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What we spend and how we spend it

Annual report

You can find our annual reports in our publications section. They contain financial summary statements.

External auditors

Our Trust Board approved the recommendation from the auditor panel to reappoint Ernst & Young LLP as external auditors for a three-year period, with an option to extend for a further two years. The appointment will apply to accounting periods starting from 1 April 2017.

Budgets and variance reports

Papers containing updated budget information are presented to each meeting of the trust board.

A Capital Programme report is contained within the monthly finance report issued to the trust board.

Contracts and tendering

The London Ambulance eSourcing Portal is a suite of collaborative, web-based tools that enable procurement professionals and suppliers to conduct the strategic activities of the procurement lifecycle over the internet. It also lists past and current tendering opportunities both within the Service and pan-London.

The eSourcing portal only holds a limited number of previous contracts. If you would like information about our past tendering opportunities please email us.



Our main source of income for the accident and emergency service is through NHS Service Level Agreements made with each primary care trust in London. These agreements are made on an annual basis.

Funding for chemical, biological, radiological and nuclear (CBRN) response training and equipment is allocated by the Department of Health on an annual basis.

Our Patient Transport Service is commissioned by both primary care trusts and acute trusts in London on a contractual basis.

Additional income is generated from support provided at public events, community resuscitation training, and other health-related activities.

A capital allocation is received each year from the Department of Health.

Income is allocated to services within the Trust, and capital expenditure planned, by the setting of the budget each year. In March, the trust board receives a report from the director of finance proposing budgets for the forthcoming financial year, which begins in April.

The Trust has a charitable fund, for which the main source of income is from investments.

Publication of expenditure over £25,000

As part as the government’s commitment to transparency, we now publish information on our expenditure over £25,000.

Expenditure over  £25,000 by date:

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For more information visit the government data website.

Staff pay-and-grading structures

The NHS Careers website contains information about the pay-and-grading structures for ambulance service staff, managers and the wider healthcare team.

Information about various aspects of the NHS Pension Scheme can be found on the NHS Business Services Authority website.


Trade Union Facility Time

Under the Trade Union (Facility Time Publication Requirements) Regulations 2017, we are required to publish information on an annual basis in relation to spending on trade union facility time:

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