Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what weighting has been applied (a) to the sparsity indicator within the children's 0 to 5 services component relative to that for other components and (b) to address complex need within that component.

In the publication Public health grant: proposed target allocation formula for 2016/17, an engagement of behalf of the Advisory Committee on Resource Allocation (ACRA), ACRA proposed that there should be a sparsity adjustment to take account of the longer travel times to home visits by health visitors.

The proposed sparsity adjustment is an index ranging between the values of 1.05 and 0.98 across local authorities, with an England average value of 1.00. The need weighted population for the 0-5 services component for each local authority is multiplied by this index to give the need and sparsity weighted populations.

ACRA proposed in the engagement that the relative need weight per head for 0-5 children’s services should be based on the proportion of children in low income households. ACRA proposed that the weight per head should be four times higher for children in low income households than for other children. No further adjustment is prosed by ACRA.

The engagement closed on 6 November and ACRA is currently considering the responses before providing its final advice to Ministers.