There is no central turnaround programme in 2007-08. The Department, in conjunction with strategic health authorities, continues to apply best practice learnt from the turnaround programme in recent years and applies this through the usual performance management functions. No central funding has been set aside to pay for turnaround teams.
The amounts of the multi-professional education and training (MPET) levy allocated to strategic health authorities (SHAs) in 2006-07 that was not spent on workforce development in cash terms and as a percentage of overall strategic health authority budgets, broken down by strategic health authority, are shown in the following table.
SHAs MPET Budget not spent on workforce in cash terms (£000) MPET Budget not spent on workforce as a percentage of overall SNA resource budget North East 9,904 3.4 North West 32,862 4.4 Yorkshire and Humberside 43,587 7.0 East Midlands 21,602 5.3 West Midlands 46,259 8.7 East of England 32,137 6.8 London 74,717 6.3 South East Coast 27,154 8.1 South Central 33,099 8.5 South West 36,177 7.6 Total 357,496 6.5
The Department did not expect the national health service to plan or manage its expenditure on a separate near cash and non-cash basis in 2006-07. Instead, the NHS was expected to live within overall expenditure limits and at least achieve financial balance. The net surplus of £515 million recorded in the audited accounts for 2006-07 represents a revenue surplus only, and is reported after full account was taken by the NHS for pay costs.