Previous Section Index Home Page


Health Service Inequalities

Mrs. Virginia Bottomley: To ask the Secretary of State for Health what plans he has to tackle inequalities in health services. [150378]

Yvette Cooper: The NHS Plan published in July 2000 sets out targets for the National Health Service and social services which are focused on delivering fast, convenient and people centred services. They are aimed at providing the highest standards of care, tackling the major causes of disease and reducing inequalities in health and in access to health services. These include national health inequalities targets to narrow the gap between socio-economic groups and between deprived areas and the rest of the country, a review of the existing weighted capitation formula with reducing inequalities a key criterion for allocating NHS resources, new partnerships between health and social services to tackle inequalities, improved access to primary care for all patients, and more and better screening programmes.

E.coli

Mr. McDonnell: To ask the Secretary of State for Health how many outbreaks of E.coli there were in (a) 1996, (b) 1997, (c) 1998, (d) 1999 and (e) 2000; how many people were affected in each year; and how many fatalities were linked to these outbreaks. [150318]

Ms Stuart: The table gives details of all general outbreaks of verocytotoxin-producing E.coli O157 infection in England and Wales reported to the Public Health Laboratory Service Communicable Disease Surveillance Centre and Laboratory of Enteric Pathogens in each year from 1996 to 2000. The table also shows the number of laboratory-confirmed cases and the number of fatalities linked to these outbreaks.

26 Feb 2001 : Column: 441W

Verocytotoxin-producing Escherichia coli 0157:
General outbreaks in England and Wales, 1996 to 2000

OutbreaksOutbreaks-- number of laboratory confirmed casesOutbreaks-- number of people who died
(a) 199614690
(b) 1997251532
(c) 199817720
(d) 1999162092
(e) 2000(59)241701
Total966735

(59) Provisional data

Sources of data:

1. G. A. Willshaw, T. Cheasty, H. R. Smith, S. J. O'Brien, G. K. Adak. Verocytotoxin--producing Escherichia coli (VTEC) 0157 and other VTEC from human infections in England and Wales: 1995 to 1998. Journal of Medical Microbiology 2001, 50: 135-142.

2. PHLS Communicable Disease Surveillance Centre. Outbreaks of Infectious Intestinal Disease Database (data for 1999 and 2000).


Cruse Bereavement Care

Mrs. Virginia Bottomley: To ask the Secretary of State for Health what discussions he has had with Cruse

26 Feb 2001 : Column: 442W

Bereavement Care concerning the role they might play in alleviating the distress of relatives following the removal of internal organs from deceased people. [R] [150400]

Mr. Denham: Officials have contacted Cruse Bereavement Care to obtain their consent for NHS Direct to provide their national phone number if a specific request to be put in touch with the organisation was made by a caller inquiring about the removal of organs following post-mortem.

Health Authority Allocations

Ms Buck: To ask the Secretary of State for Health if he will list, for each health authority, the difference between its capitation targets and allocation in cash and percentage terms (a) prior to and (b) following their 2001-02 allocations. [150528]

Mr. Denham: The 2001-02 distance from capitation targets in cash and percentage terms prior to and following allocations are listed for each health authority in the table.

