Financial performance report 2025/26: Quarter 2

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

The majority of 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.

Headline position

Year to date surplus / (deficit)

Surplus / (deficit) In year allocation (£m)Plan (£m)Actual (£m)Under/(over) spend (£m)Under/(over) spend (%)
Systems166,704(910)(1,199)(289)0%
Non-delegated Specialised Commissioning11,69442420%
Other direct commissioning2,832(1)13140%
Central costs16,3541111110%
Transformation & reserves4,1006767100%
Technical & ringfenced adjustments(4,526)0%
Total – non-ringfenced RDEL197,157(911)(966)(55)0%

Year to date expenditure basis

Expenditure basis In year allocation (£m)Plan (£m)Actual (£m)Under/(over) spend (£m)Under/(over) spend (%)
Systems166,70484,61184,900(289)(0%)
Non-delegated Specialised Commissioning11,6945,6595,617421%
Other direct commissioning2,8321,1831,170141%
Central costs16,3547,8897,7781111%
Transformation & reserves4,1006767
Technical & ringfenced adjustments(4,526)(2,272)(2,272)0%
Total – non-ringfenced RDEL197,15797,13897,193(55)(0%)
Non ringfenced RDEL surplus / deficit position197,157(911)(966)(55)(0%)

Provider and ICB Financial Position – North West Region

Surplus/(deficit) position – Cheshire and Merseyside Integrated Care System (ICS)

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Alder Hey Children’s NHS FT(1.0)(1.0)(0.0)(0.0%)7.27.2 
Bridgewater Community Healthcare NHS FT(2.3)(2.3)0.00.0%(1.5)(1.5) 
Cheshire and Wirral Partnership NHS FT(3.1)(2.0)1.10.7%4.04.0 
Countess of Chester Hospital NHS FT(12.3)(17.4)(5.1)(2.7%)(34.0)(34.0)Yes
East Cheshire NHST(8.0)(10.6)(2.6)(2.4%)(17.9)(17.9)Yes
Liverpool Heart and Chest Hospital NHS FT4.24.2(0.0)(0.0%)9.69.6 
Liverpool University Hospitals NHS FT(21.3)(32.4)(11.1)(1.7%)(56.6)(56.6)Yes
Liverpool Women’s NHS FT(8.6)(11.9)(3.4)(4.1%)(31.0)(31.0)Yes
Mersey Care NHS FT0.51.71.20.3%14.314.3 
Mid Cheshire Hospitals NHS FT(16.6)(21.6)(4.9)(2.4%)(39.4)(39.4)Yes
St Helens And Knowsley Teaching Hospitals NHST(25.7)(29.5)(3.9)(0.8%)(41.0)(41.0)Yes
The Clatterbridge Cancer Centre NHS FT0.10.10.00.0%0.90.9 
The Walton Centre NHS FT3.13.20.00.0%6.96.9 
Warrington and Halton Teaching Hospitals NHS FT(12.9)(17.5)(4.6)(2.4%)(28.7)(28.7)Yes
Wirral Community Health and Care NHS FT(0.4)0.71.12.0%0.90.9 
Wirral University Teaching Hospital NHS FT(3.2)(12.6)(9.4)(3.7%)(22.1)(22.1)Yes
Cheshire and Merseyside ICB25.224.1(1.0)(0.0%)4,152.050.450.4 
Total Cheshire and Merseyside ICS(82.2)(124.8)(42.6)(1.0%)4,152.0(178.3)(178.3) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Greater Manchester ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Bolton NHS FT(7.6)(11.9)(4.2)(1.6%)(6.5)(6.5)Yes
Greater Manchester Mental Health NHS FT0.0(0.4)(0.4)(0.2%)(9.2)(9.2)Yes
Manchester University NHS FT(30.1)(44.6)(14.5)(0.9%)0.00.0 
Pennine Care NHS FT(0.0)0.00.00.0%0.00.0 
Northern Care Alliance NHS FT(25.1)(24.0)1.10.1%(57.9)(57.9)Yes
Stockport NHS FT(7.0)(6.7)0.30.1%(43.2)(43.2)Yes
Tameside and Glossop Integrated Care NHS FT(7.5)(7.4)0.00.0%(31.8)(31.8)Yes
The Christie NHS FT3.83.80.00.0%7.57.5 
Wrightington, Wigan and Leigh NHS FT(0.3)(1.5)(1.3)(0.4%)(8.9)(8.9)Yes
Greater Manchester ICB(3.8)(3.8)(0.0)(0.0%)4,603.8(50.0)(50.0)Yes
Total Greater Manchester ICS(77.5)(96.6)(19.1)(0.4%)4,603.8(200.0)(200.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Lancashire and South Cumbria ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Blackpool Teaching Hospitals NHS FT(8.7)(11.5)(2.8)(0.8%)(35.8)(35.8)Yes
East Lancashire Hospitals NHST(6.3)(13.6)(7.3)(1.8%)(43.3)(43.3)Yes
Lancashire and South Cumbria NHS FT(7.8)(10.0)(2.1)(0.7%)0.00.0 
Lancashire Teaching Hospitals NHS FT(5.1)(16.9)(11.8)(2.8%)(30.0)(30.0)Yes
North West Ambulance Service NHST(0.3)1.21.50.5%0.00.0 
University Hospitals of Morecambe Bay NHS FT(5.5)(10.8)(5.3)(1.8%)0.00.0 
Lancashire and South Cumbria ICB0.0(0.0)(0.0)(0.0%)2,801.8(54.8)(54.8)Yes
Total Lancashire and South Cumbria ICS(33.7)(61.5)(27.8)(1.0%)2,801.8(164.0)(164.0) 

