Financial performance report 2025/26: Quarter 3

Headline position

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.

Year to date surplus / (deficit)

Surplus / (Deficit)In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems167,692(683)(1,516)(833)(1%)
Withheld DSF755388388 
Systems168,447(683)(1,128)(445) 
Non-delegated Specialised Commissioning11,678(0)84841%
Other direct commissioning2,848(3)23261%
Central costs16,377(0)2942942%
Transformation & reserves2,351(0)(0)(0%)
Technical & ringfenced adjustments(4,550)(0)(0)0 
Total – non-ringfenced RDEL197,152(686)(727)(41)(0%)

Year to Date Expenditure Basis

Expenditure BasisIn year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems167,692126,750127,195(445)(0%)
ICB Net Expenditure 125,589125,600(11)(0%)
Provider Expenditure 107,183109,334(2,151)(2%)
Provider Income (106,411)(107,740)1,329(1%)
Withheld DSF755388388 
Non-delegated Specialised Commissioning11,6788,5248,440841%
Other direct commissioning2,8482,1422,116261%
Central costs16,37711,90611,6122942%
Transformation & reserves2,3510(0) 
Technical & ringfenced adjustments(4,550)(3,420)(3,420)0%
Total – non-ringfenced RDEL197,152145,901145,942(41)(0%)

Total Combined Position Against Plan

 In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Non ringfenced RDEL surplus / deficit position197,152(686)(727)(41)(0%)

Provider and ICB Financial Position – North West Region

Surplus / (Deficit) Position – Cheshire and Merseyside 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(0.1)0.10.20.1%7.27.2 
Bridgewater Community Healthcare NHS FT(3.2)(3.2)0.00.0%(1.5)(1.5) 
Cheshire and Wirral Partnership NHS FT(2.7)(0.5)2.21.0%4.04.0 
Countess of Chester Hospital NHS FT(14.9)(24.7)(9.8)(3.4%)(34.0)(34.0)Yes
East Cheshire NHST(9.8)(14.8)(5.0)(3.1%)(17.9)(17.9)Yes
Liverpool Heart and Chest Hospital NHS FT6.46.40.00.0%9.69.6 
Liverpool University Hospitals NHS FT(31.3)(53.6)(22.2)(2.2%)(56.6)(56.6)Yes
Liverpool Women’s NHS FT(12.4)(19.6)(7.2)(5.8%)(31.0)(31.0)Yes
Mersey Care NHS FT4.27.53.40.6%14.314.3 
Mid Cheshire Hospitals NHS FT(15.2)(26.7)(11.5)(3.7%)(39.4)(39.4)Yes
St Helens And Knowsley Teaching Hospitals NHST(29.4)(36.9)(7.5)(1.0%)(41.0)(41.0)Yes
The Clatterbridge Cancer Centre NHS FT0.20.20.00.0%0.90.9 
The Walton Centre NHS FT5.05.10.10.1%6.96.9 
Warrington and Halton Teaching Hospitals NHS FT(17.4)(27.0)(9.6)(3.4%)(28.7)(28.7)Yes
Wirral Community Health and Care NHS FT(0.2)1.61.82.3%0.90.9 
Wirral University Teaching Hospital NHS FT(3.9)(17.9)(14.0)(3.6%)(22.1)(22.1)Yes
Cheshire and Merseyside ICB37.830.6(7.1)(0.1%)8,186.450.450.4Yes
Total Cheshire and Merseyside ICS(86.9)(173.2)(86.3)(1.1%)8,186.4(178.3)(178.3) 

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(6.9)(17.3)(10.4)(2.6%)(6.5)(6.5)Yes
Greater Manchester Mental Health NHS FT0.0(0.0)(0.0)(0.0%)(9.2)(9.2)Yes
Manchester University NHS FT(21.1)(21.1)0.00.0%0.00.0 
Pennine Care NHS FT(0.0)0.40.40.2%0.00.0 
Northern Care Alliance NHS FT(21.9)(19.7)2.20.1%(57.9)(57.9)Yes
Stockport NHS FT(7.4)(7.4)0.00.0%(43.2)(43.2)Yes
Tameside and Glossop Integrated Care NHS FT(8.9)(8.8)0.10.0%(31.8)(31.8)Yes
The Christie NHS FT5.65.70.00.0%7.57.5 
Wrightington, Wigan and Leigh NHS FT0.2(2.1)(2.3)(0.5%)(8.9)(8.9)Yes
Greater Manchester ICB(5.6)(5.6)0.00.0%9,237.8(50.0)(50.0)Yes
Total Greater Manchester ICS(66.0)(76.0)(10.0)(0.1%)9,237.8(200.0)(200.0) 

