HC Deb 15 December 1992 vol 216 cc177-9W
Mr. Bayley

To ask the Secretary of State for Health if she will indicate for each regional hospital authority(a) the cash allocation for hospital and community health services spending in 1993–94 and (b) the region's resident population in 1993–94 in each age band in the national capitation funding formula, and to subdivide the cash allocation for each region by the population in each age band in proportion to the age-related weightings in the capitation formula in such a way as to show the amount of money allocated per person in each age band in each region for HCHS in 1993–94.

Mr. Sackville

Table 1 shows for each region the main revenue allocation for resident population in 1993–94. These were based on an across the board increase of 0.4 per cent. above inflation with a similar sum distributed to bring regions closer to their population shares. They do not therefore equate to weighted capitation shares.

1989 based population projections for mid-1993
Table 2
Births 00–04 05–14 15–44 45–64 65–74 75–84 85+ Total
Age bands 1 2 3 4 5 6 7 1–7
RHA
Northern 41,344 204,195 399,985 1,275,568 705,088 295,696 152,444 46,627 3,079,603
Yorkshire 52,050 254,276 476,588 1,541,858 818,873 330,915 191,539 62,098 3,676,147
Trent 64,254 317,311 591,339 1,985,123 1,078,310 441,979 242,529 74,835 4,731,426
East Anglia 27,650 136,894 265,732 891,126 472,771 200,464 120,663 39,338 2,126,988
North West Thames 52,989 247,168 441,479 1,627,217 772,747 267,956 164,541 53,568 3,574,676
North East Thames 57,910 273,155 480,696 1,672,102 796,067 307,148 182,977 59,538 3,771,683
South East Thames 52,713 255,375 454,418 1,585,462 797,947 335,075 211,945 73,463 3,713,685
South West Thames 40,925 197,699 357,403 1,312,490 672,707 259,969 172,071 62,410 3,034,749
Wessex 39,805 194,501 366,830 1,257,977 676,441 293,996 177,740 61,184 3,028,669
Oxford 37,872 182,471 346,655 1,165,918 568,251 193,304 112,555 36,874 2,606,028
South western 43,138 211,470 404,171 1,341,429 768,209 338,856 207,413 71,695 3,343,243
West Midlands 75,089 370,102 688,779 2,181,941 1,206,701 474,349 256,622 77,936 5,256,430
Mersey 33,995 166,143 317,455 989,317 550,883 216,341 121,115 37,888 2,399,142

Table 2 shows the projected births and resident population in each age band used in the weighted capitation formula.

The formula does not make allocations in respect of specific age groups. It weights the crude population for:

  • Age, using the expenditure weightings in table 3;
  • Standardised mortality ratio, all causes under 75;
  • London weighting and market forces factor;
  • Thames regions addition.

Table 4 shows the successive effects of each of these weighting factors on each region's population shares.

The age weightings reflect past estimated national spending on these age bands and cannot be used in isolation to produce meaningful information in the form requested.

Table 1 Regional health authority allocations: 1993–94 Revenue allocations for resident populations
Allocation for resident populations £000s 1Percentage increase over inflation
Northern 1,159,723 1.03
Yorkshire 1,334,886 0.67
Trent 1,672,751 1.16
East Anglia 704,794 1.18
North West Thames 1,320,749 0.40
North East Thames 1,490,187 0.40
South East Thames 1,439,276 0.40
South West Thames 1,116,107 0.40
Wessex 1,033,656 1.48
Oxford 794,779 0.86
South West 1,185,708 1.16
West Midlands 1,855,142 1.00
Mersey 890,032 0.58
North West 1,505,427 0.70
England 17,503,217 0.80
1Above forecast inflation for the hospital and community health services of 1.9 per cent.

Births 00–04 05–14 15–44 45–64 65–74 75–84 85+ Total
Age bands 1 2 3 4 5 6 7 1–7
Northwestern 58,654 287,137 531,113 1,680,715 888,688 354,077 205,456 64,527 4,011,713
England 678,388 3,297,897 6,122,643 20,508,243 10,773,683 4,310,125 2,519,610 821,981 48,354,182

RHA cash limits 1993–94: Age weighting1
Table 3
2Births Band 1 Band 2 Band 3 Band 4 Band 5 Band 6 Band 7
1988–89 1,382.67 186.33 108.31 103.04 230.20 519.60 939.42 1,799.10
Reflated 1,597.65 215.30 125.15 119.06 265.99 600.39 1,085.48 2,078.82
1989–90 Cash 1,361.72 204.60 103.99 115.87 256.63 545.86 1,015.50 1,877.05
Reflated 1,480.19 222.40 113.04 125.95 278.96 593.35 1,103.85 2,040.35
1990–91 Cash 1,438.21 221.31 110.02 139.84 274.27 590.25 1,057.45 1,961.32
Average 1,505.35 219.67 116.07 128.28 273.07 594.66 1,082.26 2,026.83
1Estimates are quoted here to 2 decimal places for use in calculation of sub-regional allocations but should not be regarded as so precise and are normally rounded.
2Bands 2 and 3 are estimated average cost per head for age groups 5–15 and 16–44 respectively. These are used as proxies when weighting resident populations aged 5–14 and 15–44.

Table 4 1993 Resident populations weighted for age, standardised mortality ratios, London weighting/market forces and Thames factors
£000s
A B C D
Northern 3,048.91 3,328.67 3,249.16 3,221.23
Yorkshire 3,681.55 3,819.52 3,728.29 3,696.24
Trent 4,714.81 4,806.27 4,691.47 4,651.14
East Anglia 2,179.86 2,025.40 1,977.02 1,960.02
North West Thames 3,391.76 3,254.29 3,472.10 3,576.27
North East Thames 3,666.10 3,642.04 3,951.61 4,070.16
South East Thames 3,830.33 3,752.51 3,924.84 3,964.09
South West Thames 3,116.76 2,890.84 3,017.93 3,048.11
Wessex 3,170.32 2,978.07 2,906.93 2,881.94
Oxford 2,432.17 2,272.94 2,223.46 2,204.35
South Western 3,586.37 3,407.04 3,325.66 3,297.07
West Midlands 5,167.32 5,323.30 5,196.14 5,151.48
Mersey 2,382.59 2,544.67 2,483.89 2,462.54
North Western 3,985.34 4,308.63 4,205.71 4,169.56
ENGLAND 48,354.20 48,354.20 48,354.20 48,354.20

Resident populations (including births) weighted for:

  1. A = Age
  2. B = Standardised mortality ratios
  3. C = London weighting and market forces
  4. D = Thames factors