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NHS Spending

Chris Grayling: To ask the Secretary of State for Health if he will list by health authority area NHS spending per head of population. [23403]

Mr. Hutton: The expenditure by weighted head of population for each English health authority area for 2000–01 is shown in the table.

Expenditure by health authorities and primary care trusts

Health authorityExpenditure by weighted head
Avon 856.75
Barking and Havering 773.42
Barnet 959.87
Barnsley 766.50
Bedfordshire 779.74
Berkshire 804.46
Bexley and Greenwich 886.09
Birmingham 823.71
Bradford 769.58
Brent and Harrow 823.29
Bromley 971.74
Buckinghamshire 755.09
Bury and Rochdale 771.15
Calderdale and Kirklees 763.88
Cambridgeshire 786.94
Camden and Islington 1,067.88
Cornwall and Isles of Scilly 796.09
County Durham and Darlington 738.32
Coventry 802.56
Croydon 925.44
Doncaster 861.88
Dorset 1,023.69
Dudley 828.09
Ealing, Hammersmith and Hounslow 826.21
East and North Hertfordshire 803.66
East Kent 810.16
East Lancashire 740.66
East London and The City 869.91
East Riding and Hull 787.13
East Surrey 958.66
East Sussex, Brighton and Hove 827.74
Enfield and Haringey 817.53
Gateshead and South Tyneside 784.29
Gloucestershire 799.79
Herefordshire 761.71
Hillingdon 753.76
Isle of Wight 867.61
Kensington, Chelsea and Westminster 1,011.24
Kingston and Richmond 829.50
Lambeth, Southwark and Lewisham 886.88
Leeds 869.94
Leicestershire 779.71
Lincolnshire 808.95
Liverpool 887.35
Manchester 869.02
Merton, Sutton and Wandsworth 882.91
Morecambe Bay 1,346.04
Newcastle and North Tyneside 811.10
Norfolk 815.11
North and East Devon 800.95
North and Mid Hampshire 835.93
North Cheshire 811.75
North Cumbria 793.52
North Derbyshire 744.33
North Essex 839.97
North Nottinghamshire 761.33
North Staffordshire 760.11
North West Lancashire 770.48
North Yorkshire 814.07
Northamptonshire 830.95
Northumberland 871.50
Nottingham 842.50
Oxfordshire 823.14
Portsmouth and South East Hampshire 762.50
Redbridge and Waltham Forest 901.60
Rotherham 773.29
Salford and Trafford 839.62
Sandwell 777.76
Sefton 1,040.25
Sheffield 956.59
Shropshire 763.29
Solihull 756.17
Somerset 825.30
South and West Devon 800.84
South Cheshire 801.87
South Essex 806.50
South Humber 802.29
South Lancashire 779.41
South Staffordshire 792.06
Southampton and South West Hampshire 781.00
Southern Derbyshire 759.33
St. Helens and Knowsley 749.06
Stockport 759.28
Suffolk 778.56
Sunderland 781.94
Tees 824.19
Wakefield 854.72
Walsall 776.48
West Hertfordshire 800.40
West Kent 786.21
West Pennine 746.22
West Surrey 840.34
West Sussex 784.64
Wigan and Bolton 732.65
Wiltshire 828.57
Wirral 798.81
Wolverhampton 763.81
Worcestershire 827.41


1. Expenditure is taken from health authority and primary care trust summarisation forms which are prepared on a resource basis and therefore differ from cash 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.

2. 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. The effect of this double counting within the answer cannot be identified.

3. Some health authorities act as lead commissioners for particular specialties which inflates their figures when compared with others and also causes differences between years. Other factors may also distort the figures so the results are therefore not all directly comparable with each other and with answers to similar questions for previous years.


Health authority audited summarisation forms 2000–01.

Primary care trust audited summarisation schedules 2000–01.

Weighted population estimates for 2000–01.

19 Dec 2001 : Column: 453W

GP Waiting Times

Chris Grayling: To ask the Secretary of State for Health what guidance he has given to GPs about reducing notified waiting times for appointments. [23433]

Mr. Hutton: Primary care trusts have been working with practices to implement plans to achieve by March 2002 the 60 per cent. milestone for patients being able routinely to see a GP within two working days. These plans were informed by advice issued to primary care trusts and groups in June 2000.

Further comprehensive guidance is being developed with key stakeholders for issue in the new year.

Cancer Screening

Nick Harvey: To ask the Secretary of State for Health what plans he has to introduce a prostate cancer screening programme; and if he will make a statement. [23381]

Yvette Cooper: We are committed to introducing a screening programme for prostate cancer if and when screening and treatment techniques are sufficiently well developed. Trials for prostate cancer screening have shown that there are a number of complex issues involved. There is no conclusive evidence from any country that screening for prostate cancer would reduce the death rate from prostate cancer.

The national health Service prostate cancer programme was launched on 6 September 2000, covering research, treatment and a risk management programme specifically around improving early detection and diagnosis.

Nick Harvey: To ask the Secretary of State for Health (1) if he will give a breakdown of how the money for the NHS (a) breast cancer screening programme and (b) cervical cancer screening programme is allocated; [23380]

Yvette Cooper: The information is not available in the format requested. Funding for the national health service breast and cervical screening programmes is allocated directly to health authorities as part of their main allocations each year. It is estimated that the breast screening programme in England costs £52 million per year 1 and the cervical screening programme in England costs £132 million per year 2 .

As set out in the NHS Cancer Plan, the breast screening programme in England will be expanded by 2004 to include routine invitations for women aged 65 to 70. £1.5 million revenue and £2 million capital has been

19 Dec 2001 : Column: 454W

allocated in 2001–02 to begin the national roll-out of the expansion. Allocations for 2002–03 will be announced in due course.

Older Homeless People

Mr. Burstow: To ask the Secretary of State for Health what standards and milestones have been set to ensure that the health and social care needs of older homeless people are specifically addressed in the implementation of the National Service Frameworks for Older People and Mental Health. [24190]

Jacqui Smith: The standards and milestones for improvements in access and delivery of health and social care services set within the National Service Framework for Older People apply equally to all older people, and where appropriate younger people, whatever their housing status. The National Service Framework for Mental Health focuses on adults of working age. Like the NSF for Older People, the standards and milestones apply to all including the homeless.

Chief Medical Officer (Annual Report)

Dr. Fox: To ask the Secretary of State for Health on what dates in each of the past 10 years the Chief Medical Officer published his annual report. [24093]

Mr. Hutton: The Chief Medical Officer's annual report was published in September during the years 1991–98, and specifically in recent years, on 25 September 1996, 30 September 1997 and 9 September 1998. Since then Professor Liam Donaldson, the current Chief Medical Officer, reviewed the format of the annual report and published the first one during his term of office on 10 December 2001. No report was published in the intervening years of 1999–2000 although the Chief Medical Officer has produced five major reports on specific topics during this period.

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