Year to date efficiency position:

SystemPlan £mActual total £mVar £m
Cheshire and Merseyside ICS223.9226.12.2
Greater Manchester ICS254.2267.112.9
Lancashire and South Cumbria ICS161.4120.5(40.9)

Provider and ICB financial position – North East region

Surplus/(deficit) position – North East and North Cumbria ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
County Durham and Darlington NHS FT(6.8)(6.8)0.00.0%2.02.0 
Cumbria, Northumberland, Tyne and Wear NHS FT(1.5)0.62.20.7%2.43.3 
Gateshead Health NHS FT(6.8)(6.6)0.20.1%(11.9)(12.0)Yes
North Cumbria Integrated Care NHS FT(18.3)(18.3)0.00.0%(30.1)(30.5)Yes
North East Ambulance Service NHS FT0.0(0.0)(0.0)(0.0%)0.00.0 
North Tees and Hartlepool NHS FT0.80.90.00.0%0.00.0 
Northumbria Healthcare NHS FT7.77.90.20.0%13.013.0 
South Tees Hospitals NHS FT(6.2)(6.2)0.00.0%(20.6)(20.9)Yes
South Tyneside and Sunderland NHS FT1.12.31.20.3%0.00.0 
Tees, Esk and Wear Valleys NHS FT(2.7)(1.7)1.00.4%0.00.0 
The Newcastle Upon Tyne Hospitals NHS FT(4.3)(4.3)0.00.0%0.00.0 
North East and North Cumbria ICB5.97.21.30.0%4,611.711.811.8 
Total North East and North Cumbria ICS(31.1)(25.1)6.00.1%4,611.7(33.3)(33.3) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Humber and North Yorkshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Harrogate and District NHS FT(5.6)(9.1)(3.5)(1.8%)(5.3)(5.3)Yes
Hull University Teaching Hospitals NHST(5.6)(8.6)(3.0)(0.6%)(13.3)(14.2)Yes
Humber Teaching NHS FT(0.7)2.33.02.1%(0.9)0.0 
Northern Lincolnshire and Goole NHS FT(7.1)(7.3)(0.2)(0.1%)(14.9)(14.9)Yes
York and Scarborough Teaching Hospitals NHS FT(0.8)(1.5)(0.7)(0.1%)(16.6)(16.6)Yes
Humber and North Yorkshire ICB0.0(0.0)(0.0)(0.0%)2,450.7(28.3)(28.3)Yes
Total Humber and North Yorkshire ICS(19.8)(24.3)(4.5)(0.2%)2,450.7(79.2)(79.2) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – South Yorkshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Barnsley Hospital NHS FT0.00.00.00.0%(3.6)(3.6)Yes
Doncaster and Bassetlaw Teaching Hospitals NHS FT1.21.20.00.0%(17.0)(17.0)Yes
Rotherham Doncaster and South Humber NHS FT(0.2)(0.0)0.20.2%(2.4)(2.4)Yes
Sheffield Children’s NHS FT(4.8)(3.5)1.30.7%(3.7)(3.7)Yes
Sheffield Health and Social Care NHS FT(0.3)(0.3)0.00.0%(4.2)(4.2)Yes
Sheffield Teaching Hospitals NHS FT(2.9)(2.7)0.20.0%0.00.0 
The Rotherham NHS FT(0.7)(0.7)0.00.0%(4.1)(4.1)Yes
South Yorkshire ICB(4.0)(4.0)(0.0)(0.0%)2,132.5(36.4)(36.4)Yes
Total South Yorkshire ICS(11.7)(10.0)1.70.1%2,132.5(71.4)(71.4) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – West Yorkshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Airedale NHS FT(6.6)(8.3)(1.7)(1.1%)(15.9)(15.9)Yes
Bradford District Care NHS FT(0.9)(0.8)0.10.1%2.02.0 
Bradford Teaching Hospitals NHS FT(9.2)(10.4)(1.3)(0.4%)(2.7)(2.7) 
Calderdale and Huddersfield NHS FT(2.5)(2.4)0.10.0%(39.9)(39.9)Yes
Leeds and York Partnership NHS FT0.00.20.20.1%0.00.9 
Leeds Community Healthcare NHST0.00.70.70.6%0.00.9 
South West Yorkshire Partnership NHS FT(2.7)(1.0)1.80.8%0.00.0 
The Leeds Teaching Hospitals NHST(15.3)(25.8)(10.5)(1.0%)0.00.0 
Mid Yorkshire Teaching NHST(0.7)(4.9)(4.2)(1.0%)(8.1)(8.1) 
Yorkshire Ambulance Service NHST0.71.50.80.3%0.00.0 
West Yorkshire ICB7.77.70.00.0%3,514.115.413.6Yes
Total West Yorkshire ICS(29.5)(43.6)(14.1)(0.4%)3,514.1(49.2)(49.2) 

