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<p>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.</p><p> </p><p>In 2009-10, primary care trusts (PCTs)
reported the following spending outturns relating to commissioning activity in their
accounts returns:</p><p> </p><table><tbody><tr><td> </td><td><p>2009-10</p></td></tr><tr><td>
</td><td><p>£m</p></td></tr><tr><td><p>Primary Care</p></td><td><p>19,714</p></td></tr><tr><td><p>Community
Health Services</p></td><td><p>7,966</p></td></tr><tr><td><p>Continuing Care</p></td><td><p>2,026</p></td></tr></tbody></table><p>
</p><p> </p><p>In this year, PCTs did not separately report spending to the detail
requested on:</p><p> </p><p>- community mental health services; and</p><p>- public
health.</p><p> </p><p>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.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Since
2009-10, there have been a number of changes to the way spending is categorised and
recorded:</p><p> </p><p>- 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.</p><p>
</p><p>- 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.</p><p> </p><p> </p><p>NHS England has reported the following
spending outturns relating to commissioning activity in 2013-14:</p><p> </p><table><tbody><tr><td>
</td><td><p>2013-14</p></td><td><p>2013-14</p></td></tr><tr><td> </td><td><p>Nominal</p></td><td><p>in
2009-10 prices</p></td></tr><tr><td> </td><td><p>£m</p></td><td><p>£m</p></td></tr><tr><td><p>Primary
Care</p></td><td><p>20,156</p></td><td><p>18,683</p></td></tr><tr><td><p>Community
Health Services (CCGs only)</p></td><td><p>6,443</p></td><td><p>5,972</p></td></tr><tr><td><p>Continuing
Care</p></td><td><p>3,722</p></td><td><p>3,450</p></td></tr><tr><td><p>Public Health
- section 7a</p></td><td><p>1,562</p></td><td><p>1,448</p></td></tr></tbody></table><p><strong><br><br></strong></p><p>Public
Health England has responsibility for the following additional public health related
spending:</p><p> </p><table><tbody><tr><td> </td><td><p>2013-14</p></td><td><p>2013-14</p></td></tr><tr><td>
</td><td><p>Nominal</p></td><td><p>in 2009-10 prices</p></td></tr><tr><td> </td><td><p>£m</p></td><td><p>£m</p></td></tr><tr><td><p>Public
Health grants to Local Authorities</p></td><td><p>2,663</p></td><td><p>2,468</p></td></tr><tr><td><p>Other</p></td><td><p>675</p></td><td><p>626</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>
</p><p> </p><p> </p><p>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:</p><p>
</p><p> </p><table><tbody><tr><td> </td><td><p>2013-14</p></td><td><p>2013-14</p></td></tr><tr><td>
</td><td><p>Nominal</p></td><td><p>in 2009-10 prices</p></td></tr><tr><td> </td><td><p>£m</p></td><td><p>£m</p></td></tr><tr><td><p>Local
Authority - Social Care spending</p></td><td><p>21,286</p></td><td><p>19,729</p></td></tr><tr><td><p>Of
which, funding provided by NHS England</p></td><td><p>859</p></td><td><p>796</p></td></tr></tbody></table><p>
</p><p> </p><p> </p><p>These figures are indicative. Final figures spending figures
and breakdowns will be available later this year.</p><p> </p><p>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.</p><p> </p><p>This data is comparable across the
two years. The following table summarises the TDEL outturn for both years:</p><p>
</p><p> </p><table><tbody><tr><td> </td><td><p>2009-10</p></td><td><p>2013-14</p></td><td><p>2013-14</p></td></tr><tr><td>
</td><td><p>Nominal</p></td><td><p>Nominal</p></td><td><p>in 2009-10 prices</p></td></tr><tr><td>
</td><td><p>£m</p></td><td><p>£m</p></td><td><p>£m</p></td></tr><tr><td><p>Total DEL
spending outturn</p></td><td><p>98,419</p></td><td><p>109,774</p></td><td><p>101,750</p></td></tr></tbody></table><p>
</p><p><strong> </strong></p><p> </p>
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