Financial performance report 2024/25: Quarter 3

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 £mUnder/(over) spend %
Systems146,823.6(509.9)(1,540.7)(1,030.9)(0.9%)
Specialised commissioning21,612.30.012.912.90.1%
Other direct commissioning2,834.60.05.25.20.3%
Central costs15,390.4(0.0)396.5396.53.4%
Transformation and reserves4,234.3 
Technical and ringfenced adjustments(4,259.5)(0.0)(0.0)0.0 
Total – non-ringfenced RDEL186,635.7(509.9)(1,126.2)(616.3)(0.4%)

Year to date expenditure basis

Expenditure BasisIn year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems146,823.6111,619.1112,650.0(1,030.9)(0.9%)
Specialised commissioning21,612.315,817.615,804.712.90.1%
Other direct commissioning2,834.62,041.32,036.15.20.3%
Central costs15,390.411,552.111,155.6396.53.4%
Transformation and reserves4,234.3 –
Technical and ringfenced adjustments(4,259.5)(3,192.0)(3,192.0)0.0%
Total – non-ringfenced RDEL186,635.7137,838.2138,454.5(616.3)(0.4%)
Technical adjustments to sector reported position –(3,114.0)(3,112.2)(1.8) –
Total combined position against Plan186,635.7134,724.2135,342.3(618.1)(0.5%)
Non ringfenced RDEL surplus/deficit position186,635.7(509.9)(1,126.2)(616.3)(0.4%)

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 Foundation Trust (NHS FT)(0.3)(1.1)(0.8)(0.2%)
Bridgewater Community Healthcare NHS FT1.1(2.2)(3.3)(4.3%)
Cheshire and Wirral Partnership NHS FT0.81.00.20.1%
Countess of Chester Hospital NHS FT(8.6)(16.3)(7.7)(2.7%)
East Cheshire NHS Trust(6.5)(6.8)(0.3)(0.2%)
Liverpool Heart and Chest Hospital NHS FT10.29.9(0.2)(0.1%)
Liverpool University Hospitals NHS FT(66.8)(69.7)(2.9)(0.3%)
Liverpool Women’s NHS FT(9.2)(8.8)0.40.3%
Mersey Care NHS FT4.24.20.00.0%
Mid Cheshire Hospitals NHS FT(9.6)(12.0)(2.4)(0.7%)
St Helens And Knowsley Teaching Hospitals NHS Trust(17.6)(10.7)6.91.0%
The Clatterbridge Cancer Centre NHS FT0.50.50.00.0%
The Walton Centre NHS FT4.04.40.40.3%
Warrington and Halton Teaching Hospitals NHS FT(13.0)(15.6)(2.6)(0.9%)
Wirral Community Health and Care NHS FT1.71.70.00.0%
Wirral University Teaching Hospital NHS FT(6.0)(17.0)(11.0)(2.9%)
Cheshire and Merseyside ICB46.78.8(37.9)(0.5%)7,725.3
Total  Cheshire and Merseyside ICS(68.5)(129.6)(61.1)(0.8%)7,725.3

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Bolton NHS Foundation Trust (NHS FT)(1.2)(2.3)(1.2)(0.3%)
Greater Manchester Mental Health NHS FT(2.6)(7.1)(4.5)(1.1%)
Manchester University NHS FT(3.7)(32.4)(28.7)(1.3%)
Pennine Care NHS FT0.0(0.5)(0.5)(0.2%)
Northern Care Alliance NHS FT(2.5)(3.6)(1.1)(0.1%)
Stockport NHS FT(1.4)(3.2)(1.8)(0.5%)
Tameside and Glossop Integrated Care NHS FT(1.2)(1.8)(0.5)(0.2%)
The Christie NHS FT5.36.71.40.4%
Wrightington, Wigan and Leigh NHS FT(0.5)(3.4)(2.9)(0.7%)
Greater Manchester ICB0.0(31.9)(31.9)(0.4%)8,494.0
Total  Greater Manchester ICS(7.8)(79.5)(71.8)(0.8%)8,494.0

