Financial performance report 2023/24: Quarter 4

Headline position

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 allocationPlan £mActual £mUnder/(over) spend £m
Systems133,565.9(14.9)(1,421.6)(1,406.7)
Specialised commissioning25,097.0(0.0)94.194.1
Other direct commissioning2,764.3(0.0)183.2183.2
Central costs 12,773.70.0169.5169.5
Transformation and reserves992.1992.1992.1
Technical and ringfenced adjustments(4,157.0)(251.3)(251.3)
Total – non-ringfenced RDEL171,036.1(14.9)(234.1)(219.2)

Year to date expenditure basis

Expenditure Basis In year allocationPlan £mActual £mUnder/(over) spend £m
Systems133,565.9133,580.8134,987.6(1,406.7)
Specialised commissioning25,097.025,097.025,002.994.1
Other direct commissioning2,764.32,764.32,581.2183.2
Central costs 12,773.712,773.712,604.2169.5
Transformation and reserves992.1992.1992.1
Technical and ringfenced adjustments(4,157.0)(4,157.0)(3,905.7)(251.3)
Total – non-ringfenced RDEL171,036.1171,051.0171,270.2(219.2)
Non ringfenced RDEL surplus / deficit position   171,036.1(14.9)
(234.1)
(219.2)

Provider and integrated care board (ICB) financial position – North West Region

Year to date surplus / (deficit) position – Cheshire and Merseyside Integrated Care System (ICS)

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Alder Hey Children’s NHS FT12.310.3(2.0)(0.5%)
Bridgewater Community Healthcare NHS FT0.00.00.00.0%
Cheshire and Wirral Partnership NHS FT0.0(1.2)(1.2)(0.4%)
Countess of Chester Hospital NHS FT(25.2)(30.1)(4.9)(1.4%)
East Cheshire NHST(4.4)(10.3)(6.0)(2.8%)
Liverpool Heart and Chest Hospital NHS FT9.811.41.50.6%
Liverpool University Hospitals NHS FT0.0(2.0)(2.0)(0.2%)
Liverpool Women’s NHS FT(15.4)(22.6)(7.1)(4.8%)
Mersey Care NHS FT6.411.14.70.6%
Mid Cheshire Hospitals NHS FT(18.9)(26.1)(7.2)(1.8%)
Southport And Ormskirk Hospital NHST(2.0)(2.0)(0.0)(0.0%)
St Helens And Knowsley Teaching Hospitals NHST7.62.6(5.0)(0.6%)
The Clatterbridge Cancer Centre NHS FT0.42.11.80.6%
The Walton Centre NHS FT4.17.33.21.6%
Warrington and Halton Teaching Hospitals NHS FT(15.7)(30.0)(14.2)(4.0%)
Wirral Community Health and Care NHS FT0.21.00.80.7%
Wirral University Teaching Hospital NHS FT(18.6)(23.7)(5.1)(1.0%)
Cheshire and Merseyside ICB59.43.2(56.2)(0.8%)6,705.5
Total  Cheshire and Merseyside ICS (0.0)(98.9)(98.9)(1.5%)6,705.5

Year to date surplus / (deficit) position – Greater Manchester ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Bolton NHS FT(12.4)(13.5)(1.1)(0.2%)
Greater Manchester Mental Health NHS FT0.00.40.40.1%
Manchester University NHS FT0.00.50.50.0%
Pennine Care NHS FT0.05.85.82.0%
Northern Care Alliance NHS FT(32.2)(68.2)(36.0)(2.0%)
Stockport NHS FT(31.5)(32.2)(0.7)(0.2%)
Tameside and Glossop Integrated Care NHS FT(31.5)(30.7)0.70.2%
The Christie NHS FT(8.0)6.814.83.1%
Wrightington, Wigan and Leigh NHS FT(6.5)(10.4)(3.9)(0.7%)
Greater Manchester ICB122.0(38.1)(160.1)(2.2%)7,202.3
Total  Greater Manchester ICS (0.0)(179.6)(179.6)(2.5%)7,202.3

