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Dáil Éireann debate -
Tuesday, 5 May 1981

Vol. 328 No. 9

Written Answers. - Health Boards Expenditure.

353.
John Horgan

Mr. Horgan

asked the Minister for Health if he will give details for each year since the health boards were established, including estimates for recent years for which there are no final figures, of expenditure by each board as follows: (a) general hospital care programme; (b) special hospital care programme; (c) general medical services; (d) other community care programmes; and (e) other expenditures.

Michael Woods

Minister for Health (Dr. Woods)

The information as requested concerning expenditure on services financed directly by health boards is set out in the attached tabular statements.

NET HEALTH EXPENDITURE — HEALTH BOARDS

(£millions)

(a) General Hospitals

Health Board

1971/72

1972/73

1973/74

1974 (9 months)

1975

1976

1977

1978*

1979*

1980*

Eastern

8.918

12.614

13.942

2.925

4.334

4.591

5.532

6.521

8.429

11.961

Midland

1.600

2.267

2.704

2.107

3.520

3.877

4.503

5.512

6.826

9.473

Mid-Western

2.676

3.156

3.672

2.956

5.421

6.216

7.202

9.057

11.800

16.304

North-Eastern

2.101

2.711

3.200

2.030

3.761

4.389

4846

6.602

7.295

10.117

North-Western

1.459

2.085

2.394

1.913

4.187

4.459

5.256

7.143

8.958

12.501

South-Eastern

3.019

3.921

4.706

3.263

6.224

7.143

8.351

9.675

12.942

17.872

Southern

4.737

6.616

7.604

6.242

11.002

12.519

13.565

16.488

24.908

32.809

Western

3.261

4.497

5.329

4.782

9.261

10.394

12.998

16.918

20.401

28.514

Total

27.771

37.867

43.551

26.218

47.710

53.588

62.253

77.916

101.559

139.551

* Estimated.

Note: Figures for 1971/72, 1972/73, 1973/74 include capitation payments to voluntary institutions. Thereafter such institutions were funded direct by the Department.

NET HEALTH EXPENDITURE — HEALTH BOARDS

(£millions)

(b) Special Hospitals

Health Board

1971/72

1972/73

1973/74

1974 (9 months)

1975

1976

1977

1978*

1979*

1980*

Eastern

6.476

8.413

10.869

8.114

14.832

15.662

18.069

21.750

26.899

36.937

Midland

1.662

2.124

2.675

2.050

3.534

4.009

5.366

6.944

8.081

11.097

Mid-Western

2.069

2.872

3.813

3.112

5.531

6.537

7.379

8.425

10.756

14.770

North-Eastern

2.022

2.476

3.197

2.544

4.334

4.607

4.918

6.557

7.092

9.739

North-Western

1.589

2.010

2.659

2.175

4.043

4.496

5.441

6.376

7.843

10.769

South-Eastern

2.674

3.152

4.275

3.783

6.023

6.474

8.020

10.641

13.707

18.822

Southern

3.819

4.583

5.948

4.310

8.026

9.141

10.737

13.054

18.240

25.047

Western

3.282

2.731

5.315

4.119

7.246

8.193

8.921

11.288

13.399

18.399

Total

23.593

28.361

38.751

30.207

53.569

59.119

68.851

85.035

106.017

145.580

* Estimated.

Note: Figures for 1971/72, 1972/73, 1973/74 include capitation payments to voluntary institutions. Thereafter such institutions were funded direct by the Department.

