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NHS: Management

Volume 470: debated on Thursday 17 January 2008

To ask the Secretary of State for Health what the average management costs were for all NHS trusts in England in (a) cash terms and (b) as a percentage of the trust's income in 2006-07; and which 10 trusts have the highest management costs (i) in cash terms and (ii) as a percentage of the trust's income. (162829)

Information on management costs for national health service trusts, in expenditure terms and as a percentage of NHS trust income, for 2006-07, is included at table 1.

Information on the 10 NHS trusts with the highest expenditure on management costs and the highest management costs as a percentage of the NHS trusts' income for 2006-07 is included at tables 2 and 3.

Total NHS trust spend on management costs in 2006-07 equated to 3.1 per cent. of turnover.

Table 1: Management costs NHS trusts 2006-07

Total senior managers and managers (Thousand)

Total income (£000)

As percentage of income

5 Boroughs Partnership NHS Trust

4,247

93,684

4.5

Aintree University Hospitals NHS Foundation Trust

1,876

65,740

2.9

Airedale NHS Trust

3,477

98,756

3.5

Ashford and St. Peter’s Hospitals NHS Trust

5,698

179,522

3.2

Avon and Wiltshire MHP NHS Trust

7,078

183,168

3.9

Barking, Havering and Redbridge Hosp NHS Trust

11,173

351,780

3.2

Barnet and Chase Farm Hospitals NHS Trust

6,647

252,942

2.6

Barnet, Enfield and Haringey MH NHS Trust

4,314

182,204

2.4

Barts and The London NHS Trust

19,496

546,677

3.6

Basingstoke and North Hampshire Hospitals NHS Foundation Trust

2,417

82,146

2.9

Bedford Hospitals NHS Trust

3,130

114,529

2.7

Bedfordshire and Luton MH and Social Care NHS Trust

4,986

81,439

6.1

Berkshire Healthcare NHS Trust

2,290

102,244

2.2

Birmingham and Solihull Mental Health NHS trust

9,503

211,234

4.5

Birmingham Children’s Hospital NHS Foundation Trust

4,890

123,046

4.0

Birmingham Women’s Health Care NHS Trust

3,984

69,695

5.7

Blackpool, Fylde and Wyre Hospitals NHS Trust

6,614

237,748

2.8

Bolton Hospitals NHS Trust

3,032

158,201

1.9

Bolton, Salford and Trafford Mental Health NHS Trust

6,763

117,388

5.8

Bradford District Care NHS Trust

5,373

118,831

4.5

Brighton and Sussex University Hospitals NHS Trust

7,986

326,320

2.4

Bromley Hospitals NHS Trust

5,115

157,913

3.2

Buckinghamshire Hospitals NHS Trust

8,272

252,488

3.3

Burton Hospitals NHS Trust

3,967

114,024

3.5

Calderdale and Huddersfield NHS Foundation Trust

2,938

83,735

3.5

Calderstones NHS Trust

1,519

43,550

3.5

Cambridge and Peterborough MH Partnership NHS Trust

8,108

129,733

6.2

Camden and Islington Mental Health Social Care NHS Trust

6,467

133,535

4.8

Central Manchester/ Manchester Child NHS Trust

11,469

510,848

2.2

Central and North West London MH NHS Trust

8,005

183,705

4.4

Chelsea and Westminster Hospital NHS Foundation Trust

2,328

117,351

2.0

Cheshire and Wirral Partnership NHS Trust

4,359

108,569

4.0

Christie Hospital NHS Trust

3,193

131,499

2.4

Clatterbridge Centre for Oncology NHS Foundation Trust

