Expenditures and net costs for municipalities and county councils are still rising

Municipal services involve a wide range of areas. The total expenditure for services in 2011 was SEK 516.8 billion compared with 500.1 billion in 2010. The services are financed primarily by municipal taxes that amounted to SEK 354.8 billion in 2011 (SEK 342.5 billion 2010). A smaller portion of expenditures are financed by revenues from the services, for example fees.

The county councils net expenditure was 229.6 billion in 2011. Net expenditure for health and medical care, exclusive of dental care, was SEK 203.6 billion in 2011. This is an increase of SEK 6.9 billion, 3.5 percent, compared to 2010.

Preschool activities and specialist somatic care rise most

The largest expenditures for municipalities were in Preschool activities, which amounted to SEK 72.5 billion in 2011 an increase of 5.7 percent since 2010.

Costs for municipal activities 2008-2011. SEK billions in current prices

Activity/year	2008	2009	2010	2011	Change 2010-2011, %
Preschool, care for school-age children	62.5	65.4	68.6	72.5	5.7
Support for disabled persons	87.1	87.5	89	91	2.3
Upper secondary school, adult education, other special ed.	43.9	45.2	46.1	46.6	1.1
Compulsory school, preschool class, other special ed.	91.7	93.2	95.9	98.9	3.1
Care for individuals and families	51.6	53.5	55	57.9	5.3
Care for the elderly	30.2	32.5	33.9	35.3	4.1
Other	107.8	108.7	111.6	114.6	2.7
Total	474.8	486	500.1	516.8	3.4

The largest increase in net expenditure for the county councils was in specialised somatic care. The specialised somatic care which includes the closed hospital affiliated somatic care, increased by 3.9 percent or SEK 4.2 billion from the previous year.

Net costs for county councils activities 2008-2011. SEK billions in current prices

Activity/Year	2008	2009	2010	2010
Primary care	32.1	33.4	34.5	35.5
Specialist somatic care	99.5	103.7	106.7	110.9
Specialist psychiatric care	17.6	17.9	18.1	18.8
Other health and medical care	14.8	14.8	15.2	16
Political activities for health and medical care	1.2	1.2	1.1	1.2
Pharmaceutical benefit	20.9	21.1	21.1	21.3
Total health and medical care ex. dental care	186	192.1	196.7	203.6
Dental care ex. vat	5	4.9	5	5.1
Regional development	15.8	16.2	17.9	18.1
Other	1.7	2.2	2.3	2.7
Total net costs	208.6	215.5	221.9	229.6

Primary care expenditures increased by 3.0 percent, corresponding to SEK 1.0 billion between 2010 and 2011. Included in these expenditures are those for general primary care and emergency services as well as other primary care.

Definitions and explanations

Preschool and care of school-age children

Preschool activities are conducted in the form of preschool (daycare), family daycare units and supplementary preschool activities. Care of school-age children is conducted in the form of leisure time centres, family daycare units and alternative leisure time centres.

Primary care

Healthcare and medical care activities without limitations concerning diseases, age or patient group that meet the needs of the population for basic medical treatment, healthcare, preventative measures and rehabilitation and not requiring the medical and technical resources of the hospital.