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This report should be read in conjunction with operational performance updates made to the NHS England Board.
All figures presented have been shown to one decimal place and therefore may not add up precisely to the totals provided and equally percentages may not precisely reflect the absolute figures.
Year to date surplus / (deficit)
Surplus / (deficit)
In year allocation
Plan £m
Actual £m
Under/(over) spend £m
Under/(over) spend %
Systems
124,564.4
(734.3)
(1,244.1)
(509.8)
(10.1%)
Specialised commissioning
24,478.7
0.0
3.3
3.3
0.1%
Other direct commissioning
2,653.7
3.1
3.7
0.6
0.1%
Central costs
12,216.1
(1.0)
50.9
51.9
1.8%
Transformation and reserves
7,176.3
–
–
–
–
Technical and ringfenced adjustments
(3,776.3)
(0.0)
(74.6)
(74.6)
–
Total – non-ringfenced RDEL
167,312.9
(732.2)
(1,260.8)
(528.6)
(1.3%)
Year to date expenditure basis
Expenditure basis
In year allocation
Plan £m
Actual £m
Under/(over) spend £m
Under/(over) spend %
Systems
124,564.4
32,287.0
32,796.8
(509.8)
(1.6%)
Specialised commissioning
24,478.7
6,025.8
6,022.5
3.3
0.1%
Other direct commissioning
2,653.7
575.8
575.2
0.6
0.1%
Central costs
12,216.1
2,820.7
2,768.8
51.9
1.8%
Transformation and reserves
7,176.3
–
–
–
–
Technical and ringfenced adjustments
(3,776.3)
(979.2)
(904.6)
(74.6)
7.6%
Total – non-ringfenced RDEL
167,312.9
40,730.1
41,258.7
(528.6)
(1.3%)
Technical adjustments to sector reported position
–
–
(966.7)
966.7
–
Total combined position against Plan
167,312.9
40,730.1
40,292.0
438.1
1.1%
Non ringfenced RDEL surplus / deficit position
167,312.9
(732.2)
(1,260.8)
(528.6)
(1.3%)
Provider and ICB financial position – North West region
Year to date surplus / (deficit) position – Cheshire and Merseyside ICS
Provider / ICB Name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Alder Hey Children’s NHS FT
(1.5)
(1.5)
(0.0)
(0.0%)
–
Bridgewater Community Healthcare NHS FT
0.0
0.0
0.0
0.0%
–
Cheshire and Wirral Partnership NHS FT
(0.1)
(1.3)
(1.1)
(1.7%)
–
Countess of Chester Hospital NHS FT
(6.2)
(9.9)
(3.7)
(4.4%)
–
East Cheshire NHST
(3.9)
(4.4)
(0.5)
(1.0%)
–
Liverpool Heart and Chest Hospital NHS FT
2.5
2.1
(0.3)
(0.5%)
–
Liverpool University Hospitals NHS FT
(39.6)
(39.4)
0.2
0.1%
–
Liverpool Women’s NHS FT
(4.6)
(4.6)
0.0
0.0%
–
Mersey Care NHS FT
2.0
2.0
(0.0)
(0.0%)
–
Mid Cheshire Hospitals NHS FT
(7.1)
(9.2)
(2.1)
(2.3%)
–
Southport and Ormskirk Hospital NHST
(2.0)
(2.0)
0.0
0.0%
–
St Helens and Knowsley Teaching Hospitals NHST
1.3
1.3
(0.0)
(0.0%)
–
The Clatterbridge Cancer Centre NHS FT
0.1
0.1
0.0
0.0%
–
The Walton Centre NHS FT
1.5
1.5
0.0
0.0%
–
Warrington and Halton Teaching Hospitals NHS FT
(6.2)
(8.0)
(1.8)
(2.2%)
–
Wirral Community Health and Care NHS FT
0.1
0.1
0.0
0.0%
–
Wirral University Teaching Hospital NHS FT
(8.5)
(8.1)
0.4
0.3%
–
Cheshire and Merseyside ICB
17.2
5.7
(11.6)
(0.2%)
6,272.6
Total Cheshire and Merseyside ICS
(54.9)
(75.4)
(20.5)
(0.3%)
6,272.6
Year to date surplus / (deficit) position – Greater Manchester ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Bolton NHS FT
(3.1)
(4.6)
(1.5)
(1.3%)
–
Greater Manchester Mental Health NHS FT
0.0
(0.7)
(0.7)
(0.5%)
–
Manchester University NHS FT
(23.3)
(34.9)
(11.6)
(1.8%)
–
Pennine Care NHS FT
(1.4)
(1.4)
0.0
0.0%
–
Northern Care Alliance NHS FT
(4.5)
(24.8)
(20.3)
(4.9%)
–
Stockport NHS FT
(8.4)
(9.3)
(0.9)
(0.9%)
–
Tameside and Glossop Integrated Care NHS FT
(8.3)
(8.5)
