NHS SPENDING – NORTHERN IRELANDnews.bbc.co.uk/2/shared/bsp/hi/pdfs/02_02_07_northern... · NHS...

18

Transcript of NHS SPENDING – NORTHERN IRELANDnews.bbc.co.uk/2/shared/bsp/hi/pdfs/02_02_07_northern... · NHS...

NHS SPENDING – NORTHERN IRELAND Question 1 a) What is the Annual net expenditure on the NHS from 1997/98 to 2007/08 in Northern Ireland? b) Per head of population 1. Table 1 provides details of total NI expenditure and expenditure per capita.

While this represents the total DHSSPS budget, it cannot be used for

English comparisons. This is because the DHSSPS funds a number of

services that are not funded by the NHS in England. These include:

• Personal Social Services – The bulk of these services are

funded through Local Authorities in England

• Training Bursaries education and Research –funded directly

through DoH, not classed as NHS spend

• Other centrally financed services including welfare foods –

funded from a range of other Government departments

• Grants to Voluntary Bodies – Funded to Bodies directly in

England not through NHS

• North South Bodies – No comparable English budget

Total NI Expenditure and expenditure per capitaRevenue Expenditure 2000/01 2001/02 2002/03 2003/04

£'000 £'000 £'000 £'000

Resource Outturn 1,917,748 2,135,748 2,371,948 2,738,098

Capital Expenditure

Total capital spend 70,406 69,652 93,372 119,412

Population of NI

1,679,919

1,679,919

1,687,241

1,693,228

£ £ £ £

Spend per head (total) 1,141.5 1,271.34 1,405.8 1,617.0

Note: The expenditure includes both grants to Fire Authority Northern Ireland

and centrally managed expenditure in relation to the provision of fire services.

Question 2 a) Annual real (GDP deflated) increase in net expenditure on the NHS from 1997/98 to 2007/08 in Northern Ireland b) per head of population

Figures are only available from 2000-01 to 2004-05. Figures are

provided for Hospital services and Community Services (broadly NHS

equivalent), Personal Social Care (normally provided through Local

Authorities in England and Wales.

2000/2001 2001/02 2002/03 2003/04

£m £m £m £m

Increase in Hospital and community expenditure in real terms

49.58 77.71 96.7 67.74

Increases in PSS expenditure in real term*

23.7 19.5 61.0 33.4

TOTAL 73.28 97.21 157.7 101.14

Population of NI 1.679 1.680 1.687 1.693

Spend per head (total) 43.6 57.86 93.47 59.7

*Note increase in PSS expenditure in 2002-03 reflects the transfer of responsibility for Preserved

Rights from the Department of Social Development to DHSSPS. This is not included in NHS

expenditure. This can be regarded as an artificial uplift as monies were already available in

another Budget.

Question 3

Of the extra money available each year, what has it been spent on? How much of the extra funds available each year has been spent on wages, capital expenditure, drugs, clinical negligence, compensation new staff etc? (Please can we have as detailed a breakdown as possible)

The table below provides a breakdown of additional monies provided from

2000-01 to 2003-04.

2000-01 2001-02 2002-03 2003-04

Additional Monies

£m

Additional Monies

£m

Additional Monies

£m

Additional Monies

£m

Overall Uplift 218.2 263.2 261.85 366.15 Pay and Price Inflation including Jnr Drs and consultants new contracts, superann and NI contributions in 2003-04 80 104.5 90.9 175.25 Acute Services (inc. winter pressures) 44.3 58.3 48.25 27.9 Community Care inc Elderly Services 8.1 15 27.1 38.7

Prescription Drug Costs 24 24 24 27

Fire Service Costs 8.24 13.8 Childcare 14.5 5.8 2 3.5 Public Health 10.2 1.5 1.5 Mental Health/ Learning/ Physical Disability 5.9 6.2 20.9 9.8 GP Services 1.3 4.5 1.8 3.5 Clinical Negligence 3 13 Other inc clin standards, consumables etc 26.9 43.4 25.3 65.2

Total 218.2 263.2 261.85 366.15

Question 4 a) How many hospitals have opened? How many hospitals have closed? What has been the net gain/loss of hospitals?