539

15,822

3.4

Cornwall Partnership NHS Trust

4,865

88,082

5.5

County Durham and Darlington NHS Foundation Trust

6,318

237,449

2.7

Coventry and Warwickshire Partnership NHS Trust

894

72,161

1.2

Dartford and Gravesham NHS Trust

3,228

112,391

2.9

Derbyshire Mental Health Services NHS Trust

4,852

91,407

5.3

Devon Partnership NHS Trust

5,221

105,518

4.9

Doncaster and South Humber Healthcare NHS Trust

2,836

90,560

3.1

Dorset Health Care NHS Trust

1,468

75,129

2.0

Dudley Group of Hospitals NHS Trust

4,245

199,545

2.1

Ealing Hospital NHS Trust

4,297

115,249

3.7

East and North Hertfordshire NHS Trust

3,937

270,257

1.5

East Cheshire NHS Trust

2,190

96,776

2.3

East Kent Hospitals NHS Trust

5,871

363,619

1.6

East Lancashire Hospitals NHS Trust

5,688

289,933

2.0

East London and The City MH NHS Trust

6,449

162,487

4.0

East Midlands Ambulance Service NHS Trust

5,658

125,020

4.5

East of England Ambulance Service NHS Trust

6,303

189,026

3.3

East Sussex Hospitals NHS Trust

1,801

235,415

0.8

Epsom and St. Helier University Hospitals NHS Trust

5,440

272,854

2.0

Essex Rivers Healthcare NHS Trust

3,660

175,023

2.1

George Eliot Hospital NHS Trust

2,120

93,496

2.3

Gloucestershire Partnership NHS Trust

3,246

74,593

4.4

Good Hope Hospital NHS Trust

3,800

133,839

2.8

Great Ormond Street Hospital NHS Trust

6,127

247,048

2.5

Great Western Ambulance Service NHS Trust

3,695

61,938

6.0

Hammersmith Hospitals NHS Trust

10,135

500,269

2.0

Hampshire Partnership NHS Trust

5,932

177,342

3.3

Heatherwood and Wexham Park Hospitals NHS Trust

5,937

183,937

3.2

Hereford Hospitals NHS Trust

2,243

93,562

2.4

Hertfordshire Partnership NHS Trust

4,114

174,252

2.4

Hinchingbrooke Health Care NHS Trust

3,198

72,357

4.4

Hull and East Yorkshire Hospitals NHS Trust

9,545

366,964

2.6

Humber Mental Health Teaching NHS Trust

5,206

73,096

7.1

Ipswich Hospital NHS Trust

5,906

182,029

3.2

James Paget University Hospitals NHS Foundation Trust

2,010

43,183

4.7

Kent and Medway NHS and Social Care Partnership NHS Trust

5,816

183,877

3.2

Kettering General Hospital NHS Trust

6,169

129,523

4.8

King's College Hospital NHS Foundation Trust

1,034

279,749

0.4

Kingston Hospital NHS Trust

5,777

163,728

3.5

Lancashire Care NHS Trust

5,432

152,632

3.6

Leeds Mental Health Teaching NHS Trust

6,476

103,967

6.2

Leeds Teaching Hospitals NHS Trust

20,267

757,446

2.7

Leicestershire Partnership NHS Trust

7,134

133,189

5.4

Lincolnshire Partnership NHS Trust

6,292

87,002

7.2

London Ambulance Service NHS Trust

32,474

215,941

15.0

Luton and Dunstable Hospital NHS Foundation Trust

1,071

51,567

2.1

Maidstone and Tunbridge Wells NHS Trust

8,782

243,218

3.6

Manchester Health and Social Care NHS Trust

2,721

85,309

3.2

Mayday Healthcare NHS Trust

5,200

166,030

3.1

Medway NHS Trust

3,002

165,019

1.8

Mersey Care NHS Trust

6,349

194,010

3.3

Mid Essex Hospital Services NHS Trust

5,577

185,931

3.0

Mid Staffordshire General Hospitals NHS Trust

4,017

125,643

3.2

Mid Yorkshire Hospitals NHS Trust