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(7.9)(16.4)(8.6)(1.6%)(35.8)(35.8)Yes
East Lancashire Hospitals NHST(3.7)(24.7)(21.0)(3.4%)(43.3)(43.3)Yes
Lancashire and South Cumbria NHS FT(4.0)(9.2)(5.1)(1.1%)0.00.0 
Lancashire Teaching Hospitals NHS FT(2.1)(25.5)(23.4)(3.7%)(30.0)(30.0)Yes
North West Ambulance Service NHST0.63.63.00.7%0.00.0 
University Hospitals of Morecambe Bay NHS FT(3.4)(11.2)(7.8)(1.8%)0.00.0 
Lancashire and South Cumbria ICB0.0(0.0)(0.0)(0.0%)5,530.8(54.8)(54.8)Yes
Total Lancashire and South Cumbria ICS(20.5)(83.4)(62.9)(1.1%)5,530.8(164.0)(164.0) 

Year to Date Efficiency Position

SystemPlan £mActual Total £mVar £m
Cheshire and Merseyside ICS375.5364.5(11.0)
Greater Manchester ICS422.0444.122.0
Lancashire and South Cumbria ICS273.9194.3(79.6)

Provider and ICB financial position – North East & Yorkshire 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(3.0)(12.1)(9.1)(1.6%)2.02.0 
Cumbria, Northumberland, Tyne and Wear NHS FT(2.7)(0.6)2.10.4%3.33.3 
Gateshead Health NHS FT(8.2)(8.2)0.00.0%(12.0)(12.0)Yes
North Cumbria Integrated Care NHS FT(13.6)(13.6)0.00.0%(30.5)(30.5)Yes
North East Ambulance Service NHS FT0.00.80.80.4%0.00.0 
North Tees and Hartlepool NHS FT0.60.60.00.0%0.00.0 
Northumbria Healthcare NHS FT11.011.00.10.0%13.013.0 
South Tees Hospitals NHS FT(9.3)(9.3)0.00.0%(20.9)(20.9)Yes
South Tyneside and Sunderland NHS FT1.01.30.40.1%0.00.0 
Tees, Esk and Wear Valleys NHS FT(2.1)(0.3)1.80.4%0.00.0 
The Newcastle Upon Tyne Hospitals NHS FT(2.9)(2.9)0.00.0%0.00.0 
North East and North Cumbria ICB8.914.75.90.1%9,270.111.811.8 
Total North East and North Cumbria ICS(20.4)(18.5)1.90.0%9,270.1(33.3)(33.3) 

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(2.7)(17.9)(15.2)(5.1%)(5.3)(24.0)Yes
Hull University Teaching Hospitals NHST(3.9)(17.7)(13.8)(1.9%)(14.2)(32.7)Yes
Humber Teaching NHS FT(0.5)2.53.01.4%0.03.0 
Northern Lincolnshire and Goole NHS FT(6.1)(10.6)(4.5)(1.0%)(14.9)(25.7)Yes
York and Scarborough Teaching Hospitals NHS FT(1.0)(10.0)(9.1)(1.3%)(16.6)(47.9)Yes
Humber and North Yorkshire ICB0.0(0.0)(0.0)(0.0%)4,868.6(28.3)(28.3)Yes
Total Humber and North Yorkshire ICS(14.2)(53.8)(39.6)(0.8%)4,868.6(79.2)(155.5) 

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 FT1.01.10.00.0%(17.0)(17.0)Yes
Rotherham Doncaster and South Humber NHS FT(0.1)0.50.50.3%(2.4)(1.8)Yes
Sheffield Children’s NHS FT(2.4)(2.4)0.00.0%(3.7)(3.7)Yes
Sheffield Health and Social Care NHS FT(0.4)(0.4)0.00.0%(4.2)(4.2)Yes
Sheffield Teaching Hospitals NHS FT(0.5)(0.4)0.00.0%0.00.0 
The Rotherham NHS FT(0.4)(4.1)(3.7)(1.2%)(4.1)(4.1)Yes
South Yorkshire ICB(2.0)(20.9)(18.9)(0.5%)4,208.4(36.4)(76.2)Yes
Total South Yorkshire ICS(4.7)(26.7)(22.0)(0.5%)4,208.4(71.4)(110.6) 

