1. GENERAL EXPENDITURE
1.1.4 Could the DH provide data on trends
in actual and planned expenditure on health and Personal Social
Services by area of expenditure on a stage two resource budgeting
basis for each year from 2003-04? (Q4)
Answer
1. The information requested is given in
table 4.
Table 4
TRENDS IN ACTUAL AND PLANNED EXPENDITURE
ON THE HEALTH AND PERSONAL SOCIAL SERVICES BY AREA OF EXPENDITURE
(1) (2) (3) (4) (STAGE TWO RESOURCE BUDGETING)
|
| |
| |
| |
| |
| | £ million
|
| |
| 2003-04 | 2004-05
| 2005-06 | 2006-07
| 2007-08 | 2008-09
| 2009-10 | 2010-11
|
| |
| outturn | outturn
| outturn | outturn
| outturn | estimated
outturn
| plan | plan
|
|
| | Central Government Expenditure
| |
| |
| |
| |
|
| | National Health Service hospitals, community health, family health (discretionary) and related services
| |
| |
| |
| |
|
| | Current
| |
| |
| |
| |
|
| A. | Net spending (12) | 58,412
| 63,373 | 70,757
| 76,011 | 83,760
| 88,478 | 95,395
| 99,289 |
| B. | Charges and receipts (5)
| 2,519 | 3,429
| 4,106 | 3,686
| 3,552 | 3,927
| 3,789 | 4,020
|
| C. | Total spending | 60,931
| 66,802 | 74,863
| 79,697 | 87,311
| 92,405 | 99,184
| 103,309 |
| D. | Change over previous year in cash (%)
| | 9.6
| 12.1 | 6.5
| 9.6 | 5.8
| 7.3 | 4.2
|
| E. | Change over previous years in real terms (%) (total)
| | 6.7
| 10.0 | 3.4
| 6.6 | 3.6
| 6.3 | 2.6
|
| F. | Change over previous years in real terms (%) (net)
| | 5.6
| 9.6 | 4.3
| 7.2 | 3.4
| 6.7 | 2.5
|
| | Capital
| |
| |
| |
| |
|
| A. | Net spending | 2,566
| 2,592 | 2,111
| 3,033 | 3,554
| 4,327 | 5,360
| 4,632 |
| B. | Charges and receipts (5)
| 551 | 533
| 1,208 | 1,167
| 507 | 300
| 146 | 30
|
| C. | Total spending | 3,117
| 3,125 | 3,319
| 4,200 | 4,061
| 4,627 | 5,506
| 4,662 |
| D. | Change over previous year in cash (%)
| | 0.3
| 6.2 | 26.5
| -3.3 | 13.9
| 19.0 | -15.3
|
| E. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%)(total)
| | -2.4
| 4.3 | 22.9
| -5.9 | 11.5
| 17.8 | -16.6
|
| | National Health Service family health services (non-discretionary) (7)
| |
| |
| |
| |
|
| | Current
| |
| |
| |
| |
|
| A. | Net spending | 2,141
| 2,129 | 2,131
| 1,021 | 1,022
| 1,108 | 1,182
| 1,263 |
| B. | Charges and receipts |
912 | 850
| 837 | 419
| 432 | 445
| 431 | 445
|
| C. | Total spending | 3,052
| 2,980 | 2,968
| 1,440 | 1,454
| 1,553 | 1,613
| 1,708 |
| D. | Change over previous year in cash (%)
| | -2.4
| -0.4 | -51.5
| 0.9 | 6.8
| 3.9 | 5.9
|
| E. | Change over previous years in real terms (%) (total)
| | -5.0
| -2.2 | -52.9
| -1.8 | 4.5
| 2.8 | 4.3
|
| | Departmental administration (13)
| |
| |
| |
| |
|
| | Current
| |
| |
| |
| |
|
| A. | Net spending | 320
| 309 | 300
| 278 | 276
| 271 | 272
| 267 |
| B. | Charges and receipts |
22 | 22
| 19 | 7
| 6 | 6
| 6 | 6
|
| C. | Total spending | 342
| 330 | 319
| 285 | 282
| 277 | 278
| 273 |
| D. | Change over previous year in cash (%)
| | -3.5
| -3.4 | -10.8
| -1.0 | -1.7
| 0.3 | -1.8
|
| E. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%) (total)
| | -6.1
| -5.2 | -13.3
| -3.6 | -3.8
| -0.7 | -3.3
|
| | Cost of collecting NHS element of NI contributions
| 14 | 14
| 14 | 14
| 14 | 14
| 14 | 14
|
| | Central health and miscellaneous services (14)
| |
| |
| |
| |
|
| | Current
| |
| |
| |
| |
|
| A. | Net spending | 993
| 1,062 | 979
| 1,157 | 1,324
| 1,083 | 1,369
| 1,453 |
| B. | Charges and receipts |
116 | 124
| 142 | 162
| 181 | 206
| 59 | 65
|
| C. | Total spending | 1,109
| 1,185 | 1,121
