Today's BBC news broadcasts on the radio,television and on the
internet, triumphantly announced that Cornwall was to receive an extra NHS funding boost from central government. Now, before we break out the champagne lets put this in some context and not simply rely upon a press release to tell us whats good and whats not. At the outset I must say I do think it is a good thing that the Cornwall and Scilly PCT has been received this money in a form of a grant, however its not as great as the news first seems. We are still a long way from getting our fair share of funding from central government and despite Mebyon Kernow's effort as Dick Cole's
blog explains, there has so far been no discernable action by the Conservative led council.
According to Department of Health figures, Cornwall is joint bottom in terms of underfunding. The table below is taken from the DoH
website (PDF file), I have reordered the columns from alphabetical to descending in terms of Distance from Target (DFT). These
DFT figures are shown as a percentage, a positive number meaning over target funding and negative numbers under target funding. I apologise for the size of the table, but nothing makes the case better than seeing how many PCTs that Cornwall sadly lags behind.
2009-10 AND 2010-11 PCT REVENUE ALLOCATIONS
PCT | 2009-10 allocation £000s | 2010-11 allocation £000s | Two year increase £000s | Two year increase % | 2010-11 closing DFT % |
Richmond and Twickenham PCT | 267,442 | 281,193 | 27,031 | 10.6% | 23.4% |
| 447,789 | 470,813 | 45,259 | 10.6% | 20.8% |
Kensington and Chelsea PCT | 337,424 | 354,773 | 34,104 | 10.6% | 20.4% |
Hammersmith and Fulham PCT | 326,448 | 343,232 | 32,995 | 10.6% | 16.2% |
Lambeth PCT | 580,017 | 609,840 | 58,624 | 10.6% | 14.8% |
Wandsworth PCT | 488,965 | 514,106 | 49,421 | 10.6% | 14.4% |
| 249,459 | 262,286 | 25,213 | 10.6% | 13.5% |
| 453,989 | 477,331 | 45,886 | 10.6% | 12.4% |
Lewisham PCT | 484,939 | 509,873 | 49,014 | 10.6% | 12.0% |
Islington PCT | 412,126 | 433,316 | 41,655 | 10.6% | 11.7% |
| 1,565,807 | 1,646,316 | 158,260 | 10.6% | 11.6% |
Heart of Birmingham Teaching PCT | 523,451 | 550,366 | 52,906 | 10.6% | 10.2% |
Sutton and Merton PCT | 583,188 | 613,174 | 58,944 | 10.6% | 9.7% |
Bromley PCT | 466,265 | 490,239 | 47,126 | 10.6% | 8.6% |
Ealing PCT | 545,775 | 573,837 | 55,163 | 10.6% | 8.0% |
Brent Teaching PCT | 501,538 | 527,325 | 50,692 | 10.6% | 7.7% |
Brighton and Hove City PCT | 438,902 | 461,469 | 44,361 | 10.6% | 7.7% |
Trafford PCT | 340,332 | 357,831 | 34,398 | 10.6% | 7.7% |
Harrow PCT | 313,370 | 329,483 | 31,673 | 10.6% | 7.4% |