Year to date surplus / (deficit) position – Lancashire and South Cumbria ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Blackpool Teaching Hospitals NHS FT(0.6)(7.8)(7.2)(1.0%)
East Lancashire Hospitals NHST(0.6)(15.4)(14.8)(1.9%)
Lancashire and South Cumbria NHS FT1.60.2(1.4)(0.2%)
Lancashire Teaching Hospitals NHS FT(0.4)(35.6)(35.2)(4.3%)
North West Ambulance Service NHST0.05.85.81.1%
University Hospitals of Morecambe Bay NHS FT(0.5)(13.9)(13.4)(2.4%)
Lancashire and South Cumbria ICB0.5(88.9)(89.4)(2.0%)4,510.5
Total  Lancashire and South Cumbria ICS (0.0)(155.6)(155.6)(3.4%)4,510.5

Provider and ICB financial position – North East region

Year to date surplus / (deficit) position – North East and North Cumbria ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
County Durham and Darlington NHS FT(0.0)0.00.00.0%
Cumbria, Northumberland, Tyne and Wear NHS FT0.00.10.10.0%
Gateshead Health NHS FT(8.0)(7.9)0.10.0%
North Cumbria Integrated Care NHS FT(32.0)(5.0)27.04.5%
North East Ambulance Service NHS FT0.00.10.10.0%
North Tees and Hartlepool NHS FT0.01.41.40.3%
Northumbria Healthcare NHS FT12.827.614.91.9%
South Tees Hospitals NHS FT(20.1)(23.3)(3.2)(0.3%)
South Tyneside and Sunderland NHS FT0.00.00.00.0%
Tees, Esk and Wear Valleys NHS FT0.00.00.00.0%
The Newcastle Upon Tyne Hospitals NHS FT0.00.10.10.0%
North East and North Cumbria ICB32.44.5(27.9)(0.4%)7,636.3
Total North East and North Cumbria ICS (14.9)(2.4)12.40.2%7,636.3

Year to date surplus / (deficit) position – Humber and North Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Harrogate and District NHS FT0.0(4.2)(4.2)(1.2%)
Hull University Teaching Hospitals NHST(0.0)0.00.00.0%
Humber Teaching NHS FT0.00.00.00.0%
Northern Lincolnshire and Goole NHS FT(0.0)0.10.10.0%
York and Scarborough Teaching Hospitals NHS FT0.00.10.10.0%
Humber and North Yorkshire ICB(0.0)0.20.20.0%3,969.5
Total Humber and North Yorkshire ICS (0.0)(3.7)(3.7)(0.1%)3,969.5

Year to date surplus / (deficit) position – South Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barnsley Hospital NHS FT(11.2)(3.8)7.42.3%
Doncaster and Bassetlaw Teaching Hospitals NHS FT(26.8)(23.7)3.10.6%
Rotherham Doncaster and South Humber NHS FT(6.2)(3.5)2.61.2%
Sheffield Children’s NHS FT(8.6)(2.9)5.71.8%
Sheffield Health and Social Care NHS FT(3.3)(4.9)(1.7)(1.0%)
Sheffield Teaching Hospitals NHS FT0.00.20.20.0%
The Rotherham NHS FT(6.0)(4.7)1.30.3%
South Yorkshire ICB62.0(4.9)(66.9)(2.0%)3,346.2
Total South Yorkshire ICS 0.0(48.3)(48.3)(1.4%)3,346.2

Year to date surplus / (deficit) position – West Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Airedale NHS FT(4.3)(6.3)(2.0)(0.7%)
Bradford District Care NHS FT0.01.21.20.6%
Bradford Teaching Hospitals NHS FT0.04.64.60.8%
Calderdale and Huddersfield NHS FT(20.8)(13.2)7.61.3%
Leeds and York Partnership NHS FT0.12.22.10.8%
Leeds Community Healthcare NHST0.00.30.30.1%
South West Yorkshire Partnership NHS FT0.00.50.50.1%
The Leeds Teaching Hospitals NHST0.012.312.30.6%
Mid Yorkshire Teaching NHST0.0(5.8)(5.8)(0.7%)
Yorkshire Ambulance Service NHST0.00.10.10.0%
West Yorkshire ICB25.04.3(20.7)(0.4%)5,628.0
Total West Yorkshire ICS 0.00.20.20.0%5,628.0

