Table Of ContentThe Government's DEPARTMENT OF HEALTH
Expenditure Plans
1995.96 Waemel gale elt de] aU avile)
sai aa ei CENSUSES AND SURVEYS
DEPARTMENTAL REPORT
This is part of a series of departmental reports (Cm 2801
to 2820), accompanied by the Public Expenditure
Statistical Supplement to the Financial Statement and
Budget Report, 1995-96 (Cm 2821), which present the
Government’s expenditure plans for 1995-96 to
1997-98. The complete series is also available as a set at a
discounted price.
INFORMATION SERVICE
2O0MAY 1996
Wellcome Centre for Medical Science
22501132191 Il
The Governments’ | DEPARTMENT OF HEALTH
se”. | AND OFFICE OF POPULATION
10199798 | CENSUSES AND SURVEYS
DEPARTMENTAL REPORT
Presented to Parliament by the Secretary of State for Health and
the chief Secretary to the Treasury by Command
of Her Majesty March 1995
Cm. 2812 LONDON: HMSO £18.40 net
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Contents
CONTENTS
GENERAL
DEPARTMENT OF HEALTH
OFFICE OF POPULATION CENSUSES AND SURVEYS
ANNEXES
List of Tables
List of Figures
Bibliography
Glossary
Index
“Th e purpose of this report is to present to Parliament and to the public a clear and informative
account of the expenditure and activities of the Department of Health and the Office of
Population Censuses and Surveys. If you would like further information on anything contained |
in the report, or have any comments or suggestions on its content or presentation, please
write to:
Department of Health:
Richard Mundon
Finance and Corporate Information Directorate
Department of Health
Quarry House
Quarry Hill
Leeds
LS2 UE
OPCS:
Corporate Planning Unit
Office of Population Censuses and Surveys
St Catherine's House
10 Kingsway
London
WC2B 6JP
Introduction
| GENERAL
1 INTRODUCTION
1.1 This is the fifth annual report of the Department of Health and the Office of Population Censuses and
Surveys (OPCS) providing financial information about the spending programmes of the Departments.
Department of Health
1.2. The Department of Health (covered in Part II) is responsible for health and personal social services
in England.
1.3. The Health programme is funded mainly by central government. The Department sets overall policy
on all health issues, including public health matters and the health consequences of environmental and food
issues. It is also responsible for the provision of health services locally, a function which it discharges
through the National Health Service Executive. The NHS Executive is responsible for the central
management and guidance of the statutory regional and district health authorities, family health services
authorities and certain special health authorities. It is also responsible for holding NHS trusts directly
accountable to Ministers, in particular for the performance of their statutory financial duties. The
Government proposes, subject to legislation, to make structural changes to the management of the NHS;
these are outlined in Chapter 5.
1.4 The Personal Social Services (PSS) programme consists largely of spending by local authorities. The
Department sets the overall policy for delivery of personal social services and provides advice and guidance
to local authorities. The programme is financed in part by central government grants and credit approvals,
but most local authority PSS revenue expenditure depends on decisions by individual local authorities on
how to spend the resources available
to them.
Office of Population Censuses and Surveys
1.5. OPCS (covered in Part IID) is a separate department, which reports to the Secretary of State for Health.
It is responsible for securing the provision of an efficient and effective system for the registration of births,
deaths and marriages, and for the provision of high quality demographic, social and medical information.
The OPCS programme is funded largely by central government expenditure.
Cash Plans
1.6 Table 1 summarises the cash plans for the Department of Health and OPCS; further details are given in
Annex A. Table 2 summarises local authority expenditure. Both these sets of figures are discussed in greater
detail in the sections which follow.
1.7. Details of spending on health and personal social services programmes in Scotland, Wales and
Northern Ireland are published in those departments! Departmental Reports. A breakdown of total
Government expenditure on these programmes within the United Kingdom for current and past years is
given in Table 1.2 of the Statistical Supplement to the Financial Statement and the Budget (Cm 2821). Annex
B to this report summarises recent expenditure trends and future spending plans for the NHS in the United
Kingdom.
