2.1 Overall Expenditure
2.1a Could the Department provide an
updated version of Table 2.1.1, and of the Department's commentary
which accompanied it? Could it also show this data in graphical
form? Could the Department provide a brief commentary, explaining
what expenditure is included under each section of the table?
Can the footnote to table 2.1.1 explain the measures and their
applications for lines D to G?
2.1b Could the Department identify significant
changes between forecast and actual outturn for 1999-2000 and
between the planned level of spending and forecast outturn for
2000-01, by comparing figures in Table 2.1.1 with current figures.
For each programme the planned level of spending in 1999-2000
and actual outturn expenditure should be shown in tabular form.
2.1c Please identify and explain differences
between the 2001 Departmental Report and the figures in Table
2.1.1.
2.1d What is the Department's assessment
of each programme's performance in 1999-2000 against plans for
that year, and anticipated performance in 2000-01 against plans
for that year and outturn in 1999-2000?
2.1e The supply estimates are now presented
in a simplified form which does not disaggregate the different
sources for appropriations in aid. This is now presented only
in an annex to the Departmental Report (Annex D, Information formerly
in Supply Estimates). For the sake of clarity, could the Department
give a detailed reconciliation between table 2.1.1 and appropriations
in aid for each year since 1995-96 by sub-programme and source
(ie miscellaneous, charges, sales of assets, capital repayments,
trust debt remuneration).
2.1f Any commentary which the Department
wishes to append would be welcome, including information about
efficiency gains and a table showing changes in the Hospital and
Community Health Services cost-weighted index of activity for
the latest ten years for which figures are available.
2.1a Could the Department provide an
updated version of Table 2.1.1, and of the Department's commentary
which accompanied it? Could it also show this data in graphical
form? Could the Department provide a brief commentary, explaining
what expenditure is included under each section of the table?
Can the footnote to table 2.1.1 explain the measures and their
applications for lines D to G?
1. The introduction of Resource Accounting
and Budgeting means that as of April 2001, all Government Departments
are required to budget and report to Parliament on a resource
basis. As a result, the basis for presenting expenditure information
within this Health Select Committee Inquiry, will vary depending
on the period covered. Information on expenditure up to 2000-01
will be on a cash basis, whereas details on expenditure from 2001-02
onwards will be presented on a resource basis.
2. The information requested on expenditure
trends from 1996-97 to 2000-01 is given in Table 2.1.1(a), on
a cash basis. Details on NHS expenditure on a resource basis from
1999-2000 to 2003-04 are given in Table 2.1.1(b). Information
in trends in total expenditure is also given in Graphs 2.1.1(a)
and 2.1.1(b). Figures have been adjusted for classification changes,
so that they provide a consistent series.
3. The NHS element of Tables 2.1.1 (a) and
(b) are on the same basis as Figure 3.5 and 3.8 respectively of
the Departmental Report (Cm 5103).
4. Table 2.1.2 gives a brief explanation
of the main areas of expenditure in table 2.1.1(a) and 2.1.1.(b).
Table 2.1.1(a)
TRENDS IN ACTUAL AND PLANNED EXPENDITURE
ON THE HEALTH AND PERSONAL SOCIAL SERVICES 1996-97 TO 2000-01
BY AREA OF EXPENDITURE (1) (2) (3) (4) (CASH)
Footnotes:
1 Figures may not sum due to rounding.
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 The measures in changes in expenditure shown
in lines D to F are as follows;
Line D shows the percentage change in gross expenditure.
Line E shows the level of inflation specific to each
area of expenditure (where applicable).
Line F shows the percentage change in gross expenditure
after accounting for service specific inflation.
Line G shows the percentage change in gross expenditure
after accounting for inflation in the overall economy as measured
by the GDP deflator.
Line H shows the percentage change in net expenditure
after accounting for inflation in the overall economy as measured
by the GDP deflator.
5 HCHS figures differ from those used for allocations
to health authorities, which include monies for minor capital
items between £1,000 and £5,000 within HCHS current
for accounting purposes.