10,192

309,100

3.3

Milton Keynes General Hospital NHS Trust

3,085

119,419

2.6

North Essex Mental Health Partnership NHS Trust

4,647

120,184

3.9

Newcastle upon Tyne Hospitals NHS Foundation Trust

1,319

95,604

1.4

Newham University Hospital NHS Trust

4,587

136,442

3.4

Norfolk and Norwich University Hospital NHS Trust

6,710

311,235

2.2

Norfolk and Waveney MH Partnership NHS Trust

3,548

103,662

3.4

North Bristol NHS Trust

13,134

381,729

3.4

North Cheshire Hospitals NHS Trust

2,356

158,464

1.5

North Cumbria Acute Hospitals NHS Trust

3,498

182,406

1.9

North East Ambulance Service NHS Trust

1,831

73,369

2.5

North East London Mental Health NHS Trust

6,576

104,580

6.3

North Lincolnshire and Goole Hospitals NHS Trust

3,284

237,750

1.4

North Middlesex University Hospital NHS Trust

4,036

138,831

2.9

North Staffordshire Combined Healthcare NHS Trust

5,690

90,092

6.3

North Tees and Hartlepool NHS Trust

3,937

191,038

2.1

North West Ambulance Service NHS Trust

15,748

196,642

8.0

North West London Hospitals NHS Trust

7,634

295,886

2.6

Northampton General Hospital NHS Trust

5,366

174,041

3.1

Northamptonshire Healthcare NHS Trust

4,129

98,113

4.2

Northern Devon Healthcare NHS Trust

942

89,547

1.1

Northumberland, Tyne and Wear NHS Trust

8,914

279,721

3.2

Northumbria Healthcare NHS Foundation Trust

2,024

85,966

2.4

Nottingham University Hospitals NHS Trust

14,094

583,794

2.4

Nottinghamshire Healthcare NHS Trust

10,224

258,890

3.9

North Cumbria MH and Learning Disabilities NHS Trust

2,412

49,418

4.9

Nuffield Orthopaedic NHS Trust

2,488

81,122

3.1

Oxford Learning Disability NHS Trust

918

35,743

2.6

Oxford Radcliffe Hospital NHS Trust

13,252

484,559

2.7

Oxfordshire and Buckinghamshire MH Partnership NHS Trust

730

142,629

0.5

Oxleas NHS Foundation Trust

617

13,389

4.6

Pennine Acute Hospitals NHS Trust

11,514

473,696

2.4

Pennine Care NHS Trust

5,623

101,975

5.5

Plymouth Hospitals NHS Trust

7,588

315,873

2.4

Poole Hospitals NHS Trust

3,596

148,258

2.4

Portsmouth Hospitals NHS Trust

10,945

372,407

2.9

Princess Alexandra Hospital NHS Trust

3,743

136,763

2.7

Queen Elizabeth Hospital Kings Lynn NHS Trust

2,621

113,469

2.3

Queen Elizabeth Hospital NHS Trust

4,362

147,525

3.0

Queen Mary's Sidcup NHS Trust

2,673

100,149

2.7

Rob Jones and A Hunt Orthopaedic NHS Trust

2,128

58,702

3.6

Royal Berkshire Hospital NHS Foundation Trust

908

36,483

2.5

Royal Brompton and Harefield NHS Trust

1,239

212,762

0.6

Royal Cornwall Hospitals NHS Trust

3,377

234,384

1.4

Royal Free Hampstead NHS Trust

6,891

390,359

1.8

Royal Liverpool Broadgreen Hospitals NHS Trust

6,822

314,114

2.2

Royal Liverpool Children’s NHS Trust

1,551

134,725

1.2

Royal Orthopaedic Hospital NHS Foundation Trust

1,135

45,129

2.5

Royal Surrey County Hospital NHS Trust

6,312

151,844

4.2

Royal United Hospital Bath NHS Trust

4,488

177,619

2.5

Royal Wolverhampton Hospital NHS Trust

6,613

234,507

2.8

Salford Royal NHS Foundation Trust

2,382

75,353

3.2

Salisbury NHS Foundation Trust

