§ Ms BuckTo ask the Secretary of State for Health if he will rank each health authority in England by the percentage change in health spending per head of population between 1997–98 and 2002–03. [31820]
§ Mr. HuttonExpenditure per head cannot be reliably compared between health authorities or between different years.
Expenditure data for 2000–01 are the latest available, therefore the increase in expenditure per weighted head of population has been calculated as the percentage change between 1997–98 and 2000–01. These are shown in the table.
1164W
Health Authority Percentage increase 1997–98 to 2000–01 Morecambe Bay 51.60 Sefton 45.04 Dorset 43.56 Bromley 39.82 Camden and Islington 39.34 Croydon 37.75 Kensington, Chelsea and Westminster 33.70 Barnet 32.69 Tees 32.54 Nottingham 31.73 Liverpool 31.62 Doncaster 31.17 1165W
Health Authority Percentage increase 1997–98 to 2000–01 Dudley 30.88 Lambeth, Southwark and Lewisham 30.85 Redbridge and Waltham Forest 30.81 Salford and Trafford 30.47 Wirral 30.25 Barnsley 29.79 East London and The City 29.66 East Kent 29.51 South Essex 29.48 Northamptonshire 29.42 East Sussex, Brighton and Hove 29.41 Bexley and Greenwich 29.36 Avon 29.24 Portsmouth and South East Hampshire 29.00 North Essex 28.87 Enfield and Haringey 28.22 Rotherham 28.15 Merton, Sutton and Wandsworth 27.58 East Surrey 27.56 Berkshire 27.44 Northumberland 27.19 Barking and Havering 26.99 Calderdale and Kirklees 26.92 Oxfordshire 26.83 Bedfordshire 26.71 Sunderland 26.49 Coventry 26.45 West Pennine 26.40 South and West Devon 26.17 Somerset 26.04 North and Mid Hampshire 25.70 Manchester 25.59 Wigan and Bolton 25.54 North West Lancashire 25.53 Cornwall and Isles of Scilly 25.40 Walsall 25.40 Newcastle and North Tyneside 25.32 Wolverhampton 25.31 East Riding and Hull 25.29 West Sussex 25.23 Isle of Wight 25.19 Norfolk 25.17 Wiltshire 24.73 Cambridgeshire 24.23 Stockport 24.10 North Cumbria 24.05 Ealing, Hammersmith and Hounslow 23.97 North Nottinghamshire 23.97 West Surrey 23.86 County Durham and Darlington 23.60 South Cheshire 23.56 Leeds 23.18 Suffolk 23.12 West Kent 23.11 North Yorkshire 23.02 St. Helens and Knowsley 22.83 Southampton and South West Hampshire 22.79 Gloucestershire 22.72 Sandwell 22.48 North Staffordshire 22.34 Bury and Rochdale 22.27 Bradford 22.08 North Cheshire 21.80 North and East Devon 21.67 Gateshead and South Tyneside 21.66 South Lancashire 21.62 Brent and Harrow 21.60 Shropshire 21.59 Birmingham 21.56 West Hertfordshire 21.54 South Staffordshire 21.44 Hillingdon 20.93 East and North Hertfordshire 20.90
Health Authority Percentage increase 1997–98 to 2000–01 Leicestershire 20.80 East Lancashire 20.60 Buckinghamshire 20.56 Sheffield 20.52 Worcestershire 19.91 South Humber 19.32 Lincolnshire 19.26 Wakefield 18.65 Kingston and Richmond 18.05 North Derbyshire 17.94 Southern Derbyshire 17.67 Warwickshire 16.43 Herefordshire 13.26 Solihull 13.16 Notes:
1. In many health authorities there are factors which distort the expenditure per head. These include: the health authority acting in a lead capacity to commission health care or fund training on behalf of other health bodies; asset revaluations in NHS Trusts being funded through health authorities; and some double counting of expenditure between health authorities and primary care trusts within the health authority area. Allocations per weighted head of population provide a much more reliable measure to identify differences between funding of health authorities.
2. Expenditure is taken from health authority and primary care trust summarisation forms and accounts which are prepared on a resource basis and therefore differ from allocations in the year. The expenditure is the total spent by the health authority and by the primary care trusts within each health authority area. The majority of General Dental Services expenditure is not included in the health authority or primary care trust accounts and is separately accounted for by the Dental Practice Board.
3. Health authorities and primary care trusts should account for their expenditure on a gross basis. This results in an element of double counting where one body acts as the main commissioner and is then reimbursed by other bodies. This affects the results for 2000–01 in particular but the effect of this double counting within the answer cannot be identified.
4. Cambridgeshire and Norfolk health authorities were established on 1 April 1999 from the merger of three former health authorities. Expenditure figures for 1997–98 have been calculated from the relevant proportions of the three health authorities in the new bodies.
Source:
Health Authority annual accounts 1997–98
Health Authority summarisation forms 2000–01
Primary Care Trust summarisation schedules 2000–01
Weighted population estimates 2000–01