Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average per-patient spend is per hospital (a) in England and (b) within the top quarter of most efficient hospitals.

NHS England collects information on the costs of NHS trusts delivering services to patients, the detail of which is available at the following link: https://www.england.nhs.uk/costing-in-the-nhs/national-cost-collection/.

Comparing the average cost per patient per hospital is not meaningful, because to ensure fair comparisons, differences in service mix and patient complexity must be taken into account and this varies significantly across hospitals. The costing data does however enable comparisons of the costs of certain activities, or episodes of care, across different providers.

The National Cost Collection Index (NCCI) compares a trust’s average cost with the national average cost for that service across all the services it delivers. An NCCI value of 110, for example, means that the trust has costs that are 10% more expensive than the national average (adjusted for its mix of services and patient complexity).