To ask the Scottish Executive how much was spent by each NHS board in each of the last five years on (a) administration and (b) management, expressed (i) as a percentage of its total budget and (ii) per head of population.
Administrative andmanagement staff make an invaluable contribution to the operation of the healthservice, organising services in a way which provides equitable access to thehighest possible levels of sustainable quality care and ensuring that thepatient's journey through the system is made as smooth as possible, for examplethrough effective management of patient records and efficient scheduling ofappointments.
Administration ExpenditureAnalysis
(a) The amount spent by NHSBoards in the last 5 years, expressed both as (i) a percentage of total budget;and (ii) per head of population is givenin the following table.
| NHS Board | 2001-02 | 2002-03 |
| Admin Costs | % of Budget | £ per head of pop | Admin Costs | % of Budget | £ per head of pop |
| | £000s | % | £ | £000s | % | £ |
| Argyll and Clyde | 4,228 | 1.0% | 10.0 | 4,388 | 1.0% | 10.4 |
| Ayrshire and Arran | 3,267 | 0.9% | 8.7 | 2,257 | 0.6% | 6.1 |
| Borders | 1,636 | 1.6% | 15.3 | 1,539 | 1.4% | 14.4 |
| Dumfries and Galloway | 1,844 | 1.2% | 12.6 | 1,277 | 0.8% | 8.6 |
| Fife | 3,327 | 1.1% | 9.5 | 2,583 | 0.8% | 7.4 |
| Forth Valley | 2,605 | 1.0% | 9.4 | 1,888 | 0.7% | 6.8 |
| Grampian | 4,355 | 0.9% | 8.3 | 3,456 | 0.7% | 6.6 |
| Greater Glasgow | 8,043 | 0.8% | 8.9 | 9,449 | 0.9% | 10.9 |
| Highland | 2,875 | 1.4% | 13.8 | 2,824 | 1.3% | 13.5 |
| Lanarkshire | 3,919 | 0.8% | 7.0 | 2,852 | 0.5% | 5.2 |
| Lothian | 6,747 | 0.9% | 8.6 | 4,486 | 0.6% | 5.8 |
| Orkney | 765 | 3.5% | 39.3 | 589 | 2.5% | 30.6 |
| Shetland | 619 | 2.3% | 27.6 | 611 | 2.0% | 27.8 |
| Tayside | 4,683 | 1.1% | 12.1 | 2,721 | 0.6% | 7.0 |
| Western Isles | 1,562 | 3.8% | 57.5 | 1,446 | 3.2% | 54.7 |
| Total | 50,475 | | | 42,366 | | |
| NHS Board | 2003-04 | 2004-05 |
| Admin Costs | % of Budget | £ per head of pop | Admin Costs | % of Budget | £ per head of pop |
| | £000s | % | £ | £000s | % | £ |
| Argyll and Clyde | 4,913 | 1.0% | 11.8 | 5,588 | 1.1% | 13.4 |
| Ayrshire and Arran | 2,747 | 0.7% | 7.5 | 2,938 | 0.6% | 8.0 |
| Borders | 1,427 | 1.1% | 13.2 | 1,592 | 1.1% | 14.6 |
| Dumfries and Galloway | 1,777 | 1.0% | 12.1 | 1,898 | 0.9% | 12.8 |
| Fife | 3,738 | 1.0% | 10.6 | 4,306 | 1.0% | 12.1 |
| Forth Valley | 2,165 | 0.7% | 7.7 | 2,619 | 0.8% | 9.3 |
| Grampian | 4,140 | 0.8% | 7.9 | 3,578 | 0.6% | 6.8 |
| Greater Glasgow | 12,410 | 1.1% | 14.3 | 11,721 | 0.9% | 13.5 |
| Highland | 3,065 | 1.3% | 14.7 | 4,858 | 1.6% | 23.0 |
| Lanarkshire | 4,028 | 0.7% | 7.3 | 4,380 | 0.7% | 7.9 |
| Lothian | 5,010 | 0.5% | 6.4 | 4,168 | 0.4% | 5.3 |
| Orkney | 626 | 2.4% | 32.4 | 640 | 2.1% | 32.8 |
| Shetland | 641 | 2.0% | 29.3 | 736 | 2.0% | 33.5 |