Provider and ICB financial position – Midlands region

Year to date surplus / (deficit) position – Birmingham and Solihull ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Birmingham and Solihull Mental Health NHS FT0.02.72.70.4%
Birmingham Community Healthcare NHS FT0.00.70.70.2%
Birmingham Women’s and Children’s NHS FT0.04.24.20.6%
The Royal Orthopaedic Hospital NHS FT0.0(4.7)(4.7)(3.5%)
University Hospitals Birmingham NHS FT0.0(31.5)(31.5)(1.3%)
Birmingham and Solihull ICB(0.0)42.042.01.3%3,322.8
Total Birmingham and Solihull ICS 0.013.413.40.4%3,322.8

Year to date surplus / (deficit) position – Coventry and Warwickshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Coventry and Warwickshire Partnership NHST0.00.30.30.1%
George Eliot Hospital NHST0.00.00.00.0%
South Warwickshire University NHS FT0.00.00.00.0%
University Hospitals Coventry And Warwickshire NHST(0.0)0.00.00.0%
Coventry and Warwickshire ICB(0.0)0.10.10.0%2,181.8
Total Coventry and Warwickshire ICS0.00.40.40.0%2,181.8

Year to date surplus / (deficit) position – Derby and Derbyshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Chesterfield Royal Hospital NHS FT(0.0)(17.5)(17.5)(4.6%)
Derbyshire Community Health Services NHS FT0.0(2.6)(2.6)(1.1%)
Derbyshire Healthcare NHS FT0.0(4.6)(4.6)(2.1%)
East Midlands Ambulance Service NHST0.00.10.10.0%
University Hospitals of Derby and Burton NHS FT0.0(36.2)(36.2)(3.0%)
Derby and Derbyshire ICB0.01.01.00.0%2,475.7
Total Derby and Derbyshire ICS 0.0(59.8)(59.8)(2.4%)2,475.7

Year to date surplus / (deficit) position – Herefordshire and Worcestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Worcestershire Acute Hospitals NHST(0.0)(34.8)(34.8)(5.0%)
Herefordshire and Worcestershire Health and Care NHST2.92.90.00.0%
Wye Valley NHST(9.3)(13.4)(4.1)(1.2%)
Herefordshire and Worcestershire ICB6.40.4(6.0)(0.3%)1,796.8
Total Herefordshire and Worcestershire ICS 0.0(44.8)(44.8)(2.5%)1,796.8

Year to date surplus / (deficit) position – Leicester, Leicestershire and Rutland ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Leicestershire Partnership NHST0.00.00.00.0%
University Hospitals of Leicester NHST(0.0)(52.8)(52.8)(3.3%)
Leicester, Leicestershire and Rutland ICB0.0(15.6)(15.6)(0.7%)2,304.0
Total Leicester, Leicestershire and Rutland ICS (0.0)(68.4)(68.4)(3.0%)2,304.0

Year to date surplus / (deficit) position – Lincolnshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Lincolnshire Community Health Services NHST0.01.41.41.0%
Lincolnshire Partnership NHS FT3.08.85.83.3%
United Lincolnshire Hospitals NHST(20.8)(20.8)0.00.0%
Lincolnshire ICB17.7(14.9)(32.6)(1.8%)1,814.8
Total Lincolnshire ICS (0.0)(25.4)(25.4)(1.4%)1,814.8

Year to date surplus / (deficit) position – Northamptonshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Kettering General Hospital NHS FT0.0(2.9)(2.9)(0.7%)
Northampton General Hospital NHST0.0(15.5)(15.5)(3.0%)
Northamptonshire Healthcare NHS FT0.0(4.8)(4.8)(1.4%)
Northamptonshire ICB0.0(11.6)(11.6)(0.7%)1,660.4
Total Northamptonshire ICS 0.0(34.8)(34.8)(2.1%)1,660.4