(0.2)
(0.3%)
–
The Christie NHS FT
(2.0)
(1.2)
0.8
0.7%
–
Wrightington, Wigan and Leigh NHS FT
0.6
(1.6)
(2.1)
(1.7%)
–
Greater Manchester ICB
30.5
0.5
(30.0)
(0.4%)
6,785.7
Total Greater Manchester ICS
(20.0)
(86.5)
(66.5)
(1.0%)
6,785.7
Year to date surplus / (deficit) position – Lancashire and South Cumbria ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Blackpool Teaching Hospitals NHS FT
(20.7)
(20.6)
0.0
0.0%
–
East Lancashire Hospitals NHST
(9.2)
(12.8)
(3.6)
(2.1%)
–
Lancashire and South Cumbria NHS FT
(3.7)
(6.4)
(2.7)
(2.0%)
–
Lancashire Teaching Hospitals NHS FT
(15.1)
(18.4)
(3.3)
(1.8%)
–
North West Ambulance Service NHST
(1.1)
0.9
2.0
1.6%
–
University Hospitals of Morecambe Bay NHS FT
(15.7)
(15.6)
0.0
0.0%
–
Lancashire and South Cumbria ICB
0.0
0.0
0.0
0.0%
4,184.8
Total Lancashire and South Cumbria ICS
(65.3)
(72.9)
(7.5)
(0.2%)
4,184.8
Provider and ICB financial position – North East region
Year to date surplus / (deficit) position – North East and North Cumbria ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
County Durham and Darlington NHS FT
(4.1)
(4.7)
(0.6)
(0.4%)
–
Cumbria, Northumberland, Tyne and Wear NHS FT
(8.6)
(6.5)
2.1
1.5%
–
Gateshead Health NHS FT
(4.1)
(4.0)
0.1
0.1%
–
North Cumbria Integrated Care NHS FT
(13.3)
(13.3)
0.0
0.0%
–
North East Ambulance Service NHS FT
2.5
2.6
0.1
0.2%
–
North Tees and Hartlepool NHS FT
2.5
1.3
(1.2)
(1.2%)
–
Northumbria Healthcare NHS FT
3.2
2.3
(0.9)
(0.5%)
–
South Tees Hospitals NHS FT
(7.4)
(7.4)
0.0
0.0%
–
South Tyneside and Sunderland NHS FT
(2.6)
(2.6)
0.0
0.0%
–
Tees, Esk and Wear Valleys NHS FT
(3.5)
(3.9)
(0.4)
(0.3%)
–
The Newcastle Upon Tyne Hospitals NHS FT
(8.4)
(9.9)
(1.6)
(0.4%)
–
North East and North Cumbria ICB
8.1
7.7
(0.4)
(0.0%)
7,148.5
Total North East and North Cumbria ICS
(35.8)
(38.5)
(2.7)
(0.0%)
7,148.5
Year to date surplus / (deficit) position – Humber and North Yorkshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Harrogate and District NHS FT
1.5
(1.6)
(3.1)
(3.8%)
–
Hull University Teaching Hospitals NHST
(0.8)
(1.9)
(1.0)
(0.5%)
–
Humber Teaching NHS FT
0.0
0.0
0.0
0.0%
–
Northern Lincolnshire and Goole NHS FT
(8.3)
(6.9)
1.4
1.1%
–
York and Scarborough Teaching Hospitals NHS FT
(7.6)
(11.3)
(3.7)
(2.1%)
–
Humber and North Yorkshire ICB
(0.0)
(0.0)
(0.0)
(0.0%)
3,663.4
Total Humber and North Yorkshire ICS
(15.2)
(21.6)
(6.4)
(0.2%)
3,663.4
Year to date surplus / (deficit) position – South Yorkshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Barnsley Hospital NHS FT
(2.7)
(2.1)
0.6
0.8%
–
Doncaster and Bassetlaw Teaching Hospitals NHS FT
(12.3)
(12.2)
0.0
0.0%
–
Rotherham Doncaster and South Humber NHS FT
(1.2)
(1.1)
0.0
0.1%
–
Sheffield Children’s NHS FT
(1.7)
(1.7)
0.0
0.0%
–
Sheffield Health and Social Care NHS FT
(0.9)
(0.7)
0.2
0.6%
–
Sheffield Teaching Hospitals NHS FT
1.4
(0.3)
(1.7)
(0.5%)
–
The Rotherham NHS FT
(2.0)
(2.8)
(0.9)
(1.0%)
–
South Yorkshire ICB
(7.9)
(7.9)
(0.0)
(0.0%)
3,149.8
Total South Yorkshire ICS
(27.2)
(28.9)
(1.7)
(0.1%)
3,149.8
Year to date surplus / (deficit) position – West Yorkshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Airedale NHS FT
(1.4)
(1.9)
(0.5)
(0.7%)
–
Bradford District Care NHS FT
(1.5)
(1.5)
0.0
0.1%
–
Bradford Teaching Hospitals NHS FT
0.0
(0.0)
(0.0)
(0.0%)
–
Calderdale and Huddersfield NHS FT
(6.1)
(7.1)
(1.0)
(0.7%)
–
Leeds and York Partnership NHS FT
0.0
(0.2)
(0.2)
(0.4%)
–
Leeds Community Healthcare NHST
0.0
(0.5)
