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Health Services: Cumbria

Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health what plans he has for spending on primary care in (a) Cumbria and (b) Copeland constituency in the next three years. (219884)

The Department makes revenue allocations to primary care trusts (PCTs) and not to constituencies. The revenue allocation made to Cumbria PCT for 2008-09 is provided in the following table.

Cumbria Teaching PCT

2008-09

Allocation (£000)

726,801

Cash increase (£000)

37,642

Percentage age increase

5.5

The 2009-10 and 2010-11 PCT revenue allocations will be announced in the autumn alongside the NHS Operating Framework for 2009-10.

It is the responsibility of individual PCTs to commission appropriate services to meet the needs of their local populations.

To ask the Secretary of State for Health how much has been spent on (a) primary and (b) acute healthcare in (i) Cumbria, (ii) West Cumbria and (iii) Copeland constituency since 1997. (219885)

The information is hot available as requested. Information showing primary, general and acute health care by the Cumbria Primary Care Trust (PCT) and its predecessor organisations, from the earliest and latest dates available, is shown in the following table.

£000

Total primary healthcare purchased

General and acute

2000-01

North Cumbria Health Authority

64,412

96,327

Morecambe Bay Health Authority

62,236

115,311

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

n/a

n/a

Eden Valley PCT

n/a

n/a

West Cumbria PCT

n/a

n/a

Morecambe Bay PCT

n/a

n/a

Cumbria PCT

n/a

n/a

Total

126,648

211,638

2001-02

North Cumbria Health Authority

19,637

501

Morecambe Bay Health Authority

18,928

0

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

16,933

39,665

Eden Valley PCT

10,230

22,053

West Cumbria PCT

24,045

47,157

Morecambe Bay PCT

47,631

128,756

Cumbria PCT

n/a

n/a

Total

137,404

238,132

2002-03

North Cumbria Health Authority

n/a

n/a

Morecambe Bay Health Authority

n/a

n/a

Cumbria and Lancashire Strategic Health Authority

58,564

0

Carlisle and District PCT

22,785

44,165

Eden Valley PCT

14,122

27,701

West Cumbria PCT

29,787

56,072

Morecambe Bay PCT

63,860

140,999

Cumbria PCT

n/a

n/a

Total

189,118

268,937

2003-04

North Cumbria Health Authority

n/a

n/a

Morecambe Bay Health Authority

n/a

n/a

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

30,735

53,611

Eden Valley PCT

18,930

25,643

West Cumbria PCT

37,038

59,734

Morecambe Bay PCT

79,802

147,689

Cumbria PCT

n/a

n/a

Total

166,505

286,677

2004-05

North Cumbria Health Authority

n/a

n/a

Morecambe Bay Health Authority

n/a

n/a

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

38,209

58,125

Eden Valley PCT

21,728

29,009

West Cumbria PCT

41,900

66,748

Morecambe Bay PCT

91,673

173,629

Cumbria PCT

n/a

n/a

Total

193,510

327,511

2005-06

North Cumbria Health Authority

n/a

n/a

Morecambe Bay Health Authority

n/a

n/a

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

37,904

57,794

Eden Valley PCT

23,571

31,841

West Cumbria PCT

44,062

68,665

Morecambe Bay PCT

102,567

184,532

Cumbria PCT

n/a

n/a

Total

208,104

342,832

2006-07

North Cumbria Health Authority

n/a

n/a

Morecambe Bay Health Authority

n/a

n/a

Cumbria and Lancashire Strategic Health Authority

n/a

n/a

Carlisle and District PCT

n/a

n/a

Eden Valley PCT

n/a

n/a

West Cumbria PCT

n/a

n/a

Morecambe Bay PCT

n/a

n/a

Cumbria PCT

176,609

295,700

Total

176,609

295,700

Sources:

Audited health authority summarisation forms 2000-01 to 2001-02

Audited Cumbria and Lancashire Strategic Health Authority summarisation forms 2002-03

Audited primary care trust summarisation schedules 2001-02 to 2006-07

To ask the Secretary of State for Health what steps his Department is taking to reduce inequalities of health outcomes and life expectancy within Cumbria. (219886)

This information is not held centrally.

The Department has put in place a number of measures to tackle health inequalities. On 9 June 2008, my right hon. Friend the Secretary of State launched the document Health Inequalities: Progress and Next Steps. The document highlights successes in reducing inequalities and identifies how effort will be increased to meet the health inequalities 2010. National Public Service Agreement target for life expectancy and infant mortality. The document also sets the direction of travel for tackling health inequalities. It commits the Government to work together to develop the structures, systems and actions to sustain long-term delivery on health inequalities.

The document also publicised an improved health inequalities intervention tool, jointly owned by the Department and the Association of Public Health Observatories. The tool is an interactive website to help local health services and councils improve life expectancy in local areas.

The Department has also established national support teams for health inequalities and for tobacco control to disseminate best practice across all spearhead areas and areas with high infant mortality rates, and to provide intensive support for those areas that need it.