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Dept of Health

Answer

Mr. Lansley: To ask the Secretary of State for Health what the level of NHS income from charges was in each year since 1990-91, broken down by income from (a) fees and charges from health authorities, (b) fees and charges from district health authorities, (c) road traffic accident income, (d) fees and charges from NHS trusts, (e) NHS Supplies Authority fees, (f) dental charges, (g) prescription charges, (h) nursing home inspection fees, (i) subsidised dried milk, (j) Medicines Control Agency: licences and inspections, (k) youth treatment service income, (l) NHS Pensions Agency fees, (m) Medical Devices Agency fees, (n) Human Fertilisation and Embryology Authority: licences fees, (o) English National Board for Nursing registration fees and (p) other charges. [222805] Mr. Hutton: National health service income figures from fees and charges are shown in the table. The table includes fees and charges to bodies outside the NHS, charges to private and overseas patients and charges to NHS patients. The only charges to NHS patients are those for dental and prescription charges. The proportion of charges to NHS patients compared with the total fees and charges income has fallen from 54.4 per cent. in 1997-98 to 45.9 per cent. in 2003-04. Breakdown of NHS income from charges by charge type 1990-91 to 2003-04 _________________________________________________________________________________________________. £ million Charges 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 (a) Health authority --fees -- -- -- -- -- -- 6.3 and charges1, 2 (b) District health -- -- -- -- -- 2.3 -- authorities3,4 (c) Road traffic accident -- -- -- -- -- -- -- income5 (d) NHS trusts--fees and -- 5.0 29.8 55.5 110.3 123.4 152.4 charges6 (e) NHS supplies authority -- -- -- -- -- 50.1 44.1 fees7 (f) Dental charges8 -- -- -- 367.0 383.3 381.2 383.0 (g) Prescription charges8 -- -- -- 265.3 287.2 298.7 295.7 (h) Nursing home inspection -- -- -- -- -- 4.6 5.0 fees9,14 (i) Subsidised dried milk -- -- -- 1.0 1.3 1.6 2.2 (j) Medicines Control -- -- -- 24.1 25.6 22.4 26.8 Agency--licences and inspections (k) Youth treatment service -- -- -- 4.1 3.5 3.7 3.5 income (1) NHS Pensions Agency -- -- -- -- -- -- -- fees10 (m) Medical Devices Agency -- -- -- -- 1.2 1.5 2.5 Fees11 (n) Human Fertilisation and -- -- -- 0.8 0.9 1.0 1.5 Embryology Authority: licence fees (o) English National Board -- -- -- -- -- -- -- for Nursing (ENB): registration fees12,13 (p) Other15 116.2 140.8 157.3 182.0 197.1 211.7 238.2 Total 116.2 145.8 187.1 899.8 1,010.4 1,102.2 1,161.2 _________________________________________________________________________________________________. Breakdown of NHS income from charges by charge type 1990-91 to 2003-04 _________________________________________________________________________________________________. £ million Charges 1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 (a) Health authority --fees 67.7 90.1 92.0 113.8 65.8 44.8 29.4 and charges1, 2 (b) District health -- -- -- -- -- -- -- authorities3,4 (c) Road traffic accident -- -- 30.0 75.8 98.3 105.0 117.6 income5 (d) NHS trusts--fees and 169.6 216.7 224.2 266.0 268.2 386.1 531.7 charges6 (e) NHS supplies authority 39.1 36.1 20.3 0.4 0.2 0.2 0.8 fees7 (f) Dental charges8 388.4 419.6 431.2 453.1 472.1 486.7 483.6 (g) Prescription charges8 320.9 341.3 366.7 386.9 413.1 425.4 428.3 (h) Nursing home inspection 4.8 8.8 9.5 9.8 6.2 -- -- fees9,14 (i) Subsidised dried milk 2.5 2.6 2.4 2.3 3.0 2.9 -- (j) Medicines Control 28.1 26.6 29.4 34.1 36.7 41.3 -- Agency--licences and inspections (k) Youth treatment service 4.5 4.7 4.6 0.1 -- -- -- income (1) NHS Pensions Agency 2.3 6.2 2.2 1.8 1.6 0.9 0.1 fees10 (m) Medical Devices Agency 0.2 0.2 0.2 0.3 0.4 0.4 -- Fees11 (n) Human Fertilisation and 1.3 1.4 1.6 1.2 1.6 2.5 3.5 Embryology Authority: licence fees (o) English National Board -- 1.6 1.6 1.6 -- -- -- for Nursing (ENB): registration fees12,13 (p) Other15 275.0 296.6 315.3 320.3 347.2 372.8 391.1 Total 1,304.4 1,452.5 1,531.3 1,667.5 1,714.4 1,869.0 1,986.0 _________________________________________________________________________________________________. 1 Figures from 2000-01 include charges for primary care trusts (PCTs). 2 Health authorities were established on 1 April 1996 and strategic health authorities on 1 October 2002. 3 Figures were not collected prior to 1995-96. 4 District health authorities ceased to exist after 1 April 1996. 5 Figures were not collected prior to 1999-2000. 6 Figures from 2001-02 includes charges from PCTs. 7 From 2000-01 NHS Supplies Authority split into NHS Purchasing and Supplies Agency and NHS Logistics. All fees for forward years score against the NHS Logistics. 8 Dental and prescription charge income prior to 2001-02 drawn from cash data in appropriation accounts. 2001-02 and subsequent years' data drawn from resource data in Summarised Accounts. 9 Figures not collected on a consistent basis prior to 1996-97. 10 No income generated prior to 1997-98. 11 The Agency was established in September 1994. 12 Figures prior to 1998-99 are not available. 13 In 2001-02 the Department has directed that no ETR fees should be charged and that ETR fees held in reserve should be utilised to fund the ENB's on-going students record function for the final year of its operation. 14 From April 2002, the National Care Standards Commission (NCSC) regulated nursing homes; health authorities no longer collect the fee income. 15 "Other" contains mainly charges for private patients and overseas visitors but also special health authority fees and charges. Notes: 1. Information on fees and charges in (a) to (o) has been provided from the audited accounts of NHS bodies and specified NDPBs. 2. Information in (p) has been provided for NHS trusts, PCTs and special health authorities. 3. Information has not been provided for other non-departmental public bodies as accounts for the period are not readily available. 4. The presentation of fees and charges in accounts is not necessarily consistent between years and therefore direct comparisons may not be relevant. 5. The NHS and a number of listed bodies have been subject to reorganisations over the period under question, therefore figures may only be available for limited years.

Secondary information

Type

Written question

Reference

432 c1554-8W;432 c1550-4W; 222805

Session

2004-05

Related items

NHS Finance
Tuesday, 31 January 2006
Written questions
House of Commons

Subjects

Dental services Care homes Accidents Health services Fees and charges Licensing Inspections Human Fertilisation and Embryology Authority Health authorities Income NHS NHS trusts Prescriptions Young people Roads English National Board for Nursing Midwifery and Health Visiting Medicines Control Agency Medical Devices Agency NHS Pensions Agency Dried milk NHS Logistics Authority

Contains statistics

Yes

Link

View this Written question on www.publications.parliament.uk