Year to date efficiency position:

SystemPlan £mActual Total £mVar £m
North East and North Cumbria ICS265.6267.31.7
Humber and North Yorkshire ICS121.2107.3(13.9)
South Yorkshire ICS120.6125.65.0
West Yorkshire ICS188.8170.9(17.9)

Provider and ICB financial position – Midlands region

Surplus/(deficit) position – Birmingham and Solihull ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Birmingham and Solihull Mental Health NHS FT2.1(0.8)(2.9)(0.8%)4.24.2 
Birmingham Community Healthcare NHS FT0.4(1.0)(1.4)(0.7%)0.00.0 
Birmingham Womens and Children’s NHS FT0.0(4.7)(4.7)(1.3%)0.00.0 
The Royal Orthopaedic Hospital NHS FT(0.8)(0.7)0.10.1%0.00.0 
University Hospitals Birmingham NHS FT(14.2)(27.8)(13.6)(1.0%)(4.2)(4.2) 
Birmingham and Solihull ICB(3.5)(2.2)1.30.1%2,149.10.00.0 
Total Birmingham and Solihull ICS(16.0)(37.3)(21.2)(1.0%)2,149.10.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Coventry and Warwickshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Coventry and Warwickshire Partnership NHST(0.1)(0.0)0.10.0%0.20.2Yes
George Eliot Hospital NHST(6.2)(7.7)(1.6)(1.1%)(11.1)(11.1)Yes
South Warwickshire University NHS FT(1.6)(1.6)0.00.0%2.32.3 
University Hospitals Coventry And Warwickshire NHST(10.7)(10.7)0.00.0%(17.0)(17.0)Yes
Coventry and Warwickshire ICB6.36.3(0.0)(0.0%)1,352.212.612.6 
Total Coventry and Warwickshire ICS(12.3)(13.8)(1.5)(0.1%)1,352.2(13.0)(13.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Derby and Derbyshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Chesterfield Royal Hospital NHS FT(7.3)(8.3)(1.0)(0.5%)(14.5)(14.5)Yes
Derbyshire Community Health Services NHS FT(0.7)(0.7)0.00.0%0.00.0 
Derbyshire Healthcare NHS FT(1.5)(1.3)0.20.2%0.00.0 
East Midlands Ambulance Service NHST1.61.70.00.0%0.00.0 
University Hospitals of Derby and Burton NHS FT(13.8)(14.4)(0.6)(0.1%)(30.5)(30.5)Yes
Derby and Derbyshire ICB(0.0)0.10.10.0%1,526.70.00.0 
Total Derby and Derbyshire ICS(21.7)(22.9)(1.3)(0.1%)1,526.7(45.0)(45.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Herefordshire and Worcestershire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Worcestershire Acute Hospitals NHST(12.3)(12.2)0.00.0%(47.3)(47.3)Yes
Herefordshire and Worcestershire Health and Care NHST0.00.00.00.0%0.00.0 
Wye Valley NHST(4.1)(3.1)1.00.5%(25.9)(25.9)Yes
Herefordshire and Worcestershire ICB0.00.0(0.0)(0.0%)1,108.10.0(0.0)Yes
Total Herefordshire and Worcestershire ICS(16.3)(15.3)1.00.1%1,108.1(73.2)(73.2) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Leicester, Leicestershire and Rutland ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Leicestershire Partnership NHST(1.8)(1.8)0.00.0%0.30.3 
University Hospitals of Leicester NHST(9.4)(13.4)(4.0)(0.5%)(64.8)(64.8)Yes
Leicester, Leicestershire and Rutland ICB(0.2)(2.1)(1.9)(0.1%)1,498.9(15.5)(15.5)Yes
Total Leicester, Leicestershire and Rutland ICS(11.4)(17.3)(5.9)(0.4%)1,498.9(80.0)(80.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Lincolnshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Lincolnshire Community Health Services NHST(2.5)(2.3)0.10.2%0.00.0 
Lincolnshire Partnership NHS FT(2.1)(2.1)0.00.0%(3.7)(3.7) 
United Lincolnshire Hospitals NHST(12.0)(12.0)0.00.0%0.00.0 
Lincolnshire ICB0.4(8.5)(8.8)(0.8%)1,107.13.73.7 
Total Lincolnshire ICS(16.2)(24.9)(8.7)(0.8%)1,107.10.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Northamptonshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Kettering General Hospital NHS FT(9.9)(10.0)(0.2)(0.1%)(39.3)(39.3)Yes
Northampton General Hospital NHST(16.6)(16.4)0.20.1%(35.7)(35.7)Yes
Northamptonshire Healthcare NHS FT(0.0)(0.0)0.00.0%0.00.0 
Northamptonshire ICB2.22.20.00.0%1,044.310.010.0 
Total Northamptonshire ICS(24.3)(24.2)0.00.0%1,044.3(65.0)(65.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Nottingham and Nottinghamshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Nottingham University Hospitals NHST0.0(16.2)(16.2)(1.8%)(36.2)(36.2)Yes
Nottinghamshire Healthcare NHS FT0.0(12.9)(12.9)(3.6%)(11.6)(11.6)Yes
Sherwood Forest Hospitals NHS FT(0.2)(3.3)(3.1)(1.1%)(9.8)(9.8)Yes
Nottingham and Nottinghamshire ICB0.0(0.0)(0.0)(0.0%)1,670.3(12.5)(12.5)Yes
Total Nottingham And Nottinghamshire ICS(0.2)(32.4)(32.2)(1.9%)1,670.3(70.0)(70.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Shropshire, Telford and Wrekin ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Shropshire Community Health NHST0.80.90.10.1%2.02.0 
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT(2.9)(2.9)0.00.0%0.00.0 
The Shrewsbury And Telford Hospital NHST0.0(1.3)(1.3)(0.4%)(45.1)(45.1)Yes
Shropshire, Telford and Wrekin ICB(2.3)1.53.70.5%755.8(40.6)(40.6)Yes
Total Shropshire and Telford and Wrekin ICS(4.3)(1.8)2.60.3%755.8(83.8)(83.8) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Staffordshire and Stoke on Trent ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Midlands Partnership NHS FT3.73.80.00.0%0.00.0 
North Staffordshire Combined Healthcare NHST(0.4)0.10.60.6%0.00.0 
University Hospitals of North Midlands NHST(13.1)(13.0)0.10.0%0.00.0 
Staffordshire and Stoke On Trent ICB(12.1)(12.1)0.00.0%1,649.5(95.0)(95.0)Yes
Total Staffordshire And Stoke On Trent ICS(21.9)(21.2)0.70.0%1,649.5(95.0)(95.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Black Country ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Black Country Healthcare NHS FT(4.0)(4.1)(0.2)(0.1%)0.00.0 
Sandwell And West Birmingham Hospitals NHST(9.2)(10.4)(1.2)(0.3%)(14.2)(14.2)Yes
The Dudley Group NHS FT(5.6)(5.7)(0.1)(0.0%)(21.2)(21.2)Yes
The Royal Wolverhampton NHST(6.3)(6.2)0.10.0%(31.4)(31.4)Yes
Walsall Healthcare NHST(8.9)(3.7)5.22.2%(28.2)(28.2)Yes
West Midlands Ambulance Service University NHS FT(2.7)0.12.81.2%0.00.0 
Black Country ICB0.00.10.10.0%1,835.00.00.0 
Total The Black Country ICS(36.6)(30.0)6.60.4%1,835.0(95.0)(95.0) 

