Public Expenditure Questionnaire
1998: Clarification (Ex 98/5)
FURTHER QUERIES
PEQ Section 1.1—Expenditure on Special
Projects
The previous intention on planned spend for
1998-99 was set out in Table A1.1 which was submitted to the Committee
on 27 November 1997. The Figure for NHS Total Net Spending was
at that time £36,124 million. In comparison the figure in
Table 2.1.1 is £36,508, the difference of £384 million
being the additional resources allocated for waiting lists (£320
million) and additional changes due to classification changes
that have occurred in recent months.
2.1—NHS and PSS Expenditure Issues
Appropriation Accounts—The planned figures
which are shown in Table 2.1.1 are either the original or supplementary
estimate figures which are subject to in-year adjustments. The
reason they are brought into line with the Appropriation Accounts
is that these are the actual outturn figures.
End year flexibility entitlement—Health
Authorities are able to carry forward underspend from the previous
year under HM Treasury end of year flexibility arrangements. These
are added to the vote provision in the following year. The carry
forward commitment for the cash limited elements of the Appropriation
Account provision and the outturn each year.
2.2—Programme Budgets
All figures up to and including 1995-96 have
been inflated by the relevant HCHS specific deflators. Hence,
figures for 1996-97 are shown in cash terms. Previous trends show
HCHS inflation is generally higher than general inflation.
Footnote 7 refers to the final column of the
table "average annual change in expenditure" and uses
the GDP (general inflation) deflators over the given period. The
underlying figure for this column cannot be found in the table
but summary figures are shown in the HCHS deflated table in order
to give a comparator. The GDP deflators used are those published
by HMT 13/3/98.
Table 2.2.3 for 1995-96 is attached at Annex
A. (This was originally submitted as Table A3.1 in response to
the Health Committee Public Expenditure Inquiry 1997).
4.1—Expenditure by Age Group
Annex B contains three tables 4.1.1a, 4.1.1b
and 4.1.1c showing expenditure for 1995-96, 1991-92 expenditure
in cash terms and 1991-92 expenditure at 1995-96 prices.
4.2—Capital Resources
This is the first year that this table has been
submitted it is therefore not possible to provide a commentary
for change until next year.
4.3—FHS Resources
Clarification required:
(a) The figures are actual and are taken
from the Appropriation Accounts.
(b) The difference is the GMS cash limited
expenditure. The £5 million difference is to be found in
the way prescription and dental refunds are dealt with. In Vote
terms (ie as per Table 2.1.1) they are included in the gross total
but 4.3 figures are deducted from receipts to give a net charge
income figure.
(c) As in (a), these figures are from
the Appropriation Accounts.
(d) A table of changes 4.3.3 is attached
to Annex C.
(e) A table is attached at Annex D which
sets out GPFH Surpluses and Expenditure on Savings 1995-96.
4.8—Capital
We are in the process of assembling and collating
the PFI business cases requested and these will be forwarded separately
during next week. As agreed all confidential material will be
clearly marked.
5.1—Provision through PSS SSAs for the year
ahead
Tables 5.1.3 Supplementary 1 and 2 are attached
at Annex E.
5.3—Variations between Local Authorities
in Unit Costs
Supplementary Tables 5.3a and 5.3b are attached
at Annex F.
5.8—PSS Programme Budgets
The date shown in Tables 5.8.1 and 5.8.2 is
illustrated as requested in Chart 5.8.1 attached at Annex G.
Tables 2.5.1 and 2.5.2
Tables 2.5.1 and 2.5.2 submitted earlier have
been revised and are attached at Annex H.
Table 4.13.1
Table 4.13.1 submitted earlier has been revised
and is attached at Annex I.
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