Table 2.1.1
TRENDS IN ACTUAL AND PLANNED EXPENDITURE
ON THE HEALTH AND PERSONAL SOCIAL SERVICES 1993-94 TO 1998-99
BY AREA OF EXPENDITURE. (1)(2)(3)
| | £ million
| | | |
| |
| | 1993-94
| 1994-95 | 1995-96
| 1996-97 | 1997-98
| 1998-99 |
| | outturn
| outturn | outturn
| outturn | forecast
outturn
|
plan |
| | |
| | | |
|
| Central Government Expenditure
National Health Service Hospitals, community health, family health
(cash limited) and related services (4) Current (5)
|
| A. | Net spending | 20,347 | 21,324
| 22,439 | 23,412 | 24,842 | 26,175
|
| B. | Charges and receipts (6)
| 494 | 407 | 435
| 464 | 458 | 491
|
| C. | Total spending | 20,841
| 21,731 | 22,873 | 23,877
| 25,300 | 26,667 |
D. | Change over previous year in cash (per cent)
| 3.6 | 4.3 |
5.3 | 4.4 | 6.0
| 5.4 |
| E. | Change over previous year in input unit costs (per cent)
| 3.4 | 2.6 |
4.0 | 2.8 |
| |
| F. | D adjusted for E (per cent)
| 0.2 | 1.6 |
1.2 | 1.5 |
| |
| G. | Change over previous year in real terms (per cent) (gross)
| 0.7 | 2.7 |
2.4 | 1.4 | 3.2
| 2.4 |
| H. | Change over previous year in real terms (per cent) (net)
| 1.0 | 3.2 |
2.4 | 1.4 | 3.3
| 2.4 |
| Capital (5) (7)
| | | |
| | |
| A. | Net spending | 1,570
| 1,840 | 1,714 | 1,318
| 1,086 | 1,178 |
| B. | Charges and receipts (6)
| 213 | 208 | 282
| 393 | 436 | 349
|
| C. | Total spending | 1,783
| 2,049 | 1,966 | 1,711
| 1,522 | 1,527 |
D. | Change over previous year in cash
(per cent)
| 1.7 | 14.9
| 2.5 | 14.3
| 11.0 | 0.3
|
| E. | Change over previous year in input unit costs (per cent)
| 1.8 | 4.9 |
4.5 | 3.2 |
| |
| F. | D adjusted for E (per cent)
| 3.5 | 9.5
| 6.7 | 17.0
| | |
| G. | Change over previous year in real terms (per cent)
| 4.5 | 13.2
| 5.2 | 16.7
| 13.4 | 2.5
|
| National Health Service family health services (non-cash limited) (8)
Current
| | | |
| | |
| A. | Net spending | 6,250
| 6,633 | 7,005 | 7,475
| 7,968 | 8,361 |
| B. | Charges and receipts |
664 | 696 | 694 |
717 | 723 | 722 |
| C. | Total spending | 6,914
| 7,329 | 7,700 | 8,192
| 8,692 | 9,084 |
D. | Change over previous year in cash
(per cent)
| 5.4 | 6.0 |
5.1 | 6.4 | 6.1
| 4.5 |
| E. | Change over previous year in input unit
costs (per cent)
| 0.7 | 2.5 |
2.5 | 3.1 |
| |
| F. | D adjusted for E (per cent)
| 4.7 | 3.4 |
2.5 | 3.2 |
| |
| G. | Change over previous year in real terms
(per cent)
| 2.4 | 4.4 |
2.2 | 3.4 | 3.3
| 1.6 |
| | |
| | | |
|
| Departmental administration
|
| Current |
| A. | Net spending | 303 | 295 | 290 | 277 | 258 | 262 |
| B. | Charges and receipts | 16 | 17 | 15 | 14 | 20 | 17 | | C. | Total
spending | 320 | 312 | 305 | 292 | 278 | 279 |
D. | Change over previous year in cash
(per cent)
| 6.1 | 2.5 | 2.0 | 4.5 | 4.6 | 0.2 | | E. | Change
over previous year in real terms
(per cent)
| 8.8 | 4.0 | 4.7 | 7.2 | 7.1 | 2.7 | | F. | Cost
of collecting NHS element of NI
