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NHS Finance
Mr. Lansley: To ask the Secretary of State for Health what percentage of their budgets each (a) NHS trust, (b) health authority, (c) primary care trust and (d) strategic health authority spent on administration in each year since 1997-98. [66002]
Andy Burnham: Administration expenditure may vary considerably between organisations owing to the variability of the individual items which are included. In particular, health authorities included adjustments to their capital charges, which may produce negative expenditure in some cases. Administration expenditure is not therefore comparable directly between years and between organisations. However the available information has been placed in the Library.
Mr. Lansley: To ask the Secretary of State for Health what the aggregate year end financial position of (a) all primary care trusts and (b) all NHS trusts has been in each year since 2002. [78014]
Andy Burnham: The following table shows the net year end financial position by primary care trusts (PCTs), national health service trusts and strategic health authorities (SHAs) for years 2002-03 to 2004-05, and the provisional outturn for 2005-06.
| £000 | ||||
| Final outturn 2002-03 | Final outturn 2003-04 | Final outturn 2004-05 | Provisional outturn 2005-06 | |
| (1)
Excludes foundation
trusts | ||||
Mr. Pickles: To ask the Secretary of State for Health what assessment the Government have made of the effect of NHS deficits on joint working with local authorities. [78302]
Andy Burnham: The Department allocates funding to local authorities for adult social care without reference to the financial position of the national health service.
NHS and local authority social services have a duty to work in partnership to provide services which meet the health and social care needs of their local population. The NHS has a legal responsibility to provide healthcare and nursing care which social services cannot provide.
It is essential that the NHS and social services work together locally, in collaboration with other partners, and with individuals and their representatives, to deliver services in a joined-up way, tailored (wherever possible) to the needs of the individual. For example, local area agreements have proved valuable in improving the efficiency and targeting of resources, developing new ways of working and agreeing a joint approach with a range of local partners to address local issues.
Lyn Brown: To ask the Secretary of State for Health if she will assess the financial effects on primary care trusts of the obligation to contribute portions of their budget for 2006-07 to a risk pool. [82066]
Andy Burnham: The new strategic health authorities (SHAs) will take the lead locally in developing and implementing a service and financial strategy for managing the financial position within their locality. This will include creating local reserves to deal with local problems.
It is for SHAs locally to determine the level of contribution to reserves and the application of those reserves. The level determined will reflect local financial circumstances, but the underlying principle will be fairness. Money will not be lost to those communities, because funding will be returned to primary care trusts normally over the allocations cycle.
Mr.
Lansley: To ask the Secretary of State for
Health pursuant to the answer of 21 March 2006, Official
Report, column 273W, on NHS finance, (1) what the 2005-06 month 12
forecast year-end financial position was for each of the 28 previous
strategic health authority (SHA) areas in total, inclusive of all
constituent trusts; and what percentage of the cumulative turnover in
the SHA area this represents in each case;
[83931]
(2) what the 2004-05 audited year-end financial position was of each of the previous 28 strategic health authority (SHA) areas in total, inclusive of all constituent trusts; and what percentage of the cumulative SHA-area turnover this represents in each case. [84014]
Andy Burnham: The information requested is provided in the tables.
| Table 1: 2004-05 audited year-end financial position for the 28 strategic health authorities (SHAs) and the surplus/deficit as a percentage of the cumulative SHA turnover | |||
| Name | Final turnover (£000) | Final surplus/(deficits) (£000) | Surplus/deficits as a percentage of turnover |
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