Health Services: Expenditure

(asked on 9th June 2015) - View Source

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the average per capita funding level was for (a) primary care and (b) public health in (i) the UK, (ii) London and (iii) Enfield in each of the last five years.


Answered by
Alistair Burt Portrait
Alistair Burt
This question was answered on 17th June 2015

The implementation of the Health and Social Care Act 2012 from April 2013 changed the way that health system was organised, and as part of this how funding was distributed to different parts of the system. Therefore we are not able to supply the data for 2011-12 and 2012-13 as requested, as this would not be comparable with the data recorded from 2013-14 onwards.

Decisions on health spending are also a devolved matter, so we are able to provide data for England, but not for the United Kingdom as a whole.

Local authorities (LAs) in England took over public health responsibilities from April 2013, data prior to this is not available. The table below shows the average per head of capita allocation for England, London region, Enfield LA and the Office of National Statistics (ONS) cluster for Enfield LA. The ONS Cluster group LAs into clusters based on similar characteristics on health.

Public health allocations per head of upper tier local authority population and England from 2013/14 to 2015/16

Average per capita funding

2013/14

2014/15

2015/16

England

£49

£51

£51

London region

£61

£67

£67

London Suburbs (ONS cluster)

£43

£49

N/A

Enfield

£40

£43

£43

NHS England is responsible for the allocation of primary care funding and funding for Section 7A (s.7A), which outlines specific responsibilities for NHS England for the commissioning of certain public health services as part of the wider system design to drive improvements in population health.

The table below shows the total allocation and average per capita allocation for primary care and s.7A in England, London and Enfield. Borough level reporting, however, is not available for public health services (s.7A), as the services are commissioned on a London basis. The figures shown are indicative and based on the Primary Care Trust (PCT) baseline mapping exercise and overall London uplifts in funding.

2013/14 funding allocations

2014/15 funding allocations

2015/16 funding allocations

Primary Care*

s.7A

Primary Care

s.7A

Primary Care

s.7A

Total (£bn)

Per Capita

(£)

Total (£bn)

Per Capita

(£)

Total (£bn)

Per Capita

(£)

Total (£bn)

Per Capita

(£)

Total (£bn)

Per Capita

(£)

Total (£bn)

Per Capita

(£)

England

11.95

212

1.71

30

12.01

212

1.8

32

12.29

215

1.71

30

London

1.925

209

0.239

26

1.9

210

0.262

29

1.96

211

0.275**

30

Enfield

0.06

188

0.008

25

0.07

215

0.00876

27

0.07

216

0.0092

29

* Primary care allocation includes secondary care dental services. Borough level reporting was not available for primary care services in 2013-14, the figures shown are estimated indicative amounts based on the baseline mapping by Enfield PCT.

** S.7A 2015-16 allocation is pre transfer of 0-5 Health Visiting services to LAs from 1 October 2015. The post transfer allocation figure is £0.19 billion.

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