Year to date surplus / (deficit) position – Nottingham and Nottinghamshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Nottingham University Hospitals NHST0.0(71.0)(71.0)(4.3%)
Nottinghamshire Healthcare NHS FT0.0(22.0)(22.0)(3.2%)
Sherwood Forest Hospitals NHS FT0.0(14.0)(14.0)(2.7%)
Nottingham and Nottinghamshire ICB0.0(6.8)(6.8)(0.3%)2,660.3
Total Nottingham And Nottinghamshire ICS 0.0(113.7)(113.7)(4.3%)2,660.3

Year to date surplus / (deficit) position – Shropshire, Telford and Wrekin ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Shropshire Community Health NHST(0.0)0.20.20.2%
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT0.2(1.9)(2.1)(1.4%)
The Shrewsbury And Telford Hospital NHST0.0(54.6)(54.6)(8.8%)
Shropshire, Telford and Wrekin ICB(0.2)(16.2)(16.0)(1.3%)1,216.8
Total Shropshire and Telford and Wrekin ICS 0.0(72.5)(72.5)(6.0%)1,216.8

Year to date surplus / (deficit) position – Staffordshire and Stoke On Trent ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Midlands Partnership NHS FT0.00.30.30.0%
North Staffordshire Combined Healthcare NHST0.00.30.30.2%
University Hospitals of North Midlands NHST0.00.20.20.0%
Staffordshire and Stoke On Trent ICB0.0(91.6)(91.6)(3.5%)2,585.6
Total Staffordshire And Stoke On Trent ICS 0.0(90.7)(90.7)(3.5%)2,585.6

Year to date surplus / (deficit) position – Black Country ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Black Country Healthcare NHS FT3.90.3(3.6)(1.1%)
Dudley Integrated Health and Care NHST1.11.10.00.1%
Sandwell And West Birmingham Hospitals NHST(10.4)(14.1)(3.7)(0.5%)
The Dudley Group NHS FT4.46.82.40.4%
The Royal Wolverhampton NHST(14.8)(26.7)(11.9)(1.3%)
Walsall Healthcare NHST10.8(8.7)(19.4)(4.6%)
West Midlands Ambulance Service University NHS FT(0.0)1.81.80.4%
Black Country ICB5.018.213.20.4%3,002.9
Total The Black Country ICS (0.0)(21.2)(21.2)(0.7%)3,002.9

Provider and ICB financial position – East region

Year to date surplus / (deficit) position – Cambridgeshire and Peterborough ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Cambridge University Hospitals NHS FT0.00.10.10.0%
Cambridgeshire and Peterborough NHS FT0.0(0.2)(0.2)(0.1%)
Cambridgeshire Community Services NHST0.00.00.00.0%
North West Anglia NHS FT0.00.00.00.0%
Royal Papworth Hospital NHS FT0.00.50.50.2%
Cambridgeshire and Peterborough ICB(0.0)0.00.00.0%1,997.6
Total Cambridgeshire and Peterborough ICS 0.00.50.50.0%1,997.6

Year to date surplus / (deficit) position – Hertfordshire and West Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East And North Hertfordshire NHST(2.5)3.25.70.9%
Hertfordshire Community NHST(0.0)0.80.80.5%
Hertfordshire Partnership University NHS FT(1.8)2.03.80.9%
The Princess Alexandra Hospital NHST(5.1)(6.1)(1.0)(0.3%)
West Hertfordshire Teaching Hospitals NHST0.0(13.8)(13.8)(2.5%)
Hertfordshire and West Essex ICB9.414.04.60.1%3,296.7
Total Hertfordshire and West Essex ICS (0.0)0.00.00.0%3,296.7

Year to date surplus / (deficit) position – Mid and South Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Essex Partnership University NHS FT0.0(21.5)(21.5)(4.0%)
Mid and South Essex NHS FT(9.7)(29.7)(20.0)(1.3%)
Mid and South Essex ICB9.722.312.60.5%2,708.2
Total Mid and South Essex ICS (0.0)(28.9)(28.9)(1.1%)2,708.2