Year to date efficiency position:

SystemPlan £mActual Total £mVar £m
Birmingham and Solihull ICS156.4141.8(14.6)
Coventry and Warwickshire ICS69.670.40.8
Derby and Derbyshire ICS73.273.2(0.1)
Herefordshire and Worcestershire ICS49.148.6(0.5)
Leicester, Leicestershire and Rutland ICS59.657.4(2.2)
Lincolnshire ICS65.565.70.2
Northamptonshire ICS52.260.58.3
Nottingham and Nottinghamshire ICS117.997.8(20.1)
Shropshire, Telford and Wrekin ICS39.849.39.5
Staffordshire and Stoke On Trent ICS130.9114.4(16.5)
Black Country ICS103.4114.210.8

Provider and ICB financial position – East region

Surplus/(deficit) position – Cambridgeshire and Peterborough ICB

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Cambridge University Hospitals NHS FT(4.2)(0.5)3.70.5%0.00.0 
Cambridgeshire and Peterborough NHS FT(1.2)(1.1)0.00.0%0.00.0 
Cambridgeshire Community Services NHST0.00.00.00.0%0.00.0 
North West Anglia NHS FT(1.9)(4.9)(3.0)(0.8%)0.00.0 
Royal Papworth Hospital NHS FT(0.1)(0.1)0.00.0%0.00.0 
Cambridgeshire and Peterborough ICB(0.0)0.00.00.0%1,249.30.00.0 
Total Cambridgeshire and Peterborough ICS(7.3)(6.6)0.70.1%1,249.30.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Hertfordshire and West Essex ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
East And North Hertfordshire NHST(9.5)(9.4)0.10.0%0.00.0 
Hertfordshire Community NHST0.00.00.00.0%(0.4)(0.4)Yes
Hertfordshire Partnership University NHS FT(3.2)(3.2)0.00.0%(3.4)(3.4)Yes
The Princess Alexandra Hospital NHST(2.3)(2.3)(0.0)(0.0%)(5.3)(5.3)Yes
West Hertfordshire Teaching Hospitals NHST(4.4)(4.4)0.00.0%(3.3)(3.3)Yes
Hertfordshire and West Essex ICB(6.0)(6.0)0.00.0%2,055.90.00.0 
Total Hertfordshire and West Essex ICS(25.4)(25.3)0.10.0%2,055.9(12.2)(12.2) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Mid and South Essex ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Essex Partnership University NHS FT(2.0)(2.7)(0.7)(0.2%)(20.5)(20.5)Yes
Mid and South Essex NHS FT0.0(14.4)(14.4)(1.7%)(85.5)(85.5)Yes
Mid and South Essex ICB(3.1)(3.1)0.00.0%1,672.00.00.0 
Total Mid and South Essex ICS(5.0)(20.1)(15.1)(0.9%)1,672.0(106.0)(106.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Bedfordshire, Luton and Milton Keynes ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Bedfordshire Hospitals NHS FT(0.0)(6.0)(6.0)(1.3%)0.00.0 
Milton Keynes University Hospital NHS FT(2.8)(2.9)(0.0)(0.0%)0.00.0 
Bedfordshire, Luton and Milton Keynes ICB(0.0)(0.3)(0.3)(0.0%)1,338.70.00.0 
Total Bedfordshire, Luton And Milton Keynes ICS(2.8)(9.2)(6.3)(0.5%)1,338.70.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Norfolk and Waveney ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
James Paget University Hospitals NHS FT(2.0)(1.6)0.50.3%(19.0)(19.0)Yes
Norfolk and Norwich University Hospitals NHS FT(0.2)(4.1)(3.9)(0.7%)(2.8)(2.8)Yes
Norfolk and Suffolk NHS FT(2.0)(2.0)0.00.0%(6.8)(6.8)Yes
Norfolk Community Health and Care NHST(0.8)(0.8)0.10.1%0.00.0 
Queen Elizabeth Hospital King’s Lynn NHS FT(2.7)(6.7)(4.0)(2.4%)(22.5)(22.5)Yes
Norfolk and Waveney ICB0.00.0(0.0)(0.0%)1,545.7(0.0)(0.0)Yes
Total Norfolk And Waveney ICS(7.8)(15.2)(7.3)(0.5%)1,545.7(51.1)(51.1) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Suffolk and North East Essex ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
East of England Ambulance Service NHST1.46.85.42.2%0.10.1 
East Suffolk and North Essex NHS FT(3.4)(7.6)(4.2)(0.7%)0.00.0 
West Suffolk NHS FT(16.6)(14.2)2.41.2%(20.7)(20.7) 
Suffolk and North East Essex ICB10.310.30.00.0%1,429.420.620.6 
