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NHS: Expenditure

Answer

I refer the Noble Baroness to the answer provided on 20 July in response to Question HL1981, which, for ease of reference, is reproduced below.

The following table sets out the revenue spend categories for the specified services commissioned by NHS England and clinical commissioning groups, now integrated care boards, using audited figures between 2015/16 to 2024/25:

All spend figures are billions	2015/16	2016/17	2017/18	2018/19	2019/20	2020/21	2021/22	2022/23	2023/24	2024/25
Specialised services	£14.8	£15.4	£16.4	£17.2	£18.5	£18.8	£20.5	£22.7	£25	£27.1
Primary medical care	£8.7	£9.1	£9.4	£9.7	£10.6	£11.7	£12.3	£12.5	£13.6	£14.5
Community services	£7.1	£7.3	£7.4	£7.5	£8.1	£10	£11.2	£12	£12.8	£13.8
Continuing care	£4.3	£4.7	£4.6	£4.7	£5	£6.3	£6.1	£6.2	£7.1	£7.8
Acute	£38.2	£40.1	£41.4	£42.9	£45.9	£50.7	£60.7	£62.4	£68.1	£74.7
Core mental health	£7.3	£7.6	£8.1	£8.5	£9.3	£10.4	£11.9	£12.7	£14.2	£15.5
Other	£18.9	£17.8	£18.3	£18.6	£18.4	£21	£21	£20	£20.4	£21.9
Total CCG/ICB and direct commissioning spend	£99.4	£102	£105.5	£109.1	£115.7	£129	£143.7	£148.6	£161.3	£175.2

Notes:

1. delegated specialised commissioning has been included within the specialised commissioning line as well as directly commissioned spec comm to remain consistent with previous years; and
2. prescribing and delegated pharmacy/ophthalmology/primary and secondary dental all sit within the ‘other’ category.

Information for 2025/26 is unvalidated and not quality assured. In-year data is not routinely reported on with the breakdown of spend used for this answer and would be subject to material change between plan and outturn as a result.

75% of NHS England commissioned social services are within the community services line.

Secondary information

Type

Written question

Reference

HL2412

Session

2026-27

Related items

NHS: Expenditure
Monday, 20 July 2026
Written questions
House of Lords

Subjects

Expenditure NHS

Contains statistics

Yes

Link

View this Written question on www.parliament.uk