Financial performance report 2023/24: Quarter 1

Headline position

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

All figures presented have been shown to one decimal place and therefore may not add up precisely to the totals provided and equally percentages may not precisely reflect the absolute figures.

Year to date surplus / (deficit)

Surplus / (deficit) In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems124,564.4(734.3)(1,244.1)(509.8)(10.1%)
Specialised commissioning24,478.70.03.33.30.1%
Other direct commissioning2,653.73.13.70.60.1%
Central costs 12,216.1(1.0)50.951.91.8%
Transformation and reserves7,176.3
Technical and ringfenced adjustments(3,776.3)(0.0)(74.6)(74.6)
Total – non-ringfenced RDEL167,312.9(732.2)(1,260.8)(528.6)(1.3%)

Year to date expenditure basis

Expenditure basis In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems124,564.432,287.032,796.8(509.8)(1.6%)
Specialised commissioning24,478.76,025.86,022.53.30.1%
Other direct commissioning2,653.7575.8575.20.60.1%
Central costs 12,216.12,820.72,768.851.91.8%
Transformation and reserves7,176.3
Technical and ringfenced adjustments(3,776.3)(979.2)(904.6)(74.6)7.6%
Total – non-ringfenced RDEL167,312.940,730.141,258.7(528.6)(1.3%)
Technical adjustments to sector reported position(966.7)966.7
Total combined position against Plan167,312.940,730.140,292.0438.11.1%
      
Non ringfenced RDEL surplus / deficit position167,312.9(732.2)(1,260.8)(528.6)(1.3%)

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 FT(1.5)(1.5)(0.0)(0.0%)
Bridgewater Community Healthcare NHS FT0.00.00.00.0%
Cheshire and Wirral Partnership NHS FT(0.1)(1.3)(1.1)(1.7%)
Countess of Chester Hospital NHS FT(6.2)(9.9)(3.7)(4.4%)
East Cheshire NHST(3.9)(4.4)(0.5)(1.0%)
Liverpool Heart and Chest Hospital NHS FT2.52.1(0.3)(0.5%)
Liverpool University Hospitals NHS FT(39.6)(39.4)0.20.1%
Liverpool Women’s NHS FT(4.6)(4.6)0.00.0%
Mersey Care NHS FT2.02.0(0.0)(0.0%)
Mid Cheshire Hospitals NHS FT(7.1)(9.2)(2.1)(2.3%)
Southport and Ormskirk Hospital NHST(2.0)(2.0)0.00.0%
St Helens and Knowsley Teaching Hospitals NHST1.31.3(0.0)(0.0%)
The Clatterbridge Cancer Centre NHS FT0.10.10.00.0%
The Walton Centre NHS FT1.51.50.00.0%
Warrington and Halton Teaching Hospitals NHS FT(6.2)(8.0)(1.8)(2.2%)
Wirral Community Health and Care NHS FT0.10.10.00.0%
Wirral University Teaching Hospital NHS FT(8.5)(8.1)0.40.3%
Cheshire and Merseyside ICB17.25.7(11.6)(0.2%)6,272.6
Total Cheshire and Merseyside ICS (54.9)(75.4)(20.5)(0.3%)6,272.6

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Bolton NHS FT(3.1)(4.6)(1.5)(1.3%)
Greater Manchester Mental Health NHS FT0.0(0.7)(0.7)(0.5%)
Manchester University NHS FT(23.3)(34.9)(11.6)(1.8%)
Pennine Care NHS FT(1.4)(1.4)0.00.0%
Northern Care Alliance NHS FT(4.5)(24.8)(20.3)(4.9%)
Stockport NHS FT(8.4)(9.3)(0.9)(0.9%)
Tameside and Glossop Integrated Care NHS FT(8.3)(8.5)(0.2)(0.3%)
The Christie NHS FT(2.0)(1.2)0.80.7%
Wrightington, Wigan and Leigh NHS FT0.6(1.6)(2.1)(1.7%)
Greater Manchester ICB30.50.5(30.0)(0.4%)6,785.7
Total Greater Manchester ICS (20.0)(86.5)(66.5)(1.0%)6,785.7

