Corporate report

UKHSA Advisory Board: Finance Report

Updated 25 November 2024

Title of paper: Finance Report

Date: 19 November 2024

Sponsor: Luke Heath, Interim Chief Finance Officer

1. Purpose of the paper

This paper gives an overview of the UK Health Security Agency’s finances as at month six of Financial Year 2024-25 (the end of September 2024).

2. Recommendations

The Advisory Board is asked to note UKHSA’s financial position.

3. Summary of 2024-25 financial performance (at end of September)

The table below shows resource and capital departmental expenditure limits (RDEL and CDEL) for 2024 to 2025, split by the parts of:

  • core agency costs
  • non-COVID-19 vaccines and countermeasures
  • the COVID Vaccine Unit (CVU) Core agency costs

It shows the provisional outturn for the 12 months April 24 to March 25.

Table 1. Month 6 resource departmental expenditure limits (RDEL) and capital departmental expenditure limits (CDEL)

Budget Actual Variance
Core RDEL                                                        197,418    214,725   (17,307) 
NBN RDEL                                               3,613   23,613   (0) 
ODA RDEL                                                 6,794   6,794   0
CVU RDEL                                                 343,310   293,867   49,444
VCR RDEL                                                222,561   222,561   0
Core CDEL                                                  38,009   20,324   17,685
NBN CDEL                                                0    2,163   (2,163)
CVU CDEL                                                 0   (58,901)   58,901
VCR CDEL                                                 3,035   3,035  0
UKHSA total resource                  773,697   741,559   32,137
UKHSA total capital    41,044   (33,379)   74,422
UKHSA total                   814,740   708,181   106,559

Table 2: Full year resource departmental expenditure limits (RDEL) and capital departmental expenditure limits (CDEL)

  Budget   Actual   Variance
Core RDEL                                                        390,507    406,673   (16,166)
NBN RDEL                                                 8,730    8,697    33
ODA RDEL                                                 14,505   14,505   0
CVU RDEL                                                 928,000   715,651    212,349
VCR RDEL                                                 666,737    666,737   0
Core CDEL                                                  88,658   85,923    2,735
NBN CDEL                                                 8,710   8,710   0 
CVU CDEL                                                 0   (173,175)   173,175
VCR CDEL                                                 91,093   91,093   0
UKHSA total resource                 2,008,480   1,812,263   196,216
UKHSA total capital    188,461    12,551   175,910 
UKHSA total                   2,196,940   1,824,814   372,126 

3.1 Core resource budget

At the previous Advisory Board, we were forecasting a total pressure for the year of around £36 million. This included pressures which have emerged during the year in relation to public sector pay awards and operational demands associated with cyber security and responses to both H5N1 and Mpox. The Executive Committee agreed an approach to managing down the pressure including freezing recruitment and agreeing savings targets by group.   

The current £16.2 million pressure shown does not include the implication of the Senior Civil Service restructure that is underway and is expected to be in the region of £7.6 million. Agreement has been reached with DHSC for additional budget allocation of £18.8 million to manage the pressures which have emerged during the year. After budgets are updated, further savings targets of £5 million agreed by the Executive Committee will be met to bring forecast spend back to the revised budget for the year.

3.2 Core capital budget

Capital spend has an even profile in the year. While this is currently behind plan we expect, as in previous years, spend from major projects to be in the final quarter of the year. The current forecast underspend is in relation to leases entered under the new accounting standard. Our Core capital programme is expected to be fully used and DHSC has now provided budget of  £20 million which was previously allowed over programming.

3.3 CVU resource and capital budget

The Covid Vaccine Unit shows an underspend on resource budget of £212 million. The demand modelling through the year has shown that the budget allocation set out at the last spending review will not be used. This forecast is subject to change based on the Joint Committee on Vaccination and Immunisation advice on the Spring and Autumn 2025.

The capital credit forecast is generated by purchases from contracts agreed in the previous financial year and delivered in 2024 to 2025.

3.4 Vaccines and countermeasures resource and capital budget

This budget is wholly funded based on actual expenditure by DHSC.

4. Annual Accounts 2023 to 2024

The Main Audit and associated sampling is well progressed, UKHSA having provided supporting evidence for over 1,500 samples. The Covid Vaccine Unit model and accounting treatment has been through audit, with only the October and November stock reports outstanding to review when available and the National Audit Office’s (NAO) response to UKHSA’s consideration of Events After the Reporting Period to finalise.

The remaining challenging areas are Goods Received Not Invoiced and Fixed Assets, particularly Assets under Construction that migrated from legacy Project ledger held in Public Health England. Both the UKHSA accounts team and the NAO team are working at pace to resolve the issues. However, this is likely to require an additional number of days to resolve.

Overall, UKHSA and NAO teams have a shared understanding of the key areas of challenge for the current audit and anticipate a pre-Christmas completion.

Luke Heath

Interim Chief Finance Officer

November 2024