Financial performance report 2024/25: Quarter 4

Introduction

This report should be read in conjunction with operational performance updates made to the NHS England Board.   

The financial position presented in the report shows final accounts submissions received by 1 July except for the capital figures which are draft accounts. Where audited accounts have not been received, an updated draft accounts position submitted to the national team has been used. This data set will therefore differ from that used in the consolidated provider accounts and subsequent Trust Accounts Consolidation (TAC) data publication.

All figures presented in this document 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.

Provider and ICB financial position – North West Region

Year to Date Surplus / (Deficit) Position – Cheshire and Merseyside ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Alder Hey Children’s NHS FT3.41.9(1.5)(0.3%)
Bridgewater Community Healthcare NHS FT2.1(1.2)(3.3)(3.1%)
Cheshire and Wirral Partnership NHS FT1.51.70.20.1%
Countess of Chester Hospital NHS FT(9.6)(9.6)0.00.0%
East Cheshire NHST(5.9)(4.9)1.00.4%
Liverpool Heart and Chest Hospital NHS FT14.114.20.00.0%
Liverpool University Hospitals NHS FT(32.8)(38.3)(5.5)(0.4%)
Liverpool Women’s NHS FT(11.6)(11.5)0.10.0%
Mersey Care NHS FT7.110.33.20.4%
Mid Cheshire Hospitals NHS FT(14.5)(13.3)1.20.3%
St Helens And Knowsley Teaching Hospitals NHST(10.9)(14.7)(3.9)(0.4%)
The Clatterbridge Cancer Centre NHS FT0.90.90.00.0%
The Walton Centre NHS FT5.36.41.00.5%
Warrington and Halton Teaching Hospitals NHS FT(11.3)(16.8)(5.5)(1.4%)
Wirral Community Health and Care NHS FT6.56.50.00.0%
Wirral University Teaching Hospital NHS FT(6.7)(9.7)(3.1)(0.6%)
Cheshire and Merseyside ICB62.325.4(36.9)(0.5%)7,955.5
Total Cheshire and Merseyside ICS0.0(52.8)(52.8)(0.7%)7,955.5

Year to Date Surplus / (Deficit) Position – Greater Manchester ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Bolton NHS FT(0.6)(0.6)(0.0)(0.0%)
Greater Manchester Mental Health NHS FT(0.2)(0.2)0.00.0%
Manchester University NHS FT3.63.60.00.0%
Pennine Care NHS FT0.10.0(0.0)(0.0%)
Northern Care Alliance NHS FT(4.4)(4.4)0.00.0%
Stockport NHS FT(2.5)(2.1)0.40.1%
Tameside and Glossop Integrated Care NHS FT(2.2)(0.6)1.50.4%
The Christie NHS FT7.015.08.01.5%
Wrightington, Wigan and Leigh NHS FT(0.8)(0.8)(0.0)(0.0%)
Greater Manchester ICB0.0(56.0)(56.0)(0.6%)8,686.7
Total Greater Manchester ICS0.0(46.0)(46.0)(0.5%)8,686.7

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(0.0)(26.8)(26.8)(3.7%)
East Lancashire Hospitals NHST0.0(47.1)(47.1)(5.7%)
Lancashire and South Cumbria NHS FT(0.0)(7.3)(7.3)(1.2%)
Lancashire Teaching Hospitals NHS FT0.0(36.2)(36.2)(4.2%)
North West Ambulance Service NHST0.06.36.31.1%
University Hospitals of Morecambe Bay NHS FT0.0(19.1)(19.1)(3.2%)
Lancashire and South Cumbria ICB0.00.00.00.0%5,380.9
Total Lancashire and South Cumbria ICS(0.0)(130.2)(130.2)(2.4%)5,380.9

