NHS: Primary Care Trust Finances Statement The Parliamentary Under-Secretary of State, Department of Health (Lord Darzi of Denham) My right honourable friend the Secretary of State for Health (Alan Johnson) has made the following Written Ministerial Statement. The National Health Service has benefited from successive generous spending settlements, as investment in the NHS has trebled since 1997. This investment has funded the record increases in staff, hospitals and medical advances that we have seen in recent years. We have also seen strong financial management across the NHS over the past few years, which has turned a deficit into a healthy surplus. The NHS has exceeded its Gershon efficiency targets, delivering £7.88 billion savings over the last four years. We expect the NHS to continue to deliver at this level and to bring forward further proposals to drive additional efficiencies throughout its operations. We can be confident, therefore, that in the tighter economic climate ahead the NHS is on a firm financial footing and will be well equipped to meet the efficiency challenges of the coming years. I am pleased to announce today the next round of revenue allocations to primary care trusts (PCTs) for 2009-10 and 2010-11. PCTs will receive an average increase of 5.5 per cent in both years, a total increase in funding of £8.6 billion, bringing the total allocations to PCTs over two years to £164 billion. This means that by 2010-11 PCTs will receive, on average, £1,612 per person. The comparable figure in 1996-97 was £426 per head. We are putting a greater proportion of the resources available into local communities and closer to patients, with more than 80 per cent of the NHS revenue budget allocated directly to PCTs. I will be writing this week to every honourable Member in England detailing their relevant PCT’s allocations for the two years. I have also included with this Statement a table of the 2009-10 and 2010-11 PCT revenue allocations. The allocations that I am announcing today are based on a new, more technically robust formula that has been recommended by the independent Advisory Committee on Resource Allocation (ACRA). This improves on the previous formula by: targeting funds at the places with the worst health outcomes; assessing need according to age and other factors together for the first time; and a new market forces factor (MFF), which reduces unhelpful variation. It includes a health inequalities formula that continues to target resources to the places with the biggest health problems. I have placed in the Library ACRA’s report and recommendations on the funding formula to make it fairer. Alongside these revenue allocations, David Nicholson, the NHS chief executive, is publishing this week the NHS operating framework for 2009-10, which sets out the priorities for next year. This year’s operating framework sets out how we will support the health service to deliver the vision in Lord Darzi’s High Quality Care for All to put quality at the heart of everything that the NHS does. To ensure that we continue to empower and support the local NHS, we need to plot a stable and consistent path. Therefore, the five key priorities for the NHS are consistent with last year’s: improving standards of cleanliness and tackling healthcare-associated infections; improving access to care through the achievement of the 18-week referral to treatment pledge and improving access to GP services, including at evenings and at weekends; improving the health of adults and children and reducing health inequalities, by focusing on improving care for cancer and stroke, and paying particular attention to children’s health, particularly in the most deprived areas of the country; improving patient experience, staff satisfaction and engagement; and preparing to respond in a state of emergency, such as an outbreak of pandemic influenza. Alongside the national priorities, PCTs will set their own local priorities built on evidence about local needs. They will need to work in step with local government through local area agreements that focus on improving health and well-being as well as better healthcare. To deliver that agenda of improving services for patients in this challenging economic climate, we need to redouble our efforts to improve efficiency in the public sector and to get best value for taxpayers’ money. In this context, high-quality care is not a luxury but a necessity. Prioritising the most effective treatments, reducing errors and waste and keeping people healthy and independent for as long as possible are all things that contribute not only to the quality of care, but also to a more efficient and productive health service. High quality and value for money are not competing alternatives; they are one and the same thing. We will accelerate our commitment to implement the vision of quality as the organising principle for the NHS set out in High Quality Care for All. As Lord Darzi said in his interim report last year, “effective care matters of course because patients should get the best outcomes. The evidence also shows that the most effective treatment is very often the most efficient treatment”. For example, through the great efforts of the NHS to tackle healthcare-associated infections in recent years, we estimate that the NHS has already saved over £75 million in reduced bed days and drug costs, while improving outcomes for patients. These savings will rise as we continue to drive down infection rates. Better care equals better value. Recent efforts have underlined the potential for further efficiency gains. As the NHS develops its plans in 2009, it will build on the work of the cross-government operational efficiency programme and the Department of Health’s own public value programme. Already we have estimated that substantial savings can be delivered through driving up the quality of care, reducing waste and better commissioning and procurement, including, through better