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<p>Detailed breakdowns of the Department’s expenditure are included in the Departmental
Annual Report and Accounts. These breakdowns report the limit of audited expenditure
detail that is available, but do not include all spending categories covered in these
questions. Where possible, we have included both audited spending data and the Departmental
estimates to answer some but not all of these questions below. Final figures for 2022/23
figures are not yet available.</p><p>All primary care, including General Medical,
Dental, Pharmaceutical and Ophthalmic Services are commissioned and paid for by NHS
England and integrated care boards. The following table summarises the expenditure
on these services reported in the Department’s Annual Report and Accounts and compares
that to the total Departmental Resource DEL (RDEL) spending for the period.</p><table><tbody><tr><td><p>
</p></td><td><p>2021-2022</p></td><td><p>2020-2021</p></td><td><p>2019-2020</p></td><td><p>2018-2019</p></td><td><p>2017-2018</p></td></tr><tr><td><p>Total
Department RDEL Outturn (by million £s)</p></td><td><p>183,664</p></td><td><p>181,441</p></td><td><p>134,183</p></td><td><p>125,278</p></td><td><p>120,650</p></td></tr><tr><td
colspan="6"><p>Of which, spending by NHS England on Primary Care -</p></td></tr><tr><td><p>General
Dental Services and Personal Dental Services</p></td><td><p>3,100</p></td><td><p>3,062</p></td><td><p>3,089</p></td><td><p>2,920</p></td><td><p>2,945</p></td></tr><tr><td><p>General,
Personal and Alternative Provider Medical Services</p></td><td><p>11,365</p></td><td><p>10,399</p></td><td><p>9,154</p></td><td><p>8,526</p></td><td><p>8,274</p></td></tr><tr><td><p>Pharmaceutical
Services</p></td><td><p>2,341</p></td><td><p>2,124</p></td><td><p>1,961</p></td><td><p>1,935</p></td><td><p>1,907</p></td></tr><tr><td><p>General
Ophthalmic Services</p></td><td><p>561</p></td><td><p>590</p></td><td><p>548</p></td><td><p>554</p></td><td><p>556</p></td></tr><tr><td><p>
</p></td><td><p>17,367</p></td><td><p>16,176</p></td><td><p>14,752</p></td><td><p>13,935</p></td><td><p>13,682</p></td></tr><tr><td><p>as
a % of total Departmental RDEL</p></td><td><p>9.5%</p></td><td><p>8.9%</p></td><td><p>11.0%</p></td><td><p>11.1%</p></td><td><p>11.3%</p></td></tr></tbody></table><p>Source:
DHSC Annual Report and Accounts, “Departmental Group Detail – Expenditure” tables</p><p>The
vast majority of social care funding is held by local Government and is not part of
the Department’s budgets. The Department for Levelling Up, Housing and Communities’
core spending power tables provide an overview of the core grants available to local
authorities. These can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/core-spending-power-final-local-government-finance-settlement-2023-to-2024"
target="_blank">https://www.gov.uk/government/publications/core-spending-power-final-local-government-finance-settlement-2023-to-2024</a></p><p>The
Department’s Resource DEL budget does fund a smaller amount of social care-related
spending. This budget includes some grants paid directly to local Government, with
the majority managed by NHS England via the Better Care Fund (BCF). A small amount
of central spending is managed directly within the Department. The table below provides
estimates of the related expenditure incurred by the Department and compares that
to the total Department Resource DEL spending for the period.</p><table><tbody><tr><td><p>
</p></td><td><p>2021-2022</p></td><td><p>2020-2021</p></td><td><p>2019-2020</p></td><td><p>2018-2019</p></td><td><p>2017-2018</p></td></tr><tr><td><p>Total
Department RDEL outturn (by million £s)</p></td><td><p>183,664</p></td><td><p>181,441</p></td><td><p>134,183</p></td><td><p>125,278</p></td><td><p>120,650</p></td></tr><tr><td><p>NHS
England contribution to BCF for Adult Social Care</p></td><td><p>2,007</p></td><td><p>1,894</p></td><td><p>1,779</p></td><td><p>1,627</p></td><td><p>1,594</p></td></tr><tr><td><p>The
Department’s social care related expenditure (including grants)</p></td><td><p>1,288</p></td><td><p>1,443</p></td><td><p>172</p></td><td><p>164</p></td><td><p>166</p></td></tr><tr><td><p>Total</p></td><td><p>3,295</p></td><td><p>3,336</p></td><td><p>1,951</p></td><td><p>1,791</p></td><td><p>1,760</p></td></tr><tr><td><p>as
a % of total Departmental RDEL</p></td><td><p>1.8%</p></td><td><p>1.8%</p></td><td><p>1.5%</p></td><td><p>1.4%</p></td><td><p>1.5%</p></td></tr></tbody></table><p>Source:
Departmental estimates</p><p>Expenditure on community care is not strictly defined
and not separately reported in the Department’s Annual Report and Accounts. Provision
of community care will cross organisations and expenditure types, so it is not possible
to provide separate spending figures for this category.</p><p>RDEL expenditure on
diagnostics is not strictly defined and not separately reported in the Department’s
Annual Report and Accounts. Spending on diagnostic services will cross organisations
and expenditure types, so it is not possible to provide separate spending figures
for this category.</p><p>Capital expenditure on diagnostic equipment is usually made
at local level through integrated care system capital envelopes and is subject to
local decision making on prioritisation. The national total for all local capital
investment is £4.2 billion for 2022/23.</p><p>In addition to that, the Government
has provided an extra £2.3 billion for the period between 2022/23 to 2024/25 to transform
diagnostic services, and to roll out up to a total of 160 community diagnostic centres
by March 2025 to help improve diagnostic services up and down the country, and other
specific capital funding to improve diagnostic capacity has been provided through
national programmes. The following table provides a timeseries showing the periods
for which data is available.</p><table><tbody><tr><td><p> </p></td></tr><tr><td><p>
</p></td><td><p>2021-2022</p></td><td><p>2020-2021</p></td><td><p>2019-2020</p></td></tr><tr><td><p>Total
Departmental CDEL Outturn (by million £s)</p></td><td><p>7,126</p></td><td><p>12,683</p></td><td><p>7,015</p></td></tr><tr><td><p>National
Diagnostic Programme</p></td><td><p>273</p></td><td><p>99</p></td><td><p>97</p></td></tr><tr><td><p>as
a % of total Departmental CDEL</p></td><td><p>3.8%</p></td><td><p>0.8%</p></td><td><p>1.4%</p></td></tr></tbody></table><p>Note:
The above shows national capital investment and does not include operational capital.</p>
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