Year to date surplus / (deficit) position – Bedfordshire, Luton and Milton Keynes ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Bedfordshire Hospitals NHS FT0.00.30.30.0%
Milton Keynes University Hospital NHS FT(0.0)0.00.00.0%
Bedfordshire, Luton and Milton Keynes ICB0.00.10.10.0%2,114.8
Total Bedfordshire, Luton And Milton Keynes ICS (0.0)0.50.50.0%2,114.8

Year to Date Surplus / (Defecit) Position – Norfolk and Waveney ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
James Paget University Hospitals NHS FT0.00.00.00.0%
Norfolk and Norwich University Hospitals NHS FT0.00.10.10.0%
Norfolk and Suffolk NHS FT0.00.00.00.0%
Norfolk Community Health and Care NHST0.00.20.20.1%
Queen Elizabeth Hospital King’s Lynn NHS FT0.00.00.00.0%
Norfolk and Waveney ICB0.00.10.10.0%2,478.0
Total Norfolk And Waveney ICS 0.00.40.40.0%2,478.0

Year to date surplus / (deficit) position – Suffolk and North East Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East of England Ambulance Service NHST0.10.50.40.1%
East Suffolk and North Essex NHS FT0.01.31.30.1%
West Suffolk NHS FT(2.7)(6.3)(3.6)(0.9%)
Suffolk and North East Essex ICB2.64.51.80.1%2,203.5
Total Suffolk And North East Essex ICS 0.00.00.00.0%2,203.5

Provider and ICB financial position – London region

Year to date surplus / (deficit) position – North Central London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barnet, Enfield And Haringey Mental Health NHST1.00.6(0.4)(0.1%)
Camden and Islington NHS FT0.70.70.00.0%
Great Ormond Street Hospital for Children NHS FT0.6(4.2)(4.8)(0.7%)
Moorfields Eye Hospital NHS FT3.411.88.42.5%
North Middlesex University Hospital NHST1.11.60.40.1%
Royal Free London NHS FT(37.0)(37.0)0.00.0%
Royal National Orthopaedic Hospital NHST0.0(2.1)(2.1)(1.0%)
Tavistock and Portman NHS FT(2.5)(2.3)0.20.2%
University College London Hospitals NHS FT20.045.225.21.5%
Whittington Health NHST2.00.6(1.4)(0.3%)
North Central London ICB10.610.90.30.0%3,696.6
Total North Central London ICS 0.025.925.90.7%3,696.6

Year to date surplus / (deficit) position – North East London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barking, Havering and Redbridge University Hospitals NHST(0.2)(15.9)(15.7)(1.7%)
Barts Health NHST(27.8)(43.9)(16.1)(0.7%)
East London NHS FT5.4(5.8)(11.2)(1.6%)
Homerton Healthcare NHS FT0.20.0(0.2)(0.0%)
North East London NHS FT7.03.0(4.0)(0.7%)
North East London ICB15.414.4(1.0)(0.0%)4,752.7
Total North East London ICS 0.0(48.1)(48.1)(1.0%)4,752.7

Year to date surplus / (deficit) position – North West London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Central and North West London NHS FT0.00.00.00.0%
Central London Community Healthcare NHST0.00.00.00.0%
Chelsea and Westminster Hospital NHS FT0.02.72.70.3%
Imperial College Healthcare NHST0.00.00.00.0%
London Ambulance Service NHST0.00.10.10.0%
London North West University Healthcare NHST0.00.00.00.0%
The Hillingdon Hospitals NHS FT(0.0)(2.6)(2.6)(0.7%)
West London NHST0.00.40.40.1%
North West London ICB(0.0)0.40.40.0%5,276.2
Total North West London ICS (0.0)1.11.10.0%5,276.2

