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The expenditure on pharmaceuticals is included as its primary aim is prevention. Nevertheless, strictly, expenditure on pharmaceuticals is not included in the OECD prevention and public health category. Hence, for comparison with other countries using OECD data, these medication figures should be excluded. Excluding pharmaceuticals in line with OECD methodology gives a total expenditure on public health and prevention of £3.7 billion. If pharmaceuticals were included, the overall total for 2006-07 would be £5 billion.
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Total health expenditure for England for the same period was approximately £93.5 billion. This suggests that about 4 per cent of health expenditure is directed towards prevention (using the figure without pharmaceuticals and without health-related expenditure, so that this can be compared with other OECD countries). This share indicates that England is above the average of other OECD countries, where prevention was only 2.8 per cent of total health spending in the same period.
A decade ago, the share of total health spending going to prevention and public health stood at only 1.8 per cent in the United Kingdom, which was below the OECD average at that time.
To ask Her Majesty's Government what the expenditure was on adult social care in cash and real terms in each year from 1996-97 to 2008-09 inclusive; what the percentage increase was in real terms in each year; what was the real terms increase in NHS expenditure in each of those years; and what adult social care expenditure was in each of those years as a percentage of NHS expenditure. [HL1346]
Baroness Thornton: Table 1 shows the total gross current expenditure on social services for adults aged 18 and over in England for the period 1996-97 to 2008-09, in both cash and real terms.
Table 2 shows the real terms increase in National Health Service expenditure in England for the period 1996-97 to 2008-09.
Table 3 compares the difference in spend between adult social care and the NHS by showing the percentage of adult social care expenditure of NHS expenditure for the period 1996-97 to 2008-09.
1. Gross current expenditure includes income from client contributions but excludes certain income items which count as expenditure from elsewhere in the public sector, such as
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2. 1996-97 to 2006-07 figures include estimated Service Strategy and Asylum Seekers Assessment and Care Management apportioned to Adult Services and Children and Families Services using proportions calculated using 2007-08 data. From 2007-08 this information was collected separately.
3. Real term figures have been converted from cash terms using the Gross Domestic Product (GDP) deflator.
4. From the 2000-01 financial year, the PSS EX1 replaced the Chartered Institute of Public Finance and Accountancy (CIPFA) Actuals return, which was discontinued after 1999-2000.
5. The figures from 2002-03 include the cost of residential and nursing placements for adults and older people with Preserved Rights; councils took over responsibilities for those people in April 2002.
6. Expenditure funded from the Supporting People (SP) grant that councils have classified as social services expenditure rather than housing expenditure was introduced from 2003-04 onwards.
7. Data for 2008-09 are provisional. Final data for 2008-09 are expected to be published by the NHS Information Centre in April 2010.
| Table 2 - Total Net NHS Expenditure in England, 1996-97 to 2008-09 | ||||
| Year | Net NHS Expenditure (4) £ billion | % increase | % real terms increase (7) | |
1.Expenditure pre 1999-2000 is on a cash basis
2.Expenditure figures from 1999-2000 to 2002-03 are on a Stage 1 Resource Budgeting basis
3.Expenditure figures from 2003-04 to 2010-11 are on a Stage 2 Resource Budgeting basis
4.Figures are not consistent over the period (1971-72 to 2010-11), therefore it is difficult to make comparisons across different periods
5. Figures from 2003-04 include a technical adjustment for trust depreciation
6. Expenditure excludes NHS (AME)
7. GDP deflator 4 January 2010
8. Total expenditure is calculated as the sum of revenue and capital expenditure net of non-trust depreciation and impairments. This is in line with HMT Guidance
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| Table 3 - What adult social care expenditure was in each of those years as a percentage of NHS expenditure | |
| Proportion of Spend % (1) | |
(1) This proportion is based on gross current personal social services expenditure (cash) as shown in table 1, of total net NHS expenditure as shown in table 2.
Health: Kidney Disease
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