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 Foundation Trust (NHS FT)(9.5)(23.7)(14.2)(2.7%)
East Lancashire Hospitals NHS Trust(8.6)(41.6)(33.0)(5.6%)
Lancashire and South Cumbria NHS FT(4.5)(7.3)(2.7)(0.6%)
Lancashire Teaching Hospitals NHS FT(8.9)(26.3)(17.4)(2.8%)
North West Ambulance Service NHS Trust0.05.45.41.4%
University Hospitals of Morecambe Bay NHS FT(0.6)(16.6)(16.0)(3.7%)
Lancashire and South Cumbria ICB0.0(7.0)(7.0)(0.1%)5,193.9
Total  Lancashire and South Cumbria ICS(32.2)(117.1)(84.9)(1.6%)5,193.9

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 Foundation Trust (NHS FT)(1.1)(0.9)0.20.0%
Cumbria, Northumberland, Tyne and Wear NHS FT(13.2)(5.5)7.71.7%
Gateshead Health NHS FT(6.6)(6.5)0.10.0%
North Cumbria Integrated Care NHS FT(26.6)(34.7)(8.1)(1.9%)
North East Ambulance Service NHS FT0.00.30.30.2%
North Tees and Hartlepool NHS FT(1.2)(1.4)(0.2)(0.1%)
Northumbria Healthcare NHS FT10.28.4(1.8)(0.3%)
South Tees Hospitals NHS FT(18.2)(18.9)(0.7)(0.1%)
South Tyneside and Sunderland NHS FT2.42.50.20.0%
Tees, Esk and Wear Valleys NHS FT(3.0)(2.1)0.90.2%
The Newcastle Upon Tyne Hospitals NHS FT(5.4)(8.8)(3.4)(0.3%)
North East and North Cumbria ICB40.243.22.90.0%7,977.6
Total North East and North Cumbria ICS(22.6)(24.5)(1.9)(0.0%)7,977.6

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 Foundation Trust (NHS FT)(3.9)(12.5)(8.6)(3.1%)
Hull University Teaching Hospitals NHS Trust(13.3)(14.9)(1.7)(0.2%)
Humber Teaching NHS FT(1.5)(1.9)(0.5)(0.2%)
Northern Lincolnshire and Goole NHS FT(5.0)(5.9)(0.9)(0.2%)
York and Scarborough Teaching Hospitals NHS FT(4.8)(14.0)(9.2)(1.5%)
Humber and North Yorkshire ICB0.0(0.2)(0.2)(0.0%)4,135.2
Total Humber and North Yorkshire ICS(28.4)(49.5)(21.1)(0.5%)4,135.2

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Barnsley Hospital NHS Foundation Trust (NHS FT)(1.0)(0.7)0.30.1%
Doncaster and Bassetlaw Teaching Hospitals NHS FT(2.1)(4.3)(2.2)(0.5%)
Rotherham Doncaster and South Humber NHS FT(0.1)0.40.60.3%
Sheffield Children’s NHS FT(0.3)0.00.30.1%
Sheffield Health and Social Care NHS FT(0.3)(1.1)(0.8)(0.7%)
Sheffield Teaching Hospitals NHS FT3.81.0(2.8)(0.2%)
The Rotherham NHS FT(0.4)(2.2)(1.7)(0.6%)
South Yorkshire ICB(11.0)(46.7)(35.7)(1.0%)3,540.3
Total South Yorkshire ICS(11.5)(53.6)(42.1)(1.2%)3,540.3

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Airedale NHS Foundation Trust (NHS FT)(4.1)(11.3)(7.1)(3.3%)
Bradford District Care NHS FT(0.7)(0.6)0.00.0%
Bradford Teaching Hospitals NHS FT(13.3)(17.5)(4.2)(0.9%)
Calderdale and Huddersfield NHS FT(3.2)(4.1)(0.8)(0.2%)
Leeds and York Partnership NHS FT(0.6)0.20.80.4%
Leeds Community Healthcare NHS Trust0.81.30.50.3%
South West Yorkshire Partnership NHS FT0.2(0.9)(1.1)(0.4%)
The Leeds Teaching Hospitals NHS Trust(14.5)(17.0)(2.4)(0.2%)
Mid Yorkshire Teaching NHS Trust(2.5)(20.0)(17.5)(2.9%)
Yorkshire Ambulance Service NHS Trust0.4(0.5)(0.9)(0.3%)
West Yorkshire ICB15.815.8(0.0)(0.0%)5,928.5
Total West Yorkshire ICS(21.7)(54.5)(32.8)(0.6%)5,928.5