Year to date surplus / (deficit) position – South East London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Guy’s and St Thomas’ NHS FT(0.0)1.91.90.1%
King’s College Hospital NHS FT(17.5)(78.7)(61.3)(3.4%)
Lewisham and Greenwich NHST0.4(5.3)(5.7)(0.7%)
Oxleas NHS FT0.23.63.40.7%
South London and Maudsley NHS FT0.00.80.70.1%
South East London ICB16.90.0(16.8)(0.4%)4,480.3
Total South East London ICS 0.0(77.7)(77.7)(1.7%)4,480.3

Year to date surplus / (deficit) position – South West London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Croydon Health Services NHST(3.3)(1.9)1.40.3%
Epsom and St Helier University Hospitals NHST(7.6)(4.5)3.10.4%
Hounslow and Richmond Community Healthcare NHST0.50.50.00.0%
Kingston Hospital NHS FT(3.3)1.14.41.0%
South West London and St George’s Mental Health NHST0.31.10.80.3%
St George’s University Hospitals NHS FT9.0(3.6)(12.6)(1.0%)
The Royal Marsden NHS FT2.010.58.51.4%
South West London ICB2.52.50.00.0%3,522.2
Total South West London ICS 0.05.85.80.2%3,522.2

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 NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Great Western Hospitals NHS FT0.00.20.20.0%
Royal United Hospitals Bath NHS FT0.0(3.5)(3.5)(0.6%)
Salisbury NHS FT0.0(4.5)(4.5)(1.2%)
Bath and North East Somerset, Swindon and Wiltshire ICB(0.0)(9.9)(9.9)(0.5%)1,991.3
Total Bath And North East Somerset, Swindon And Wiltshire ICS (0.0)(17.6)(17.6)(0.9%)1,991.3

Year to date surplus / (deficit) position – Bristol, North Somerset and South Gloucestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Gloucestershire Health and Care NHS FT0.01.01.00.3%
Gloucestershire Hospitals NHS FT0.0(0.5)(0.5)(0.1%)
Gloucestershire ICB(0.0)0.10.10.0%1,348.8
Total Gloucestershire ICS (0.0)0.50.50.0%1,348.8

Year to date surplus / (deficit) position – Cornwall and The Isles Of Scilly ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Cornwall Partnership NHS FT(0.0)0.00.00.0%
Royal Cornwall Hospitals NHST0.00.10.10.0%
Cornwall and The Isles Of Scilly ICB0.00.00.00.0%1,417.2
Total Cornwall And The Isles Of Scilly ICS (0.0)0.20.20.0%1,417.2

Year to date surplus / (deficit) position – Devon ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Devon Partnership NHST3.33.30.00.0%
Royal Devon University Healthcare NHS FT(14.9)(26.8)(11.9)(1.1%)
Torbay and South Devon NHS FT(19.4)(27.0)(7.6)(1.1%)
University Hospitals Plymouth NHST(17.6)(32.8)(15.2)(1.6%)
Devon ICB48.636.4(12.1)(0.4%)2,981.7
Total Devon ICS 0.0(46.9)(46.9)(1.6%)2,981.7

Year to date surplus / (deficit) position – Dorset ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Dorset County Hospital NHS FT0.0(0.0)(0.0)(0.0%)
Dorset Healthcare University NHS FT0.02.82.80.7%
South Western Ambulance Service NHS FT0.00.10.10.0%
University Hospitals Dorset NHS FT0.00.10.10.0%
Dorset ICB(0.0)(17.4)(17.4)(0.9%)1,882.8
Total Dorset ICS 0.0(14.6)(14.6)(0.8%)1,882.8

Year to date surplus / (deficit) position – Gloucestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Gloucestershire Health and Care NHS FT0.01.01.00.3%
Gloucestershire Hospitals NHS FT0.0(0.5)(0.5)(0.1%)
Gloucestershire ICB(0.0)0.10.10.0%1,348.8
Total Gloucestershire ICS (0.0)0.50.50.0%1,348.8

Year to date surplus / (deficit) position – Somerset ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Somerset NHS FT0.00.00.00.0%
Somerset ICB(0.0)0.00.00.0%1,314.6
Total Somerset ICS (0.0)0.00.00.0%1,314.6

