2,031	2,090	2,186	2,345	2,588	2,795	3,000
Maintenance		289	263	257	254	255	255	245	237
Ambulance		385	383	398	400	429	459	490	524
Health care assistants		1,091	1,089	1,078	1,114	1,136	1,179	1,213	1,251
All other staff		39	35	25	30	48	59	133	125
Non-NHS staff		534	552	656	803	990	1,259	1,500	1,446
Chairmen		29	27	25	36	37	76	129	147
Miscellaneous	DH Wall 36, Wall 26
Department admin (current)		⁽²⁸⁾320	⁽²⁸⁾311	304	297	316	332	345	329
Centrally held managed services current (excluding EEA medical costs)		⁽²⁸⁾142	⁽²⁸⁾161	⁽²⁸⁾235	⁽²⁸⁾345	340	438	321	632
Family health services gross expenditure (cash and resource), England	DR Table 6.10
Total general medical services and personal medical services		3,402	3,488	3,540	3,760	4,052	4,150	4,192	4,623
General dental services		1,569	1,551	1,613	1,626	1,694	1,735	1,754	1,767
Personal dental services (discretionary)		—	—	4	13	23	38	42	65
General ophthalmic services		281	277	269	309	315	320	312	322

Grand total expenditure on staff and pay		24,160	24,302	25,113	26,916	29,018	31,593	33,560	36,298
Percentage of total expenditure on staff and pay		62%	61%	61%	59%	60%	57%	58%	58%

Rosie Cooper: To ask the Secretary of State for Health what the spending of the (a) Cheshire and Merseyside and (b) Cumbria and Lancashire strategic health authorities has been in each of the last three years. [27705]

Mr. Byrne: The information requested is shown in the table.
Expenditure by the relevant strategic health authorities (SHAs) for 2002–03, 2003–04 and 2004–05 (£000)

SHA 2002–03 2003–04 2004–05

Cheshire and Merseyside 208,150 158,778 182,356

Cumbria and Lancashire 436,695 424,989 65,022

Notes:
1.Expenditure is taken from audited health authority summarisation forms which are prepared on a resource basis and therefore differ from cash allocations in the year. The figures have not been adjusted for inflation.
2.Figures have been adjusted to eliminate expenditure which would be double counted where an authority acts as a lead in commissioning health care or other services.
3.The majority of expenditure of the SHAs is for education, training and research.
4.Reductions in expenditure between 2002–03 and 2003–04 are caused by the further transfer of commissioning from strategic health authorities to primary care trusts.
5.Cumbria and Lancashire SHA. In 2004–05, the student grants unit expenditure (£369 million in 003–04) was transferred to the NHS Pensions Agency.
Source:
Audited summarisation forms of the SHAs.

SHA	2002–03	2003–04	2004–05
Cheshire and Merseyside	208,150	158,778	182,356
Cumbria and Lancashire	436,695	424,989	65,022

Mr. Swire: To ask the Secretary of State for Health if she will make a statement on the annual expenditure by her Department per capita in England relative to the figure in (a) Wales, (b) Scotland and (c) Northern Ireland. [27767]

Mr. Byrne: Expenditure by per head of population in the National Health Service (strategic health authorities and primary care trusts) in England is £1,309.54. Comparable figures for Wales and Scotland are a matter for the devolved administrations. While the institutions in Northern Ireland are dissolved, responsibility for comparable figures rests with ministers in the Northern Ireland Office.

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