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<p>National Health Service trusts and foundation trusts do not receive funding directly
from the Department of Health and therefore do not have budgets against which they
underspend. They are semi-autonomous organisations whose income derives from the provision
of services to NHS England and clinical commissioning groups, through what might be
described as trading activity.</p><p> </p><p>The NHS trust and foundation trust regime
has similarities to the regime for Government Trading Funds, where expenditure for
Government activity is met from income from third parties, rather than direct funding
from resources voted to the Department.</p><p> </p><p>The equivalent “underspend”
would be where the trust spends less than the income it receives as a result of its
activity. This is referred to as a “surplus”.</p><p> </p><p>The following table summarises
the year-end surpluses for each NHS Ambulance trust in the financial years 2009-10,
2010-11, 2011-12 and 2012-13.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>
</p></td><td><p>£000s</p></td><td><p>£000s</p></td><td><p>£000s</p></td><td><p>£000s</p></td></tr><tr><td><p>Isle
Of Wight NHS Trust<sup>1</sup></p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>543</p></td></tr><tr><td><p>East
Midlands Ambulance Service NHS Trust</p></td><td><p>2,016</p></td><td><p>467</p></td><td><p>2,409</p></td><td><p>30</p></td></tr><tr><td><p>East
Of England Ambulance Service NHS Trust</p></td><td><p>757</p></td><td><p>2,364</p></td><td><p>3,121</p></td><td><p>4,175</p></td></tr><tr><td><p>London
Ambulance Service NHS Trust</p></td><td><p>1,425</p></td><td><p>1,002</p></td><td><p>2,751</p></td><td><p>262</p></td></tr><tr><td><p>North
East Ambulance Service NHS Foundation Trust<sup>2</sup></p></td><td><p>4,736</p></td><td><p>3,120</p></td><td><p>2,312</p></td><td><p>2,340</p></td></tr><tr><td><p>North
West Ambulance Service NHS Trust</p></td><td><p>1,041</p></td><td><p>2,065</p></td><td><p>1,558</p></td><td><p>2,707</p></td></tr><tr><td><p>South
Central Ambulance Service NHS Foundation Trust<sup>3</sup></p></td><td><p>602</p></td><td><p>1,383</p></td><td><p>2,049</p></td><td><p>1,560</p></td></tr><tr><td><p>South
East Coast Ambulance Service NHS Foundation Trust<sup>4</sup></p></td><td><p>1,130</p></td><td><p>3,153</p></td><td><p>3,486</p></td><td><p>3,055</p></td></tr><tr><td><p>South
Western Ambulance Service NHS Foundation Trust<sup>5</sup></p></td><td><p>511</p></td><td><p>890</p></td><td><p>1,645</p></td><td><p>36,934</p></td></tr><tr><td><p>West
Midlands Ambulance Service NHS Trust</p></td><td><p>255</p></td><td><p>99</p></td><td><p>925</p></td><td><p>5,797</p></td></tr><tr><td><p>Yorkshire
Ambulance Service NHS Trust</p></td><td><p>518</p></td><td><p>237</p></td><td><p>428</p></td><td><p>2,223</p></td></tr><tr><td><p>
</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p><sup>1</sup>Isle
Of Wight NHS Trust established April 2012</p></td><td><p> </p></td><td><p> </p></td><td><p>
</p></td><td><p> </p></td></tr><tr><td colspan="5"><p><sup>2</sup>North East Ambulance
Service NHS Foundation Trust - FT status established November 2011. 2009-10 to 2011-12
figures - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>3</sup> South Central
Ambulance Service NHS Foundation Trust - FT status established March 2012. 2009-10
to 2011-12 figures - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>4</sup>South
East Coast Ambulance Service NHS Foundation Trust - FT status established March 2011.
2009-10 to 2010-11 - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>5</sup>South
Western Ambulance Service NHS Foundation Trust - FT status established March 2011.
2009-10 to 2010-11 - as NHS Trust</p></td></tr></tbody></table><p> </p><p> </p><p>
</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p>
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