use of shared business services, improvements in the way in which the NHS estate is used, driving up quality through the World Class Commissioning programme, and changes to the tariff. Over the course of the next year, the NHS will plan, bottom-up and in detail, how these productivity opportunities will be realised in 2010-11 and in future years. We want the NHS to bring forward the best package of measures appropriate to each locality. Of course, a renewed drive for efficiency will be challenging but, even after making an allowance for improved efficiency, with 5.5 per cent allocations in both of the next two years and prudent drawdown of £800 million of the NHS surplus over the same period, we are confident that the NHS can still secure the continuous improvement in care that patients, public and staff rightly demand. ------------------------------------------------------------------------------------------------------------------------------------------------------------- |PCT name |2009-10 allocation £000s|2010-11 allocation £000s|Two-year increase £000s|Two-year increase %|2010-11 closing DFT %| ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Ashton, Leigh and Wigan PCT |511,831 |539,982 |54,834 |11.3% |-4.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Barking and Dagenham PCT |301,080 |316,599 |30,789 |10.8% |1.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Barnet PCT |528,745 |555,931 |53,442 |10.6% |6.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Barnsley PCT |409,151 |437,291 |57,837 |15.2% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bassetlaw PCT |167,978 |182,407 |26,671 |17.1% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bath and North East Somerset PCT |255,385 |268,516 |25,812 |10.6% |4.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bedfordshire PCT |551,987 |585,386 |62,176 |11.9% |-3.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Berkshire East PCT |532,623 |560,009 |53,833 |10.6% |3.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Berkshire West PCT |597,061 |627,760 |60,346 |10.6% |5.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bexley Care Trust |321,350 |337,896 |32,552 |10.7% |1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Birmingham East and North PCT |674,108 |711,184 |72,219 |11.3% |-2.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Blackburn with Darwen PCT |258,536 |272,755 |27,698 |11.3% |-2.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Blackpool PCT |263,731 |278,236 |28,254 |11.3% |-3.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bolton PCT |439,803 |463,992 |47,117 |11.3% |-2.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bournemouth and Poole Teaching PCT |509,384 |535,575 |51,485 |10.6% |3.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bradford and Airedale Teaching PCT |810,920 |856,745 |88,101 |11.5% |-1.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Brent Teaching PCT |501,538 |527,325 |50,692 |10.6% |7.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Brighton and Hove City PCT |438,902 |461,469 |44,361 |10.6% |7.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bristol PCT |660,306 |695,459 |68,412 |10.9% |0.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bromley PCT |466,265 |490,239 |47,126 |10.6% |8.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Buckinghamshire PCT |652,120 |685,650 |65,911 |10.6% |2.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Bury PCT |282,130 |297,647 |30,225 |11.3% |-3.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Calderdale PCT |308,563 |325,895 |33,418 |11.4% |-1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Cambridgeshire PCT |777,313 |827,498 |90,708 |12.3% |-2.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Camden PCT |453,989 |477,331 |45,886 |10.6% |12.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Central and Eastern Cheshire PCT |645,100 |679,543 |67,099 |11.0% |0.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Central Lancashire PCT |688,006 |725,915 |73,777 |11.3% |-2.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |City and Hackney Teaching PCT |472,222 |496,502 |47,729 |10.6% |6.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Cornwall and Isles of Scilly PCT |808,369 |856,214 |94,181 |12.4% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |County Durham PCT |886,825 |935,601 |95,008 |11.3% |-5.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Coventry Teaching PCT |529,616 |558,745 |56,739 |11.3% |-0.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Croydon PCT |526,752 |553,836 |53,240 |10.6% |5.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Cumbria Teaching PCT |783,807 |826,917 |83,971 |11.3% |-2.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Darlington PCT |166,081 |174,705 |16,913 |10.7% |0.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Derby City PCT |405,847 |428,169 |43,479 |11.3% |-5.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Derbyshire County PCT |1,048,875 |1,107,225 |118,065 |11.9% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Devon PCT |1,088,020 |1,152,427 |121,128 |11.7% |-1.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Doncaster PCT |502,312 |529,939 |53,814 |11.3% |-5.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Dorset PCT |580,964 |613,261 |62,584 |11.4% |-0.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Dudley PCT |461,918 |487,324 |49,487 |11.3% |-3.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Ealing PCT |545,775 |573,837 |55,163 |10.6% |8.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |East and North Hertfordshire PCT |759,311 |803,338 |83,612 |11.6% |-0.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Lancashire Teaching PCT |629,300 |663,912 |67,419 |11.3% |-0.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Riding of Yorkshire PCT |432,198 |458,519 |49,720 |12.2% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Sussex Downs and Weald PCT |513,310 |539,702 |51,881 |10.6% |2.