4. BREAKDOWN OF SPENDING PROGRAMME
4.1 General Breakdown
4.1.1 What was HCHS expenditure by service
sector and age group in (a) 2003-04 and (b) 2004-05? (Q47)
ANSWER
1. The information for 2003-04 is given
in Table 47a to Table 47c. From 2004-05 the data
required to calculate HCHS expenditure by service sector and age
group ceased to be collected. Instead, DH initiated a replacement
data collection to collect expenditure on a Programme Budgeting
basis—see questions 6 and 7 for further details.
2. Services aimed specifically, or mainly,
at the elderly account for 6% of total HCHS expenditure. However,
those aged 65 and over accounted for 43% of total expenditure
despite being only 16% of the population. This is mainly due to
high levels of spend in other sectors, with 56% of acute expenditure,
and significant proportions of expenditure on services for mentally
ill people being used by this age group.
Table 47a
HCHS EXPENDITURE BY PROGRAMME OF CARE 2003-04
|
| Programme of care | Expenditure (£m)
| Proportion of expenditure
|
|
| Acute services | 21,510
| 56.4 |
| Mental health | 5,088
| 13.3 |
| Services intended primarily for the elderly
| 2,346 | 6.1
|
| other services | 6,253
| 16.4 |
| Learning disability | 1,627
| 4.3 |
| Maternity | 1,327
| 3.5 |
| Total | 38,151
| 100.00 |
|
Source: Financial returns of PCTs and NHS Trusts.
Footnote: 1. Total does not sum to 100% due
to rounding.
Table 47b
PROPORTION OF HCHS EXPENDITURE BY AGE GROUP
|
| Age band | Expenditure (£m)
| Proportion of expenditure
|
|
| All births | 1,577
| 4.1 |
| Age 0-4 | 2,376
| 6.2 |
| Age 5-15 | 1,461
| 3.8 |
| Age 16-44 | 9,245
| 24.2 |
| Age 45-64 | 7,021
| 18.4 |
| Age 65-74 | 5,890
| 15.4 |
| Age 75-84 | 6,763
| 17.7 |
| Age 85+ | 3.818
| 10.0 |
| Total | 38,151
| 100.0 |
|
Source: Financial returns of PCTs and NHS Trusts.
Footnote: 1. Total does not sum to 100% due to
rounding.
Table 47c
HCHS EXPENDITURE PER HEAD OF POPULATION 2003-04
|
| Age band | Total Expenditure (£m)
| Population | Per Head of Population (£)
|
|
| All births | 1,577
| 575,224 | 2,742
|
| Age 0-4 | 2,376
| 2,272,935 | 210
|
| Age 5-15 | 1,461
| 6,955,359 | 210
|
| Age 16-44 | 9,245
| 20,134,099 | 459
|
| Age 45-64 | 7,021
| 11,971,190 | 586
|
| Age 65-74 | 5,890
| 4,158,665 | 1,416
|
| Age 75-84 | 6,763
| 2,851,924 | 2,371
|
| Age 85+ | 3,818
| 936,344 | 4,077
|
| All | 38,151
| 49,855,740 | 765
|
|
Source: Financial returns of PCTs and NHS Trusts.
4.1.2 Could a table be provided detailing gross expenditure
on HCHS and FHS by sector in each year since 1997-98? (Q48)
ANSWER
1. The information requested is contained in Table
48.
2. No data is available for 2004-05. The data required
to calculate HCHS expenditure was collected for the final time
in 2003-04. A replacement data collection was initiated on new
Programme Budgeting basis—see questions 6 and 7 for further
details. For FHS, data for GMS/PMS is no longer available in the
current format due to the introduction of the new GMS contract
in 2004; data after this point is not comparable with previous.
Table 48
HCFHS PROGRAMME BUDGET EXPENDITURE 1997-98 TO 2003-04
(CASH AND RESOURCE)
|
| | |
| | | | £ million
|
| | Cash
| | Resources
| |
| 1997-98 |
1998-99 | 1999-2000
| 2000-01 | 2001-02
| 2002-03 | 2003-04
|
|
| Acute IP | |
| — | —
| — | —
| — |
| Acute IP (Pats using a bed) inc DC8,958 |
9,762 | 10,414
| 11,166 | 12,417
| 13,765 | 15,061
| |
| Acute OP | —
| — | —
| — | —
| — | —
|
| Acute OP without Day Cases | 3,650
| 3,884 | 4,093
| 4,334 | 4,795
| 5,524 | 6,449
|
| Obstetric IP | 730
| 764 | 801
| 844 | 752
| 854 | 918
|
| Obstetric OP | 137
| 147 | 158
| 170 | 151
| 183 | 216
|
| Geriatric IP | 1,210
| 1,137 | 1,216
| 1,308 | 1,312
| 1,254 | 1,223
|
| Units for YD | —
| — | —
| — | —
| — | —
|
| Geriatric & YD OP | 46
| 50 | 53
| 57 | 61
| 68 | 74
|
| Learning Disability IP | 833
| 825 | 855
| 889 | 902
| 843 | 854
