All Indicators > Indicator IR2: Preventative care resourcing

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:

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

2003

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 ethinc groups are attributed the same preventative care resourcing value within an LAD.