HC Deb 26 January 1993 vol 217 cc688-93W
Ms. Primarolo

To ask the Secretary of State for Health what was the management fee paid, or estimates thereof, to(a) first, (b) second and (c) third wave GP fundholders per family health service authority/regional health authority and nationally in each year since their establishment up to 1992–93.

Dr. Mawhinney

The information held centrally is in the table. The number of fourth wave fund holders is not yet available as the application period is still open. Information about numbers at FHSA level is held by regional health authorities.

1st wave fundholders 2nd wave fundholders
Region Number of fundholders1 Number of practices Number of GPs Number of fundholders1 Number of practices Number of GPs 3rd wave fundholders (estimate) Number of fundholders1
South Western 20 21 127 18 20 108 32
West Midlands 26 26 144 31 33 178 75
Mersey 20 21 107 24 30 121 60
North Western 16 17 88 13 15 72 37
Totals 293 305 1,713 253 280 1,443 621
1 The number of fundholders is less than the number of practices as some have joined together in groups.

Ms. Primarolo

To ask the Secretary of State for Health how many first, second, third and fourth wave fund-holding GPs and GP partnerships there are in each family health service authority and region.

GP fundholders management allowance payments
£000s
FHSA 1990–91 (1st wave preparatory fundholders) 1991–92 (2nd wave preparatory and 1st wave full fundholders) 1992–93 Estimates (2nd wave and 1st wave full fundholders) 1992–93 Estimates (3rd wave preparatory fundholders)
Cleveland 146,685 189,966 173,000 69,000
Cumbria 31,999 115,423 173,000 86,000
Durham 111,900 308,000 380,000 172,000
Northumberland 210,674 231,010 236,000 3,000
Gateshead 32,098 82,498 103,000 104,000
Newcastle 33,968 49,500 69,000 35,000
North Tyneside 16,000 49,454 35,000 35,000
South Tyneside 16,000 33,000 35,000 0
Sunderland 16,000 33,000 52,000 0
Northern RHA 615,324 1,091,851 1,256,000 504,000
Humberside 112,000 339,563 483,000 259,000
North Yorkshire 65,977 247,500 345,000 207,000
Bradford 120,847 138,182 207,000 69,000
Calderdale 44,296 99,000 102,000 36,000
Kirklees 0 16,493 35,000 86,000
Leeds 146,072 338,273 483,000 189,000
Wakefield 121,720 310,578 414,000 86,000
Yorkshire RHA 610,912 1,489,589 2,069,000 932,000
Derbyshire 138,179 445,500 656,000 535,000
Leicestershire 85,044 276,995 380,000 127,000
Lincolnshire 48,000 196,449 310,000 190,000
Nottinghamshire 59,201 166,179 217,000 114,000
Barnsley 0 0 0 51,000
Doncaster 64,000 132,000 109,000 56,000
Rotherham 14,328 49,500 56,000 45,000
Sheffield 35,892 95,829 101,000 127,000
Trent RHA 444,644 1,353,452 1,829,000 1,245,000
Cambridgeshire 37,170 71,000 190,000 69,000
Norfolk 75,318 165,000 207,000 276,000
Suffolk 42,197 107,650 380,000 0
East Anglian RHA 154,685 343,650 777,000 345,000
Bedfordshire 76,000 148,500 173,000 155,000
Hertfordshire 208,640 549,754 872,000 327,000
Barnet 0 0 17,000 70,000
Brent and Harrow 16,000 33,000 35,000 155,000
Ealing, Hammersmith and Hounslow 46,028 118,598 138,000 52,000
Hillingdon 32,000 99,478 138,000 0
Kensington, Westminster and Chelsea 16,000 81,542 165,000 50,000
North West Thames RHA 394,668 1,030,872 1,538,000 809,000
Essex 80,646 287,164 449,000 345,000
Barking and Havering 16,000 49,500 121,00 17,000

Dr. Mawhinney

The information available centrally is in the table.