|
| Learning Disability OP | 22
| 21 | 21
| 20 | 23
| 43 | 84
|
| Mental Health IP | 1,754
| 1,819 | 2,044
| 2,303 | 2,444
| 2,689 | 2,857
|
| Mental Health OP | 312
| 334 | 370
| 411 | 490
| 655 | 882
|
| Non Psychiatric DP (gen & acute) | 109
| 105 | 115
| 126 | 96
| 85 | 94
|
| Learning Disability (Day Pats ) | 56
| 62 | 62
| 62 | 50
| 58 | 49
|
| Mental Illness DP | 303
| 318 | 328
| 338 | 318
| 344 | 316
|
| Other Hospital | 455
| 527 | 1,011
| 1,568 | 1,560
| 1,563 | 1,137
|
| | |
| | | |
| |
| Total Hospital | 18,575
| 19,754 | 21,539
| 23,597 | 25,372
| 27,928 | 30,214
|
| | |
| | | |
| |
| Chiropody | 90
| 101 | 110
| 120 | 158
| 231 | 232
|
| Family Planning | 55
| 63 | 70
| 77 | 98
| 135 | 129
|
| Immunisation & surveillance | 263
| 303 | 325
| 352 | 240
| 218 | 224
|
| Screening | 53
| 61 | 67
| 74 | 88
| 131 | 149
|
| Professional advice & support | 266
| 330 | 338
| 348 | 163
| 110 | 138
|
| General Patient Care | 952
| 1,050 | 1,041
| 1,030 | 780
| 743 | 722
|
| Community MI Nursing | 521
| 580 | 670
| 775 | 810
| 911 | 1,033
|
| Community MH Nursing | 413
| 457 | 484
| 514 | 484
| 526 | 640
|
| Community Maternity | 210
| 223 | 208
| 191 | 283
| 162 | 193
|
| Health Promotion | 68
| 79 | 83
| 87 | 42
| 86 | 107
|
| Community Dental | 78
| 88 | 97
| 107 | 71
| 182 | 169
|
| Services to GPs | 271
| 314 | 396
| 491 | 653
| 996 | 1,019
|
| Other CHS | 372
| 469 | 549
| 642 | 649
| 1,212 | 1,441
|
| | |
| | | |
| |
| Total Community | 3,612
| 4,118 | 4,438
| 4,807 | 4,519
| 5,644 | 6,197
|
| | |
| | | |
| |
| Ambulances | 617
| 617 | 706
| 808 | 932
| 932 | 1,176
|
| HQ Administration | 779
| 768 | 781
| 797 | 1,100
| 582 | 564
|
| Joint Finance | 237
| 237 | 169
| 91 | 54
| 0 | 0
|
| | |
| | | |
| |
| Total HCHS | 23,820
| 25,494 | 27,633
| 30,099 | 31,977
| 35,087 | 38,151
|
| | |
| | | |
| |
| Total HCHS (Excluding J/F)23,584 |
25,258 | 27,464
| 30,008 | 31,923
| 35,087 | 38,151
| |
| | |
| | | |
| |
| Total GMS of which: | 3,033
| 3,121 | 3,336
| 3,449 | 3,230
| 2,932 | 2,684
|
| | |
| | | |
| |
| Non-Discretionary | 2,198
| 2,243 | 2,451
| 2,510 | 2,271
| 2,068 | 1,903
|
| Discretionary | 835
| 878 | 885
| 940 | 959
| 864 | 781
|
| | |
| | | |
| |
| Total Other FHS of which: | 6,465
| 6,857 | 7,516
| 8,067 | 9,258
| 10,470 | 11,998
|
| | |
| | | |
| |
| Drugs | 4,107
| 4,356 | 4,852
| 5,168 | 5,714
| 6,345 | 6,963
|
| PMS (discretionary)(1) | n/a
| 37 | 84
| 174 | 689
| 1,152 | 1,939
|
| GDS | 1,349 |
1,439 | 1,479
| 1,556 | 1,638
| 1,709 | 1,767
|
| PDS (discretionary)(1) | n/a
| 4 | 12
| 21 | 36
| 41 | 48
|
| Dispensing Costs | 768
| 781 | 808
| 856 | 879
| 919 | 959
|
| GOS | 241 |
240 | 281
| 292 | 302
| 304 | 322
|
| | |
| | | |
| |
| Total HCFHS | 33,318
| 35,472 | 38,485
| 41,615 | 44,465
| 48,489 | 52,833
|
|
Footnotes:
1. Personal Medical Services (PMS) and Personal Dental Services
(PDS) schemes are Primary Care Act pilots designed to test locally-managed
approaches to the delivery of primary care. PDS and PMS expenditure
figures exclude any related capital investment by NHS Trusts;
PDS expenditure figures are also gross of patient charge income.
2. All HCFHS figures are on a cash basis for the years 1997-98
to 2000-01, whereas from 2001-02 is a resource basis.
3. The 2003-04 Drugs expenditure has been revised to £6,963
million from £6,948 million (2005 PEI) in line with FHS gross
expenditure figures from the Departmental Report 2006, figure
6.10.
4.2 Primary Care Trust (PCT) Allocations
4.2.1 Can the Department detail (a) Primary Care Trust
allocations (b) distance from target allocation in £000s
and in percentage terms and (c) allocations per weighted and unweighted
head of population in each year from 2003-04 to 2007-08 in each
Strategic Health Authority area? Can data for individual PCTs
be provided as an appendix? (Q49)
ANSWER
1. The information requested is given in Table 49a
and Table 49b.
|