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(20.7)(20.6)0.00.0%
East Lancashire Hospitals NHST(9.2)(12.8)(3.6)(2.1%)
Lancashire and South Cumbria NHS FT(3.7)(6.4)(2.7)(2.0%)
Lancashire Teaching Hospitals NHS FT(15.1)(18.4)(3.3)(1.8%)
North West Ambulance Service NHST(1.1)0.92.01.6%
University Hospitals of Morecambe Bay NHS FT(15.7)(15.6)0.00.0%
Lancashire and South Cumbria ICB0.00.00.00.0%4,184.8
Total Lancashire and South Cumbria ICS (65.3)(72.9)(7.5)(0.2%)4,184.8

Provider and ICB financial position – North East region

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
County Durham and Darlington NHS FT(4.1)(4.7)(0.6)(0.4%)
Cumbria, Northumberland, Tyne and Wear NHS FT(8.6)(6.5)2.11.5%
Gateshead Health NHS FT(4.1)(4.0)0.10.1%
North Cumbria Integrated Care NHS FT(13.3)(13.3)0.00.0%
North East Ambulance Service NHS FT2.52.60.10.2%
North Tees and Hartlepool NHS FT2.51.3(1.2)(1.2%)
Northumbria Healthcare NHS FT3.22.3(0.9)(0.5%)
South Tees Hospitals NHS FT(7.4)(7.4)0.00.0%
South Tyneside and Sunderland NHS FT(2.6)(2.6)0.00.0%
Tees, Esk and Wear Valleys NHS FT(3.5)(3.9)(0.4)(0.3%)
The Newcastle Upon Tyne Hospitals NHS FT(8.4)(9.9)(1.6)(0.4%)
North East and North Cumbria ICB8.17.7(0.4)(0.0%)7,148.5
Total North East and North Cumbria ICS (35.8)(38.5)(2.7)(0.0%)7,148.5

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 FT1.5(1.6)(3.1)(3.8%)
Hull University Teaching Hospitals NHST(0.8)(1.9)(1.0)(0.5%)
Humber Teaching NHS FT0.00.00.00.0%
Northern Lincolnshire and Goole NHS FT(8.3)(6.9)1.41.1%
York and Scarborough Teaching Hospitals NHS FT(7.6)(11.3)(3.7)(2.1%)
Humber and North Yorkshire ICB(0.0)(0.0)(0.0)(0.0%)3,663.4
Total Humber and North Yorkshire ICS (15.2)(21.6)(6.4)(0.2%)3,663.4

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barnsley Hospital NHS FT(2.7)(2.1)0.60.8%
Doncaster and Bassetlaw Teaching Hospitals NHS FT(12.3)(12.2)0.00.0%
Rotherham Doncaster and South Humber NHS FT(1.2)(1.1)0.00.1%
Sheffield Children’s NHS FT(1.7)(1.7)0.00.0%
Sheffield Health and Social Care NHS FT(0.9)(0.7)0.20.6%
Sheffield Teaching Hospitals NHS FT1.4(0.3)(1.7)(0.5%)
The Rotherham NHS FT(2.0)(2.8)(0.9)(1.0%)
South Yorkshire ICB(7.9)(7.9)(0.0)(0.0%)3,149.8
Total South Yorkshire ICS (27.2)(28.9)(1.7)(0.1%)3,149.8