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 Foundation Trust (NHS FT)1.81.2(0.6)(0.1%)
Birmingham Community Healthcare NHS FT0.00.30.30.1%
Birmingham Women’s and Children’s NHS FT2.2(3.4)(5.6)(1.0%)
The Royal Orthopaedic Hospital NHS FT(0.0)(2.8)(2.7)(2.6%)
University Hospitals Birmingham NHS FT(23.6)(46.2)(22.6)(1.2%)
Birmingham and Solihull ICB7.17.70.60.0%3,870.6
Total Birmingham and Solihull ICS(12.5)(43.2)(30.7)(0.8%)3,870.6

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 NHS Trust0.10.1(0.0)(0.0%)
George Eliot Hospital NHS Trust(0.7)(4.3)(3.6)(1.8%)
South Warwickshire University NHS Foundation Trust (NHS FT)(1.0)(4.7)(3.7)(1.0%)
University Hospitals Coventry And Warwickshire NHS Trust(3.0)(10.9)(7.9)(1.0%)
Coventry and Warwickshire ICB0.0(0.8)(0.8)(0.0%)2,500.7
Total Coventry and Warwickshire ICS(4.7)(20.6)(15.9)(0.6%)2,500.7

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 Foundation Trust (NHS FT)(4.5)(8.3)(3.8)(1.3%)
Derbyshire Community Health Services NHS FT(0.9)(0.2)0.80.4%
Derbyshire Healthcare NHS FT(5.5)(5.6)(0.1)(0.0%)
East Midlands Ambulance Service NHS Trust1.61.2(0.5)(0.2%)
University Hospitals of Derby and Burton NHS FT(20.1)(25.9)(5.9)(0.6%)
Derby and Derbyshire ICB12.617.34.70.2%2,840.9
Total Derby and Derbyshire ICS(16.8)(21.5)(4.7)(0.2%)2,840.9

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Worcestershire Acute Hospitals NHS Trust(4.5)(4.9)(0.5)(0.1%)
Herefordshire and Worcestershire Health and Care NHS Trust0.00.00.00.0%
Wye Valley NHS Trust(2.8)(8.3)(5.5)(2.0%)
Herefordshire and Worcestershire ICB5.53.6(1.9)(0.1%)2,092.8
Total Herefordshire and Worcestershire ICS(1.8)(9.6)(7.8)(0.4%)2,092.8

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Leicestershire Partnership NHS Trust(1.0)(1.0)0.00.0%
University Hospitals of Leicester NHS Trust(0.0)(27.6)(27.6)(2.1%)
Leicester, Leicestershire and Rutland ICB(0.0)(15.2)(15.2)(0.6%)2,752.2
Total Leicester, Leicestershire and Rutland ICS(1.0)(43.9)(42.8)(1.6%)2,752.2

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Lincolnshire Community Health Services NHS Trust(0.6)(0.9)(0.4)(0.4%)
Lincolnshire Partnership NHS Foundation Trust (NHS FT)0.0(0.4)(0.4)(0.3%)
United Lincolnshire Hospitals NHS Trust(8.9)(29.8)(20.8)(3.4%)
Lincolnshire ICB(0.2)(1.7)(1.5)(0.1%)2,049.0
Total Lincolnshire ICS(9.7)(32.8)(23.1)(1.1%)2,049.0

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Kettering General Hospital NHS Foundation Trust (NHS FT)0.0(13.8)(13.8)(4.2%)
Northampton General Hospital NHS Trust0.0(17.9)(17.9)(4.4%)
Northamptonshire Healthcare NHS FT(0.6)(3.8)(3.3)(1.2%)
Northamptonshire ICB0.00.70.70.0%1,949.1
Total Northamptonshire ICS(0.6)(34.9)(34.3)(1.8%)1,949.1

