HC Deb 26 February 2001 vol 363 cc442-8W
Ms Buck

To ask the Secretary of State for Health if he will list, for each health authority, the difference between its capitation targets and allocation in cash and percentage terms(a) prior to and (b) following their 2001–02 allocations. [150528]

Mr. Denham

The 2001–02 distance from capitation targets in cash and percentage terms prior to and following allocations are listed for each health authority in the table.

2000–01 distance from target (£000s) 2000–01 distance from target (%)
Health authority 1Prior to allocations After allocations 1Prior to allocations After allocations
Liverpool 11,774 12,371 3.23 3.13
Manchester 10,866 11,467 2.96 2.89
Merton, Sutton and Wandsworth 16,360 17,155 3.72 3.60
Morecambe Bay 9,631 10,103 4.51 4.37
Newcastle and North Tyneside 8,229 8,631 2.32 2.25
Norfolk -2,368 -2,514 -0.46 -0.46
North and East Devon 4,278 4,456 1.32 1.27
North and Mid Hampshire -572 -630 -0.18 -0.18
North Cheshire 4,862 5,093 2.29 2.22
North Cumbria -169 -168 -0.08 -0.07
North Derbyshire 1,499 1,561 0.61 0.58
North Essex -5,906 -6,246 -1.06 -1.04
North Nottinghamshire -1,756 -1,843 -0.67 -0.65
North Staffordshire -3,832 -4,010 -1.14 -1.10
North West Lancashire 5,417 5,671 1.57 1.52
North Yorkshire -3,580 -3,795 -0.75 -0.74
Northamptonshire 1,078 1,149 0.30 0.30
Northumberland 1,596 1,712 0.75 0.75
Nottingham -6,985 -7,280 -1.61 -1.55
Oxfordshire -12,133 -12,752 -3.23 -3.14
Portsmouth and South East Hampshire 1,839 1,942 0.51 0.49
Redbridge and Waltham Forest 10,925 11,435 3.51 3.39
Rotherham -854 -883 -0.49 -0.47
Salford and Trafford 8,431 8,831 2.56 2.48
Sandwell -259 -222 -0.12 -0.09
Sefton 8,749 9,162 4.32 4.18
Sheffield 11,153 11,732 2.89 2.81
Shropshire -3,925 -4,118 -1.43 -1.39
Solihull 1,254 1,310 0.95 0.92
Somerset 2,787 2,894 0.88 0.85
South and West Devon 11,750 12,310 2.90 2.80
South Cheshire 7,154 7,467 1.64 1.58
South Derbyshire -7,539 -7,919 -1.97 -1.91
South Essex -6,055 -6,372 -1.29 -1.26
South Humber 5,390 5,721 2.57 2.52
South Lancashire 1,942 2,013 0.96 0.92
South Staffordshire -4,518 -4,755 -1.27 -1.24
Southampton and South West Hampshire 1,280 1,342 0.36 0.35
St. Helen's and Knowsley -1,326 -1,381 -0.51 -0.49
Stockport -849 -895 -0.44 -0.43
Suffolk 4,720 4,916 1.10 1.06
Sunderland -816 -809 -0.37 -0.34
Tees -2,487 -2,522 -0.61 -0.57
Wakefield 63 96 0.03 0.04
Walsall -4,491 -4,653 -2.46 -2.35
Warwickshire 3,744 3,909 1.19 1.14
West Hertfordshire -358 -414 -0.10 -0.11
West Kent 4,810 4,998 0.79 0.76
West Pennine -5,896 -6,170 -1.79 -1.73
West Surrey 7,055 7,354 1.80 1.74
West Sussex -1,758 -1,893 -0.34 -0.34
Wigan and Bolton -12,370 -12,959 -2.93 -2.84
Wiltshire 1,798 1,873 0.48 0.46
Wirral 8,963 9,398 3.77 3.65
Wolverhampton -1,531 -1,570 -0.87 -0.82
Worcestershire 704 724 0.22 0.20
1 Distances from target have changed since 2000–01 as a result of adjustments to initial 2000–01 allocations and changes to data, ie the updating of population and other data sources used in the weighted capitation formula.