6 HCHS and NHS current exclude funding for that
element of trusts' capital which they fund from charges to healthcare
providers ( £1,106 million in 1996-97, £943 million
in 1997-98, £966 million in 1998-99 and £1,120 million
for 1999-2000 and £1,001 million for 2000-01).
7 Includes trust charges and receipts (for current,
£388 million in 1996-97 and £459 million in 1997-98,
£527 million in 1998-99 and £620 million in 1999-2000
to 2000-01; for capital, £116 million in 1996-97, £231
million in 1997-98, £157 million in 1998-99, £283 million
in 1999-2000 and £104 million in 2000-01).
8 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 ( £83 million in 1996-97,
£85 million in 1997-98, -£55 million in 1998-99, £-50
million in 1999-2000 and £311 million in 2000-01).
9 Figures for FHS non-discretionary expenditure
between 1998-99 and 2000-01 are not directly comparable because
of transfers to the FHS discretionary provision, principally to
fund successive waves of Personal Medical and Personal Dental
Service pilots.
10 Include Trading Funds- Medicines Control
Agency (MCA) and NHS Estates Agency.
11 For years 1999-2000 and 2000-01, the cost
of collecting the NHS element of NI contributions is shown as
"other adjustments, cost of collection & provisions"
in Annex A5 of the Departmental Report (Cm 5103).
12 The growth in PSS expenditure over this time
period reflects the additional responsibilities taken on by local
authorities as a result of the 1993 community care reforms.
13 From 1997-98 figures for Port Health are
no longer identifiable and are included in DETR's returns.
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 still does include an element
of double counting (unquantifiable) with regard to joint working
between hospitals and local authorities.
Table 2.1.1(b)
TRENDS IN ACTUAL AND PLANNED EXPENDITURE
ON THE HEALTH AND PERSONAL SOCIAL SERVICES 1999-00 TO 2003-04
BY AREA OF EXPENDITURE (1) (2) (3) (4) (RESOURCES)
Footnotes:
1 Figures may not sum due to rounding.
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 The measures in changes in expenditure
shown in lines D to F are as follows;
Line D shows the percentage change in gross
expenditure.
Line E shows the level of inflation specific
to each area of expenditure (where applicable).
Line F shows the percentage change in gross
expenditure after accounting for service specific inflation.
Line G shows the percentage change in gross
expenditure after accounting for inflation in the overall economy
as measured by the GDP deflator.
Line H shows the percentage change in net expenditure
after accounting for inflation in the overall economy as measured
by the GDP deflator.
5 HCHS figures differ from those used for
allocations to health authorities, which include monies for minor
capital items between £1,000 and £5,000 within HCHS
current for accounting purposes.
6 HCHS and NHS current exclude funding for
that element of trusts' capital which they fund from charges to
healthcare providers ( £1,120 million for 1999-2000, £1,001
million for 2000-01, and estimates of £1,273 million for
2001-02, £1,329 million for 2002-03 and £1,331 million
for 2003-04).
7 Includes trust charges and receipts (for
current, £620 million in 1999-2000 to 2003-04; for capital,
£283 million in 1999-00, £287 million in 2000-01, £141
million in 2001-02, £55 million in 2002-03 and £158
million in 2003-04).
8 Figures for FHS non-discretionary expenditure
between 1999-2000 and 2002-03 are not directly comparable because
of transfers to the FHS discretionary provision, principally to
fund successive waves of Personal Medical and Personal Dental
Service pilots.
9 Include Trading Funds- Medicines Control
Agency (MCA) and NHS Estates Agency.
10 The cost of collecting the NHS element
of NI contributions is shown as "other adjustments, cost
of collection & provisions" in Annex A5 of the Departmental
Report (Cm 5103).
11 There are no centrally generated "plan"
figures for local authority expenditure, including Personal Social
Services.
12 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 still does include
an element of double counting (unquantifiable) with regard to
joint working between hospitals and local authorities.
