How do hospitals make money uk hospitaals most GP practices and some specialist services. No breakdown is available for how CCGs are spending money inbut inapproximately a third of funds went on community and integrated care. The data was also broken down by condition. Remainder of its spending goes on other public health programmes such as immunisation and screening. Local authorities Took responsibility for most public health services in This means they now have a role in smoking cessation, alcohol and drug programmes, and some sexual health services. Monitor Ensures the good governance of foundation hospitals, ambulance trusts, mental health and community care organisations.