(0.5)
(0.8%)
–
South West Yorkshire Partnership NHS FT
1.2
1.0
(0.3)
(0.3%)
–
The Leeds Teaching Hospitals NHST
(7.3)
(15.4)
(8.1)
(1.8%)
–
Mid Yorkshire Teaching NHST
(0.0)
(5.6)
(5.6)
(3.1%)
–
Yorkshire Ambulance Service NHST
0.0
0.0
0.0
0.0%
–
West Yorkshire ICB
6.3
0.0
(6.2)
(0.1%)
5,303.2
Total West Yorkshire ICS
(8.8)
(31.1)
(22.3)
(0.4%)
5,303.2
Provider and ICB financial position – Midlands region
Year to date surplus / (deficit) position – Birmingham and Solihull ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Birmingham and Solihull Mental Health NHS FT
0.0
(0.3)
(0.3)
(0.2%)
–
Birmingham Community Healthcare NHS FT
0.1
(0.8)
(1.0)
(1.1%)
–
Birmingham Women’s and Children’s NHS FT
0.0
(1.0)
(1.0)
(0.6%)
–
The Royal Orthopaedic Hospital NHS FT
0.2
(1.4)
(1.6)
(5.0%)
–
University Hospitals Birmingham NHS FT
(9.9)
(19.8)
(9.9)
(1.8%)
–
Birmingham and Solihull ICB
5.9
4.9
(1.0)
(0.0%)
3,082.8
Total Birmingham and Solihull ICS
(3.7)
(18.4)
(14.8)
(0.5%)
3,082.8
Year to date surplus / (deficit) position – Coventry and Warwickshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Coventry and Warwickshire Partnership NHST
0.7
0.0
(0.7)
(0.9%)
–
George Eliot Hospital NHST
(2.2)
(3.4)
(1.2)
(2.1%)
–
South Warwickshire University NHS FT
0.0
(2.0)
(2.0)
(1.9%)
–
University Hospitals Coventry And Warwickshire NHST
(5.1)
(5.1)
(0.0)
(0.0%)
–
Coventry and Warwickshire ICB
0.0
0.3
0.3
0.0%
2,017.4
Total Coventry and Warwickshire ICS
(6.6)
(10.0)
(3.4)
(0.2%)
2,017.4
Year to date surplus / (deficit) position – Derby and Derbyshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Chesterfield Royal Hospital NHS FT
(2.1)
(2.8)
(0.7)
(0.8%)
–
Derbyshire Community Health Services NHS FT
0.2
(1.1)
(1.3)
(2.4%)
–
Derbyshire Healthcare NHS FT
0.7
1.0
0.2
0.5%
–
East Midlands Ambulance Service NHST
0.0
0.1
0.1
0.1%
–
University Hospitals of Derby and Burton NHS FT
(9.3)
(15.1)
(5.8)
(2.1%)
–
Derby and Derbyshire ICB
0.0
(0.3)
(0.3)
(0.0%)
2,343.4
Total Derby and Derbyshire ICS
(10.5)
(18.2)
(7.7)
(0.3%)
2,343.4
Year to date surplus / (deficit) position – Herefordshire and Worcestershire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Worcestershire Acute Hospitals NHST
(6.0)
(10.7)
(4.7)
(2.9%)
–
Herefordshire and Worcestershire Health and Care NHST
0.7
0.5
(0.3)
(0.4%)
–
Wye Valley NHST
(8.0)
(7.9)
0.1
0.1%
–
Herefordshire and Worcestershire ICB
0.1
0.8
0.8
0.0%
1,659.6
Total Herefordshire and Worcestershire ICS
(13.2)
(17.3)
(4.2)
(0.3%)
1,659.6
Year to date surplus / (deficit) position – Leicester, Leicestershire and Rutland ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Leicestershire Partnership NHST
(0.6)
(0.6)
(0.0)
(0.0%)
–
University Hospitals of Leicester NHST
(14.6)
(21.9)
(7.3)
(2.0%)
–
Leicester, Leicestershire and Rutland ICB
0.0
(3.1)
(3.1)
(0.1%)
2,140.4
Total Leicester, Leicestershire and Rutland ICS
(15.2)
(25.7)
(10.4)
(0.5%)
2,140.4
Year to date surplus / (deficit) Position – Lincolnshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Lincolnshire Community Health Services NHST
0.0
(0.0)
(0.0)
(0.0%)
–
Lincolnshire Partnership NHS FT
1.8
2.1
0.3
0.7%
–
United Lincolnshire Hospitals NHST
(8.8)
(8.8)
0.0
0.0%
–
Lincolnshire ICB
(10.6)
(10.9)
(0.3)
(0.0%)
1,692.2
Total Lincolnshire ICS
(17.6)
(17.6)
0.0
0.0%
1,692.2
Year to date surplus / (deficit) position – Northamptonshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Kettering General Hospital NHS FT
(3.1)
(4.9)
(1.7)
