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NHS: Expenditure

Volume 485: debated on Monday 15 December 2008

To ask the Secretary of State for Health what (a) net NHS expenditure, (b) net NHS expenditure per head and (c) net NHS expenditure as a proportion of GDP was in England in each year from 1997-98 to 2007-08. (241219)

The statistics requested are given in the following table. It should be noted that expenditure as a percentage of gross domestic product (GDP) and expenditure per head are calculated using HM Treasury published information (see notes to table). UK figures are supplied for expenditure as a proportion of GDP as GDP is published on a UK basis.

Net NHS expenditure, Net NHS expenditure/head and expenditure as a percentage of GDP

Net NHS expenditure1, 2, 3, 4, 5, 6, 7 (£ billion)

Net NHS expenditure/head8

UK public health expenditure as a percentage of GDP9 (%)

Cash1

1997-98

Outturn

34.664

710

5.4

1998-99

Outturn

36.608

740

5.4

1999-2000

Outturn

39.881

810

5.3

Resource Budgeting

Stage 12

1999-2000

Outturn

40.201

2000-01

Outturn

43.932

890

5.6

2001-02

Outturn

49.021

980

5.9

2002-03

Outturn

54.042

1,082

6.2

Resource Budgeting

Stage 23, 5

2003-04

Outturn

64.173

1,220

6.6

2004-05

Outturn

69.051

1,350

6.9

2005-06

Outturn

75.822

1,436

7.2

2006-07

Outturn

80.561

1,514

7.1

2007-08

Outturn

89.271

1,676

7.3

Notes:

Expenditure figures

1 Expenditure pre 1999-2000 is on a cash basis.

2 Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis.

3 Expenditure figures from 2003-04 to 2010-11 are on a Stage 2 Resource Budgeting basis.

4 Figures are not consistent over the period, therefore it is difficult to make comparisons across different periods.

5 Figures from 2003-04 include a technical adjustment for trust depreciation.

6 Expenditure excludes NHS (Annually Managed Expenditure).

7 Total Expenditure is calculated as the sum of revenue and capital expenditure net of non-trust depreciation and impairments. This is in line with HMT Guidance Expenditure per head.

8 Expenditure/head calculated as reported in evidence to the Public Expenditure Inquiry 2008; this uses the Health Expenditure as defined under the HM Treasury's Total Expenditure on Services (TES aggregate). This definition allows comparison on the same basis between England and the Devolved Administrations. The TES definition of Health Expenditure for England includes most Department of Health revenue resource near cash (excludes certain items e.g. grants to local authorities) plus local authority spending on health plus DIUS' Medical Research Council spending plus National Lottery spending on health.

Expenditure as percentage of GDP

9 Expenditure as a percentage of GDP is calculated using HM Treasury data published in Public Expenditure Statistical Analyses.