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<p>The following table sets out expenditure on asthma from 2008-09 to 2012-13<sup>1
</sup></p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>Expenditure
(£ billion)</p></td></tr><tr><td><p>2008-09</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>0.87</p></td><td><p>0.91</p></td><td><p>0.99</p></td><td><p>1.01</p></td><td><p>1.05</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p> </p><p> </p><p><sup>1</sup> Aggregate primary care trust (PCT)
expenditure on own population from programme budgeting collection. Programme budgeting
is an annual collection of expenditure on healthcare conditions by NHS Commissioners.
Programme budgeting figures are only estimates.</p><p> </p><p> </p><p> </p><p>It should
be noted that this does not include expenditure on primary care appointments which
is included as a separate category. Other areas of expenditure such as Outpatients
and Community Care cannot always be allocated to sub-categories so some expenditure
on asthma may be included in ‘Problems of the Respiratory System – Other’ or ‘Other
- Miscellaneous’.</p><p> </p><p><strong> </strong></p><p> </p><p>Further notes on
interpretation of data:</p><p> </p><p>- Expenditure data are calculated from programme
budgeting returns for 2003-04 to 2012-13. Programme budgeting returns are based on
a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</p><p>
</p><p> </p><p> </p><p>- Calculating programme budgeting data is complex and not all
healthcare activity or services can be classified directly to a programme budgeting
category or care setting. When it is not possible to reasonably estimate a programme
budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical
Services and Personal Medical Services cannot be reasonably estimated at disease specific
level, and is separately identified as a subcategory of ‘Other’ expenditure.</p><p>
</p><p> </p><p> </p><p>- The allocation of expenditure to programme budgeting subcategories
is not always straightforward, and subcategory level data should therefore be used
with caution.</p><p> </p><p> </p><p> </p><p>- In order to improve data quality, continual
refinements have been made to the programme budgeting data calculation methodology
since the first collection in 2003-04. The underlying data which support programme
budgeting data are also subject to yearly changes. Programme budgeting data cannot
be used to analyse changes in investment in specific service areas between years.
Users of the data should note that significant changes to the data calculation methodology
were introduced in 2010-11.</p><p> </p><p> </p><p> </p><p>- Figures for years 2003-04
to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to
2012-13 are calculated using price paid for specific activities and services purchased
from healthcare providers. PCTs follow standard guidance, procedures and mappings
when calculating programme budgeting data.</p><p> </p><p> </p><p> </p><p>- PCT figures
used to calculate 2010-11 data differ from those previously published in the 2010-11
programme budgeting benchmarking spreadsheet. This is due to the correction of errors
identified for five PCTs for this year.</p><p> </p><p> </p><p> </p><p>- Aggregate
PCT data supersede previously published England level programme budgeting data. England
level data incorporated estimates of expenditure on healthcare conditions for the
Department of Health, strategic health authorities and special health authorities.
England level data is no longer published this data as aggregate PCT figures provide
a more accurate and meaningful representation of the breakdown of NHS expenditure
by healthcare condition.</p><p> </p><p> </p><p> </p><p>- For 2003-04, figures are
based on PCT net expenditure. For 2004-05 onwards, figures are based on PCT spend
on own population. This is calculated by adjusting net expenditure to add back expenditure
funded from sources outside the NHS and to deduct expenditure on other PCT populations
incurred through lead commissioning arrangements.</p><p> </p>
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