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Primary Care Trusts: North West

Volume 495: debated on Wednesday 1 July 2009

To ask the Secretary of State for Health what estimate he has made of the change in the tariff of (a) NHS East Lancashire Primary Care Trust and (b) other primary care trusts in the North West needed to pay for hospital services in 2009-10; and if he will make a statement. (282520)

The Department has estimated the change in hospital national tariff income and the resulting change in primary care trust (PCT) expenditure between 2008-09 and 2009-10 that is due to changes to the tariff in 2009-10. This is shown in the following table for the East Lancashire Teaching PCT and other PCTs in the North West Strategic Health Authority (SHA) area.

As the analysis uses historical activity data from 2006-07 and 2007-08, national assumptions which may vary locally, and historical estimates of PCT commissioning patterns, it can only be an estimate of the changes to PCT expenditure in 2009-10 for services covered by the national tariff.

Impact analysis of change in expenditure due to national tariff changes in 2009-10 for PCTs in the North West SHA area


Estimated change in expenditure in 2009-10 (£ million)

Ashton, Leigh and Wigan PCT


Blackburn with Darwen PCT


Blackpool PCT


Bolton PCT


Bury PCT


Central and Eastern Cheshire PCT


Central Lancashire PCT


Cumbria Teaching PCT


East Lancashire Teaching PCT


Halton and St. Helens PCT


Heywood, Middleton and Rochdale PCT


Knowsley PCT


Liverpool PCT


Manchester PCT


North Lancashire Teaching PCT


Oldham PCT


Salford PCT


Sefton PCT


Stockport PCT


Tameside and Glossop PCT


Trafford PCT


Warrington PCT


Western Cheshire PCX


Wirral PCT



1. Figures are in 2008-09 prices.

2. A positive figure represents an increase in expenditure. A negative figure represents a decrease in expenditure.

3. Figures include the effect of the introduction of the new market forces factor.

4. Based on historical activity from 2007-08 (in-patients and day cases) and 2006-07 (out-patients).

5. Based on scope of 2009-10 tariff on a like-for-like activity basis.

6. Some activity data has been removed from the analysis due to issues with data quality.

7. Assumes no change in income for accident and emergency between 2008-09 and 2009-10.

8. Uses national assumptions, in particular on the effect of non-mandatory out-patient procedures.

9. 2009-10 income does not include top-ups applied to long stay—excess bed days.

10. Costs for unbundled outpatients diagnostic imaging have been added into 2009-10 figures by provider.

11. Change in national health service provider income mapped to PCTs using a purchaser provider matrix based on 2007-08 admitted patient care tariff applied to 2005-06 converted hospital episode statistics (HES).