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Inpatient Variation Expenditure Tool - FINAL - v20 - NHS Networks.xls

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									Inpatient Variation Expenditure Tool (IVET)

Navigation page

Purpose and data definitions Purpose of the tool and data definitions.
Benchmarking                 Table showing inpatient expenditure, standardised expenditure rates and change required to meet th
                             rate in 2008-09.
Disease level chart          Chart showing PCT inpatient expenditure above or below the benchmark for diseases in 2008-09.
HRG level chart              Chart showing PCT inpatient expenditure above or below the benchmark for high expenditure interve
                             2008-09.
Circulatory chart            Chart showing PCT inpatient expenditure above or below the benchmark for all circulatory diseases a
                             expenditure circulatory interventions in 2008-09.
Musculoskeletal chart        Chart showing PCT inpatient expenditure above or below the benchmark for all musculoskeletal dise
                             high expenditure musculoskeletal interventions in 2008-09.
Respiratory chart            Chart showing PCT inpatient expenditure above or below the benchmark for all respiratory diseases
                             expenditure respiratory interventions in 2008-09.
Genito Urinary chart         Chart showing PCT inpatient expenditure above or below the benchmark for all genito urinary diseas
                             expenditure genito urinary interventions in 2008-09.
Gastro Intestinal chart      Chart showing PCT inpatient expenditure above or below the benchmark for all gastro intestinal dise
                             high expenditure gastro intestinal interventions in 2008-09.
Not in above diseases chart Chart showing PCT inpatient expenditure above or below the benchmark for high expenditure interve
                             applicable in above disease categories in 2008-09.
All PCT variation chart      Distribution graph showing inpatient expenditure rate weighted for age, sex and need for all PCTs in
                             Table showing PCT inpatient expenditure and volume changes attainable by meeting benchmark.
Rank table                   Table showing PCTs in order of Age Sex Needs Expenditure Rate for high expenditure diseases and
                             interventions in 2008-09.


                              http://www.networks.nhs.uk/nhs-networks/health-investment-network
                                 Version 2.0 (19/01/2011)




sed expenditure rates and change required to meet the benchmark

e or below the benchmark for diseases in 2008-09.
e or below the benchmark for high expenditure interventions in

e or below the benchmark for all circulatory diseases and high
9.
e or below the benchmark for all musculoskeletal diseases and
  in 2008-09.
e or below the benchmark for all respiratory diseases and high
9.
e or below the benchmark for all genito urinary diseases and high
8-09.
e or below the benchmark for all gastro intestinal diseases and
 in 2008-09.
e or below the benchmark for high expenditure interventions not
 -09.
 e rate weighted for age, sex and need for all PCTs in 2008-09.
volume changes attainable by meeting benchmark.
 s Expenditure Rate for high expenditure diseases and



tworks/health-investment-network
Navigation page    Benchmarking    Disease level   HRG level   Circulatory   Musculoskeletal
                                       chart         chart        chart          chart



                                   Inpatient Variation Expenditure
       Purpose
       The tool allows PCTs to benchmark and compare their inpatient spending (adjusted for age, sex and
       improve future investment decisions.


       The Inpatient Variation Expenditure Tool (IVET) is designed to help PCTs identify areas to investigate fur
       will be a range of factors, such as health outcomes, which will influence spending in different areas.

       The Inpatient Variation Expenditure Tool should not be used in isolation. Rather, IVET is one of a n
       investment decisions. These tools are available on the webpage:

       http://www.networks.nhs.uk/nhs-networks/health-investment-network

       The tools are best used together, and coupled with the PCT’s own local knowledge, to create a more c
       investment decisions can taken with confidence. Then PCTs will be best placed to make judgements on


       The tool provides PCTs with:

             inpatient expenditure data (2008/9) on different diseases and interventions;
             inpatient expenditure per 1000 population, standardising for age, sex and need;
             the change in inpatient expenditure and activity required to meet a user-defined
               benchmark for each disease and intervention;
             comparative data to other PCTs – allowing variation between PCTs to be seen.

       A novel feature of this tool is that the standardisation accounts for age, sex and needs - with needs (e.g
       Resource Allocation at practice level. Adjusting for needs in this way will be more appropriate for som
       welcome at: healthinvestment@dh.gsi.gov.uk


       Data Definitions
       Inpatient Expenditure and Volume

       The 2008/9 disease-level inpatient expenditure and volume data are taken from NHS Comparators.
       The 2008/9 intervention-level inpatient expenditure and volume data are taken from HES (Hospital Episo
       Inpatient expenditure includes elective (with day case) and non-elective activity.

       The market forces factor is excluded from all the analysis to ensure a level-playing field between PCTs.

       Unit Cost

       The unit cost calculation is:

       Unit Cost = Expenditure / Volume

       Unit costs are calculated at the PCT and the national level – these may be different values for a variety o
       E.g. For diseases, this may indicate that a PCT with a higher unit cost than the national average may h
       treatments.
       E.g. For an intervention (HRG), as the tariff is for the spell then a PCT with a higher unit cost than the na
       days.

       However, the market forces factor is excluded from all the analysis so this will not explain any difference

       Standardisation
The unit cost calculation is:

Unit Cost = Expenditure / Volume

Unit costs are calculated at the PCT and the national level – these may be different values for a variety o
E.g. For diseases, this may indicate that a PCT with a higher unit cost than the national average may h
treatments.
E.g. For an intervention (HRG), as the tariff is for the spell then a PCT with a higher unit cost than the na
days.

However, the market forces factor is excluded from all the analysis so this will not explain any difference

Standardisation

Expenditure rates are calculated per 1000 population. These may be standardised by age and sex or age

The Age Sex standardisation of disease-level inpatient expenditure is calculated in NHS Comparator
Pricing Department (PPD).

The Age Sex standardisation of intervention-level inpatient expenditure is calculated using the GP list po
(Information Centre for health and social care).

All needs standardisation used the Person Based Resource Allocation (PBRA) methodology.

Crude Expenditure Rate (£/1000 population) = 1000 * Expenditure / Population

Age Sex Expenditure Rate (£/1000 population) = 1000 * Expenditure / Age Sex Population

Age Sex Needs Expenditure Rate (£/1000 population) = 1000 * Expenditure / Age Sex Needs Population

E.g. If a PCT’s population is 100,000, but is disproportionately elderly then its Age Sex Population ma
then the Age Sex Needs Population may be 125,000 (say). Accounting for age, sex and needs of the PC
(or benchmarking) PCTs.

More technically, the expenditure rates are calculated by a method known as indirect standardisation. Th
had each age (and sex) group of the PCT population behaved as the national average for that age (and s

Benchmarking

The PCTs are ordered on the Age Sex Needs Expenditure Rate (£/1000 population) and the user defines
                                  0th percentile –lowest Age Sex Needs Expenditure Rate of the PCT
                                  50th percentile – median Age Sex Needs Expenditure Rate
                                  100th percentile – highest Age Sex Needs Expenditure Rate of the P

The benchmark rate of expenditure determines the level of inpatient expenditure for a PCT taking into ac
the benchmark is given. (Note that this does not include the market forces factor so indicates the scale of

The inpatient expenditure at the benchmark determines the volume at the benchmark. Volume above or b

Positive numbers indicate that PCT inpatient expenditure (volume) is above the benchmark – to reach the

Negative numbers indicate that PCT inpatient expenditure (volume) is below the benchmark – to rea
interventions).

Interventions

The interventions were chosen because they are among the HRGs with the highest inpatient expenditure
PCTs.

The 2008/9 inpatient expenditure is grouped in HRG 3.5 for this analysis. For 20010/11, PbR will operate
approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character

Non-Transient Stroke or Cerebrovascular Accident >69 or w cc                A22     goes to AA22
Complex Elderly with a Nervous System Primary Diagnosis                     A99     goes to potentially any
Phakoemulsification Cataract Extraction and Insertion of Lens               B13     goes to BZ01, BZ02, B
Intermediate Mouth or Throat Procedures                                     C58     goes to CZ01, CZ02, C
Complex Elderly with a Respiratory System Primary Diagnosis                 D99     goes to potentially any
Cardiac Valve procedures                                                    E03     goes to EA17, EA18, E
Coronary Bypass                                                             E04     goes to EA14, EA15, E
Interventions

The interventions were chosen because they are among the HRGs with the highest inpatient expenditure
PCTs.

The 2008/9 inpatient expenditure is grouped in HRG 3.5 for this analysis. For 20010/11, PbR will operate
approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character

Non-Transient Stroke or Cerebrovascular Accident >69 or w cc             A22    goes to AA22
Complex Elderly with a Nervous System Primary Diagnosis                  A99    goes to potentially any
Phakoemulsification Cataract Extraction and Insertion of Lens            B13    goes to BZ01, BZ02, B
Intermediate Mouth or Throat Procedures                                  C58    goes to CZ01, CZ02, C
Complex Elderly with a Respiratory System Primary Diagnosis              D99    goes to potentially any
Cardiac Valve procedures                                                 E03    goes to EA17, EA18, E
Coronary Bypass                                                          E04    goes to EA14, EA15, E
together
Cardiac Catheterisation and Angiography without complications            E14    goes to EA36, EA41
Percutaneous Coronary intervention                                       E15    goes to EA31, EA32, E
Diagnostic Procedures, Oesophagus and Stomach                            F06    goes to FZ03, FZ24, FZ
Large Intestine - Endoscopic or Intermediate Procedures                  F35    goes to FZ26 (maybe F
Primary Knee Replacement                                                 H04    goes to HB21, HA21 (th
Arthroscopies                                                            H10    goes to HA21-HA26 an
Primary Hip Replacement Cemented                                         H80    goes to HB12, HA12 (th
Primary Hip Replacement Uncemented                                       H81    goes to HB12, HA12 (th
Complex Elderly with a Musculoskeletal System Primary Diagnosis          H99    goes to potentially any
Kidney or Urinary Tract Infections >69 or w cc                           L09    goes to LA04
Upper Genital Tract Major Procedures                                     M07    goes to MA01, MA02, M



We plan to analyse more HRGs in due course and welcome suggestions which you would find useful.

The disease (programme budget) categories have remained unchanged.


Feedback
Your feedback on this tool would be welcome at:
                                                          healthinvestment@dh.gsi.gov.uk



                                        http://www.networks.nhs.uk/nhs-networks/health-investm
                     Respiratory   Genito Urinary   Gastro Intestinal   Not in above diseases      All PCT        Rank
                       chart           chart             chart                   chart          variation chart   table



ation Expenditure Tool (IVET)
 ent spending (adjusted for age, sex and needs) on diseases and interventions with other PCTs to



 help PCTs identify areas to investigate further. The tool is not designed to be prescriptive as there
 nfluence spending in different areas.

ed in isolation. Rather, IVET is one of a number of tools designed to support PCTs with their health
ge:

ent-network

s own local knowledge, to create a more coherent and complete view of the situation before health
 ill be best placed to make judgements on the appropriate level of spend on their patients.




  and interventions;
 for age, sex and need;
 to meet a user-defined

ween PCTs to be seen.

s for age, sex and needs - with needs (e.g. deprivation) built up to PCT level from the Person Based
 his way will be more appropriate for some diseases than others – your feedback on this would be




ta are taken from NHS Comparators.
e data are taken from HES (Hospital Episode Statistics) for spells with tariff.
n-elective activity.

 sure a level-playing field between PCTs.




ese may be different values for a variety of reasons.
unit cost than the national average may have a harder case-mix requiring more resource intensive

 a PCT with a higher unit cost than the national average may have proportionately more excess bed


ysis so this will not explain any difference between PCT and national unit cost.
 ese may be different values for a variety of reasons.
 unit cost than the national average may have a harder case-mix requiring more resource intensive

  a PCT with a higher unit cost than the national average may have proportionately more excess bed


 ysis so this will not explain any difference between PCT and national unit cost.



may be standardised by age and sex or age, sex and need.

 nditure is calculated in NHS Comparators using the population data provided by the Prescription


penditure is calculated using the GP list population of primary care organisations (2008) from the IC


 ocation (PBRA) methodology.

 ure / Population

 diture / Age Sex Population

* Expenditure / Age Sex Needs Population

y elderly then its Age Sex Population may be 110,000 (say). Additionally, if it is relatively deprived
ccounting for age, sex and needs of the PCT’s population creates a level-playing field for comparing


 thod known as indirect standardisation. This involves determining the inpatient expenditure of a PCT
 as the national average for that age (and sex) group.



 e (£/1000 population) and the user defines the benchmark percentile (or national average). Note:
 e Sex Needs Expenditure Rate of the PCTs
 Age Sex Needs Expenditure Rate
  Age Sex Needs Expenditure Rate of the PCTs

atient expenditure for a PCT taking into account its population. Inpatient expenditure above or below
arket forces factor so indicates the scale of the saving or cost.)

 ume at the benchmark. Volume above or below the benchmark is given using the PCT’s unit cost.

 me) is above the benchmark – to reach the benchmark savings (reductions) need to be made.

volume) is below the benchmark – to reach the benchmark will cost more money (require more




 RGs with the highest inpatient expenditure and most likely to have significant variation between


 s analysis. For 20010/11, PbR will operate using HRG 4. The following mapping gives an
 w reside in HRG 4 at the root 4-character level.

            A22     goes to AA22
            A99     goes to potentially any diagnosis driven HRG
            B13     goes to BZ01, BZ02, BZ03
            C58     goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06
            D99     goes to potentially any diagnosis driven HRG
            E03     goes to EA17, EA18, EA19 and possibly EA24 if congenital
            E04     goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve
RGs with the highest inpatient expenditure and most likely to have significant variation between


s analysis. For 20010/11, PbR will operate using HRG 4. The following mapping gives an
w reside in HRG 4 at the root 4-character level.

            A22    goes to AA22
            A99    goes to potentially any diagnosis driven HRG
            B13    goes to BZ01, BZ02, BZ03
            C58    goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06
            D99    goes to potentially any diagnosis driven HRG
            E03    goes to EA17, EA18, EA19 and possibly EA24 if congenital
            E04    goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve

s           E14    goes to EA36, EA41
            E15    goes to EA31, EA32, EA33, EA34, EA35
            F06    goes to FZ03, FZ24, FZ30 and a few others too
            F35    goes to FZ26 (maybe FZ16 and a couple of others too?)
            H04    goes to HB21, HA21 (though would be escalated if multiple procedures)
            H10    goes to HA21-HA26 and HB21-HB25
            H80    goes to HB12, HA12 (though would be escalated if multiple procedures)
            H81    goes to HB12, HA12 (though would be escalated if multiple procedures)
 osis       H99    goes to potentially any diagnosis driven HRG
            L09    goes to LA04
            M07    goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12



uggestions which you would find useful.

nchanged.




althinvestment@dh.gsi.gov.uk



s.nhs.uk/nhs-networks/health-investment-network
Navigatio         Purpose and data definitions          Disease level   HRG level   Circulatory   Musculoskeletal   Respiratory chart       Genito Urinary Gastro Intestinal    Not in above       All PCT        Rank
 n page                                                     chart         chart        chart          chart                                     chart           chart          diseases chart   variation chart   table



            Inpatient expenditure, standardised expenditure rates and change required to meet the benchmark rate in 2008-09.