Barnet PCT | 528,745 | 555,931 | 53,442 | 10.6% | 6.7% |
City and Hackney Teaching PCT | 472,222 | 496,502 | 47,729 | 10.6% | 6.6% |
Hillingdon PCT | 379,496 | 399,009 | 38,357 | 10.6% | 6.4% |
Southwark PCT | 492,748 | 518,084 | 49,803 | 10.6% | 5.7% |
| 773,604 | 813,380 | 78,190 | 10.6% | 5.3% |
| 597,061 | 627,760 | 60,346 | 10.6% | 5.1% |
Croydon PCT | 526,752 | 553,836 | 53,240 | 10.6% | 5.1% |
Hounslow PCT | 362,964 | 381,627 | 36,686 | 10.6% | 5.1% |
Bath and North East Somerset PCT | 255,385 | 268,516 | 25,812 | 10.6% | 4.4% |
| 424,160 | 445,968 | 42,871 | 10.6% | 4.0% |
| 532,623 | 560,009 | 53,833 | 10.6% | 3.7% |
| 1,172,602 | 1,232,894 | 118,518 | 10.6% | 3.7% |
Bournemouth and Poole Teaching PCT | 509,384 | 535,575 | 51,485 | 10.6% | 3.6% |
| 431,751 | 453,950 | 43,638 | 10.6% | 3.4% |
Tower Hamlets PCT | 447,591 | 470,605 | 45,239 | 10.6% | 3.4% |
Oxfordshire PCT | 830,948 | 873,673 | 83,986 | 10.6% | 3.2% |
| 466,097 | 490,062 | 47,110 | 10.6% | 2.8% |
East Sussex Downs and Weald PCT | 513,310 | 539,702 | 51,881 | 10.6% | 2.4% |
Wirral PCT | 565,696 | 594,782 | 57,176 | 10.6% | 2.3% |
South Gloucestershire PCT | 323,108 | 339,722 | 32,657 | 10.6% | 2.2% |
| 395,510 | 415,846 | 39,977 | 10.6% | 2.2% |
Buckinghamshire PCT | 652,120 | 685,650 | 65,911 | 10.6% | 2.1% |
| 436,718 | 459,173 | 44,140 | 10.6% | 2.1% |
Haringey Teaching PCT | 424,321 | 446,139 | 42,887 | 10.6% | 2.1% |
Hastings and Rother PCT | 303,746 | 319,363 | 30,700 | 10.6% | 2.1% |
Sefton PCT | 479,220 | 503,861 | 48,463 | 10.6% | 1.9% |
| 906,876 | 953,504 | 91,817 | 10.7% | 1.7% |
| 390,481 | 410,562 | 39,470 | 10.6% | 1.6% |
Bexley Care Trust | 321,350 | 337,896 | 32,552 | 10.7% | 1.4% |
Barking and Dagenham PCT | 301,080 | 316,599 | 30,789 | 10.8% | 1.3% |
Gloucestershire PCT | 825,908 | 868,490 | 83,597 | 10.7% | 1.3% |
| 244,676 | 257,356 | 24,830 | 10.7% | 1.0% |
| 166,081 | 174,705 | 16,913 | 10.7% | 0.9% |
Newham PCT | 510,371 | 536,897 | 51,869 | 10.7% | 0.9% |
| 885,052 | 931,076 | 90,381 | 10.8% | 0.9% |
| 375,103 | 394,678 | 38,320 | 10.8% | 0.8% |
Hampshire PCT | 1,709,698 | 1,799,471 | 175,170 | 10.8% | 0.7% |
Wiltshire PCT | 610,462 | 642,526 | 62,527 | 10.8% | 0.6% |
Havering PCT | 376,447 | 396,316 | 39,278 | 11.0% | 0.5% |
| 279,272 | 294,039 | 29,326 | 11.1% | 0.5% |
| 660,306 | 695,459 | 68,412 | 10.9% | 0.4% |
Central and Eastern Cheshire PCT | 645,100 | 679,543 | 67,099 | 11.0% | 0.4% |
Medway PCT | 391,582 | 412,814 | 41,635 | 11.2% | 0.2% |
| 510,293 | 537,800 | 54,110 | 11.2% | 0.2% |
| 357,224 | 376,601 | 38,000 | 11.2% | 0.1% |
| 425,994 | 449,125 | 45,339 | 11.2% | 0.1% |
