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14 May 2007 : Column 608W—continued

NHS: Expenditure

Mr. Hepburn: To ask the Secretary of State for Health how much was spent per capita of the population by the NHS in (a) South Tyneside, (b) the north east and (c) England in each year since 1997. [134846]

Andy Burnham: National health service expenditure per unweighted head is shown in the table. It is only possible to show figures for Gateshead and South Tyneside health authority (HA) area from 1997-98 to 2001-02; after this data shown is for the Northumberland, Tyne and Wear Strategic Health Authority (SHA) area. North East is the area covered by the Northumberland, Tyne and Wear, and County Durham and Tees Valley SHAs.

1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06

Gateshead and South Tyneside

681.85

725.15

829.65

892.83

1,010.32

1,094.71

1,202.15

1,351.37

1,479.08

North East

625.81

694.78

820.12

872.82

965.85

989.32

1,198.01

1,345.02

1,464.42

England

607.85

659.76

763.79

825.38

926.13

991.07

1,116.32

1,236.10

1,334.99

Notes:
1. Expenditure by strategic health authority area is taken as the total expenditure of the SHA, predecessor HAs and PCTs within the SHA area.
2. Expenditure shown does not include all national health service expenditure within the area. Expenditure on general dental services and pharmaceutical services accounted for by the Dental Practice Board and Prescription Pricing Authority, respectively, are excluded. This expenditure cannot be included within the figures for the individual health bodies as they are not included in commissioner accounts.
Sources:
Audited accounts of HAs 1997-98 to 2001-02.
Audited summarisation forms of SHAs 2002-03 to 2005-06.
Audited summarisation schedules of primary care trusts (PCTs) 2000-01 to 2005-06.
Office of National Statistics unweighted population figures.

NHS: Finance

Anne Main: To ask the Secretary of State for Health if she will place in the Library the latest findings of the turnaround teams within West Hertfordshire NHS Trust. [124407]

Andy Burnham: Organisations in turnaround may have utilised external turnaround support in the form of professional advisers or turnaround directors to work with them to assist with their turnaround programme. This external turnaround support is often referred to as turnaround teams. Organisations are responsible for the procurement of this external support at a local level and hence any findings from their work will be held at the organisation.

Mr. Evennett: To ask the Secretary of State for Health which NHS trusts in Greater London are in deficit; and what the deficit is in each case. [127651]

Andy Burnham: The table shows national health service trusts in London strategic health authority forecasting a year-end deficit at quarter three, 2006-07.

On the basis of results reported at quarter three 2006-07, we believe the NHS is on course to at least deliver a balanced financial position at the end of 2006-07. This strengthened financial position is a clear sign that the NHS is delivering against the strict financial targets we have set.


14 May 2007 : Column 609W
2006-07 quarter three forecast outturn surplus/(deficit)
NHS trust £000

Barking, Havering and Redbridge Hospital NHS trust

(15,741)

Barnet and Chase Farm Hospitals NHS trust

(9,409)

Bromley Hospitals NHS trust

(12,894)

Epsom and St. Helier University Hospitals NHS trust

(7,277)

Mayday Healthcare NHS trust

(1,800)

Newham University Hospital NHS trust

(2,516)

North West London Hospitals NHS trust

(25,619)

Queen Elizabeth Hospital NHS trust

(36,079)

Queen Mary’s Sidcup NHS trust

(5,363)

St. George’s Healthcare NHS trust

(5,500)

The Lewisham Hospital NHS trust

(11,956)

West Middlesex University NHS trust

(4,453)

Whipps Cross University Hospital NHS trust

(30,405)

Source:
Department quarter three NHS financial report 2006-07

14 May 2007 : Column 610W

Mr. Lansley: To ask the Secretary of State for Health how many and what percentage of NHS organisations have ended the financial year in (a) aggregate and (b) in-year deficit in each financial year since 1997-98. [131868]

Andy Burnham: The following table shows the number and percentage of NHS organisations ending the financial year in aggregate deficit:

HAs/SHAs PCTs NHS trusts
Number in deficit Percentage in deficit Number in deficit Percentage in deficit Number in deficit Percentage in deficit

1997-98

48

48

149

35

1998-99

48

48

98

24

1999-2000

59

60

150

40

2000-01

0

0

0

0

39

11

2001-02

0

0

0

0

50

16

2002-03

0

0

21

7

50

18

2003-04

0

0

41

14

65

24

2004-05

1

4

90

30

68

26

2005-06

0

0

108

36

71

30

Note:
Data on the in-year financial position of NHS organisations are not collected centrally. The in-year financial position was only collected for 2006-07.
Source:
Audited National Health Service summarisation schedules