Total Suffolk And North East Essex ICS(8.4)(4.7)3.70.3%1,429.40.00.0 

Year to date efficiency position:

SystemPlan £mActual Total £mVar £m
Cambridgeshire and Peterborough ICS78.975.1(3.9)
Hertfordshire and West Essex ICS106.9104.2(2.7)
Mid and South Essex ICS77.763.4(14.3)
Bedfordshire, Luton and Milton Keynes ICS55.551.7(3.8)
Norfolk and Waveney ICS83.986.42.5
Suffolk and North East Essex ICS45.942.5(3.4)

Provider and ICB financial position – London region

Surplus/(deficit) position – North Central London ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
North London NHS Foundation Trust2.4(3.4)(5.8)(1.6%)4.94.9 
Great Ormond Street Hospital for Children NHS FT(5.5)(9.4)(4.0)(1.1%)0.00.0 
Moorfields Eye Hospital NHS FT(4.2)(0.7)3.52.0%0.00.0 
Royal Free London NHS FT(31.0)(33.6)(2.7)(0.2%)(42.7)(42.7) 
Royal National Orthopaedic Hospital NHST(0.6)(0.4)0.20.2%0.00.0 
Tavistock and Portman NHS FT(2.6)(4.0)(1.4)(4.9%)0.00.0 
University College London Hospitals NHS FT(8.8)(6.6)2.10.2%12.012.0 
Whittington Health NHST(6.6)(12.6)(6.0)(2.5%)(1.4)(1.4) 
North Central London ICB13.613.60.00.0%2,388.527.227.2 
Total North Central London ICS(43.2)(57.2)(14.0)(0.6%)2,388.50.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – North East London ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Barking, Havering and Redbridge University Hospitals NHST(12.9)(23.2)(10.3)(2.1%)(22.7)(22.7)Yes
Barts Health NHST(8.7)(26.5)(17.8)(1.4%)0.00.0 
East London NHS FT(1.2)0.11.30.4%0.00.0 
Homerton Healthcare NHS FT(1.3)(6.0)(4.7)(1.9%)(21.8)(21.8)Yes
North East London NHS FT(6.1)(8.1)(1.9)(0.6%)0.00.0 
North East London ICB(3.1)(0.9)2.20.1%3,059.72.52.5 
Total North East London ICS(33.3)(64.5)(31.2)(1.0%)3,059.7(42.0)(42.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – North West London ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Central and North West London NHS FT(8.4)(8.3)0.00.0%0.00.0 
Central London Community Healthcare NHST0.00.00.00.0%0.00.0 
Chelsea and Westminster Hospital NHS FT(1.0)(0.9)0.10.0%0.00.0 
Imperial College Healthcare NHST0.00.10.10.0%0.00.0 
London Ambulance Service NHST0.81.81.00.3%0.00.0 
London North West University Healthcare NHST5.12.3(2.8)(0.5%)0.00.0 
The Hillingdon Hospitals NHS FT0.0(1.1)(1.1)(0.5%)0.00.0 
West London NHST0.00.00.00.0%0.00.0 
North West London ICB0.02.82.80.1%3,331.00.00.0 
Total North West London ICS(3.4)(3.4)0.10.0%3,331.00.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – South East London ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Guy’s and St Thomas’ NHS FT(24.1)(24.0)0.10.0%0.00.0 
King’s College Hospital NHS FT(0.2)(0.1)0.10.0%(75.0)(75.0)Yes
Lewisham and Greenwich NHST0.00.10.10.0%0.00.0 
Oxleas NHS FT0.00.10.10.0%0.00.0 
South London and Maudsley NHS FT1.01.00.00.0%0.00.0 
South East London ICB(0.0)(0.0)0.00.0%2,908.20.00.0 
Total South East London ICS(23.3)(22.9)0.40.0%2,908.2(75.0)(75.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – South West London ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Croydon Health Services NHST(9.0)(9.0)0.00.0%(10.9)(10.9)Yes
Epsom and St Helier University Hospitals NHST(15.4)(15.4)0.00.0%(47.3)(47.3)Yes
Kingston Hospital NHS FT(16.9)(16.9)0.00.0%(11.1)(11.1)Yes
South West London and St George’s Mental Health NHST0.10.10.00.0%0.20.2 
St George’s University Hospitals NHS FT(15.2)(15.2)0.00.0%(40.2)(40.2)Yes
The Royal Marsden NHS FT(1.7)(1.7)0.00.0%5.55.5 
South West London ICB(1.1)(1.1)0.00.0%2,134.50.00.0 
Total South West London ICS(59.1)(59.0)0.10.0%2,134.5(103.8)(103.8) 