(1.8%)
–
Northampton General Hospital NHST
(4.4)
(6.4)
(2.0)
(1.7%)
–
Northamptonshire Healthcare NHS FT
0.1
(3.1)
(3.2)
(3.8%)
–
Northamptonshire ICB
(0.0)
(1.5)
(1.5)
(0.1%)
1,579.0
Total Northamptonshire ICS
(7.5)
(15.9)
(8.5)
(0.5%)
1,579.0
Year to date surplus / (deficit) position – Nottingham and Nottinghamshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Nottingham University Hospitals NHST
(5.0)
(17.3)
(12.3)
(3.1%)
–
Nottinghamshire Healthcare NHS FT
(3.4)
(8.0)
(4.5)
(2.8%)
–
Sherwood Forest Hospitals NHS FT
(3.8)
(4.9)
(1.1)
(0.9%)
–
Nottingham and Nottinghamshire ICB
(0.0)
0.0
0.0
0.0%
2,492.0
Total Nottingham and Nottinghamshire ICS
(12.3)
(30.1)
(17.8)
(0.7%)
2,492.0
Year to date surplus / (deficit) position – Shropshire, Telford and Wrekin ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Shropshire Community Health NHST
0.2
0.1
(0.0)
(0.1%)
–
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT
(1.6)
(1.9)
(0.4)
(1.2%)
–
The Shrewsbury and Telford Hospital NHST
(19.0)
(26.4)
(7.3)
(5.5%)
–
Shropshire, Telford and Wrekin ICB
(5.0)
(4.9)
0.2
0.0%
1,090.1
Total Shropshire and Telford and Wrekin ICS
(25.5)
(33.0)
(7.6)
(0.7%)
1,090.1
Year to date surplus / (deficit) position – Staffordshire and Stoke On Trent ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Midlands Partnership NHS FT
0.8
0.7
(0.1)
(0.1%)
–
North Staffordshire Combined Healthcare NHST
0.1
0.2
0.0
0.1%
–
University Hospitals of North Midlands NHST
2.4
(5.9)
(8.3)
(3.1%)
–
Staffordshire and Stoke On Trent ICB
(17.2)
(33.6)
(16.4)
(0.7%)
2,460.8
Total Staffordshire and Stoke On Trent ICS
(13.9)
(38.7)
(24.8)
(1.0%)
2,460.8
Year to date surplus / (deficit) position – Black Country ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Black Country Healthcare NHS FT
1.0
(2.2)
(3.2)
(4.0%)
–
Dudley Integrated Health and Care NHST
0.2
0.2
0.0
0.2%
–
Sandwell and West Birmingham Hospitals NHST
(7.4)
(10.9)
(3.5)
(2.1%)
–
The Dudley Group NHS FT
(8.6)
(8.6)
(0.0)
(0.0%)
–
The Royal Wolverhampton NHST
(13.1)
(15.8)
(2.7)
(1.3%)
–
Walsall Healthcare NHST
(5.2)
(10.2)
(5.0)
(5.4%)
–
West Midlands Ambulance Service University NHS FT
0.6
0.1
(0.5)
(0.5%)
–
Black Country ICB
1.2
1.2
0.0
0.0%
2,754.5
Total The Black Country ICS
(31.2)
(46.1)
(14.9)
(0.5%)
2,754.5
Provider and ICB financial position – East region
Year to date surplus / (deficit) position – Cambridgeshire and Peterborough ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Cambridge University Hospitals NHS FT
3.5
0.7
(2.7)
(0.8%)
–
Cambridgeshire and Peterborough NHS FT
(0.1)
(3.1)
(3.0)
(3.9%)
–
Cambridgeshire Community Services NHST
0.0
0.0
0.0
0.0%
–
North West Anglia NHS FT
(4.6)
(8.9)
(4.3)
(2.7%)
–
Royal Papworth Hospital NHS FT
(1.2)
0.8
2.0
2.7%
–
Cambridgeshire and Peterborough ICB
0.0
(1.1)
(1.1)
(0.1%)
1,833.9
Total Cambridgeshire and Peterborough ICS
(2.4)
(11.7)
(9.3)
(0.5%)
1,833.9
Year to date surplus / (deficit) position – Hertfordshire and West Essex ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
East And North Hertfordshire NHST
(6.0)
(6.3)
(0.3)
(0.2%)
–
Hertfordshire Community NHST
0.0
(0.2)
(0.2)
(0.6%)
–
Hertfordshire Partnership University NHS FT
(0.4)
(2.1)
(1.7)
(1.7%)
–
The Princess Alexandra Hospital NHST
(2.2)
(6.9)
(4.7)
(5.5%)
–
West Hertfordshire Teaching Hospitals NHST
(2.2)
(7.4)
(5.2)
(4.2%)
–
Hertfordshire and West Essex ICB
0.2
(2.9)
(3.1)
(0.1%)
3,088.9
Total Hertfordshire and West Essex ICS
(10.5)
(25.8)
