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Health Services: Bedfordshire

Volume 464: debated on Monday 15 October 2007

To ask the Secretary of State for Health what the (a) target levels of funding based on health needs and (b) actual level of funding received was for (i) the Bedfordshire Primary Care Trust and (ii) the Luton Primary Care Trust in each year since the trusts were established; and if he will make a statement. (155632)

Revenue allocations were made to primary care trusts (PCT) for the first time in 2003-04. The following table show the allocations and distance from targets for Bedfordshire PCT and Luton PCT for the two allocation rounds 2003-06 and 2006-08.

PCT name

Actual allocation (£000)

Closing distance from target (Percentage)

2003-04

Bedfordshire PCT

299,591

-3.2

Luton PCT

153,586

-6.7

2004-05

Bedfordshire PCT

328,456

-3.0

Luton PCT

168,759

-6.3

2005-06

Bedfordshire PCT

359,454

-2.9

Luton PCT

185,096

-6.0

2006-07

Bedfordshire PCT

434,053

-4.4

Luton PCT

223,068

-5.1

2007-08

Bedfordshire PCT

483,955

-3.3

Luton PCT

247,703

-3.5

Notes:

1. 2003-04 to 2007-08 allocations were made to Bedford PCT and Bedfordshire Heartlands PCT, which merged to form Bedfordshire PCT on 1 October 2006.

2. 2003-04 to 2005-06 allocations were covered by a single resource allocation formula, which also took account of general medical services (GMS NCL) expenditure. Most GMS NCL funding was included in 2006-07 and 2007-08 allocations.

3. The distance from target (DFT) represents the actual allocation compared to the target allocation. With a DFT of -1 per cent. the actual allocation is 1 per cent. less than the target allocation.

To ask the Secretary of State for Health what account has been taken of (a) the number of people who have difficulties with the English language in Bedfordshire and Luton, (b) the sustainable communities growth areas, (c) the provision of (i) prescribing services, (ii) primary medical services, (iii) HIV/AIDS services for Bedfordshire and Luton and (iv) hospital and community health services, (d) the level of inward migration into Bedfordshire and Luton, (e) the weighted population for Bedfordshire and Luton, (f) the pace of change element for Bedfordshire and Luton and (g) the particular health needs of Bedfordshire and Luton when allocating funds for (A) Bedfordshire Primary Care Trust and (B) Luton Primary Care Trust; and if he will make a statement. (155926)

The formula which informed 2006-07 and 2007-08 allocations to primary care trusts (PCTs) is described in “Resource allocation: weighted capitation formula (fifth edition)”.

The calculations behind 2006-07 and 2007-08 allocations, including populations, age, need, market forces factor and other adjustments, and pace of change policy are provided for the 303 PCTs to which those allocations were made in the publication entitled “2006-07 and 2007-08 PCT initial revenue resource limits”.

Both publications are available in the Library and at www.dh.gov.uk/allocations

To ask the Secretary of State for Health what assessment he has made of the age and accuracy of statistical information used when allocating funds for (a) Bedfordshire Primary Care Trust and (b) Luton Primary Care Trust; and if he will make a statement. (155928)

The weighted capitation formula that is used to inform revenue allocations to primary care trusts is continuously overseen and developed by the Advisory Committee on Resource Allocation (ACRA).

“Resource allocation: weighted capitation formula (fifth edition)” describes the statistical information in the weighted capitation formula which informed allocations to primary care trusts in 2006-07 and 2007-08.

“Allocation of resources to English areas; individual and small area determinants of morbidity and use of healthcare resources (Sutton M, Gravelle H, Morris S, Leyland A, Windmeijer F, Dibben C, Muirhead M)”, report to the Department, further explains the statistical information used to develop need adjustments in the hospital and community health services and prescribing components of the formula.

Both publications are available in the Library and also at www.dh.gov.uk/allocations

ACRA also keep the accuracy of the information under review.