Year to date efficiency position:

SystemPlan £mActual Total £mVar £m
North Central London ICS148.8143.7(5.0)
North East London ICS156.6141.1(15.5)
North West London ICS140.4127.4(13.0)
South East London ICS154.6150.0(4.6)
South West London ICS125.0127.42.4

Provider and ICB financial position – South West region

Surplus/(deficit) position – Bath and North East Somerset, Swindon and Wiltshire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Great Western Hospitals NHS FT0.0(10.1)(10.1)(3.8%)(9.6)(9.6)Yes
Royal United Hospitals Bath NHS FT0.0(13.0)(13.0)(4.3%)0.00.0 
Salisbury NHS FT0.0(12.4)(12.4)(6.3%)(13.8)(13.8)Yes
Bath and North East Somerset, Swindon and Wiltshire ICB0.010.010.00.9%1,119.20.00.0 
Total Bath And North East Somerset, Swindon And Wiltshire ICS0.0(25.5)(25.5)(2.3%)1,119.2(23.4)(23.4) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Bristol, North Somerset and South Gloucestershire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Avon and Wiltshire Mental Health Partnership NHST0.00.00.00.0%0.00.0 
North Bristol NHST(2.9)(2.9)0.00.0%0.00.0 
University Hospitals Bristol and Weston NHS FT(9.5)(9.5)0.00.0%0.00.0 
Bristol, North Somerset and South Gloucestershire ICB0.0(0.0)(0.0)(0.0%)1,243.50.00.0 
Total Bristol, North Somerset, South Gloucestershire ICS(12.4)(12.4)0.00.0%1,243.50.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Cornwall and the Isles of Scilly ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Cornwall Partnership NHS FT(1.2)(1.2)(0.0)(0.0%)0.00.0 
Royal Cornwall Hospitals NHST(5.9)(5.9)0.00.0%0.00.0 
Cornwall and The Isles Of Scilly ICB0.00.00.00.0%792.20.00.0 
Total Cornwall And The Isles Of Scilly ICS(7.1)(7.1)(0.0)(0.0%)792.20.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Devon ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Devon Partnership NHST0.20.20.00.0%0.00.0 
Royal Devon University Healthcare NHS FT(0.5)(18.2)(17.7)(3.0%)0.00.0 
Torbay and South Devon NHS FT(11.0)(10.9)0.10.0%(38.8)(38.8)Yes
University Hospitals Plymouth NHST(2.5)(2.5)0.00.0%(23.0)(23.0)Yes
Devon ICB4.010.66.60.4%1,661.88.08.0 
Total Devon ICS(9.8)(20.8)(11.1)(0.7%)1,661.8(53.8)(53.8) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Dorset ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Dorset County Hospital NHS FT(16.9)(16.9)0.00.0%(9.8)(9.8) 
Dorset Healthcare University NHS FT(0.4)(0.4)0.00.0%9.89.8 
South Western Ambulance Service NHS FT0.00.60.60.3%0.00.0 
University Hospitals Dorset NHS FT(9.3)(9.2)0.00.0%0.00.0 
Dorset ICB0.00.00.00.0%1,050.1(13.9)(13.9)Yes
Total Dorset ICS(26.6)(26.0)0.60.1%1,050.1(13.9)(13.9) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Gloucestershire ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Gloucestershire Health and Care NHS FT(0.2)0.10.30.2%0.00.0 
Gloucestershire Hospitals NHS FT(3.5)(3.4)0.00.0%0.00.0 
Gloucestershire ICB(0.0)(0.0)0.00.0%772.80.00.0 
Total Gloucestershire ICS(3.7)(3.3)0.40.0%772.80.00.0 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Somerset ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Somerset NHS FT(9.4)(9.4)0.00.0%0.00.0 
Somerset ICB0.00.00.00.0%1,536.50.00.0 
Total Somerset ICS(9.4)(9.4)0.00.0%1,536.50.00.0 

