Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


5.  ACTIVITY AND PERFORMANCE

5.1.20  What were management costs by type of NHS organisation and as a share of total NHS expenditure in each year from 1997-98? (Q59)

Answer

  1.  The management costs as a whole and by organisation are shown in tables 59a and 59b.

2.  It should be noted that the management costs from 2004-05 do not include NHS foundation trusts, who are not required to record their management costs. As a result, part of the fall in total management costs that is seen in table 59a is due to fewer organisations being required to submit their management costs, and therefore simple year on year comparisons since 2004-05 are not meaningful.

3.  In order to provide a meaningful comparison over time, tables 59c and 59d restate the management costs by organisation type, and remove all current NHS foundation trusts from the historic management costs of NHS trusts.

Table 59a

NHS MANAGEMENT COSTS


Financial
Year
Total (S)HA, PCT
and NHS trust
management costs
(5)

NHS total
expenditure
Management
costs as % of
NHS budget
  
(£ million)
(£ million)
  

1996-97
1,676
32,997
5.1
1997-98
1,728
34,664
5.0
1998-99
1,703
36,608
4.7
1999-2000
1,783
40,201
4.4
2000-01
1,867
43,932
4.3
2001-02
1,992
49,021
4.1
2002-03
2,132
54,042
3.9
2003-04
2,388
64,173
3.7
2004-05
2,577
69,051
3.7
2005-06
2,724
75,822
3.6
2006-07
2,803
80,561
3.5
2007-08
2,700
89,261
3.0
2008-09
2,815
94,522
3.0

Source:
NHS Finance, Performance and Operations, DH
NHS Information and Accounts—Audited Summarisation Schedules 1996-97 to 2008-09
  
Footnotes:
1.  NHS trusts 1996-97 to 2008-09.
2.  Health authorities for 1996-97 to 2001-02.
3.  Strategic health authorities 2002-03 to 2008-09.
4.  Primary care trusts 2000-01 to 2008-09.
5.  Total management cost figures exclude NHS foundation trusts in 2004-05 to 2008-09.


Table 59b

NHS MANAGEMENT COSTS BY ORGANISATION TYPE


Financial year
(S)HA
management costs
(S)HA
management costs
as a % of NHS
spend
PCT
management
costs
PCT management
costs as a % of
NHS spend
NHS trust
management costs
NHS trust
management costs
as a % of NHS
spend
  
(£ million)
  
(£ million)
  
(£ million)
  

1996-97
450
1.36%
n/a
n/a
1,225
3.71%
1997-98
432
1.25%
n/a
n/a
1,296
3.74%
1998-99
414
1.13%
n/a
n/a
1,290
3.52%
1999-2000
497
1.24%
n/a
n/a
1,287
3.20%
2000-01
536
1.22%
24
0.05%
1,307
2.98%
2001-02
463
0.94%
224
0.46%
1,306
2.66%
2002-03
97
0.18%
723
1.34%
1,311
2.43%
2003-04
115
0.18%
847
1.32%
1,425
2.22%
2004-05
133
0.19%
986
1.42%
1,457
2.10%
2005-06
146
0.19%
1,086
1.42%
1,492
1.95%
2006-07
197
0.24%
1,119
1.38%
1,487
1.84%
2007-08
118
0.13%
1,185
1.32%
1,397
1.73%
2008-09
127
0.13%
1,382
1.46%
1,305
1.38%

Source:
NHS Finance, Performance and Operations, DH
NHS Information and Accounts—Audited Summarisation Schedules 1996-97 to 2008-09
  
Footnotes:
1.  NHS trusts 1996-97 to 2008-09.
2.  Health authorities for 1996-1997 to 2001-02.
3.  Strategic health authorities 2002-03 to 2008-09.
4.  Primary care trusts 2000-01 to 2008-09.
5.  Figures exclude NHS foundation trusts in 2004-05 to 2008-09.


Table 59c

NHS MANAGEMENT COSTS BY ORGANISATION TYPE EXCLUDING CURRENT NHS FOUNDATION TRUSTS


Financial year
(S)HA management
costs
(S)HA management
costs as a % of NHS
spend
PCT management
costs
PCT management
costs as a % of NHS
spend
NHS trust
management costs
NHS trust
management costs as a % of NHS spend
  
(£ million)
  
(£ million)
  
(£ million)
  

1996-97
450
1.36%
n/a
n/a
912
2.77%
1997-98
432
1.25%
n/a
n/a
965
2.78%
1998-99
414
1.13%
n/a
n/a
961
2.62%
1999-2000
497
1.24%
n/a
n/a
959
2.38%
2000-01
536
1.22%
24
0.05%
974
2.22%
2001-02
463
0.94%
224
0.46%
973
1.98%
2002-03
97
0.18%
723
1.34%
977
1.81%
2003-04
115
0.18%
847
1.32%
1,061
1.65%
2004-05
133
0.19%
986
1.42%
1,085
1.57%
2005-06
146
0.19%
1,086
1.42%
1,153
1.52%
2006-07
197
0.24%
1,119
1.38%
1,220
1.51%
2007-08
118
0.13%
1,185
1.32%
1,300
1.46%
2008-09
127
0.13%
1,382
1.46%
1,308
1.38%

Source:
NHS Finance, Performance and Operations, DH
NHS Information and Accounts—Audited Summarisation Schedules 1996-97 to 2008-09
  
Footnotes:
1.  NHS trusts 1996-97 to 2008-09.
2.  Health authorities for 1996-1997 to 2001-02.
3.  Strategic health authorities 2002-03 to 2008-09.
4.  Primary care trusts 2000-01 to 2008-09.


Table 59d

NHS MANAGEMENT COSTS EXCLUDING CURRENT NHS FOUNDATION TRUSTS


Financial
Year
Total (S)HA, PCT
and NHS trust
management costs

NHS total
expenditure

Management costs
as % of NHS budget
  
(£ million)
(£ million)
  

1996-97
1,362
32,997
4.1
1997-98
1,397
34,664
4.0
1998-99
1,375
36,608
3.8
1999-2000
1,456
40,201
3.6
2000-01
1,534
43,932
3.5
2001-02
1,660
49,021
3.4
2002-03
1,797
54,042
3.3
2003-04
2,023
64,173
3.2
2004-05
2,204
69,051
3.2
2005-06
2,385
75,822
3.1
2006-07
2,536
80,561
3.1
2007-08
2,603
89,261
2.9
2008-09
2,815
94,522
3.0

Source:
NHS Finance, Perfomance and Operations, DH
NHS Information & Accounts—Audited Summarisation Schedules 1996-97 to 2008-09.
  
Footnotes:
1.  NHS trusts 1996-97 to 2008-09.
2.  Health authorities for 1996-97 to 2001-02.
3.  Strategic health authorities 2002-03 to 2008-09.
4.  Primary care trusts 2000-01 to 2008-09.





 
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