Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department assesses whether an area qualifies for a High Cost Area Supplement based on (a) travel to work area, (b) county council, (c) NHS commissioning authority or (d) another geographic basis.

High cost area supplements are included in Section 4 of the NHS Terms and Conditions, jointly agreed by employers and the National Health Service trade unions. Royston, Basildon, Harlow, Watford, Brentwood and Thurrock are all defined as fringe areas, therefore NHS staff working in these areas receive the fringe high cost area supplement at 5% of basic salary. Cambridgeshire is not defined as a zone for high cost area payments.

The high cost area zones are based on 2005 primary care trust geographical boundaries. It is open to the NHS Pay Review Body to make recommendations on the future geographic coverage of high-cost area supplements and on the value of such supplements. NHS employers or staff organisations in a specified geographic area can propose an increase in the level of high cost area supplement for staff in that area, or in the case of areas where no supplement exists, to introduce a supplement.