Self study and Self study plus enrolment now open for students of CIPFA’s Professional Accountancy Qualification.
Book here >
The national overview is provided in the NHS England summary document with the full detail in the CCG and place-based allocation tables.
Total sustainability and transformation
Other direct commissioning
NHS England central budgets
Non recurrent use of drawdown
For allocation purposes, NHS England splits resources into three main ‘programme’ areas: CCGs, primary care and specialised commissioning. These cover over 90% of NHS England’s overall funding (a further 7% is spent on central commissioning) and from 2016/17 the share of these three programmes at individual CCG level makes up the place-based allocation.
The NHS England paper on allocations indicates that consideration was given as to whether pace-of-change should be adjusted for the "potential differential nature of growth in social care spend over the next five years as a result of the CSR". Ultimately this was not pursued as data was inadequate and to avoid the risk of "wrongly signalling that the local NHS has in some way been funded to offset reductions in social care, which is not the case".
Bringing together the allocations makes good sense, as it has proved difficult to keep all the elements of the system in balance separately, which diverts attention from the underlying overall position. It also facilitates discussion and work to align public services across local geographical patches. However, although place-based allocations assist the understanding of financial flows in an area, the NHS continues to consist of a large number of legally separate bodies for day to day management and accounting purposes. Even at national level, despite bringing together the regulators of NHS providers to form NHS Improvement in March, there remains a structural divide between commissioners (who report to NHS England) and providers who report to NHS Improvement.