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 FT5.45.50.00.0%
Cumbria, Northumberland, Tyne and Wear NHS FT2.44.21.80.3%
Gateshead Health NHS FT(2.2)(2.1)0.00.0%
North Cumbria Integrated Care NHS FT(14.4)(25.2)(10.8)(1.7%)
North East Ambulance Service NHS FT0.00.60.60.2%
North Tees and Hartlepool NHS FT0.00.00.00.0%
Northumbria Healthcare NHS FT13.012.8(0.2)(0.0%)
South Tees Hospitals NHS FT(7.8)(7.8)0.00.0%
South Tyneside and Sunderland NHS FT0.00.00.00.0%
Tees, Esk and Wear Valleys NHS FT0.00.60.60.1%
The Newcastle Upon Tyne Hospitals NHS FT(0.0)0.00.00.0%
North East and North Cumbria ICB3.612.28.60.1%8,125.9
Total North East and North Cumbria ICS(0.0)0.80.80.0%8,125.9

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 FT0.00.00.00.0%
Hull University Teaching Hospitals NHST0.00.00.00.0%
Humber Teaching NHS FT0.00.00.00.0%
Northern Lincolnshire and Goole NHS FT0.00.00.00.0%
York and Scarborough Teaching Hospitals NHS FT0.00.00.00.0%
Humber and North Yorkshire ICB0.00.10.10.0%4,261.5
Total Humber and North Yorkshire ICS0.00.10.10.0%4,261.5

Year to Date Surplus / (Deficit) Position – South Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Barnsley Hospital NHS FT(0.5)2.12.60.7%
Doncaster and Bassetlaw Teaching Hospitals NHS FT(2.4)(2.4)0.00.0%
Rotherham Doncaster and South Humber NHS FT(0.3)0.50.90.3%
Sheffield Children’s NHS FT(0.5)0.91.40.4%
Sheffield Health and Social Care NHS FT(0.6)(0.1)0.50.3%
Sheffield Teaching Hospitals NHS FT5.06.91.90.1%
The Rotherham NHS FT(0.6)0.30.90.2%
South Yorkshire ICB0.0(38.3)(38.3)(1.0%)3,657.0
Total South Yorkshire ICS0.0(30.1)(30.1)(0.8%)3,657.0

Year to Date Surplus / (Deficit) Position – West Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Airedale NHS FT(5.2)(12.7)(7.5)(2.4%)
Bradford District Care NHS FT0.00.20.20.1%
Bradford Teaching Hospitals NHS FT(9.7)(4.8)4.90.7%
Calderdale and Huddersfield NHS FT(0.9)4.25.10.8%
Leeds and York Partnership NHS FT1.01.20.20.1%
Leeds Community Healthcare NHST1.01.90.90.4%
South West Yorkshire Partnership NHS FT(0.0)0.20.20.1%
The Leeds Teaching Hospitals NHST7.919.911.90.6%
Mid Yorkshire Teaching NHST4.4(15.2)(19.6)(2.3%)
Yorkshire Ambulance Service NHST0.00.10.10.0%
West Yorkshire ICB1.45.23.80.1%6,115.0
Total West Yorkshire ICS(0.0)0.10.10.0%6,115.0

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 FT2.110.88.71.2%
Birmingham Community Healthcare NHS FT0.02.62.60.7%
Birmingham Womens and Children’s NHS FT3.08.25.20.7%
The Royal Orthopaedic Hospital NHS FT0.0(1.6)(1.6)(1.1%)
University Hospitals Birmingham NHS FT(16.5)(30.7)(14.3)(0.5%)
Birmingham and Solihull ICB11.411.40.00.0%3,970.6
Total Birmingham and Solihull ICS0.00.70.60.0%3,970.6

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 NHST1.03.22.20.7%
George Eliot Hospital NHST0.7(3.0)(3.7)(1.3%)
South Warwickshire University NHS FT1.30.0(1.3)(0.3%)
University Hospitals Coventry And Warwickshire NHST(5.0)(4.7)0.30.0%
Coventry and Warwickshire ICB2.04.72.70.1%2,590.1
Total Coventry and Warwickshire ICS(0.0)0.20.20.0%2,590.1

