Health Services and Social Services

House of Lords written question – answered at on 26 September 2014.

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Photo of Lord Warner Lord Warner Labour

To ask Her Majesty’s Government what was the actual or estimated annual expenditure, stated in 2010 prices, in (1) 2013–14, and (2) 2009–10, on each of the following items of National Health Service and social care expenditure: (a) primary care, (b) community health services, (c) community mental health services, (d) continuing care, (e) public health, (f) social care (national), (g) social care (local government), and (h) social care (privately funded); and what was the total actual or estimated expenditure from public funds on health and social care for each of those years in 2010 prices.

Photo of Earl Howe Earl Howe The Parliamentary Under-Secretary of State for Health

For some elements of the question, the information is not collected to the detail requested. There are discontinuities in all categories stipulated in the question and therefore any comparison between the two years would be invalid. Such information as is available is as follows.

In 2009-10, primary care trusts (PCTs) reported the following spending outturns relating to commissioning activity in their accounts returns:

2009-10
£m
Primary Care 19,714
Community Health Services 7,966
Continuing Care 2,026

In this year, PCTs did not separately report spending to the detail requested on:

- community mental health services; and- public health.

Spending on social care cannot be provided to the detail requested; however the Department for Communities and Local Government has reported total net spending on social care by local authorities of £20,963 million in 2009-10. This is a net figure and includes any income from service user charges and from Department of Health grants to local authorities.

Since 2009-10, there have been a number of changes to the way spending is categorised and recorded:

- primary care – spending is not comparable to the 2009-10 spending outturns. The 2013-14 spending outturn will exclude any public health spending, and other such functions that have now transferred elsewhere in the health and social care system, that would have been included in the 2009-10 spending outturn.- community health services – spending is only recorded for services commissioned by clinical commissioning groups (CCGs) and excludes any direct commissioning undertaken by NHS England itself.

NHS England has reported the following spending outturns relating to commissioning activity in 2013-14:

2013-14 2013-14
Nominal in 2009-10 prices
£m £m
Primary Care 20,156 18,683
Community Health Services (CCGs only) 6,443 5,972
Continuing Care 3,722 3,450
Public Health - section 7a 1,562 1,448

Public Health England has responsibility for the following additional public health related spending:

2013-14 2013-14
Nominal in 2009-10 prices
£m £m
Public Health grants to Local Authorities 2,663 2,468
Other 675 626

The Department for Communities and Local Government has reported the following total net spending on social care by local authorities in 2013-14, net of any income from service user charges and grant funding provided by NHS England:

2013-14 2013-14
Nominal in 2009-10 prices
£m £m
Local Authority - Social Care spending 21,286 19,729
Of which, funding provided by NHS England 859 796

These figures are indicative. Final figures spending figures and breakdowns will be available later this year.

The Department of Health’s Total Departmental Expenditure Limit (TDEL) is used. This is the total Revenue and Capital DEL expenditure, excluding depreciation, by those bodies within the Departmental Group. These are the standard spending controls against which the Department of Health is held accountable to Parliament.

This data is comparable across the two years. The following table summarises the TDEL outturn for both years:

2009-10 2013-14 2013-14
Nominal Nominal in 2009-10 prices
£m £m £m
Total DEL spending outturn 98,419 109,774 101,750

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