                                                        Select PCT                                            Ashton, Leigh and Wigan PCT
                                                        Select benchmark (figures indicate percentiles)       National Average



                                                                                                            Benchmark Age
                                                                       Crude      Age Sex     Age Sex Needs     Sex Needs     Expenditure                   Expenditure
                                                          2008-09
                                                                    Expenditure Expenditure    Expenditure  Expenditure Rate at selected                   above/below (-)
                      Disease/Intervention              Expenditure
                                                                    Rate (£/1000 Rate (£/1000 Rate (£/1000    set at national benchmark                       selected
                                                            (£)
                                                                    population) population)    population)   average (£/1000      (£)                      benchmark (£)
                                                                                                               population)

            Cancer                                       10,191,670        30,909       30,800            25,302                 28,552       11,500,542          -1,308,872
            Circulatory                                  16,451,830        49,895       50,807            41,649                 41,057       16,217,945            233,885
            Cardiac valve procedures                      1,041,751         3,454        3,472             2,867                  2,914        1,059,094             -17,343
            Coronary Bypass                               1,122,717         3,723        3,577             2,950                  3,031        1,153,598             -30,881
            Cardiac Catheterisation and Angiography       1,803,538         5,980        5,809             4,793                  4,749        1,786,815             16,724
            without complications
            Percutaneous Coronary intervention            1,949,506         6,464        6,254             5,159                  5,198        1,964,050             -14,544
            Non-Transient Stroke or Cerebrovascular       1,323,704         4,389        4,817             3,960                  3,363        1,124,186            199,518
            Accident >69 or w cc
            Musculoskeletal                              10,288,036        31,202       30,804            25,367                 29,066       11,788,185          -1,500,149
            Primary Knee Replacement                      2,292,072         7,600        7,512             6,192                  7,762        2,873,111           -581,039
            Arthroscopies                                   837,204         2,776        2,706             2,245                  2,980        1,111,511           -274,307
            Primary Hip Replacement Cemented              1,490,384         4,942        5,020             4,137                  3,801        1,369,467            120,917
            Primary Hip Replacement Uncemented              195,839           649          628               518                  2,329          880,549           -684,710
            Primary Hip Replacement (Cemented             1,686,223         5,591        5,573             4,594                  6,130        2,250,067           -563,843
            and Uncemented)
            Complex Elderly with a Musculoskeletal        1,449,373         4,806        5,738             4,706                  5,012        1,543,723             -94,350
            System Primary Diagnosis
            Respiratory                                   8,773,139        26,607       27,380            22,557                 25,227        9,811,938          -1,038,799
            Complex Elderly with a Respiratory            1,758,109         5,829        6,852             5,625                  4,898        1,530,935            227,174
            System Primary Diagnosis
            Genito Urinary                                7,162,683        21,723       22,115            18,226                 23,026        9,048,997          -1,886,314
            Kidney or Urinary Tract Infections >69 or     1,369,238         4,540        5,133             4,217                  3,568        1,158,500            210,738
            w cc
            Upper Genital Tract Major Procedures            793,748         2,632        2,607             2,159                  2,892        1,063,023           -269,275
            Gastro Intestinal                            13,346,354        40,477       40,690            33,582                 35,222       13,998,292           -651,938
            Diagnostic Procedures, Oesophagus and         1,694,586         5,619        5,552             4,590                  3,351        1,236,916            457,670
            Stomach
            Large Intestine - Endoscopic or               1,720,584         5,705        5,600             4,628                  3,866        1,437,376            283,208
            Intermediate Procedures
            Interventions not categorised in                     -            -             -                -                      -                 -                    0
            above disease groups
            Complex Elderly with Nervous System             996,890         3,305        3,892             3,194                  3,391        1,058,277             -61,387
            Primary Diagnosis
            Phakoemulsification Cataract Extraction       1,406,412         4,663        4,958             4,081                  4,565        1,573,265           -166,853
            and Insertion of Lens
                                                          2,404,570         7,973        8,013             6,676                  5,188        1,868,505            536,065
            Intermediate Mouth or Throat Procedures

            Notes:
            The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
            The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
            Inpatient expenditure includes elective (with day case) and non-elective activity.
            The benchmark level is adjusted for age, sex and need of the selected PCT.
            The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
            Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
            Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
            Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
            Interventions (HRGs) are allocated to their most likely disease category.

            Mapping:
            The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

            Cardiac Valve procedures: E03 goes to EA17, EA18, EA19 and possibly EA24 if congenital.
            Coronary Bypass: E04 goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve together.
            Cardiac Catheterisation and Angiography without complications: E14 goes to EA36, EA41.
            Percutaneous Coronary intervention: E15 goes to EA31, EA32, EA33, EA34, EA35.
            Non-Transient Stroke or Cerebrovascular Accident >69 or w cc: A22 goes to AA22.
            Primary Knee Replacement: H04 goes to HB21, HA21 (though would be escalated if multiple procedures).
            Arthroscopies: H10 goes to HA21-HA26 and HB21-HB25.
            Primary Hip Replacement Cemented: H80 goes to HB12, HA12 (though would be escalated if multiple procedures).
            Primary Hip Replacement Uncemented: H81 goes to HB12, HA12 (though would be escalated if multiple procedures).
            Complex Elderly with a Musculoskeletal System Primary Diagnosis: H99 goes to potentially any diagnosis driven HRG.
            Complex Elderly with a Respiratory System Primary Diagnosis: D99 goes to potentially any diagnosis driven HRG.
            Kidney or Urinary Tract Infections >69 or w cc: L09 goes to LA04.
            Upper Genital Tract Major Procedures: M07 goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12.
            Diagnostic Procedures, Oesophagus and Stomach: F06 goes to FZ03, FZ24, FZ30 and a few others too.
            Large Intestine - Endoscopic or Intermediate Procedures: F35 goes to FZ26 (maybe FZ16 and a couple of others too?)
            Complex Elderly with a Nervous System Primary Diagnosis: A99 goes to potentially any diagnosis driven HRG.
            Phakoemulsification Cataract Extraction and Insertion of Lens: B13 goes to BZ01, BZ02, BZ03.
            Intermediate Mouth or Throat Procedures: C58 goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06.

                                                        http://www.networks.nhs.uk/nhs-networks/health-investment-network
Navigatio   Purpose and data                                               Benchmarking     HRG level      Circulatory      Musculoskeletal     Respiratory      Genito Urinary   Gastro Intestinal
 n page        definitions                                                                    chart           chart             chart             chart              chart             chart

                                                                                   PCT inpatient expenditure above or below the benchmark for diseases in 2008-09.


                                                                          Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                          Select benchmark (figures indicate percentiles)          National Average




                                                                      500,000
                   Expenditure above/below selected benchmark (£)




                                                                                                        Circulatory


                                                                            -




                                                                     -500,000

                                                                                                                                                                                         Gastro Intestinal

                                                                    -1,000,000
                                                                                                                                                      Respiratory

                                                                                      Cancer
                                                                    -1,500,000
                                                                                                                         Musculoskeletal


                                                                    -2,000,000                                                                                         Genito Urinary
                                                                                                                                  Disease category
                                                                        Disease category



Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.

                                    http://www.networks.nhs.uk/nhs-networks/health-investment-network
               Not in above    All PCT variation   Rank
              diseases chart         chart         table

09.




 Gastro Intestinal
Navigatio   Purpose and data                                                 Benchmarking     Disease level          Circulatory    Musculoskeletal        Respiratory           Genito Urinary      Gastro Intestinal
 n page        definitions                                                                        chart                 chart           chart                chart                   chart                chart

                                                                      PCT inpatient expenditure above or below the benchmark for high expenditure interventions in 2008-09.


                                                                            Select PCT                                                       Ashton, Leigh and Wigan PCT
                                                                            Select benchmark (figures indicate percentiles)                  National Average



                                                                                                                                                                                       HRG codes
                                                                 600,000                                                                                                         C58
                Expenditure above/below selected benchmark (£)




                                                                                                                                                                                       Circulatory
                                                                                                                                                         F06
                                                                                                                                                                                       E03. Cardiac Valve procedures
                                                                                                                                                                                       E04. Coronary Bypass
                                                                 400,000                                                                                                               E14. Cardiac Catheterisation and
                                                                                                                                                               F35                     Angiography without complications
                                                                                                                                         D99 L09                                       E15. Percutaneous Coronary intervention
                                                                                                   A22
                                                                 200,000                                                                                                               A22. Non-Transient Stroke or
                                                                                                                     H80                                                               Cerebrovascular Accident >69 or w cc

                                                                                       E14                                                                                             Musculoskeletal
                                                                       -                                                                                                               H04. Primary Knee Replacement
                                                                             E03 E04         E15                                                                                       H10. Arthroscopies
                                                                                                                                                                     A99               H80. Primary Hip Replacement Cemented
                                                                                                                                   H99                                                 H81. Primary Hip Replacement Uncemented
                                                                 -200,000                                                                                                  B13         H80+H81. Primary Hip Replacement
                                                                                                                                                                                       (Cemented and Uncemented)
                                                                                                               H10                                 M07                                 H99. Complex Elderly with a
                                                                                                                                                                                       Musculoskeletal System Primary Diagnosis
                                                                 -400,000


                                                                 -600,000                                                   H80+H81
                                                                                                         H04
                                                                                                                           H81
                                                                 -800,000
                                                        HRG code


Notes:
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Cardiac Valve procedures: E03 goes to EA17, EA18, EA19 and possibly EA24 if congenital.
Coronary Bypass: E04 goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve together.
Cardiac Catheterisation and Angiography without complications: E14 goes to EA36, EA41.
Percutaneous Coronary intervention: E15 goes to EA31, EA32, EA33, EA34, EA35.
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc: A22 goes to AA22.
Primary Knee Replacement: H04 goes to HB21, HA21 (though would be escalated if multiple procedures).
Arthroscopies: H10 goes to HA21-HA26 and HB21-HB25.
Primary Hip Replacement Cemented: H80 goes to HB12, HA12 (though would be escalated if multiple procedures).
Primary Hip Replacement Uncemented: H81 goes to HB12, HA12 (though would be escalated if multiple procedures).
Complex Elderly with a Musculoskeletal System Primary Diagnosis: H99 goes to potentially any diagnosis driven HRG.
Complex Elderly with a Respiratory System Primary Diagnosis: D99 goes to potentially any diagnosis driven HRG.
Kidney or Urinary Tract Infections >69 or w cc: L09 goes to LA04.
Upper Genital Tract Major Procedures: M07 goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12.
Diagnostic Procedures, Oesophagus and Stomach: F06 goes to FZ03, FZ24, FZ30 and a few others too.
Large Intestine - Endoscopic or Intermediate Procedures: F35 goes to FZ26 (maybe FZ16 and a couple of others too?)
Complex Elderly with a Nervous System Primary Diagnosis: A99 goes to potentially any diagnosis driven HRG.
Phakoemulsification Cataract Extraction and Insertion of Lens: B13 goes to BZ01, BZ02, BZ03.
Intermediate Mouth or Throat Procedures: C58 goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06.

                                     http://www.networks.nhs.uk/nhs-networks/health-investment-network
                    Not in above      All PCT variation     Rank
                   diseases chart           chart           table

ns in 2008-09.




                          HRG codes

                          Respiratory
                          D99. Complex Elderly with a
                          Respiratory System Primary Diagnosis

                          Genito Urinary
oronary intervention
                          L09. Kidney or Urinary Tract Infections >69
                          or w cc
dent >69 or w cc
                          M07. Upper Genital Tract Major Procedures

                          Gastro Intestinal
                          F06. Diagnostic Procedures, Oesophagus
                          and Stomach
placement Cemented
                          F35. Large Intestine - Endoscopic or
placement Uncemented
                          Intermediate Procedures
 p Replacement
                          Intervention not applicable to above
                          disease categories
em Primary Diagnosis
                          A99. Complex Elderly with a Nervous
                          System Primary Diagnosis
                          B13. Phakoemulsification Cataract
                          Extraction and Insertion of Lens
                          C58. Intermediate Mouth or Throat
                          Procedures
4-character level.
Navigatio       Purpose and data                                                Benchmarking    Disease level   HRG level        Musculoskeletal     Respiratory      Genito Urinary    Gastro Intestinal
 n page            definitions                                                                      chart         chart              chart             chart              chart              chart

            PCT inpatient expenditure above or below the benchmark for all circulatory diseases and high expenditure circulatory interventions
                                                                     in 2008-09.
            #

                                                                               Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                               Select benchmark (figures indicate percentiles)          National Average




                                                                     250,000      Circulatory                                                                                      HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                                                                                                                                   E03. Cardiac Valve procedures
                                                                                                                                                                       A22
                                                                     200,000                                                                                                       E04. Coronary Bypass

                                                                                                                                                                                   E14. Cardiac Catheterisation and Angiography
                                                                                                                                                                                   without complications
                                                                     150,000
                                                                                                                                                                                   E15. Percutaneous Coronary intervention

                                                                                                                                                                                   A22. Non-Transient Stroke or Cerebrovascular
                                                                     100,000                                                                                                       Accident >69 or w cc




                                                                      50,000
                                                                                                                                     E14

                                                                          -

                                                                                                    E03                                               E15
                                                                                                                   E04
                                                                     -50,000
                                                 Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Cardiac Valve procedures: E03 goes to EA17, EA18, EA19 and possibly EA24 if congenital.
Coronary Bypass: E04 goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve together.
Cardiac Catheterisation and Angiography without complications: E14 goes to EA36, EA41.
Percutaneous Coronary intervention: E15 goes to EA31, EA32, EA33, EA34, EA35.
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc: A22 goes to AA22.

                                    http://www.networks.nhs.uk/nhs-networks/health-investment-network
                      Not in above    All PCT variation   Rank
                     diseases chart         chart         table

ure circulatory interventions




c Valve procedures



c Catheterisation and Angiography


taneous Coronary intervention

ransient Stroke or Cerebrovascular
4-character level.
Navigatio       Purpose and data                                                  Benchmarking    Disease level   HRG level        Circulatory chart    Respiratory      Genito Urinary    Gastro Intestinal
 n page            definitions                                                                        chart         chart                                 chart              chart              chart

                PCT inpatient expenditure above or below the benchmark for all musculoskeletal diseases and high expenditure musculoskeletal
                                                                  interventions in 2008-09.
            #

                                                                                 Select PCT                                                Ashton, Leigh and Wigan PCT
                                                                                 Select benchmark (figures indicate percentiles)           National Average




                                                                       400,000
                                                                                                                                                                                      HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                       200,000                                                H80                                                     H04. Primary Knee Replacement

                                                                                                                                                                                      H10. Arthroscopies
                                                                             -
                                                                                                                                                                                      H80. Primary Hip Replacement Cemented
                                                                      -200,000                                                                                             H99
                                                                                                                                                                                      H81. Primary Hip Replacement Uncemented
                                                                                                                  H10
                                                                      -400,000                                                                                                        H80+H81. Primary Hip Replacement (Cemented
                                                                                                                                                                                      and Uncemented)
                                                                      -600,000
                                                                                                     H04                                                      H80+H81                 H99. Complex Elderly with a Musculoskeletal
                                                                                                                                                                                      System Primary Diagnosis
                                                                      -800,000                                                                H81


                                                                     -1,000,000

                                                                     -1,200,000

                                                                     -1,400,000

                                                                     -1,600,000 Musculoskeletal
                                                  Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Primary Knee Replacement: H04 goes to HB21, HA21 (though would be escalated if multiple procedures).
Arthroscopies: H10 goes to HA21-HA26 and HB21-HB25.
Primary Hip Replacement Cemented: H80 goes to HB12, HA12 (though would be escalated if multiple procedures).
Primary Hip Replacement Uncemented: H81 goes to HB12, HA12 (though would be escalated if multiple procedures).
Complex Elderly with a Musculoskeletal System Primary Diagnosis: H99 goes to potentially any diagnosis driven HRG.

                                     http://www.networks.nhs.uk/nhs-networks/health-investment-network
                     Not in above    All PCT variation   Rank
                    diseases chart         chart         table

penditure musculoskeletal




 y Knee Replacement



 y Hip Replacement Cemented

 y Hip Replacement Uncemented

Primary Hip Replacement (Cemented


 ex Elderly with a Musculoskeletal
mary Diagnosis
4-character level.
Navigatio       Purpose and data                                                    Benchmarking    Disease level   HRG level        Circulatory    Musculoskeletal       Genito Urinary    Gastro Intestinal
 n page            definitions                                                                          chart         chart             chart           chart                 chart              chart

                                                                     PCT inpatient expenditure above or below the benchmark for all respiratory diseases and high expenditure respiratory
                                                                                                                  interventions in 2008-09.
            #

                                                                                   Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                                   Select benchmark (figures indicate percentiles)          National Average




                                                                         400,000
                                                                                                                                                                                       HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                                                                                                           D99
                                                                                                                                                                                       D99. Complex Elderly with a Respiratory System
                                                                         200,000                                                                                                       Primary Diagnosis


                                                                               -


                                                                         -200,000


                                                                         -400,000


                                                                         -600,000


                                                                         -800,000


                                                                       -1,000,000
                                                                                                      Respiratory
                                                                       -1,200,000
                                                  Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Complex Elderly with a Respiratory System Primary Diagnosis: D99 goes to potentially any diagnosis driven HRG.