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(5.5)(13.3)(7.8)(3.3%)(15.9)(25.7)Yes
Bradford District Care NHS FT0.50.60.10.0%2.02.0 
Bradford Teaching Hospitals NHS FT(6.2)(22.3)(16.1)(3.3%)(2.7)(17.8) 
Calderdale and Huddersfield NHS FT(3.2)(2.8)0.40.1%(39.9)(37.9)Yes
Leeds and York Partnership NHS FT0.00.60.60.3%0.00.9 
Leeds Community Healthcare NHST0.00.80.80.5%0.00.9 
South West Yorkshire Partnership NHS FT(1.6)0.42.00.6%0.00.0 
The Leeds Teaching Hospitals NHST(16.5)(30.9)(14.3)(0.9%)0.00.0 
Mid Yorkshire Teaching NHST(4.5)(27.2)(22.7)(3.6%)(8.1)(21.1) 
Yorkshire Ambulance Service NHST(0.4)2.02.30.7%0.02.5 
West Yorkshire ICB11.622.611.00.2%7,063.515.421.4Yes
Total West Yorkshire ICS(25.8)(69.5)(43.7)(0.6%)7,063.5(49.2)(74.7) 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
North East and North Cumbria ICS420.0409.4(10.7)
Humber and North Yorkshire ICS204.1172.0(32.1)
South Yorkshire ICS189.3196.87.6
West Yorkshire ICS303.4279.3(24.1)

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 FT3.10.2(3.0)(0.5%)4.24.2 
Birmingham Community Healthcare NHS FT0.50.50.00.0%0.00.0 
Birmingham Womens and Children’s NHS FT0.0(6.8)(6.8)(1.3%)0.00.0 
The Royal Orthopaedic Hospital NHS FT(0.5)(0.5)0.00.0%0.00.0 
University Hospitals Birmingham NHS FT(11.2)(32.6)(21.5)(1.1%)(4.2)(4.2) 
Birmingham and Solihull ICB(3.2)(1.1)2.00.0%4,313.60.00.0 
Total Birmingham and Solihull ICS(11.2)(40.4)(29.2)(0.7%)4,313.60.00.0 

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 NHST0.80.90.10.0%0.20.2Yes
George Eliot Hospital NHST(9.1)(9.1)(0.0)(0.0%)(11.1)(11.1)Yes
South Warwickshire University NHS FT0.1(2.3)(2.4)(0.6%)2.32.3 
University Hospitals Coventry And Warwickshire NHST(11.3)(11.3)0.00.0%(17.0)(17.0)Yes
Coventry and Warwickshire ICB9.59.4(0.0)(0.0%)2,726.512.612.6Yes
Total Coventry and Warwickshire ICS(9.9)(12.3)(2.4)(0.1%)2,726.5(13.0)(13.0) 

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(4.8)(14.7)(9.9)(3.1%)(14.5)(14.5)Yes
Derbyshire Community Health Services NHS FT(0.3)(0.3)0.00.0%0.00.0 
Derbyshire Healthcare NHS FT(0.6)(0.6)0.00.0%0.00.0 
East Midlands Ambulance Service NHST0.91.00.10.0%0.00.0 
University Hospitals of Derby and Burton NHS FT(12.8)(27.3)(14.4)(1.5%)(30.5)(30.5)Yes
Derby and Derbyshire ICB0.00.10.10.0%3,050.40.00.0 
Total Derby and Derbyshire ICS(17.6)(41.7)(24.1)(0.8%)3,050.4(45.0)(45.0) 

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(6.5)(16.2)(9.7)(1.6%)(47.3)(47.3)Yes
Herefordshire and Worcestershire Health and Care NHST0.00.00.00.0%0.00.0 
Wye Valley NHST(2.7)(0.8)1.90.6%(25.9)(25.9)Yes
Herefordshire and Worcestershire ICB0.02.62.60.1%2,230.50.0(0.0)Yes
Total Herefordshire and Worcestershire ICS(9.3)(14.5)(5.2)(0.2%)2,230.5(73.2)(73.2) 

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(1.3)(1.3)0.00.0%0.30.3 
University Hospitals of Leicester NHST(7.8)(32.4)(24.6)(1.8%)(64.8)(64.8)Yes
Leicester, Leicestershire and Rutland ICB(0.2)(8.6)(8.3)(0.3%)2,958.1(15.5)(15.5)Yes
Total Leicester, Leicestershire and Rutland ICS(9.3)(42.3)(32.9)(1.1%)2,958.1(80.0)(80.0) 

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(1.9)(1.1)0.90.8%0.00.0 
Lincolnshire Partnership NHS FT(2.9)(2.9)0.00.0%(3.7)(3.7) 
United Lincolnshire Hospitals NHST(6.3)(7.8)(1.5)(0.2%)0.00.0 
Lincolnshire ICB(1.8)(10.7)(8.9)(0.4%)2,211.43.73.7 
Total Lincolnshire ICS(12.9)(22.5)(9.6)(0.4%)2,211.40.00.0 

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(7.4)(15.6)(8.2)(2.5%)(38.8)(38.8)Yes
Northampton General Hospital NHST(10.5)(23.5)(12.9)(3.1%)(35.2)(35.2)Yes
Northamptonshire Healthcare NHS FT(0.1)(0.1)(0.0)(0.0%)0.00.0 
Northamptonshire ICB6.16.10.00.0%2,095.810.010.0 
Total Northamptonshire ICS(12.0)(33.1)(21.2)(1.0%)2,095.8(64.0)(64.0) 