| 294,018 | 310,080 | 31,371 | 11.3% | 0.1% |
| 587,304 | 619,168 | 62,482 | 11.2% | 0.1% |
Portsmouth City Teaching PCT | 311,043 | 328,095 | 33,267 | 11.3% | 0.0% |
| 602,217 | 635,283 | 64,461 | 11.3% | 0.0% |
| 926,518 | 977,459 | 98,922 | 11.3% | 0.0% |
Heywood, Middleton and Rochdale PCT | 358,484 | 378,201 | 38,405 | 11.3% | -0.0% |
Knowsley PCT | 303,843 | 320,554 | 32,552 | 11.3% | -0.1% |
East Lancashire Teaching PCT | 629,300 | 663,912 | 67,419 | 11.3% | -0.2% |
| 529,616 | 558,745 | 56,739 | 11.3% | -0.3% |
| 580,964 | 613,261 | 62,584 | 11.4% | -0.6% |
East and North Hertfordshire PCT | 759,311 | 803,338 | 83,612 | 11.6% | -0.6% |
| 257,714 | 271,888 | 27,610 | 11.3% | -0.6% |
Eastern and Coastal Kent PCT | 1,151,643 | 1,216,563 | 124,958 | 11.4% | -0.8% |
| 1,088,020 | 1,152,427 | 121,128 | 11.7% | -1.0% |
Redbridge PCT | 365,515 | 385,618 | 39,159 | 11.3% | -1.1% |
Bradford and Airedale Teaching PCT | 810,920 | 856,745 | 88,101 | 11.5% | -1.2% |
Isle of Wight NHS PCT | 232,671 | 245,882 | 25,341 | 11.5% | -1.2% |
| 345,791 | 364,810 | 37,046 | 11.3% | -1.2% |
| 277,524 | 294,545 | 31,489 | 12.0% | -1.3% |
Calderdale PCT | 308,563 | 325,895 | 33,418 | 11.4% | -1.4% |
Northamptonshire Teaching PCT | 927,249 | 983,436 | 104,527 | 11.9% | -1.4% |
| 379,096 | 399,946 | 40,614 | 11.3% | -1.4% |
| 290,606 | 306,628 | 31,172 | 11.3% | -1.4% |
Warwickshire PCT | 739,819 | 781,747 | 80,496 | 11.5% | -1.4% |
Tameside and Glossop PCT | 383,015 | 404,080 | 41,033 | 11.3% | -1.5% |
| 233,544 | 246,388 | 25,020 | 11.3% | -1.6% |
| 1,169,992 | 1,235,149 | 126,152 | 11.4% | -1.7% |
Kirklees PCT | 598,931 | 631,872 | 64,165 | 11.3% | -1.8% |
North East Lincolnshire Care Trust Plus | 259,146 | 273,399 | 27,763 | 11.3% | -1.9% |
| 368,298 | 388,555 | 39,457 | 11.3% | -1.9% |
| 783,807 | 826,917 | 83,971 | 11.3% | -2.0% |
Cambridgeshire PCT | 777,313 | 827,498 | 90,708 | 12.3% | -2.1% |
| 688,006 | 725,915 | 73,777 | 11.3% | -2.2% |
| 500,226 | 527,738 | 53,591 | 11.3% | -2.2% |
| 425,164 | 448,548 | 45,549 | 11.3% | -2.2% |
Blackburn with Darwen PCT | 258,536 | 272,755 | 27,698 | 11.3% | -2.4% |
| 282,841 | 298,802 | 30,707 | 11.5% | -2.4% |
North Yorkshire and York PCT | 1,076,587 | 1,139,019 | 118,557 | 11.6% | -2.4% |
Birmingham East and North PCT | 674,108 | 711,184 | 72,219 | 11.3% | -2.5% |
| 439,803 | 463,992 | 47,117 | 11.3% | -2.6% |
Somerset PCT | 751,518 | 796,505 | 84,166 | 11.8% | -2.6% |
| 408,545 | 431,015 | 43,769 | 11.3% | -2.6% |
Worcestershire PCT | 771,728 | 815,248 | 83,752 | 11.4% | -2.6% |
Great Yarmouth and Waveney PCT | 361,014 | 381,535 | 39,341 | 11.5% | -2.9% |