                                     http://www.networks.nhs.uk/nhs-networks/health-investment-network
                    Not in above       All PCT variation   Rank
                   diseases chart            chart         table

penditure respiratory




ex Elderly with a Respiratory System
4-character level.
Navigatio       Purpose and data                                                  Benchmarking    Disease level   HRG level        Circulatory    Musculoskeletal       Respiratory chart   Gastro Intestinal
 n page            definitions                                                                        chart         chart             chart           chart                                      chart

                  PCT inpatient expenditure above or below the benchmark for all genito urinary diseases and high expenditure genito urinary
                                                                  interventions in 2008-09.
            #

                                                                                 Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                                 Select benchmark (figures indicate percentiles)          National Average




                                                                       500,000
                                                                                                                                                                                       HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                                                                              L09
                                                                                                                                                                                       L09. Kidney or Urinary Tract Infections >69 or w
                                                                                                                                                                                       cc
                                                                             -                                                                                                         M07. Upper Genital Tract Major Procedures


                                                                                                                                                                 M07
                                                                      -500,000




                                                                     -1,000,000




                                                                     -1,500,000




                                                                     -2,000,000            Genito Urinary
                                                  Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Kidney or Urinary Tract Infections >69 or w cc: L09 goes to LA04.
Upper Genital Tract Major Procedures: M07 goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12.

                                    http://www.networks.nhs.uk/nhs-networks/health-investment-network
                    Not in above       All PCT variation   Rank
                   diseases chart            chart         table

penditure genito urinary




or Urinary Tract Infections >69 or w


Genital Tract Major Procedures
4-character level.
Navigatio       Purpose and data                                                 Benchmarking    Disease level   HRG level        Circulatory    Musculoskeletal       Respiratory chart Genito Urinary chart
 n page            definitions                                                                       chart         chart             chart           chart

                PCT inpatient expenditure above or below the benchmark for all gastro intestinal diseases and high expenditure gastro intestinal
                                                                  interventions in 2008-09.
            #

                                                                                Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                                Select benchmark (figures indicate percentiles)          National Average




                                                                     600,000
                                                                                                                                                                                      HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                                                                             F06
                                                                                                                                                                                      F06. Diagnostic Procedures, Oesophagus and
                                                                     400,000                                                                                                          Stomach
                                                                                                                                                                F35
                                                                                                                                                                                      F35. Large Intestine - Endoscopic or
                                                                                                                                                                                      Intermediate Procedures
                                                                     200,000


                                                                           -


                                                                     -200,000


                                                                     -400,000


                                                                     -600,000
                                                                                       Gastro Intestinal
                                                                     -800,000
                                                 Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Diagnostic Procedures, Oesophagus and Stomach: F06 goes to FZ03, FZ24, FZ30 and a few others too.
Large Intestine - Endoscopic or Intermediate Procedures: F35 goes to FZ26 (maybe FZ16 and a couple of others too?)

                                     http://www.networks.nhs.uk/nhs-networks/health-investment-network
                   Not in above    All PCT variation   Rank
                  diseases chart         chart         table

penditure gastro intestinal




ostic Procedures, Oesophagus and


          Endoscopic or
4-character level.
Navigatio       Purpose and data                                                 Benchmarking    Disease level   HRG level        Circulatory    Musculoskeletal       Respiratory chart Genito Urinary chart
 n page            definitions                                                                       chart         chart             chart           chart

                  PCT inpatient expenditure above or below the benchmark for high expenditure interventions not applicable in above disease
                                                                   categories in 2008-09.
            #

                                                                                Select PCT                                               Ashton, Leigh and Wigan PCT
                                                                                Select benchmark (figures indicate percentiles)          National Average




                                                                     600,000
                                                                                                                                                                                      HRG codes
                    Expenditure above/below selected benchmark (£)




                                                                                                                                                                C58
                                                                     500,000                                                                                                          A99. Complex Elderly with a Nervous System
                                                                                                                                                                                      Primary Diagnosis

                                                                     400,000                                                                                                          B13. Phakoemulsification Cataract Extraction
                                                                                                                                                                                      and Insertion of Lens

                                                                     300,000                                                                                                          C58. Intermediate Mouth or Throat Procedures


                                                                     200,000

                                                                     100,000

                                                                           -

                                                                     -100,000                 A99

                                                                     -200,000                                                B13

                                                                     -300,000
                                                 Disease category/HRG code


Notes:
The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
Inpatient expenditure includes elective (with day case) and non-elective activity.
The benchmark level is adjusted for age, sex and need of the selected PCT.
The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
Therefore inpatient expenditure above / below benchmark indicates scale of saving or cost.
Positive numbers indicate that PCT inpatient expenditure is above the benchmark – to reach the benchmark savings need to be made.
Negative numbers indicate that PCT inpatient expenditure is below the benchmark – to reach the benchmark will cost more money.
Interventions (HRGs) are allocated to their most likely disease category.

Mapping:
The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

Complex Elderly with a Nervous System Primary Diagnosis: A99 goes to potentially any diagnosis driven HRG.
Phakoemulsification Cataract Extraction and Insertion of Lens: B13 goes to BZ01, BZ02, BZ03.
Intermediate Mouth or Throat Procedures: C58 goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06.

                                    http://www.networks.nhs.uk/nhs-networks/health-investment-network
                   Gastro Intestinal   All PCT variation   Rank
                        chart                chart         table

licable in above disease




ex Elderly with a Nervous System


emulsification Cataract Extraction


ediate Mouth or Throat Procedures
4-character level.
Navigatio    Purpose and data                                    Benchmarking   Disease level     HRG level        Circulatory   Musculoskeletal   Respiratory chart Genito Urinary chart       Gastro Intestinal        Not in above    Rank
 n page         definitions                                                         chart           chart             chart          chart                                                           chart              diseases chart   table

                                                                          Inpatient expenditure rate weighted for age, sex and need for all PCTs in 2008-09.
                                                                          PCT inpatient expenditure and volume changes attainable by meeting benchmark.

                                                                                         Ashton, Leigh and Wigan PCT                               PCT expenditure +/- benchmark                      -£   1,308,872
            Select PCT
            Select disease/HRG                                                           CANCER                                                    Volume of activity for selected PCT                          7,112
            Select benchmark (figures indicate percentiles)                              National Average                                          Volume of activity at selected benchmark                     8,025
                                                                                                                                                   PCT volume of activity +/- benchmark                          -913
                                                                                                                                                   PCT unit cost                                      £         1,433
                                                                                                                                                   National average unit cost                         £         1,458


                                                                                                                                             1st quintile                                 2nd quintile
                                                                                                                                             3rd quitile                                  4th quintile
                                                                                                                                             5th quintile                                 Ashton, Leigh and Wigan PCT
                                                                                                                                             Selected benchmark
                                                        45,000
               Age Sex Needs Expenditure Rate (£/1000




                                                        40,000

                                                        35,000

                                                        30,000
                            population)




                                                        25,000

                                                        20,000

                                                        15,000

                                                        10,000

                                                         5,000

                                                            -
                                                                                                                                    Rank


            Notes:
            The 2008/9 disease-level inpatient expenditure data are taken from NHS Comparators.
            The 2008/9 intervention-level inpatient expenditure data are taken from HES (Hospital Episode Statistics) for spells with tariff.
            Inpatient expenditure includes elective (with day case) and non-elective activity.
            The Expenditure Rate is adjusted for age, sex and need of the selected PCT.
            The market forces factor is excluded from the analysis to ensure a level playing field for comparison between PCTs.
            Therefore inpatient expenditure (volume) above / below benchmark indicates scale of saving or cost (reduction or increase in volume).
            Positive numbers indicate that PCT inpatient expenditure (volume) is above the benchmark – to reach the benchmark savings (reductions) need to be made.
            Negative numbers indicate that PCT inpatient expenditure (volume) is below the benchmark – to reach the benchmark will cost more money (require more interventions).
            PCT volume of activity +/- benchmark uses the PCT unit cost.
            E.g. For diseases, a PCT with a higher unit cost than the national average may have a harder case-mix requiring more resource intensive treatments.
            E.g. For a intervention (HRG), as the tariff is for the spell then a PCT with a higher unit cost than the national average may have proportionately more excess bed days.
            Interventions (HRGs) are allocated to their most likely disease category.

            Mapping:
            The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

            Cardiac Valve procedures: E03 goes to EA17, EA18, EA19 and possibly EA24 if congenital.
            Coronary Bypass: E04 goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve together.
            Cardiac Catheterisation and Angiography without complications: E14 goes to EA36, EA41.
            Percutaneous Coronary intervention: E15 goes to EA31, EA32, EA33, EA34, EA35.
            Non-Transient Stroke or Cerebrovascular Accident >69 or w cc: A22 goes to AA22.
            Primary Knee Replacement: H04 goes to HB21, HA21 (though would be escalated if multiple procedures).
            Arthroscopies: H10 goes to HA21-HA26 and HB21-HB25.
            Primary Hip Replacement Cemented: H80 goes to HB12, HA12 (though would be escalated if multiple procedures).
            Primary Hip Replacement Uncemented: H81 goes to HB12, HA12 (though would be escalated if multiple procedures).
            Complex Elderly with a Musculoskeletal System Primary Diagnosis: H99 goes to potentially any diagnosis driven HRG.
            Complex Elderly with a Respiratory System Primary Diagnosis: D99 goes to potentially any diagnosis driven HRG.
            Kidney or Urinary Tract Infections >69 or w cc: L09 goes to LA04.
            Upper Genital Tract Major Procedures: M07 goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12.
            Diagnostic Procedures, Oesophagus and Stomach: F06 goes to FZ03, FZ24, FZ30 and a few others too.
            Large Intestine - Endoscopic or Intermediate Procedures: F35 goes to FZ26 (maybe FZ16 and a couple of others too?)
            Complex Elderly with a Nervous System Primary Diagnosis: A99 goes to potentially any diagnosis driven HRG.
            Phakoemulsification Cataract Extraction and Insertion of Lens: B13 goes to BZ01, BZ02, BZ03.
            Intermediate Mouth or Throat Procedures: C58 goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06.

                                                                                http://www.networks.nhs.uk/nhs-networks/health-investment-network
Navigation page


PCTs in order of Age Sex Needs Expenditure Rate for high expenditure diseases and interventions in
                                            Cancer                                                Circulatory

                                                              Age Sex
Ranking (lowest                                               Needs
Age Sex Needs                                                 Expenditure
Expenditure Rate                                              Rate
=1, highest =152)                                             (£/1000
                    PCT name                                  population) PCT name
        152         Cambridgeshire PCT                             39,301 Ealing PCT
        151         Bromley PCT                                    38,669 Berkshire East Teaching PCT
        150         Gloucestershire PCT                            38,652 Wiltshire PCT
        149         Great Yarmouth and Waveney Teaching PCT        36,181 Bournemouth and Poole Teaching PCT
        148         North East Lincolnshire PCT                    36,035 Bromley PCT
        147         South Gloucestershire PCT                      35,736 Stockport PCT
        146         South Tyneside PCT                             35,149 Hastings and Rother PCT
        145         North Lancashire PCT                           34,934 Bath and North East Somerset PCT
        144         East Riding Of Yorkshire PCT                   34,292 Bexley PCT
        143         Wiltshire PCT                                  34,235 Havering PCT
        142         Bournemouth and Poole Teaching PCT             34,212 Sutton and Merton PCT
        141         West Essex PCT                                 34,124 Swindon PCT
        140         Central Lancashire PCT                         33,965 Hounslow PCT
        139         Dorset PCT                                     33,915 Kingston PCT
        138         Hampshire PCT                                  33,595 Dorset PCT
        137         Bath and North East Somerset PCT               33,535 Redbridge PCT
        136         Barnet PCT                                     33,184 Cambridgeshire PCT
        135         Bexley PCT                                     32,927 North Somerset PCT
        134         Kingston PCT                                   32,807 West Sussex Teaching PCT
        133         Hillingdon PCT                                 32,313 Portsmouth City Teaching PCT
        132         Kensington and Chelsea PCT                     32,055 Sheffield PCT
        131         Bristol Teaching PCT                           32,031 Harrow PCT
        130         Lincolnshire Teaching PCT                      31,904 Enfield PCT
        129         Ealing PCT                                     31,851 Hampshire PCT
        128         Surrey PCT                                     31,819 West Hertfordshire PCT
        127         East Sussex Downs and Weald PCT                31,638 Hillingdon PCT
        126         Oxfordshire PCT                                31,625 Suffolk PCT
        125         Devon PCT                                      31,618 Surrey PCT
        124         West Sussex Teaching PCT                       31,601 Richmond and Twickenham PCT
        123         Norfolk PCT                                    31,511 Barnet PCT
        122         Trafford PCT                                   31,387 Barking and Dagenham PCT
        121         Suffolk PCT                                    31,325 East Sussex Downs and Weald PCT
        120         Newcastle PCT                                  31,186 Cornwall and Isles Of Scilly PCT
        119         Southampton City PCT                           31,087 Brent Teaching PCT
        118         North Yorkshire and York PCT                   30,992 Northamptonshire Teaching PCT
        117         Derby City PCT                                 30,837 Blackburn with Darwen Teaching PCT
        116         Nottinghamshire County Teaching PCT            30,714 West Kent PCT
        115         Islington PCT                                  30,713 Buckinghamshire PCT
        114         Lewisham PCT                                   30,687 Leicestershire County and Rutland PCT
        113         Berkshire West PCT                             30,639 Somerset PCT
        112         Stockport PCT                                  30,412 Devon PCT
        111         North Somerset PCT                             30,398 Bedfordshire PCT
        110         Richmond and Twickenham PCT                    30,347 Central Lancashire PCT
        109         Leicestershire County and Rutland PCT          30,216 South Tyneside PCT
        108         Westminster PCT                                30,185 South Gloucestershire PCT
        107         North Tyneside PCT                             30,032 Central and Eastern Cheshire PCT
        106         Hastings and Rother PCT                        29,958 East Lancashire PCT
        105         Herefordshire PCT                              29,939 Luton Teaching PCT
        104         Northamptonshire Teaching PCT                  29,873 Croydon PCT
        103         West Kent PCT                                  29,817 Trafford PCT
102   West Hertfordshire PCT                  29,800   Greenwich Teaching PCT
101   Rotherham PCT                           29,768   East and North Hertfordshire PCT
100   Cumbria PCT                             29,742   Wandsworth PCT
99    Greenwich Teaching PCT                  29,685   Lincolnshire Teaching PCT
98    Bedfordshire PCT                        29,651   Norfolk PCT
97    Sheffield PCT                           29,624   North Yorkshire and York PCT
96    Havering PCT                            29,558   Westminster PCT
95    Northumberland Care Trust               29,538   Bury PCT
94    Sutton and Merton PCT                   29,444   Bristol Teaching PCT
93    Blackpool PCT                           29,429   Leicester City Teaching PCT
92    Buckinghamshire PCT                     29,379   Southampton City PCT
91    Mid Essex PCT                           29,375   Eastern and Coastal Kent Teaching PCT
90    Wirral PCT                              29,333   Cumbria PCT
89    Somerset PCT                            29,298   Milton Keynes PCT
88    North Lincolnshire PCT                  29,288   West Essex PCT
87    Sefton PCT                              29,220   Heywood, Middleton and Rochdale PCT
86    Croydon PCT                             29,214   Northumberland Care Trust
85    Barnsley PCT                            28,968   Tameside and Glossop PCT
84    Enfield PCT                             28,826   Nottinghamshire County Teaching PCT
83    Portsmouth City Teaching PCT            28,714   Stockton-on-Tees Teaching PCT
82    Worcestershire PCT                      28,540   Sunderland Teaching PCT
81    Hull Teaching PCT                       28,539   Kensington and Chelsea PCT
80    Stockton-on-Tees Teaching PCT           28,434   Wirral PCT
79    Cornwall and Isles Of Scilly PCT        28,354   Oldham PCT
78    Calderdale PCT                          28,213   North Lancashire PCT
77    Harrow PCT                              28,204   Peterborough PCT
76    Isle of Wight Healthcare PCT            28,029   Ashton, Leigh and Wigan PCT
75    Milton Keynes PCT                       27,994   Waltham Forest PCT
74    Derbyshire County PCT                   27,986   Bolton PCT
73    Hammersmith and Fulham PCT              27,898   Warrington PCT
72    South East Essex PCT                    27,799   Newham PCT
71    Bury PCT                                27,749   Tower Hamlets PCT
70    North East Essex PCT                    27,668   Medway Teaching PCT
69    Sunderland Teaching PCT                 27,637   Rotherham PCT
68    Warwickshire PCT                        27,625   Manchester PCT
67    Peterborough PCT                        27,388   Halton and St. Helens PCT
66    Camden PCT                              27,215   North East Lincolnshire PCT
65    West Cheshire PCT                       27,200   Lewisham PCT
64    Oldham PCT                              27,197   Blackpool PCT
63    Haringey Teaching PCT                   27,090   Salford Teaching PCT
62    Berkshire East Teaching PCT             27,073   Barnsley PCT
61    Swindon PCT                             26,937   Isle of Wight Healthcare PCT
60    Waltham Forest PCT                      26,767   Plymouth Teaching PCT
59    Leeds PCT                               26,731   Gloucestershire PCT
58    South Staffordshire PCT                 26,666   North Tyneside PCT
57    Redbridge PCT                           26,602   Newcastle PCT
56    Brent Teaching PCT                      26,476   Brighton and Hove City Teaching PCT
55    County Durham PCT                       26,283   West Cheshire PCT
54    Southwark PCT                           26,256   Bassetlaw PCT
53    Tameside and Glossop PCT                26,251   Darlington PCT
52    Darlington PCT                          26,251   Calderdale PCT
51    Wandsworth PCT                          26,153   Southwark PCT
50    Redcar and Cleveland PCT                26,028   Berkshire West PCT
49    South West Essex Teaching PCT           25,926   Derbyshire County PCT
48    Bassetlaw PCT                           25,893   Sefton PCT
47    Eastern and Coastal Kent Teaching PCT   25,892   Nottingham City PCT
46    Central and Eastern Cheshire PCT        25,888   Knowsley PCT
45    Medway Teaching PCT                     25,761   Liverpool PCT
44    East and North Hertfordshire PCT        25,734   North Lincolnshire PCT
43    North Staffordshire PCT                 25,695   Hammersmith and Fulham PCT
42    East Lancashire PCT                     25,690   Hartlepool PCT
41    Gateshead PCT                           25,653   City and Hackney Teaching PCT
40    Brighton and Hove City Teaching PCT     25,650   Great Yarmouth and Waveney Teaching PCT
39   Bradford and Airedale Teaching PCT       25,584   Derby City PCT
38   Hounslow PCT                             25,581   County Durham PCT
37   Barking and Dagenham PCT                 25,400   Bradford and Airedale Teaching PCT
36   Kirklees PCT                             25,394   Middlesbrough PCT
35   Ashton, Leigh and Wigan PCT              25,302   East Riding Of Yorkshire PCT
34   Heywood, Middleton and Rochdale PCT      25,150   Wakefield District PCT
33   Doncaster PCT                            25,074   Gateshead PCT
32   Solihull Care Trust                      24,806   Islington PCT
31   Nottingham City PCT                      24,704   Mid Essex PCT
30   Wakefield District PCT                   24,634   Oxfordshire PCT
29   Middlesbrough PCT                        24,610   South East Essex PCT
28   Manchester PCT                           24,607   Redcar and Cleveland PCT
27   Torbay Care Trust                        24,531   Kirklees PCT
26   South Birmingham PCT                     24,526   Haringey Teaching PCT
25   Salford Teaching PCT                     24,499   Doncaster PCT
24   Shropshire County PCT                    24,293   Torbay Care Trust
23   Warrington PCT                           24,050   Camden PCT
22   Walsall Teaching PCT                     23,931   Leeds PCT
21   Halton and St. Helens PCT                23,775   Lambeth PCT
20   Dudley PCT                               23,719   Walsall Teaching PCT
19   Plymouth Teaching PCT                    23,701   North East Essex PCT
18   Blackburn with Darwen Teaching PCT       23,591   Hull Teaching PCT
17   Luton Teaching PCT                       23,415   South West Essex Teaching PCT
16   Hartlepool PCT                           23,144   Telford and Wrekin PCT
15   City and Hackney Teaching PCT            23,056   Herefordshire PCT
14   Coventry Teaching PCT                    22,805   South Staffordshire PCT
13   Sandwell PCT                             22,777   Solihull Care Trust
12   Lambeth PCT                              22,634   Worcestershire PCT
11   Bolton PCT                               22,288   Warwickshire PCT
10   Knowsley PCT                             22,227   Dudley PCT
9    Telford and Wrekin PCT                   22,157   Wolverhampton City PCT
8    Liverpool PCT                            21,863   North Staffordshire PCT
7    Birmingham East and North PCT            21,778   South Birmingham PCT
6    Wolverhampton City PCT                   21,591   Birmingham East and North PCT
5    Stoke On Trent Teaching PCT              21,090   Shropshire County PCT
4    Leicester City Teaching PCT              20,168   Coventry Teaching PCT
3    Newham PCT                               19,236   Stoke On Trent Teaching PCT
2    Tower Hamlets PCT                        17,746   Heart of Birmingham Teaching PCT
1    Heart of Birmingham Teaching PCT         17,095   Sandwell PCT