Provider and ICB financial position – South East region

Year to date surplus / (deficit) position – Buckinghamshire, Oxfordshire and Berkshire West ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Berkshire Healthcare NHS FT1.33.82.50.7%
Buckinghamshire Healthcare NHST(4.4)(5.6)(1.1)(0.2%)
Oxford Health NHS FT3.35.21.80.3%
Oxford University Hospitals NHS FT3.4(10.7)(14.2)(0.9%)
Royal Berkshire NHS FT(3.7)(7.5)(3.8)(0.6%)
Buckinghamshire, Oxfordshire and Berkshire West ICB0.0(38.1)(38.1)(1.1%)3,542.5
Total Buckinghamshire, Oxfordshire and Berkshire West ICS (0.0)(52.9)(52.9)(1.5%)3,542.5

Year to date surplus / (deficit) position – Frimley ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Frimley Health NHS FT0.0(10.8)(10.8)(1.0%)
Frimley ICB(0.0)(14.7)(14.7)(0.9%)1,556.9
Total Frimley ICS (0.0)(25.5)(25.5)(1.6%)1,556.9

Year to date surplus / (deficit) position – Hampshire and Isle of Wight ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Hampshire Hospitals NHS FT(1.4)(1.5)(0.1)(0.0%)
Isle of Wight NHST(1.3)(1.3)0.00.0%
Portsmouth Hospitals University NHST(1.7)(11.9)(10.3)(1.2%)
Solent NHST(0.1)0.10.20.1%
South Central Ambulance Service NHS FT0.0(21.8)(21.8)(6.2%)
Southern Health NHS FT0.00.20.20.0%
University Hospital Southampton NHS FT(1.4)(4.5)(3.1)(0.2%)
Hampshire and Isle of Wight ICB5.912.66.70.2%4,182.1
Total Hampshire and the Isle of Wight ICS (0.0)(28.1)(28.1)(0.7%)4,182.1

Year to date surplus / (deficit) position – Kent and Medway ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Dartford and Gravesham NHST0.011.611.62.7%
East Kent Hospitals University NHS FT(71.9)(117.4)(45.5)(4.8%)
Kent and Medway NHS and Social Care Partnership Trust(0.0)1.01.00.4%
Kent Community Health NHS FT12.011.7(0.3)(0.1%)
Maidstone and Tunbridge Wells NHST9.55.3(4.2)(0.6%)
Medway NHS FT0.0(23.7)(23.7)(5.0%)
Kent and Medway ICB50.550.70.30.0%4,250.3
Total Kent and Medway ICS 0.0(60.8)(60.9)(1.4%)4,250.3

Year to date surplus / (deficit) position – Surrey Heartlands ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Ashford and St Peter’s Hospitals NHS FT(17.5)(9.5)8.01.8%
Royal Surrey NHS FT(2.8)2.14.90.9%
South East Coast Ambulance Service NHS FT0.00.00.00.0%
Surrey and Borders Partnership NHS FT(7.0)(5.0)2.00.6%
Surrey and Sussex Healthcare NHST(31.7)(36.6)(4.9)(1.1%)
Surrey Heartlands ICB59.035.0(24.0)(1.0%)2,314.7
Total Surrey Heartlands ICS 0.0(13.9)(13.9)(0.6%)2,314.7

Year to date surplus / (deficit) position – Sussex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East Sussex Healthcare NHST0.0(5.0)(5.0)(0.8%)
Sussex Community NHS FT(0.0)0.00.00.0%
Sussex Partnership NHS FT0.00.00.00.0%
Queen Victoria Hospital NHS FT0.00.00.00.0%
University Hospitals Sussex NHS FT0.0(15.0)(15.0)(1.0%)
Sussex ICB0.0(18.7)(18.7)(0.5%)4,061.1
Total Sussex ICS 0.0(38.6)(38.6)(0.9%)4,061.1

