3. SYSTEM REFORM
3.1.1 What has NHS expenditure on the purchase
of healthcare from non-NHS bodies been in each year from 1997-98?
Could the Department provide a detailed breakdown of these data
where available? (Q20)
Answer
1. Table 20a shows overall spending
on healthcare provided by non-NHS bodies. Figures are from annual
financial returns and for 2006-07, 2007-08 and 2008-09 from audited
PCT summarisation schedules and should be reliable.
2. The figures show the total purchase of healthcare
from non-NHS bodies and so include nursing care spend (for non-NHS
staff). The data in the table include expenditure on services
provided by all non-NHS bodies, including local authorities and
other statutory bodies, as well as independent healthcare providers.
The figures cannot be broken down between acute and non-acute.
3. From 2006-07, new analysis is available
showing how non-NHS spend by PCTs, which accounts for 95% of the
total, is spread across different types of provider (refer to
table 20b).
Table 20a
EXPENDITURE BY NHS BODIES ON THE PURCHASE
OF HEALTHCARE FROM NON-NHS BODIES
|
| |
| |
| £ thousands |
|
| Year | Health authorities/
strategic health
authorities
| Primary care
trusts
| NHS trusts | Total expenditure
|
|
| 1997-98 | 985,746
| n/a | 122,436
| 1,108,182 |
| 1998-99 | 1,108,471
| n/a | 121,954
| 1,230,425 |
| 1999-2000 | 1,166,412
| n/a | 134,784
| 1,301,196 |
| 2000-01 | 1,328,208
| 33,774 | 187,190
| 1,549,172 |
| 2001-02 | 1,136,793
| 409,936 | 246,238
| 1,792,967 |
| 2002-03 | 27,234
| 1,873,925 | 338,172
| 2,239,331 |
| 2003-04 | 3,329
| 2,903,763 | 408,801
| 3,315,893 |
| 2004-05 | 0
| 3,353,036 | 312,988
| 3,666,024 |
| 2005-06 | 0
| 4,096,300 | 319,231
| 4,415,531 |
| 2006-07 | 0
| 4,700,373 | 297,440
| 4,997,813 |
| 2007-08 | 0
| 5,718,197 | 295,079
| 6,013,276 |
| 2008-09 | 0
| 6,424,637 | 236,863
| 6,661,500 |
|
| Source: |
| NHS Financial Monitoring and Accounts:
|
| Annual Financial Returns of Health Authorities, 1997-98 to 2001-02
|
| Annual Financial Returns of Strategic Health Authorities, 2002-03 to 2008-09
|
| Annual Financial Returns of NHS Trusts, 1997-98 to 2005-06
|
| Audited NHS Trust summarisation schedules 2006-07 to 2008-09
|
| Annual Financial Returns Primary Care Trusts, 2000-01 to 2005-06
|
| Audited PCT summarisation schedules 2006-07 to 2008-09
|
| Footnotes: |
| 1. 2004-05 to 2008-09 NHS trust data does not include NHS foundation trusts.
|
Table 20b
EXPENDITURE BY PCTs ON THE PURCHASE OF HEALTHCARE FROM
NON-NHS BODIES
|
| |
| | £ million
|
|
| Spend with | 2006-07
| 2007-08 | 2008-09
|
|
| ISTCs | 200
| 314 | 352
|
| Other private sector providers | 1,992
| 2,602 | 3,066
|
| Voluntary sector | 366
| 421 | 513
|
| Local authorities | 1,487
| 1,936 | 2,168
|
| Other | 655
| 445 | 325
|
| Total spend by PCTs | 4,700
| 5,718 | 6,425
|
|
| Source: |
| NHS Financial Monitoring and Accounts (audited PCT summarisation schedules 2006-07 to 2008-09)
|
|