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(40.7)(40.7)(2.9%)(36.2)(36.2)Yes
Nottinghamshire Healthcare NHS FT0.0(29.4)(29.4)(5.5%)(11.6)(11.6)Yes
Sherwood Forest Hospitals NHS FT(0.1)(10.9)(10.8)(2.6%)(9.8)(9.8)Yes
Nottingham and Nottinghamshire ICB(0.0)(3.1)(3.1)(0.1%)3,364.4(12.5)(12.5)Yes
Total Nottingham and Nottinghamshire ICS(0.1)(84.2)(84.0)(2.5%)3,364.4(70.0)(70.0) 

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 NHST1.41.70.30.3%2.02.0 
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT(1.8)(1.8)0.00.0%0.00.0 
The Shrewsbury and Telford Hospital NHST0.0(5.8)(5.8)(1.1%)(45.1)(45.1)Yes
Shropshire, Telford and Wrekin ICB(1.2)1.22.40.2%1,511.6(40.6)(40.6)Yes
Total Shropshire, Telford and Wrekin ICS(1.6)(4.7)(3.1)(0.2%)1,511.6(83.8)(83.8) 

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 FT2.92.90.00.0%0.00.0 
North Staffordshire Combined Healthcare NHST(0.2)0.60.80.6%0.01.8 
University Hospitals of North Midlands NHST(6.2)(6.1)0.00.0%0.00.0 
Staffordshire and Stoke On Trent ICB(12.6)(12.4)0.20.0%3,295.1(95.0)(96.8)Yes
Total Staffordshire and Stoke On Trent ICS(16.0)(15.0)1.10.0%3,295.1(95.0)(95.0) 

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(2.0)(1.4)0.60.2%0.00.0 
Sandwell and West Birmingham Hospitals NHST(5.9)(16.9)(11.0)(1.9%)(14.2)(14.2)Yes
The Dudley Group NHS FT(3.5)(7.2)(3.7)(0.8%)(21.2)(21.2)Yes
The Royal Wolverhampton NHST(4.7)(9.5)(4.8)(0.6%)(31.4)(31.4)Yes
Walsall Healthcare NHST(5.6)(1.5)4.11.1%(28.2)(28.2)Yes
West Midlands Ambulance Service University NHS FT0.30.1(0.2)(0.1%)0.00.0 
Black Country ICB(0.0)11.911.90.3%3,727.70.00.0 
Total Black Country ICS(21.4)(24.5)(3.1)(0.1%)3,727.7(95.0)(95.0) 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
Birmingham and Solihull ICS241.6220.2(21.4)
Coventry and Warwickshire ICS112.0110.2(1.8)
Derby and Derbyshire ICS125.2115.1(10.1)
Herefordshire and Worcestershire ICS89.782.5(7.2)
Leicester, Leicestershire and Rutland ICS118.1104.8(13.4)
Lincolnshire ICS109.6105.0(4.6)
Northamptonshire ICS104.496.4(8.0)
Nottingham and Nottinghamshire ICS185.8151.5(34.3)
Shropshire, Telford and Wrekin ICS65.573.98.3
Staffordshire and Stoke On Trent ICS213.5187.7(25.8)
Black Country ICS184.5185.91.4

Provider and ICB financial position – East Region

Surplus / (deficit) position – Cambridgeshire and Peterborough 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
Cambridge University Hospitals NHS FT(2.9)1.44.40.4%0.00.0 
Cambridgeshire and Peterborough NHS FT(1.0)(3.1)(2.1)(0.8%)0.00.0 
Cambridgeshire Community Services NHST0.00.00.00.0%0.00.0 
North West Anglia NHS FT(1.3)(2.5)(1.2)(0.2%)0.00.0 
Royal Papworth Hospital NHS FT0.00.00.00.0%0.00.0 
Cambridgeshire and Peterborough ICB(0.0)0.00.00.0%2,500.20.00.0 
Total Cambridgeshire and Peterborough ICS(5.3)(4.1)1.20.0%2,500.20.00.0 

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(6.7)(6.6)0.10.0%0.00.0 
Hertfordshire Community NHST0.00.00.00.0%0.00.0 
Hertfordshire Partnership University NHS FT(1.9)(1.8)0.00.0%(3.4)(3.4)Yes
The Princess Alexandra Hospital NHST(1.4)(1.3)0.00.0%(5.3)(5.3)Yes
West Hertfordshire Teaching Hospitals NHST(2.9)(2.9)(0.0)(0.0%)(3.3)(3.3)Yes
Hertfordshire and West Essex ICB(3.0)(5.7)(2.7)(0.1%)4,069.8(0.4)(0.4)Yes
Total Hertfordshire and West Essex ICS(15.7)(18.3)(2.6)(0.1%)4,069.8(12.2)(12.2) 

