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Health Services: Greater London

Volume 491: debated on Wednesday 22 April 2009

To ask the Secretary of State for Health pursuant to the answer of 30 March 2009, Official Report, column 898W, on health services: Greater London, what assessment he has made of the effects on the revenue of primary care trusts in (a) Enfield and (b) London in (i) 2009-10 and (ii) 2010-11 of changes to the formula used to determine revenue allocations to such trusts. (269652)

The 2009-10 and 2010-11 revenue allocations to primary care trusts (PCTs) were made on the basis of a new funding formula, recommended by the independent advisory committee on resource allocation.

The funding formula determines PCT target allocations. Actual allocations to PCTs depend also on the pace of change policy—how additional funding is distributed to move PCTs towards their target allocations. It is therefore not possible to say what the allocations would have been in 2009-10 and 2010-11 if the previous funding formula had still applied.

The Department is moving all PCTs towards their target allocations as quickly as possible, but this must be balanced with the need to ensure that all PCTs are appropriately supported with stable funding that both supports existing commitments and allows long-term planning, as well as recognising the unavoidable cost pressures that all PCTs face.

Enfield PCT moved from being 0.1 per cent. above target under the previous funding formula at the close of 2008-09 to opening 2009-10 under the new formula at 2.3 per cent. above target. This means that under the 2009-10 and 2010-11 pace of change policy, Enfield PCT received a 10.6 per cent. average increase in funding over the two years, equivalent to a cumulative cash increase of £44.1 million. The average increase for London PCTs over the two years is 10.7 per cent.

The 2009-10 and 2010-11 allocations made to the PCTs in the London strategic health authority and the difference between their actual and target allocations (the distance from target) are listed in the following table.

Distance from target percentage

PCT name

2009-10 allocation £000

2010-11 allocation £000

Two year increase £000

Two year increase percentage

2008-09 closing

2009-10 opening

2010-11 closing

Barking and Dagenham PCT

301,080

316,599

30,789

10.77

-3.5

0.7

1.3

Barnet PCT

528,745

555,931

53,442

10.64

6.9

7.9

6.7

Bexley Care Trust

321,350

337,896

32,552

10.66

0.3

1.5

1.4

Brent Teaching PCT

501,538

527,325

50,692

10.64

4.8

8.3

7.7

Bromley PCT

466,265

490,239

47,126

10.64

3.2

8.7

8.6

Camden PCT

453,989

477,331

45,886

10.64

5.6

14.2

12.4

City and Hackney Teaching PCT

472,222

496,502

47,729

10.64

-3.5

6.6

6.6

Croydon PCT

526,752

553,836

53,240

10.64

1.9

5.2

5.1

Ealing PCT

545,775

573,837

55,163

10.64

6.7

8.2

8.0

Enfield PCT

436,718

459,173

44,140

10.64

0.1

2.3

2.1

Greenwich Teaching PCT

424,160

445,968

42,871

10.64

0.7

4.2

4.0

Hammersmith and Fulham PCT

326,448

343,232

32,995

10.64

6.0

16.4

16.2

Haringey Teaching PCT

424,321

446,139

42,887

10.64

0.5

2.3

2.1

Harrow PCT

313,370

329,483

31,673

10.64

7.2

7.8

7.4

Havering PCT

376,447

396,316

39,278

11.00

0.2

0.2

0.5

Hillingdon PCT

379,496

399,009

38,357

10.64

3.4

6.6

6.4

Hounslow PCT

362,964

381,627

36,686

10.64

4.7

5.2

5.1

Islington PCT

412,126

433,316

41,655

10.64

8.4

12.3

11.7

Kensington and Chelsea PCT

337,424

354,773

34,104

10.64

4.9

22.1

20.4

Kingston PCT

249,459

262,286

25,213

10.64

9.2

14.2

13.5

Lambeth PCT

580,017

609,840

58,624

10.64

12.6

14.9

14.8

Lewisham PCT

484,939

509,873

49,014

10.64

11.4

12.1

12.0

Newham PCT

510,371

536,897

51,869

10.69

-3.2

2.9

0.9

Redbridge PCT

365,515

385,618

39,159

11.30

0.6

-1.4

-1.1

Richmond and Twickenham PCT

267,442

281,193

27,031

10.64

13.0

23.8

23.4

Southwark PCT

492,748

518,084

49,803

10.64

3.2

6.4

5.7

Sutton and Merton PCT

583,188

613,174

58,944

10.64

4.6

10.0

9.7

Tower Hamlets PCT

447,591

470,605

45,239

10.64

-3.5

5.3

3.4

Waltham Forest PCT

395,510

415,846

39,977

10.64

0.8

1.9

2.2

Wandsworth PCT

488,965

514,106

49,421

10.64

11.9

14.8

14.4

Westminster PCT

447,789

470,813

45,259

10.64

11.6

22.7

20.8

London SHA

13,224,724

13,906,867

1,340,815

10.7

England

80,030,703

84,432,392

8,573,905

11.30