| | | | | | | | contributions
(9)
| 17 | 17 | 17 | 17 | 17 | 17 |
| MCA Trading Fund (10) | | Current | 5 | 0 | 0 | 0 | 0 | 0 | | Capital | 0 | 0 | 0 | 0 | 0 | 1 | | Total | 5 | 0 | 0 | 0 | 0 | 1 |
| Central health and miscellaneous services
Current | | A. | Net spending | 442 | 452 | 487 | 517 | 506 | 515 | | B. | Charges
and receipts | 66 | 76 | 90 | 96 | 123 | 112 | | C. | Total
spending | 508 | 528 | 577 | 613 | 629 | 627 |
D. | Change over previous year in cash (per cent)
| 4.2 | 3.9 | 9.2 | 6.4 | 2.6 | 0.3 | | E. | Change
over previous year in real terms
(per cent)
| 1.2 | 2.4 | 6.2 | 3.3 | 0.1 | 3.1 |
| Other NHS Capital | | A. | Net spending | 24 | 25 | 22 | 23 | 21 | 15 | | B. | Charges
and receipts | 0 | 0 | 0 | 0 | 1 | 0 | | C. | Total
spending | 24 | 25 | 22 | 23 | 21 | 16 | | D. | Change
over previous year in cash
(per cent)
| 55.5 | 3.7 | 12.1 | 5.0 | 6.9 | 26.2 | | E. | Change
over previous year in real terms
(per cent)
| 56.6 | 2.1 | 14.5 | 2.0 | 9.4 | 28.3 |
| NHS Total | | A. | Net spending | 28,941 | 30,569 | 31,957 | 33,023 | 34,681 | 36,508 | | B. | Charges
and receipts (6) | 1,453 | 1,404 | 1,516 | 1,684 | 1,761 | 1,692 | | C. | Total
spending | 30,394 | 31,973 | 33,473 | 34,707 | 36,443 | 38,199 | | D. | Change
over previous year in cash
(per cent)
| 3.5 | 5.2 | 4.7 | 3.7 | 5.0 | 4.8 | | E. | Change
over previous year in input unit cost (per cent)
| 2.7 | 2.7 | 3.7 | 2.9 | | | F. | D
adjusted for E (per cent) | 0.8 | 2.4 | 1.0 | 0.8 | | | G. | Change
over previous year in real terms
(per cent) (gross)
| 0.6 | 3.6 | 1.9 | 0.7 | 2.2 | 1.9 | | H. | Change
over previous year in real terms (per cent) (net)
| 0.6 | 4.1 | 1.7 | 0.4 | 2.3 | 2.3 |
| Central Government Personal Social
Services | | A. | Net spending | 34 | 32 | 30 | 30 | 32 | 32 | | B. | Charges | 0 | 1 | 2 | 1 | 1 | 1 | | C. | Total
spending | 35 | 32 | 32 | 31 | 34 | 33 |
D. | Change over previous year in cash
(per cent) | 9.7 | 5.9 | 0.7 | 4.1 | 8.9 | 2.6 | | E. | Change
over previous year in real terms (per cent) | 6.6 | 7.3 | 3.4 | 6.8 | 6.0 | 5.4 |
| Central Government (specific) grants to local
authorities (11) | | A. | Net spending | 654 | 831 | 772 | 638 | 534 | 576 | | B. | Charges | 0 | 0 | 0 | 0 | 0 | 0 | | C. | Total
spending | 654 | 831 | 772 | 638 | 534 | 576 |
D. | Change over previous year in cash
(per cent) | 685.2 | 27.1 | 7.1 | 17.4 | 16.4 | 8.0 | | E. | Change
over previous year in real terms (per cent) | 663.0 | 25.2 | 9.6 | 19.7 | 18.6 | 4.9 |
| Credit Approvals (LA capital) | | A. | Net
spending | 132 | 140 | 145 | 105 | 69 | 54 | | B. | Charges | 0 | 0 | 0 | 0 | 0 | 0 | | C. | Total
spending | 132 | 140 | 145 | 105 | 69 | 54 |
D. | Change over previous year in cash
(per cent) | 4.8 | 6.1 | 3.6 | 28.0 | 34.4 | 21.7 | | E. | Change
over previous year in real terms (per cent) | 1.8 | 4.5 | 0.8 | 30.1 | 36.2 | 23.9 |