     Notes:
     The 2008/9 disease-level expenditure data are taken from NHS Comparators.
     The 2008/9 intervention-level expenditure data are taken from HES (Hospital Episode Statistics) for spells w
     The Expenditure Rate is adjusted for age, sex and need of the selected PCT.
     The market forces factor is excluded from the analysis to ensure a level playing field for comparison betwe
     Therefore expenditure (volume) above / below benchmark indicates scale of saving or cost.
     Positive numbers indicate that PCT expenditure is above the benchmark – to reach the benchmark savings
     Negative numbers indicate that PCT expenditure is below the benchmark – to reach the benchmark will co
     Interventions (HRGs) are allocated to their most likely disease category.

     Mapping:
     The following mapping gives an approximate indication of where spending in HRG 3.5 might now reside in

     Cardiac Valve procedures: E03 goes to EA17, EA18, EA19 and possibly EA24 if congenital.
     Coronary Bypass: E04 goes to EA14, EA15, EA16 and possibly EA20 if doing a CABG and valve together.
     Cardiac Catheterisation and Angiography without complications: E14 goes to EA36, EA41.
     Percutaneous Coronary intervention: E15 goes to EA31, EA32, EA33, EA34, EA35.
     Non-Transient Stroke or Cerebrovascular Accident >69 or w cc: A22 goes to AA22.
     Primary Knee Replacement: H04 goes to HB21, HA21 (though would be escalated if multiple procedures).
     Arthroscopies: H10 goes to HA21-HA26 and HB21-HB25.
Primary Hip Replacement Cemented: H80 goes to HB12, HA12 (though would be escalated if multiple procedur
Primary Hip Replacement Uncemented: H81 goes to HB12, HA12 (though would be escalated if multiple proced
Complex Elderly with a Musculoskeletal System Primary Diagnosis: H99 goes to potentially any diagnosis dri
Complex Elderly with a Respiratory System Primary Diagnosis: D99 goes to potentially any diagnosis driven H
Kidney or Urinary Tract Infections >69 or w cc: L09 goes to LA04.
Upper Genital Tract Major Procedures: M07 goes to MA01, MA02, MA07, MA08, MA09, MA10, MA11, MA12.
Diagnostic Procedures, Oesophagus and Stomach: F06 goes to FZ03, FZ24, FZ30 and a few others too.
Large Intestine - Endoscopic or Intermediate Procedures: F35 goes to FZ26 (maybe FZ16 and a couple of oth
Complex Elderly with a Nervous System Primary Diagnosis: A99 goes to potentially any diagnosis driven HRG
Phakoemulsification Cataract Extraction and Insertion of Lens: B13 goes to BZ01, BZ02, BZ03.
Intermediate Mouth or Throat Procedures: C58 goes to CZ01, CZ02, CZ03, CZ04, CZ05, CZ06.

                                                http://www.networks.nhs.uk/nhs-networks/healt
ure diseases and interventions in 2008-09.
  Circulatory                               E03.Cardiac valve procedures                                 E04.Coronary Bypass

                 Age Sex                                                   Age Sex
                 Needs                                                     Needs
                 Expenditure                                               Expenditure
                 Rate                                                      Rate
                 (£/1000                                                   (£/1000
                 population) PCT name                                      population) PCT name
                      58,715 Leicestershire County and Rutland PCT               5,166 Hounslow PCT
                      52,363 West Cheshire PCT                                   4,858 Ealing PCT
                      52,048 Bexley PCT                                          4,824 Plymouth Teaching PCT
                      51,739 Cambridgeshire PCT                                  4,716 East and North Hertfordshire PCT
                      51,461 Blackpool PCT                                       4,465 Stockton-on-Tees Teaching PCT
                      51,265 North Somerset PCT                                  4,274 Bath and North East Somerset PCT
                      51,167 North Lancashire PCT                                4,233 Blackburn with Darwen Teaching PCT
                      51,060 Wiltshire PCT                                       4,201 Waltham Forest PCT
                      50,938 East and North Hertfordshire PCT                    4,071 Luton Teaching PCT
                      50,483 Hampshire PCT                                       4,054 Tower Hamlets PCT
                      50,378 Bath and North East Somerset PCT                    3,992 Somerset PCT
                      50,293 Richmond and Twickenham PCT                         3,890 Berkshire East Teaching PCT
                      49,551 Southwark PCT                                       3,863 Swindon PCT
                      49,474 Devon PCT                                           3,787 Sutton and Merton PCT
                      49,440 Southampton City PCT                                3,780 East Sussex Downs and Weald PCT
                      49,426 Berkshire East Teaching PCT                         3,765 Devon PCT
                      49,320 West Kent PCT                                       3,763 Brent Teaching PCT
                      49,285 Cornwall and Isles Of Scilly PCT                    3,756 Barking and Dagenham PCT
                      49,269 East Sussex Downs and Weald PCT                     3,669 North Lancashire PCT
                      48,912 West Sussex Teaching PCT                            3,662 Hillingdon PCT
                      48,702 Leicester City Teaching PCT                         3,628 South Gloucestershire PCT
                      48,520 Bromley PCT                                         3,603 Darlington PCT
                      48,502 Plymouth Teaching PCT                               3,591 Bedfordshire PCT
                      48,375 Eastern and Coastal Kent Teaching PCT               3,589 Newham PCT
                      48,366 Norfolk PCT                                         3,547 Cornwall and Isles Of Scilly PCT
                      48,249 Redbridge PCT                                       3,484 North Somerset PCT
                      48,081 West Hertfordshire PCT                              3,478 Blackpool PCT
                      47,944 Somerset PCT                                        3,470 Enfield PCT
                      47,914 Walsall Teaching PCT                                3,469 Telford and Wrekin PCT
                      47,349 Enfield PCT                                         3,458 North East Essex PCT
                      47,263 Solihull Care Trust                                 3,458 Solihull Care Trust
                      47,178 Dorset PCT                                          3,449 Bromley PCT
                      47,129 Herefordshire PCT                                   3,447 Bury PCT
                      47,068 Greenwich Teaching PCT                              3,432 Sunderland Teaching PCT
                      46,970 Suffolk PCT                                         3,418 Portsmouth City Teaching PCT
                      46,588 Bury PCT                                            3,409 Warrington PCT
                      46,344 Portsmouth City Teaching PCT                        3,407 Walsall Teaching PCT
                      46,296 Croydon PCT                                         3,359 Hartlepool PCT
                      46,266 South Birmingham PCT                                3,357 Redbridge PCT
                      45,864 Gloucestershire PCT                                 3,346 Rotherham PCT
                      45,812 Bedfordshire PCT                                    3,339 Harrow PCT
                      45,724 Milton Keynes PCT                                   3,337 Havering PCT
                      45,662 Kingston PCT                                        3,284 Eastern and Coastal Kent Teaching PCT
                      45,447 Dudley PCT                                          3,272 West Essex PCT
                      45,189 Bristol Teaching PCT                                3,238 Surrey PCT
                      44,895 Buckinghamshire PCT                                 3,235 East Lancashire PCT
                      44,622 Cumbria PCT                                         3,216 Southampton City PCT
                      44,556 Northamptonshire Teaching PCT                       3,208 Bristol Teaching PCT
                      44,396 Sheffield PCT                                       3,153 Barnet PCT
                      44,314 East Riding Of Yorkshire PCT                        3,151 Central Lancashire PCT
44,238   Surrey PCT                                3,140   North Lincolnshire PCT
44,204   Islington PCT                             3,131   Liverpool PCT
44,186   Brighton and Hove City Teaching PCT       3,111   Middlesbrough PCT
44,168   North Yorkshire and York PCT              3,102   Heart of Birmingham Teaching PCT
44,122   Havering PCT                              3,095   Gloucestershire PCT
44,073   Berkshire West PCT                        3,012   Wiltshire PCT
43,609   Newham PCT                                2,967   Bexley PCT
43,472   Heart of Birmingham Teaching PCT          2,931   Wandsworth PCT
43,194   Wirral PCT                                2,928   Trafford PCT
43,006   Trafford PCT                              2,927   South West Essex Teaching PCT
42,977   South West Essex Teaching PCT             2,923   East Riding Of Yorkshire PCT
42,963   Telford and Wrekin PCT                    2,905   Richmond and Twickenham PCT
42,907   Lewisham PCT                              2,890   Hampshire PCT
42,817   Westminster PCT                           2,889   Sefton PCT
42,808   Tower Hamlets PCT                         2,882   North Staffordshire PCT
42,762   Ashton, Leigh and Wigan PCT               2,867   South Staffordshire PCT
42,682   Warwickshire PCT                          2,855   Mid Essex PCT
42,464   Coventry Teaching PCT                     2,847   Stockport PCT
42,464   Hounslow PCT                              2,845   Bassetlaw PCT
42,449   Warrington PCT                            2,839   Kingston PCT
42,440   South Staffordshire PCT                   2,834   City and Hackney Teaching PCT
42,439   Salford Teaching PCT                      2,831   Tameside and Glossop PCT
42,301   North East Essex PCT                      2,822   West Hertfordshire PCT
42,060   Lincolnshire Teaching PCT                 2,796   County Durham PCT
41,853   Barking and Dagenham PCT                  2,793   West Kent PCT
41,719   Central Lancashire PCT                    2,790   Cumbria PCT
41,649   Liverpool PCT                             2,771   Barnsley PCT
41,638   South Gloucestershire PCT                 2,761   Peterborough PCT
41,541   Waltham Forest PCT                        2,758   Doncaster PCT
41,416   Swindon PCT                               2,758   Isle of Wight Healthcare PCT
41,178   Ealing PCT                                2,745   North Yorkshire and York PCT
40,925   Bassetlaw PCT                             2,741   Bolton PCT
40,890   East Lancashire PCT                       2,738   Suffolk PCT
40,835   City and Hackney Teaching PCT             2,729   West Cheshire PCT
40,482   Hillingdon PCT                            2,726   Dudley PCT
40,370   Northumberland Care Trust                 2,712   Berkshire West PCT
40,212   Barnet PCT                                2,689   Ashton, Leigh and Wigan PCT
40,118   Worcestershire PCT                        2,682   Wolverhampton City PCT
40,092   South East Essex PCT                      2,681   Halton and St. Helens PCT
39,998   Stockport PCT                             2,676   Norfolk PCT
39,892   Great Yarmouth and Waveney Teaching PCT   2,675   Greenwich Teaching PCT
39,734   Wolverhampton City PCT                    2,659   West Sussex Teaching PCT
39,712   West Essex PCT                            2,650   South East Essex PCT
39,576   Sefton PCT                                2,622   Heywood, Middleton and Rochdale PCT
39,548   Hastings and Rother PCT                   2,609   Buckinghamshire PCT
39,548   Oxfordshire PCT                           2,603   Stoke On Trent Teaching PCT
39,488   Medway Teaching PCT                       2,603   Cambridgeshire PCT
39,447   Hammersmith and Fulham PCT                2,581   Central and Eastern Cheshire PCT
39,136   Doncaster PCT                             2,537   South Tyneside PCT
39,105   Derbyshire County PCT                     2,535   Manchester PCT
39,075   Darlington PCT                            2,517   Leicestershire County and Rutland PCT
38,956   Derby City PCT                            2,515   Brighton and Hove City Teaching PCT
38,735   North Lincolnshire PCT                    2,514   Leicester City Teaching PCT
38,642   Wandsworth PCT                            2,511   Shropshire County PCT
38,620   Bolton PCT                                2,508   Sandwell PCT
38,596   Halton and St. Helens PCT                 2,459   Birmingham East and North PCT
38,551   Luton Teaching PCT                        2,445   Medway Teaching PCT
38,228   Rotherham PCT                             2,422   Nottinghamshire County Teaching PCT
38,227   Oldham PCT                                2,421   Northamptonshire Teaching PCT
38,124   Sunderland Teaching PCT                   2,411   Redcar and Cleveland PCT
37,728   Barnsley PCT                              2,404   Sheffield PCT
37,703   Central and Eastern Cheshire PCT          2,383   Oldham PCT
37,695   County Durham PCT                         2,374   Westminster PCT
                           36,934   Sutton and Merton PCT                 2,374   Salford Teaching PCT
                           36,840   Bournemouth and Poole Teaching PCT    2,365   Hull Teaching PCT
                           36,625   Sandwell PCT                          2,342   Lincolnshire Teaching PCT
                           36,518   Heywood, Middleton and Rochdale PCT   2,337   Milton Keynes PCT
                           36,136   Torbay Care Trust                     2,336   Hastings and Rother PCT
                           36,136   Stockton-on-Tees Teaching PCT         2,313   Coventry Teaching PCT
                           35,405   South Tyneside PCT                    2,292   Warwickshire PCT
                           35,315   Tameside and Glossop PCT              2,165   Croydon PCT
                           35,251   Shropshire County PCT                 2,154   Worcestershire PCT
                           35,243   Brent Teaching PCT                    2,138   Herefordshire PCT
                           35,064   Birmingham East and North PCT         2,101   Hammersmith and Fulham PCT
                           35,042   Mid Essex PCT                         2,067   Great Yarmouth and Waveney Teaching PCT
                           34,801   Manchester PCT                        2,048   Nottingham City PCT
                           34,514   Harrow PCT                            2,046   Torbay Care Trust
                           34,328   Knowsley PCT                          2,039   Derbyshire County PCT
                           34,163   Nottinghamshire County Teaching PCT   2,034   North East Lincolnshire PCT
                           33,949   Gateshead PCT                         2,004   North Tyneside PCT
                           33,445   Redcar and Cleveland PCT              1,948   Lambeth PCT
                           32,812   Hartlepool PCT                        1,937   Gateshead PCT
                           32,467   Lambeth PCT                           1,886   Derby City PCT
                           31,814   Middlesbrough PCT                     1,813   Knowsley PCT
                           30,479   Peterborough PCT                      1,809   Wirral PCT
                           30,357   North Tyneside PCT                    1,794   Haringey Teaching PCT
                           29,649   Haringey Teaching PCT                 1,790   South Birmingham PCT
                           29,555   Hull Teaching PCT                     1,779   Lewisham PCT
                           29,216   Blackburn with Darwen Teaching PCT    1,762   Southwark PCT
                           28,163   Stoke On Trent Teaching PCT           1,761   Northumberland Care Trust
                           27,372   North East Lincolnshire PCT           1,748   Kirklees PCT
                           26,898   Isle of Wight Healthcare PCT          1,742   Newcastle PCT
                           26,726   Newcastle PCT                         1,731   Wakefield District PCT
                           26,382   Wakefield District PCT                1,691   Islington PCT
                           26,332   North Staffordshire PCT               1,658   Kensington and Chelsea PCT
                           26,263   Nottingham City PCT                   1,574   Oxfordshire PCT
                           25,556   Calderdale PCT                        1,547   Leeds PCT
                           25,501   Camden PCT                            1,510   Calderdale PCT
                           23,384   Kensington and Chelsea PCT            1,356   Bradford and Airedale Teaching PCT
                           22,319   Kirklees PCT                          1,302   Camden PCT
                           22,081   Leeds PCT                             1,279   Dorset PCT
                           21,668   Bradford and Airedale Teaching PCT    1,067   Bournemouth and Poole Teaching PCT