(15.3)
(0.5%)
3,088.9
Year to date surplus / (deficit) position – Mid and South Essex ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Essex Partnership University NHS FT
(1.4)
(2.8)
(1.4)
(1.1%)
–
Mid and South Essex NHS FT
(12.5)
(21.0)
(8.5)
(2.3%)
–
Mid and South Essex ICB
2.4
2.4
0.0
0.0%
2,497.7
Total Mid and South Essex ICS
(11.5)
(21.3)
(9.8)
(0.4%)
2,497.7
Year to date surplus / (deficit) position – Bedfordshire, Luton and Milton Keynes ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Bedfordshire Hospitals NHS FT
0.1
(2.7)
(2.8)
(1.4%)
–
Milton Keynes University Hospital NHS FT
0.3
(5.4)
(5.7)
(6.4%)
–
Bedfordshire, Luton and Milton Keynes ICB
(0.0)
(2.4)
(2.4)
(0.1%)
1,961.8
Total Bedfordshire, Luton and Milton Keynes ICS
0.4
(10.5)
(10.9)
(0.6%)
1,961.8
Year to date surplus / (deficit) position – Norfolk and Waveney ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
James Paget University Hospitals NHS FT
(0.9)
(2.3)
(1.3)
(1.8%)
–
Norfolk and Norwich University Hospitals NHS FT
(0.9)
(4.8)
(3.9)
(1.7%)
–
Norfolk and Suffolk NHS FT
(4.6)
(4.6)
0.0
0.0%
–
Norfolk Community Health and Care NHST
(0.2)
(0.2)
0.0
0.1%
–
Queen Elizabeth Hospital King’s Lynn NHS FT
(2.3)
(5.3)
(3.0)
(4.2%)
–
Norfolk and Waveney ICB
0.0
0.0
0.0
0.0%
2,305.0
Total Norfolk And Waveney ICS
(9.0)
(17.2)
(8.2)
(0.4%)
2,305.0
Year to date surplus / (deficit) position – Suffolk and North East Essex ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
East of England Ambulance Service NHST
(0.0)
(0.0)
0.0
0.0%
–
East Suffolk and North Essex NHS FT
(2.0)
(1.9)
0.1
0.0%
–
West Suffolk NHS FT
(1.2)
(3.5)
(2.3)
(2.5%)
–
Suffolk and North East Essex ICB
0.7
0.7
(0.0)
(0.0%)
2,133.2
Total Suffolk and North East Essex ICS
(2.5)
(4.7)
(2.1)
(0.1%)
2,133.2
Provider and ICB financial position – London region
Year to date surplus / (deficit) position – North Central London ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Barnet, Enfield and Haringey Mental Health NHST
0.3
(0.7)
(0.9)
(0.9%)
–
Camden and Islington NHS FT
0.3
(0.1)
(0.5)
(0.9%)
–
Great Ormond Street Hospital for Children NHS FT
(2.9)
(5.6)
(2.7)
(1.7%)
–
Moorfields Eye Hospital NHS FT
(3.3)
(1.6)
1.7
2.4%
–
North Middlesex University Hospital NHST
(1.8)
(2.8)
(1.0)
(0.9%)
–
Royal Free London NHS FT
(16.6)
(26.1)
(9.5)
(2.6%)
–
Royal National Orthopaedic Hospital NHST
(6.9)
(6.5)
0.3
0.9%
–
Tavistock and Portman NHS FT
(0.8)
(0.9)
(0.1)
(0.5%)
–
University College London Hospitals NHS FT
(3.0)
(6.7)
(3.7)
(1.0%)
–
Whittington Health NHST
(6.9)
(8.3)
(1.3)
(1.3%)
–
North Central London ICB
2.7
2.7
0.0
0.0%
3,408.2
Total North Central London ICS
(38.8)
(56.6)
(17.7)
(0.5%)
3,408.2
Year to date surplus / (deficit) position – North East London ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Barking, Havering and Redbridge University Hospitals NHST
(1.8)
(10.9)
(9.2)
(4.4%)
–
Barts Health NHST
(6.7)
(26.1)
(19.5)
(3.5%)
–
East London NHS FT
0.1
(1.1)
(1.3)
(0.8%)
–
Homerton Healthcare NHS FT
(0.5)
(3.7)
(3.1)
(2.9%)
–
North East London NHS FT
1.4
1.0
(0.4)
(0.3%)
–
North East London ICB
3.8
(4.5)
(8.3)
(0.2%)
4,421.2
Total North East London ICS
(3.6)
(45.3)
(41.8)
(0.9%)
4,421.2
Year to date surplus / (deficit) position – North West London ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Central and North West London NHS FT
(2.0)
(2.3)
(0.3)
(0.2%)
–
Central London Community Healthcare NHST
(0.0)
0.0
0.0
0.0%
–
Chelsea and Westminster Hospital NHS FT