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(1.0)(6.9)(5.8)(1.2%)(20.5)(20.5)Yes
Mid and South Essex NHS FT0.0(51.1)(51.1)(4.2%)(85.5)(115.0)Yes
Mid and South Essex ICB(2.7)(2.7)(0.0)(0.0%)3,301.70.00.0Yes
Total Mid and South Essex ICS(3.8)(60.7)(56.9)(1.7%)3,301.7(106.0)(135.5) 

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)(9.6)(9.6)(1.4%)0.00.0 
Milton Keynes University Hospital NHS FT(1.8)(1.7)0.10.0%0.00.0 
Bedfordshire, Luton and Milton Keynes ICB0.00.00.00.0%2,683.60.00.0 
Total Bedfordshire, Luton and Milton Keynes ICS(1.8)(11.3)(9.6)(0.4%)2,683.60.00.0 

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(0.8)(0.3)0.50.2%(19.0)(19.0)Yes
Norfolk and Norwich University Hospitals NHS FT0.7(8.2)(8.9)(1.1%)(2.8)(2.8)Yes
Norfolk and Suffolk NHS FT(1.3)(1.3)0.00.0%(6.8)(6.8)Yes
Norfolk Community Health and Care NHST(0.6)(0.6)0.00.0%0.00.0 
Queen Elizabeth Hospital King’s Lynn NHS FT(1.6)(2.1)(0.5)(0.2%)(22.5)(22.5)Yes
Norfolk and Waveney ICB0.00.0(0.0)(0.0%)3,083.0(0.0)(0.0)Yes
Total Norfolk and Waveney ICS(3.5)(12.3)(8.9)(0.3%)3,083.0(51.1)(51.1) 

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 NHST1.05.14.11.1%0.10.1 
East Suffolk and North Essex NHS FT(2.7)(10.7)(8.0)(0.9%)0.00.0 
West Suffolk NHS FT(19.1)(16.3)2.80.9%(20.7)(20.7) 
Suffolk and North East Essex ICB15.415.4(0.0)(0.0%)2,865.220.620.6 
Total Suffolk and North East Essex ICS(5.4)(6.4)(1.0)(0.0%)2,865.20.00.0 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
Cambridgeshire and Peterborough ICS125.0120.4(4.6)
Hertfordshire and West Essex ICS179.0165.8(13.2)
Mid and South Essex ICS130.6102.4(28.2)
Bedfordshire, Luton and Milton Keynes ICS86.181.1(5.0)
Norfolk and Waveney ICS141.2136.7(4.6)
Suffolk and North East Essex ICS78.572.2(6.4)

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 Trust3.7(4.1)(7.8)(1.5%)4.94.9 
Great Ormond Street Hospital for Children NHS FT(2.3)(8.0)(5.7)(1.0%)0.00.0 
Moorfields Eye Hospital NHS FT(3.5)2.05.52.1%0.00.0 
Royal Free London NHS FT(30.5)(33.8)(3.2)(0.2%)(42.7)(42.7) 
Royal National Orthopaedic Hospital NHST(0.4)(0.4)0.10.0%0.00.0 
Tavistock and Portman NHS FT(2.9)(6.0)(3.1)(7.2%)0.00.0 
University College London Hospitals NHS FT(7.4)(6.4)1.00.1%12.012.0 
Whittington Health NHST(5.7)(11.2)(5.5)(1.5%)(1.4)(1.4) 
North Central London ICB20.420.4(0.0)(0.0%)4,821.927.227.2 
Total North Central London ICS(28.8)(47.6)(18.8)(0.4%)4,821.90.00.0 

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 £m
Barking, Havering and Redbridge University Hospitals NHST(6.2)(42.8)(36.6)(4.9%)(22.7)(70.8)Yes
Barts Health NHST(5.0)(17.1)(12.2)(0.6%)0.00.0 
East London NHS FT(0.6)0.41.00.2%0.00.0 
Homerton Healthcare NHS FT(1.9)(11.5)(9.6)(2.6%)(21.8)(21.8)Yes
North East London NHS FT(3.3)(5.6)(2.4)(0.5%)0.00.0 
North East London ICB(0.1)1.71.80.0%6,133.22.52.5Yes
Total North East London ICS(16.9)(74.9)(58.0)(0.9%)6,133.2(42.0)(90.1) 