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Airedale NHS FT(1.4)(1.9)(0.5)(0.7%)
Bradford District Care NHS FT(1.5)(1.5)0.00.1%
Bradford Teaching Hospitals NHS FT0.0(0.0)(0.0)(0.0%)
Calderdale and Huddersfield NHS FT(6.1)(7.1)(1.0)(0.7%)
Leeds and York Partnership NHS FT0.0(0.2)(0.2)(0.4%)
Leeds Community Healthcare NHST0.0(0.5)(0.5)(0.8%)
South West Yorkshire Partnership NHS FT1.21.0(0.3)(0.3%)
The Leeds Teaching Hospitals NHST(7.3)(15.4)(8.1)(1.8%)
Mid Yorkshire Teaching NHST(0.0)(5.6)(5.6)(3.1%)
Yorkshire Ambulance Service NHST0.00.00.00.0%
West Yorkshire ICB6.30.0(6.2)(0.1%)5,303.2
Total West Yorkshire ICS (8.8)(31.1)(22.3)(0.4%)5,303.2

Provider and ICB financial position – Midlands region

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Birmingham and Solihull Mental Health NHS FT0.0(0.3)(0.3)(0.2%)
Birmingham Community Healthcare NHS FT0.1(0.8)(1.0)(1.1%)
Birmingham Women’s and Children’s NHS FT0.0(1.0)(1.0)(0.6%)
The Royal Orthopaedic Hospital NHS FT0.2(1.4)(1.6)(5.0%)
University Hospitals Birmingham NHS FT(9.9)(19.8)(9.9)(1.8%)
Birmingham and Solihull ICB5.94.9(1.0)(0.0%)3,082.8
Total Birmingham and Solihull ICS (3.7)(18.4)(14.8)(0.5%)3,082.8

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Coventry and Warwickshire Partnership NHST0.70.0(0.7)(0.9%)
George Eliot Hospital NHST(2.2)(3.4)(1.2)(2.1%)
South Warwickshire University NHS FT0.0(2.0)(2.0)(1.9%)
University Hospitals Coventry And Warwickshire NHST(5.1)(5.1)(0.0)(0.0%)
Coventry and Warwickshire ICB0.00.30.30.0%2,017.4
Total Coventry and Warwickshire ICS(6.6)(10.0)(3.4)(0.2%)2,017.4

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(2.1)(2.8)(0.7)(0.8%)
Derbyshire Community Health Services NHS FT0.2(1.1)(1.3)(2.4%)
Derbyshire Healthcare NHS FT0.71.00.20.5%
East Midlands Ambulance Service NHST0.00.10.10.1%
University Hospitals of Derby and Burton NHS FT(9.3)(15.1)(5.8)(2.1%)
Derby and Derbyshire ICB0.0(0.3)(0.3)(0.0%)2,343.4
Total Derby and Derbyshire ICS (10.5)(18.2)(7.7)(0.3%)2,343.4

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(6.0)(10.7)(4.7)(2.9%)
Herefordshire and Worcestershire Health and Care NHST0.70.5(0.3)(0.4%)
Wye Valley NHST(8.0)(7.9)0.10.1%
Herefordshire and Worcestershire ICB0.10.80.80.0%1,659.6
Total Herefordshire and Worcestershire ICS (13.2)(17.3)(4.2)(0.3%)1,659.6

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(0.6)(0.6)(0.0)(0.0%)
University Hospitals of Leicester NHST(14.6)(21.9)(7.3)(2.0%)
Leicester, Leicestershire and Rutland ICB0.0(3.1)(3.1)(0.1%)2,140.4
Total Leicester, Leicestershire and Rutland ICS (15.2)(25.7)(10.4)(0.5%)2,140.4

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Lincolnshire Community Health Services NHST0.0(0.0)(0.0)(0.0%)
Lincolnshire Partnership NHS FT1.82.10.30.7%
United Lincolnshire Hospitals NHST(8.8)(8.8)0.00.0%
Lincolnshire ICB(10.6)(10.9)(0.3)(0.0%)1,692.2
Total Lincolnshire ICS (17.6)(17.6)0.00.0%1,692.2