0.2
(2.8)
(3.1)
(1.4%)
–
Imperial College Healthcare NHST
0.0
(16.3)
(16.3)
(4.2%)
–
London Ambulance Service NHST
3.6
3.8
0.2
0.2%
–
London North West University Healthcare NHST
(5.3)
(11.6)
(6.3)
(2.8%)
–
The Hillingdon Hospitals NHS FT
(6.1)
(9.0)
(3.0)
(3.6%)
–
West London NHST
0.0
0.0
0.0
0.0%
–
North West London ICB
(0.0)
4.0
4.0
0.1%
4,933.9
Total North West London ICS
(9.6)
(34.2)
(24.6)
(0.5%)
4,933.9
Year to date surplus / (deficit) position – South East London ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Guy’s and St Thomas’ NHS FT
(1.6)
(15.8)
(14.2)
(2.1%)
–
King’s College Hospital NHS FT
(24.4)
(30.4)
(6.0)
(1.4%)
–
Lewisham and Greenwich NHST
(3.6)
(9.8)
(6.2)
(3.3%)
–
Oxleas NHS FT
0.0
0.0
(0.0)
(0.0%)
–
South London and Maudsley NHS FT
0.4
(3.4)
(3.8)
(2.6%)
–
South East London ICB
16.0
13.6
(2.4)
(0.1%)
4,210.4
Total South East London ICS
(13.2)
(45.7)
(32.5)
(0.8%)
4,210.4
Year to date surplus / (deficit) position – South West London ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Croydon Health Services NHST
(8.6)
(11.1)
(2.5)
(2.4%)
–
Epsom and St Helier University Hospitals NHST
(15.1)
(16.3)
(1.2)
(0.8%)
–
Hounslow and Richmond Community Healthcare NHST
0.1
0.1
0.1
0.2%
–
Kingston Hospital NHS FT
(9.5)
(10.7)
(1.2)
(1.2%)
–
South West London and St George’s Mental Health NHST
(0.5)
(0.5)
0.0
0.0%
–
St George’s University Hospitals NHS FT
(14.3)
(17.6)
(3.3)
(1.3%)
–
The Royal Marsden NHS FT
(2.3)
(3.1)
(0.8)
(0.6%)
–
South West London ICB
(1.9)
4.2
6.1
0.2%
3,196.2
Total South West London ICS
(52.1)
(54.9)
(2.8)
(0.1%)
3,196.2
Provider and ICB financial position – South West region
Year to date surplus / (deficit) position – Bath and North East Somerset, Swindon and Wiltshire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Great Western Hospitals NHS FT
(1.5)
(4.6)
(3.1)
(2.6%)
–
Royal United Hospitals Bath NHS FT
(4.5)
(5.6)
(1.1)
(0.9%)
–
Salisbury NHS FT
(2.1)
(2.9)
(0.8)
(1.0%)
–
Bath and North East Somerset, Swindon and Wiltshire ICB
0.0
0.0
(0.0)
(0.0%)
1,850.1
Total Bath and North East Somerset, Swindon and Wiltshire ICS
(8.1)
(13.1)
(5.0)
(0.3%)
1,850.1
Year to date surplus / (deficit) position – Bristol, North Somerset and South Gloucestershire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Avon and Wiltshire Mental Health Partnership NHST
0.0
(0.2)
(0.2)
(0.3%)
–
North Bristol NHST
(4.9)
(8.1)
(3.1)
(1.5%)
–
University Hospitals Bristol and Weston NHS FT
(4.4)
(6.5)
(2.2)
(0.8%)
–
Bristol, North Somerset and South Gloucestershire ICB
0.0
(1.6)
(1.6)
(0.1%)
2,038.5
Total Bristol, North Somerset, South Gloucestershire ICS
(9.3)
(16.4)
(7.1)
(0.3%)
2,038.5
Year to date surplus / (deficit) position – Cornwall and The Isles Of Scilly ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Cornwall Partnership NHS FT
(0.7)
(2.5)
(1.8)
(2.6%)
–
Royal Cornwall Hospitals NHST
0.4
(1.7)
(2.1)
(1.4%)
–
Cornwall and The Isles Of Scilly ICB
(0.0)
(0.0)
(0.0)
(0.0%)
1,327.4
Total Cornwall and The Isles Of Scilly ICS
(0.3)
(4.2)
(3.9)
(0.3%)
1,327.4
Year to date surplus / (deficit) position – Devon ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Devon Partnership NHST
0.0
0.0
(0.0)
(0.0%)
–
Royal Devon University Healthcare NHS FT
(11.2)
(11.2)
0.0
0.0%
–
Torbay and South Devon NHS FT
(14.8)
(14.5)
0.3
0.2%
–
University Hospitals Plymouth NHST
(10.5)
(11.0)
(0.6)
(0.3%)
–
Devon ICB
12.1
12.1
(0.0)
(0.0%)
2,710.8
Total Devon ICS
(24.3)