1997 - 2006

Number of hospitals opened 1

Number of hospitals closed 13

Net closures 12 Source: Korner Aggregate Returns System 1 - These data have been produced following an analysis of Korner Hospital returns received by HIB and therefore are based solely on hospitals that have a Korner hospital code and that provide services that are monitored by HIB. The above provides information on hospital openings and closures as identified from activity information returns made by Trusts over the course of the years in question.

b) How many new hospitals are standing empty? How many old/existing (not new) hospitals are standing empty?

New hospitals

Old/existing

WHSSB 0 0 NHSSB 0 0 SHSSB 0 1 EHSSB 0 0

Question 5 a) How many more operations have been carried out each year? b) How many more patients have been seen each year in hospitals? Is it possible to have a break down of this? 5 (a-b) The following tables provide figures on the number of operations carried out each year and the number of admissions each year from 1997/98-2005/06. The numbers of outpatients seen are also included. The difference from the previous year is provided for each set of data.

(Q5a) Total Number of Operations and Total Number of Admissions1 from 1997/98 to 2005/06 and Increase from previous year (Excluding Mental Health Specialties)

Year Total Operations

Increase From Previous Year

Total Admissions

Increase From Previous Year

1997/1998 343,068 - 422,976 - 1998/1999 369,902 26,834 445,241 22,265 1999/2000 378,893 8,991 453,226 7,985 2000/2001 394,644 15,751 466,700 13,474 2001/2002 419,391 24,747 476,255 9,555 2002/2003 436,735 17,344 487,519 11,264 2003/2004 454,437 17,702 508,826 21,307 2004/2005 463,817 9,380 521,127 12,301 2005/2006 475,917 12,100 532,673 11,546 Source: Hospital Inpatients System 1 Deaths and Discharges from hospital are used as an approximation for admissions

Number of Outpatients seen and the difference from the previous year, 1997/98 - 2005/06 Year Outpatients Seen* Difference from previous year 1997-1998 1,419,071 1998-1999 1,427,894 8,823 1999-2000 1,435,318 7,424 2000-2001 1,441,142 5,824 2001-2002 1,458,200 17,058 2002-2003 1,461,963 3,763 2003-2004 1,481,941 19,978 2004-2005 1,484,877 2,936 2005-2006 1,522,531 37,654 Source: KH09 * This includes new referrals and consultant initiated referrals seen.

5c) How many more hospital doctors have been employed each year (head count and whole time equivalent)? 5d) How many more hospital consultants have been employed each year (head count and whole time equivalent)? 5e) How many more hospital nurses have been employed each year (head count and whole time equivalent)? 5f) Please give us a break down of all other staff increases/decreases each year, including management (head count

and whole time equivalent).

Health and Personal Social Services Workforce1 as at 31st March 1997 to 2006 (Whole-Time Equivalent Figures) WTE 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Admin & Clerical Clerical & Admin 7,269.9 7,289.8 7,418.9 7,586.5 7,767.5 7,987.0 8,306.3 8,717.5 9,091.1 9,155.6 Manager/Senior Manager 1,037.0 1,093.7 1,168.0 1,219.6 1,318.8 1,413.5 1,578.1 1,808.5 1,993.8 2,053.3 Senior Executives/Board Member

161.4

187.7

198.6

208.0

212.5

222.5

314.8

327.3

340.6

353.2

Works & Maintenance

692.5

632.0

598.0

584.0

570.0

567.0

554.0

550.4

540.9

530.9

Ancillary & General2 5,365.3

5,140.0

5,262.7

5,105.5

sing

5,191.0

5,134.9

5,299.0

5,504.9

5,693.8

5,839.8

NurQualified Nursing & Midwifery 11,508.3 11,246.8 11,239.7 11,381.3 11,534.3 11,591.8 12,526.4 13,056.1 13,344.5 13,667.5 Unqualified Nurses