| 316,252 | 333,646 | 33,881 | 11.3% | -2.9% |
Bury PCT | 282,130 | 297,647 | 30,225 | 11.3% | -3.1% |
Herefordshire PCT | 256,778 | 272,050 | 28,658 | 11.8% | -3.1% |
| 315,520 | 338,522 | 39,450 | 13.2% | -3.2% |
Northumberland Care Trust | 498,897 | 526,337 | 53,448 | 11.3% | -3.2% |
| 236,008 | 249,424 | 25,720 | 11.5% | -3.4% |
Bedfordshire PCT | 551,987 | 585,386 | 62,176 | 11.9% | -3.5% |
| 925,276 | 979,818 | 102,780 | 11.7% | -3.5% |
| 461,830 | 488,887 | 51,133 | 11.7% | -3.5% |
| 263,731 | 278,236 | 28,254 | 11.3% | -3.6% |
North Lancashire Teaching PCT | 520,037 | 549,674 | 56,748 | 11.5% | -3.7% |
| 412,573 | 436,629 | 45,564 | 11.7% | -3.8% |
| 461,918 | 487,324 | 49,487 | 11.3% | -3.9% |
| 820,056 | 869,582 | 92,277 | 11.9% | -4.0% |
| 163,405 | 172,392 | 17,506 | 11.3% | -4.3% |
Ashton, Leigh and Wigan PCT | 511,831 | 539,982 | 54,834 | 11.3% | -4.5% |
Halton and St Helens PCT | 537,116 | 566,657 | 57,543 | 11.3% | -4.5% |
| 1,069,968 | 1,133,968 | 119,781 | 11.8% | -5.1% |
| 287,957 | 306,265 | 33,320 | 12.2% | -5.2% |
| 489,796 | 520,205 | 55,943 | 12.0% | -5.3% |
| 886,825 | 935,601 | 95,008 | 11.3% | -5.4% |
Sandwell PCT | 523,488 | 552,279 | 56,083 | 11.3% | -5.4% |
| 502,312 | 529,939 | 53,814 | 11.3% | -5.5% |
| 451,376 | 476,202 | 53,205 | 12.6% | -5.5% |
Leicestershire County and Rutland PCT | 830,158 | 879,975 | 93,096 | 11.8% | -5.6% |
| 405,847 | 428,169 | 43,479 | 11.3% | -5.8% |
| 393,303 | 416,482 | 43,682 | 11.7% | -5.9% |
| 455,982 | 481,061 | 48,959 | 11.3% | -6.0% |
Stockton-on-Tees Teaching PCT | 287,728 | 303,980 | 31,252 | 11.5% | -6.0% |
| 488,731 | 515,611 | 58,787 | 12.9% | -6.1% |
| 409,151 | 437,291 | 57,837 | 15.2% | -6.2% |
Bassetlaw PCT | 167,978 | 182,407 | 26,671 | 17.1% | -6.2% |
Cornwall and Isles of Scilly PCT | 808,369 | 856,214 | 94,181 | 12.4% | -6.2% |
| 1,048,875 | 1,107,225 | 118,065 | 11.9% | -6.2% |
East Riding of Yorkshire PCT | 432,198 | 458,519 | 49,720 | 12.2% | -6.2% |
Lincolnshire Teaching PCT | 1,060,265 | 1,127,697 | 136,737 | 13.8% | -6.2% |
| 238,152 | 252,197 | 28,256 | 12.6% | -6.2% |
| 487,694 | 514,727 | 53,945 | 11.7% | -6.2% |
Nottinghamshire County Teaching PCT | 943,520 | 997,415 | 105,012 | 11.8% | -6.2% |
| 409,554 | 432,140 | 45,922 | 11.9% | -6.2% |
| 826,224 | 873,709 | 104,752 | 13.6% | -6.2% |
| 237,482 | 251,590 | 26,636 | 11.8% | -6.2% |
| 564,093 | 595,118 | 66,463 | 12.6% | -6.2% |
I hope this puts the funding boost in some context. With these unfair funding formulas in mind it is easy to see why Cornwall only has one major hospital in stark contrast to English counties and London boroughs.