That's probably to cover the costs of all the techno machinery the NHS now has. Everything is computerised and everyone has had to be trained how to use the computerised machines and it all has to be updated on a regular basis. That, and the executive lunches are what's bumped up the spending, not patient care. We have lots of newly built, state of the art, swish hospitals full of techno machinery but we still have patients dying from neglect, or patients that aren't even given a bed in a hospital in the first place. All top show. Too much techno and not enough humanity in our NHS these days.