£65bn in the hands
of local doctors, nurses and other health professionals
In the future, doctors, nurses and other health professionals
could control almost £65 billion of NHS funding, Health Secretary
Andrew Lansley announced today.
In addition, around £5.2 billion would be spent on public health
services. Of this, at least £2.2 billion will go direct to Local
Authorities to be spent on action to help their local communities
stay as healthy as possible and to reduce health inequalities and
will, for the first time, be protected.
The figures were developed by mapping PCT spending in 2010/11 on
to the future structure, subject to the passage of the Health and
Social Care Bill, and uplifting them to 2012/13 levels.
They estimate that Clinical Commissioning Groups (CCGs) will be
responsible for around £65 billion of commissioning expenditure
and the NHS Commissioning Board for around £21 billion.
Understanding baseline spend is just the first step in
establishing future budgets and further analysis will build on
this. These figures will help to plan for the distribution of
resources in the new system in a way that meets the needs of local
populations. They will also support local organisations to plan
for the transfer of public health responsibilities to Local
Authorities and of commissioning to CCGs.
Emerging CCGs are getting ready for their future
responsibilities. They are already spending nearly £30bn as
delegated from Primary Care Trusts – almost half of what we expect
they will spend in the future. By April 2012, we want local
doctors, nurses and other health professionals to be involved in
shaping all spending decisions that they will in future be
responsible for.
This is important to ensure that emerging CCGs start working on
managing their budgets, developing relationships with local
partners and playing an active role in planning services for
2012/13, taking ownership for the areas which they will inherit
when they become legally responsible for commissioning.
Health Secretary Andrew Lansley said:
“In the future, we want money to get to where it matters most –
to the front line, where it can have the greatest impact on
health. We want to give doctors, nurses and other health
professionals control of £65 billion to spend on services for
their patients and Local Authorities £2.2 billion to help local
people to live healthy lives. The health professionals who care
for us, and the General Practitioners who look after their local
populations, are best equipped to design the shape of local health
services. Through the CCGs, they will now have that power.
“There is more work to do, but these estimates mean that Clinical
Commissioning Groups and Local Authorities can begin planning how
to deliver the frontline services that matter the most.
“We want to get the best value out of every penny spent in the
NHS and our modernisation plans will help to cut waste, reduce
bureaucracy and simplify NHS structures so that the money invested
will improve frontline care for patients.”
The Advisory Committee on Resource Allocation will publish their
formula for allocating resources to clinical commissioning groups
and to local authorities for their new public health
responsibilities in due course.
Notes to Editors
1. Details of CCG and local authority baseline spend estimates
for 2012-13 can be found at:
http://www.dh.gov.uk/health/2012/02/baseline-allocations/
2. Subject to the passage of the Health and Social Care Bill, the
NHS Commissioning Board would be responsible for the allocation of
resources to clinical commissioning groups (CCGs) from 2013-14. In
addition, a ring-fenced public health grant would be allocated to
Local Authorities.
3. The 2010-11 outturn data has been uplifted to 2012-13 by
adding the PCT percentage growth figures for recurrent allocations
to PCTs in 2011-12 and 2012-13. These growth figures were
published at the time the 2011-12 and 2012-13 PCT recurrent
allocations were announced.
4. Emerging CCGs are already working as part of local PCT
sub-committees and are involved in making decisions about services
for local people.
5. For further information, please contact the Department of
Health press office on 020 7210 5221.
Contacts:
Department of Health
Phone: 020 7210 5221
NDS.DH@coi.gsi.gov.uk