One Advisory Committee on Resource Allocation (ACRA) objective is to help to reduce avoidable health inequalities through resource allocation. To achieve this objective, a separate health inequalities formula has been developed which targets funds at the places with the worst health outcomes. This is a more transparent way of contributing towards the reduction in health inequalities through resource allocation, and highlights our commitment to tackling the issue of health inequality.
ACRA could not determine the proportion of allocations to apply the health inequalities formula to and left it to ministerial decision. Ministers decided to apply the formula to 15 per cent. of the allocations, excluding the mental health component of the formula (which already includes an adjustment for unmet need) and HIV/AIDS. This keeps the distribution of funding between the most and least deprived areas in line with the previous formula.
The variables included in the weighted capitation formula for 2009-10 primary care trust revenue allocations and their data sources are set out in the Department’s publication Resource Allocation: Weighted Capitation Formula (Sixth Edition), which has been placed in the Library, and which is also available at:
www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_091849.
The information is provided in the table for 2009-10. Weighted capitation targets were not calculated for 2008-09 because the formula which determines them was frozen while the Advisory Committee on Resource Allocation were granted more time to conclude their review.
£ PCT Weighted capitation target per unweighted head Weighted capitation target per weighted head Ashton, Leigh and Wigan PCT 1,757 1,462 Barking and Dagenham PCT 1,810 1,543 Barnet PCT 1,444 1,692 Barnsley PCT 1,877 1,435 Bassetlaw PCT 1,673 1,402 Bath and North East Somerset PCT 1,288 1,621 Bedfordshire PCT 1,340 1,481 Berkshire East PCT 1,315 1,595 Berkshire West PCT 1,235 1,619 Bexley Care Trust 1,488 1,554 Birmingham East and North PCT 1,713 1,497 Blackburn with Darwen PCT 1,719 1,492 Blackpool PCT 1,938 1,476 Bolton PCT 1,714 1,491 Bournemouth and Poole Teaching PCT 1,548 1,592 Bradford and Airedale Teaching PCT 1,598 1,516 Brent Teaching PCT 1,629 1,677 Brighton and Hove City PCT 1,572 1,654 Bristol PCT 1,485 1,555 Bromley PCT 1,405 1,664 Buckinghamshire PCT 1,260 1,573 Bury PCT 1,578 1,483 Calderdale PCT 1,531 1,522 Cambridgeshire PCT 1,314 1,517 Camden PCT 1,610 1,747 Central and Eastern Cheshire PCT 1,419 1,546 Central Lancashire PCT 1,571 1,509 City and Hackney Teaching PCT 2,009 1,632 Cornwall and Isles of Scilly PCT 1,586 1,444 County Durham PCT 1,826 1,459 Coventry Teaching PCT 1,622 1,532 Croydon PCT 1,494 1,616 Cumbria Teaching PCT 1,572 1,506 Darlington PCT 1,651 1,559 Derby City PCT 1,562 1,450 Derbyshire County PCT 1,589 1,444 Devon PCT 1,454 1,523 Doncaster PCT 1,775 1,461 Dorset PCT 1,497 1,525 Dudley PCT 1,592 1,475 Ealing PCT 1,557 1,657 East and North Hertfordshire PCT 1,366 1,537 East Lancashire Teaching PCT 1,672 1,527 East Riding of Yorkshire PCT 1,464 1,440 East Sussex Downs and Weald PCT 1,497 1,576 Eastern and Coastal Kent PCT 1,576 1,523 Enfield PCT 1,569 1,565 Gateshead PCT 1,840 1,534 Gloucestershire PCT 1,378 1,560 Great Yarmouth and Waveney PCT 1,649 1,490 Greenwich Teaching PCT 1,727 1,595 Halton and St. Helens PCT 1,837 1,477 Hammersmith and Fulham PCT 1,625 1,782 Hampshire PCT 1,335 1,556 Haringey Teaching PCT 1,706 1,571 Harrow PCT 1,439 1,650 Hartlepool PCT 1,860 1,473 Hastings and Rother PCT 1,720 1,567 Havering PCT 1,572 1,538 Heart of Birmingham Teaching PCT 1,639 1,700 Herefordshire PCT 1,489 1,500 Heywood, Middleton