(2) how much the Government have spent on maternity services in each financial year since 1997-98; and how much they plan to spend on such services in each financial year to 2010-11.
Figures for the commissioning of secondary health care (maternity) services by primary care trusts (PCTs), health authorities (HAs) and primary care groups for the period 1997-98 to 2007-08 are in the following table. These figures are for secondary health care only and a similar collection is not made for primary/community maternity care.
Financial year Expenditure (£000) 1997-98 1,043,881 1998-99 1,096,158 1999-2000 1,080,520 2000-01 1,258,219 2001-02 1,324,780 2002-03 1,256,757 2003-04 1,350,286 2004-05 1,544,838 2005-06 1,677,204 2006-07 1,616,777 2007-08 1,786,896 Source: NHS Summarised Accounts 1997-98 to 2007-08.
NHS Summarised Accounts 1997-98 to 2007-08.
The table shows the aggregated expenditure for each year, however any inter-PCT or inter-HA expenditure is eliminated to avoid double counting.
The programme budgeting figures for gross expenditure across both primary and secondary care on maternity and reproductive health for the period 2003-04 to 2006-07 are in the following table. It is not possible to separate maternity data from reproductive health data, and changes in data collection methodology mean that comparative data are not available. Programme budgeting data were collected for the first time in 2003-04. The quality of programme budgeting data has improved over time, and there are a number of changes that will affect the use of the data for time-series analysis. These include changes to clinical coding and changes in the methodology used for calculating the data.
Programme budgeting category 18 includes expenditure on both maternity and reproductive health, therefore direct comparisons cannot be made with NHS summarised accounts data.
Financial year Expenditure (£000) 2003-04 2,570,147 2004-05 2,617,116 2005-06 2,929,764 2006-07 2,932,120
These figures have been published in the Department of Health resource accounts. Programme budgeting data for 2007-08 are still being collected and validated, and will include primary and secondary care maternity and reproductive health. These data will be published on the Department’s website.
Maternity services have been identified as a priority for the national health service in the operating frameworks for 2008-09 and 2009-10. For the period 2008-09 to 2010-11, £330 million additional investment for maternity is included within PCT revenue allocations. PCTs were informed of their revenue allocations for 2008-09 in December 2007. The 2009-10 and 2010-11 revenue allocations were announced on 8 December 2008. It is for NHS commissioners and trusts to plan the exact spend on maternity services in each financial year to 2010-11 in line with national and local priorities and local plans, including the strategic health authority visions for maternity and the new born developed as part of the NHS next stage review.
The payment by results national tariff pays national health service trusts for the amount of activity they do. Therefore the amount of additional funding that NHS trusts will receive for the provision of maternity services within the scope of the tariff in each year from 2008-09 to 2010-11 will depend on levels of activity. The latest year for which hospital activity data are available is 2007-08.
In 2009-10, Healthcare Resource Group (HRG) version 4 has replaced HRG version 3.5 as the tariff currency. There have also been structural changes to the out-patients tariff. These changes mean that it is not possible to make direct comparisons between 2008-09 and 2009-10. The 2010-11 tariff has not been published.