| Tayside | 3,909 | 0.8% | 10.1 | 5,162 | 0.9% | 13.3 |
| Western Isles | 1,522 | 3.2% | 58.3 | 2,112 | 3.9% | 80.4 |
| Total | 52,118 | | | 56,296 | | |
| NHS Board | 2005-06 |
| Admin Costs | % of Budget | £ per head of pop |
| | £000s | % | £ |
| Argyll and Clyde | 5,255 | 0.9% | 12.7 |
| Ayrshire and Arran | 3,565 | 0.6% | 9.7 |
| Borders | 1,697 | 1.1% | 15.5 |
| Dumfries and Galloway | 2,063 | 0.9% | 13.9 |
| Fife | 3,813 | 0.8% | 10.7 |
| Forth Valley | 2,638 | 0.7% | 9.3 |
| Grampian | 3,850 | 0.6% | 7.3 |
| Greater Glasgow | 11,137 | 0.8% | 12.8 |
| Highland | 4,529 | 1.4% | 21.2 |
| Lanarkshire | 11,564 | 1.6% | 20.8 |
| Lothian | 7,920 | 0.8% | 10.0 |
| Orkney | 777 | 2.2% | 39.7 |
| Shetland | 804 | 2.1% | 36.5 |
| Tayside | 5,591 | 1.0% | 14.3 |
| Western Isles | 2,257 | 7.4% | 85.6 |
| Total | 67,460 | | |
Administration
The boards’ spending onadministration costs are taken from note 6 of the published Annual Accountsfor each respective financial year.
The definition of administrationexpenditure has changed over the period due to changes in accounting guidanceand also in the configuration of the health service, particularly thedissolution of NHS trusts. Consequently the figures shown may not be entirelycomparable over these years.
Expenditure will include thecosts associated with the board's responsibilities for the planning andcommissioning of health care for its resident population (such as statutory reporting, strategic planning,commissioning of health care and financial projections), but not those costs associated with the provision ofhealth care and other non clinical services provided by the board.
Management ExpenditureAnalysis
(b) The amount spent by eachNHS board in the last five years on management, expressed both as (i) apercentage of total budget; and (ii) per head of population is given in the following table.
| NHS Board | 2001-02 | 2002-03 |
| Management Costs | % of Budget | £ per head of pop | Management Costs | % of Budget | £ per head of pop |
| | £000s | % | £ | £000s | % | £ |
| Argyll and Clyde | 23,896 | 5.8% | 56.4 | 25,680 | 5.9% | 61.0 |
| Ayrshire and Arran | 20,259 | 5.7% | 54.3 | 22,454 | 5.9% | 61.0 |
| Borders | 7,241 | 7.1% | 67.7 | 7,882 | 7.2% | 73.7 |
| Dumfries and Galloway | 8,939 | 6.0% | 61.3 | 9,212 | 5.8% | 62.3 |
| Fife | 19,397 | 6.4% | 55.4 | 19,142 | 5.9% | 54.7 |
| Forth Valley | 12,637 | 5.0% | 45.5 | 15,764 | 5.9% | 56.5 |
| Grampian | 31,862 | 6.9% | 60.9 | 34,923 | 7.0% | 66.4 |
| Greater Glasgow | 74,003 | 7.8% | 81.8 | 81,850 | 7.9% | 94.3 |
| Highland | 12,041 | 5.9% | 57.7 | 12,663 | 5.7% | 60.6 |
| Lanarkshire | 35,659 | 7.0% | 63.5 | 36,903 | 6.8% | 66.7 |
| Lothian | 47,758 | 6.7% | 60.9 | 57,599 | 7.7% | 73.9 |
| Orkney | 1,076 | 4.9% | 55.2 | 1,260 | 5.3% | 65.6 |
| Shetland | 1,152 | 4.3% | 51.3 | 1,280 | 4.2% | 58.3 |
