Speeches

Andrew Smith – 2015 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Andrew Smith on 2015-11-04.

To ask the Secretary of State for Health, how much the NHS has spent on maternity services in each of the last 10 years.

Ben Gummer

Not all of the information requested is collected centrally. Data for primary care trusts (PCTs) secondary healthcare commissioning spend on maternity services for the years 2005/06 to 2012/13 is shown in the tables below. Maternity services may also be commissioned in primary care environments. However, it is not possible to separately identify the amount of primary care expenditure on maternity services from the statutory accounting data collected by the Department.

Table 1: 2005/06 to 2007/08. NHS expenditure figures on a pre-Clear Line of Sight resource budgeting basis.

Year

Maternity services commissioned by PCTs 2005/06 to 2012/13
( £ billion)

Spend on maternity services as % of NHS revenue expenditure

2005/06

1.67

2.25%

2006/07

1.62

2.06%

2007/08

1.79

2.07%


Source:
NHS (England) Summarised Account (2005/06 to 2010/11)

Table 2: 2008/09 to 2012/13. NHS expenditure figures on an aligned basis following the HM Treasury’s Clear Line of Sight programme.

Year

Maternity services commissioned by PCTs 2005/06 to 2012/13
( £ billion)

Spend on maternity services as % of NHS revenue expenditure

2008/09

1.97

2.25%

2009/10

2.41

2.55%

2010/11

2.53

2.60%

2011/12

2.62

2.61%

2012/13

2.58

2.52%


Source:
NHS (England) Summarised Account (2005/06 to 2010/11) and the Department of Health Annual Report and Accounts (2011/12 and 2012/13).

Notes:

  1. Commissioning expenditure on maternity services relates to the payments made by commissioners to providers for delivery of maternity services.
  2. The Clear Line of Sight HM Treasury alignment project simplified financial reporting to Parliament by ensuring improved consistency between accounts and HM Treasury budgeting rules.

Following the abolition of PCTs and strategic health authorities at 31 March 2013, NHS England became responsible for the commissioning of healthcare in England via the network of individual clinical commissioning groups (CCGs). The Department does not collect data on maternity services spend by CCGs.

NHS England has published expenditure on ‘maternity and reproductive health’ services commissioned by CCGs for 2013/14, which was estimated to be £2.8 billion (4% of total CCG expenditure). CCG spend represents a proportion of overall NHS expenditure on maternity services. NHS England also commissions some services that were previously included within PCT estimates, such as antenatal screening services. NHS England is currently reviewing the data on direct commissioning expenditure and plans to publish this when finalised.