Innovation in European healthcare – what can Sweden learn? - LIF

Primary Care Trusts (PCTs) have played the critical
role of commissioning primary and secondary services
for providers in the NHS
• PCTs have set their own budgets and priorities within the overarching budgets and priorities of the SHAs.
• Prior to the reforms, a total of 152 PCTs existed throughout England, each overseeing an average
population of 330,000.
• PCTs have thus far controlled 80% of the healthcare budget.
• The Department of Health allocates revenue for NHS services to its PCTs based on:
– A weighted capitation formula – taking into account population characteristics (ie: size, age, deprivation levels) and
unavoidable market forces accounting of variations in costs.
– Recurrent allocations – previous financial year’s allocations adjusted, for example, for any newly devolved central budgets
and transfer of responsibilities and their associated budgets between PCTs.
• Its total revenue allocations in 2011-12 were £89 billion.
• The revenue allocations for 2012-2013 were announced to be £91.6 billion, an increase of £2.5 billion, or
2.8%.
– The weighted capitation formula was not applied for 2012-2013 revenue allocations as all PCTs received a uniform uplift so as to maintain financial
stability within the NHS at a time of significant transition.
• This is the last round of allocations made to PCTs as from 2013 onwards, the NHS Commissioning Board
would be responsible for the commissioning of resources to Clinical Commissioning Groups (CCGs) while
the Department of Health will make grants to Local Authorities for public health needs.
• The Health and Social Care Act 2012, is calling for all PCTs to be abolished by April 1, 2013.
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