Overall, NHS England has a budget of £95.6 billion to deliver the mandate. Within this overall funding, it has allocated £65.6 billion to local health economy commissioners: that is, CCGs and local authorities. This represents 2.6% growth compared to equivalent 2012/13 baselines – a real term increase of 0.6% at a time of limited resources.
The baseline calculations used were generated by the detailed exercise to analyse PCTs’ expenditure plans for 2012/13 undertaken earlier this year. They incorporate an adjustment to take account of the revised national definition set for specialised services.
The resources for local commissioners are comprised of three key elements:
£25.4 billion has been allocated for NHS England’s commissioning of specialised healthcare, primary care and military and offender services. These are being commissioned nationally for the first time to ensure improved quality of care for patients through increased consistency of provision. These budgets have also been increased by 2.6% compared to the equivalent 2012/13 baseline expenditure.
Excluding a specific allowance for the cost of convergence towards new national commissioning criteria for specialised services, underlying commissioning expenditure will grow by 2%. This will require the achievement of a substantial programme of efficiencies to contain the trend of significantly higher expenditure growth in specialised services.
The remainder of the national budget will provide:
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