The Department of Health and NHS England have changed the way that they allocate health funding to local commissioners. The Department and NHS England have prioritised maintaining the financial stability of local health economies, but this means they have made only very slow progress towards ensuring that all areas receive their fair share of the available funding. Around two-fifths of clinical commissioning groups and three-quarters of local authorities are receiving allocations more than 5% above or below what would be their defined share. This has consequences for financial sustainability - of the 20 clinical commissioning groups with the tightest financial positions at 31 March 2014, 19 had received less than their defined share of funding. One of the main objectives of the funding formulae is to support the reduction of health inequalities, yet the Department and NHS England have only limited evidence on how best to make adjustments for this purpose. NHS England also has more work to do on tacklinginaccuracies in GP list data, which are a key determinant in calculating an area's fair share of funding.Decisions about funding for the different elements of healthcare and social care have been made without fully considering the combined effect on local areas. ... funding but the causal relationship between the two is not understood, and the Department and NHS England did not take account ... Recommendation: The Department and NHS England, working with the Department for Communities and Localanbsp;...
|Title||:||HC 676 - Funding Healthcare: Making Allocations to Local Areas|
|Author||:||Great Britain: Parliament: House of Commons: Committee of Public Accounts, Margaret Hodge|
|Publisher||:||The Stationery Office - 2015-01-09|