| 1,320 | 1,505
| 1,289 | 1,427
| 1,519 |
| D. | Change over previous year in cash (%)
| | 6.9
| -5.4 | 17.7
| 14.1 | -14.4
| 10.7 | 6.4
|
| E. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%) (total)
| | 4.0
| -7.2 | 14.3
| 11.0 | -16.2
| 9.6 | 4.8
|
| | Other NHS Capital
| |
| |
| |
| |
|
| A. | Net spending | 36
| 32 | 41
| 36 | 43
| 83 | 73
| 43 |
| B. | Charges and receipts |
0 | 0
| 0 | 0
| 0 | -6
| 0 | 0
|
| C. | Total spending | 36
| 32 | 41
| 36 | 43
| 77 | 73
| 43 |
| D. | Change over previous year in cash (%)
| | -11.8
| 27.1 | -10.3
| 17.7 | 79.3
| -4.9 | -41.5
|
| E. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%)(total)
| | -14.2
| 24.8 | -12.9
| 14.5 | 75.5
| -5.9 | -42.4
|
| | NHS Total
| |
| |
| |
| |
|
| A. | Net spending (less depreciation)
| 64,173 | 69,051
| 75,822 | 80,561
| 89,261 | 94,522
| 102,662 | 105,824
|
| B. | Charges and receipts(5) |
4,121 | 4,958
| 6,311 | 5,441
| 4,678 | 4,879
| 4,431 | 4,566
|
| C. | Total spending | 68,294
| 74,008 | 82,133
| 86,002 | 93,939
| 99,401 | 107,093
| 110,390 |
| D. | Change over previous year in cash (%)
| | 8.4
| 11.0 | 4.7
| 9.2 | 5.8
| 7.7 | 3.1
|
| E. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%) (total)
| | 5.4
| 8.9 | 1.7
| 6.3 | 3.5
| 6.7 | 1.6
|
| F. | Change over previous years in real
| |
| |
| |
| |
|
| | terms (%) (net)
| | 4.7
| 7.8 | 3.2
| 7.8 | 3.6
| 7.5 | 1.6
|
| | Central Government Personal Social Services (15)
| |
| |
| |
| |
|
| A. | Net spending | 192
| 240 | 191
| 239 | 267
| 308 | 318
| 315 |
| B. | Charges | 52
| 50 | 68
| 143 | 68
| 67 | 59
| 58 |
| C. | Total spending | 244
| 289 | 258
| 382 | 335
| 376 | 377
| 373 |
| D. | Change over previous year in cash (%)
| | 18.6
| -10.6 | 47.7
| -12.2 | 12.0
| 0.2 | -0.9
|
| E. | Change over previous year in real terms (%)
| | 15.4
| -12.3 | 43.5
| -14.6 | 9.6
| -0.8 | -2.3
|
| | Central Government (specific and special) grants to local authorities
| |
| |
| |
| |
|
| A. | Net spending | 1,425
| 1,871 | 1,880
| 1,578 | 1,609
| 1,074 | 1,228
| 1,307 |
| B. | Charges | 0
| 0 | 0
| 0 | 0
| 0 | 0
| 0 |
| C. | Total spending | 1,425
| 1,871 | 1,880
| 1,578 | 1,609
| 1,074 | 1,228
| 1,307 |
| D. | Change over previous year in cash (%)
| | 31.3
| 0.5 | -16.1
| 2.0 | -33.3
| 14.4 | 6.4
|
| E. | Change over previous year in real terms (%)
| | 27.7
| -1.4 | -18.5
| -0.8 | -34.7
| 13.2 | 4.9
|
| | PSS Capital
| |
| |
| |
| |
|
| A. | Net spending | 84
| 83 | 92
| 124 | 215
| 150 | 140
| 148 |
| B. | Charges | 0
| 0 | 0
| 0 | 0
| 0 | 0
| 0 |
| C. | Total spending | 84
| 83 | 92
| 124 | 215
| 150 | 140
| 148 |
| D. | Change over previous year in cash (%)
| | -1.2
| 11.2 | 34.3
| 73.6 | -30.3
| -7.1 | 6.0
|
| E. | Change over previous year in real terms (%)
| | -3.8
| 9.2 | 30.4
| 68.9 | -31.8
| -8.1 | 4.4
|
| | Health and Personal Social Services Total
| |
| |
| |
| |
|
| A. | Net spending (less depreciation)
| 65,866 | 71,232
| 77,975 | 82,488
| 91,337 | 96,038
| 104,335 | 107,579
|
| B. | Charges and receipts (5)
| 4,173 | 5,008
| 6,379 | 5,584
| 4,746 | 4,946
| 4,489 | 4,624
|
| C. | Total spending | 70,039
| 76,240 | 84,354
| 88,072 | 96,083
| 100,984 | 108,825
| 112,203 |
| D. | Change over previous year in cash (%)
| | 8.9
| 10.6 | 4.4
| 9.1 | 5.1
| 7.8 | 3.1
|
| E. | Change over previous years in real terms (%) (total)
| | 5.9
| 8.6 | 1.4
| 6.2 | 2.8
| 6.7 | 1.6
|
| F. | Change over previous years in real terms (%) (net)
| | 5.2
| 7.5 | 2.7
| 7.7 | 2.9
| 7.6 | 1.6
|