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Eastern and Coastal Kent PCT |1,151,643 |1,216,563 |124,958 |11.4% |-0.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Enfield PCT |436,718 |459,173 |44,140 |10.6% |2.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Gateshead PCT |357,224 |376,601 |38,000 |11.2% |0.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Gloucestershire PCT |825,908 |868,490 |83,597 |10.7% |1.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Great Yarmouth and Waveney PCT |361,014 |381,535 |39,341 |11.5% |-2.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Greenwich Teaching PCT |424,160 |445,968 |42,871 |10.6% |4.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Halton and St Helens PCT |537,116 |566,657 |57,543 |11.3% |-4.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hammersmith and Fulham PCT |326,448 |343,232 |32,995 |10.6% |16.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hampshire PCT |1,709,698 |1,799,471 |175,170 |10.8% |0.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Haringey Teaching PCT |424,321 |446,139 |42,887 |10.6% |2.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Harrow PCT |313,370 |329,483 |31,673 |10.6% |7.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hartlepool PCT |163,405 |172,392 |17,506 |11.3% |-4.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hastings and Rother PCT |303,746 |319,363 |30,700 |10.6% |2.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Havering PCT |376,447 |396,316 |39,278 |11.0% |0.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Heart of Birmingham Teaching PCT |523,451 |550,366 |52,906 |10.6% |10.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Herefordshire PCT |256,778 |272,050 |28,658 |11.8% |-3.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Heywood, Middleton and Rochdale PCT |358,484 |378,201 |38,405 |11.3% |0.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hillingdon PCT |379,496 |399,009 |38,357 |10.6% |6.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hounslow PCT |362,964 |381,627 |36,686 |10.6% |5.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Hull Teaching PCT |455,982 |481,061 |48,959 |11.3% |-6.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Isle of Wight NHS PCT |232,671 |245,882 |25,341 |11.5% |-1.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Islington PCT |412,126 |433,316 |41,655 |10.6% |11.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Kensington and Chelsea PCT |337,424 |354,773 |34,104 |10.6% |20.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Kingston PCT |249,459 |262,286 |25,213 |10.6% |13.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Kirklees PCT |598,931 |631,872 |64,165 |11.3% |-1.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Knowsley PCT |303,843 |320,554 |32,552 |11.3% |-0.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Lambeth PCT |580,017 |609,840 |58,624 |10.6% |14.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Leeds PCT |1,169,992 |1,235,149 |126,152 |11.4% |-1.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Leicester City PCT |488,731 |515,611 |58,787 |12.9% |-6.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Leicestershire County and Rutland PCT |830,158 |879,975 |93,096 |11.8% |-5.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Lewisham PCT |484,939 |509,873 |49,014 |10.6% |12.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Lincolnshire Teaching PCT |1,060,265 |1,127,697 |136,737 |13.8% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Liverpool PCT |906,876 |953,504 |91,817 |10.7% |1.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Luton PCT |282,841 |298,802 |30,707 |11.5% |-2.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Manchester PCT |925,276 |979,818 |102,780 |11.7% |-3.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Medway PCT |391,582 |412,814 |41,635 |11.2% |0.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Mid Essex PCT |461,830 |488,887 |51,133 |11.7% |-3.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Middlesbrough PCT |257,714 |271,888 |27,610 |11.3% |-0.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Milton Keynes PCT |315,520 |338,522 |39,450 |13.2% |-3.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Newcastle PCT |466,097 |490,062 |47,110 |10.6% |2.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Newham PCT |510,371 |536,897 |51,869 |10.7% |0.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Norfolk PCT |1,069,968 |1,133,968 |119,781 |11.8% |-5.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North East Essex PCT |489,796 |520,205 |55,943 |12.0% |-5.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North East Lincolnshire Care Trust Plus|259,146 |273,399 |27,763 |11.3% |-1.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Lancashire Teaching PCT |520,037 |549,674 |56,748 |11.5% |-3.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Lincolnshire PCT |238,152 |252,197 |28,256 |12.6% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Somerset PCT |287,957 |306,265 |33,320 |12.2% |-5.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Staffordshire PCT |316,252 |333,646 |33,881 |11.3% |-2.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Tyneside PCT |345,791 |364,810 |37,046 |11.3% |-1.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |North Yorkshire and York PCT |1,076,587 |1,139,019 |118,557 |11.6% |-2.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Northamptonshire Teaching PCT |927,249 |983,436 |104,527 |11.9% |-1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Northumberland Care Trust |498,897 |526,337 |53,448 |11.3% |-3.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Nottingham City PCT |487,694 |514,727 |53,945 |11.7% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Nottinghamshire County Teaching PCT |943,520 |997,415 |105,012 |11.8% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Oldham PCT |379,096 |399,946 |40,614 |11.3% |-1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Oxfordshire PCT |830,948 |873,673 |83,986 |10.6% |3.