FHSA 1990–91 (1st wave preparatory fundholders) 1991–92 (2nd wave preparatory and 1st wave full fundholders) 1992–93 Estimates (2nd wave and 1st wave full fundholders) 1992–93 Estimates (3rd wave preparatory fundholders)
Camden and Islington 19,310 78,489 69,000 0
City and East London 32,000 66,000 69,000 17,000
Enfield and Haringey 30,812 75,061 100,000 50,000
Redbridge and Waltham Forest 12,241 33,000 35,000 17,000
North East Thames RHA 191,009 589,214 843,000 446,000
East Sussex 39,197 126,422 173,000 414,000
Kent 174,880 363,000 552,000 328,000
Greenwich and Bexley 46,699 82,500 104,000 69,000
Bromley 32,000 66,000 69,000 0
Lambeth, Southwark West and Lewisham 43,346 99,000 156,000 0
South East Thames RHA 336,122 736,922 1,054,000 811,000
Surrey 226,684 453,467 604,000 224,000
West Sussex 97,404 217,862 310,000 138,000
Croydon 0 33,000 69,000 35,000
Kingston and Richmond 78,274 143,868 209,000 0
Merton, Sutton and Wandsworth 49,989 146,286 173,00 69,000
South West Thames RHA 452,351 994,483 1,365,000 466,000
Dorset 18,461 172,400 311,000 86,000
Hampshire 443,176 467,458 621,000 242,000
Wiltshire 41,195 49,000 102,000 102,000
Isle of Wight 46,486 111,193 138,000 0
Wessex RHA 549,318 800,051 1,172,000 430,000
Berkshire 295,270 318,394 380,000 259,000
Buckinghamshire 178,924 410,731 552,000 190,000
Northamptonshire 31,371 205,434 311,000 86,000
Oxfordshire 194,878 251,660 347,000 33,000
Oxford RHA 700,443 1,186,219 1,590,000 568,000
Avon 47,998 165,000 242,000 207,000
Cornwall and Isles of Scilly 26,221 97,007 138,000 86,000
Devon 110,786 317,783 449,000 155,000
Gloucestershire 145,071 142,000 207,000 86,000
Somerset 63,961 198,000 276,000 17,000
South Western RHA 394,037 919,790 1,312,000 551,000
Hereford and Worcestershire 130,952 336,354 449,000 259,000
Shropshire 17,670 98,849 173,000 138,000
Staffordshire 153,279 282,537 345,000 423,000
Warwickshire 58,486 205,740 311,000 207,000
Birmingham 81,420 130,734 207,000 121,000
Coventry 0 33,000 69,000 69,000
Dudley 0 0 0 69,000
Sandwell 31,981 117,537 190,000 0
Solihull 93,991 169,500 242,000 225,000
Walsall 16,000 33,000 35,000 86,000
Wolverhampton 0 0 0 0
West Midlands RHA 583,779 1,407,251 2,021,000 1,597,000
Cheshire 282,834 604,622 725,000 431,000
Liverpool 12,220 124,000 173,000 113,000
St. Helens and Knowsley 99,140 172,931 207,000 103,000
Sefton 131,139 261,532 276,000 86,000
Wirral 8,000 111,897 138,000 121,000
Mersey RHA 533,333 1,274,982 1,519,000 854,000
Lancashire 75,268 250,259 276,000 138,000
Bolton 48,000 115,227 138,000 86,000
Bury 0 0 0 87,000
Manchester 22,253 42,000 34,000 35,000
Oldham 0 16,494 35,000 17,000
Rochdale 25,564 84,242 104,000 17,000

FHSA 1990–91 (1st wave preparatory fundholders) 1991–92 (2nd wave preparatory and 1st wave full fundholders) 1992–93 Estimates (2nd wave and 1st wave full fundholders) 1992–93 Estimates (3rd wave preparatory fundholders)
Salford 5,900 97,382 172,000 0
Stockport 32,000 66,000 104,000 115,000
Tameside 69,552 82,500 103,000 35,000
Trafford 0 0 34,000 69,000
Wigan 26,422 0 0 35,000
North Western RHA 304,959 754,104 1,000,000 634,000
England 6,265,584 13,972,430 19,345,000 10,192,000

Ms. Primarolo

To ask the Secretary of State for Health if she will make it her policy that the full details of the budget allocations to general practitioner fund holders will be published annually.

Dr. Mawhinney

The total amount of resources allocated to fund holders forms part of the annual financial statement of each regional health authority and family health services authority, which are public documents.

Mr. Milburn

To ask the Secretary of State for Health if she will introduce legislation to make general practitioner fund holders legally liable in the event of inadequate community care services being provided to their clients after 1 April.

Dr. Mawhinney

General practitioner fund holders will be responsible for purchasing within the resources available a range of community health services, including district nursing and health visiting. Regional health authorities will be required to set budgets for this purpose and ensure that the level of services purchased is consistent with the level of funding. Local authorities and district health authorities will be responsible for purchasing other community care services.