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Nottingham University Hospitals NHS Trust0.0(1.4)(1.4)(0.1%)
Nottinghamshire Healthcare NHS Foundation Trust (NHS FT)0.0(7.5)(7.5)(1.4%)
Sherwood Forest Hospitals NHS FT(5.4)(7.3)(1.9)(0.5%)
Nottingham and Nottinghamshire ICB(0.0)(1.3)(1.3)(0.0%)3,151.6
Total Nottingham And Nottinghamshire ICS(5.4)(17.4)(12.0)(0.4%)3,151.6

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 NHS Trust1.12.01.01.0%
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust (NHS FT)2.01.3(0.7)(0.6%)
The Shrewsbury And Telford Hospital NHS Trust(0.9)(17.2)(16.3)(3.2%)
Shropshire, Telford and Wrekin ICB(12.6)(12.5)0.10.0%1,412.4
Total Shropshire and Telford and Wrekin ICS(10.5)(26.4)(15.9)(1.1%)1,412.4

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 Foundation Trust (NHS FT)2.33.20.90.2%
North Staffordshire Combined Healthcare NHS Trust(0.3)0.40.70.5%
University Hospitals of North Midlands NHS Trust1.4(18.3)(19.7)(2.1%)
Staffordshire and Stoke On Trent ICB0.0(14.8)(14.8)(0.5%)3,082.7
Total Staffordshire And Stoke On Trent ICS3.4(29.5)(32.8)(1.1%)3,082.7

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Black Country Healthcare NHS Foundation Trust (NHS FT)(0.7)(5.3)(4.7)(1.7%)
Dudley Integrated Health and Care NHS Trust0.60.60.00.0%
Sandwell And West Birmingham Hospitals NHS Trust(4.4)(4.3)0.10.0%
The Dudley Group NHS FT(3.6)(2.7)0.80.2%
The Royal Wolverhampton NHS Trust(9.5)(15.1)(5.6)(0.8%)
Walsall Healthcare NHS Trust(4.9)(9.1)(4.3)(1.2%)
West Midlands Ambulance Service University NHS FT(0.5)1.41.80.6%
Black Country ICB5.75.80.10.0%3,438.5
Total The Black Country ICS(17.2)(28.8)(11.7)(0.3%)3,438.5

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 Foundation Trust (NHS FT)(0.3)(3.2)(2.9)(0.3%)
Cambridgeshire and Peterborough NHS FT(3.2)(6.1)(2.9)(1.1%)
Cambridgeshire Community Services NHS Trust0.00.00.00.0%
North West Anglia NHS FT0.0(1.2)(1.2)(0.2%)
Royal Papworth Hospital NHS FT0.00.00.00.0%
Cambridgeshire and Peterborough ICB0.0(1.0)(1.0)(0.0%)2,303.0
Total Cambridgeshire and Peterborough ICS(3.5)(11.5)(8.0)(0.3%)2,303.0

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 NHS Trust0.1(0.6)(0.7)(0.1%)
Hertfordshire Community NHS Trust(0.3)(0.9)(0.6)(0.5%)
Hertfordshire Partnership University NHS Foundation Trust (NHS FT)(2.7)(5.3)(2.6)(0.8%)
The Princess Alexandra Hospital NHS Trust(7.9)(6.6)1.30.4%
West Hertfordshire Teaching Hospitals NHS Trust(10.3)(13.6)(3.3)(0.8%)
Hertfordshire and West Essex ICB4.43.9(0.5)(0.0%)3,773.8
Total Hertfordshire and West Essex ICS(16.7)(23.0)(6.3)(0.2%)3,773.8

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 Foundation Trust (NHS FT)(0.0)(7.7)(7.7)(1.8%)
Mid and South Essex NHS FT0.0(19.0)(19.0)(1.5%)
Mid and South Essex ICB(0.0)(0.9)(0.9)(0.0%)3,102.4
Total Mid and South Essex ICS(0.0)(27.6)(27.6)(0.9%)3,102.4

