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The provisional outturn for 1998-99 shows that around £4.8 billion was spent by the NHS in Scotland, an increase of 5.0% (£230 million) in cash terms over the previous year. This was equivalent to £938 gross expenditure per head of population.
About 83% of the expenditure on Health is raised from general taxation, 11% comes from the NHS share of National Insurance contributions and the remaining 6% from charges (for example prescriptions or dental examinations/treatments) and other receipts.
Expenditure on the NHSiS accounts for around one third of net Government expenditure in Scotland.
In 1998 there were around 111,700 whole time equivalent staff employed within the NHS compared with around 116,300 ten years ago. The change is due in part to some of the changes in service delivery in the NHS over the past decade. Ancillary, trades and works staff were particularly affected by the contracting out of services. Excluding this staff group, in order to obtain a like for like comparison, the number of whole time equivalent staff has increased by 9.5% to 99,314 since 1988. Within this group, clinical staff (medical and dental staff, nurses and professions allied to medicine) increased by 4.5%. Chart 1 gives a breakdown of the 99,314 staff employed in the NHS (excluding ancillary, trades and works), by staff group.
Chart 1: Workforce (Whole Time Equivalent) excluding ancillary, trades and work staff, 1998
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