(24.6)
(0.3)
(0.0%)
2,710.8
Year to date surplus / (deficit) position – Dorset ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Dorset County Hospital NHS FT
0.0
(1.6)
(1.7)
(2.4%)
–
Dorset Healthcare University NHS FT
(0.9)
(1.9)
(1.0)
(1.1%)
–
South Western Ambulance Service NHS FT
0.0
0.0
0.0
0.0%
–
University Hospitals Dorset NHS FT
(4.4)
(7.3)
(2.9)
(1.5%)
–
Dorset ICB
0.0
0.0
0.0
0.0%
1,759.3
Total Dorset ICS
(5.2)
(10.8)
(5.6)
(0.3%)
1,759.3
Year to date surplus / (deficit) position – Gloucestershire ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Gloucestershire Health and Care NHS FT
0.1
0.0
(0.1)
(0.1%)
–
Gloucestershire Hospitals NHS FT
(6.9)
(7.8)
(0.9)
(0.5%)
–
Gloucestershire ICB
0.0
0.3
0.3
0.0%
1,273.5
Total Gloucestershire ICS
(6.8)
(7.5)
(0.7)
(0.1%)
1,273.5
Year to date surplus / (deficit) position – Somerset ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Somerset NHS FT
(4.5)
(5.3)
(0.8)
(0.3%)
–
Somerset ICB
(0.0)
(0.0)
(0.0)
(0.0%)
1,256.7
Total Somerset ICS
(4.5)
(5.3)
(0.8)
(0.1%)
1,256.7
Provider and ICB financial position – South East region
Year to date surplus / (deficit) position – Buckinghamshire, Oxfordshire and Berkshire West ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Berkshire Healthcare NHS FT
(0.7)
0.1
0.8
0.9%
–
Buckinghamshire Healthcare NHST
(8.7)
(8.3)
0.4
0.3%
–
Oxford Health NHS FT
0.9
0.9
0.1
0.1%
–
Oxford University Hospitals NHS FT
(3.4)
(17.1)
(13.7)
(3.6%)
–
Royal Berkshire NHS FT
(3.5)
(4.5)
(1.0)
(0.7%)
–
Buckinghamshire, Oxfordshire and Berkshire West ICB
0.0
(3.9)
(3.9)
(0.1%)
3,325.9
Total Buckinghamshire, Oxfordshire and Berkshire West ICS
(15.5)
(32.8)
(17.3)
(0.5%)
3,325.9
Year to date surplus / (deficit) position – Frimley ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Frimley Health NHS FT
(11.6)
(16.6)
(5.0)
(2.1%)
–
Frimley ICB
(0.0)
(1.5)
(1.5)
(0.1%)
1,455.0
Total Frimley ICS
(11.6)
(18.2)
(6.5)
(0.5%)
1,455.0
Year to date surplus / (deficit) position – Hampshire and Isle of Wight ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Hampshire Hospitals NHS FT
(9.6)
(10.4)
(0.8)
(0.6%)
–
Isle of Wight NHST
(9.2)
(11.1)
(1.8)
(2.6%)
–
Portsmouth Hospitals University NHST
(10.0)
(14.1)
(4.2)
(2.1%)
–
Solent NHST
(0.8)
(1.8)
(1.0)
(1.5%)
–
South Central Ambulance Service NHS FT
(3.0)
(6.6)
(3.6)
(4.5%)
–
Southern Health NHS FT
(1.3)
(1.3)
0.0
0.0%
–
University Hospital Southampton NHS FT
(11.0)
(13.0)
(2.0)
(0.6%)
–
Hampshire and Isle of Wight ICB
(25.4)
(29.7)
(4.3)
(0.1%)
3,822.3
Total Hampshire and the Isle of Wight ICS
(70.3)
(88.0)
(17.7)
(0.5%)
3,822.3
Year to date surplus / (deficit) position – Kent and Medway ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Dartford and Gravesham NHST
(1.9)
(1.9)
0.0
0.0%
–
East Kent Hospitals University NHS FT
(25.2)
(28.9)
(3.7)
(1.7%)
–
Kent and Medway NHS and Social Care Partnership Trust
0.0
0.0
(0.0)
(0.0%)
–
Kent Community Health NHS FT
0.0
0.0
0.0
0.0%
–
Maidstone and Tunbridge Wells NHST
(2.7)
(3.8)
(1.1)
(0.7%)
–
Medway NHS FT
(7.2)
(9.7)
(2.5)
(2.4%)
–
Kent and Medway ICB
9.7
6.4
(3.3)
(0.1%)
3,943.4
Total Kent and Medway ICS
(27.3)
(37.9)
(10.7)
(0.3%)
3,943.4
Year to date surplus / (deficit) position – Surrey Heartlands ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
Ashford and St Peter’s Hospitals NHS FT
(6.6)
(6.6)
0.0
0.0%
–
Royal Surrey NHS FT
(0.2)
(4.8)
(4.6)
(3.6%)
–
South East Coast Ambulance Service NHS FT
0.2
0.2
0.0
0.0%
–