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(5.0)(3.2)1.80.4%
Derbyshire Community Health Services NHS FT(0.0)3.33.31.3%
Derbyshire Healthcare NHS FT(6.4)0.06.42.6%
East Midlands Ambulance Service NHST0.00.00.00.0%
University Hospitals of Derby and Burton NHS FT(12.4)(1.5)10.90.8%
Derby and Derbyshire ICB23.81.4(22.4)(0.8%)2,917.6
Total Derby and Derbyshire ICS(0.0)0.00.00.0%2,917.6

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(5.7)(5.5)0.20.0%
Herefordshire and Worcestershire Health and Care NHST0.00.00.00.0%
Wye Valley NHST(3.1)(5.6)(2.5)(0.6%)
Herefordshire and Worcestershire ICB8.811.12.40.1%2,149.1
Total Herefordshire and Worcestershire ICS0.00.00.00.0%2,149.1

Year to Date Surplus / (Deficit) Position – Leicester, Leicestershire and Rutland ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Leicestershire Partnership NHST(0.0)0.00.00.0%
University Hospitals of Leicester NHST0.0(37.2)(37.2)(2.1%)
Leicester, Leicestershire and Rutland ICB0.00.00.00.0%2,839.1
Total Leicester, Leicestershire and Rutland ICS0.0(37.2)(37.2)(1.3%)2,839.1

Year to Date Surplus / (Deficit) Position – Lincolnshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Lincolnshire Community Health Services NHST0.00.00.00.0%
Lincolnshire Partnership NHS FT2.21.0(1.2)(0.6%)
United Lincolnshire Hospitals NHST(6.9)(18.3)(11.4)(1.3%)
Lincolnshire ICB4.7(9.5)(14.2)(0.7%)2,142.0
Total Lincolnshire ICS0.0(26.7)(26.7)(1.2%)2,142.0

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(12.9)(12.9)(2.8%)
Northampton General Hospital NHST0.0(17.0)(17.0)(3.0%)
Northamptonshire Healthcare NHS FT0.00.00.00.0%
Northamptonshire ICB0.05.05.00.3%1,990.4
Total Northamptonshire ICS0.0(24.9)(24.9)(1.2%)1,990.4

Year to Date Surplus / (Deficit) Position – Nottingham and Nottinghamshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Nottingham University Hospitals NHST0.00.10.10.0%
Nottinghamshire Healthcare NHS FT0.00.00.00.0%
Sherwood Forest Hospitals NHS FT0.00.00.00.0%
Nottingham and Nottinghamshire ICB0.00.00.00.0%3,246.5
Total Nottingham And Nottinghamshire ICS0.00.10.10.0%3,246.5

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 NHST1.83.61.81.4%
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT2.92.90.00.0%
The Shrewsbury And Telford Hospital NHST0.0(24.4)(24.4)(3.4%)
Shropshire, Telford and Wrekin ICB(4.7)(0.0)4.70.3%1,447.3
Total Shropshire and Telford and Wrekin ICS0.0(17.9)(17.9)(1.2%)1,447.3

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 FT0.011.611.61.6%
North Staffordshire Combined Healthcare NHST0.03.53.52.0%
University Hospitals of North Midlands NHST(0.0)(18.1)(18.1)(1.4%)
Staffordshire and Stoke On Trent ICB0.0(14.9)(14.9)(0.5%)3,177.0
Total Staffordshire And Stoke On Trent ICS(0.0)(17.8)(17.8)(0.6%)3,177.0

Year to Date Surplus / (Deficit) Position – Black Country ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Black Country Healthcare NHS FT(0.0)(2.1)(2.1)(0.6%)
Dudley Integrated Health and Care NHST0.60.60.00.0%
Sandwell And West Birmingham Hospitals NHST(1.9)6.07.91.0%
The Dudley Group NHS FT(1.6)(1.5)0.00.0%
The Royal Wolverhampton NHST(2.4)(13.1)(10.7)(1.0%)
Walsall Healthcare NHST(1.2)(8.2)(7.0)(1.5%)
West Midlands Ambulance Service University NHS FT(1.3)2.63.90.9%
Black Country ICB7.916.38.50.2%3,513.3
Total The Black Country ICS(0.0)0.60.60.0%3,513.3

