| Area of Expenditure
| Description |
| |
| NHS Hospitals, community health, family health (cash limited) and related services (HCHS)
| The main elements of these are the provision of hospital services, and certain community health services, such as district nurses, which are not provided by the family health services (FHS). These are services purchased by health authorities and provided in the main by NHS trusts. HCHS provision is cash-limited and also includes funding for some FHS spending (general medical services (GMS) cash-limited expenditure). It also covers related activities such as R&D and education and training purchased centrally from central budgets.
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| |
Capital | Capital expenditure is that used on the acquisition of land and premises, individual works for the provision, adaption, renewal, replacement or demolition of buildings, items or groups of equipment and vehicles etc. where the expenditure exceeds £5,000.
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| NHS Family Health Services (FHS) (non-cash limited)
| Services provided in the community through doctors in general practice, dentists, pharmacists and other dispensing contractors, optometrists and ophthalmic medical practitioners, all of whom are independent contractors. Their contracts are set centrally by the Department following consultation with representatives of the relevant professions, and administered locally by health authorities. Funding of the FHS is largely demand-led and not subject to in-year cash limits at health authority level, though FHS expenditure has to be managed within the overall national cash limits.
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| Departmental Administration | The administrative costs of running the Department of Health, including the NHS Executive.
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| MCA Trading Fund | The Medicines Control Agency (MCA) is a DH executive agency. It safeguards public health by ensuring that all medicines on the UK market meet appropriate standards of safety, quality and efficacy. This is achieved through a system of licensing and inspection.
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| Central health and miscellaneous services (CHMS)
| These are a wide range of activities funded from the Department of Health's spending programmes whose only common feature is that they receive funding direct from the Department and not via health authorities. Some of the services are managed directly by Departmental staff, others are run by non-departmental public bodies, or other separate executive organisations.
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| Other NHS Capital | Includes the capital elements of departmental administration and CHMS.
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| NHS Total | The sum of HCHS current and capital expenditure, FHS, Departmental administration, MCA Trading Fund, CHMS and other NHS capital.
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| Personal Social Services | Personal care services for vulnerable people, including those with special needs because of old age or physical or mental disability, and children in need of care and protection. Examples are residential care homes for the elderly, home help and home care services, and social workers who provide help and support for a wide range of people.
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| Central Government (specific and special) grants to local authorities
| Cash grants targeted at services which require a higher priority, where pump-priming is appropriate or where the service is needed in only some authorities.
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| Credit Approvals (LA capital) | Central government permission for individual local authorities to borrow or raise other forms of credit for capital purposes.
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| Health and Personal Social Services Total
| The sum of NHS total, central Government personal social services, central Government (specific and special) grants to local authorities, credit approvals (LA capital), and civil defence.
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| Local Authority, Health and Personal Social Services Total
| The sum of Health and Personal Social Services Total and Local Authority Personal Social Services Total.
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4. Table 2.1.3 details significant changes between forecast
outturn in 1996-97 and planned expenditure in 1997-98 from HC
297 with the outturn position in 1996-97 and forecast outturn
position in 1997-98 in Table 2.1.1.