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 Foundation Trust (NHS FT)(0.0)(14.3)(14.3)(2.2%)
Milton Keynes University Hospital NHS FT(1.0)(4.5)(3.4)(1.1%)
Bedfordshire, Luton and Milton Keynes ICB0.0(2.0)(2.0)(0.1%)2,406.0
Total Bedfordshire, Luton And Milton Keynes ICS(1.0)(20.8)(19.8)(0.8%)2,406.0

Year to date surplus/(deficit) position – Norfolk and Waveney ICS

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
James Paget University Hospitals NHS Foundation Trust (NHS FT)(0.9)(6.0)(5.1)(2.0%)
Norfolk and Norwich University Hospitals NHS FT(3.3)(19.3)(16.0)(2.1%)
Norfolk and Suffolk NHS FT0.3(1.3)(1.6)(0.6%)
Norfolk Community Health and Care NHS Trust0.50.60.10.1%
Queen Elizabeth Hospital King’s Lynn NHS FT(4.6)(26.4)(21.8)(9.4%)
Norfolk and Waveney ICB0.30.30.00.0%2,811.6
Total Norfolk And Waveney ICS(7.8)(52.0)(44.3)(1.6%)2,811.6

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 NHS Trust1.22.71.50.4%
East Suffolk and North Essex NHS Foundation Trust (NHS FT)0.3(0.5)(0.7)(0.1%)
West Suffolk NHS FT(12.6)(20.9)(8.3)(2.7%)
Suffolk and North East Essex ICB6.013.47.40.3%2,611.4
Total Suffolk And North East Essex ICS(5.1)(5.3)(0.2)(0.0%)2,611.4

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 NHS Trust0.0(0.3)(0.3)(0.1%)
North London NHS Foundation Trust (NHS FT)0.0(0.3)(0.3)(0.1%)
Great Ormond Street Hospital for Children NHS FT(1.6)(4.3)(2.7)(0.5%)
Moorfields Eye Hospital NHS FT3.22.2(1.0)(0.4%)
North Middlesex University Hospital NHS Trust0.5(12.2)(12.7)(3.1%)
Royal Free London NHS FT(17.0)(9.5)7.50.6%
Royal National Orthopaedic Hospital NHS Trust(3.4)(6.5)(3.1)(2.0%)
Tavistock and Portman NHS FT(1.7)(2.7)(1.0)(2.0%)
University College London Hospitals NHS FT3.111.18.10.6%
Whittington Health NHS Trust(13.4)(19.2)(5.8)(1.7%)
North Central London ICB10.710.7(0.0)(0.0%)3,836.1
Total North Central London ICS(19.7)(31.1)(11.4)(0.3%)3,836.1

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 NHS Trust(3.7)(18.7)(15.0)(2.1%)
Barts Health NHS Trust(0.4)(14.2)(13.8)(0.7%)
East London NHS Foundation Trust (NHS FT)(2.0)(16.9)(14.9)(2.8%)
Homerton Healthcare NHS FT(2.9)(13.9)(11.0)(3.1%)
North East London NHS FT(2.0)(17.6)(15.6)(3.3%)
North East London ICB(1.7)(4.4)(2.7)(0.1%)5,012.5
Total North East London ICS(12.7)(85.7)(72.9)(1.5%)5,012.5

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 Foundation Trust (NHS FT)(2.1)(3.5)(1.4)(0.2%)
Central London Community Healthcare NHS Trust0.00.00.00.0%
Chelsea and Westminster Hospital NHS FT(0.7)(0.9)(0.2)(0.0%)
Imperial College Healthcare NHS Trust(0.9)(18.2)(17.4)(1.3%)
London Ambulance Service NHS Trust(0.6)(0.3)0.20.0%
London North West University Healthcare NHS Trust(5.4)(29.0)(23.7)(3.0%)
The Hillingdon Hospitals NHS FT(4.1)(26.8)(22.7)(8.0%)
West London NHS Trust0.00.00.00.0%
North West London ICB0.00.00.00.0%5,544.6
Total North West London ICS(13.7)(78.8)(65.1)(1.2%)5,544.6