S (Hospital Episode Statistics) for spells with tariff.

a level playing field for comparison between PCTs.
es scale of saving or cost.
 hmark – to reach the benchmark savings need to be made.
chmark – to reach the benchmark will cost more money.



spending in HRG 3.5 might now reside in HRG 4 at the root 4-character level.

 ibly EA24 if congenital.
0 if doing a CABG and valve together.
E14 goes to EA36, EA41.


  be escalated if multiple procedures).
ugh would be escalated if multiple procedures).
hough would be escalated if multiple procedures).
s: H99 goes to potentially any diagnosis driven HRG.
99 goes to potentially any diagnosis driven HRG.

MA07, MA08, MA09, MA10, MA11, MA12.
Z03, FZ24, FZ30 and a few others too.
 s to FZ26 (maybe FZ16 and a couple of others too?)
goes to potentially any diagnosis driven HRG.
 3 goes to BZ01, BZ02, BZ03.
2, CZ03, CZ04, CZ05, CZ06.

 works.nhs.uk/nhs-networks/health-investment-network
                                   E14.Cardiac Catheterisation and Angiography without
4.Coronary Bypass                                    complications                                  E15.Percutaneous Coronary intervention

                    Age Sex                                                   Age Sex
                    Needs                                                     Needs
                    Expenditure                                               Expenditure
                    Rate                                                      Rate
                    (£/1000                                                   (£/1000
                    population) PCT name                                      population) PCT name
                          6,628 Ealing PCT                                          9,464 Bournemouth and Poole Teaching PCT
                          5,317 Redbridge PCT                                       8,339 Ealing PCT
                          5,033 Harrow PCT                                          8,011 Harrow PCT
                          4,892 West Essex PCT                                      7,599 Dorset PCT
                          4,831 Brent Teaching PCT                                  7,387 Buckinghamshire PCT
                          4,674 Bromley PCT                                         7,264 Croydon PCT
                          4,611 South East Essex PCT                                7,208 Brent Teaching PCT
                          4,566 Barking and Dagenham PCT                            7,171 Sutton and Merton PCT
                          4,508 Wandsworth PCT                                      7,128 Hounslow PCT
                          4,482 Bournemouth and Poole Teaching PCT                  7,066 Newham PCT
                          4,469 Hastings and Rother PCT                             6,944 South Tyneside PCT
                          4,391 Croydon PCT                                         6,845 Wandsworth PCT
                          4,346 Dorset PCT                                          6,836 Swindon PCT
                          4,058 West Sussex Teaching PCT                            6,792 Newcastle PCT
                          4,012 North Lincolnshire PCT                              6,774 Sunderland Teaching PCT
                          4,008 Swindon PCT                                         6,729 Greenwich Teaching PCT
                          4,005 Havering PCT                                        6,724 Kingston PCT
                          3,950 Newham PCT                                          6,684 Northamptonshire Teaching PCT
                          3,949 Berkshire East Teaching PCT                         6,663 Barnet PCT
                          3,932 Enfield PCT                                         6,635 Oxfordshire PCT
                          3,873 Barnet PCT                                          6,564 Redbridge PCT
                          3,855 West Hertfordshire PCT                              6,523 Sandwell PCT
                          3,852 Sutton and Merton PCT                               6,474 Tower Hamlets PCT
                          3,745 Portsmouth City Teaching PCT                        6,456 Hastings and Rother PCT
                          3,717 North East Lincolnshire PCT                         6,423 Leicester City Teaching PCT
                          3,706 East and North Hertfordshire PCT                    6,359 Brighton and Hove City Teaching PCT
                          3,689 Hounslow PCT                                        6,348 Hampshire PCT
                          3,658 Wiltshire PCT                                       6,314 Middlesbrough PCT
                          3,646 Solihull Care Trust                                 6,291 Heart of Birmingham Teaching PCT
                          3,641 Surrey PCT                                          6,285 West Hertfordshire PCT
                          3,638 Wakefield District PCT                              6,277 West Essex PCT
                          3,579 Buckinghamshire PCT                                 6,187 Leeds PCT
                          3,561 East Sussex Downs and Weald PCT                     6,080 Berkshire West PCT
                          3,515 Telford and Wrekin PCT                              6,047 Bexley PCT
                          3,515 Hampshire PCT                                       5,925 Richmond and Twickenham PCT
                          3,511 Blackburn with Darwen Teaching PCT                  5,881 Hull Teaching PCT
                          3,493 Cambridgeshire PCT                                  5,879 Havering PCT
                          3,488 Mid Essex PCT                                       5,853 Hillingdon PCT
                          3,475 Sunderland Teaching PCT                             5,829 Bromley PCT
                          3,473 Brighton and Hove City Teaching PCT                 5,774 Manchester PCT
                          3,461 Greenwich Teaching PCT                              5,740 Berkshire East Teaching PCT
                          3,455 Waltham Forest PCT                                  5,691 Leicestershire County and Rutland PCT
                          3,455 Westminster PCT                                     5,689 East Riding Of Yorkshire PCT
                          3,451 Bath and North East Somerset PCT                    5,647 Solihull Care Trust
                          3,450 East Riding Of Yorkshire PCT                        5,584 Wiltshire PCT
                          3,448 North Yorkshire and York PCT                        5,540 Milton Keynes PCT
                          3,442 Berkshire West PCT                                  5,462 Enfield PCT
                          3,439 Tower Hamlets PCT                                   5,455 North Tyneside PCT
                          3,431 Heywood, Middleton and Rochdale PCT                 5,422 South Birmingham PCT
                          3,420 Kingston PCT                                        5,405 East Sussex Downs and Weald PCT
3,404   Sandwell PCT                            5,379   West Sussex Teaching PCT
3,401   Northamptonshire Teaching PCT           5,287   Cambridgeshire PCT
3,389   West Cheshire PCT                       5,272   Cornwall and Isles Of Scilly PCT
3,373   North Somerset PCT                      5,261   Portsmouth City Teaching PCT
3,366   Devon PCT                               5,257   Bristol Teaching PCT
3,352   Calderdale PCT                          5,239   Northumberland Care Trust
3,332   Birmingham East and North PCT           5,226   Coventry Teaching PCT
3,324   Hillingdon PCT                          5,202   Surrey PCT
3,304   Bedfordshire PCT                        5,191   East and North Hertfordshire PCT
3,303   Bury PCT                                5,188   Barking and Dagenham PCT
3,293   City and Hackney Teaching PCT           5,120   North Somerset PCT
3,268   Wirral PCT                              5,105   Bolton PCT
3,257   Hull Teaching PCT                       5,087   Westminster PCT
3,255   Eastern and Coastal Kent Teaching PCT   5,025   Devon PCT
3,222   Bristol Teaching PCT                    5,015   Blackburn with Darwen Teaching PCT
3,188   Walsall Teaching PCT                    4,933   Birmingham East and North PCT
3,169   Warrington PCT                          4,927   Stockport PCT
3,168   Richmond and Twickenham PCT             4,834   Blackpool PCT
3,164   Cornwall and Isles Of Scilly PCT        4,825   North Yorkshire and York PCT
3,159   Bexley PCT                              4,813   West Kent PCT
3,150   Ashton, Leigh and Wigan PCT             4,793   Peterborough PCT
3,100   Gateshead PCT                           4,793   Ashton, Leigh and Wigan PCT
3,096   Plymouth Teaching PCT                   4,781   Norfolk PCT
3,092   Dudley PCT                              4,773   Bath and North East Somerset PCT
3,082   Gloucestershire PCT                     4,769   Redcar and Cleveland PCT
3,070   North East Essex PCT                    4,747   City and Hackney Teaching PCT
3,038   Kirklees PCT                            4,725   North Lincolnshire PCT
3,034   Milton Keynes PCT                       4,706   Calderdale PCT
3,032   Luton Teaching PCT                      4,695   South East Essex PCT
3,021   Suffolk PCT                             4,667   North Lancashire PCT
3,009   South Tyneside PCT                      4,664   County Durham PCT
3,005   Heart of Birmingham Teaching PCT        4,638   Gloucestershire PCT
2,996   Manchester PCT                          4,572   Luton Teaching PCT
2,982   Liverpool PCT                           4,483   Stockton-on-Tees Teaching PCT
2,979   Leeds PCT                               4,465   Southampton City PCT
2,965   Norfolk PCT                             4,446   Plymouth Teaching PCT
2,950   East Lancashire PCT                     4,412   Lambeth PCT
2,939   Medway Teaching PCT                     4,411   Gateshead PCT
2,933   Oldham PCT                              4,357   Dudley PCT
2,912   South Gloucestershire PCT               4,305   Lewisham PCT
2,888   Blackpool PCT                           4,304   Salford Teaching PCT
2,878   Kensington and Chelsea PCT              4,290   Wolverhampton City PCT
2,840   Somerset PCT                            4,288   Warwickshire PCT
2,830   Tameside and Glossop PCT                4,226   Trafford PCT
2,826   Peterborough PCT                        4,202   Nottinghamshire County Teaching PCT
2,812   Shropshire County PCT                   4,194   Kirklees PCT
2,793   Trafford PCT                            4,171   Waltham Forest PCT
2,784   Hammersmith and Fulham PCT              4,146   Bury PCT
2,772   Warwickshire PCT                        4,100   Hammersmith and Fulham PCT
2,770   South West Essex Teaching PCT           4,053   Tameside and Glossop PCT
2,766   Lewisham PCT                            4,037   Southwark PCT
2,764   Knowsley PCT                            4,005   Heywood, Middleton and Rochdale PCT
2,757   Southwark PCT                           3,994   Sheffield PCT
2,753   Bradford and Airedale Teaching PCT      3,976   Walsall Teaching PCT
2,696   West Kent PCT                           3,955   Stoke On Trent Teaching PCT
2,696   Salford Teaching PCT                    3,916   Worcestershire PCT
2,679   Herefordshire PCT                       3,896   Oldham PCT
2,677   South Staffordshire PCT                 3,894   Kensington and Chelsea PCT
2,658   Stockport PCT                           3,890   Bedfordshire PCT
2,654   Lambeth PCT                             3,876   Camden PCT
2,626   Nottinghamshire County Teaching PCT     3,861   North East Lincolnshire PCT
2,622   Doncaster PCT                           3,820   Mid Essex PCT
2,619   Torbay Care Trust                       3,776   Torbay Care Trust
2,614   Lincolnshire Teaching PCT                 3,769   Lincolnshire Teaching PCT
2,594   Halton and St. Helens PCT                 3,767   East Lancashire PCT
2,565   Darlington PCT                            3,720   South Gloucestershire PCT
2,530   Central Lancashire PCT                    3,645   North Staffordshire PCT
2,528   North Staffordshire PCT                   3,627   Nottingham City PCT
2,521   Worcestershire PCT                        3,624   Darlington PCT
2,449   Sefton PCT                                3,595   Central Lancashire PCT
2,438   Northumberland Care Trust                 3,550   Wakefield District PCT
2,420   Stoke On Trent Teaching PCT               3,523   Telford and Wrekin PCT
2,391   Great Yarmouth and Waveney Teaching PCT   3,521   Hartlepool PCT
2,352   Southampton City PCT                      3,429   Bradford and Airedale Teaching PCT
2,343   Bolton PCT                                3,425   South Staffordshire PCT
2,339   Nottingham City PCT                       3,419   Suffolk PCT
2,324   Central and Eastern Cheshire PCT          3,405   Derby City PCT
2,298   Wolverhampton City PCT                    3,393   North East Essex PCT
2,296   Sheffield PCT                             3,301   Great Yarmouth and Waveney Teaching PCT
2,296   North Lancashire PCT                      3,263   South West Essex Teaching PCT
2,261   Hartlepool PCT                            3,217   Somerset PCT
2,205   Coventry Teaching PCT                     3,202   Islington PCT
2,200   South Birmingham PCT                      3,186   Cumbria PCT
2,187   Camden PCT                                3,183   Haringey Teaching PCT
2,187   Haringey Teaching PCT                     3,141   Shropshire County PCT
2,184   Rotherham PCT                             3,141   Medway Teaching PCT
2,167   Oxfordshire PCT                           3,000   Eastern and Coastal Kent Teaching PCT
2,114   County Durham PCT                         2,987   Halton and St. Helens PCT
2,112   Isle of Wight Healthcare PCT              2,969   Herefordshire PCT
1,991   North Tyneside PCT                        2,944   Knowsley PCT
1,971   Leicester City Teaching PCT               2,901   Warrington PCT
1,868   Derbyshire County PCT                     2,861   West Cheshire PCT
1,866   Bassetlaw PCT                             2,814   Central and Eastern Cheshire PCT
1,856   Leicestershire County and Rutland PCT     2,810   Derbyshire County PCT
1,769   Barnsley PCT                              2,799   Bassetlaw PCT
1,727   Stockton-on-Tees Teaching PCT             2,615   Sefton PCT
1,726   Newcastle PCT                             2,609   Liverpool PCT
1,601   Redcar and Cleveland PCT                  2,496   Isle of Wight Healthcare PCT
1,578   Derby City PCT                            2,469   Wirral PCT
1,534   Middlesbrough PCT                         2,434   Rotherham PCT
1,494   Cumbria PCT                               2,278   Barnsley PCT
  702   Islington PCT                             2,102   Doncaster PCT
                                     A22.Non-Transient Stroke or Cerebrovascular Accident >69 or
neous Coronary intervention                                     w cc                                                Musculoskeletal