| Health and Personal Social Services
Total | | A. | Net spending | 29,762 | 31,573 | 32,904 | 33,796 | 35,316 | 37,169 | | B. | Charges
and receipts (6) | 1,453 | 1,405 | 1,518 | 1,685 | 1,763 | 1,693 | | C. | Total
spending | 31,215 | 32,977 | 34,423 | 35,480 | 37,079 | 38,862 |
D. | Change over previous year in cash
(per cent) | 5.4 | 5.6 | 4.4 | 3.1 | 4.5 | 4.8 | | E. | Change
over previous year in input unit costs (per cent) | | | | | | F. | D
adjusted for E (per cent) | | | | | | G. | Change
over previous year in real terms (per cent) (gross) | 2.4 | 4.1 | 1.6 | 0.1 | 1.8 | 1.9 | | H. | Change
over previous year in real terms (per cent) (net) | 2.5 | 4.5 | 1.4 | 0.2 | 1.8 | 2.3 |
| Local Authority Personal Social
Services (11) (12)
Current
| | | |
| | |
| A. | Net spending | 5,657
| 6,617 | 7,314 | 7,943
| 8,373 | |
| B. | Charges and receipts |
621 | 886 | 1,079 |
1,320 | 1,484 | |
| C. | Total spending | 6,278
| 7,503 | 8,393 | 9,263
| 9,857 | |
D. | Change over previous year in cash
(per cent)
| 14.8 | 19.5 |
11.9 | 10.4 | 6.4
| |
| E. | Change over previous year in real terms (per cent)
| 11.5 | 17.7 | 8.8
| 7.2 | 3.6 | |
| Port Health
| | | |
| | |
| A. | Net spending | 5
| 4 | 4 | 4 |
4 | |
| B. | Charges and receipts |
1 | 2 | 2 | 2
| 2 | |
| C. | Total spending | 6
| 6 | 6 | 6 |
6 | |
| Local Authority Personal Social
Services
Capital (13)
| | | |
| | |
| A. | Net spending | 116
| 156 | 160 | 146
| 144 | |
| B. | Charges and receipts |
69 | 45 | 40 | 44
| 45 | |
| C. | Total spending | 185
| 201 | 200 | 190
| 189 | |
D. | Change over previous year in cash
(per cent)
| 9.2 | 8.6 |
0.5 | 5.0
| 0.5 | |
| E. | Change over previous year in real terms (per cent)
| 6.1 | 7.0 |
3.2 | 7.7
| 3.1 | |
| Local Authority Personal Social
Services
Total
| | | |
| | |
| A. | Net spending | 5,777
| 6,778 | 7,478 | 8,093
| 8,521 | |
| B. | Charges and receipts |
692 | 933 | 1,121 |
1,365 | 1,531 | |
| C. | Total spending | 6,469
| 7,710 | 8,599 | 9,458
| 10,052 | |
D. | Change over previous year in cash
(per cent)
| 14.6 | 19.2 |
11.5 | 10.0 | 6.3
| |
| E. | Change over previous year in real terms (per cent)
| 11.3 | 17.4 | 8.5
| 6.9 | 3.5 | |
| Local Authority, Health and Personal Social Services
Total (14)
| | | |
| | |
| A. | Net spending | 34,752
| 37,379 | 39,465 | 41,146
| 43,235 | |
| B. | Charges and receipts |
2,145 | 2,338 | 2,639
| 3,050 | 3,294 |
|
| C. | Total spending | 36,898
| 39,716 | 42,104 | 44,196
| 46,528 | |
D. | Change over previous year in cash
(per cent)
| 5.3 | 7.6 |
6.0 | 5.0 | 5.3
| |
| E. | Change over previous year in real terms (per cent)
| 2.3 | 6.0 |
3.2 | 2.0 | 2.5
| |
| Change in GDP deflator (per cent)
(17 March 1998 assumption)
| 2.91 | 1.51 | 2.77
| 2.93 | 2.70 | 2.90
|
Footnotes:
1. Cash figures have been rounded to the nearest £ million
and therefore totals may not sum.