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Kettering General Hospital NHS FT(3.1)(4.9)(1.7)(1.8%)
Northampton General Hospital NHST(4.4)(6.4)(2.0)(1.7%)
Northamptonshire Healthcare NHS FT0.1(3.1)(3.2)(3.8%)
Northamptonshire ICB(0.0)(1.5)(1.5)(0.1%)1,579.0
Total Northamptonshire ICS (7.5)(15.9)(8.5)(0.5%)1,579.0

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Nottingham University Hospitals NHST(5.0)(17.3)(12.3)(3.1%)
Nottinghamshire Healthcare NHS FT(3.4)(8.0)(4.5)(2.8%)
Sherwood Forest Hospitals NHS FT(3.8)(4.9)(1.1)(0.9%)
Nottingham and Nottinghamshire ICB(0.0)0.00.00.0%2,492.0
Total Nottingham and Nottinghamshire ICS (12.3)(30.1)(17.8)(0.7%)2,492.0

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 NHST0.20.1(0.0)(0.1%)
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT(1.6)(1.9)(0.4)(1.2%)
The Shrewsbury and Telford Hospital NHST(19.0)(26.4)(7.3)(5.5%)
Shropshire, Telford and Wrekin ICB(5.0)(4.9)0.20.0%1,090.1
Total Shropshire and Telford and Wrekin ICS (25.5)(33.0)(7.6)(0.7%)1,090.1

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 FT0.80.7(0.1)(0.1%)
North Staffordshire Combined Healthcare NHST0.10.20.00.1%
University Hospitals of North Midlands NHST2.4(5.9)(8.3)(3.1%)
Staffordshire and Stoke On Trent ICB(17.2)(33.6)(16.4)(0.7%)2,460.8
Total Staffordshire and Stoke On Trent ICS (13.9)(38.7)(24.8)(1.0%)2,460.8

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Black Country Healthcare NHS FT1.0(2.2)(3.2)(4.0%)
Dudley Integrated Health and Care NHST0.20.20.00.2%
Sandwell and West Birmingham Hospitals NHST(7.4)(10.9)(3.5)(2.1%)
The Dudley Group NHS FT(8.6)(8.6)(0.0)(0.0%)
The Royal Wolverhampton NHST(13.1)(15.8)(2.7)(1.3%)
Walsall Healthcare NHST(5.2)(10.2)(5.0)(5.4%)
West Midlands Ambulance Service University NHS FT0.60.1(0.5)(0.5%)
Black Country ICB1.21.20.00.0%2,754.5
Total The Black Country ICS (31.2)(46.1)(14.9)(0.5%)2,754.5

Provider and ICB financial position – East region

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnover
Allocation
£m (ICB Only)
Cambridge University Hospitals NHS FT3.50.7(2.7)(0.8%)
Cambridgeshire and Peterborough NHS FT(0.1)(3.1)(3.0)(3.9%)
Cambridgeshire Community Services NHST0.00.00.00.0%
North West Anglia NHS FT(4.6)(8.9)(4.3)(2.7%)
Royal Papworth Hospital NHS FT(1.2)0.82.02.7%
Cambridgeshire and Peterborough ICB0.0(1.1)(1.1)(0.1%)1,833.9
Total Cambridgeshire and Peterborough ICS (2.4)(11.7)(9.3)(0.5%)1,833.9

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East And North Hertfordshire NHST(6.0)(6.3)(0.3)(0.2%)
Hertfordshire Community NHST0.0(0.2)(0.2)(0.6%)
Hertfordshire Partnership University NHS FT(0.4)(2.1)(1.7)(1.7%)
The Princess Alexandra Hospital NHST(2.2)(6.9)(4.7)(5.5%)
West Hertfordshire Teaching Hospitals NHST(2.2)(7.4)(5.2)(4.2%)
Hertfordshire and West Essex ICB0.2(2.9)(3.1)(0.1%)3,088.9
Total Hertfordshire and West Essex ICS (10.5)(25.8)(15.3)(0.5%)3,088.9