3,254.1

3,339.3

3,422.4

3,486.4

3,550.1

3,696.8

3,898.8

3,846.8

4,016.7

3,955.1

Social Services

3,308.4

3,358.2

3,383.8

3,466.3

3,643.3

3,780.1

4,037.6

4,331.8

4,598.9

4,696.4

Professional & Technical

3,903.0

3,892.9

4,126.6

4,251.0

4,453.3

4,627.8

4,949.9

5,315.3

5,691.8

5,918.8

Medical & DentalMedical Consultants 743.3 775.2 813.3 830.5 867.0 903.0 933.7 984.0 1,019.8 1,116.1 Other Medical 1,434.7 1,472.4 1,509.6 1,532.3 1,564.3 1,606.0 1,735.7 1,874.6 1,969.8 2,079.7 Dental 108.1 111.3

106.1

105.4

106.5

106.6

111.8

125.3

117.7

125.4

Ambulance3 654.0 638.5 678.5 710.5 748.1 752.0 774.4 836.0 884.1 927.3Total 39,440.1 39,177.4 39,926.2 40,467.3 42,388.841,526.8 45,020.4 47,278.3 49,303.4 50,419.0

Source: Human Resource Management Systems Notes: 1 Figures exclude bank staff, home helps and student nurses. 2 This group includes some Personal Social Services care staff. 3 Figures for Ambulance are taken from HPSS Payroll extract (Quarterly Cost Analysis) for 1997 to 2000.

Health and Personal Social Services Workforce1 Yearly Percentage Changes 1997/98 to 2005/06 (Whole-Time Equivalent Figures)

Percentage Change WTE 1997/1998 1998/1999 1999/2000 2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 1997/2006 Admin & Clerical

Clerical & Admin 0.27% 1.77% 2.26% 2.39% 2.83% 4.00% 4.95% 4.29% 0.71% 25.94% Manager/Senior Manager 5.46% 6.80% 4.41% 8.13% 7.18% 11.64% 14.60% 10.24% 2.99% 98.01% Senior Executives 16.29% 5.81% 4.73% 2.16% 4.71% 41.48% 3.97% 4.06% 3.70% 118.84%

Works & Maintenance -8.74% -5.38% -2.34% -2.40% -0.53% -2.29% -0.64% -1.74% -1.85% -23.34%

Ancillary & General2 -4.20% 2.39% -2.99% 1.67% -1.08% 3.20% 3.88% 3.43% 2.56% 8.84%

Nursing Qualified Nursing & Midwifery -2.27% -0.06% 1.26% 1.34% 0.50% 8.06% 4.23% 2.21% 2.42% 18.76% Unqualified Nurses 2.62% 2.49% 1.87% 1.83% 4.13% 5.46% -1.33% 4.42% -1.53% 21.54%

Social Services 1.51% 0.76% 2.44% 5.11% 3.75% 6.81% 7.28% 6.17% 2.12% 41.95%

Professional & Technical -0.26% 6.00% 3.02% 4.76% 3.92% 6.96% 7.38% 7.08% 3.99% 51.65%

Medical & Dental Medical Consultants 4.28% 4.92% 2.12% 4.39% 4.15% 3.40% 5.38% 3.64% 9.44% 50.15% Other Medical 2.62% 2.53% 1.50% 2.09% 2.66% 8.08% 8.00% 5.08% 5.58% 44.95% Dental 2.91% -4.64% -0.65% 1.12% -0.13% 5.06% 12.07% -6.08% 6.52% 15.99%

Ambulance -2.37% 6.26% 4.72% 5.29% 0.52% 2.98% 7.96% 5.75% 4.89% 41.79% Total -0.67% 1.91% 1.36% 2.62% 2.08% 6.21% 5.02% 4.28% 2.26% 27.84%

Health and Personal Social Services Workforce1 as at 31st March 1997 to 2006 (Headcount Figures)

Headcount 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006Admin & Clerical