943

23,316

4.0

Sandwell and West Birmingham Hospitals NHS Trust

13,680

327,536

4.2

Sandwell MH Social Care NHS Trust

1,768

46,254

3.8

Scarborough and North East Yorks NHS Trust

2,058

94,870

2.2

Sheffield Care NHS Trust

6,660

102,875

6.5

Sheffield Children's NHS Foundation Trust

197

27,436

0.7

Sherwood Forest Hospitals NHS Foundation Trust

3,944

149,832

2.6

Shrewsbury and Telford Hospital NHS Trust

4,898

205,748

2.4

Somerset Partnership NHS and Soc Care NHS Trust

1,350

53,335

2.5

South Central Ambulance Service NHS Trust

8,682

102,485

8.5

South Devon Healthcare NHS Foundation Trust

5,809

153,267

3.8

South Downs Health NHS Trust

952

70,732

1.3

South East Coast Ambulance Service NHS Trust

5,488

127,647

4.3

South Essex Partnership NHS Foundation Trust

373

8,001

4.7

South London and Maudsley NHS Foundation Trust

4,608

187,717

2.5

South Staffordshire Healthcare NHS Foundation Trust

464

7,102

6.5

South Tees Hospitals NHS Trust

7,561

364,589

2.1

South Warwickshire General Hospitals NHS Trust

2,423

103,564

2.3

South West Ambulance Service NHS Trust

2,169

104,602

2.1

South West Yorkshire Mental Health NHS Trust

1,874

99,779

1.9

Southampton University Hospitals NHS Trust

14,181

388,522

3.6

Southend University Hospitals NHS Foundation Trust

838

34,396

2.4

Southport and Ormskirk Hospital NHS Trust

4,737

124,537

3.8

St. George's Healthcare NHS Trust

7,041

384,146

1.8

St. Helens and Knowsley Hospitals NHS Trust

4,155

197,085

2.1

St. Mary's NHS Trust

7,445

291,303

2.6

Staffordshire Ambulance Service NHS Trust

1,646

28,401

5.8

Suffolk MH Partnership NHS Trust

3,916

83,579

4.7

Surrey and Borders Partnership NHS Trust

7,523

167,037

4.5

Surrey and Sussex Healthcare NHS Trust

6,244

163,297

3.8

Sussex Partnership NHS Trust

7,938

201,260

3.9

South West London and St. George's Mental Health NHS Trust

7,191

168,595

4.3

Swindon and Marlborough NHS Trust

3,746

160,740

2.3

Tameside and Glossop Acute Services NHS Trust

2,831

113,292

2.5

Taunton and Somerset NHS Trust

6,086

165,557

3.7

Tavistock and Portman NHS Foundation Trust

589

13,540

4.4

Tees, Esk and Wear Valleys NHS Trust

9,522

203,373

4.7

The Cardiothoracic Centre—Liverpool NHS Trust

2,021

82,922

2.4

The Hillingdon Hospital NHS Trust

878

151,405

0.6

The Lewisham Hospital NHS Trust

3,511

172,464

2.0

The Mid Cheshire Hospitals NHS Trust

4,153

123,303

3.4

The Royal National Orthopaedic Hospital NHS Trust

2,448

75,629

3.2

The Royal West Sussex NHS Trust

5,038

113,962

4.4

Trafford Healthcare NHS Trust

2,545

84,818

3.0

United Bristol Healthcare NHS Trust

14,740

372,526

4.0

United Lincolnshire Hospitals NHS Trust

8,393

294,154

2.9

University Hospitals Coventry and Warwickshire NHS Trust

10,632

408,461

2.6

University Hospital of North Staffordshire Hospital NHS Trust

7,280

333,855

2.2

University Hospital of South Manchester NHS Foundation Trust

3,448

149,384

2.3

University Hospitals of Leicester NHS Trust

18,716

588,666

3.2

University Hospitals of Morecambe Bay NHS Trust

7,230

211,221

