NHS: Finance

Dr. Desmond Turner

To ask the Secretary of State for Health whether local NHS trusts will be allowed to retain any surpluses made this financial year to spend on local health services in future years. (245076)

Any surplus made by a national health service trust in the 2008-09 financial year is retained within their accounts as part of their cumulative income and expenditure reserve.

The surpluses generated and held locally, are giving NHS organisations much more flexibility to be even more responsive to patient needs, giving clinicians and managers the necessary headroom to better plan for new services and to manage risk.

To ask the Secretary of State for Health how much local NHS trusts spent on training in each of the last five years for which records are available. (245077)

Information about local NHS trusts spend on training is not collected centrally.

To ask the Secretary of State for Health what spending on the NHS in England has been in (a) real terms and (b) nominal terms in each year since 1990; and what estimate he has made of expenditure on the NHS in (i) real terms and (ii) nominal terms in England in each year until 2010-11. (245625)

The requested information is given in the following table.

*Total net NHS expenditure in (a) real and (b) nominal terms 1990-91 to 2010-11*
£ billion
		(a) Net NHS expenditure (real in 2007-08 prices)¹	(b) Net NHS expenditure (nominal)²
Cash³
1990-91	Outturn	35.382	22.326
1991-92	Outturn	37.933	25.353
1992-93	Outturn	40.593	27.968
1993-94	Outturn	40.888	28.942
1994-95	Outturn	42.550	30.590
1995-96	Outturn	43.239	31.985
1996-97	Outturn	43.016	32.997
1997-98	Outturn	44.034	34.664
1998-99	Outturn	45.535	36.608
1999-2000	Outturn	48.649	39.881

Resource budgeting stage⁴
1999-2000	Outturn	49.039	40.201
2000-01	Outturn	52.897	43.932
2001-02	Outturn	57.737	49.021
2002-03	Outturn	61.663	54.042

Resource budgeting stage 2^{5, 6}
2003-04	Outturn	71.194	64.173
2004-05	Outturn	74.578	69.051
2005-06	Outturn	80.248	75.822
2006-07	Outturn estimated	83.027	80.561
2007-08	Outturn	89.217	89.217
2008-09	Plan	93.185	96.213
2009-10	Plan⁷	98.037	102.742
2010-11	Plan⁷	100.466	108.183
¹ GDP deflator 30 September 2008. ²Figures are not consistent over the period (1971-72 to 2010-11), therefore it is difficult to make comparisons across different periods. ³Expenditure pre 1999-2000 is on a cash basis. ⁴Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis. ⁵Expenditure figures from 2003-04 to 2010-11 are on a Stage 2 Resource Budgeting basis. ⁶Figures from 2003-04 include a technical adjustment for trust depreciation. ⁷ Capital expenditure has been modified in 2009-10 and 2010-11 to reflect the changes announced in the pre-Budget report. Notes: 1. Expenditure excludes NHS (AME) 2. 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.

To ask the Secretary of State for Health which NHS trusts (a) paid and (b) did not pay 95 per cent. or more of undisputed invoices within contracts terms or 30 days where no terms had been agreed in (i) 2005-06, (ii) 2006-07 and (iii) 2007-08; and what the monetary value of those invoices was in each case in each year. (245984)

National health service prompt performance against the 30 day target is reported in annual accounts. Year-on-year performance for NHS organisations (excluding foundation trusts but including the relevant part of the year for part-year foundation trusts) has been placed in the Library.

Overall performance for NHS trusts has improved year-on-year, from 77.5 per cent. in 2005-06, 79.1 per cent. in 2006-07 to 83.3 per cent. in 2007-08.

Volume 486: debated on Monday 12 January 2009