All Indicators > Indicator IR2: Preventative care resourcing
| Definition | Health service expenditure per capita on services promoting healthy areas |
| Dimension | Intervening factors |
| Sector | Resourcing to support health (macro) |
| Components |
|
| Source Numerator | 2001, 2001 Ethnic: Annual Financial Returns of Financial Trusts, form TFR2F, "Health Programme Analysis", Sheet 073 (expenditure), 2001/02 financial year, Department of Health |
| 2003: Annual Financial Returns of Financial Trusts, form TFR2F, and Primary Care Trusts, Form PFR2F “Health Programme Analysis”, Sheet 073 (expenditure), 2003/04 financial year, Department of Health | |
| 2005: Data provided by DOH using DOH Reference costs 2005-06 database. TRF and PFR have been discontinued. Cost categories were matched to previous years as far as possible. | |
| Source Denominator | 2001, 2001 Ethnic: Mid year population estimate 2001, ONS |
| 2003: Mid year population estimate 2003, ONS | |
| 2005: Mid year population estimate 2005, ONS |
Additional details
Total expenditure per capita was calculated from the TFR2F return for the staff groups listed below. Sub-totals for two groups, Nurse led care and Therapy were also calculated as shown:
| Description of expenditure | Column number from Form TFR2F | Column number from Form PFR2F |
| Nurse Led Care: | ||
| District nursing | 108 | 109 |
| Specialist nursing | 109 | 110 |
| Children/school nursing | 110 | 111 |
| Health visiting | 111 | 112 |
| Therapy: | ||
| Chiropody/podiatry | 112 | 113 |
| Speech Therapy | 117 | 118 |
| Occupational Therapy | 118 | 119 |
| Physiotherapy | 119 | 120 |
| Dietetics | 120 | 121 |
| Community dentistry | 121 | 122 |
Expenditure was distributed to Local Authority Districts (LAD) using two methods as outlined below. Figures from the two methods were then summed:
Method 1 - Using Hospital Episode Statistics (HES)
This methodology was used where a Trust code could be linked to the Department
of Health's HES. The HES dataset was used to distribute expenditure data
to wards using the Norris Bailey proportionate flow methodology for creating
NHS trust catchment populations. This is described in a methods document
published by the Eastern Region Public Health Observatory (Eastern Region
Public Health Observatory. Catchment areas and populations. INphoRM (Information
on Public Health Observatory recommended methods) February 2003, Issue 2)
and outlined below:
Trust expenditure was allocated pro rata to a ward based on the proportion of episodes from that ward to each provider.
Ea = W1a E1 / Sum(W1i) + W2a E2 / Sum(W2i)
Where:
Ea = expenditure ward a
W1a = ward activity provider 1
W2a = ward activity provider
2
E1 = expenditure provider1
E2 = expenditure staffing provider
2 etc
W1i = total activity in provider 1
W2i = total activity in provider
2 etc
Data were then aggregated to LAD level.
Method 2 - Using Primary Care Trust (PCT) catchments
This method was used for Trusts that had no HES episodes. Expenditure was allocated
to a PCT as shown:
2001
| Trust code | Trust name | PCT code | PCT name |
| RBP | Chester and Halton Community NHS Trust | 5J1 | Halton PCT |
| RER | St Helens and Knowsley Community Health NHS Trust | 5J3 | St Helens PCT |
| RJM | Walsall Community Health NHS Trust | 5M3 | Walsall Primary Care Trust |
| RJT | Cheshire Community Health Care NHS Trust | 5H4 | Central Cheshire PCT |
| RPV | Riverside Community Health Care NHS Trust | 5H1 | Hammersmith and Fulham PCT |
| RA0 | Croydon and Surrey Community NHS Trust | 5K9 | Croydon PCT |
| RNK | Tavistock and Portman NHS Trust | 5A9 5K7 5C1 5C9 5K8 |
Barnet PCT Camden PCT Enfield PCT Haringey PCT Islington PCT |
2003
| Trust code | Trust name | PCT code | PCT name |
| RNK | Tavistock and Portman NHS Trust | 5A9 5K7 5C1 5C9 5K8 |
Barnet PCT Camden PCT Enfield PCT Haringey PCT Islington PCT |
Data were attached to the Postcode Address File (PAF) linking on PCT of residence for each postcode. This allowed a population weighted value to be created for each LAD.
As a regional resource, it is not possible to differentiate access by ethnic group. Thus, all ethnic groups are attributed the same preventative care resourcing value within an LAD.
2005
Where Trusts had hospital data Method 1 was used. Where there was no HES activity data available, monies were apportioned by linking the PAF file to the PCT of residence, then creating a weighted LAD population as described above. The 2005-2006 dataset also included a few GP practices, which were allocated to the relevant PCTs.
Note: Correlation of 2005 to 2003 showed that LA 30UL (Ribble Valley) represented a statistical outlier to the main distribution. Its expected value based on previous years, in the absence of any other evidence, was therefore estimated in order to provide a credible value.