§ Mr. Simon HughesTo ask the Secretary of State for Health what have been the payments made to GP fundholders in each region in each year since 1990–91 in(a) management allowances and (b) computer costs.[17388]
§ Mr. MilburnAvailable data on general practitioner fundholders' management allowances (PFMA) since 1990–91 are set out in the tables, which distinguish PFMA (general) from PFMA (computing).
The PFMA (general) coverage was increased in 1995–96, to include an element for the running costs of fundholding computer systems, which had previously been paid separately.
PFMA (computing) was introduced as a separate component of PFMA in 1996–97 to cover the costs of purchase or lease of fundholding computer systems. Up until April 1996 GP fundholders received reimbursement for these computer costs via the Statement of Fees and Allowances. As a result, audited information is not held 655W centrally which identifies GP fundholding costs. However, estimates of moneys allocated to support GP fundholding computing costs from 1991–92 to 1994–95 are also shown.
Practice Fund Management Allowance by RHA in England— 1990–91 to 1995–96 £000 Regional health authorities 1990–91 1991–92 1992–93 1993–94 1994–95 1995–96 Northern and Yorkshire 1,082 2,343 4,466 6,040 8,254 14.859 Trent 425 1,356 3,432 6,279 8,003 11,647 Anglia and Oxford 1,015 2,210 4,816 7,212 9,278 13,163 North Thames 287 944 2,115 3,364 5,558 12,511 South Thames 515 1,500 3,139 6,262 9,354 16,504 South West 724 1,708 3,377 5,315 6,921 11,537 West Midlands 334 1,412 3.288 6.466 9,233 15.067 North West 856 1,997 3,987 6,663 8,205 14,377 >England 5,238 13,470 28,620 47.601 64,806 109,668
Practice Fund Management Allowance by NHS Executive RO in England—1996–97 and 1997–98 £000 Regional office 1996–97 1997–98 General Computing General Computing Northern and Yorkshire 17,886 2,175 19,186 294 Trent 15,953 1,350 15,439 0 Anglia and Oxford 13,771 1,200 13,853 294 North Thames 21,193 1,850 22,130 420 South Thames 18,937 1.425 19,486 0 South West 15,389 2,800 16,258 0 West Midlands 18,070 650 18,034 63 North West 19,371 1,325 19,633 294 England 140,564 12,775 144,019 1,365 Source:
1990–91 to 1995–96: annual accounts of Family Health Services
Authorities.
1996–97: FDL(96)35 and FDL(96)42, revised slightly.
1997–98: FDL(97)32.
Note:
Data for 1990–91 to 1994–95 presented on Regional Office boundaries.
Estimated spend on Information Technology to support GPFundholding by Regional Health Authority inEngland— 1991–92 to 1994–95 £000 Regional health authorities 1991–92 1992–93 1993–94 1994–95 Northern and Yorkshire 2,099 3,093 2,129 2,717 Trent 1,337 2,949 2,395 2,662 Anglia and Oxford 1,446 1,989 2,144 1,894 North Thames 836 1,809 1,665 1,819 South Thames 1,812 2,371 3,028 2,659 South West 2,117 1,747 2,088 1,906 West Midlands 1,152 2,371 2,413 3,129 North West 824 1,725 2,643 2,060 England 11,623 18,054 18,505 18,846 Source
Estimates taken from FIS4 returns by FHSAs.