§ Mr. Roger KingTo ask the Secretary of State for Health if he will make a statement on national health trust hospitals.
§ Mr. Waldegrave[pursuant to his reply, 3 December 1991, c. 111]: The external financing limits for 1992–93 for the 57 NHS trusts which have been operational since 1 April 1991 and 98 NHS trusts which are to become operational on 1 April 1992 are set out in the tables. The limits do not include provision for 1991–92 outturn adjustments, resource management funding, or supra-regional developments which will be added subsequently.
Capital expenditure by NHS trusts forms part of the public expenditure provision in the health programme. The NHS and Community Care Act 1990 provides no power for the NHS management executive to fund NHS trusts directly or to give them cash limits. NHS trusts can obtain funding only from the income they receive from purchasers or from borrowing. An annual external financing limit—EFL—controls access by NHS trusts to external finance. The EFL is a net financing concept measured by the new loans taken out by the NHS trust less loans repaid plus or minus changes in deposits.
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First wave external financing limits 1992–93 NHS Trust External financing limit £000 Anglian Harbours 5,235 Norfolk Ambulances 1,082 Broadgreen Hospital -763 Chester and Halton Community -54 Crew Mid Cheshire Hospitals -68
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NHS Trust External financing limit £000 Cardio/Thor. Cen. Liverpool 118 Royal Liverpool Childrens -900 Royal Liverpool University Hospital 437 St. Helens and Knowsley 5,771 Wirral Hospital 2,961 Royal London Hospital 5,198 North Middlesex Hospital -1,396 Royal Free Hampstead -780 Royal National Orthopaedic 381 Royal National Nose, Throat and Ear 964 Southend Hospital 1,504 Freeman Hospital -1,516 Newcastle Mental Health -422 Northumbria Ambulance 809 Central Manchester Hospital 5,235 Christie Hospital 768 Hillingdon Hospital 495 Mount Vernon Hospital 4,270 Central Middlesex Hospital -1,994 North Herts Acute and Community 60 Nuffield Orthopaedic -600 Guys and Lewisham 35,937 United Bristol Healthcare 2,622 Cornwall Community -333 Cornwall Mental Health 100 East Gloucestershire 3,166 East Somerset -920 South Devon Health Care 4,563 West Somerset Acute and Comm. 6,259 Weston Area 2,087 Northern Devon 1,418 Croydon Community 873 Croydon Mental Handicap 362 Kingston Hospital 1,455 Epsom Health Care -411 Royal Surrey 1,019
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NHS Trust External financing limit £000 Homewood 1,042 St. Helier 2,268 Doncaster Royal and Montagu 1,129 Lincolnshire Ambulance 855 Northern General Sheffield 6,584 Royal National Rheumatic 479 West Dorset Community 895 West Dorset General 1,553 West Dorset Mental Health 1,831 Mid Staffs (1st) Community 1,557 Mid Staffs Mental Health -4,116 Rugby District 9,655 Walsall Hospital 1,709 Bradford Hospitals 10,812 Leeds General Infirmary -4,384 St. James's University 8,963 Hinchingbrooke Hospital 381 Kings Lynn and Wisbech Hospitals -2,553 East Suffolk Community (Allington) 92 Clatterbridge Centre for Oncology -758 Liverpool Community and Priority 414 Mersey Ambulance -218 Southport And Formby Hospital -1,168 Aintree Hospitals (Walton and Fazakerly) 243 Liverpool Obstetrics and Gynaecology 3,946 St. Helens and Knowsley Community 635 The Walton Centre for Neurosciences -700 Basildon and Thurrock Acute -3,347 Forest Healthcare -1,954 North Essex (Rivers) Healthcare -3,982 Essex Ambulance -89 Mid Essex Hospital -3,908 Southend Community -705 North East Essex Services for Learning Difficulties -264 North East Essex Mental Health Severalls Hospital -1,341 Cleveland Ambulance 62 North Tees Health -1,626 Northgate Unit Morpeth 209 Royal Victoria Hospital, Newcastle 1,597 Gateshead Community -163 South Tees Acute Hospitals -1,477 Burnley Health Care -175 Lancaster Priority -360 Wrightington Health -351 Lancaster Acute 164 Royal Oldham Hospital/Community -1,891 Bedford Hospital -915 Ealing Hospital -1,255 Parkside Community -1,836 Wellhouse Edgware and Barnet -1,796 Ashford Hospital -998 East Hertfordshire -1,793 Harrow Community 272 Hillingdon Community -269 Luton and Dunstable -1,773 Barnet Community -3,946 North West Herts Mental Health (Horizon) -2,987 South Bedfordshire Comm and Mental Health -511 North West Herts Priority Unit (Dacorum and St. Albans) -1,696 Harefield Hospital -900 Aylesbury Vale Priority 127 Heatherwood and Wexham Park 528 Milton Keynes General -819 Milton Keynes Community -80 East Berkshire Mental Health -297 Eastbourne Acute -2,345 Brighton Community and Mental Health -855 Maidstone Priority -69 Thameslink Dartford Priority -358 West Lambeth Priority 4,010 Hastings and Rother Healthcare 3,080 Optimum Community Lewisham and Southwark -278 Ravensbourne Priority 247
NHS Trust External financing limit £000 Avon Ambulance -52 Exeter Community 449 Southmead Health 8,271 Frenchay Healthcare 1,872 Plymouth Community 646 Devon Ambulance 316 Royal Cornwall Hospital 4,203 Phoenix Trust 204 Gloucestershire Ambulance -111 Frimley Park Hospital 10,484 St. Peters Hospital, Chertsey -691 (Weybourne) North West Surrey Community 2,809 Mulberry Trust (South Lincolnshire Mental Health) -407 Weston Park Hospital -442 City Nottingham Hospital 7,981 Nottingham Community -361 Children's Hospital, Sheffield -860 Doncaster Priority -730 Central Sheffield University Hospitals -1,254 Bassetlaw Hospital and Community 2,968 Barnsley Community and Priority -833 South Yorkshire Ambulance -332 Wiltshire Healthcare 956 Poole Hospital 649 Royal United Hospital, Bath 1,434 Bath Mental Health 3,145 Bath and Wells Healthcare (Avon and Somerset) -301 Bournemouth and Christchurch Acute -1,392 East Dorset Community 2,272 Walsgrave Hospital, Coventry -2,273 Staffordshire Ambulance -368 East Birmingham Hospital 4,207 Herefordshire Community -917 Premier South East Staffordshire Community and Mental Health -723 South Warwickshire Community -679 Harrogate Health 2,542 Airedale Health Services -898 Northallerton Health -1,317 Bradford Community 89 York Hospitals and Community -577 Scarborough Healthcare -1,036