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(1.4)(2.8)(1.4)(1.1%)
Mid and South Essex NHS FT(12.5)(21.0)(8.5)(2.3%)
Mid and South Essex ICB2.42.40.00.0%2,497.7
Total Mid and South Essex ICS (11.5)(21.3)(9.8)(0.4%)2,497.7

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 FT0.1(2.7)(2.8)(1.4%)
Milton Keynes University Hospital NHS FT0.3(5.4)(5.7)(6.4%)
Bedfordshire, Luton and Milton Keynes ICB(0.0)(2.4)(2.4)(0.1%)1,961.8
Total Bedfordshire, Luton and Milton Keynes ICS 0.4(10.5)(10.9)(0.6%)1,961.8

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(0.9)(2.3)(1.3)(1.8%)
Norfolk and Norwich University Hospitals NHS FT(0.9)(4.8)(3.9)(1.7%)
Norfolk and Suffolk NHS FT(4.6)(4.6)0.00.0%
Norfolk Community Health and Care NHST(0.2)(0.2)0.00.1%
Queen Elizabeth Hospital King’s Lynn NHS FT(2.3)(5.3)(3.0)(4.2%)
Norfolk and Waveney ICB0.00.00.00.0%2,305.0
Total Norfolk And Waveney ICS (9.0)(17.2)(8.2)(0.4%)2,305.0

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East of England Ambulance Service NHST(0.0)(0.0)0.00.0%
East Suffolk and North Essex NHS FT(2.0)(1.9)0.10.0%
West Suffolk NHS FT(1.2)(3.5)(2.3)(2.5%)
Suffolk and North East Essex ICB0.70.7(0.0)(0.0%)2,133.2
Total Suffolk and North East Essex ICS (2.5)(4.7)(2.1)(0.1%)2,133.2

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 NHST0.3(0.7)(0.9)(0.9%)
Camden and Islington NHS FT0.3(0.1)(0.5)(0.9%)
Great Ormond Street Hospital for Children NHS FT(2.9)(5.6)(2.7)(1.7%)
Moorfields Eye Hospital NHS FT(3.3)(1.6)1.72.4%
North Middlesex University Hospital NHST(1.8)(2.8)(1.0)(0.9%)
Royal Free London NHS FT(16.6)(26.1)(9.5)(2.6%)
Royal National Orthopaedic Hospital NHST(6.9)(6.5)0.30.9%
Tavistock and Portman NHS FT(0.8)(0.9)(0.1)(0.5%)
University College London Hospitals NHS FT(3.0)(6.7)(3.7)(1.0%)
Whittington Health NHST(6.9)(8.3)(1.3)(1.3%)
North Central London ICB2.72.70.00.0%3,408.2
Total North Central London ICS (38.8)(56.6)(17.7)(0.5%)3,408.2

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barking, Havering and Redbridge University Hospitals NHST(1.8)(10.9)(9.2)(4.4%)
Barts Health NHST(6.7)(26.1)(19.5)(3.5%)
East London NHS FT0.1(1.1)(1.3)(0.8%)
Homerton Healthcare NHS FT(0.5)(3.7)(3.1)(2.9%)
North East London NHS FT1.41.0(0.4)(0.3%)
North East London ICB3.8(4.5)(8.3)(0.2%)4,421.2
Total North East London ICS (3.6)(45.3)(41.8)(0.9%)4,421.2

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 FT(2.0)(2.3)(0.3)(0.2%)
Central London Community Healthcare NHST(0.0)0.00.00.0%
Chelsea and Westminster Hospital NHS FT0.2(2.8)(3.1)(1.4%)
Imperial College Healthcare NHST0.0(16.3)(16.3)(4.2%)
London Ambulance Service NHST3.63.80.20.2%
London North West University Healthcare NHST(5.3)(11.6)(6.3)(2.8%)
The Hillingdon Hospitals NHS FT(6.1)(9.0)(3.0)(3.6%)
West London NHST0.00.00.00.0%
North West London ICB(0.0)4.04.00.1%4,933.9
Total North West London ICS (9.6)(34.2)(24.6)(0.5%)4,933.9