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 FT0.00.10.00.0%
Cambridgeshire and Peterborough NHS FT0.00.00.00.0%
Cambridgeshire Community Services NHST0.00.10.10.0%
North West Anglia NHS FT0.00.00.00.0%
Royal Papworth Hospital NHS FT0.00.30.30.1%
Cambridgeshire and Peterborough ICB(0.0)0.00.00.0%2,414.1
Total Cambridgeshire and Peterborough ICS0.00.50.50.0%2,414.1

Year to Date Surplus / (Deficit) Position – Hertfordshire and West Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
The Princess Alexandra Hospital NHST(5.0)(1.1)3.90.9%
West Hertfordshire Teaching Hospitals NHST(1.5)(5.5)(4.0)(0.7%)
Hertfordshire and West Essex ICB6.87.20.40.0%3,876.0
Total Hertfordshire and West Essex ICS(0.0)0.00.00.0%3,876.0

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 FT(0.0)(10.4)(10.4)(1.7%)
Mid and South Essex NHS FT0.0(6.0)(6.0)(0.4%)
Mid and South Essex ICB0.00.10.10.0%3,170.6
Total Mid and South Essex ICS(0.0)(16.3)(16.3)(0.5%)3,170.6

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 FT0.00.40.40.0%
Milton Keynes University Hospital NHS FT(0.0)0.10.10.0%
Bedfordshire, Luton and Milton Keynes ICB0.00.20.20.0%2,483.3
Total Bedfordshire, Luton And Milton Keynes ICS(0.0)0.70.70.0%2,483.3

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 FT(1.1)0.01.10.3%
Norfolk and Norwich University Hospitals NHS FT0.00.00.00.0%
Norfolk and Suffolk NHS FT0.00.00.00.0%
Norfolk Community Health and Care NHST1.51.60.10.0%
Queen Elizabeth Hospital King’s Lynn NHS FT(0.8)(38.5)(37.7)(11.7%)
Norfolk and Waveney ICB0.40.60.20.0%2,902.6
Total Norfolk And Waveney ICS0.0(36.2)(36.2)(1.2%)2,902.6

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 NHST0.12.01.90.4%
East Suffolk and North Essex NHS FT0.33.53.20.3%
West Suffolk NHS FT(15.2)(25.3)(10.1)(2.4%)
Suffolk and North East Essex ICB14.819.95.10.2%2,660.0
Total Suffolk And North East Essex ICS(0.0)0.10.10.0%2,660.0

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 NHST0.0(0.3)(0.3)(0.1%)
North London NHS Foundation Trust0.00.30.30.1%
Great Ormond Street Hospital for Children NHS FT0.10.90.80.1%
Moorfields Eye Hospital NHS FT5.44.1(1.3)(0.4%)
North Middlesex University Hospital NHST0.5(12.2)(12.7)(3.1%)
Royal Free London NHS FT(16.9)(4.2)12.70.7%
Royal National Orthopaedic Hospital NHST(3.4)(5.5)(2.1)(0.9%)
Tavistock and Portman NHS FT(2.2)(2.2)0.00.0%
University College London Hospitals NHS FT12.917.95.00.3%
Whittington Health NHST(10.9)(13.1)(2.2)(0.4%)
North Central London ICB14.614.60.10.0%3,955.7
Total North Central London ICS0.00.30.30.0%3,955.7

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 NHST0.0(38.9)(38.9)(3.9%)
Barts Health NHST0.0(11.7)(11.7)(0.4%)
East London NHS FT0.0(12.7)(12.7)(1.7%)
Homerton Healthcare NHS FT0.0(12.9)(12.9)(2.6%)
North East London NHS FT0.0(23.5)(23.5)(3.5%)
North East London ICB(0.0)12.112.10.2%5,190.0
Total North East London ICS0.0(87.7)(87.7)(1.7%)5,190.0