| Tayside | 30,434 | 7.2% | 78.9 | 33,260 | 7.5% | 85.6 |
| Western Isles | 1,992 | 4.9% | 73.3 | 2,037 | 4.6% | 77.0 |
| Total | 328,346 | | | 361,909 | | |
| NHS Board | 2003-04 | 2004-05 |
| Management Costs | % of Budget | £ per head of pop | Management Costs | % of Budget | £ per head of pop |
| | £000s | % | £ | £000s | % | £ |
| Argyll and Clyde | 25,548 | 5.4% | 61.3 | 35,411 | 6.7% | 85.2 |
| Ayrshire and Arran | 24,387 | 5.9% | 66.4 | 25,601 | 5.0% | 69.6 |
| Borders | 7,790 | 6.3% | 71.9 | 10,872 | 7.4% | 99.5 |
| Dumfries and Galloway | 7,438 | 4.1% | 50.5 | 9,222 | 4.3% | 62.3 |
| Fife | 22,823 | 6.3% | 64.8 | 20,014 | 4.7% | 56.5 |
| Forth Valley | 17,285 | 6.0% | 61.8 | 18,261 | 5.4% | 64.8 |
| Grampian | 35,849 | 6.8% | 68.5 | 31,650 | 5.2% | 60.4 |
| Greater Glasgow | 92,369 | 8.4% | 106.6 | 81,322 | 6.4% | 93.8 |
| Highland | 13,775 | 5.6% | 65.9 | 16,513 | 5.5% | 78.1 |
| Lanarkshire | 40,907 | 7.2% | 73.9 | 42,742 | 6.5% | 76.9 |
| Lothian | 58,732 | 6.4% | 75.3 | 63,475 | 6.6% | 80.6 |
| Orkney | 1,245 | 4.8% | 64.5 | 1,269 | 4.1% | 65.1 |
| Shetland | 1,556 | 4.9% | 71.1 | 2,277 | 6.3% | 103.8 |
| Tayside | 34,813 | 7.4% | 90.1 | 38,966 | 7.1% | 100.5 |
| Western Isles | 2,355 | 5.0% | 90.2 | 1,881 | 3.5% | 71.6 |
| Total | 386,871 | | | 399,478 | | |
| NHS Board | 2005-06 |
| Management Costs | % of Budget | £ per head of pop |
| | £000s | % | £ |
| Argyll and Clyde | 37,743 | 6.1% | 91.2 |
| Ayrshire and Arran | 28,566 | 5.2% | 77.8 |
| Borders | 7,618 | 4.8% | 69.4 |
| Dumfries and Galloway | 9,975 | 4.3% | 67.2 |
| Fife | 20,989 | 4.5% | 58.8 |
| Forth Valley | 19,868 | 5.3% | 69.9 |
| Grampian | 34,010 | 5.2% | 64.7 |
| Greater Glasgow | 85,757 | 6.3% | 98.8 |
| Highland | 18,432 | 5.6% | 86.3 |
| Lanarkshire | 42,035 | 5.8% | 75.5 |
| Lothian | 57,194 | 5.7% | 72.2 |
| Orkney | 1,427 | 4.1% | 72.8 |
| Shetland | 2,390 | 6.3% | 108.6 |
| Tayside | 38,413 | 6.7% | 98.6 |
| Western Isles | 1,849 | 3.2% | 70.1 |
| Total | 406,265 | | |
Management
The boards’ spending onmanagement costs are taken from the Scottish Financial Return (SFR) 5.2,which is completed by each hospital and submitted to the NHS National ServicesScotland Information and Statistics Division for publication in the Costs Book.
This expenditure reports thehospital management and administrative costs which includes the followingsupport services:
Medical: HospitalMedical/Paramedical Administrative Support;
Nursing: Senior Nursing andHospital Administrative Support;
Medical Records;
General: Hospitaladministration, including senior management; and
Agency: Administrativeagency staff and agency services
Budgets
The total budget for eachBoard is taken as their Revenue Resource Limit (RRL) which is reported in theirAnnual Accounts.
Population
The figures for thepopulation of each board area are published by the General Register Office for Scotland.