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Peterborough PCT |244,676 |257,356 |24,830 |10.7% |1.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Plymouth Teaching PCT |393,303 |416,482 |43,682 |11.7% |-5.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Portsmouth City Teaching PCT |311,043 |328,095 |33,267 |11.3% |0.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Redbridge PCT |365,515 |385,618 |39,159 |11.3% |-1.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Redcar and Cleveland PCT |233,544 |246,388 |25,020 |11.3% |-1.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Richmond and Twickenham PCT |267,442 |281,193 |27,031 |10.6% |23.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Rotherham PCT |409,554 |432,140 |45,922 |11.9% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Salford PCT |425,994 |449,125 |45,339 |11.2% |0.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Sandwell PCT |523,488 |552,279 |56,083 |11.3% |-5.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Sefton PCT |479,220 |503,861 |48,463 |10.6% |1.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Sheffield PCT |885,052 |931,076 |90,381 |10.8% |0.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Shropshire County PCT |412,573 |436,629 |45,564 |11.7% |-3.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Solihull Care Trust |294,018 |310,080 |31,371 |11.3% |0.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Somerset PCT |751,518 |796,505 |84,166 |11.8% |-2.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South Birmingham PCT |587,304 |619,168 |62,482 |11.2% |0.1% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South East Essex PCT |500,226 |527,738 |53,591 |11.3% |-2.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South Gloucestershire PCT |323,108 |339,722 |32,657 |10.6% |2.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South Staffordshire PCT |826,224 |873,709 |104,752 |13.6% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South Tyneside PCT |279,272 |294,039 |29,326 |11.1% |0.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |South West Essex PCT |602,217 |635,283 |64,461 |11.3% |0.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Southampton City PCT |368,298 |388,555 |39,457 |11.3% |-1.9% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Southwark PCT |492,748 |518,084 |49,803 |10.6% |5.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Stockport PCT |431,751 |453,950 |43,638 |10.6% |3.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Stockton-on-Tees Teaching PCT |287,728 |303,980 |31,252 |11.5% |-6.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Stoke on Trent PCT |451,376 |476,202 |53,205 |12.6% |-5.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Suffolk PCT |820,056 |869,582 |92,277 |11.9% |-4.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Sunderland Teaching PCT |510,293 |537,800 |54,110 |11.2% |0.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Surrey PCT |1,565,807 |1,646,316 |158,260 |10.6% |11.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Sutton and Merton PCT |583,188 |613,174 |58,944 |10.6% |9.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Swindon PCT |277,524 |294,545 |31,489 |12.0% |-1.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Tameside and Glossop PCT |383,015 |404,080 |41,033 |11.3% |-1.5% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Telford and Wrekin PCT |237,482 |251,590 |26,636 |11.8% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Torbay Care Trust |236,008 |249,424 |25,720 |11.5% |-3.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Tower Hamlets PCT |447,591 |470,605 |45,239 |10.6% |3.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Trafford PCT |340,332 |357,831 |34,398 |10.6% |7.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Wakefield District PCT |564,093 |595,118 |66,463 |12.6% |-6.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Walsall Teaching PCT |425,164 |448,548 |45,549 |11.3% |-2.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Waltham Forest PCT |395,510 |415,846 |39,977 |10.6% |2.2% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Wandsworth PCT |488,965 |514,106 |49,421 |10.6% |14.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Warrington PCT |290,606 |306,628 |31,172 |11.3% |-1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Warwickshire PCT |739,819 |781,747 |80,496 |11.5% |-1.4% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Essex PCT |390,481 |410,562 |39,470 |10.6% |1.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Hertfordshire PCT |773,604 |813,380 |78,190 |10.6% |5.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Kent PCT |926,518 |977,459 |98,922 |11.3% |0.0% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Sussex PCT |1,172,602 |1,232,894 |118,518 |10.6% |3.7% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Western Cheshire PCT |375,103 |394,678 |38,320 |10.8% |0.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Westminster PCT |447,789 |470,813 |45,259 |10.6% |20.8% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Wiltshire PCT |610,462 |642,526 |62,527 |10.8% |0.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Wirral PCT |565,696 |594,782 |57,176 |10.6% |2.3% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Wolverhampton City PCT |408,545 |431,015 |43,769 |11.3% |-2.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |Worcestershire PCT |771,728 |815,248 |83,752 |11.4% |-2.6% | ------------------------------------------------------------------------------------------------------------------------------------------------------------- |England |80,030,703 |84,432,392 |8,573,905 |11.3% |0.0% | 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