Clerical & Admin 8,293 8,350 8,483 8,704 8,928 9,221 9,636 10,117 10,615 10,754 Manager/Senior Manager

sing

1,048 1,108 1,193 1,246 1,354 1,452 1,628 1,865 2,058 2,122Senior Executives

170

199

209

218

222

228

318

331

344

358

Works & Maintenance

693

632

598

584

570

567

554

551

542

531

Ancillary & General2 7,242

6,890

7,055

6,840

7,010

6,945

7,242

7,550

7,712

7,926

NurQualified Nursing & Midwifery

13,423 13,157 13,126 13,340 13,580 13,659 14,755 15,330 15,638 15,990

Unqualified Nurses

3,808

3,890

3,954

4,028

4,111

4,271

4,518

4,468

4,674

4,631

Social Services

3,644

3,704

3,705

3,785

3,970

4,127

4,391

4,740

5,022

5,145

Professional & Technical

4,415

4,406

4,672

4,798

5,030

5,225

5,598

6,001

6,386

6,664

Medical & DentalMedical Consultants

793 843 884 888 922 957 993 1,048 1,101 1,173

Other Medical

1,689 1,695 1,709 1,732 1,757 1,783 1,932 2,051 2,149 2,261Dental 142

144

140

138

139

140

147

165

163

172

Ambulance3 656 640 679 711 750 755 777 838 889 934Total 46,016 45,658 46,407 47,012 48,343 49,330 52,489 55,055 57,293 58,661Source: Human Resource Management Systems Notes:

1 Figures exclude bank staff, home helps and student nurses. 2 This group includes some Personal Social Services care staff.

3 Figures for Ambulance are taken from HPSS Payroll extract (Quarterly Cost Analysis) for 1997 to 2000.

Health and Personal Social Services Workforce1 Yearly Percentage Changes 1997/98 to 2005/06 (Headcount Figures) Percentage Change Headcount 1997/1998 1998/1999 1999/2000 2000/2001 2001/2002 2002/2003 2003/2004 2004/2005 2005/2006 1997/2006 Admin & Clerical

Clerical & Admin 0.69% 1.59% 2.61% 2.57% 3.28% 4.50% 4.99% 4.92% 1.31% 29.68% Manager/Senior

Manager 5.73% 7.67% 4.44% 8.67% 7.24% 12.12% 14.56% 10.35% 3.11% 102.48% Senior Executives 17.06% 5.03% 4.31% 1.83% 2.70% 39.47% 4.09% 3.93% 4.07% 110.59%

Works & Maintenance -8.80% -5.38% -2.34% -2.40% -0.53% -2.29% -0.54% -1.63% -2.03% -23.38%

Ancillary & General2 -4.86% 2.39% -3.05% 2.49% -0.93% 4.28% 4.25% 2.15% 2.77% 9.44%

Nursing Qualified Nursing &

Midwifery -1.98% -0.24% 1.63% 1.80% 0.58% 8.02% 3.90% 2.01% 2.25% 19.12% Unqualified Nurses 2.15% 1.65% 1.87% 2.06% 3.89% 5.78% -1.11% 4.61% -0.92% 21.61%

Social Services 1.65% 0.03% 2.16% 4.89% 3.95% 6.40% 7.95% 5.95% 2.45% 41.19%

Professional & Technical -0.20% 6.04% 2.70% 4.84% 3.88% 7.14% 7.20% 6.42% 4.35% 50.94%

Medical & Dental Medical Consultants 6.31% 4.86% 0.45% 3.83% 3.80% 3.76% 5.54% 5.06% 6.54% 47.92% Other Medical 0.36% 0.83% 1.35% 1.44% 1.48% 8.36% 6.16% 4.78% 5.21% 33.87% Dental 1.41% -2.78% -1.43% 0.72% 0.72% 5.00% 12.24% -1.21% 5.52% 21.13%

Ambulance -2.44% 6.09% 4.71% 5.49% 0.67% 2.91% 7.85% 6.09% 5.06% 42.38% Total -0.78% 1.64% 1.30% 2.83% 2.04% 6.40% 4.89% 4.07% 2.39% 27.48%

Question 6a) Please provide the number of NHS prescriptions issued and cashed each year. What has been the cost of this to the NHS each year?