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Guy’s and St Thomas’ NHS FT(1.6)(15.8)(14.2)(2.1%)
King’s College Hospital NHS FT(24.4)(30.4)(6.0)(1.4%)
Lewisham and Greenwich NHST(3.6)(9.8)(6.2)(3.3%)
Oxleas NHS FT0.00.0(0.0)(0.0%)
South London and Maudsley NHS FT0.4(3.4)(3.8)(2.6%)
South East London ICB16.013.6(2.4)(0.1%)4,210.4
Total South East London ICS (13.2)(45.7)(32.5)(0.8%)4,210.4

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(8.6)(11.1)(2.5)(2.4%)
Epsom and St Helier University Hospitals NHST(15.1)(16.3)(1.2)(0.8%)
Hounslow and Richmond Community Healthcare NHST0.10.10.10.2%
Kingston Hospital NHS FT(9.5)(10.7)(1.2)(1.2%)
South West London and St George’s Mental Health NHST(0.5)(0.5)0.00.0%
St George’s University Hospitals NHS FT(14.3)(17.6)(3.3)(1.3%)
The Royal Marsden NHS FT(2.3)(3.1)(0.8)(0.6%)
South West London ICB(1.9)4.26.10.2%3,196.2
Total South West London ICS (52.1)(54.9)(2.8)(0.1%)3,196.2

Provider and ICB financial position – South West region

Year to date surplus / (deficit) position – Bath and North East Somerset, Swindon and Wiltshire ICS

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Great Western Hospitals NHS FT(1.5)(4.6)(3.1)(2.6%)
Royal United Hospitals Bath NHS FT(4.5)(5.6)(1.1)(0.9%)
Salisbury NHS FT(2.1)(2.9)(0.8)(1.0%)
Bath and North East Somerset, Swindon and Wiltshire ICB0.00.0(0.0)(0.0%)1,850.1
Total Bath and North East Somerset, Swindon and Wiltshire ICS (8.1)(13.1)(5.0)(0.3%)1,850.1

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Avon and Wiltshire Mental Health Partnership NHST0.0(0.2)(0.2)(0.3%)
North Bristol NHST(4.9)(8.1)(3.1)(1.5%)
University Hospitals Bristol and Weston NHS FT(4.4)(6.5)(2.2)(0.8%)
Bristol, North Somerset and South Gloucestershire ICB0.0(1.6)(1.6)(0.1%)2,038.5
Total Bristol, North Somerset, South Gloucestershire ICS (9.3)(16.4)(7.1)(0.3%)2,038.5

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Cornwall Partnership NHS FT(0.7)(2.5)(1.8)(2.6%)
Royal Cornwall Hospitals NHST0.4(1.7)(2.1)(1.4%)
Cornwall and The Isles Of Scilly ICB(0.0)(0.0)(0.0)(0.0%)1,327.4
Total Cornwall and The Isles Of Scilly ICS (0.3)(4.2)(3.9)(0.3%)1,327.4

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Devon Partnership NHST0.00.0(0.0)(0.0%)
Royal Devon University Healthcare NHS FT(11.2)(11.2)0.00.0%
Torbay and South Devon NHS FT(14.8)(14.5)0.30.2%
University Hospitals Plymouth NHST(10.5)(11.0)(0.6)(0.3%)
Devon ICB12.112.1(0.0)(0.0%)2,710.8
Total Devon ICS (24.3)(24.6)(0.3)(0.0%)2,710.8

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Dorset County Hospital NHS FT0.0(1.6)(1.7)(2.4%)
Dorset Healthcare University NHS FT(0.9)(1.9)(1.0)(1.1%)
South Western Ambulance Service NHS FT0.00.00.00.0%
University Hospitals Dorset NHS FT(4.4)(7.3)(2.9)(1.5%)
Dorset ICB0.00.00.00.0%1,759.3
Total Dorset ICS (5.2)(10.8)(5.6)(0.3%)1,759.3