NET HEALTH EXPENDITURE — HEALTH BOARDS

(£millions)

(c) General Medical Services

Health Board

1971/72

1972/73

1973/74

1974 (9 months)

1975

1976

1977

1978*

1979*

1980*

Eastern

1.871

4.047

4.809

4.662

9.119

11.227

12.475

16.144

19.448

26.706

Midland

0.462

0.733

1.153

1.074

2.246

2.558

3.073

3.800

4.730

6.495

Mid-Western

0.779

1.090

1.613

1.380

2.759

3.120

3.907

4.812

5.430

7.456

North-Eastern

0.594

0.979

1.521

1.413

3.187

3.406

3.943

4.397

5.247

7.205

North-Western

0.607

0.972

1.457

1.529

3.493

3.915

4.644

5.457

7.706

10.582

South-Eastern

0.847

1.302

1.942

1.900

3.329

3.735

4.227

5.388

6.657

9.141

Southern

1.198

1.958

2.961

2.516

5.278

6.011

6.958

9.352

10.054

13.806

Western

0.933

1.462

2.583

2.886

5.293

6.172

6.970

9.221

11.671

16.026

Total

7.291

12.543

18.039

17.360

34.704

40.144

46.197

58.571

70.943

97.417

* Estimated.

NET HEALTH EXPENDITURE — HEALTH BOARDS

(£millions)

(d) Other Community Care Programmes

Health Board

1971/72

1972/73

1973/74

1974 (9 months)

1975

1976

1977

1978*

1979*

1980*

Eastern

2.268

2.691

3.280

2.993

5.216

5.433

6.938

8.119

9.878

13.564

Midland

0.521

0.614

0.783

0.730

1.207

1.424

1.497

1.7.19

2.041

2.803

Mid-Western

0.645

0.693

0.948

0.920

1.557

1.742

2.054

2.419

3.076

4.223

North-Eastern

0.648

0.661

0.820

0.778

1.350

1.495

1.674

2.259

2.699

3.706

North-Western

0.708

0.783

0.902

0.809

1.503

1.387

1.473

1.690

1.986

2.727

South-Eastern

1.196

1.145

1.474

1.258

2.172

2.529

2.894

2.558

3.176

4.361

Southern

1.668

1.886

2.242

1.816

2.931

3.211

3.602

4.369

5.624

7.723

Western

1.359

1.453

1.869

1.682

2.853

2.842

3.398

3.072

3.668

5.037

Total

9.013

9.926

12.318

10.986

18.789

20.063

23.530

26.205

32.148

44.144

* Estimated.

NET HEALTH EXPENDITURE — HEALTH BOARDS

(£millions)

(e) Other expenditure

Health Board

1971/72

1972/73

1973/74

1974 (9 months)

1975

1976

1977

1978*

1979*

1980*

Eastern

1.782

1.868

2.334

2.623

5.003

5.578

6.449

9.018

13.190

18.112

Midland

0.396

0.664

0.953

1.089

1.846

2.359

2.679

3.480

3.824

5.251

Mid-Western

0.551

0.714

1.141

1.267

2.269

2.863

3.398

3.573

4.558

6.259

North-Eastern

0.606

0.753

0.977

1.021

1.994

2.222

2.409

3.611

4.393

6.032

North-Western

0.592

0.639

0.880

1.128

2.012

2.154

2.417

3.300

4.691

6.442

South-Eastern

0.691

0.765

1.009

1.151

2.369

3.065

4.202

4.779

5.947

8.166

Southern

0.998

1.215

1.489

1.518

2.673

3.667

4.266

4.131

4.960

6.811

Western

0.698

0.837

1.106

0.932

2.342

2.378

3.506

2.956

3.827

5.255

Total

6.314

7.455

9.889

10.729

20.528

24.286

29.326

34.848

45.390

62.328

* Estimated.

354.

John Horgan

Mr. Horgan

asked the Minister for Health if he will give details for each year since the health boards were established, including estimates for years for which there are no final figures, of (a) payments by his Department to each board; (b) payments to voluntary hospitals on behalf of each board, (c) other payments on behalf of each board; and (d) other income of each board.

Michael Woods

Minister for Health (Dr. Woods)

The information requested is set out in the attached tabular statements.

(a) Grant Payments made by the Department of Health in each of the years specified.