Prescribing Period Total Items Net Gross Cost (1)

1997/1998

22,047,272 £ 229,961,996

1998/1999

22,754,445 £ 241,837,124

1999/2000

23,248,838 £ 258,352,856

2000/2001

23,984,596 £ 269,906,352

2001/2002

24,705,334 £ 294,415,248

2002/2003

25,501,388 £ 317,447,906

2003/2004

26,656,451 £ 352,602,126

2004/2005

27,400,922 £ 372,527,191

2005/2006

28,417,022 £ 380,087,664 (1) Net Gross Cost figures are after discount and include all additional fees paid to contractors. Patient charges have been removed

6b) Please provide the number of prescribed drugs which have been returned and destroyed (per year). What has been the cost of these returned and destroyed drugs (per year)? How much has "waste medicine" cost the NHS?

A spokesperson for the DHSSPS said: "A number of dump campaigns have been conducted in health boards in Northern Ireland. The medicines returned as a result of this campaign would indicate that the likely cost in terms of wasted medicines is approximately 1% of the drugs budget. However, the actual amount of wasted medicines is likely to be higher."

Question 7 How much NHS money each year has been spent funding NHS patients to be treated by independent sector providers (in £s and % increase each year) from 1997/98 to latest data available?

Number of procedures carried out in the independent sector and resultant costs 2000/01 – 2004/05

Number of procedures Cost (£)

2000/01* 1,521 1,588,648 2001/02 3,147 4,037,765 2002/03 4,618 6,595,207 2003/04 6,431 10,634,302 2004/05 6,880 9,044,207

*stats are provided from the date they are available

Question 8 How much money has been spent on I.T. projects (central and local) each year from 1997/98 to latest year data available?

Totals 97/98 £3,402,475 98/99 £3,350,586 99/00 £5,031,219 00/01 £7,216,529 01/02 £7,591,375 02/03 £15,561,280

03/04 £17,033,868 04/05 £20,450,992 05/06 £21,667,028 TOTAL £101,305,352

ICT EXPENDITURE BY DIS, HPSS BOARDS, TRUSTS AND AGENCIES

Note 1: In 2003/2004, the HPSS began implementation of a strategic ICT Programme. The programme of work involves implementation of new ICT systems and infrastructure across the HPSS. The costs associated with the implementation of the programme have resulted in the significant increase in expenditure from 2002/2003 onwards. Note 2: DIS and one Trust provided figures from 99/00 onward as figures are only held for 7 years as required by Audit. A second Trust could only provide figures from 00/01, a third from 01/02, while another 2 had only classified IT equipment as a separate category from 02/03. * - there are still 8 Trusts and Agencies figures outstanding:

Question 9 How many extra hospital beds have been made available each year from 1997/98? If possible, can we have a break down (acute, maternity etc)

and

Question 10 Please can we have figures of bed occupancy rates each year since 1997/98?

The following spreadsheets provide figures on the average available beds and average occupied beds by programme of care for 1997/98-2005/06. The difference from the previous year for each programme of care is also provided.

Year Programme of Care Average Available Beds Average Occupied Beds Percentage Occupancy

