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This interactive map demonstrates how the aggregate retained surplus or deficit in NHS and foundation trusts has varied by strategic health authority between 2003/04 and 2012/13.

As a result of NHS and foundation trust income growing at a faster rate than spending, the overall financial position of the trust sector improved between 2003/04 and 2012/13, however the proportion of trusts in deficit has increased each year since 2007/08.

The analysis uses the adjusted retained surplus/deficit before impairments, which is the Department of Health mandated measure of financial performance for NHS organisations.

This map is an update of the one taken from the report: The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity (Nuffield Trust, March 2013), which forms part of an ongoing research programme the Nuffield Trust is undertaking, supported by PwC and McKesson.

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