                         Age Sex                                                    Age Sex
                         Needs                                                      Needs
                         Expenditure                                                Expenditure
                         Rate                                                       Rate
                         (£/1000                                                    (£/1000
                         population) PCT name                                       population) PCT name
                              10,336 South Gloucestershire PCT                            5,685 Wiltshire PCT
                              10,074 Bristol Teaching PCT                                 4,722 Shropshire County PCT
                               9,711 Hastings and Rother PCT                              4,709 Dorset PCT
                               9,513 Kingston PCT                                         4,577 Bath and North East Somerset PCT
                               9,047 Somerset PCT                                         4,540 Hampshire PCT
                               9,033 Cornwall and Isles Of Scilly PCT                     4,475 Dudley PCT
                               8,641 Bromley PCT                                          4,376 South Gloucestershire PCT
                               7,852 Berkshire East Teaching PCT                          4,328 Plymouth Teaching PCT
                               7,789 Wiltshire PCT                                        4,327 Portsmouth City Teaching PCT
                               7,444 Bournemouth and Poole Teaching PCT                   4,225 West Sussex Teaching PCT
                               7,345 Sheffield PCT                                        4,197 Devon PCT
                               7,304 South Tyneside PCT                                   4,169 Swindon PCT
                               7,302 Southampton City PCT                                 4,162 Cornwall and Isles Of Scilly PCT
                               7,292 Bath and North East Somerset PCT                     4,151 Bournemouth and Poole Teaching PCT
                               7,291 Herefordshire PCT                                    4,130 Berkshire West PCT
                               7,188 Suffolk PCT                                          4,067 Worcestershire PCT
                               7,049 Waltham Forest PCT                                   4,059 Herefordshire PCT
                               6,922 Tower Hamlets PCT                                    4,014 Gloucestershire PCT
                               6,841 Richmond and Twickenham PCT                          4,001 Warwickshire PCT
                               6,834 Ashton, Leigh and Wigan PCT                          3,960 North Somerset PCT
                               6,776 Lewisham PCT                                         3,945 Somerset PCT
                               6,757 Buckinghamshire PCT                                  3,929 Hastings and Rother PCT
                               6,687 North Yorkshire and York PCT                         3,927 Bromley PCT
                               6,678 Devon PCT                                            3,926 Surrey PCT
                               6,576 Stockton-on-Tees Teaching PCT                        3,916 Derbyshire County PCT
                               6,523 South East Essex PCT                                 3,886 North Yorkshire and York PCT
                               6,513 Stockport PCT                                        3,860 Derby City PCT
                               6,507 Central and Eastern Cheshire PCT                     3,825 East Riding Of Yorkshire PCT
                               6,496 Islington PCT                                        3,801 Central Lancashire PCT
                               6,490 Dorset PCT                                           3,779 Oxfordshire PCT
                               6,455 Wolverhampton City PCT                               3,778 Trafford PCT
                               6,436 Blackburn with Darwen Teaching PCT                   3,772 Nottinghamshire County Teaching PCT
                               6,371 Norfolk PCT                                          3,755 Coventry Teaching PCT
                               6,353 West Sussex Teaching PCT                             3,751 West Hertfordshire PCT
                               6,318 West Cheshire PCT                                    3,714 Northumberland Care Trust
                               6,315 Cambridgeshire PCT                                   3,697 Torbay Care Trust
                               6,294 Barnsley PCT                                         3,691 Wirral PCT
                               6,289 Berkshire West PCT                                   3,689 Mid Essex PCT
                               6,278 Surrey PCT                                           3,671 Bristol Teaching PCT
                               6,217 Bolton PCT                                           3,668 North Tyneside PCT
                               6,200 Darlington PCT                                       3,661 Central and Eastern Cheshire PCT
                               6,149 Nottinghamshire County Teaching PCT                  3,649 South East Essex PCT
                               6,111 Mid Essex PCT                                        3,644 Bury PCT
                               6,081 Sunderland Teaching PCT                              3,635 Bassetlaw PCT
                               6,062 Cumbria PCT                                          3,611 Solihull Care Trust
                               6,036 Middlesbrough PCT                                    3,601 Cumbria PCT
                               6,024 South Birmingham PCT                                 3,589 West Essex PCT
                               5,854 Northumberland Care Trust                            3,580 South Birmingham PCT
                               5,764 Hampshire PCT                                        3,568 Buckinghamshire PCT
                               5,736 Warwickshire PCT                                     3,564 West Kent PCT
5,714   Milton Keynes PCT                         3,563   Isle of Wight Healthcare PCT
5,690   Central Lancashire PCT                    3,539   South Staffordshire PCT
5,683   Medway Teaching PCT                       3,528   Norfolk PCT
5,677   Haringey Teaching PCT                     3,527   Bedfordshire PCT
5,655   Heywood, Middleton and Rochdale PCT       3,500   Lincolnshire Teaching PCT
5,651   Halton and St. Helens PCT                 3,497   Berkshire East Teaching PCT
5,640   Sutton and Merton PCT                     3,493   Hillingdon PCT
5,623   Coventry Teaching PCT                     3,492   Havering PCT
5,530   South Staffordshire PCT                   3,491   East and North Hertfordshire PCT
5,513   Luton Teaching PCT                        3,420   Northamptonshire Teaching PCT
5,503   East Riding Of Yorkshire PCT              3,408   Suffolk PCT
5,491   Birmingham East and North PCT             3,408   Great Yarmouth and Waveney Teaching PCT
5,429   Worcestershire PCT                        3,405   Leicestershire County and Rutland PCT
5,400   South West Essex Teaching PCT             3,404   Southampton City PCT
5,366   Wirral PCT                                3,394   Cambridgeshire PCT
5,332   East Sussex Downs and Weald PCT           3,386   Birmingham East and North PCT
5,268   Warrington PCT                            3,382   Heywood, Middleton and Rochdale PCT
5,265   Croydon PCT                               3,376   Bexley PCT
5,214   Eastern and Coastal Kent Teaching PCT     3,348   Stockport PCT
5,197   Barking and Dagenham PCT                  3,339   North Lancashire PCT
5,176   West Essex PCT                            3,335   Gateshead PCT
5,159   Hounslow PCT                              3,333   Sutton and Merton PCT
5,144   Great Yarmouth and Waveney Teaching PCT   3,326   West Cheshire PCT
5,136   Redcar and Cleveland PCT                  3,313   Brighton and Hove City Teaching PCT
5,125   East Lancashire PCT                       3,301   Warrington PCT
5,096   Derbyshire County PCT                     3,289   Barnsley PCT
5,056   North East Essex PCT                      3,282   Walsall Teaching PCT
5,030   Brent Teaching PCT                        3,250   Sefton PCT
5,019   West Kent PCT                             3,249   Kingston PCT
4,943   Leicestershire County and Rutland PCT     3,249   North Staffordshire PCT
4,919   County Durham PCT                         3,234   Sandwell PCT
4,910   Nottingham City PCT                       3,230   Stockton-on-Tees Teaching PCT
4,905   Rotherham PCT                             3,226   Sheffield PCT
4,898   Derby City PCT                            3,210   Richmond and Twickenham PCT
4,894   Lincolnshire Teaching PCT                 3,206   South Tyneside PCT
4,891   Leicester City Teaching PCT               3,206   South West Essex Teaching PCT
4,797   Ealing PCT                                3,192   East Sussex Downs and Weald PCT
4,787   Southwark PCT                             3,153   Halton and St. Helens PCT
4,786   Trafford PCT                              3,142   Rotherham PCT
4,741   Northamptonshire Teaching PCT             3,138   Telford and Wrekin PCT
4,736   Bassetlaw PCT                             3,137   Leeds PCT
4,702   Swindon PCT                               3,136   Sunderland Teaching PCT
4,671   West Hertfordshire PCT                    3,130   Newcastle PCT
4,667   Brighton and Hove City Teaching PCT       3,129   Wolverhampton City PCT
4,659   Bedfordshire PCT                          3,122   Salford Teaching PCT
4,659   Manchester PCT                            3,115   Hartlepool PCT
4,631   Telford and Wrekin PCT                    3,090   Tameside and Glossop PCT
4,609   Heart of Birmingham Teaching PCT          3,057   Doncaster PCT
4,609   Havering PCT                              3,048   Milton Keynes PCT
4,555   North Lincolnshire PCT                    3,032   Luton Teaching PCT
4,555   Camden PCT                                3,030   Medway Teaching PCT
4,504   North Somerset PCT                        3,018   Ashton, Leigh and Wigan PCT
4,445   Enfield PCT                               3,001   Eastern and Coastal Kent Teaching PCT
4,440   Portsmouth City Teaching PCT              2,983   North Lincolnshire PCT
4,436   Greenwich Teaching PCT                    2,973   Croydon PCT
4,410   Oxfordshire PCT                           2,972   Kirklees PCT
4,394   Shropshire County PCT                     2,965   East Lancashire PCT
4,384   Torbay Care Trust                         2,955   North East Essex PCT
4,352   Kirklees PCT                              2,951   County Durham PCT
4,323   Redbridge PCT                             2,949   Calderdale PCT
4,323   Bexley PCT                                2,948   Wakefield District PCT
4,289   Barnet PCT                                2,943   Oldham PCT
4,264   North East Lincolnshire PCT               2,942   Blackpool PCT
4,236   North Staffordshire PCT              2,935   Harrow PCT
4,231   Hartlepool PCT                       2,929   Hounslow PCT
4,217   Wandsworth PCT                       2,920   Hull Teaching PCT
4,200   Isle of Wight Healthcare PCT         2,897   Barnet PCT
4,166   Peterborough PCT                     2,891   Knowsley PCT
4,157   Harrow PCT                           2,835   Ealing PCT
4,031   Newcastle PCT                        2,829   Enfield PCT
4,023   Bury PCT                             2,825   Greenwich Teaching PCT
3,985   Oldham PCT                           2,817   Manchester PCT
3,975   Bradford and Airedale Teaching PCT   2,781   North East Lincolnshire PCT
3,965   Walsall Teaching PCT                 2,764   Waltham Forest PCT
3,947   Solihull Care Trust                  2,761   Darlington PCT
3,930   Hillingdon PCT                       2,760   Hammersmith and Fulham PCT
3,906   Gloucestershire PCT                  2,738   Redbridge PCT
3,887   Hull Teaching PCT                    2,737   Wandsworth PCT
3,811   Tameside and Glossop PCT             2,730   Lewisham PCT
3,737   Newham PCT                           2,729   Nottingham City PCT
3,710   North Lancashire PCT                 2,711   Stoke On Trent Teaching PCT
3,709   Liverpool PCT                        2,705   Barking and Dagenham PCT
3,613   Westminster PCT                      2,696   Bradford and Airedale Teaching PCT
3,602   Calderdale PCT                       2,695   Liverpool PCT
3,565   Kensington and Chelsea PCT           2,689   Redcar and Cleveland PCT
3,556   Leeds PCT                            2,677   Kensington and Chelsea PCT
3,435   East and North Hertfordshire PCT     2,635   Islington PCT
3,431   Dudley PCT                           2,592   Peterborough PCT
3,427   Lambeth PCT                          2,550   Bolton PCT
3,390   Stoke On Trent Teaching PCT          2,450   Leicester City Teaching PCT
3,352   Gateshead PCT                        2,425   Middlesbrough PCT
3,285   Hammersmith and Fulham PCT           2,385   Brent Teaching PCT
3,233   Sefton PCT                           2,370   Camden PCT
3,168   Wakefield District PCT               2,342   Haringey Teaching PCT
2,996   Doncaster PCT                        2,335   Blackburn with Darwen Teaching PCT
2,972   Plymouth Teaching PCT                2,330   Heart of Birmingham Teaching PCT
2,922   City and Hackney Teaching PCT        2,324   Southwark PCT
2,838   Sandwell PCT                         2,241   Westminster PCT
2,769   Knowsley PCT                         2,054   City and Hackney Teaching PCT
2,706   Blackpool PCT                        1,935   Lambeth PCT
2,568   North Tyneside PCT                   1,622   Newham PCT
2,527   Salford Teaching PCT                 1,185   Tower Hamlets PCT
Musculoskeletal                             H04.Primary knee replacement                                  H10.Arthroscopies