26 Feb 2001 : Column: 441W

2000-01 distance from target (£000s) 2000-01 distance from target (%)
Health authority (60)Prior to allocationsAfter allocations(60)Prior to allocationsAfter allocations
Avon-8,304-8,757-1.28-1.25
Barking and Havering4,1504,3321.501.45
Barnet-6,774-7,131-2.90-2.82
Barnsley-5,367-5,616-3.05-2.95
Bedfordshire-16,160-16,969-4.54-4.40
Berkshire-17,361-18,213-3.46-3.36
Bexley and Greenwich22,15723,2307.517.27
Birmingham8,9419,3951.211.18
Bradford-3,473-3,604-1.01-0.96
Brent and Harrow-196-230-0.06-0.06
Bromley3,3493,4881.691.63
Buckinghamshire-12,226-12,845-2.92-2.83
Bury and Rochdale-1,401-1,455-0.51-0.49
Calderdale and Kirklees2,1042,2050.530.51
Cambridgeshire-14,265-14,973-3.19-3.10
Camden and Islington8188200.230.21
Cornwall and Isles of Scilly3,9134,0941.151.12
County Durham-5,725-5,971-1.25-1.20
Coventry-1,850-1,910-0.83-0.79
Croydon-3,115-3,237-1.38-1.33
Doncaster2,4512,6231.15 1.14
Dorset13,94914,5992.962.86
Dudley-1,116-1,157-0.55-0.53
Ealing, Hammersmith and Hounslow-9,859-10,384-1.82-1.77
East and North Hertfordshire-3,245-3,432-1.00-0.98
East Kent11,66312,2252.782.69
East Lancashire1,1081,1940.290.29
East London and the City-43,575-45,631-7.38-7.15
East Riding5,7796,0871.501.46
East Surrey5,8226,0742.232.15
East Sussex, Brighton and Hove16,58417,3723.113.01
Enfield and Haringey-3,822-4,000-1.06-1.03
Gateshead and South Tyneside8719530.320.32
Gloucestershire13,40914,0473.833.71
Herefordshire2652720.240.23
Hillingdon-1,561-1,626-0.92-0.88
Isle of Wight7,3727,7257.967.70
Kensington, Chelsea and Westminster-41,390-43,475-11.23-10.90
Kingston and Richmond1,6711,7240.710.68
Lambeth, Southwark and Lewisham-3,939-3,981-0.62-0.58
Leeds6,6236,9841.311.27
Leicestershire-14,597-15,334-2.51-2.44
Lincolnshire-1,443-1,533-0.33-0.33
Liverpool11,77412,3713.233.13
Manchester10,86611,4672.962.89
Merton, Sutton and Wandsworth16,36017,1553.723.60
Morecambe Bay9,63110,1034.514.37
Newcastle and North Tyneside8,2298,6312.322.25
Norfolk-2,368-2,514-0.46-0.46
North and East Devon4,2784,4561.321.27
North and Mid Hampshire-572-630-0.18-0.18
North Cheshire4,8625,0932.292.22
North Cumbria-169-168-0.08-0.07
North Derbyshire1,4991,5610.610.58
North Essex-5,906-6,246-1.06-1.04
North Nottinghamshire-1,756-1,843-0.67-0.65
North Staffordshire-3,832-4,010-1.14-1.10
North West Lancashire5,4175,6711.571.52
North Yorkshire-3,580-3,795-0.75-0.74
Northamptonshire1,0781,1490.300.30
Northumberland1,5961,7120.750.75
Nottingham-6,985-7,280-1.61-1.55
Oxfordshire-12,133-12,752-3.23-3.14
Portsmouth and South East Hampshire1,8391,9420.510.49
Redbridge and Waltham Forest10,92511,4353.513.39
Rotherham-854-883-0.49-0.47
Salford and Trafford8,4318,8312.562.48
Sandwell-259-222-0.12-0.09
Sefton8,7499,1624.324.18
Sheffield11,15311,7322.892.81
Shropshire-3,925-4,118-1.43-1.39
Solihull1,2541,3100.950.92
Somerset2,7872,8940.880.85
South and West Devon11,75012,3102.902.80
South Cheshire7,1547,4671.641.58
South Derbyshire-7,539-7,919-1.97-1.91
South Essex-6,055-6,372-1.29-1.26
South Humber5,3905,7212.572.52
South Lancashire1,9422,0130.960.92
South Staffordshire-4,518-4,755-1.27-1.24
Southampton and South West Hampshire1,2801,3420.360.35
St. Helen's and Knowsley-1,326-1,381-0.51-0.49
Stockport-849-895-0.44-0.43
Suffolk4,7204,9161.101.06
Sunderland-816-809-0.37-0.34
Tees-2,487-2,522-0.61-0.57
Wakefield63960.030.04
Walsall-4,491-4,653-2.46-2.35
Warwickshire3,7443,9091.191.14
West Hertfordshire-358-414-0.10-0.11
West Kent4,8104,9980.790.76
West Pennine-5,896-6,170-1.79-1.73
West Surrey7,0557,3541.801.74
West Sussex-1,758-1,893-0.34-0.34
Wigan and Bolton-12,370-12,959-2.93-2.84
Wiltshire1,7981,8730.480.46
Wirral8,9639,3983.773.65
Wolverhampton-1,531-1,570-0.87-0.82
Worcestershire7047240.220.20

(60) Distances from target have changed since 2000-01 as a result of adjustments to initial 2000-01 allocations and changes to data, ie the updating of population and other data sources used in the weighted capitation formula.


26 Feb 2001 : Column: 443W

26 Feb 2001 : Column: 443W

Ms Buck: To ask the Secretary of State for Health on what basis health authorities were selected for a Years of Life Lost allocation; how Years of Life Lost allocations took into account the age-profile of the population; which health authorities received Years of Life Lost allocations; and which health authorities would qualify for the allocation had it been weighted for the age profile of the population. [150527]

Mr. Denham: Allocations to health authorities for 2001-02 include an adjustment based on rates of years of

26 Feb 2001 : Column: 444W

life lost (YLL) for circulatory diseases, all cancers, accidents, suicides and undetermined injury. £70 million was shared between the 47 health authorities with rates at or above 137 on the YLL index. The health authorities that received the YLL adjustment are shown in the table.