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnover
Allocation
£m (ICB Only)
Gloucestershire Health and Care NHS FT0.10.0(0.1)(0.1%)
Gloucestershire Hospitals NHS FT(6.9)(7.8)(0.9)(0.5%)
Gloucestershire ICB0.00.30.30.0%1,273.5
Total Gloucestershire ICS (6.8)(7.5)(0.7)(0.1%)1,273.5

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Somerset NHS FT(4.5)(5.3)(0.8)(0.3%)
Somerset ICB(0.0)(0.0)(0.0)(0.0%)1,256.7
Total Somerset ICS (4.5)(5.3)(0.8)(0.1%)1,256.7

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 FT(0.7)0.10.80.9%
Buckinghamshire Healthcare NHST(8.7)(8.3)0.40.3%
Oxford Health NHS FT0.90.90.10.1%
Oxford University Hospitals NHS FT(3.4)(17.1)(13.7)(3.6%)
Royal Berkshire NHS FT(3.5)(4.5)(1.0)(0.7%)
Buckinghamshire, Oxfordshire and Berkshire West ICB0.0(3.9)(3.9)(0.1%)3,325.9
Total Buckinghamshire, Oxfordshire and Berkshire West ICS (15.5)(32.8)(17.3)(0.5%)3,325.9

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Frimley Health NHS FT(11.6)(16.6)(5.0)(2.1%)
Frimley ICB(0.0)(1.5)(1.5)(0.1%)1,455.0
Total Frimley ICS (11.6)(18.2)(6.5)(0.5%)1,455.0

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(9.6)(10.4)(0.8)(0.6%)
Isle of Wight NHST(9.2)(11.1)(1.8)(2.6%)
Portsmouth Hospitals University NHST(10.0)(14.1)(4.2)(2.1%)
Solent NHST(0.8)(1.8)(1.0)(1.5%)
South Central Ambulance Service NHS FT(3.0)(6.6)(3.6)(4.5%)
Southern Health NHS FT(1.3)(1.3)0.00.0%
University Hospital Southampton NHS FT(11.0)(13.0)(2.0)(0.6%)
Hampshire and Isle of Wight ICB(25.4)(29.7)(4.3)(0.1%)3,822.3
Total Hampshire and the Isle of Wight ICS (70.3)(88.0)(17.7)(0.5%)3,822.3

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(1.9)(1.9)0.00.0%
East Kent Hospitals University NHS FT(25.2)(28.9)(3.7)(1.7%)
Kent and Medway NHS and Social Care Partnership Trust0.00.0(0.0)(0.0%)
Kent Community Health NHS FT0.00.00.00.0%
Maidstone and Tunbridge Wells NHST(2.7)(3.8)(1.1)(0.7%)
Medway NHS FT(7.2)(9.7)(2.5)(2.4%)
Kent and Medway ICB9.76.4(3.3)(0.1%)3,943.4
Total Kent and Medway ICS (27.3)(37.9)(10.7)(0.3%)3,943.4

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Ashford and St Peter’s Hospitals NHS FT(6.6)(6.6)0.00.0%
Royal Surrey NHS FT(0.2)(4.8)(4.6)(3.6%)
South East Coast Ambulance Service NHS FT0.20.20.00.0%
Surrey and Borders Partnership NHS FT(1.5)(4.1)(2.6)(3.2%)
Surrey and Sussex Healthcare NHST(11.9)(12.0)(0.1)(0.1%)
Surrey Heartlands ICB14.812.5(2.2)(0.1%)2,185.6
Total Surrey Heartlands ICS (5.3)(14.7)(9.4)(0.4%)2,185.6