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 FT0.00.20.20.0%
Central London Community Healthcare NHST0.00.00.00.0%
Chelsea and Westminster Hospital NHS FT0.00.10.10.0%
Imperial College Healthcare NHST0.00.10.10.0%
London Ambulance Service NHST0.00.20.20.0%
London North West University Healthcare NHST0.0(22.9)(22.9)(2.1%)
The Hillingdon Hospitals NHS FT0.0(34.6)(34.6)(8.0%)
West London NHST0.00.20.20.0%
North West London ICB0.058.158.11.0%5,726.8
Total North West London ICS0.01.41.40.0%5,726.8

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 FT0.012.712.70.4%
King’s College Hospital NHS FT(40.0)(33.7)6.30.3%
Lewisham and Greenwich NHST0.09.19.11.0%
Oxleas NHS FT1.02.81.70.3%
South London and Maudsley NHS FT0.09.69.61.4%
South East London ICB39.00.1(38.9)(0.8%)4,885.5
Total South East London ICS0.00.50.50.0%4,885.5

Year to Date Surplus / (Deficit) Position – South West London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Croydon Health Services NHST(0.0)0.40.40.1%
Epsom and St Helier University Hospitals NHST(5.1)(5.1)0.00.0%
Hounslow and Richmond Community Healthcare NHST(0.9)(1.1)(0.2)(0.3%)
Kingston Hospital NHS FT1.21.40.20.0%
South West London and St George’s Mental Health NHST0.80.80.00.0%
St George’s University Hospitals NHS FT(4.3)(4.3)0.00.0%
The Royal Marsden NHS FT5.35.40.00.0%
South West London ICB3.13.10.10.0%3,751.3
Total South West London ICS0.00.50.50.0%3,751.3

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 FT0.01.41.40.2%
Royal United Hospitals Bath NHS FT(0.0)(4.2)(4.2)(0.7%)
Salisbury NHS FT0.0(5.5)(5.5)(1.3%)
Bath and North East Somerset, Swindon and Wiltshire ICB0.08.48.40.4%2,193.3
Total Bath And North East Somerset, Swindon And Wiltshire ICS(0.0)0.10.10.0%2,193.3

Year to Date Surplus / (Deficit) Position – Bristol, North Somerset and South Gloucestershire ICS

Bristol, North Somerset and South Gloucestershire ICB0.00.00.00.0%2,358.2

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Avon and Wiltshire Mental Health Partnership NHST0.00.10.10.0%
North Bristol NHST0.00.00.00.0%
University Hospitals Bristol and Weston NHS FT0.00.00.00.0%
Total Bristol, North Somerset, South Gloucestershire ICS0.00.20.20.0%2,358.2

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 FT0.00.00.00.0%
Royal Cornwall Hospitals NHST0.00.10.10.0%
Cornwall and The Isles Of Scilly ICB0.00.00.00.0%1,547.9
Total Cornwall And The Isles Of Scilly ICS0.00.20.20.0%1,547.9

Year to Date Surplus / (Deficit) Position – Devon ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Devon Partnership NHST3.63.60.00.0%
Royal Devon University Healthcare NHS FT(2.8)(2.7)0.00.0%
Torbay and South Devon NHS FT(13.6)(33.5)(19.9)(2.7%)
University Hospitals Plymouth NHST(15.6)(15.6)0.00.0%
Devon ICB28.428.4(0.0)(0.0%)3,200.6
Total Devon ICS(0.0)(19.9)(19.9)(0.6%)3,200.6

Year to Date Surplus / (Deficit) Position – Dorset ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Dorset County Hospital NHS FT0.013.013.03.7%
Dorset Healthcare University NHS FT1.31.30.00.0%
South Western Ambulance Service NHS FT0.00.00.00.0%
University Hospitals Dorset NHS FT0.00.10.10.0%
Dorset ICB(1.3)(26.3)(25.0)(1.2%)2,014.0
Total Dorset ICS0.0(12.0)(12.0)(0.6%)2,014.0