Ms Buck

To ask the Secretary of State for Health on what basis health authorities were selected for a Years of Life Lost allocation; how Years of Life Lost allocations took into account the age-profile of the population; which health authorities received Years of Life Lost allocations; and which health authorities would qualify for the allocation had it been weighted for the age profile of the population. [150527]

Mr. Denham

Allocations to health authorities for 2001–02 include an adjustment based on rates of years of life lost (YLL) for circulatory diseases, all cancers, accidents, suicides and undetermined injury. £70 million was shared between the 47 health authorities with rates at or above 137 on the YLL index. The health authorities that received the YLL adjustment are shown in the table.

The YLL index takes account of the age structure of the population Other things being equal, a health authority with an cider population is likely to have a higher YLL rate than a health authority with a younger population.

Health inequalities adjustment for Health Authorities at or above 137 on the YLL index
Health Authority £ million
Barnsley 925
Bradford 1,686
Bury and Rochdale 1,528
Calderdale and Kirklees 1,967
Camden and Islington 1,358
Cornwall and Isles of Scilly 1,744
County Durham 2,424
Coventry 1,067
Doncaster 1,106
Dudley 1,010
East Kent 1,962
East Lancashire 2,069
East Riding 2,054
Gateshead and South Tyneside 1,476
Herefordshire 560
Isle of Wight 436
Leeds 2,471
Lincolnshire 2,301
Liverpool 1,997
Manchester 2,013
Morecambe Bay 1,101
Newcastle and North Tyneside 1,778
North Cheshire 1,151
North Cumbria 1,226
North Derbyshire 1,308
North Nottinghamshire 1,376
North Staffordshire 1,752
North West Lancashire 1,748
Northumberland 1,175
Nottingham 2,124
Rotherham 854
Salford and Trafford 1,723
Sandwell 1,180
Sefton 998

Distance from target (£000) Distance from target (percentage)
Health authority 1998–99 1999–20001 2000–011 1998–99 1999–20001 2000–01
Avon 1,720 -6,924 -7,351 0.40 -1.17 -1.13
Barking and Havering 1,660 -1,934 2,573 0.88 -0.75 0.92
Barnet 8,333 4,594 447 5.66 2.25 0.20
Barnsley -6,088 -4,786 -5,379 -5.24 -2.98 -3.05
Bedfordshire -8,397 -12,427 -13,980 -3.61 -3.82 -3.90
Berkshire -12,355 -15,619 -15,847 -3.83 -3.50 -3.17
Bexley and Greenwich 13,209 14,573 18,097 6.30 5.31 6.03
Birmingham -165 2,656 4,390 -0.03 0.39 0.59
Bradford -7,528 -5,542 -3,853 -3.18 -1.77 -1.11
Brent and Harrow 15,686 9,296 7,051 7.02 3.09 2.11
Bromley 2,062 -498 214 1.55 -0.27 0.11
Buckinghamshire -2,276 -9,343 -11,999 -0.86 -2.48 -2.86
Bury and Rochdale -5,816 -3,241 -1,049 -3.07 -1.29 -0.38
Calderdale and Kirklees -2,621 1,619 -671 -0.95 0.44 -0.17
Cambridge and Huntingdon2 -3,614 -2,663 n/a -2.08 -1.13 n/a
Cambridgeshire2 n/a n/a -10,687 n/a n/a -2.36
Camden and Islington 15,494 6,949 6,701 6.56 2.22 1.92
Cornwall and Isles of Stilly 410 6,454 5,506 0.18 2.08 1.62
County Durham -10,393 -9,737 -8,724 -3.36 -2.31 -1.89
Coventry -4,955 -7,182 -6,172 -3.36 -3.45 -2.71
Croydon 17 -2,556 -2,517 0.01 -1.25 -1.12
Doncaster -5,037 -276 -427 -3.50 -0.14 -0.20
Dorset 8,501 9,771 9,035 2.66 2.24 1.89
Dudley -1,521 -1,840 -3,044 -1.12 -1.00 -1.50
Ealing, Hammersmith and Hounslow 11,284 -2,835 -133 3.24 -0.59 -0.03
East and North Hertfordshire 3,186 -2,118 -4,059 1.58 -0.73 -1.26
East Kent -693 7,108 11,031 -0.24 1.83 2.62
East Lancashire -7,207 -2,389 -2,822 -2.77 -0.68 -0.73
East London and The City -16,068 -24,117 -20,945 -4.20 -4.69 -3.69
East Norfolk2 -1,639 3,198 n/a -0.60 0.85 n/a
East Riding -5,446 -2,397 -159 -2.04 -0.66 -0.04
East Surrey 7,197 5,013 5,777 4.09 2.10 2.20
East Sussex Brighton and Hove 3,958 10,634 13,072 1.07 2.15 2.43
Enfield and Haringey 3,803 1,731 1,464 1.55 0.54 0.41