| | Local Authority Personal Social Services
| |
| |
| |
| |
|
| | Current (8) (9) (10)
| |
| |
| |
| |
|
| A. | Net spending | 14,190
| 10,873 | 11,718
| 12,246 | 12,570
| n/a | n/a
| n/a |
| B. | Charges and receipts |
2,080 | 1,955
| 2,009 | 2,068
| 2,126 | n/a
| n/a | n/a
|
| C. | Total spending | 16,270
| 12,828 | 13,727
| 14,314 | 14,696
| n/a | n/a
| n/a |
| | Local Authority Personal Social Services
| |
| |
| |
| |
|
| | Capital (8) (9) (10)
| |
| |
| |
| |
|
| A. | Net spending | 186
| 210 | 303
| 279 | 311
| n/a | n/a
| n/a |
| B. | Charges and receipts |
74 | 75
| 84 | 85
| 100 | n/a
| n/a | n/a
|
| C. | Total spending | 260
| 285 | 387
| 364 | 411
| n/a | n/a
| n/a |
| | Local Authority Personal Social Services
| |
| |
| |
| |
|
| | Total
| |
| |
| |
| |
|
| A. | Net spending | 14,376
| 11,083 | 12,021
| 12,525 | 12,881
| n/a | n/a
| n/a |
| B. | Charges and receipts |
2,154 | 2,030
| 2,093 | 2,153
| 2,226 | n/a
| n/a | n/a
|
| C. | Total spending | 16,530
| 13,113 | 14,114
| 14,678 | 15,107
| n/a | n/a
| n/a |
| | Local Authority, Health and Personal
| |
| |
| |
| |
|
| | Social Services Total (11)
| |
| |
| |
| |
|
| A. | Net spending | 80,242
| 82,315 | 89,996
| 95,013 | 104,218
| n/a | n/a
| n/a |
| B. | Charges and receipts (5)
| 6,327 | 7,038
| 8,472 | 7,737
| 6,972 | n/a
| n/a | n/a
|
| C. | Total spending | 86,569
| 89,353 | 98,468
| 102,750 | 111,190
| n/a | n/a
| n/a |
| | GDP deflator at 30 June 2009
| 88.330 | 90.786
| 92.480 | 95.216
| 97.858 | 100.000
| 101.000 | 102.515
|
|
| Source: |
| Financial Planning and Allocations, DH
|
Footnotes: |
| 1. Consistent with HM Treasury public expenditure database and departmental reports.
|
| 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.
|
4. The measures in changes in expenditure shown in lines D to F are as follows:
Line D shows the percentage change in total expenditure;
Line E shows the percentage change in total expenditure after accounting for inflation in the overall economy as measured by the GDP deflator; and
Line F shows the percentage change in net expenditure after accounting for inflation in the overall economy as measured by the GDP deflator.
|
| 5. Includes NHS trust charges and receipts.
|
| 6. Input cost data is not available for years where outturn data is not available.
|
| 7. With the introduction of the primary medical services allocation in 2004-05, there is no longer any general medical services non-discretionary funding. All general medical services funding is now discretionary.
|
| 8. Net budget figures are taken from local authority revenue accounts returns.
|
| 9. Net budget figures are taken from local authority revenue accounts returns. Current figures are for adult services only. Capital figures show spend on adult and children's services (as this cannot be broken down further).
|
| 10. Local authorities do not forecast expenditure for future years.
|
| 11. Local authority, health and personal social services total excludes central government (specific and special) grants to local authorities and credit approvals (local authority 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.
|
| 12. | Includes HCFHS depreciation of
| 264 | 417
| 470 | 948
| 682 | 790
| 946 | 1,093
|
| 13. | Includes Dept Admin depreciation of:
| 12 | 13
| 14 | 13
| 16 | 16
| 11 | 13
|
| 14. | Includes CHMS depreciation of:
| 17 | 16
| 13 | 15
| 19 | 21
| 31 | 17
|
| 15. | Includes PSS depreciation of:
| 8 | 12
| 10 | 14
| 16 | 16
| 13 | 15
|
|
|
