Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals.

  • Great Britain. Parliament. House of Commons. Select Committee on Estimates
Date:
[1957]
Catalogue details

Licence: Public Domain Mark

Credit: Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals. Source: Wellcome Collection.

    119/448 page 97
    26 February, 1957.]} (Continued. Acute General Hospitals. Cost per Cost per patient week case 301-900 beds FetcSers he ae ae Oxford Regional Average = we a ia 62 yh lee 40 4 6 National Average be ips at Ss 17 17 10 41 6 3 In making comparisons for this class it must be remembered that about one third of the Oxford beds are in Stoke Mandeville which is quite exceptionally expensive owing to the proportion of paraplegic cases treated. (For this hospital cost per case treated is no less than £89 3s. 2d.) Cost per Cost per patient week case 101-300 beds farses £ is. Oxford Regional Average a. at BG es 19209 107 35 19 1 National Average re Sis wf +s Se Och! 36287 Ul 51-100 beds Oxford Regional Average ae ee oe et PY ee Eek) 34. 5 4 Nationai Average ms ee nies ae iat igs 9 4 34 18 O Under 50 beds Oxford Regional Average = A ee 5 16,0. © 32.40 4 National Average a Ae “bs “ge Si LO sods 4h at O41 * * * * * * * (8) An explanation of any significant variations in your own central expenses in recent years. BOARD’S OwN SERVICES—1950-51 To 1955-56. Central Administration. . The only significant increase was in 1953-54 when architects’ etc. fees were charged to revenue (£31,752). In previous years these had been charged to capital, but the Board’s capital allocation was so inadequate, having actually been reduced at a time of rising costs, that the Board in this year decided to charge them to revenue, as had been done for several years in another region. The Ministry, however, requested the Board to revert to the previous procedure, which was done in the next financial year, but in order to make the best use of their inadequate capital resources the Board were obliged to expand their own Architect’s Depart- ment, and the cost of this is reflected in the expenditure of subsequent years. Expenditure under this head also includes an expansion of the machine room staff to deal with regional punched-card accounting. Blood Transfusion Service. There has been a steady expansion of the Service and the area served has been extended in the western parts of the region. The number of bottles of blood has steadily increased through the period. Mass Radiography. In 1953-54, a further unit was formed, making three in all. There has been a continual increase in the number of miniature X-ray photographs taken by the units. Medical Staff. There has been a steady rise in the cost of medical staff and this can be attri- buted to five main factors :—{a) increase in the number of all grades of staff; (b) incidence of salary awards and increments in 1954-55; (c) increased number of domiciliary visits ; (d) the rates of payment for travelling expenses have risen severa! times and the mileage covered has steadily risen; (e) in 1951-52 the Board took over payment of senior registrars and registrars from Hospital Management Committees. Contractual Arrangements. The increase here is mainly due to higher maintenance charges paid for Board patients in these Institutions and Homes.
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