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 Foundation Trust (NHS FT)(3.0)(33.2)(30.2)(1.4%)
King’s College Hospital NHS FT(33.5)(14.2)19.31.4%
Lewisham and Greenwich NHS Trust(0.1)(11.9)(11.8)(1.9%)
Oxleas NHS FT0.80.80.00.0%
South London and Maudsley NHS FT(1.6)(10.6)(9.1)(1.9%)
South East London ICB3.62.8(0.8)(0.0%)4,778.5
Total South East London ICS(33.8)(66.3)(32.5)(0.7%)4,778.5

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Croydon Health Services NHS Trust(0.5)(0.5)(0.0)(0.0%)
Epsom and St Helier University Hospitals NHS Trust(6.1)(11.8)(5.6)(1.0%)
Hounslow and Richmond Community Healthcare NHS Trust(0.9)(1.1)(0.2)(0.4%)
Kingston Hospital NHS Foundation Trust (NHS FT)(9.1)(10.0)(0.9)(0.3%)
South West London and St George’s Mental Health NHS Trust0.1(0.7)(0.8)(0.3%)
St George’s University Hospitals NHS FT(6.5)(15.6)(9.1)(1.0%)
The Royal Marsden NHS FT(0.9)(3.2)(2.4)(0.5%)
South West London ICB1.81.80.00.0%3,672.0
Total South West London ICS(22.1)(41.1)(19.0)(0.5%)3,672.0

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 Foundation Trust (NHS FT)0.0(2.3)(2.3)(0.6%)
Royal United Hospitals Bath NHS FT(0.0)(6.7)(6.7)(1.6%)
Salisbury NHS FT0.0(10.7)(10.7)(3.7%)
Bath and North East Somerset, Swindon and Wiltshire ICB(0.0)6.66.60.3%2,107.9
Total Bath And North East Somerset, Swindon And Wiltshire ICS(0.0)(13.1)(13.1)(0.6%)2,107.9

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Avon and Wiltshire Mental Health Partnership NHS Trust0.00.00.00.0%
North Bristol NHS Trust(2.4)(6.0)(3.5)(0.5%)
University Hospitals Bristol and Weston NHS Foundation Trust (NHS FT)0.0(6.2)(6.2)(0.6%)
Bristol, North Somerset and South Gloucestershire ICB0.00.00.00.0%2,298.4
Total Bristol, North Somerset, South Gloucestershire ICS(2.4)(12.1)(9.7)(0.4%)2,298.4

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 Foundation Trust (NHS FT)0.10.10.00.0%
Royal Cornwall Hospitals NHS Trust(0.3)(2.6)(2.3)(0.4%)
Cornwall and The Isles Of Scilly ICB0.0(0.0)(0.0)(0.0%)1,488.2
Total Cornwall And The Isles Of Scilly ICS(0.2)(2.5)(2.3)(0.2%)1,488.2

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Devon Partnership NHS Trust2.82.80.00.0%
Royal Devon University Healthcare NHS Foundation Trust (NHS FT)(7.3)(6.1)1.20.1%
Torbay and South Devon NHS FT(12.4)(19.3)(6.8)(1.3%)
University Hospitals Plymouth NHS Trust(14.4)(17.2)(2.8)(0.4%)
Devon ICB21.329.78.40.3%3,100.8
Total Devon ICS(10.1)(10.1)(0.0)(0.0%)3,100.8

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Dorset County Hospital NHS Foundation Trust (NHS FT)(4.5)(11.8)(7.3)(3.1%)
Dorset Healthcare University NHS FT(0.4)(0.5)(0.1)(0.0%)
South Western Ambulance Service NHS FT0.0(1.4)(1.4)(0.5%)
University Hospitals Dorset NHS FT(5.2)(7.2)(2.0)(0.3%)
Dorset ICB(1.0)(17.9)(16.9)(0.9%)1,953.0
Total Dorset ICS(11.1)(38.8)(27.7)(1.4%)1,953.0

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Gloucestershire Health and Care NHS Foundation Trust (NHS FT)0.10.10.00.0%
Gloucestershire Hospitals NHS FT(4.9)(3.8)1.10.2%
Gloucestershire ICB0.00.00.00.0%1,434.2
Total Gloucestershire ICS(4.8)(3.7)1.10.1%1,434.2

