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Nhs Finance

Volume 410: debated on Friday 19 September 2003

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To ask the Secretary of State for Health, pursuant to his answer of 5 February, Official Report, columns 315–16W, on NHS finance, if he will give a comparable percentage of the total NHS

Revenue and capital allocations as a percentage of total net national health service expenditure
1996–971997–981998–991999–20002000–012001–022002–032003–042004 –052005–06
Health authority/PCT revenue allocations1,2,3,463.362.962.578.277.975.476.373.573.172.5
Capital Allocations to:
Regional capital planning totals50.10.10.1
NHS Trusts1.21.21.2
Strategic health authorities61.31.31.3
Revenue and Capital allocations as a percentage of total Net Department or Health expenditure
Percentage of total net Department of Health expenditure7
Health authority/PCT revenue allocations1,2,3,461.861.861.376.969.257.964.762.863.263.1
Capital allocations to:
Regional capital planning totals50.10.10.1
NHS trusts1.11.11.1
Strategic Health Authorities61.11.11.1

1 Allocations made in 2003 cover the three—year period 2003–04 to 2005–06. For the first time allocations have been made directly to PCTs. Prior to 2003 allocations were made to health authorities.

2 1999–2000 was the first year of unified allocations covering HCHS, prescribing and CMS cash limited. These figures are not comparable to those for previous years which cover HCHS only.

3 The 2000–01 figure includes a further £660 million distributed after main allocations were announced.

4 The 2001–02 figure includes £140 million extra, distributed after main allocations were announced.

5 Up to and including 2002–03, capital allocations were made to the Department of Health's regional offices.

6 For allocation later to PCTs and NHS trusts to fund larger capital projects which required business case approval.

7 Includes expenditure on personal social services distributed to local authorities.

It is not appropriate to show the total of revenue and capital allocations as a percentage of the national health service budget. This is because NHS trust capital allocations are financed. in part, through primary care trust (PCT) revenue allocations. Adding the two allocations together would mean double counting this element of expenditure.

In addition to PCT revenue allocations, a number of revenue budgets currently held centrally will be issued to PCTs later, for example, for personal medical services pilot schemes. These will mean that PCTs will control more than 75 per cent. of the NHS budget from 2003–04 onwards.