Surrey and Borders Partnership NHS FT
(1.5)
(4.1)
(2.6)
(3.2%)
–
Surrey and Sussex Healthcare NHST
(11.9)
(12.0)
(0.1)
(0.1%)
–
Surrey Heartlands ICB
14.8
12.5
(2.2)
(0.1%)
2,185.6
Total Surrey Heartlands ICS
(5.3)
(14.7)
(9.4)
(0.4%)
2,185.6
Year to date surplus / (deficit) position – Sussex ICS
Provider / ICB name
Plan £m
Actual £m
Var £m
Var % of turnover
Allocation £m (ICB Only)
East Sussex Healthcare NHST
0.0
(0.7)
(0.7)
(0.4%)
–
Sussex Community NHS FT
(1.1)
(1.1)
0.0
0.0%
–
Sussex Partnership NHS FT
(2.5)
(4.3)
(1.8)
(1.4%)
–
Queen Victoria Hospital NHS FT
0.0
(0.0)
(0.0)
(0.0%)
–
University Hospitals Sussex NHS FT
(4.8)
(10.5)
(5.7)
(1.6%)
–
Sussex ICB
0.0
0.1
0.1
0.0%
3,805.5
Total Sussex ICS
(8.4)
(16.6)
(8.1)
(0.2%)
3,805.5
Provider employee expenses summary
YTD Plan £m
YTD Actual £m
YTD Var to Plan £m
YTD Var to Plan %
Medical staff
4,612.5
4,831.9
(219.4)
(4.8%)
Nursing staff
5,616.2
5,684.8
(68.7)
(1.2%)
Support to clinical staff
2,832.2
3,094.9
(262.7)
(9.3%)
Other staff
6,260.0
6,338.9
(78.9)
(1.3%)
Total employee expenses
19,320.9
19,950.6
(629.7)
(3.3%)
Of which:
–
–
–
–
– Bank
1,270.7
1,565.5
(294.8)
(23.2%)
– Agency
701.4
824.5
(123.1)
(17.6%)
Total Bank and Agency
1,972.1
2,389.9
(417.9)
(21.2%)
Provider non-pay costs summary
YTD Plan £m
YTD Actual £m
YTD Var to Plan £m
YTD Var to Plan %
Purchase of healthcare from other providers
1,193.6
1,245.3
(51.6)
(4.3%)
Purchase of social care
52.8
52.9
(0.2)
(0.3%)
Drugs costs
2,525.2
2,583.6
(58.4)
(2.3%)
Clinical supplies and services – (excluding drugs costs)
2,250.1
2,304.7
(54.5)
(2.4%)
General supplies and services
471.7
492.3
(20.6)
(4.4%)
Clinical negligence insurance
679.7
671.6
8.1
1.2%
Consultancy
42.6
47.9
(5.3)
(12.4%)
Establishment
301.5
318.6
(17.1)
(5.7%)
Premises
1,242.1
1,278.3
(36.2)
(2.9%)
Other non pay items
2,718.4
2,679.6
38.7
1.4%
Total non pay
11,477.6
11,674.8
(197.2)
(1.7%)
Specialised commissioning (net expenditure)
Region
YTD Plan £m
YTD Actual £m
YTD Var to Plan £m
YTD Var to Plan %
North West
767.5
767.5
(0.0)
(0.0%)
North East & Yorkshire
776.1
776.1
(0.0)
(0.0%)
Midlands
1,020.4
1,019.3
1.1
0.1%
East of England
564.8
564.8
0.0
0.0%
London
1,243.5
1,243.5
0.0
0.0%
South West
495.2
495.2
(0.0)
(0.0%)
South East
795.1
795.1
0.0
0.0%
Central
363.1
361.0
2.2
0.6%
Total
6,025.8
6,022.5
3.3
0.1%
Provider and commissioner capital position
Provider
Capital (CDEL) – by sector
YTD Plan £m
YTD Actual £m
YTD Var to Plan £m
YTD Var to Plan %
Acute
504.8
414.1
90.7
18.0%
Ambulance
8.5
7.7
0.8
9.0%
Community
19.1
13.9
5.2
27.1%
Mental Health
104.9
79.1
25.8
24.6%
Specialist
21.1
16.7
4.4
20.8%
Provider operational capital excluding IFRS16
658.3
531.6
126.7
19.3%
Impact of IFRS16
234.8
105.6
129.2
55.0%
National allocations plus other items charged to CDEL
594.5
289.0
305.5
(36.5%)
Total Provider capital plan including IFRS16
1,487.6
926.2
561.4
37.7%
Capital DEL
YTD Plan £m
YTD Actual £m
YTD Var to Plan £m
YTD Var to Plan %
Gross capital expenditure
1,588.9
973.3
615.7
38.7%
Disposals / other deductions
(9.2)
(2.7)
(6.5)
71.0%
Net capital expenditure
1,579.8
970.6
609.2
38.6%
Less grants, donations and peppercorn leases
(82.7)
(56.1)
(26.6)
32.2%
Less PFI capital (IFRIC12)
(31.9)
(28.4)
(3.5)
11.0%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)
41.1
39.6
1.4
3.5%
Purchase of financial assets
0.2
0.7
(0.5)
(200.0%)
Sale of financial assets
(18.8)
(0.2)
(18.6)
99.0%
Utilisation of capitalised dilapidation provisions
