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Mr. Philip Hammond: To ask the Secretary of State for Health what guidance has been issued to NHS trusts with regard to (a) the recovery of historic deficits and (b) the management of deficit control totals. 
National health service organisations are expected to achieve financial balance each and every year. It is the responsibility of strategic health authorities (SHAs) to performance manage the organisations in
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their area, and deliver overall financial balance for their local health communities. The Department has contacted all organisations with a deficit in 200405 to emphasise the importance of sound financial management and ensuring value for money of public expenditure. Through this and other mechanisms, the Department explained the key role of implementing the system reform programme, and other efficiency measures, in delivering better services for patients within the funding available. The Department recognises that SHAs carry forward deficits and surplus to future years which ensures that organisations do not benefit from having a deficit and are not disadvantaged by a heavy surplus.
Mr. Lansley: To ask the Secretary of State for Health what the total (a) gross and (b) net cost of drugs to the NHS has been in (i) nominal and (ii) real terms in each year since 1979; what the percentage increase was in each year to the next in real terms; and what proportion of this percentage increase has been due to drug price inflation in each year. 
Mr. Byrne: It is not possible to calculate drug price inflation. Drug prices can be affected by many factors; these include advances in drug therapy, new drugs substituting existing ones and price reduction due to generic competition. These factors can vary from year to year, from drug to drug, and vary in magnitude. This complexity prevents us from being able to calculate drug price inflation. The gross and net cost of drugs to the national health service in nominal terms, and percentage increase each year are shown in table 1.
Steve Webb: To ask the Secretary of State for Health what the deficit or surplus was at year end 200405 for (a) the NHS in England, (b) each strategic health authority, (c) each NHS trust and (d) each primary care trust. 
Mr. Byrne: The audited accounts show that the national health service as a whole will end 200405 with an overall deficit of around £250 million. This represents around 0.4 per cent. of overall NHS resources.
The 200405 audited financial position of all NHS organisations (strategic health authorities, primary care trusts and NHS trusts) is available on the Department's website. A copy of this information has been placed in the Library. It is also available on the Department's website at: www.dh.gov.uk/PublicationsAndStatistics/FreedomOfInformation/ClassesOfInformation/fs/en.
The latest available data on the financial position of all SHAs is based on the 200405 audited accounts which is available on the Department's website at: www.dh.gov.uk/assetRoot/04/11/94/12/04119412.pdf.
Mr. Burstow: To ask the Secretary of State for Health if she will place in the Library copies of the month five financial forecasts submitted to her Department by each strategic health authority. 
Mr. Byrne: The latest available audited data on the financial position of national health service trusts is for 200405. The 200405 financial position of strategic health authorities, primary care trusts and NHS trusts is available in the Library. It is also available on the Department's website at: www.dh.gov.uk/PublicationsAndStatistics/FreedomOfInformation/ClassesOfInformation/fs/en
Mr. Lansley: To ask the Secretary of State for Health pursuant to the letter dated 23 September sent by the chief executive of the NHS to NHS organisations in deficit in 200405, which (a) NHS bodies and (b) centrally financed budgets were required to underspend in 200405; and if she will list the NHS organisations to which this letter was sent. 
Mr. Byrne: The 200405 audited financial position of strategic health authorities, primary care trusts and national health service trusts is available in the Library. It is also available on the Department's website at:
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