                  Age Sex                                                  Age Sex
                  Needs                                                    Needs
                  Expenditure                                              Expenditure
                  Rate                                                     Rate
                  (£/1000                                                  (£/1000
                  population) PCT name                                     population) PCT name
                       42,338 Mid Essex PCT                                     11,674 Hastings and Rother PCT
                       40,925 Plymouth Teaching PCT                             11,635 Wiltshire PCT
                       40,397 Shropshire County PCT                             11,003 South East Essex PCT
                       39,409 Oxfordshire PCT                                   10,288 Bromley PCT
                       39,348 Hampshire PCT                                     10,037 West Sussex Teaching PCT
                       38,587 Devon PCT                                          9,934 Hampshire PCT
                       38,527 Worcestershire PCT                                 9,862 Central Lancashire PCT
                       37,724 Solihull Care Trust                                9,785 Warwickshire PCT
                       37,667 Gloucestershire PCT                                9,766 Swindon PCT
                       37,007 West Kent PCT                                      9,677 Shropshire County PCT
                       36,517 Warwickshire PCT                                   9,608 Surrey PCT
                       36,132 Northamptonshire Teaching PCT                      9,538 Dorset PCT
                       35,957 Derbyshire County PCT                              9,533 Berkshire East Teaching PCT
                       35,628 Wiltshire PCT                                      9,524 Oxfordshire PCT
                       35,536 Berkshire East Teaching PCT                        9,400 Havering PCT
                       35,446 North Yorkshire and York PCT                       9,363 Devon PCT
                       35,333 Dorset PCT                                         9,358 Worcestershire PCT
                       35,330 North Tyneside PCT                                 9,272 Berkshire West PCT
                       34,711 Buckinghamshire PCT                                9,246 West Hertfordshire PCT
                       34,596 Berkshire West PCT                                 9,230 Central and Eastern Cheshire PCT
                       34,578 Northumberland Care Trust                          9,159 East Riding Of Yorkshire PCT
                       34,531 Cornwall and Isles Of Scilly PCT                   9,142 North Yorkshire and York PCT
                       34,297 Wirral PCT                                         8,956 Bedfordshire PCT
                       34,260 Isle of Wight Healthcare PCT                       8,935 Herefordshire PCT
                       34,218 Sandwell PCT                                       8,932 West Kent PCT
                       34,213 Bath and North East Somerset PCT                   8,916 Wirral PCT
                       33,964 Dudley PCT                                         8,768 Trafford PCT
                       33,689 West Hertfordshire PCT                             8,718 West Essex PCT
                       33,480 Surrey PCT                                         8,713 Bournemouth and Poole Teaching PCT
                       33,076 Sutton and Merton PCT                              8,670 Gloucestershire PCT
                       32,863 Coventry Teaching PCT                              8,639 Lincolnshire Teaching PCT
                       32,854 Portsmouth City Teaching PCT                       8,638 Coventry Teaching PCT
                       32,515 Lincolnshire Teaching PCT                          8,571 Portsmouth City Teaching PCT
                       32,481 Nottinghamshire County Teaching PCT                8,571 Torbay Care Trust
                       32,470 West Sussex Teaching PCT                           8,552 Buckinghamshire PCT
                       32,373 Central and Eastern Cheshire PCT                   8,508 North Lancashire PCT
                       32,355 Bromley PCT                                        8,503 Telford and Wrekin PCT
                       32,181 East Riding Of Yorkshire PCT                       8,492 Plymouth Teaching PCT
                       32,118 Bexley PCT                                         8,467 East and North Hertfordshire PCT
                       32,056 Luton Teaching PCT                                 8,363 Northamptonshire Teaching PCT
                       32,041 Birmingham East and North PCT                      8,354 Bexley PCT
                       31,888 Swindon PCT                                        8,328 Blackpool PCT
                       31,737 Barnsley PCT                                       8,328 Cornwall and Isles Of Scilly PCT
                       31,548 Bassetlaw PCT                                      8,318 Tameside and Glossop PCT
                       31,523 West Cheshire PCT                                  8,312 Bassetlaw PCT
                       31,460 Sunderland Teaching PCT                            8,261 Brighton and Hove City Teaching PCT
                       31,457 Herefordshire PCT                                  8,257 Mid Essex PCT
                       31,397 Bournemouth and Poole Teaching PCT                 8,244 East Sussex Downs and Weald PCT
                       31,310 South Gloucestershire PCT                          8,224 Hull Teaching PCT
                       31,178 Bedfordshire PCT                                   8,153 Cumbria PCT
31,131   Torbay Care Trust                         8,123   Sefton PCT
31,127   South Staffordshire PCT                   8,024   West Cheshire PCT
31,054   Leicestershire County and Rutland PCT     7,996   Waltham Forest PCT
31,006   Southampton City PCT                      7,987   Bath and North East Somerset PCT
30,973   Rotherham PCT                             7,982   Warrington PCT
30,912   Harrow PCT                                7,974   Solihull Care Trust
30,230   Leeds PCT                                 7,900   Milton Keynes PCT
30,111   Warrington PCT                            7,877   Derby City PCT
30,004   Gateshead PCT                             7,867   Walsall Teaching PCT
29,967   Hartlepool PCT                            7,841   Medway Teaching PCT
29,734   South East Essex PCT                      7,825   Stockport PCT
29,543   South Tyneside PCT                        7,806   Great Yarmouth and Waveney Teaching PCT
29,414   Wakefield District PCT                    7,799   Leicestershire County and Rutland PCT
29,305   Walsall Teaching PCT                      7,688   Derbyshire County PCT
29,146   Wolverhampton City PCT                    7,661   Birmingham East and North PCT
29,124   Kingston PCT                              7,656   South West Essex Teaching PCT
29,063   North Lancashire PCT                      7,630   Nottinghamshire County Teaching PCT
29,061   Havering PCT                              7,625   Kirklees PCT
29,045   Bristol Teaching PCT                      7,608   Calderdale PCT
28,830   Central Lancashire PCT                    7,572   Cambridgeshire PCT
28,718   Great Yarmouth and Waveney Teaching PCT   7,570   North Staffordshire PCT
28,650   Halton and St. Helens PCT                 7,536   Suffolk PCT
28,576   Somerset PCT                              7,528   Lewisham PCT
28,319   Kirklees PCT                              7,527   Luton Teaching PCT
28,154   Trafford PCT                              7,495   North East Lincolnshire PCT
27,976   South Birmingham PCT                      7,484   North Lincolnshire PCT
27,958   Greenwich Teaching PCT                    7,479   Redbridge PCT
27,567   Hounslow PCT                              7,443   Eastern and Coastal Kent Teaching PCT
27,430   Sheffield PCT                             7,425   Sutton and Merton PCT
27,340   Derby City PCT                            7,375   Somerset PCT
27,302   South West Essex Teaching PCT             7,331   Halton and St. Helens PCT
27,277   North Somerset PCT                        7,301   Salford Teaching PCT
27,260   Hull Teaching PCT                         7,284   Heywood, Middleton and Rochdale PCT
27,257   Doncaster PCT                             7,269   Isle of Wight Healthcare PCT
27,216   Wandsworth PCT                            7,212   Barnet PCT
27,058   County Durham PCT                         7,199   Greenwich Teaching PCT
26,997   East and North Hertfordshire PCT          7,196   North Somerset PCT
26,956   Eastern and Coastal Kent Teaching PCT     7,196   Hillingdon PCT
26,823   Enfield PCT                               7,110   Sandwell PCT
26,788   Norfolk PCT                               7,095   Harrow PCT
26,623   Cumbria PCT                               7,090   East Lancashire PCT
26,508   Cambridgeshire PCT                        7,083   Hounslow PCT
26,267   Brent Teaching PCT                        7,055   Ealing PCT
26,212   Suffolk PCT                               7,051   Northumberland Care Trust
26,192   Telford and Wrekin PCT                    7,031   Knowsley PCT
26,169   Heywood, Middleton and Rochdale PCT       7,029   Norfolk PCT
26,044   Hastings and Rother PCT                   7,020   Rotherham PCT
25,984   Newcastle PCT                             7,017   Barking and Dagenham PCT
25,696   East Lancashire PCT                       6,970   South Tyneside PCT
25,691   Nottingham City PCT                       6,965   Barnsley PCT
25,607   Bury PCT                                  6,908   Bradford and Airedale Teaching PCT
25,367   Stockton-on-Tees Teaching PCT             6,845   Croydon PCT
25,302   West Essex PCT                            6,842   Peterborough PCT
24,938   Medway Teaching PCT                       6,826   Hammersmith and Fulham PCT
24,756   Hillingdon PCT                            6,815   Bury PCT
24,654   Ealing PCT                                6,790   North East Essex PCT
24,457   Barnet PCT                                6,710   Liverpool PCT
24,267   Richmond and Twickenham PCT               6,686   South Birmingham PCT
24,188   Stockport PCT                             6,615   Haringey Teaching PCT
23,881   Salford Teaching PCT                      6,582   Sunderland Teaching PCT
23,869   North East Essex PCT                      6,552   South Staffordshire PCT
23,697   Croydon PCT                               6,457   Leeds PCT
23,640   Waltham Forest PCT                        6,372   Gateshead PCT
23,617   Redbridge PCT                         6,250   South Gloucestershire PCT
23,523   Heart of Birmingham Teaching PCT      6,247   Enfield PCT
23,277   Peterborough PCT                      6,244   Dudley PCT
23,230   Ashton, Leigh and Wigan PCT           6,192   Brent Teaching PCT
23,212   Leicester City Teaching PCT           6,181   Ashton, Leigh and Wigan PCT
22,730   Brighton and Hove City Teaching PCT   6,179   Doncaster PCT
22,372   Milton Keynes PCT                     6,124   Stockton-on-Tees Teaching PCT
22,272   Blackpool PCT                         6,009   North Tyneside PCT
22,270   North Lincolnshire PCT                5,995   Richmond and Twickenham PCT
22,208   Sefton PCT                            5,966   County Durham PCT
22,185   Tameside and Glossop PCT              5,964   Wolverhampton City PCT
21,775   Haringey Teaching PCT                 5,886   Oldham PCT
21,678   Oldham PCT                            5,854   Hartlepool PCT
21,487   Southwark PCT                         5,800   Manchester PCT
21,106   North Staffordshire PCT               5,742   Wandsworth PCT
21,098   Bradford and Airedale Teaching PCT    5,649   Wakefield District PCT
20,959   Lewisham PCT                          5,642   Southampton City PCT
20,703   Hammersmith and Fulham PCT            5,610   Bristol Teaching PCT
20,499   Blackburn with Darwen Teaching PCT    5,562   Southwark PCT
20,494   Darlington PCT                        5,540   Sheffield PCT
20,414   City and Hackney Teaching PCT         5,533   Leicester City Teaching PCT
20,163   Calderdale PCT                        5,507   Bolton PCT
20,060   Knowsley PCT                          5,505   Lambeth PCT
20,031   North East Lincolnshire PCT           5,491   Islington PCT
19,816   Lambeth PCT                           5,428   Kingston PCT
19,669   Barking and Dagenham PCT              5,320   Nottingham City PCT
19,618   Manchester PCT                        5,302   Westminster PCT
19,496   Newham PCT                            5,194   Stoke On Trent Teaching PCT
19,363   Bolton PCT                            5,189   Kensington and Chelsea PCT
19,259   East Sussex Downs and Weald PCT       5,026   Heart of Birmingham Teaching PCT
19,233   Islington PCT                         4,715   Darlington PCT
18,884   Liverpool PCT                         4,696   City and Hackney Teaching PCT
18,807   Redcar and Cleveland PCT              4,285   Blackburn with Darwen Teaching PCT
18,750   Middlesbrough PCT                     4,018   Camden PCT
18,400   Camden PCT                            4,011   Newcastle PCT
16,684   Stoke On Trent Teaching PCT           3,850   Tower Hamlets PCT
16,058   Tower Hamlets PCT                     3,549   Redcar and Cleveland PCT
15,297   Kensington and Chelsea PCT            3,184   Newham PCT
13,977   Westminster PCT                       3,107   Middlesbrough PCT
H10.Arthroscopies                        H80.Primary Hip Replacement Cemented                  H81.Primary Hip Replacement Uncemented

                    Age Sex                                                Age Sex
                    Needs                                                  Needs
                    Expenditure                                            Expenditure
                    Rate                                                   Rate
                    (£/1000                                                (£/1000
                    population) PCT name                                   population) PCT name
                          5,330 Devon PCT                                        8,140 Shropshire County PCT
                          4,972 Oxfordshire PCT                                  7,965 Warwickshire PCT
                          4,877 Mid Essex PCT                                    7,289 Hastings and Rother PCT
                          4,762 South Gloucestershire PCT                        6,751 East Riding Of Yorkshire PCT
                          4,692 West Essex PCT                                   6,725 West Sussex Teaching PCT
                          4,684 Swindon PCT                                      6,406 Bromley PCT
                          4,552 North Somerset PCT                               6,204 Croydon PCT
                          4,511 Torbay Care Trust                                6,153 Surrey PCT
                          4,506 Suffolk PCT                                      6,111 Wiltshire PCT
                          4,462 Solihull Care Trust                              5,972 Somerset PCT
                          4,450 Derby City PCT                                   5,815 Lincolnshire Teaching PCT
                          4,414 Worcestershire PCT                               5,714 Northamptonshire Teaching PCT
                          4,146 Buckinghamshire PCT                              5,702 Bath and North East Somerset PCT
                          4,120 Gloucestershire PCT                              5,566 North Lincolnshire PCT
                          4,056 Berkshire West PCT                               5,476 West Kent PCT
                          3,991 Bristol Teaching PCT                             5,455 North Staffordshire PCT
                          3,953 Plymouth Teaching PCT                            5,454 Herefordshire PCT
                          3,874 Bournemouth and Poole Teaching PCT               5,395 Hillingdon PCT
                          3,868 Derbyshire County PCT                            5,337 Hampshire PCT
                          3,858 Northumberland Care Trust                        5,264 Cambridgeshire PCT
                          3,816 Norfolk PCT                                      5,153 Cornwall and Isles Of Scilly PCT
                          3,769 North Yorkshire and York PCT                     5,116 South Birmingham PCT
                          3,749 Isle of Wight Healthcare PCT                     5,079 North East Lincolnshire PCT
                          3,735 Bath and North East Somerset PCT                 5,063 Medway Teaching PCT
                          3,731 Dorset PCT                                       5,023 Dorset PCT
                          3,731 Southampton City PCT                             4,972 West Hertfordshire PCT
                          3,717 Bedfordshire PCT                                 4,963 Bassetlaw PCT
                          3,691 Calderdale PCT                                   4,946 Cumbria PCT
                          3,684 Wiltshire PCT                                    4,909 Hartlepool PCT
                          3,598 Leeds PCT                                        4,818 Bexley PCT
                          3,598 Wirral PCT                                       4,789 Sutton and Merton PCT
                          3,577 Portsmouth City Teaching PCT                     4,749 South Gloucestershire PCT
                          3,554 Trafford PCT                                     4,741 Greenwich Teaching PCT
                          3,554 East and North Hertfordshire PCT                 4,667 Dudley PCT
                          3,550 Great Yarmouth and Waveney Teaching PCT          4,597 North Yorkshire and York PCT
                          3,548 South East Essex PCT                             4,572 Eastern and Coastal Kent Teaching PCT
                          3,539 Central and Eastern Cheshire PCT                 4,534 Brighton and Hove City Teaching PCT
                          3,516 Nottinghamshire County Teaching PCT              4,533 Barnsley PCT
                          3,515 North East Essex PCT                             4,523 Plymouth Teaching PCT
                          3,498 Central Lancashire PCT                           4,493 Rotherham PCT
                          3,462 North Lancashire PCT                             4,429 Bury PCT
                          3,399 Kirklees PCT                                     4,349 Kingston PCT
                          3,358 Sheffield PCT                                    4,341 Hull Teaching PCT
                          3,325 Leicestershire County and Rutland PCT            4,333 South Tyneside PCT
                          3,286 Wakefield District PCT                           4,303 Walsall Teaching PCT
                          3,282 Birmingham East and North PCT                    4,271 Coventry Teaching PCT
                          3,276 Wolverhampton City PCT                           4,217 Islington PCT
                          3,260 Warrington PCT                                   4,150 Nottinghamshire County Teaching PCT
                          3,252 Ashton, Leigh and Wigan PCT                      4,137 Stoke On Trent Teaching PCT
                          3,235 Cambridgeshire PCT                               4,071 Gateshead PCT
3,191   Hampshire PCT                           4,054   Central and Eastern Cheshire PCT
3,180   West Cheshire PCT                       4,053   South Staffordshire PCT
3,174   South Staffordshire PCT                 4,005   Havering PCT
3,121   Shropshire County PCT                   4,002   Gloucestershire PCT
3,110   Dudley PCT                              3,982   North Tyneside PCT
3,044   Darlington PCT                          3,974   Sunderland Teaching PCT
3,042   Peterborough PCT                        3,964   Stockton-on-Tees Teaching PCT
3,041   Newcastle PCT                           3,947   Leicestershire County and Rutland PCT
3,039   Havering PCT                            3,935   Hammersmith and Fulham PCT
3,011   County Durham PCT                       3,884   East Lancashire PCT
2,986   Berkshire East Teaching PCT             3,874   North Somerset PCT
2,946   Cornwall and Isles Of Scilly PCT        3,756   Bournemouth and Poole Teaching PCT
2,940   Richmond and Twickenham PCT             3,752   Wirral PCT
2,939   Somerset PCT                            3,750   Bradford and Airedale Teaching PCT
2,932   Bolton PCT                              3,744   Waltham Forest PCT
2,895   Walsall Teaching PCT                    3,707   Sandwell PCT
2,893   Sefton PCT                              3,707   Milton Keynes PCT
2,869   Herefordshire PCT                       3,667   South West Essex Teaching PCT
2,861   Telford and Wrekin PCT                  3,662   Telford and Wrekin PCT
2,835   West Hertfordshire PCT                  3,612   Halton and St. Helens PCT
2,816   Blackpool PCT                           3,568   East Sussex Downs and Weald PCT
2,795   Cumbria PCT                             3,555   South East Essex PCT
2,783   South West Essex Teaching PCT           3,529   Worcestershire PCT
2,783   Kingston PCT                            3,507   West Cheshire PCT
2,763   Surrey PCT                              3,389   Richmond and Twickenham PCT
2,762   Halton and St. Helens PCT               3,380   Sefton PCT
2,706   Milton Keynes PCT                       3,366   Kirklees PCT
2,704   Northamptonshire Teaching PCT           3,352   Bristol Teaching PCT
2,697   Coventry Teaching PCT                   3,339   Harrow PCT
2,689   Luton Teaching PCT                      3,318   Derbyshire County PCT
2,689   Lincolnshire Teaching PCT               3,303   Berkshire East Teaching PCT
2,666   Stockport PCT                           3,243   Knowsley PCT
2,655   Heywood, Middleton and Rochdale PCT     3,228   Portsmouth City Teaching PCT
2,646   East Lancashire PCT                     3,228   Doncaster PCT
2,644   Sandwell PCT                            3,178   North Lancashire PCT
2,642   Oldham PCT                              3,117   Mid Essex PCT
2,634   Doncaster PCT                           3,106   Redbridge PCT
2,629   West Kent PCT                           3,009   Tower Hamlets PCT
2,611   North Tyneside PCT                      2,978   Salford Teaching PCT
2,609   Blackburn with Darwen Teaching PCT      2,954   Bedfordshire PCT
2,608   Eastern and Coastal Kent Teaching PCT   2,923   Haringey Teaching PCT
2,606   West Sussex Teaching PCT                2,917   Central Lancashire PCT
2,588   Bury PCT                                2,917   Nottingham City PCT
2,571   Bassetlaw PCT                           2,880   Camden PCT
2,544   Wandsworth PCT                          2,860   Luton Teaching PCT
2,539   Bromley PCT                             2,820   Barking and Dagenham PCT
2,537   Redcar and Cleveland PCT                2,803   Birmingham East and North PCT
2,526   Bexley PCT                              2,787   Enfield PCT
2,511   Gateshead PCT                           2,766   Liverpool PCT
2,497   Knowsley PCT                            2,690   Lambeth PCT
2,461   North Staffordshire PCT                 2,644   Great Yarmouth and Waveney Teaching PCT
2,428   Brighton and Hove City Teaching PCT     2,640   Lewisham PCT
2,422   Nottingham City PCT                     2,625   Blackburn with Darwen Teaching PCT
2,419   Hounslow PCT                            2,606   Buckinghamshire PCT
2,412   Tameside and Glossop PCT                2,588   Southwark PCT
2,412   Manchester PCT                          2,537   Wandsworth PCT
2,404   Liverpool PCT                           2,532   Berkshire West PCT
2,394   East Sussex Downs and Weald PCT         2,509   East and North Hertfordshire PCT
2,314   Barnsley PCT                            2,450   North East Essex PCT
2,310   Enfield PCT                             2,445   Stockport PCT
2,304   South Tyneside PCT                      2,430   Heywood, Middleton and Rochdale PCT
2,303   Harrow PCT                              2,392   Barnet PCT
2,286   Bradford and Airedale Teaching PCT      2,381   Westminster PCT
2,285   Salford Teaching PCT               2,367   West Essex PCT
2,284   Brent Teaching PCT                 2,303   Norfolk PCT
2,272   Kensington and Chelsea PCT         2,269   Newham PCT
2,252   Hillingdon PCT                     2,262   Warrington PCT
2,245   Sutton and Merton PCT              2,259   Ealing PCT
2,243   Southwark PCT                      2,257   Solihull Care Trust
2,232   Sunderland Teaching PCT            2,246   Oldham PCT
2,225   Leicester City Teaching PCT        2,191   Tameside and Glossop PCT
2,199   Hull Teaching PCT                  2,188   Leicester City Teaching PCT
2,183   Rotherham PCT                      2,136   City and Hackney Teaching PCT
2,166   Camden PCT                         2,087   Heart of Birmingham Teaching PCT
2,123   Barnet PCT                         2,060   Isle of Wight Healthcare PCT
2,122   East Riding Of Yorkshire PCT       2,059   County Durham PCT
2,028   Middlesbrough PCT                  2,014   Sheffield PCT
2,027   South Birmingham PCT               1,981   Hounslow PCT
2,013   Warwickshire PCT                   1,966   Blackpool PCT
1,991   Redbridge PCT                      1,965   Manchester PCT
1,983   Ealing PCT                         1,948   Brent Teaching PCT
1,950   Barking and Dagenham PCT           1,881   Darlington PCT
1,934   Lambeth PCT                        1,796   Calderdale PCT
1,859   City and Hackney Teaching PCT      1,792   Suffolk PCT
1,859   Lewisham PCT                       1,732   Southampton City PCT
1,832   Hartlepool PCT                     1,724   Leeds PCT
1,823   Haringey Teaching PCT              1,693   Northumberland Care Trust
1,735   Waltham Forest PCT                 1,635   Derby City PCT
1,666   Stoke On Trent Teaching PCT        1,569   Redcar and Cleveland PCT
1,648   Westminster PCT                    1,446   Torbay Care Trust
1,643   Heart of Birmingham Teaching PCT   1,417   Trafford PCT
1,533   Islington PCT                      1,403   Devon PCT
1,519   Hammersmith and Fulham PCT         1,365   Wakefield District PCT
1,499   North Lincolnshire PCT             1,335   Newcastle PCT
1,459   North East Lincolnshire PCT        1,234   Kensington and Chelsea PCT
1,447   Greenwich Teaching PCT             1,190   Middlesbrough PCT
1,400   Newham PCT                         1,133   Bolton PCT
1,348   Stockton-on-Tees Teaching PCT      1,102   Peterborough PCT
1,332   Medway Teaching PCT                1,031   Ashton, Leigh and Wigan PCT
1,106   Hastings and Rother PCT              977   Swindon PCT
1,103   Croydon PCT                          847   Oxfordshire PCT
  910   Tower Hamlets PCT                    560   Wolverhampton City PCT
                                                                                                   H99.Complex Elderly with a Musculoskeletal System Primary
Hip Replacement Uncemented           H80 + H81.Primary Hip Replacement (Cemented and Uncemented)                           Diagnosis