Health inequalities adjustment for Health Authorities at or above 137 on the YLL index
Health Authority £ million
Sheffield 1,787
Shropshire 1,450
South Humber 1,188
South Lancashire 1,081
St. Helen's and Knowsley 1,374
Sunderland 1,112
Tees 2,166
Wakefield 1,190
Walsall 900
West Pennine 1,827
Wigan and Bolton 2,158
Wirral 1,246
Wolverhampton 872
England 70,000

Ms Buck

To ask the Secretary of State for Health how much of the current year's allocation to health authorities was directed towards moving health authorities closer to their capitation targets; and what the(a) cash and (b) percentage difference between allocation and capitation target was in each case, in each of the last three years. [150529]

Mr. Denham

Health authorities received an additional £2.79 billion with 2000–01 allocations. £110 million was directed specifically towards moving under target health authorities closer to their capitation targets.

The cash and percentage differences between allocation and capitation target (distance from target) for each of the last three years are shown in the table.

Distance from target (£000) Distance from target (percentage)
Health authority 1998–99 1999–20001 2000–011 1998–99 1999–20001 2000–01
Gateshead and South Tyneside -1,497 -1,954 -2,889 -0.79 -0.76 -1.03
Gloucestershire 7,708 12,408 10,564 3.28 3.85 2.99
Herefordshire 393 61 -319 0.55 0.06 -0.29
Hillingdon 179 658 -963 0.15 0.43 -0.56
Isle of Wight 5,407 6,326 6,603 8.64 7.35 7.02
Kensington, Chelsea and Westminster -11,480 -27,917 -27,876 -5.13 -8.88 -7.99
Kingston and Richmond 9,988 4,593 5,795 6.81 2.25 2.50
Lambeth Southwark and Lewisham 1,499 -3,567 12,253 0.34 -0.62 1.96
Leeds -5,231 1,203 3,114 -1.52 0.26 0.61
Leicestershire -13,432 -13,466 -16,280 -3.42 -2.54 -2.78
Lincolnshire -360 2,528 -3,733 -0.13 0.64 -0.86
Liverpool 612 7,149 6,603 0.24 2.09 1.78
Manchester 5,013 7,758 7,498 2.04 2.28 2.02
Merton Sutton and Wandsworth 15,223 9,553 8,245 4.96 2.31 1.84
Morecambe Bay 6,669 8,671 7,291 4.60 4.40 3.36
Newcastle and North Tyneside -1,059 1,752 3,206 -0.42 0.53 0.89
Norfolk2 n/a n/a 186 n/a n/a 0.04
North and East Devon 4,970 5,434 4,395 2.30 1.84 1.36
North and Mid Hampshire 6,626 3,913 1,612 3.17 1.36 0.51
North Cheshire 5,838 3,561 2,200 4.00 1.80 1.02
North Cumbria -249 111 434 -0.17 0.06 0.20
North Derbyshire 329 -575 -1,090 0.20 -0.25 -0.44
North Essex -8,593 -3,480 -436 -2.27 -0.69 -0.08
North Nottinghamshire -4,691 -2,849 -5,763 -2.61 -1.19 -2.16
North Staffordshire -6,157 -8,156 -5,796 -2.70 -2.62 -1.70
