§ Mr. RoweTo ask the Secretary of State for Health if he will announce NHS trusts' external financing limits for 1991–92; and if he will make a statement.
§ Mr. WaldegraveThe external financing limits for 1991–92 for all NHS trusts which will become operational on 1 April 1991, excluding that for the Northern Devon healthcare trust which will be announced later, are set out in the table. These limits do not include provision for medical audit and resource management developments in trusts 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, however, provides no power for the Department to fund NHS trusts directly or to give them cash limits. Trusts can only obtain funding from the income they receive from purchasers or from borrowing. An annual external financing limit—EFL—controls access by NHS trusts to external finance in all 481W its forms. The EFL is a net financing concept measured by new loans taken out by the NHS Trust less loans repaid, plus or minus changes in deposits. The NHS Management Executive will monitor each NHS trust regularly to see that the EFL is not exceeded.
NHS trust External financing limit £000's Great Yarmouth and Waveney 2,151 Norfolk Ambulances 921 Broadgreen Hospital -408 Chester and Halton Community -200 Crewe Acute -1,208 R.A.C.T.U. Liverpool 376 Royal Liverpool Children's Hospital -1,028 Royal Liverpool Hospital -257 St. Helens and Knowsley 1,425 Wirral Hospital -2,369 London Hospital Group -7,373 North Middlesex Hospital -1,992 Royal Free Hampstead -857 Royal National Orthopaedic -718 Royal National N T and E 137 Southend District -1,894 Freeman Hospital -1,124 Newcastle Mental Health -1,146 Northumbria Ambulance 293 Central Manchester H and C 6,809 Christie Hospital 351 Central Middlesex Hospital -4,390 Hillingdon Hospital -2,410 Mount Vernon Hospital -1,116 North Herts. Acute and Community -2,291 Nuffield Orthopaedic Centre -812 Guy's and Lewisham Hospitals 8,586 Bristol United Healthcare -1,161 Cornwall Community -814 Cornwall Mental Handicap -324 East Gloucestershire -908 East Somerset -1,601 South Devon Health Care -1,348 West Somerset Acute and Community -2,320 Weston Health 3,725 Croydon Community -125 Croydon Mental Handicap -1,151 Kingston Hospital -1,428 Mid Surrey General Unit -1,361 South West Surrey Acute -2,913 North West Surrey M.H.U. -763 St. Helier and Sutton 2,693 Doncaster Royal and Montagu -1,666 Lincolnshire Ambulance 84 Northern General Sheffield 7,515 Royal National Rheumatic 165 West Dorset Community -451 West Dorset General -1,861 West Dorset Mental Health -268 Mid Staffs Community 265 Mid Staffs Mental Health -662 Rugby District 8,054 Walsall Acute -2,487 Bradford Acute 11,476 Leeds General Infirmary 243 St. James's University 3,473