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

Provider / ICB namePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East Sussex Healthcare NHST0.0(0.7)(0.7)(0.4%)
Sussex Community NHS FT(1.1)(1.1)0.00.0%
Sussex Partnership NHS FT(2.5)(4.3)(1.8)(1.4%)
Queen Victoria Hospital NHS FT0.0(0.0)(0.0)(0.0%)
University Hospitals Sussex NHS FT(4.8)(10.5)(5.7)(1.6%)
Sussex ICB0.00.10.10.0%3,805.5
Total Sussex ICS (8.4)(16.6)(8.1)(0.2%)3,805.5

Provider employee expenses summary

 YTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
Medical staff4,612.54,831.9(219.4)(4.8%)
Nursing staff5,616.25,684.8(68.7)(1.2%)
Support to clinical staff 2,832.23,094.9(262.7)(9.3%)
Other staff6,260.06,338.9(78.9)(1.3%)
Total employee expenses19,320.919,950.6(629.7)(3.3%)
Of which:
– Bank1,270.71,565.5(294.8)(23.2%)
– Agency701.4824.5(123.1)(17.6%)
Total Bank and Agency1,972.12,389.9(417.9)(21.2%)

Provider non-pay costs summary

YTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Purchase of healthcare from other providers1,193.61,245.3(51.6)(4.3%)
Purchase of social care52.852.9(0.2)(0.3%)
Drugs costs2,525.22,583.6(58.4)(2.3%)
Clinical supplies and services – (excluding drugs costs)2,250.12,304.7(54.5)(2.4%)
General supplies and services471.7492.3(20.6)(4.4%)
Clinical negligence insurance679.7671.68.11.2%
Consultancy42.647.9(5.3)(12.4%)
Establishment301.5318.6(17.1)(5.7%)
Premises1,242.11,278.3(36.2)(2.9%)
Other non pay items2,718.42,679.638.71.4%
Total non pay11,477.611,674.8(197.2)(1.7%)

Specialised commissioning (net expenditure)

RegionYTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
North West767.5767.5(0.0)(0.0%)
North East & Yorkshire776.1776.1(0.0)(0.0%)
Midlands1,020.41,019.31.10.1%
East of England564.8564.80.00.0%
London1,243.51,243.50.00.0%
South West495.2495.2(0.0)(0.0%)
South East795.1795.10.00.0%
Central363.1361.02.20.6%
Total6,025.86,022.53.30.1%

Provider and commissioner capital position

Provider

Capital (CDEL) – by sectorYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Acute504.8414.190.718.0%
Ambulance8.57.70.89.0%
Community19.113.95.227.1%
Mental Health104.979.125.824.6%
Specialist21.116.74.420.8%
Provider operational capital excluding IFRS16658.3531.6126.719.3%
Impact of IFRS16234.8105.6129.255.0%
National allocations plus other items charged to CDEL594.5289.0305.5(36.5%)
Total Provider capital plan including IFRS161,487.6926.2561.437.7%
Capital DELYTD Plan £mYTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Gross capital expenditure1,588.9973.3615.738.7%
Disposals / other deductions(9.2)(2.7)(6.5)71.0%
Net capital expenditure1,579.8970.6609.238.6%
Less grants, donations and peppercorn leases(82.7)(56.1)(26.6)32.2%
Less PFI capital (IFRIC12)(31.9)(28.4)(3.5)11.0%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)41.139.61.43.5%
Purchase of financial assets0.20.7(0.5)(200.0%)
Sale of financial assets(18.8)(0.2)(18.6)99.0%
Utilisation of capitalised dilapidation provisions0.0%
Loss on disposal from peppercorn leases0.0%
Prior period adjustments (PPAs)0.00.0%
Total CDEL1,487.6926.2561.437.7%

Commissioner

Capital (CDEL) – by regionYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
London0.00.00.00.0%
Midlands 0.0(0.0)0.00.0%
East of England0.00.00.00.0%
North West0.20.2(0.0)(6.5%)
North East and Yorkshire0.00.00.00.0%
South East0.20.6(0.4)(207.5%)
South West0.10.5(0.4)(310.8%)
Central46.320.625.755.4%
Total Commissioner CDEL46.822.024.953.1%