The NHS Confederation

Analysis

The NHS Confederation is a registered charity in England and Wales, based in London. It was registered in January 2002, 24 years ago. Its declared purposes cover general charitable purposes, the advancement of health or saving of lives, disability and the prevention or relief of poverty, which this site groups under health and saving lives. Legally it is a charitable company (Companies House number 04358614). It says it provides services, provides advocacy/advice/information and sponsors or undertakes research.

In the financial year ending March 2025, The NHS Confederation reported income of £24.0m and spending of £24.6m, spending 103% of its income. Across the 5 years on record, from March 2021 to March 2025, income grew from £15.0m to £24.0m (+59%), an average of +12% a year. The sharpest change came in the year to March 2023, when income rose by 28%. Over the whole period it spent 100% of the income it received.

Among 24,651 England and Wales charities whose main cause is health and saving lives and that reported income, The NHS Confederation sits at the 99th percentile: it is one of the largest 1% in its cause. Against every charity in England and Wales with reported income it ranks in the 100th percentile. Charities of a similar size with the same main cause include The Christie Charity (£23.8m), Poor Servants of the Mother of God (£24.0m) and Muslim Aid (£23.8m).

In its latest detailed accounts, income came from charitable activities 75%, trading 23% and investments 2.4%. Charitable activities took 81% of spending and raising funds 18%. Reserves of £8.5m would cover about 4 months of spending at that rate. It employed 273 people.