BMJ  2004;329:130 (17 July), doi:10.1136/bmj.329.7458.130

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Watchdog criticises unequal distribution of NHS funding

London Rebecca Coombes

A report by independent NHS inspectors has highlighted glaring inequalities in health between rich and poor areas in England and Wales and criticises the low numbers of GPs in deprived areas, which might be expected to need doctors most.

The Healthcare Commission, which has taken over the inspection role of the Commission for Health Improvement, said that the most deprived communities were still not being funded in line with their needs, despite a government formula designed to do just that.

Inspectors found that the 2002 formula for assessing health needs—the PCT [primary care trust] revenue resource limits—was not being phased in quickly enough because the government feared the reaction from affluent areas as funds were withdrawn and redistributed to poorer districts.

For historical reasons, Easington Primary Care Trust, County Durham, was getting a fifth less than it should under the formula, a shortfall of £26.5m ($49.3m; €39.8m). . . . [Full text of this article]


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BMJ 2004 329: 248. [Extract] [Full Text] [PDF]




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