Year to date efficiency position: 

SystemPlan £mActual Total £mVar £m
Bath and North East Somerset, Swindon and Wiltshire ICS60.149.0(11.1)
Bristol, North Somerset and South Gloucestershire ICS63.162.6(0.5)
Cornwall and The Isles Of Scilly ICS45.943.7(2.2)
Devon ICS94.484.3(10.0)
Dorset ICS61.663.01.5
Gloucestershire ICS41.037.4(3.6)
Somerset ICS32.435.32.9

Provider and ICB financial position – South East region

Surplus/(deficit) position – Buckinghamshire, Oxfordshire and Berkshire West ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Berkshire Healthcare NHS FT1.31.30.00.0%1.71.7 
Buckinghamshire Healthcare NHST(5.8)(5.8)0.00.0%(12.2)(12.2)Yes
Oxford Health NHS FT1.41.50.00.0%4.84.8 
Oxford University Hospitals NHS FT(7.0)(6.7)0.30.0%(17.3)(17.3)Yes
Royal Berkshire NHS FT(10.1)(10.1)0.00.0%(21.1)(21.1)Yes
Buckinghamshire, Oxfordshire and Berkshire West ICB(12.9)(12.9)0.00.0%2,259.2(9.8)(9.8)Yes
Total Buckinghamshire, Oxfordshire and Berkshire West ICS(33.1)(32.8)0.30.0%2,259.2(54.0)(54.0) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Frimley ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Frimley Health NHS FT(6.6)(6.4)0.20.0%(20.7)(20.7)Yes
Frimley ICB(0.0)0.00.00.0%971.4(3.2)(3.2)Yes
Total Frimley ICS(6.6)(6.4)0.20.0%971.4(23.9)(23.9) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Hampshire and Isle of Wight ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Hampshire Hospitals NHS FT(0.8)(0.8)0.00.0%(15.4)(15.4)Yes
Isle of Wight NHST(4.0)(4.0)0.00.0%(5.8)(5.8)Yes
Portsmouth Hospitals University NHST(10.1)(10.1)0.00.0%(25.4)(25.4)Yes
South Central Ambulance Service NHS FT0.50.50.00.0%(2.7)(2.7)Yes
Southern Health NHS FT(2.8)(2.8)0.00.0%0.00.0 
University Hospital Southampton NHS FT(16.6)(30.8)(14.2)(2.0%)(13.9)(13.9)Yes
Hampshire and Isle of Wight ICB0.20.30.10.0%2,579.70.50.5Yes
Total Hampshire and the Isle of Wight ICS(33.7)(47.7)(14.0)(0.5%)2,579.7(62.7)(62.7) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Kent and Medway ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Dartford and Gravesham NHST(8.1)(8.1)0.00.0%(22.6)(22.6)Yes
East Kent Hospitals University NHS FT(17.3)(17.1)0.20.0%(64.2)(64.2)Yes
Kent and Medway NHS and Social Care Partnership Trust1.11.10.00.0%2.22.2 
Kent Community Health NHS FT0.00.40.40.2%0.00.0 
Maidstone and Tunbridge Wells NHST(12.5)(12.5)0.00.0%0.00.0 
Medway NHS FT(5.6)(13.6)(8.0)(3.0%)(46.1)(46.1)Yes
Kent and Medway ICB6.21.8(4.3)(0.2%)2,697.512.312.3 
Total Kent & Medway ICS(36.3)(48.0)(11.7)(0.4%)2,697.5(118.3)(118.3) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Surrey Heartlands ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
Ashford and St Peter’s Hospitals NHS FT(4.2)(4.2)0.00.0%(6.7)(6.7)Yes
Royal Surrey NHS FT(3.3)(3.1)0.20.0%(5.6)(5.6)Yes
South East Coast Ambulance Service NHS FT(2.9)(2.9)0.00.0%0.00.0 
Surrey and Borders Partnership NHS FT(0.7)(0.6)0.10.1%0.00.0 
Surrey and Sussex Healthcare NHST(6.9)(11.1)(4.2)(1.6%)(22.6)(22.6)Yes
Surrey Heartlands ICB0.04.64.60.3%1,437.39.19.1 
Total Surrey Heartlands ICS(18.0)(17.4)0.70.0%1,437.3(25.8)(25.8) 