2. Percentages are rounded to one decimal place.
3. Real terms growth figures differ from those given
last year because of subsequent changes in GDP deflators. Where
not otherwise specified, percentage change figures are calculated
on gross expenditure figures and therefore differ from the Departmental
Report, where increases are calculated on net expenditure.
4. HCHS figures differ from those used for allocations
to health authorites, which include monies for minor capital items
between £1,000 and £5,000 within HCHS current for accounting
purposes.
5. HCHS and NHS current exclude funding for that element
of trusts' capital expenditure which they fund from charges to
healthcare purchasers (£696 million in 1993-94, £975
million in 1994-95, £1,053 million in 1995-96, £1,106
million in 1996-97, an estimated £943 million in 1997-98
and a provisional £966 million in 1998-99). This funding
is included within HCHS capital.
6. Includes trust charges and receipts (for current,
£165 million in 1993-94, £300 million in 1994-95, £331
million in 1995-96, £388 million in 1996-97 and an estimated
£388 million in 1997-98; for capital, £37 million in
1993-94, £51 million in 1994-95, £72 million in 1995-96,
£116 million in 1996-97 and an estimated £206 million
in 1997-98). Figures for charges and receipts in 1998-99 are provisional
estimates.
7. HCHS capital includes NHS trust capital expenditure,
ie that funded from charges to health care purchasers (see footnote
5) and that financed from their EFLs (£303 million in 1993-94,
£590 million in 1994-95, £401 million in 1995-96, £83
million in 1996-97, an estimated £83 million in 1997-98 and
provisional figures in 1998-99). Capital investment under the
Private Finance Initiative is not included in this table, which
details central government's own expenditure only.
8. FHS non cash limited expenditure includes expenditure,
met from cash limited funds, on drugs prescribed by GP fundholders
of £628 million in 1993-94, £1009 million in 1994-95,
£1,296 million in 1995-96, £1,794 million in 1996-97,
an estimated £2,204 million in 1997-98 and a provisional
£2,895 million in 1998-99.
9. The cost of collecting the NHS element of NI contributions
is shown as non-voted expenditure in Annex B of the Departmental
Report (Cm 3912).
10. The MCA became a trading fund on 1 April 1993. It
previously operated under net Running Costs control. Prior to
1993-94 MCA figures are included in DH admin. The MCA is funded
from fees from the pharmaceutical industry.
11. There are no centrally generated "plan"
figures for local authority expenditure, including that on personal
social services. However, the Government provides a view of what
it considers to be an appropriate level of expenditure in PSS
standard spending (current expenditure) and Annual Capital Guidelines,
supplementary credit approval and direct capital grants (capital
expenditure). For 1998-99 these are as follows:
| £ million |
| PSS standard spending | 8,292.9
|
| Annual capital guidelines | 45.0
|
| Supplementary credit approvals |
14.7 |
| Direct capital grants | 8.2
|
| |
Local authorities may additionally finance capital from receipts
and transfers from revenue.
12. The Department has not been able to update the index
on PSS inflation at this stage. (See question 5.6). It has therefore
not been possible to produce figures on the changes in input unit
costs.
13. Included within the LA PSS Capital expenditure figures
is the capital value of leased assets of £14 million for
1993-94, £15 million for 1994-95, £16 million for 1995-96,
£15 million for 1996-97 (provisional) and £15 million
for 1997-98 (provisional).
14. Local Authority, Health and Personal Social Services
Total excludes Central Government (Specific and Special) Grants
to Local Authorities and Credit Approvals (LA Capital) to avoid
double counting. The total does still include an element of double
counting (unquantifiable) with regard to joint working between
hospitals and local authorities.
3. Table 2.1.2 gives a brief explanation of the main
areas of expenditure in table 2.1.1.
|
