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Where do we spend the money?

Budgeting and analysis of public expenditure has historically been carried out on a subjective basis, namely by expenditure categories such as pay costs, equipment, catering provision costs and the like.  Information on how health and social care monies are spent is not always aligned easily to assessment of need.

NHS

  • NHS Peterborough’s total budget in 2010/11 was £355 million
  • 24% of this was spent on doctors, dentists, opticians and pharmacists
  • 49% was spent on hospital and other patient services
  • 19% was spent on community and adult social care services
  • 8% was spent on other services

Adult social care

  • The rate that people (adults) are supported to live independently through social services was below the average of similar councils
  • Compared to unitary councils in England in 2009/10, Peterborough was second highest in the proportion of spend on residential care for people with physical disabilities
  • In 2009/10 the overall percentage spend on physical disabilities was low (6% of total social services spend) compared to the average in unitary councils (10%)
  • In 2009/10 there was a reduction in the percentage of physical disabilities day and domiciliary care expenditure that was spent by way of direct payments

Children and young people

  • Education is the biggest single service area accounting for 49% of the council’s net current expenditure for 2009-2010
  • Combined social care (adults and children) is the second biggest area of spend
  • Planned expenditure for 2010-2011, the per-capita gross cost on services for children and young people is £6,531 (England average £6,520)
  • Planned per-capita spend on the schools budget is £5,207
  • Planned per capita spend on children’s social care is £568

Supporting documents

PDF file icon  Programme Based Budgeting for Health and Social Care
  (233KB, 15 pages)

PDF file icon  Financial Benchmarking of Health Services
  (136KB, 16 pages)

PDF file icon  Adult Social Care P- Programme Level Analysis
  (519KB, 3 pages)

PDF file icon  Children and Young People - Benchmarking of Local Authority Planned Expenditure
  (46KB, 8 pages)