*DSF – Deficit Support Funding

Surplus/(deficit) position – Sussex ICS

Provider / ICB NameYTD Plan Inc DSF £mYTD Actual Inc DSF £mYTD Var £mVar % of turnoverAllocation YTD £m (ICB Only)Full Year Plan Exc DSF £mForecast Outturn Exc DSF £mForecasting receipt of DSF
East Sussex Healthcare NHST(4.5)(4.5)0.00.0%(10.7)(10.7)Yes
Sussex Community NHS FT(2.3)(2.3)0.00.0%0.00.0 
Sussex Partnership NHS FT(5.2)(4.4)0.80.3%(5.9)(5.9)Yes
Queen Victoria Hospital NHS FT(0.5)(0.5)0.00.0%(1.5)(1.5)Yes
University Hospitals Sussex NHS FT(15.2)(15.2)0.00.0%(26.2)(26.2)Yes
Sussex ICB0.00.10.10.0%2,502.80.0(0.0) 
Total Sussex ICS(27.7)(26.8)0.90.0%2,502.8(44.3)(44.3) 

Year to date efficiency position: 

SystemPlan £mActual Total £mVar £m
Buckinghamshire, Oxfordshire and Berkshire West ICS126.2127.41.2
Frimley ICS57.953.8(4.1)
Hampshire and Isle of Wight ICS164.7163.9(0.8)
Kent and Medway ICS147.3141.8(5.4)
Surrey Heartlands ICS87.390.93.7
Sussex ICS98.998.8(0.1)

Provider employee expenses summary

Staff categoryYTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
Medical staff11,647.111,950.1(303.0)(2.6%)
Nursing staff12,936.812,993.0(56.2)(0.4%)
Support to clinical staff6,536.76,674.2(137.5)(2.1%)
Other staff14,859.214,919.4(60.3)(0.4%)
Total employee expenses45,979.846,536.8(557.0)(1.2%)
Of which:
Bank2,762.43,052.7(290.3)(10.5%)
Agency725.7674.451.37.1%
Total Bank and Agency3,488.13,727.1(239.0)(6.9%)

Provider non-pay costs summary

Cost categoryYTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
Purchase of healthcare from other providers2,773.42,831.1(57.7)(2.1%)
Purchase of social care134.8145.2(10.4)(7.7%)
Drugs costs5,890.66,147.4(256.8)(4.4%)
Clinical supplies and services – (excluding drugs costs)5,065.55,335.0(269.5)(5.3%)
General supplies and services1,041.51,065.2(23.7)(2.3%)
Clinical negligence insurance1,518.91,491.027.91.8%
Consultancy75.791.5(15.8)(20.9%)
Establishment596.6636.1(39.5)(6.6%)
Premises2,695.02,639.056.02.1%
Other non pay items6,022.05,668.9353.15.9%
Total non pay25,814.126,050.6(236.5)(0.9%)

Non-delegated specialised commissioning (net expenditure)

RegionYTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
North West645.8645.8(0.0)(0.0%)
North East & Yorkshire692.9692.90.00.0%
Midlands834.5834.50.00.0%
East of England397.7399.2(1.5)(0.4%)
London1,271.01,271.00.00.0%
South West360.1360.1(0.0)(0.0%)
South East555.7555.60.00.0%
Central901.6857.943.74.8%

Provider and Commissioner Capital Position

Provider

Capital (CDEL) – By SectorYTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
Acute2,333.01,535.1(798.0)(34.2%)
Ambulance119.874.0(45.8)(38.2%)
Community81.054.4(26.6)(32.9%)
Mental Health415.3292.1(123.2)(29.7%)
Specialist189.2133.0(56.2)(29.7%)
Total Provider capital plan including IFRS163,138.32,088.5(1,049.8)(33.5%)

Capital DEL YTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
Gross capital expenditure3,455.52,292.2(1,163.3)(33.7%)
Disposals / other deductions(80.4)(39.6)40.8(50.8%)
Net Capital expenditure3,375.22,252.6(1,122.5)(84.4%)
Less grants, donations and peppercorn leases(244.7)(158.3)86.4(35.3%)
Less PFI capital (IFRIC12)(101.8)(106.9)(5.1)5.0%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)112.6107.6(5.0)(4.5%)
Purchase of financial assets17.3(17.3)(100.0%)
Sale of financial assets(23.7)(7.1)16.7(70.2%)
Utilisation of capitalised dilapidation provisions3.50.6(2.9)(83.6%)
Loss on disposal from peppercorn leases
Prior Period Adjustments (PPAs)0.0
Total CDEL3,138.32,088.5(1,049.8)(33.5%)

Commissioner

RegionYTD Plan (£m)YTD Actual (£m)YTD Var to Plan (£m)YTD Var to Plan (%)
London3.03.00.00.0%
Midlands0.00.00.00.0%
East of England0.32.32.0604.2%
North West5.85.8(0.1)(1.4%)
North East and Yorkshire16.516.2(0.3)(1.8%)
South East0.0(0.2)(0.2)0.0%
South West0.20.30.145.6%
Central249.9151.2(98.8)(39.5%)
Total Commissioner CDEL275.8178.5(97.3)(35.3%)