Year to Date Surplus / (Deficit) Position – Gloucestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Gloucestershire Health and Care NHS FT(0.0)0.30.30.1%
Gloucestershire Hospitals NHS FT0.00.10.10.0%
Gloucestershire ICB0.00.20.20.0%1,475.8
Total Gloucestershire ICS(0.0)0.60.60.0%1,475.8

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 ICB0.00.00.00.0%1,469.5
Total Somerset ICS0.00.00.00.0%1,469.5

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 FT1.94.93.00.7%
Buckinghamshire Healthcare NHST(0.7)2.02.60.4%
Oxford Health NHS FT(0.1)2.22.30.3%
Oxford University Hospitals NHS FT(0.2)(6.8)(6.5)(0.4%)
Royal Berkshire NHS FT(0.4)(17.9)(17.5)(2.6%)
Buckinghamshire, Oxfordshire and Berkshire West ICB(0.5)0.00.50.0%3,875.6
Total Buckinghamshire, Oxfordshire and Berkshire West ICS0.0(15.6)(15.6)(0.4%)3,875.6

Year to Date Surplus / (Deficit) Position – Frimley ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Frimley Health NHS FT0.00.40.40.0%
Frimley ICB0.00.00.00.0%1,679.3
Total Frimley ICS0.00.40.40.0%1,679.3

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(4.6)(13.3)(8.7)(1.2%)
Isle of Wight NHST(5.2)(7.2)(2.0)(0.7%)
Portsmouth Hospitals University NHST(9.6)(12.8)(3.2)(0.3%)
Solent NHST0.1(5.4)(5.5)(3.9%)
South Central Ambulance Service NHS FT(4.1)4.68.72.3%
Southern Health NHS FT17.024.27.20.9%
University Hospital Southampton NHS FT(3.3)(7.0)(3.7)(0.3%)
Hampshire and Isle of Wight ICB9.617.07.40.2%4,439.2
Total Hampshire and the Isle of Wight ICS(0.0)0.10.10.0%4,439.2

Year to Date Surplus / (Deficit) Position – Kent and Medway ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
Dartford and Gravesham NHST(1.5)(1.5)0.00.0%
East Kent Hospitals University NHS FT(7.4)(7.4)0.00.0%
Kent and Medway NHS and Social Care Partnership Trust0.73.52.80.9%
Kent Community Health NHS FT0.03.43.41.0%
Maidstone and Tunbridge Wells NHST(0.0)0.20.20.0%
Medway NHS FT(2.4)(22.4)(20.0)(3.9%)
Kent and Medway ICB10.56.2(4.3)(0.1%)4,656.8
Total Kent & Medway ICS(0.0)(17.9)(17.9)(0.4%)4,656.8

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 FT0.0(11.3)(11.3)(2.3%)
Royal Surrey NHS FT0.0(2.9)(2.9)(0.5%)
South East Coast Ambulance Service NHS FT0.00.00.00.0%
Surrey and Borders Partnership NHS FT0.00.00.00.0%
Surrey and Sussex Healthcare NHST(13.7)(11.9)1.90.4%
Surrey Heartlands ICB13.726.012.20.5%2,502.4
Total Surrey Heartlands ICS0.00.10.10.0%2,502.4

Year to Date Surplus / (Deficit) Position – Sussex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation £m (ICB Only)
East Sussex Healthcare NHST0.0(8.9)(8.9)(1.2%)
Sussex Community NHS FT0.00.00.00.0%
Sussex Partnership NHS FT0.00.00.00.0%
Queen Victoria Hospital NHS FT0.00.00.00.0%
University Hospitals Sussex NHS FT0.0(30.0)(30.0)(1.8%)
Sussex ICB0.00.10.10.0%4,450.2
Total Sussex ICS0.0(38.8)(38.8)(0.9%)4,450.2