and Rochdale PCT 1,743 1,527 Hillingdon PCT 1,451 1,632 Hounslow PCT 1,539 1,611 Hull Teaching PCT l,689 1,440 Isle of Wight NHS PCT 1,651 1,516 Islington PCT 1,913 1,738 Kensington and Chelsea PCT 1,377 1,869 Kingston PCT 1,242 1,748 Kirklees PCT 1,536 1,504 Knowsley PCT 2,020 1,525 Lambeth PCT 1,731 1,759 Leeds PCT 1,506 1,508 Leicester City PCT 1,649 1,448 Leicestershire County and Rutland PCT 1,327 1,457 Lewisham PCT 1,678 1,728 Lincolnshire Teaching PCT 1,553 1,451 Liverpool PCT 2,007 1,562 Luton PCT 1,553 1,513 Manchester PCT 1,889 1,495 Medway PCT 1,456 1,535 Mid Essex PCT 1,316 1,480 Middlesbrough PCT 1,819 1,520 Milton Keynes PCT 1,360 1,496 Newcastle PCT 1,719 1,580 Newham PCT 1,963 1,636 Norfolk PCT 1,505 1,466 North East Essex PCT 1,561 1,460 North East Lincolnshire Care Trust Plus 1,595 1,502 North Lancashire Teaching PCT 1,599 1,477 North Lincolnshire PCT 1,561 1,440 North Somerset PCT 1,464 1,471 North Staffordshire PCT 1,586 1,487 North Tyneside PCT 1,697 1,517 North Yorkshire and York PCT 1,380 1,498 Northamptonshire Teaching PCT 1,379 1,513 Northumberland Care Trust 1,635 1,489 Nottingham City PCT 1,638 1,446 Nottinghamshire County Teaching PCT 1,538 1,448 Oldham PCT 1,715 1,505 Oxfordshire PCT 1,261 1,595 Peterborough PCT 1,539 1,604 Plymouth Teaching PCT 1,602 1,476 Portsmouth City Teaching PCT 1,485 1,541 Redbridge PCT 1,512 1,513 Redcar and Cleveland PCT 1,777 1,511 Richmond and Twickenham PCT 1,215 1,896 Rotherham PCT 1,758 1,449 Salford PCT 1,879 1,546 Sandwell PCT 1,821 1,450 Sefton PCT 1,747 1,557 Sheffield PCT 1,619 1,556 Shropshire County PCT 1,469 1,480 Solihull Care Trust 1,404 1,545 Somerset PCT 1,461 1,502 South Birmingham PCT 1,664 1,539 South East Essex PCT 1,534 1,497 South Gloucestershire PCT 1,260 1,594 South Staffordshire PCT 1,480 1,446 South Tyneside PCT 1,849 1,534 South West Essex PCT 1,492 1,535 Southampton City PCT 1,504 1,510 Southwark PCT 1,755 1,628 Stockport PCT 1,483 1,584 Stockton-on-Tees Teaching PCT 1,585 1,448 Stoke on Trent PCT 1,845 1,440 Suffolk PCT 1,382 1,480 Sunderland Teaching PCT 1,873 1,529 Surrey PCT 1,282 1,718 Sutton and Merton PCT 1,384 1,684 Swindon PCT 1,433 1,539 Tameside and Glossop PCT 1,709 1,507 Telford and Wrekin PCT 1,540 1,457 Torbay Care Trust 1,725 1,496 Tower Hamlets PCT 1,917 1,624 Trafford PCT 1,476 1,660 Wakefield District PCT 1,771 1,445 Walsall Teaching PCT 1,734 1,500 Waltham Forest PCT 1,700 1,560 Wandsworth PCT 1,482 1,757 Warrington PCT 1,509 1,524 Warwickshire PCT 1,427 1,514 West Essex PCT 1,447 1,585 West Hertfordshire PCT 1,348 1,626 West Kent PCT 1,376 1,540 West Sussex PCT 1,438 1,598 Western Cheshire PCT 1,493 1,560 Westminster PCT 1,452 1,878 Wiltshire PCT 1,321 1,552 Wirral PCT 1,787 1,568 Wolverhampton City PCT 1,764 1,492 Worcestershire PCT 1,431 1,499 England 1,540 1,540
Pace of change policy for the 2009-10 and 2010-11 revenue allocations ensures stability of funding for primary care trusts (PCTs), and allows them to make progress nationally and in local priority areas:
no PCT will receive less than an average of 5.2 per cent. per year over two years;
under target PCTs will receive average growth (5.5 per cent.) per year, or above; and
by the end of 2010-11, no PCT will be more than 6.2 per cent. below its fair share of available resources.
We are committed to bringing PCTs to their target allocations as soon as is practicable. However, this has to be consistent with all PCTs receiving sufficient extra funding to enable them to deliver on national and local priorities. Pace of change policy for the next round of allocations will be considered in the light of the overall resources available for the NHS.