HC Deb 12 November 2003 vol 413 cc338-40W
Dan Norris

To ask the Secretary of State for Health how much was spent on primary health services in Bath and North East Somerset in(a) 1996–97 and (b) 2003–04; and what that investment represents per head of population. [136326]

Ms Rosie Winterton

The information is not available in the format requested. Bath and North East Somerset Primary Care Trust (PCT) did not come into existence until 2001–02. Therefore, figures are provided for the Somerset Health Authority (HA) area for 1996–97, and for the Bath and North East Somerset PCT area for 2002–03. These figures are not, therefore, comparable.

Expenditure on primary health services is the total primary healthcare commissioned by the HA and by the PCT. Expenditure per head is normally expressed by weighted head of population, but this is not possible for 2002–03, because weighted population data are not available for PCT areas. Therefore, in this case, resident population figures have been used.

Commission of primary health care: expenditure and expenditure

per head

£
1996–97
Somerset HA area
Expenditure 55,641,000
Expenditure per head 121.65
2002–03
Bath and North East Somerset PCT area
Expenditure 37,525,000
Expenditure per head 222.22

Notes:

1. The PCT expenditure figures are not comparable as the areas are different between the two years provided.

2. Allocations per weighted head of population provide a much more reliable measure to identify differences between funding of HAs and PCTs.

3. Expenditure is taken from audited HA accounts and PCT summarisation schedules, which are prepared on a resource basis and therefore differ from cash allocations in the year. The expenditure is the total commissioning of primary health care by Somerset HA and by Bath and North East Somerset PCT. The majority of general dental services expenditure is not included in the HA or PCT summarisation forms and is separately accounted for by the Dental Practice Board. An element of pharmaceutical services expenditure is accounted for by the Prescription Pricing Authority and not by HAs or PCTs.

Sources:

1. Somerset HA audited annual accounts 1996–97.

2. Bath and North East Somerset PCT audited summarization schedules 2002–03.

3. HA weighted population figures for 1996–97.

4. PCT resident population figures for 2002–03?2002–03 data remain provisional.

Dan Norris

To ask the Secretary of State for Health how much is being spent per person in Bath and North East Somerset on all local health services in 2003; and what was spent in 1997. [136328]

Ms Rosie Winterton

Bath and North East Somerset Primary Care Trust (PCT) did not come into existence until 2001–02, so figures are provided for the Somerset Health Authority (HA) area for 1996–97 and for the Bath and North East Somerset PCT area for 2002–03.

Expenditure is the total expenditure by the HA and the commissioner net operating costs of the PCT. Expenditure per head is normally expressed by weighted head of population, but this is not possible for 2002–03, because weighted population data are not available for PCT areas. In this case, resident population figures have been used.

Total expenditure per head
£
1996–97 Somerset HA area 608.58
2002–03 Bath and North East Somerset PCT area 821.14

Notes:

1. In many HAs there are factors which distort the expenditure per head. These include: the HA acting in a lead capacity to commission healthcare or fund training on behalf of other health bodies; and asset revaluations in NHS trusts being funded through health authorities in NHS trusts being funded through health authorities or primary care trusts. For these reasons, expenditure per head cannot be compared reliably between HAs.

2. Allocations per weighted head of population provide a munch more reliable measure to identify differences between funding of HAs.

3. Expenditure is taken from audited health HA accounts and PCT summarisation schedules, which are prepared on a resource basis and therefore differ from cash allocations in the year. The expenditure is the total expenditure by the Somerset HA for 1997 and the net operating commissioner costs of the Bath and North East Somerset PCT for 2002–03. The majority of general dental services expenditure is not included in HA accounts or PCT summarisation schedules and is separately accounted for by the Dental Practice Board. An element of pharmaceutical services expenditure is accounted for by the Prescription Pricing Authority and not by HAs or PCTs.

Sources:

1. Somerset HA audited annual accounts 1996–97.

2. Bath and North East Somerset PCT audited summarisation schedules 2002–03.

3. HA weighted population figures for 1996–97.

4. PCT resident population figures for 2002–03—2002–03 data remain provisional.

Hospital in London using MRI scanners
Trust name Hospital Strategic health authority Installed (Year)
Barnet and Chase Farm Hospitals NHST Barnet General Hospital North Central London 1999
Barnet and Chase Farm Hospitals NHST (Enfield Alliance MRI) Chase Farm Hospital North Central London 1998
Great Ormond Street Hospital for Children NHST Great Ormond Street Hospital North Central London 2000
Great Ormond Street Hospital for Children NHST Great Ormond Street Hospital North Central London 1996
North Middlesex University Hospital NHST North Middlesex Hospital North Central London 1997
Royal Free Hampstead NHST Royal free Hospital North Central London 2000
Royal Free Hampstead NHST Royal free Hospital North Central London 1996
University College London Hospitals NHST Middlesex Hospital North Central London 1997
University College London Hospitals NHST The National Hospital for Neurology and Neurosurgery North Central London 2000
University College London Hospitals NHST Queen Square Imaging Centre North Central London 1993