§ Mr. GunnellTo ask the Secretary of State for Health (1) if he will reconsider the recommendations made in 1994 by University of York health economists who were commissioned to produce new funding formulae for health care; [7228]
(2) what assessment he has made of the equity of the operation of the market forces factor within the funding formula; [7227]
(3) what change there has been in the needs weighting element of health authority allocations for 1997–98; [7231]
(4) when he expects the review of the national distribution of central Government resources to primary and secondary health care to be completed; [7226]
(5) what assessment his Department has made of the advantages of increasing the weighting for needs in health authority funding allocations. [7230]
§ Mr. MilburnIn 1997–98 an interim needs weighting for Community Health Services was introduced and applied to 11 per cent. of expenditure (leaving 14 per cent. not weighted for need).
It is the Government's intention to look at how resources are distributed across both secondary and primary care to ensure that these fully reflect local population needs and operate as fairly as possible. Details will be announced in due course.
§ Mr. GunnellTo ask the Secretary of State for Health what was the(a) actual and (b) percentage change in the health resources allocated to each region of England in the financial year following the introduction of the market forces factor in the funding formula. [7229]
§ Mr. MilburnAllocations are made direct to health authorities and not to regions. Changes to the formula directly affect target allocations rather than actual502W allocations. The attached table shows the changes to health authority target allocations which resulted from the implementation of the latest market forces factor:
503W
Summary of changes to Health Authority target allocations from 1996–97 to 1997–98, resulting from changes
to the market force factor
Health authority £000s Per cent. Bradford -930 -0.47 Calderdale and Kirklees -1,035 -0.43 County Durham 10 0.00 East Riding -1,098 -0.46 Gateshead and South Tyneside -580 -0.40 Leeds -1,687 -0.57 Newcastle and North Tyneside -881 -0.45 North Cumbria 119 0.09 North Yorkshire -618 -0.20 Northumberland -805 -0.64 Sunderland -534 -0.44 Tees 3,783 1.67 Wakefield -648 -0.50 Barnsley -371 -0.40 Doncaster -761 -0.63 Leicestershire -1,404 -0.37 Lincolnshire -528 -0.21 North Derbyshire -370 -0.24 North Nottinghamshire -513 -0.33 Nottingham -917 -0.35 Rotherham -465 -0.45 Sheffield -844 -0.39 South Derbyshire -917 -0.40 South Humber -408 -0.32 Bedfordshire -2,690 -1.11 Berkshire 12,619 3.59 Buckinghamshire 1,551 0.52 Cambridge and Huntingdon 5,591 2.98 East Norfolk -1,287 -0.51 North-west Anglia 1,736 1.03 Northamptonshire 5,571 2.22 Oxfordshire -1,678 -0.63 Suffolk 2,147 0.79 Barking and Havering -6,330 -3.57 Barnet -2,802 -1.84 Brent and Harrow -104 -0.05 Camden and Islington 3,540 1.89 Ealing, Hammersmith and Hounslow 9,049 2.89 East and North Hertfordshire 1,086 0.49 East London and the City 1,733 0.57 Enfield and Haringey -6,281 -2.74 Hillingdon 4,729 4.10 Kensington, Chelsea and Westminster 6,157 3.30 North Essex -7,924 -2.03 Redbridge and Waltham Forest -8,631 -4.05 South Essex -5,602 -1.80 West Hertfordshire 6,937 2.92 Bexley and Greenwich -8,679 -4.27 Bromley -5,791 -4.18 Croydon -258 -0.17 East Kent -7,011 -2.67 East Surrey 5,653 3.10 East Sussex, Brighton and Hove -17,524 -5.42 Kingston and Richmond -1,037 -0.69 Lambeth, Southwark and Lewisham 660 0.18 Merton, Sutton and Wandsworth -3,139 -1.06 West Kent -11,332 -2.64 West Surrey 8,381 2.95 West Sussex 439 0.14 Avon 13,840 3.43 Cornwall and Isles of Scilly -750 -0.38 Dorset 1,656 0.58 Gloucestershire 5,280 2.32 Isle of Wight -3.229 -5.93 North and East Devon -721 -0.37 North and Mid Hampshire -2,480 -1.03
Summary of changes to Health Authority target allocations from 1996–97 to 1997–98, resulting from changes
to the market force factor
Health authority £000s Per cent. Portsmouth and South East Hampshire -4,378 -1.87 Somerset 198 0.10 South and West Devon -842 -0.35 Southampton and South West Hampshire -4,905 -2.08 Wiltshire 8,365 3.39 Birmingham 1,027 0.25 Coventry 64 0.05 Dudley 93 0.07 Herefordshire -59 -0.09 North Staffordshire -762 -0.39 Sandwell 392 0.33 Shropshire -606 -0.35 Solihull -165 -0.20 South Staffordshire -587 -0.25 Walsall -121 -0.11 Warwickshire -865 -0.42 Wolverhampton 98 0.10 Worcestershire -451 -0.21 Bury and Rochdale 821 0.51 East Lancashire -1.104 -0.53 Liverpool 2,463 1.29 Manchester 996 0.56 Morecambe Bay -471 -0.37 North Cheshire 3,173 2.49 North West Lancashire -721 -0.37 Salford and Trafford 1,639 0.90 Sefton 1,688 1.42 South Cheshire 6,376 2.32 South Lancashire -329 -0.26 St. Helens and Knowsley 1,997 1.47 Stockport 2,477 2.07 West Pennine 538 0.28 Wigan and Bolton 1,507 0.64 Wirral 1,784 1.32 Source:
1997–98 Health Authority Revenue Cash Limits Exposition Book.