3.4

Walsall Hospitals NHS Trust

2,897

149,144

1.9

Walton Neurology Centre NHS Trust

1,785

47,868

3.7

West Dorset General Hospitals NHS Trust

1,863

116,171

1.6

West Hertfordshire Hospitals NHS Trust

5,049

218,248

2.3

West London Mental Health NHS Trust

10,715

227,420

4.7

West Middlesex University NHS Trust

3,937

118,854

3.3

West Midlands Ambulance Service NHS Trust

6,168

118,362

5.2

West Suffolk Hospitals NHS Trust

476

116,264

0.4

Weston Area Health NHS Trust

1,800

70,300

2.6

Whipps Cross University Hosp NHS Trust

7,116

186,752

3.8

Whittington Hospital NHS Trust

3,727

142,389

2.6

Winchester and Eastleigh Healthcare NHS Trust

7,148

126,807

5.6

Wirral Hospital NHS Trust

1,827

231,550

0.8

Worcestershire Acute Hospitals NHS Trust

7,761

263,801

2.9

Worcestershire MH Partnership NHS Trust

3,034

56,750

5.3

Worthing and Southlands Hospitals NHS Trust

4,779

143,397

3.3

Wrightington, Wigan and Leigh NHS Trust

3,632

199,081

1.8

Yeovil District Hospital NHS Foundation Trust

431

13,592

3.2

York Hospitals NHS Trust

7,406

180,026

4.1

Yorkshire Ambulance Service NHS Trust

7,130

144,639

4.9

England

1,098,955

35,832,646

3.1

Table 2: Top 10 NHS trusts with highest management costs

Total senior managers and managers (Thousand)

Total income (£000)

As percentage of income

London Ambulance Service NHS Trust

32,474

215,941

15.0

Leeds Teaching Hospitals NHS Trust

20,267

757,446

2.7

Barts and The London NHS Trust

19,496

546,677

3.6

University Hospitals of Leicester NHS Trust

18,716

588,666

3.2

North West Ambulance Service NHS Trust

15,748

196,642

8.0

United Bristol Healthcare NHS Trust

14,740

372,526

4.0

Southampton University Hospitals NHS Trust

14,181

388,522

3.6

Nottingham University Hospitals NHS Trust

14,094

583,794

2.4

Sandwell and West Birmingham Hospitals NHS Trust

13,680

327,536

4.2

Oxford Radcliffe Hospital NHS Trust

13,252

484,559

2.7

Table 3: Top 10 NHS trusts with highest management costs as percentage of income

Total senior managers and managers (Thousand)

Total income (£000)

As percentage of income

London Ambulance Service NHS Trust

32,474

215,941

15.0

South Central Ambulance Service NHS Trust

8,682

102,485

8.5

North West Ambulance Service NHS Trust

15,748

196,642

8.0

Lincolnshire Partnership NHS Trust

6,292

87,002

7.2

Humber Mental Health Teaching NHS Trust

5,206

73,096

7.1

South Staffordshire Healthcare NHS Foundation Trust

464

7,102

6.5

Sheffield Care NHS Trust

6,660

102,875

6.5

North Staffordshire Combined HC NHS Trust

5,690

90,092

6.3

North East London Mental Health NHS Trust

6,576

104,580

6.3

Cambridge and Peterborough MH Partnership NHS Trust

8,108

129,733

6.2

Note:

Information for NHS Foundation Trusts is not included. For those trusts which moved to foundation trust status during the year the data included in the tables relate to the part year before the move took place.

Sources:

Annual financial returns (unaudited) of NHS Trusts 2006-07—Total senior managers and managers Audited NHS Trust summarisation schedules 2006-07—Total income.