Speeches

Helen Jones – 2014 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Helen Jones on 2014-05-07.

To ask the Secretary of State for Health, by how much each ambulance trust in England underspent or overspent their budget in each year since 2010.

Jane Ellison

National Health Service trusts and foundation trusts do not receive funding directly from the Department of Health and therefore do not have budgets against which they underspend. They are semi-autonomous organisations whose income derives from the provision of services to NHS England and clinical commissioning groups, through what might be described as trading activity.

The NHS trust and foundation trust regime has similarities to the regime for Government Trading Funds, where expenditure for Government activity is met from income from third parties, rather than direct funding from resources voted to the Department.

The equivalent “underspend” would be where the trust spends less than the income it receives as a result of its activity. This is referred to as a “surplus”.

The following table summarises the year-end surpluses for each NHS Ambulance trust in the financial years 2009-10, 2010-11, 2011-12 and 2012-13.

2009-10

2010-11

2011-12

2012-13

£000s

£000s

£000s

£000s

Isle Of Wight NHS Trust1

543

East Midlands Ambulance Service NHS Trust

2,016

467

2,409

30

East Of England Ambulance Service NHS Trust

757

2,364

3,121

4,175

London Ambulance Service NHS Trust

1,425

1,002

2,751

262

North East Ambulance Service NHS Foundation Trust2

4,736

3,120

2,312

2,340

North West Ambulance Service NHS Trust

1,041

2,065

1,558

2,707

South Central Ambulance Service NHS Foundation Trust3

602

1,383

2,049

1,560

South East Coast Ambulance Service NHS Foundation Trust4

1,130

3,153

3,486

3,055

South Western Ambulance Service NHS Foundation Trust5

511

890

1,645

36,934

West Midlands Ambulance Service NHS Trust

255

99

925

5,797

Yorkshire Ambulance Service NHS Trust

518

237

428

2,223

1Isle Of Wight NHS Trust established April 2012

2North East Ambulance Service NHS Foundation Trust – FT status established November 2011. 2009-10 to 2011-12 figures – as NHS Trust

3 South Central Ambulance Service NHS Foundation Trust – FT status established March 2012. 2009-10 to 2011-12 figures – as NHS Trust

4South East Coast Ambulance Service NHS Foundation Trust – FT status established March 2011. 2009-10 to 2010-11 – as NHS Trust

5South Western Ambulance Service NHS Foundation Trust – FT status established March 2011. 2009-10 to 2010-11 – as NHS Trust