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(5.7)(5.7)0.00.0%0.00.0 
Central London Community Healthcare NHST0.00.00.00.0%0.00.0 
Chelsea and Westminster Hospital NHS FT(0.6)(0.3)0.30.0%0.00.0 
Imperial College Healthcare NHST0.00.00.00.0%0.00.0 
London Ambulance Service NHST0.62.01.40.2%0.00.0 
London North West University Healthcare NHST3.23.20.00.0%0.00.0 
The Hillingdon Hospitals NHS FT0.00.0(0.0)(0.0%)0.00.0 
West London NHST0.00.00.00.0%0.00.0 
North West London ICB(0.0)0.00.00.0%6,923.80.00.0 
Total North West London ICS(2.5)(0.7)1.70.0%6,923.80.00.0 

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(25.2)(25.1)0.10.0%0.00.0 
King’s College Hospital NHS FT0.73.32.60.2%(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 ICB0.00.00.00.0%5,821.20.00.0Yes
Total South East London ICS(23.4)(20.5)2.90.0%5,821.2(75.0)(75.0) 

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(8.5)(8.5)0.00.0%(10.9)(10.9)Yes
Epsom and St Helier University Hospitals NHST(17.0)(17.0)0.00.0%(47.3)(47.3)Yes
Kingston Hospital NHS FT(16.0)(16.0)(0.0)(0.0%)(11.1)(11.1)Yes
South West London and St George’s Mental Health NHST0.20.20.00.0%0.20.2 
St George’s University Hospitals NHS FT(14.4)(14.4)0.00.0%(40.2)(40.2)Yes
The Royal Marsden NHS FT(0.9)0.71.60.3%5.57.0 
South West London ICB(0.7)(0.7)0.00.0%4,352.30.00.0Yes
Total South West London ICS(57.4)(55.7)1.70.0%4,352.3(103.8)(102.3) 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
North Central London ICS252.3242.3(10.1)
North East London ICS259.7246.8(12.9)
North West London ICS211.3215.54.2
South East London ICS247.1229.7(17.4)
South West London ICS210.8217.06.2

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 variance £mVariance % 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(5.8)(5.8)(1.4%)(9.6)(9.6)Yes
Royal United Hospitals Bath NHS FT0.0(16.8)(16.8)(3.7%)0.00.0 
Salisbury NHS FT0.0(5.9)(5.9)(1.9%)(13.8)(13.8)Yes
Bath and North East Somerset, Swindon and Wiltshire ICB0.012.212.20.5%2,265.10.00.0Yes
Total Bath and North East Somerset, Swindon and Wiltshire ICS0.0(16.2)(16.2)(0.7%)2,265.1(23.4)(23.4) 

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 NHST0.00.00.00.00.0 
North Bristol NHST(2.6)(2.6)0.00.00.0 
University Hospitals Bristol and Weston NHS FT(9.4)(9.3)0.10.00.0 
Bristol, North Somerset and South Gloucestershire ICB0.00.00.00.0%2,484.50.00.0 
Total Bristol, North Somerset and South Gloucestershire ICS(12.0)(11.8)0.10.0%2,484.50.00.0 

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(0.9)(0.9)0.00.00.0 
Royal Cornwall Hospitals NHST(3.3)(3.3)0.00.00.0 
Cornwall and the Isles of Scilly ICB0.0(0.0)(0.0)(0.0%)1,604.30.00.0 
Total Cornwall and the Isles of Scilly ICS(4.2)(4.2)0.00.0%1,604.30.00.0 

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 NHST0.00.00.00.02.7 
Royal Devon University Healthcare NHS FT(0.2)(36.5)(36.3)0.0(44.0) 
Torbay and South Devon NHS FT(11.3)(19.0)(7.7)(38.8)(37.8)Yes
University Hospitals Plymouth NHST(1.3)(9.3)(8.0)(23.0)(20.1)Yes
Devon ICB6.07.51.50.0%3,319.38.08.0Yes
Total Devon ICS(6.7)(57.3)(50.6)(1.5%)3,319.3(53.8)(91.3) 

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(18.1)(16.9)1.3(9.8)(9.8) 
Dorset Healthcare University NHS FT3.54.91.49.89.8 
South Western Ambulance Service NHS FT0.00.40.40.00.0 
University Hospitals Dorset NHS FT(5.3)(5.2)0.00.00.0 
Dorset ICB0.00.00.00.0%2,134.6(13.9)(13.9)Yes
Total Dorset ICS(19.9)(16.8)3.10.1%2,134.6(13.9)(13.9) 

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(0.1)0.10.20.00.0 
Gloucestershire Hospitals NHS FT(0.3)(0.9)(0.6)0.00.0 
Gloucestershire ICB0.01.71.70.1%1,545.50.00.0 
Total Gloucestershire ICS(0.5)0.91.40.1%1,545.50.00.0 

