3. NHS RESOURCES AND ACTIVITY
3.3 Hospital and Community Health Services
Allocations and Distance from Targets
3.3.1 Could the Department please update
the information provided in response to last year's questionnaire
on expenditure covering HCHS and FHS for each SHA area together
with estimates of distances from target needs based expenditure?
1. The information requested is provided
in Table 3.3.1.
2. Table 3.3.1 aggregates 2003-04
to 2005-06 PCT allocations and distances from target at SHA level.
These unified allocations cover hospital and community health
services (HCHS), prescribing (the drugs bill), general medical
services discretionary (general practice infrastucture) and HIV/AIDS.
3. For 2003-04 to 2005-06 the weighted capitation
formula which informs resource allocation also has a general medical
services non-discretionary component. This allows the cash limited
unified allocations to take account of the distribution of GMS
non- discretionary expenditure.
4. GMS non-cash limited baselines and targets
are added to unified allocations baselines and targets to form
composite baselines and targets. Composite distances from target
are derived to inform the allocation of the extra resources for
unified allocations. This is not used to allocate GMS non-discretionary
funding which remains non-cash limited.
5. The Department does not make allocations
for FHS non-discretionary expenditure. This expenditure is non-cash
limited and PCTs draw down funding from the Department as required
to meet their expenditure. Apart from the GMS non-discretionary
formula referred to above there are no formulas to calculate target
shares of FHS non-discretionary expenditure.
Table 3.3.1
STRATEGIC HEALTH AUTHORITY ALLOCATIONS
|
| Strategic Health Authorities | 2003-04 total
allocation
| Distance from target
| 2004-05 total
allocation
| Distance from target
| 2005-06 total
allocation
| Distance from target
|
| £000s
| £000s | %
| £000s | £000s
| % | £000s
| £000s | %
|
|
| Avon, Gloucestershire and Wiltshire | 1,804,844
| 13,405 | 0.70
| 1,972,269 | 12,477
| 0.59 | 2,151,254
| 10,038 | 0.44
|
| Bedfordshire and Hertfordshire | 1,325,496
| -777 | -0.05
| 1,451,691 | -521
| -0.03 | 1,587,168
| -1,681 | -0.10
|
| Birmingham and The Black Country | 2,175,882
| -101,519 | -4.17
| 2,391,372 | -101,746
| -3.82 | 2,622,886
| -98,176 | -3.37
|
| Cheshire and Merseyside | 2,319,596
| -96,070 | -3.78
| 2,552,541 | -90,168
| -3.24 | 2,802,103
| -80,518 | -2.65
|
| County Durham and Tees Valley | 1,114,222
| -42,395 | -3.45
| 1,222,828 | -43,344
| -3.22 | 1,336,875
| -45,062 | -3.07
|
| Coventry, Warwickshire, Herefordshire and Worcestershire
| 1,269,343 | -25,462
| -1.83 | 1,390,899
| -26,552 | -1.74
| 1,517,652 | -29,395
| -1.77 |
| Cumbria and Lancashire | 1,801,810
| -17,667 | -0.91
| 1,972,068 | -19,751
| -0.93 | 2,152,300
| -21,630 | -0.93
|
| Dorset and Somerset | 1,038,896
| -1,912 | -0.17
| 1,136,014 | -3,379
| -0.28 | 1,237,940
| -5,628 | -0.42
|
| Essex | 1,334,192
| -48,570 | -3.30
| 1,465,825 | -48,988
| -3.04 | 1,612,617
| -45,417 | -2.58
|
| Greater Manchester | 2,537,784
| -49,375 | -1.81
| 2,777,869 | -52,448
| -1.76 | 3,032,321
| -54,938 | -1.68
|
| Hampshire and Isle of Wight | 1,489,983
| 19,378 | 1.23
| 1,627,112 | 18,306
| 1.06 | 1,774,693
| 15,936 | 0.85
|
| Kent and Medway | 1,372,381
| -9,923 | -0.67
| 1,501,484 | -11,968
| -0.74 | 1,640,446
| -15,262 | -0.87
|
| Leicestershire, Northamptonshire and Rutland
| 1,204,190 | -21,350
| -1.62 | 1,318,517
| -23,107 | -1.60
| 1,440,317 | -25,256
| -1.60 |
| Norfolk, Suffolk and Cambridgeshire | 1,806,841
| -12,287 | -0.63
| 1,976,745 | -13,336
| -0.63 | 2,157,512
| -14,710 | -0.63
|
| North and East Yorkshire and Northern Lincolnshire
| 1,406,451 | 34,333
| 2.33 | 1,535,353
| 33,268 | 2.06
| 1,670,397 | 30,976
| 1.76 |
| North Central London | 1,302,450
| 64,465 | 4.88
| 1,429,122 | 66,730
| 4.61 | 1,565,192
| 67,839 | 4.30
|
| North East London | 1,582,024
| -98,878 | -5.54
| 1,754,155 | -95,031
| -4.87 | 1,946,486
| -85,219 | -4.00
|
| North West London | 1,887,023
| 158,275 | 8.57
| 2,067,064 | 165,306
| 8.17 | 2,259,850
| 170,416 | 7.72
|
| Northumberland, Tyne and Wear | 1,401,925
| -7,115 | -0.48
| 1,534,096 | -8,410
| -0.51 | 1,672,682
| -10,853 | -0.61
|
| Shropshire and Staffordshire | 1,245,649
| -26,649 | -1.96
| 1,364,476 | -28,334
| -1.90 | 1,491,793
| -28,361 | -1.75
|
| South East London | 1,576,425
| 80,158 | 5.01
| 1,730,005 | 79,943
| 4.56 | 1,895,135
| 78,155 | 4.09
|
| South West London | 1,200,252
| 100,780 | 8.49
| 1,315,069 | 105,409
| 8.12 | 1,438,228
| 109,050 | 7.69
|
| South West Peninsula | 1,425,546
| 20,018 | 1.33
| 1,555,843 | 18,226
| 1.11 | 1,692,631
| 15,439 | 0.86
|
| South Yorkshire | 1,249,993
| -19,679 | -1.46
| 1,369,372 | -20,564
| -1.39 | 1,495,863
| -21,154 | -1.31
|
| Surrey and Sussex | 2,269,214
| 100,500 | 4.33
| 2,476,324 | 102,569
| 4.04 | 2,698,629
| 102,428 | 3.69
|
| Thames Valley | 1,659,291
| 27,060 | 1.53
| 1,814,281 | 27,699
| 1.43 | 1,981,395
| 27,312 | 1.29
|
| Trent | 2,277,668
| -47,981 | -1.93
| 2,496,772 | -49,164
| -1.80 | 2,727,928
| -50,780 | -1.71
|
| West Yorkshire | 1,947,810
| 9,235 | 0.44
| 2,129,079 | 6,881
| 0.30 | 2,322,682
| 6,453 | 0.26
|
|
| England total | 45,027,181
| | | 49,328,244
| | | 53,924,975
| | |
|
|