Provider Employee Expenses summary

 Outturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
Medical staff21,478.722,985.4(1,506.7)(7.0%)
Nursing staff24,234.624,609.9(375.3)(1.5%)
Support to clinical staff12,302.812,765.3(462.5)(3.8%)
Other staff32,676.533,262.0(585.6)(1.8%)
Total employee expenses90,692.693,622.7(2,930.1)(3.2%)
Of which:    
– Bank5,486.56,525.4(1,038.9)(18.9%)
– Agency2,186.42,074.2112.15.1%
Total Bank and Agency7,672.88,599.6(926.7)(12.1%)

Provider Non-Pay Costs summary

 Outturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
Purchase of healthcare from other providers5,165.15,778.0(612.9)(11.9%)
Purchase of social care260.0285.2(25.2)(9.7%)
Drugs costs10,848.511,856.6(1,008.1)(9.3%)
Clinical supplies and services – (excluding drugs costs)9,324.010,661.7(1,337.7)(14.3%)
General supplies and services1,972.42,154.1(181.7)(9.2%)
Clinical negligence insurance2,919.72,857.861.92.1%
Consultancy152.7173.8(21.1)(13.8%)
Establishment1,227.11,259.1(32.0)(2.6%)
Premises5,290.35,335.3(44.9)(0.8%)
Other non pay items11,465.711,548.3(82.6)(0.7%)
Total non pay48,625.651,909.8(3,284.3)(6.8%)

Specialised Commissioning (Net expenditure)

RegionOutturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
North West1,593.61,589.44.30.3%
North East & Yorkshire3,412.23,412.10.10.0%
Midlands2,010.11,996.114.00.7%
East of England1,031.91,031.70.20.0%
London5,652.85,652.80.00.0%
South West2,192.92,192.90.00.0%
South East3,447.23,423.423.70.7%
Central2,207.62,224.1(16.5)(0.7%)
Total21,548.321,522.525.80.1%

Provider and Commissioner Capital position

Provider

Capital (CDEL) – By SectorOutturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
Acute2,968.23,196.0(227.8)(7.7%)
Ambulance152.2175.9(23.7)(15.6%)
Community104.697.76.96.6%
Mental Health467.7596.9(129.1)(27.6%)
Specialist187.5192.2(4.7)(2.5%)
Provider operational capital excluding IFRS163,880.24,258.7(378.5)(9.8%)
Impact of IFRS161,182.3802.0380.332.2%
National allocations plus other items charged to CDEL2,728.82,874.1(145.3)(5.3%)
Total Provider capital plan including IFRS167,791.37,934.8(143.5)(1.8%)

Capital DEL

 Outturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
Gross capital expenditure8,445.78,555.7(110.0)(1.3%)
Disposals / other deductions(116.9)(158.7)41.8(35.7%)
Net Capital expenditure8,328.88,397.0(68.2)(0.8%)
Less grants, donations and peppercorn leases(497.7)(430.0)(67.8)13.6%
Less PFI capital (IFRIC12)(233.8)(224.6)(9.2)3.9%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)211.7211.60.10.1%
Purchase of financial assets1.26.3(5.1)(427.0%)
Sale of financial assets(22.3)(16.3)(5.9)26.7%
Utilisation of capitalised dilapidation provisions3.41.61.954.6%
Loss on disposal from peppercorn leases0.0(0.0)0.0%
Prior Period Adjustments (PPAs)0.0(10.9)10.90.0%
Total CDEL7,791.37,934.8(143.5)(1.8%)

Commissioner

Capital (CDEL) – By Region

RegionOutturn Plan £mOutturn Actual £mOutturn Var to Plan £mOutturn Var to Plan %
London33.632.61.02.9%
Midlands32.832.20.51.6%
East of England15.915.9(0.0)(0.2%)
North West13.313.20.00.2%
North East and Yorkshire76.275.90.30.4%
South East97.494.72.72.8%
South West36.035.80.20.6%
Central321.2310.111.13.5%
Total Commissioner CDEL626.3610.515.82.5%