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 £mForecast Outturn Exc DSF £m
Somerset NHS FT(6.8)(6.8)0.00.0%0.00.0 
Somerset ICB(6.8)0.00.00.0%3,095.60.00.0 
Total Somerset ICS (6.8)(6.8)0.00.0%3,095.60.00.0 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
Bath and North East Somerset, Swindon and Wiltshire ICS92.276.4(15.9)
Bristol, North Somerset and South Gloucestershire ICS99.693.8(5.8)
Cornwall and the Isles of Scilly ICS76.774.7(2.0)
Devon ICS170.3141.4(29.0)
Dorset ICS119.3114.9(4.4)
Gloucestershire ICS65.058.4(6.5)
Somerset ICS55.956.50.6

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 FT1.71.70.00.0%1.71.7 
Buckinghamshire Healthcare NHST(5.3)(5.3)0.00.0%(12.2)(12.2)Yes
Oxford Health NHS FT2.72.80.10.0%4.84.8 
Oxford University Hospitals NHS FT(4.3)(4.3)0.00.0%(17.3)(17.3)Yes
Royal Berkshire NHS FT(9.3)(9.3)0.00.0%(21.1)(21.1)Yes
Buckinghamshire, Oxfordshire and Berkshire West ICB(7.3)(7.3)0.00.0%4,558.2(9.8)(9.8)Yes
Total Buckinghamshire, Oxfordshire and Berkshire West ICS(21.9)(21.8)0.10.0%4,558.2(54.0)(54.0) 

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(3.9)(3.8)0.10.0%(20.7)(20.7)Yes
Frimley ICB(0.0)0.00.00.0%1,940.2(3.2)(3.2)Yes
Total Frimley ICS(3.9)(3.8)0.10.0%1,940.2(23.9)(23.9) 

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(0.0)(3.4)(3.4)(0.6%)(15.4)(15.4)Yes
Isle of Wight NHST(2.3)(3.5)(1.2)(0.6%)(5.8)(5.8)Yes
Portsmouth Hospitals University NHST(5.6)(20.8)(15.2)(2.1%)(25.4)(25.4)Yes
South Central Ambulance Service NHS FT(0.1)(0.7)(0.6)(0.2%)(2.7)(2.7)Yes
Southern Health NHS FT(2.2)(2.2)0.00.0%0.00.0 
University Hospital Southampton NHS FT(16.6)(45.6)(29.0)(2.8%)(13.9)(13.9)Yes
Hampshire and Isle of Wight ICB0.40.50.10.0%5,099.60.50.5Yes
Total Hampshire and the Isle of Wight ICS(26.4)(75.7)(49.2)(1.0%)5,099.6(62.7)(62.7) 

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(6.7)(15.9)(9.2)(2.6%)(22.6)(29.0)Yes
East Kent Hospitals University NHS FT(12.3)(32.8)(20.5)(2.6%)(64.2)(82.0)Yes
Kent and Medway NHS and Social Care Partnership Trust1.61.60.00.0%2.22.2 
Kent Community Health NHS FT0.02.42.40.9%0.03.5 
Maidstone and Tunbridge Wells NHST(9.4)(20.0)(10.6)(1.7%)0.0(16.6) 
Medway NHS FT(5.3)(38.8)(33.4)(8.8%)(46.1)(79.6)Yes
Kent and Medway ICB9.2(17.6)(26.8)(0.5%)5,298.412.3(58.0)Yes
Total Kent and Medway ICS(22.9)(121.0)(98.1)(1.9%)5,298.4(118.3)(259.4) 

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(2.0)(2.0)0.00.0%(6.7)(6.7)Yes
Royal Surrey NHS FT(2.3)(2.3)0.00.0%(5.6)(5.6)Yes
South East Coast Ambulance Service NHS FT(2.0)(2.0)0.00.0%0.00.0 
Surrey and Borders Partnership NHS FT(0.5)(0.4)0.10.1%0.00.0 
Surrey and Sussex Healthcare NHST(8.1)(18.5)(10.4)(2.6%)(22.6)(30.6)Yes
Surrey Heartlands ICB4.515.410.90.4%2,894.79.117.1 
Total Surrey Heartlands ICS(10.4)(9.8)0.70.0%2,894.7(25.8)(25.8) 

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(1.8)(1.8)0.00.0%(10.7)(10.7)Yes
Sussex Community NHS FT(1.6)(1.6)0.00.0%0.00.0 
Sussex Partnership NHS FT(4.1)(3.3)0.80.2%(5.9)(5.9)Yes
Queen Victoria Hospital NHS FT(0.3)(0.2)0.10.1%(1.5)(1.5)Yes
University Hospitals Sussex NHS FT(15.5)(16.5)(1.0)(0.1%)(26.2)(26.2)Yes
Sussex ICB(0.0)0.50.50.0%5,045.60.0(0.0)Yes
Total Sussex ICS(23.3)(22.8)0.50.0%5,045.6(44.3)(44.3) 