Provider employee expenses summary

StaffYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Medical staff18,859.620,936.4(2,076.7)(11.0%)
Nursing staff22,441.822,891.8(450.0)(2.0%)
Support to clinical staff 11,403.312,457.7(1,054.4)(9.2%)
Other staff25,099.028,742.0(3,643.0)(14.5%)
Total employee expenses77,803.785,027.9(7,224.2)(9.3%)
Of which: – – – –
 – Bank5,005.36,653.5(1,648.1)(32.9%)
– Agency2,551.73,024.1(472.4)(18.5%)
Total Bank and Agency7,557.19,677.6(2,120.5)(28.1%)

Provider non-pay costs summary

 Non pay YTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
Purchase of healthcare from other providers4,726.45,308.8(582.4)(12.3%)
Purchase of social care221.7239.7(18.0)(8.1%)
Drugs costs10,058.210,936.9(878.7)(8.7%)
Clinical supplies and services – (excluding drugs costs)8,856.89,599.8(743.0)(8.4%)
General supplies and services1,882.62,066.1(183.5)(9.7%)
Clinical negligence insurance2,698.92,641.257.72.1%
Consultancy166.8179.5(12.7)(7.6%)
Establishment1,189.41,334.9(145.5)(12.2%)
Premises4,977.15,264.6(287.5)(5.8%)
Other non pay items10,741.810,834.8(93.0)(0.9%)
Total non pay45,519.948,406.5(2,886.6)(6.3%)

Specialised commissioning (net expenditure)

RegionYTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
North West3,161.83,154.37.50.2%
North East and Yorkshire3,171.73,152.019.70.6%
Midlands4,169.54,155.014.50.3%
East of England2,261.32,251.010.30.5%
London5,179.45,182.2(2.8)(0.1%)
South West2,037.02,037.0(0.0)(0.0%)
South East3,284.93,247.037.91.2%
Central1,831.41,824.37.00.4%
Total25,097.025,002.994.10.4%

Primary Care and Secondary Dental (Net expenditure)

RegionYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
North West13.111.41.712.8%
North East and Yorkshire32.419.712.739.1%
Midlands16.019.1(3.1)(19.2%)
East of England30.8(28.0)58.8190.8%
London(10.3)(10.3)(0.0)0.0%
South West8.98.60.33.3%
South East9.77.52.222.6%
Central3.30.03.3100.0%

Provider and commissioner capital position

Provider

Capital (CDEL) – By SectorYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Acute2,935.03,023.0(88.0)(3.0%)
Ambulance154.0159.0(5.0)(3.2%)
Community111.0119.0(8.0)(7.1%)
Mental Health459.0482.0(23.0)(5.1%)
Specialist174.0160.014.08.2%
Provider operational capital excluding IFRS163,833.03,943.0(110.0)(2.9%)
Impact of IFRS161,044.0718.0326.031.2%
National allocations plus other items charged to CDEL3,482.03,321.0162.0(23.8%)
Total Provider Capital Plan Including IFRS168,360.07,982.0378.04.5%
Capital DELYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Gross capital expenditure8,919.78,587.1332.63.7%
Disposals / other deductions(99.5)(195.0)95.5(95.9%)
Net Capital expenditure8,820.38,392.2428.14.9%
Less grants, donations and peppercorn leases(436.1)(371.9)(64.2)14.7%
Less PFI capital (IFRIC12)(186.5)(202.6)16.1(8.6%)
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)178.9185.6(6.7)(3.8%)
Purchase of financial assets1.017.8(16.8)(1728.1%)
Sale of financial assets(18.8)(17.9)(0.9)4.8%
Utilisation of capitalised dilapidation provisions0.91.2(0.3)(34.6%)
Loss on disposal from peppercorn leases7.6(7.6)0.0%
Prior Period Adjustments (PPAs)0.0(30.4)30.40.0%
Total CDEL8,360.07,982.0378.04.5%

Commissioner

Capital (CDEL) – By RegionYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
London18.123.6(5.5)(30.4%)
Midlands 31.026.64.414.3%
East of England23.521.32.29.4%
North West34.214.419.858.0%
North East and Yorkshire19.439.5(20.1)(103.6%)
South East93.224.868.473.4%
South West28.521.67.024.4%
Central272.0213.158.921.7%
Total Commissioner CDEL519.9384.7135.226.0%