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NHS Resolution Annual report and accounts 2021/22 23
Table 1: The year in numbers
Financial element 2020/21 2021/22 Change %
(£ million (£ million) (£ million)
Funding for clinical schemes
Income from members 2,243.7 2,458.7 215.0 9.6%
Funding from DHSC (budget) 418.9 199.8 (219.1) -52.3%
Total funding 2,662.6 2,658.5 (4.1) -0.2%
Payments in respect of clinical schemes
Damages payments to claimants 1,609.8 1,775.3 165.3 10.3% / \
Claimant legal costs 448.1 470.9 22.8 5.1% / \
NHS legal costs 151.4 156.6 5.2 3.4% / \
Total payments 2,209.3 2,402.6 193.3 8.7%
Funding for non-clinical schemes
Income from members 65.0 65.9 0.9 1.4% / \
Funding from DHSC (budget) 5.0 7.2 2.2 44.0% / \
Total funding 70.0 73.1 3.1 4.4%
Payments in respect of non-clinical schemes
Damages payments to claimants 28.5 32.0 3.5 12.3%
Claimant legal costs 16.3 17.3 1.0 6.1%
NHS legal costs 5.9 6.3 0.4 6.8%
Total payments 50.7 55.6 4.3 9.7%
NFIS Resolution administration of schemes
Clinical 24.2 32.5 8.3 34.3%
Non-clinical 5.1 5.0 (0.1) -2.0%
NFIS Resolution other activities
Income 0.8 0.9 0.1 12.5%
Expenditure1 6.1 6.7 0.6 9.8%
Staff numbers 400 500 100 25.0%
Provisions cost of claims restated 2020/212
Claims provisions expenditure3 659 45,766 45,107 6847.5%
Of which:
• Change in discount rate 229 42,623 42,394
• Other changes 430 3,143 2,713
Provisions for claims restated 2020/214 85,242 128,550 43,308 50.8%
Capital expenditure 0.6 3.0 2.4 398.5%
More information on the financial performance of NHS Resolution and its indemnity
schemes is provided in the Finance report at pages 55 to 63.
1 Difference between income and expenditure - see Finance report at pages 55 to 63 for further commentary and explanation.
2 The provision expense for 2020/21 has been reduced by £333 million to reflect a prior period adjustment in respect of the revaluation
of the known claims provision. See Note 7.4 for further details of the revaluation.
3 Total charge to Statement of Comprehensive Net Expenditure - see Note 7.1 to the accounts for the breakdown and the Finance report section
for explanation. The key change year on year is due to the reduction in the HM Treasury long term and very long term discount rates.
4 The total provision at year end value for 2020/21 has been increased by £2,457 million to reflect a prior period adjustment
in respect of the revaluation of the known claims provision. See Note 7.4 for further details of the revaluation.