To ask Her Majesty's Government what was the expenditure on the National Health Service in each financial year from 1988—89 to 2007—08 at 1996—97 prices; how many completed hospital consultant episodes there were in each of those years; and what were the percentage NHS productivity changes in each of those years as calculated by the Office for National Statistics (or its predecessors).
Where possible, the requested data are given in tables 1, 2 and 3. Care should be taken in comparing data across time periods. As noted in footnotes, definitional changes make direct comparisons of data problematic.
|Table 1: National Health Service (NHS) Expenditure England (1988-89 to 2007-08)|
|Year||Net NHS Expenditure (4) £ billion||Net NHS Expenditure (in 1996-97 Prices)£ billion|
|Resource Budgeting Stage 1(2)|
|Resource Budgeting Stage 2(3)(5)|
1. Expenditure pre 1999-2000 is on a cash basis.
2. Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis.
3. Expenditure figures from 2003-04 to 2010-11 are on a Stage 2 Resource Budgeting basis.
4. Figures are not consistent over the period (1988-89 to 2007-08), therefore it is difficult to make comparisons across different periods.
5. Figures from 2003-04 include a technical adjustment for trust depreciation.
6. Expenditure excludes NHS Annually Managed Expenditure (AME)
8. Total Expenditure is calculated as the sum of revenue and capital expenditure net of non-trust depreciation and impairments. This is in line with HM Treasury Guidance.
|Table 2: Count of Finished Consultant Episodes in each Data Year from 1989-90 to 2007-08 (Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector)|
|Data Year||Finished Consultant Episodes|
1. Inpatients are defined as patients who are admitted to hospital and occupy a bed, including both admissions where an overnight stay is planned and day cases.
2. Assessing growth through time: HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
3. Data quality: Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
4. A finished consultant episode (FCE) is defined as a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Please note that the figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
|Table 3: United Kingdom Health Care Productivity (Index 1995 = 100)|
1. Source 1995 to 1997: Article ONS Public Service Productivity January 2008
2. Source 1997 to 2007: Article ONS Total Public Service Output and Productivity June 2009
3. No published figures are available for the years prior to 1995. In analyses prior to this period
ONS assume output = input