The YLL index takes account of the age structure of the population. Other things being equal, a health authority with an older population is likely to have a higher YLL rate than a health authority with a younger population.

26 Feb 2001 : Column: 445W

Health inequalities adjustment for Health Authorities at or above 137 on the YLL index

Health Authority£ million
Barnsley925
Bradford1,686
Bury and Rochdale1,528
Calderdale and Kirklees1,967
Camden and Islington1,358
Cornwall and Isles of Scilly1,744
County Durham2,424
Coventry1,067
Doncaster1,106
Dudley1,010
East Kent1,962
East Lancashire2,069
East Riding2,054
Gateshead and South Tyneside1,476
Herefordshire560
Isle of Wight436
Leeds2,471
Lincolnshire2,301
Liverpool1,997
Manchester2,013
Morecambe Bay1,101
Newcastle and North Tyneside1,778
North Cheshire1,151
North Cumbria1,226
North Derbyshire1,308
North Nottinghamshire1,376
North Staffordshire1,752
North West Lancashire1,748
Northumberland1,175
Nottingham2,124
Rotherham854
Salford and Trafford1,723
Sandwell1,180
Sefton998
Sheffield1,787
Shropshire1,450
South Humber1,188
South Lancashire1,081
St. Helen's and Knowsley1,374
Sunderland1,112
Tees2,166
Wakefield1,190
Walsall900
West Pennine1,827
Wigan and Bolton2,158
Wirral1,246
Wolverhampton872
England70,000

26 Feb 2001 : Column: 446W

Ms Buck: To ask the Secretary of State for Health how much of the current year's allocation to health authorities was directed towards moving health authorities closer to their capitation targets; and what the (a) cash and (b) percentage difference between allocation and capitation target was in each case, in each of the last three years. [150529]

Mr. Denham: Health authorities received an additional £2.79 billion with 2000-01 allocations. £110 million was directed specifically towards moving under target health authorities closer to their capitation targets.

The cash and percentage differences between allocation and capitation target (distance from target) for each of the last three years are shown in the table.