1997-1998 Acute Services 4324.4 3378.4 78.1

1997-1998 Maternity & Child Health 825.5 503.3 61.0

1997-1998 Elderly Care 1774.9 1532.0 86.3

1997-1998 Mental Health 1317.0 1204.8 91.5

1997-1998 Learning Disability 763.9 661.6 86.6

NI Total 1997 -1998 9005.8 7280.2 80.8

1998-1999 Acute Services 4302.5 3434.9 79.8

1998-1999 Maternity & Child Health 818.9 495.2 60.5

1998-1999 Elderly Care 1656.2 1467.6 88.6

1998-1999 Mental Health 1317.2 1189.3 90.3

1998-1999 Learning Disability 722.9 632.2 87.4

NI Total 1998 -1999 8817.8 7219.1 81.9

1999-2000 Acute Services 4245.7 3397.3 80.0

1999-2000 Maternity & Child Health 794.7 466.4 58.7

1999-2000 Elderly Care 1595.5 1410.1 88.4

1999-2000 Mental Health 1344.1 1173.2 87.3

1999-2000 Learning Disability 658.7 593.5 90.1

NI Total 1999 - 2000 8638.8 7040.4 81.5

2000-2001 Acute Services 4229.6 3421.1 80.9

2000-2001 Maternity & Child Health 746.4 430.8 57.7

2000-2001 Elderly Care 1587.2 1421.5 89.6

2000-2001 Mental Health 1349.3 1170.6 86.8

2000-2001 Learning Disability 658.5 583.0 88.5

NI Total 2000 - 2001 8571.0 7027.1 82.0

2001-2002 Acute Services 4252.4 3496.3 82.2

2001-2002 Maternity & Child Health 716.2 427.2 59.6

2001-2002 Elderly Care 1553.0 1389.6 89.5

2001-2002 Mental Health 1280.5 1120.8 87.5

2001-2002 Learning Disability 617.0 577.1 93.5

NI Total 2001- 2002 8419.1 7011.0 83.3

2002-2003 Acute Services 4267.0 3565.0 83.5

2002-2003 Maternity & Child Health 696.0 428.7 61.6

2002-2003 Elderly Care 1511.3 1361.6 90.1

2002-2003 Mental Health 1222.5 1076.3 88.0

2002-2003 Learning Disability 604.5 565.8 93.6

NI Total 2002 - 2003 8301.3 6997.4 84.3

2003-2004 Acute Services 4396.3 3655.5 83.2

2003-2004 Maternity & Child Health 670.4 427.5 63.8

Year Programme of Care Average Available Beds Average Occupied Beds Percentage Occupancy

2003-2004 Elderly Care 1532.3 1374.7 89.7

2003-2004 Mental Health 1162.1 1024.5 88.2

2003-2004 Learning Disability 585.5 541.1 92.4

NI Total 2003 - 2004 8346.6 7023.3 84.1

2004-2005 Acute Services 4473.3 3714.3 83.0

2004-2005 Maternity & Child Health 662.9 420.9 63.5

2004-2005 Elderly Care 1500.9 1348.2 89.8

2004-2005 Mental Health 1127.2 1004.7 89.1

2004-2005 Learning Disability 558.6 515.6 92.3

NI Total 2004 - 2005 8322.8 7003.7 84.2

2005-2006 Acute Services 4457.1 3709.7 83.2

2005-2006 Maternity & Child Health 659.0 404.6 61.4

2005-2006 Elderly Care 1473.8 1320.4 89.6

2005-2006 Mental Health 1110.2 975.1 87.8

2005-2006 Learning Disability 537.5 474.5 88.3

NI Total 2005 - 2006 8237.6 6884.4 83.6

Source: KH03a

NI Average Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Beds Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997 - 1998 9005.8 7280.2 1998 - 1999 8817.8 -188.0 7219.1 -61.2

1999 - 2000 8638.8 -179.0 7040.4 -178.7

2000 - 2001 8571.0 -67.8 7027.1 -13.4

2001 - 2002 8419.1 -151.9 7011.0 -16.0

2002 - 2003 8301.3 -117.8 6997.4 -13.6

2003 - 2004 8346.6 45.3 7023.3 25.9

2004 - 2005 8322.8 -23.8 7003.7 -19.6

2005 - 2006 8237.6 -85.2 6884.4 -119.3

Source: KH03a NI Average Available Day Beds and Overnight Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Day Beds Difference From Previous Year