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Somerset NHS Foundation Trust (NHS FT)(8.2)(8.2)(0.0)(0.0%)
Somerset ICB0.00.0(0.0)(0.0%)1,431.2
Total Somerset ICS(8.2)(8.2)(0.0)(0.0%)1,431.2

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 Foundation Trust (NHS FT)1.84.83.01.0%
Buckinghamshire Healthcare NHS Trust(5.1)(5.1)(0.0)(0.0%)
Oxford Health NHS FT(1.1)1.93.00.6%
Oxford University Hospitals NHS FT(17.0)(26.6)(9.6)(0.8%)
Royal Berkshire NHS FT0.3(17.5)(17.8)(3.7%)
Buckinghamshire, Oxfordshire and Berkshire West ICB(0.3)(1.9)(1.6)(0.0%)3,794.8
Total Buckinghamshire, Oxfordshire and Berkshire West ICS(21.4)(44.5)(23.1)(0.6%)3,794.8

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Frimley Health Foundation Trust (NHS FT)(0.8)(4.3)(3.5)(0.4%)
Frimley ICB0.0(1.5)(1.5)(0.1%)1,638.6
Total Frimley ICS(0.8)(5.8)(5.0)(0.3%)1,638.6

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 Foundation Trust (NHS FT)(5.3)(15.9)(10.6)(2.1%)
Isle of Wight NHS Trust(4.8)(4.8)0.00.0%
Portsmouth Hospitals University NHS Trust(9.2)(9.2)0.00.0%
Solent NHS Trust0.1(4.5)(4.6)(3.3%)
South Central Ambulance Service NHS FT(3.9)(3.9)0.00.0%
Southern Health NHS FT9.310.10.80.2%
University Hospital Southampton NHS FT(3.3)(22.7)(19.3)(1.9%)
Hampshire and Isle of Wight ICB6.87.20.50.0%4,319.1
Total Hampshire and the Isle of Wight ICS(10.4)(43.6)(33.2)(0.8%)4,319.1

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

Provider/ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
Dartford and Gravesham NHS Trust(1.3)(1.3)0.00.0%
East Kent Hospitals University NHS Foundation Trust (NHS FT)(5.8)(7.8)(2.1)(0.3%)
Kent and Medway NHS and Social Care Partnership Trust0.50.50.00.0%
Kent Community Health NHS FT0.07.47.43.1%
Maidstone and Tunbridge Wells NHS Trust(4.1)(11.0)(6.9)(1.2%)
Medway NHS FT(1.9)(13.5)(11.6)(3.1%)
Kent and Medway ICB7.9(17.6)(25.5)(0.6%)4,519.9
Total Kent and Medway ICS(4.7)(43.4)(38.7)(0.9%)4,519.9

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 Foundation Trust (NHS FT)(2.0)(11.7)(9.7)(2.8%)
Royal Surrey NHS FT0.3(2.4)(2.7)(0.6%)
South East Coast Ambulance Service NHS FT1.31.30.00.0%
Surrey and Borders Partnership NHS FT0.4(0.6)(1.0)(0.4%)
Surrey and Sussex Healthcare NHS Trust(14.1)(17.1)(3.1)(0.8%)
Surrey Heartlands ICB0.016.516.50.7%2,440.8
Total Surrey Heartlands ICS(14.1)(14.1)0.00.0%2,440.8

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

Provider/ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB only)
East Sussex Healthcare NHS Trust(2.5)(12.8)(10.3)(2.0%)
Sussex Community NHS Foundation Trust (NHS FT)(2.2)(1.5)0.70.3%
Sussex Partnership NHS FT0.00.00.00.0%
Queen Victoria Hospital NHS FT(0.0)0.00.00.0%
University Hospitals Sussex NHS FT(11.5)(26.6)(15.1)(1.3%)
Sussex ICB0.00.10.10.0%4,310.0
Total Sussex ICS(16.3)(40.9)(24.6)(0.6%)4,310.0