Year to date efficiency position

SystemPlan £mActual total £mVar £m
Buckinghamshire, Oxfordshire and Berkshire West ICS209.0198.8(10.2)
Frimley ICS95.790.2(5.5)
Hampshire and Isle of Wight ICS278.9273.0(6.0)
Kent and Medway ICS284.4232.5(51.9)
Surrey Heartlands ICS149.0144.6(4.4)
Sussex ICS181.6174.8(6.8)

Provider employee expenses summary

CategoryYTD plan £mYTD actual £mYTD var to plan £mYTD var to plan %
Medical staff17,421.918,067.7(645.8)(3.7%)
Nursing staff19,336.519,508.9(172.5)(0.9%)
Support to clinical staff9,768.79,970.6(201.9)(2.1%)
Other staff22,097.222,386.1(288.9)(1.3%)
Total employee expenses68,624.369,933.4(1,309.0)(1.9%)
Of which:
Bank4,063.94,606.1(542.2)(13.3%)
Agency1,030.7940.889.98.7%
Total bank and agency5,094.65,546.9(452.3)(8.9%)

Provider non-pay costs summary

CategoryYTD plan £mYTD actual £mYTD variance to plan £mYTD variance to plan %
Purchase of healthcare from other providers4,141.24,243.2(102.0)(2.5%)
Purchase of social care199.9219.5(19.7)(9.8%)
Drugs costs8,828.99,290.3(461.4)(5.2%)
Clinical supplies and services (excluding drugs costs)7,511.48,141.4(630.0)(8.4%)
General supplies and services1,543.51,617.7(74.2)(4.8%)
Clinical negligence insurance2,277.42,249.428.01.2%
Consultancy114.8130.3(15.5)(13.5%)
Establishment891.8947.5(55.6)(6.2%)
Premises4,034.13,960.473.71.8%
Other non-pay items9,015.88,601.0414.84.6%
Total non pay38,558.939,400.7(841.9)(2.2%)

Non-delegated specialised commissioning (net expenditure)

RegionYTD plan £mYTD actual £mYTD variance to plan £mYTD variance to plan %
North West973.5969.83.70.4%
North East and Yorkshire1,039.71,039.7(0.0)(0.0%)
Midlands1,263.11,263.1(0.0)(0.0%)
East of England600.3602.5(2.3)(0.4%)
London1,907.51,907.50.00.0%
South West539.6539.6(0.0)(0.0%)
South East833.5831.52.10.2%
Central1,366.71,286.180.65.9%
Total 8,523.78,439.584.21.0%

Provider capital position

Capital (CDEL) by sector

SectorYTD plan £mYTD actual £mYTD variance to plan £mYTD variance to plan %
Acute4,026.92,881.6(1,145.3)(28.4%)
Ambulance203.3176.8(26.5)(13.0%)
Community117.391.9(25.3)(21.6%)
Mental Health695.0484.2(210.8)(30.3%)
Specialist289.6220.8(68.9)(23.8%)
Total provider capital plan including IFRS165,332.13,855.3(1,476.8)(27.7%)

Capital DEL

CategoryYTD plan £mYTD actual £mYTD variance to plan £mYTD variance to plan %
Gross capital expenditure5,790.34,183.8(1,606.5)(27.7%)
Disposals / other deductions(98.7)(101.9)(3.1)3.2%
Net capital expenditure5,691.64,082.0(1,609.6)(28.3%)
Less grants, donations and peppercorn leases(367.2)(283.9)83.3(22.7%)
Less PFI capital (IFRIC12)(159.4)(155.1)4.3(2.7%)
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)168.9180.711.97.0%
Purchase of financial assets17.34.9(12.4)(71.5%)
Sale of financial assets(23.7)(7.5)16.2(68.3%)
Utilisation of capitalised dilapidation provisions4.71.4(3.4)(71.3%)
Loss on disposal from peppercorn leases0.00.0 
Insurance contract claims (IFRS17)27.527.5 
Prior period adjustments (PPAs)0.05.35.3 
Total CDEL5,332.13,855.3(1,476.8)(27.7%)

Commissioner capital position

Capital (CDEL) by region

RegionYTD plan £mYTD actual £mYTD variance to plan £mYTD variance to plan %
London3.63.6(0.0)(0.0%)
Midlands5.31.7(3.6)(67.8%)
East of England5.15.70.611.6%
North West7.06.9(0.1)(1.7%)
North East and Yorkshire35.835.5(0.3)(0.8%)
South East9.20.0(9.1)(99.8%)
South West3.33.1(0.1)(4.5%)
Central410.7231.6(179.1)(43.6%)
Total commissioner CDEL479.9288.1(191.8)(40.0%)