Average Available Beds Open Overnight

Difference From Previous Year

1997-1998 243.9 9018.3

1998-1999 277.8 33.9 8818.3 -200.1

1999-2000 300.1 22.3 8623.7 -194.5

2000-2001 339.4 39.4 8571.0 -52.7

2001-2002 363.6 24.2 8420.4 -150.6

2002-2003 381.2 17.6 8299.4 -121.0

2003-2004 415.0 33.8 8346.9 47.5

2004-2005 433.3 18.3 8311.9 -35.0

2005-2006 457.2 23.8 8248.9 -63.0

Source: KH03

Acute Services Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Beds Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997-1998 4324.4 3378.4

1998-1999 4302.5 -21.9 3434.9 56.5

1999-2000 4245.7 -56.8 3397.3 -37.6

2000-2001 4229.6 -16.1 3421.1 23.9

2001-2002 4252.4 22.8 3496.3 75.2

2002-2003 4267.0 14.5 3565.0 68.7

2003-2004 4396.3 129.3 3655.5 90.5

2004-2005 4473.3 77.1 3714.3 58.8

2005-2006 4457.1 -16.2 3709.7 -4.5

Source: KH03a Maternity & Child Health Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Beds Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997-1998 825.5 503.3

1998-1999 818.9 -6.6 495.2 -8.2

1999-2000 794.7 -24.2 466.4 -28.8

2000-2001 746.4 -48.3 430.8 -35.5

2001-2002 716.2 -30.2 427.2 -3.7

2002-2003 696.0 -20.2 428.7 1.5

2003-2004 670.4 -25.6 427.5 -1.2

2004-2005 662.9 -7.5 420.9 -6.5

2005-2006 659.0 -3.9 404.6 -16.3

Source: KH03a Elderly Care Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available Beds

Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997-1998 1774.9 1532.0

1998-1999 1656.2 -118.7 1467.6 -64.4

1999-2000 1595.5 -60.7 1410.1 -57.5

2000-2001 1587.2 -8.3 1421.5 11.4

2001-2002 1553.0 -34.2 1389.6 -31.9

2002-2003 1511.3 -41.7 1361.6 -28.0

2003-2004 1532.3 21.0 1374.7 13.1

2004-2005 1500.9 -31.4 1348.2 -26.5

2005-2006 1473.8 -27.0 1320.4 -27.7

Source: KH03a

Mental Health Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Beds Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997-1998 1317.0 1204.8

1998-1999 1317.2 0.2 1189.3 -15.6

1999-2000 1344.1 26.9 1173.2 -16.1

2000-2001 1349.3 5.2 1170.6 -2.5

2001-2002 1280.5 -68.9 1120.8 -49.9

2002-2003 1222.5 -57.9 1076.3 -44.5

2003-2004 1162.1 -60.4 1024.5 -51.8

2004-2005 1127.2 -35.0 1004.7 -19.8

2005-2006 1110.2 -17.0 975.1 -29.6

Source: KH03a Learning Disabilities Available Beds and Average Occupied Beds and the difference from the previous year for 1997/98 - 2005/06

Year Average Available

Beds Difference From Previous Year

Average Occupied Beds

Difference From Previous Year

1997-1998 763.9 661.6

1998-1999 722.9 -41.1 632.2 -29.5

1999-2000 658.7 -64.2 593.5 -38.7

2000-2001 658.5 -0.2 583.0 -10.5

2001-2002 617.0 -41.4 577.1 -5.8

2002-2003 604.5 -12.5 565.8 -11.4

2003-2004 585.5 -18.9 541.1 -24.6

2004-2005 558.6 -27.0 515.6 -25.5

2005-2006 537.5 -21.1 474.5 -41.1

Source: KH03a

Question 11 How many more General Medical Practitioners have been employed each year (head count and whole time equivalent) from 1997 to latest available data?

General Medical Practitioners - 1997 to 2006 Total GPs(1) Increase New GPs

1997 1039 42 1998 1042 3 26 1999 1054 12 44 2000 1058 4 42 2001 1061 3 44 2002 1076 15 39

2003(2) 1076 0 46 2004 1078 2 41 2005 1084 6 34 2006 1110 26 61

(1) Headcount figures are at October of each year except 2003 which is November (2) Figures prior to 2003 are taken from clerical data and may not be directly comparable with figures after from 2003 on