IMntOroCducOti on
Table 1 SUMMARY CASH PLANS - PRODUCED BY TREASURY
£ million
ne ee ee ee ee eee
1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98
outturn outturn outturn outturn outturn estimated plans plans plans
outturn
Department of Health
Health services
National Health Service hospital,
community health, family
health (cash limited) and
related services ‘?”) 14,997 16,923 19,321 21,201 22,094 23,512 23,298 23,864 24,432
National Health Service trusts ° -24 223 303 588 648 615 516
National Health Service family
health services (non-cash
limited) “” 4,228 4,690 5,219 5,613 5,622 5,620 7,024 7,363 7,718
Departmental administration 185 234 247 310 280 283 268 324 SAS
MCA Trading Fund ® 5 2 1 1 1
Central health and
miscellaneous services 444 482 593 626 648 701 132 770 800
General Practice Finance
Corporation °?
Total health services 19,855 22,328 25,356 27,973 28,953 30,706 31,971 32,937 33,779
Other services
Personal social services 18 24 31 40 43 45 43 42 42
Civil defence Z 1 1 1 2 3 3 3 3
General Practice Finance
Corporation ®
Central government grants to
local authorities 24 31 58 83 654 835 760 114 114
Credit approvals 67 84 106 126 132 140 144 (yy 137
Total Department of Health 19,966 22,468 25,552 28,224 29,784 31,730 32,921 33,234 34,076
Of which:
Central government's own
expenditure 19.875 22353 25,413 27,792) 28,690) 30 164.531,3609 s52 366m 53,207,
Public corporations (excluding
nationalised industries) -24 223 303 588 648 615 516
Central government support to
local authorities 91 WS 164 210 786 976 904 252 252
Office of Population Censuses and
Surveys 34 53 101 40 32 36 36 38 38
Total Department of Health and
Office of Population Censuses
and Surveys 20,000 22,521 25,653 28,264 29,816 31,765 32,957 33,271 34,114
(1) In 1991-92, 1992-93, 1993-94 and 1994-95 provision of £125, £295, £628 and £1,058 million respectively for drugs prescribed by
GP fund holders is included in HCHS current expenditure. However, for other years all provision for FHS drug costs is included in FHS
non-cash limited provision. This reflects the fact that there is no basis for adjusting previous years’ figures because GP fundholders
did not exist before 1 April 1991 and for future years decisions on the number of GP fund holders have not yet been taken.
(2) HCHS current expenditure includes that element of trust capital expenditure which they fund from their charges to health care
purchasers (£231 million in 1991-92, £363 million in 1992-93, £696 million in 1993-94, £975 million in 1994-95 and provisional
figures for 1995-96, 1996-97 and 1997-98).
(3) Figures for forward years are provisional estimates.
(4) Prior to 1993-94 MCA figures are included in departmental administration. MCA figures from 1993-94 reflect the reclassification of
expenditure following the move to Trading Fund status.
(5) Cash amounts below £0.5 million are not shown.
Introduction
Table 2 LOCAL AUTHORITY EXPENDITURE “
1989-90 1990-91 1991-92 1992-93 1993-94 1994-95
} Outturn Outturn Outturn Outturn Estimated
Estimated Outturn
Outturn
Department of Health
Net current spending
Personal social services (2)(3) 4,213
Port Health SHA
4
Total net current spending 3717 4,218
Net Capital spending
Personal social services 157 147 133 132 127 165
Of which
Gross spending 224
Capital receipts -67 <27 -34 -38 =5/ =36
Total local authority net expenditure 3,874 4,365 4,760 5,111 5,857 6,763
(1) Local authority expenditure did not form part of the control total until 1993-94, except for the element of central
government support within it. This was described in the Statistical Supplement to the 1992 Autumn Statement (Cmd 2219).
However, from 1993-94 local authorities' self financed expenditure forms part of the new control totals.
(2) From 1993-94 includes additional resources for community care reforms.
(3) Totals for 1992-93 and 1993-94 include capitalised current expenditure of £6.1m and £2.0m respectively.
Department of Health
HrasAY
I! DEPARTMENT OF HEALTH
2. Aims, Objectives and Priorities
Expenditure
The Health Programme
Expenditure Plans
Sources of Finance
Recent Expenditure Trends
Expenditure Breakdown
The Personal Social Services Programme
Expenditure Plans
Recent Expenditure Trends
Expenditure Breakdown
Community Care Expenditure
Departmental Administration
Major Policy and Service Developments
Improving Health
Securing Quality Health Care
Securing Quality Social Care
International Cooperation and Health
Performance and Use of Resources
The Health Programme
The New NHS
Hospital and Community Health Services
Family Health Services
Central Health and Miscellaneous Health Services
Regional Comparisons
Staffing
Other Value for Money Initiatives
The Personal Social Services Programme
Departmental Administration