Provider employee expenses summary

 YTD plan £m YTD Aactual £mYTD var to plan £mYTD var to plan %
Medical staff16,160.117,181.0(1,020.8)(6.3%)
Nursing staff18,192.718,398.0(205.2)(1.1%)
Support to clinical staff9,241.29,517.4(276.2)(3.0%)
Other staff20,858.421,076.7(218.4)(1.0%)
Total employee expenses64,452.466,173.1(1,720.7)(2.7%)
Of which:    
Bank4,172.34,888.4(716.1)(17.2%)
Agency1,681.71,618.763.13.7%
Total Bank and Agency5,854.06,507.1(653.0)(11.2%)

Provider non-pay costs summary

 YTD plan £m YTD plan £mYTD var to plan £mYTD var to plan %
Purchase of healthcare from other providers3,906.64,207.6(301.0)(7.7%)
Purchase of social care195.5205.8(10.3)(5.3%)
Drugs costs8,171.18,869.4(698.3)(8.5%)
Clinical supplies and services – (excluding drugs costs)7,045.57,933.6(888.1)(12.6%)
General supplies and services1,491.81,625.9(134.1)(9.0%)
Clinical negligence insurance2,193.82,158.035.71.6%
Consultancy115.7122.8(7.1)(6.2%)
Establishment924.6928.9(4.3)(0.5%)
Premises3,958.93,901.257.71.5%
Other non pay items8,625.38,373.8251.52.9%
Total non pay36,628.638,326.9(1,698.3)(4.6%)

Specialised commissioning (net expenditure)

Region YTD plan £m YTD actual £mYTD var to plan £mYTD var to plan %
North West1,177.21,177.20.00.0%
North East and Yorkshire2,520.02,520.0(0.0)(0.0%)
Midlands1,492.11,491.80.30.0%
East of England787.8787.80.00.0%
London4,157.54,157.5(0.0)(0.0%)
South West1,606.51,606.5(0.0)(0.0%)
South East2,530.52,527.82.70.1%
Central1,546.01,536.29.80.6%
Total15,817.615,804.712.90.1%

Provider and commissioner capital position

Provider

Capital (CDEL) – by sector YTD plan £m YTD actual £mYTD var to plan £mYTD var to plan %
Acute1,909.81,512.9396.920.8%
Ambulance96.064.531.532.8%
Community74.050.923.131.2%
Mental Health328.8286.242.612.9%
Specialist115.493.022.419.4%
Provider operational capital excluding IFRS162,524.02,007.6516.420.5%
Impact of IFRS16742.2369.0373.250.3%
National allocations plus other items charged to CDEL1,800.01,422.0378.021.0%
Total Provider capital plan including IFRS165,066.23,798.51,267.725.0%
Capital DELYTD plan £mYTD actual £mYTD var to plan £mYTD var to plan %
Gross capital expenditure5,477.64,104.21,373.425.1%
Disposals/other deductions(66.0)(69.2)3.2(4.8%)
Net Capital expenditure5,411.64,035.01,376.625.4%
Less grants, donations and peppercorn leases(324.6)(235.1)(89.6)27.6%
Less PFI capital (IFRIC12)(142.1)(137.2)(4.9)3.4%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)139.4156.7(17.4)(12.5%)
Purchase of financial assets0.91.8(0.9)(102.6%)
Sale of financial assets(21.9)(16.3)(5.6)25.5%
Utilisation of capitalised dilapidation provisions2.90.92.070.2%
Loss on disposal from peppercorn leases0.0(0.0)0.0%
Prior Period Adjustments (PPAs)0.0(7.4)7.40.0%
Total CDEL5,066.23,798.51,267.725.0%

Commissioner

Capital (CDEL) – by region YTD plan £m YTD plan £mYTD var to plan £mYTD var to plan %
London3.63.40.26.4%
Midlands0.0(0.0)0.00.0%
East of England2.65.4(2.8)(110.0%)
North West0.0(0.5)0.50.0%
North East and Yorkshire1.31.30.00.1%
South East0.933.3(32.3)(3462.1%)
South West1.72.2(0.5)(32.0%)
Central182.9155.427.515.0%
Total Commissioner CDEL192.9200.4(7.4)(3.8%)