(£m)

Year of Account

Health Boards

Eastern

Midland

Mid- Western

North Eastern

North Western

South Eastern

Southern

Western

1971/72

10.281

2,560

3.956

3.119

2.871

4.982

7.531

5.597

1972/73

15.999

3.918

5.546

4.567

3.971

5.993

10.336

6.922

1973/74

24.256

5.624

7.751

6.567

6.429

9.567

14.046

12.020

1974(9 months

13.800

4.917

6.830

5.150

5.463

7.476

12.463

10.458

1975

27.165

9.652

14.702

10.742

11.901

15.490

23.712

21.635

1976

34.011

12.155

17.775

13.043

13.811

20.053

29.332

25.446

1977

54.185

17.705

23.375

18.138

20.151

27.668

39.473

37.329

1978

60.455

20.802

29.094

22.175

24.576

34.361

48.952

42.799

1979

78.107

25.896

35.105

26.008

30.691

42.244

63.520

53.607

1980

102.681

34.120

49.169

36.144

43.783

59.979

87.312

72.303

(b) Grant Payments made by the Department of Health to Voluntary Hospitals on behalf of Health Boards in each of the years specified.

(£m)

Health Boards

Year of Account

Eastern

Midland

Mid- Western

North Eastern

North Western

South Eastern

Southern

Western

1971/72

No direct payments were made by the Department. The funding arrangements in these years were comprised of capitation payments made directly by Health Boards and “deficit” payments from the Hospitals Trust Fund.

1972/75

1973/74

1974 (9 months)

18.581

1.603

0.987

2.256

0.584

1.694

1.655

1.055

1975

33.523

1.926

1.570

4.159

1.114

3.321

3.497

1.770

1976

40.829

2.568

1.983

5.080

1.301

3.608

4.491

2.140

1977

47.549

3.089

2.267

5.902

1.372

4.188

5.365

2.228

1978

58.758

3.892

3.035

7.347

1.794

5.119

5.853

2.722

1979

78.331

4.875

3.990

9.448

2.414

6.329

7.614

3.387

1980 (estimated)

101.412

6.311

5.166

12.232

3.125

8.194

9.858

4.385

(c) Other grant payments made by the Department of Health on behalf of Health Boards in each of the years specified.

(£m)

Year of Account

Health Boards

Eastern

Midland

Mid- Western

North Eestern

North Western

South Eestern

Southern

Western

1971/72

No direct payments were made by the Department. The funding arrangements in these years were through the making of payments by Health Boards by way of capitation

1972/73

1973/74

1974(9 months)

1.034

0.296

0.387

0.332

0.260

0.402

0.760

0.499

1975

2.165

0.595

0.911

0.687

0.502

0.970

1.911

0.749

1976

2.635

0.769

1.015

0.831

0.671

0.989

1.991

1.233

1977

3.352

0.940

1.389

1.019

0.805

1.302

2.635

1.576

1978

4.572

1.013

1.793

1.345

0.891

1.510

3.028

2.615

1979

5.548

1.731

2.587

1.561

1.207

2.275

3.674

2.451

1980

8.546

2.666

3.985

2.405

1.859

3.504

5.659

3.776

(d) Other Income of each Health Board

(£m)

Year of Account

Health Boards

Eastern

Midland

Mid- Western

North Eestern

North Western

South Eestern

Southern

Western

1971/72

11.234

2.964

3.395

2.879

2.108

4.990

5.939

4.312

1972/73

13.144

3.433

3.864

3.254

2.487

5.670

6.743

5.271

1973/74

10.553

2.982

3.324

3.174

2.222

5.033

5.731

4.208

1974(9 months)

6.967

1.865

1.906

1.556

1.297

2.730

3.340

2.504

1975

5.507

2.038

1.828

1.995

1.420

2.733

3.301

3.008

1976

4.644

2.298

1.856

1.653

1.392

3.190

3.118

3.181

1977

3.764

1.932

2.139

1.353

1.358

2.297

2.687

2.897

1978

4.164

2.303*

2.200

1.831

1.662

2.780

3.416

3.568

1979

4.200*

2.420

2.500*

1.808

1.750*

3.000*

3.763

3.547

1980

5.500*

2.900*

3.200*

2.400*

2.200*

3.700*

5.100*

4.500*

* Estimated

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