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NHS: Finance

Volume 457: debated on Tuesday 6 March 2007

To ask the Secretary of State for Health what the total expenditure was on (a) the NHS, (b) NHS hospital and community health services and (c) NHS maternity services in each year since 1997. (122651)

The following table reports, from 1997-98 to 2005-06, the total expenditure on the national health service, NHS hospital and community health services (HCHS) and NHS maternity services.

Expenditure

£ million

NHS

HCHS

Maternity services

1997-98

33,575

22,824

1,044

1998-99

35,801

24,382

1,096

1999-2000

39,293

26,119

1,156

2000-01

42,686

28,774

1,258

2001-02

47,289

32,190

1,325

2002-03

51,935

33,214

1,257

2003-04

61,583

36,364

1,350

2004-05

66,473

42,932

1,547

2005-06

73,697

46,399

1,672

Notes:

1. NHS expenditure is the total NHS net revenue expenditure. NHS expenditure is a on a cash basis pre 1999-2000 (inclusive) and a resource basis post 1999-2000. Resource budgeting was introduced in two stages. Phase one (2000-01 to 2002-03) included debtors and creditors, and phase two (2003-04 onwards) applies full resource budgeting.

2. NHS expenditure figures include a technical adjustment from 2003-04 for trust depreciation.

3. The HCHS and maternity expenditure does not include spending on family health services and primary care prescribing. HCHS and maternity services expenditure are derived from summarised accounts on commissioning expenditure and the HCHS figures include purchase of healthcare from non-NHS providers.

4. Changes to accounting practices and a number of technical adjustments means that the data over time periods are not strictly comparable.

To ask the Secretary of State for Health what the total overall funding allocation to primary care trusts was in each year since 2002-03; and what proportion of the total NHS budget this represented in each year. (123071)

The information requested has been set out in the following table.

Total national health service expenditure (£ million)

Primary care trust revenue resource limit1

Allocation as a proportion of total NHS budget (percentage)

2002-03

258,566

44,916

77

2003-04

64,184

49,042

76

2004-05

69,308

57,442

83

2005-06

76,339

62,275

82

1 PCT consolidated accounts.

2 2002-03 expenditure has been represented on a consistent stage two resource accounting basis as subsequent years.

To ask the Secretary of State for Health pursuant to the answer of 31 January 2007, Official Report, columns 537-38W, on NHS finance, on what basis the planned reconsideration of the future functions and remit of the NHS Bank has been deemed necessary; and if she will make a statement. (123891)

The NHS bank's historic role has been to facilitate cash brokerage between strategic health authorities and to perform an advisory function to the Department in the management of centrally held budgets. Changes to the financial regime for national heath service trusts, including the replacement of informal brokerage with a transparent system of loans to support historic cash problems, coupled with the bundling of central budgets to be managed locally by strategic health authorities, means a change in the NHS bank functions is required. There is an ongoing requirement for an NHS advisory function to the department, which is being considered currently.