How we spend your money

We value the important principles that the NHS was founded on: healthcare free at the point of use, funded from general taxation, and available to all based on need and not their ability to pay.

To provide transparency and to allow the people to hold public bodies such as the Integrated Care Board (ICB) to account, we publish information relating to all expenditures over £25,000 every month. ‘Expenditure’ includes all individual invoices, grant payments, expense payments, payments to GPs and other such transactions. Payments to staff are not included in this disclosure.


Expenditure reports

Nhs live hmt expenditure over threshold analysis - january 2026.xlsx Nhs live hmt expenditure over threshold analysis - december 2025.xlsx Nhs live hmt expenditure over threshold analysis - november 2025.xlsx Nhs live hmt expenditure over threshold analysis - october 25.xlsx Over 25k report september 2025..xlsx Over 25k report - august 2025..xlsx July 2025 expenditure report June 2025 expenditure report May 2025 expenditure report April 2025 expenditure report March 2025 expenditure report February 2025 expenditure report January 2025 expenditure report December 2024 expenditure report November 2024 expenditure report October 2024 expenditure report September 2024 expenditure report August 2024 expenditure report July 2024 expenditure report June 2024 expenditure report May 2024 expenditure report April 2024 expenditure report March 2024 expenditure report February 2024 expenditure report January 2024 expenditure report November 2023 expenditure report December 2023 expenditure report October 2023 expenditure report September 2023 expenditure report August 2023 expenditure report July 2023 expenditure report June 2023 expenditure report May 2023 expenditure report April 2023 expenditure report March 2023 expenditure report January 2023 expenditure report February 2023 expenditure report December 2022 expenditure report November 2022 expenditure report.xlsx October 2022 expenditure report.csv September 2022 expenditure report.csv August 2022 expenditure report.csv July 2022 expenditure report.csv

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