Mr. Lansley: To ask the Secretary of State for Health (1) if she will list the titles of all studies into NHS deficits (a) undertaken and (b) commissioned by her Department since March 2006; [131870]

(2) if she will place in the Library a copy of the May 2006 study by her Department’s Corporate Analytical Team entitled System Change and Financial Imbalance: The Dynamics of Deficits. [131869]

Andy Burnham: In his report on national health service financial performance 2005-06, published in June 2006, the Department’s director general of Finance and Investment commissioned further detailed analysis from the Department’s Chief Economic Advisor, asking him to consider factors that may have caused the emergence of deficits in 2004-05 and contributed to their geographical distribution. The Chief Economist’s report, entitled “Explaining NHS deficits, 2003-04 to 2005-06”, was published on the 20 February 2007, and a copy is available in the Library.

Two further internal studies on NHS deficits have been undertaken by the Department since March 2006 and were completed before the Chief Economist published his report. These are:

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 29 March 2007, Official Report, columns 1790-91W, on NHS finance, what the total value of capital-to-revenue transfers made by the NHS was in each year since 1990-91. [131874]

Andy Burnham: The Department was given one cash limit for capital and revenue expenditure in the years prior to 1997-98. Capital delegated expenditure limit (CDEL) and revenue delegated expenditure limit (RDEL) controls were introduced in 1998 and the information requested, regarding transfers from CDEL to RDEL, has been provided in the answer in the 29 March 2007, Official Report, columns 1790-91W.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 12 March 2007, Official Report, column 137W, on NHS: finance, what the monthly (a) income and (b) expenditure was of each NHS organisation in each month since April 2006. [131889]

Andy Burnham: In line with our commitment to publish quarterly financial information, monthly income and expenditure data for each national health service organisation at quarters 1, 2 and 3 2006-07 has been placed in the Library.

Mr. Lansley: To ask the Secretary of State for Health pursuant to the answer of 12 March 2007, Official Report, column 138W, on NHS: finance, what elements of the weighted capitation formula the Advisory Committee on Resource Allocation (ACRA) is reviewing; and whether the recommendations ACRA makes to Ministers on changes to the weighted capitation formula to be published before they are used to inform allocations in 2008-09. [131891]


14 May 2007 : Column 611W

Andy Burnham: The Advisory Committee on Resource Allocation is currently reviewing the weighted-capitation formula used to inform revenue allocations to primary care trusts (PCTs). The review will cover the market forces factor element and the needs element of the formula. The population base used for revenue allocations to PCTs post 2007-08 is also being reviewed. In addition, the review will look again at the issues faced by rural areas.

The date for the announcement of revenue allocations to PCTs post 2007-08, and the timetable for the publication of related documentation, has not yet been determined.

Mr. Lansley: To ask the Secretary of State for Health what plans she has to implement the recommendation made on page seven of her Department’s report Explaining NHS deficits, published on her Department’s website on 20 February 2007, for further analysis of how strategic health authorities may offset weaknesses in the allocations process without undermining incentives for subsidiary organisations to make efficient decisions. [131893]

Andy Burnham: The Department is considering this recommendation as part of its work on developing the national health service financial regime.

Mr. Lansley: To ask the Secretary of State for Health what percentage of each primary care trust budget was top-sliced in 2006-07. [131922]

Andy Burnham: I refer the hon. Gentleman to the reply given on 19 March 2007, Official Report, column 737W.

Mr. Lansley: To ask the Secretary of State for Health (1) what capital expenditure against budget in the NHS was forecast to be in 2006-07 at month nine; [131967]

(2) which NHS organisations are forecasting an underspend against their capital budget in 2006-07; and by how much in each case. [131935]

Andy Burnham: At quarter 3 of 2006-07, the national health service reported total forecast expenditure against capital resource limit of £2,272 million. The total forecast underspend against capital resource limit was £322 million.

Tables indicating which NHS organisations were forecasting an underspend against their capital resource limit at quarter 3, have been placed in the Library.

Mr. Lansley: To ask the Secretary of State for Health what plans she has to reduce the value of NHS gross deficits in 2007-08. [135870]

Andy Burnham: As outlined in the operating framework, published on 11 December 2006, by the end of the 2006-07 financial year we expect the national health service to return to net financial balance. 2007-08 will be a further year of financial recovery and we will require the NHS to make a net surplus of at least £250 million across NHS trusts, primary care trusts and strategic health authorities (SHAs).


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