26 Feb 2001 : Column: 445W

Distance from target (£000) Distance from target (percentage)
Health authority1998-991999-2000(61)2000-01(61)1998-991999-2000(61)2000-01
Avon1,720-6,924-7,3510.40-1.17-1.13
Barking and Havering1,660-1,9342,5730.88-0.750.92
Barnet8,3334,5944475.662.250.20
Barnsley-6,088-4,786-5,379-5.24-2.98-3.05
Bedfordshire-8,397-12,427-13,980-3.61-3.82-3.90
Berkshire-12,355-15,619-15,847-3.83-3.50-3.17
Bexley and Greenwich13,20914,57318,0976.305.316.03
Birmingham-1652,6564,390-0.030.390.59
Bradford-7,528-5,542-3,853-3.18-1.77-1.11
Brent and Harrow15,6869,2967,0517.023.092.11
Bromley2,062-4982141.55-0.270.11
Buckinghamshire-2,276-9,343-11,999-0.86-2.48-2.86
Bury and Rochdale-5,816-3,241-1,049-3.07-1.29-0.38
Calderdale and Kirklees-2,6211,619-671-0.950.44-0.17
Cambridge and Huntingdon(62)-3,614-2,663n/a-2.08-1.13n/a
Cambridgeshire(62)n/an/a-10,687n/an/a-2.36
Camden and Islington15,4946,9496,7016.562.221.92
Cornwall and Isles of Scilly4106,4545,5060.182.081.62
County Durham-10,393-9,737-8,724-3.36-2.31-1.89
Coventry-4,955-7,182-6,172-3.36-3.45-2.71
Croydon17-2,556-2,5170.01-1.25-1.12
Doncaster-5,037-276-427-3.50-0.14-0.20
Dorset8,5019,7719,0352.662.241.89
Dudley-1,521-1,840-3,044-1.12-1.00-1.50
Ealing, Hammersmith and Hounslow11,284-2,835-1333.24-0.59-0.03
East and North Hertfordshire3,186-2,118-4,0591.58-0.73-1.26
East Kent-6937,10811,031-0.241.832.62
East Lancashire-7,207-2,389-2,822-2.77-0.68-0.73
East London and The City-16,068-24,117-20,945-4.20-4.69-3.69
East Norfolk(62)-1,6393,198n/a-0.600.85n/a
East Riding-5,446-2,397-159-2.04-0.66-0.04
East Surrey7,1975,0135,7774.092.102.20
East Sussex Brighton and Hove3,95810,63413,0721.072.152.43
Enfield and Haringey3,8031,7311,4641.550.540.41
Gateshead and South Tyneside-1,497-1,954-2,889-0.79-0.76-1.03
Gloucestershire7,70812,40810,5643.283.852.99
Herefordshire39361-3190.550.06-0.29
Hillingdon179658-9630.150.43-0.56
Isle of Wight5,4076,3266,6038.647.357.02
Kensington, Chelsea and Westminster-11,480-27,917-27,876-5.13-8.88-7.99
Kingston and Richmond9,9884,5935,7956.812.252.50
Lambeth Southwark and Lewisham1,499-3,56712,2530.34-0.621.96
Leeds-5,2311,2033,114-1.520.260.61
Leicestershire-13,432-13,466-16,280-3.42-2.54-2.78
Lincolnshire-3602,528-3,733-0.130.64-0.86
Liverpool6127,1496,6030.242.091.78
Manchester5,0137,7587,4982.042.282.02
Merton Sutton and Wandsworth15,2239,5538,2454.962.311.84
Morecambe Bay6,6698,6717,2914.604.403.36
Newcastle and North Tyneside-1,0591,7523,206-0.420.530.89
Norfolk(62)n/an/a186n/an/a0.04
North and East Devon4,9705,4344,3952.301.841.36
North and Mid Hampshire6,6263,9131,6123.171.360.51
North Cheshire5,8383,5612,2004.001.801.02
North Cumbria-249111434-0.170.060.20
North Derbyshire329-575-1,0900.20-0.25-0.44
North Essex-8,593-3,480-436-2.27-0.69-0.08
North Nottinghamshire-4,691-2,849-5,763-2.61-1.19-2.16
North Staffordshire-6,157-8,156-5,796-2.70-2.62-1.70
North West Anglia(62)-5,046-4,748n/a-2.73-1.86n/a
North West Lancashire-9,296-1,35654-3.81-0.420.02
North Yorkshire40-1,736-2,4620.01-0.40-0.52
Northamptonshire1,0854,8473,0790.431.510.87
Northumberland-915-325-661-0.64-0.17-0.31
Nottingham-10,487-10,151-10,245-3.53-2.53-2.34
Oxfordshire-4,833-9,569-8,166-2.02-2.84-2.19
Portsmouth and South East Hampshire2,037-917600.85-0.280.02
Redbridge and Waltham Forest9,80813,38411,9024.434.723.82
Rotherham-3,746-1,079-1,970-3.03-0.67-1.12
Salford and Trafford-2,1056,4405,725-0.932.131.72
Sandwell-1,285-2,795-2,060-0.87-1.34-0.91
Sefton1,3611,9875,6880.941.052.77
Sheffield4,1905,4194,6861.571.501.19
Shropshire-2,145-905-3,616-1.19-0.36-1.32
Solihull1,5531,5984961.891.320.37
Somerset1,4762,8661,8430.701.000.58
South and West Devon3,0336,9895,9981.091.861.45
South Cheshire9482,1684,0070.320.540.91
South Derbyshire-2,514-7,068-5,958-1.01-2.03-1.56
South Essex-9,292-14,809-7,240-2.97-3.42-1.54
South Humber4,1786,6254,1802.963.441.97
South Lancashire4,3144,3284,2493.222.382.10
South Staffordshire1,3622,721-5080.570.85-0.14
Southampton and South West Hampshire-209312178-0.090.100.05
St. Helen's and Knowsley-4,463-1,013-2,173-2.68-0.43-0.84
Stockport-4,820802926-3.680.460.48
Suffolk7,3326,4523,9502.681.650.92
Sunderland-4,597-1,530-2,255-3.02-0.76-1.02
Tees-7,819-3,681-4,624-2.82-0.99-1.13
Wakefield2,4857711,0311.660.370.45
Walsall-4,844-2,093-2,826-3.87-1.27-1.55
Warwickshire7,9187,6165,1773.762.661.64
West Hertfordshire6,1184,9801,7882.671.590.52
West Kent6,7793,6365,9741.700.650.97
West Pennine-8,940-4,898-5,594-3.81-1.62-1.69
West Surrey14,2798,53110,1505.492.352.60
West Sussex-812-3,555-2,609-0.24-0.76-0.51
Wigan and Bolton-13,922-12,069-12,351-4.85-3.13-2.92
Wiltshire8,8565,6997,7253.651.682.07
Wirral-2,5004,3657,386-1.501.973.08
Wolverhampton-2,095-2,351-3,311-1.74-1.45-1.85
Worcestershire5,1295,2281,9812.361.750.60

(61) Figures for 1999-2000 onwards are for unified allocations, which cover hospital and community health services, prescribing and discretionary family health services. These figures are not strictly comparable with those for previous years which cover hospital and community health services only.

(62) Figures are not comparable due to the merger of the former North West Anglia into the new health authorities of Cambridgeshire and Norfolk.


26 Feb 2001 : Column: 447W

26 Feb 2001 : Column: 449W


Next Section Index Home Page