North West Anglia2 -5,046 -4,748 n/a -2.73 -1.86 n/a
North West Lancashire -9,296 -1,356 54 -3.81 -0.42 0.02
North Yorkshire 40 -1,736 -2,462 0.01 -0.40 -0.52
Northamptonshire 1,085 4,847 3,079 0.43 1.51 0.87
Northumberland -915 -325 -661 -0.64 -0.17 -0.31
Nottingham -10,487 -10,151 -10,245 -3.53 -2.53 -2.34
Oxfordshire -4,833 -9,569 -8,166 -2.02 -2.84 -2.19
Portsmouth and South East Hampshire 2,037 -917 60 0.85 -0.28 0.02
Redbridge and Waltham Forest 9,808 13,384 11,902 4.43 4.72 3.82
Rotherham -3,746 -1,079 -1,970 -3.03 -0.67 -1.12
Salford and Trafford -2,105 6,440 5,725 -0.93 2.13 1.72
Sandwell -1,285 -2,795 -2,060 -0.87 -1.34 -0.91
Sefton 1,361 1,987 5,688 0.94 1.05 2.77
Sheffield 4,190 5,419 4,686 1.57 1.50 1.19
Shropshire -2,145 -905 -3,616 -1.19 -0.36 -1.32
Solihull 1,553 1,598 496 1.89 1.32 0.37
Somerset 1,476 2,866 1,843 0.70 1.00 0.58
South and West Devon 3,033 6,989 5,998 1.09 1.86 1.45
South Cheshire 948 2,168 4,007 0.32 0.54 0.91
South Derbyshire -2,514 -7,068 -5,958 -1.01 -2.03 -1.56
South Essex -9,292 -14,809 -7,240 -2.97 -3.42 -1.54
South Humber 4,178 6,625 4,180 2.96 3.44 1.97
South Lancashire 4,314 4,328 4,249 3.22 2.38 2.10
South Staffordshire 1,362 2,721 -508 0.57 0.85 -0.14
Southampton and South West Hampshire -209 312 178 -0.09 0.10 0.05
St. Helen's and Knowsley -4,463 -1,013 -2,173 -2.68 -0.43 -0.84
Stockport -4,820 802 926 -3.68 0.46 0.48
Suffolk 7,332 6,452 3,950 2.68 1.65 0.92
Sunderland -4,597 -1,530 -2,255 -3.02 -0.76 -1.02
Tees -7,819 -3,681 -4,624 -2.82 -0.99 -1.13
Wakefield 2,485 771 1,031 1.66 0.37 0.45
Walsall -4,844 -2,093 -2,826 -3.87 -1.27 -1.55
Warwickshire 7,918 7,616 5,177 3.76 2.66 1.64
West Hertfordshire 6,118 4,980 1,788 2.67 1.59 0.52
West Kent 6,779 3,636 5,974 1.70 0.65 0.97
West Pennine -8,940 -4,898 -5,594 -3.81 -1.62 -1.69
West Surrey 14,279 8,531 10,150 5.49 2.35 2.60
West Sussex -812 -3,555 -2,609 -0.24 -0.76 -0.51
Wigan and Bolton -13,922 -12,069 -12,351 -4.85 -3.13 -2.92
Wiltshire 8,856 5,699 7,725 3.65 1.68 2.07
Wirral -2,500 4,365 7,386 -1.50 1.97 3.08
Wolverhampton -2,095 -2,351 -3.311 -1.74 -1.45 -1.85
Worcestershire 5,129 5,228 1,981 2.36 1.75 0.60
1 Figures for 1999–2000 onwards are for unified allocations, which cover hospital and community health services, prescribing and discretionary family health services. These figures are not strictly comparable with those for previous years which cover hospital and community health services only.
2 Figures are not comparable due to the merger of the former North West Anglia into the new health authorities of Cambridgeshire and Norfolk.