                       Age Sex                                                       Age Sex
                       Needs                                                         Needs
                       Expenditure                                                   Expenditure
                       Rate                                                          Rate
                       (£/1000                                                       (£/1000
                       population) PCT name                                          population) PCT name
                             6,657 Shropshire County PCT                                  10,631 Warrington PCT
                             5,594 South Gloucestershire PCT                               9,974 Halton and St. Helens PCT
                             5,497 Wiltshire PCT                                           9,119 Wiltshire PCT
                             5,416 Devon PCT                                               9,066 Knowsley PCT
                             5,170 Mid Essex PCT                                           8,988 Solihull Care Trust
                             4,932 Bath and North East Somerset PCT                        8,970 West Essex PCT
                             4,814 Dorset PCT                                              8,454 Richmond and Twickenham PCT
                             4,474 North Somerset PCT                                      8,377 Hounslow PCT
                             4,214 Plymouth Teaching PCT                                   8,265 Hammersmith and Fulham PCT
                             4,161 Oxfordshire PCT                                         8,182 Salford Teaching PCT
                             4,092 North Yorkshire and York PCT                            8,172 Gateshead PCT
                             4,003 West Essex PCT                                          8,055 South Birmingham PCT
                             3,922 Gloucestershire PCT                                     8,005 Bournemouth and Poole Teaching PCT
                             3,855 West Sussex Teaching PCT                                7,970 Bury PCT
                             3,836 Somerset PCT                                            7,875 North Tyneside PCT
                             3,828 Surrey PCT                                              7,850 Hampshire PCT
                             3,778 Cambridgeshire PCT                                      7,754 Camden PCT
                             3,756 Hampshire PCT                                           7,721 Trafford PCT
                             3,672 Bromley PCT                                             7,694 Croydon PCT
                             3,671 Worcestershire PCT                                      7,675 South East Essex PCT
                             3,670 Warwickshire PCT                                        7,594 Newcastle PCT
                             3,562 Bournemouth and Poole Teaching PCT                      7,584 Hillingdon PCT
                             3,505 East Riding Of Yorkshire PCT                            7,469 Surrey PCT
                             3,477 Herefordshire PCT                                       7,421 Sunderland Teaching PCT
                             3,446 Cornwall and Isles Of Scilly PCT                        7,412 Central Lancashire PCT
                             3,425 Northamptonshire Teaching PCT                           7,405 Hastings and Rother PCT
                             3,407 Lincolnshire Teaching PCT                               7,383 Portsmouth City Teaching PCT
                             3,333 Bristol Teaching PCT                                    7,352 West Sussex Teaching PCT
                             3,323 Solihull Care Trust                                     7,261 Worcestershire PCT
                             3,294 Derbyshire County PCT                                   7,163 Milton Keynes PCT
                             3,271 Buckinghamshire PCT                                     7,159 Central and Eastern Cheshire PCT
                             3,235 Dudley PCT                                              7,102 Birmingham East and North PCT
                             3,146 Torbay Care Trust                                       7,102 Cambridgeshire PCT
                             3,122 Nottinghamshire County Teaching PCT                     7,091 Sutton and Merton PCT
                             3,055 Suffolk PCT                                             7,056 Derbyshire County PCT
                             3,033 Central and Eastern Cheshire PCT                        7,048 Liverpool PCT
                             2,845 West Hertfordshire PCT                                  7,033 Suffolk PCT
                             2,826 Wirral PCT                                              6,902 Nottingham City PCT
                             2,808 Cumbria PCT                                             6,884 Cornwall and Isles Of Scilly PCT
                             2,727 West Kent PCT                                           6,856 Wandsworth PCT
                             2,710 Berkshire West PCT                                      6,846 Blackburn with Darwen Teaching PCT
                             2,647 Derby City PCT                                          6,699 Ealing PCT
                             2,642 Swindon PCT                                             6,698 Havering PCT
                             2,592 Bedfordshire PCT                                        6,659 Eastern and Coastal Kent Teaching PCT
                             2,590 South East Essex PCT                                    6,558 Nottinghamshire County Teaching PCT
                             2,585 Leicestershire County and Rutland PCT                   6,551 Herefordshire PCT
                             2,568 Portsmouth City Teaching PCT                            6,550 Berkshire East Teaching PCT
                             2,559 South Staffordshire PCT                                 6,511 Northumberland Care Trust
                             2,558 Norfolk PCT                                             6,509 South Gloucestershire PCT
                             2,525 North Staffordshire PCT                                 6,472 North Staffordshire PCT
2,515   Havering PCT                              6,403   Heart of Birmingham Teaching PCT
2,506   Isle of Wight Healthcare PCT              6,310   Stockton-on-Tees Teaching PCT
2,470   Bassetlaw PCT                             6,310   Sandwell PCT
2,433   Walsall Teaching PCT                      6,295   Lambeth PCT
2,418   Hastings and Rother PCT                   6,253   Stockport PCT
2,337   Kirklees PCT                              6,236   Bromley PCT
2,259   North Lancashire PCT                      6,213   Middlesbrough PCT
2,222   Kingston PCT                              6,163   South Tyneside PCT
2,202   Great Yarmouth and Waveney Teaching PCT   6,150   Somerset PCT
2,176   Northumberland Care Trust                 6,129   Southwark PCT
2,148   Central Lancashire PCT                    6,103   Devon PCT
2,134   East and North Hertfordshire PCT          6,085   Heywood, Middleton and Rochdale PCT
2,096   Bexley PCT                                6,063   Swindon PCT
2,069   Hillingdon PCT                            6,029   Waltham Forest PCT
2,062   West Cheshire PCT                         6,002   Bedfordshire PCT
2,049   North East Essex PCT                      5,957   Dorset PCT
2,038   Eastern and Coastal Kent Teaching PCT     5,939   Bristol Teaching PCT
2,032   Coventry Teaching PCT                     5,919   East Sussex Downs and Weald PCT
2,030   Southampton City PCT                      5,897   West Kent PCT
2,021   Birmingham East and North PCT             5,881   Hartlepool PCT
2,017   Calderdale PCT                            5,852   County Durham PCT
1,973   Croydon PCT                               5,768   South Staffordshire PCT
1,971   Leeds PCT                                 5,722   Oldham PCT
1,946   Berkshire East Teaching PCT               5,687   Medway Teaching PCT
1,940   Telford and Wrekin PCT                    5,683   Plymouth Teaching PCT
1,909   Richmond and Twickenham PCT               5,681   Lewisham PCT
1,896   Bury PCT                                  5,638   Bradford and Airedale Teaching PCT
1,889   Sefton PCT                                5,624   Mid Essex PCT
1,860   Trafford PCT                              5,586   Barnet PCT
1,834   South West Essex Teaching PCT             5,561   Barking and Dagenham PCT
1,825   Sutton and Merton PCT                     5,541   North Yorkshire and York PCT
1,822   South Birmingham PCT                      5,517   Newham PCT
1,788   Sheffield PCT                             5,514   Berkshire West PCT
1,765   Brighton and Hove City Teaching PCT       5,459   Manchester PCT
1,752   Warrington PCT                            5,429   West Hertfordshire PCT
1,748   East Lancashire PCT                       5,406   Darlington PCT
1,739   Milton Keynes PCT                         5,402   Redbridge PCT
1,737   Halton and St. Helens PCT                 5,400   Wirral PCT
1,733   North Tyneside PCT                        5,386   Ashton, Leigh and Wigan PCT
1,723   Barnsley PCT                              5,292   Westminster PCT
1,704   Gateshead PCT                             5,285   Oxfordshire PCT
1,629   Sandwell PCT                              5,227   Sheffield PCT
1,628   North Lincolnshire PCT                    5,213   South West Essex Teaching PCT
1,626   Wakefield District PCT                    5,102   Buckinghamshire PCT
1,625   Hartlepool PCT                            5,054   Bath and North East Somerset PCT
1,603   County Durham PCT                         5,042   Harrow PCT
1,586   South Tyneside PCT                        4,997   Northamptonshire Teaching PCT
1,575   Darlington PCT                            4,961   Norfolk PCT
1,566   Luton Teaching PCT                        4,930   Bassetlaw PCT
1,541   Rotherham PCT                             4,878   Doncaster PCT
1,522   Doncaster PCT                             4,871   Warwickshire PCT
1,510   Hull Teaching PCT                         4,833   West Cheshire PCT
1,504   North East Lincolnshire PCT               4,729   North Somerset PCT
1,488   Newcastle PCT                             4,719   Peterborough PCT
1,487   Blackpool PCT                             4,656   Torbay Care Trust
1,461   Stockport PCT                             4,645   Sefton PCT
1,421   Heywood, Middleton and Rochdale PCT       4,612   East Riding Of Yorkshire PCT
1,421   Medway Teaching PCT                       4,608   East Lancashire PCT
1,399   Ashton, Leigh and Wigan PCT               4,594   Leeds PCT
1,398   Sunderland Teaching PCT                   4,585   Great Yarmouth and Waveney Teaching PCT
1,393   Knowsley PCT                              4,512   Dudley PCT
1,389   East Sussex Downs and Weald PCT           4,505   Luton Teaching PCT
1,380   Peterborough PCT                          4,461   Southampton City PCT
1,323   Wolverhampton City PCT               4,458   Kingston PCT
1,318   Blackburn with Darwen Teaching PCT   4,454   Gloucestershire PCT
1,311   Bradford and Airedale Teaching PCT   4,451   Lincolnshire Teaching PCT
1,309   Greenwich Teaching PCT               4,371   Wolverhampton City PCT
1,279   Oldham PCT                           4,354   Shropshire County PCT
1,264   Wandsworth PCT                       4,314   Tameside and Glossop PCT
1,251   Bolton PCT                           4,266   Stoke On Trent Teaching PCT
1,211   Harrow PCT                           4,254   Walsall Teaching PCT
1,177   Nottingham City PCT                  4,253   East and North Hertfordshire PCT
1,176   Stoke On Trent Teaching PCT          4,121   Rotherham PCT
1,174   Salford Teaching PCT                 4,100   Brighton and Hove City Teaching PCT
1,173   Liverpool PCT                        4,098   Cumbria PCT
1,166   Islington PCT                        4,049   Coventry Teaching PCT
1,160   Enfield PCT                          4,020   Kirklees PCT
1,112   Tameside and Glossop PCT             3,792   Kensington and Chelsea PCT
1,079   Southwark PCT                        3,747   Calderdale PCT
1,026   Waltham Forest PCT                   3,732   Leicestershire County and Rutland PCT
  982   Camden PCT                           3,728   Bolton PCT
  980   Redbridge PCT                        3,710   Barnsley PCT
  930   Hounslow PCT                         3,700   North Lancashire PCT
  925   Redcar and Cleveland PCT             3,645   Islington PCT
  912   Hammersmith and Fulham PCT           3,605   Hull Teaching PCT
  893   Manchester PCT                       3,563   Haringey Teaching PCT
  872   Barking and Dagenham PCT             3,482   Greenwich Teaching PCT
  856   Barnet PCT                           3,448   Telford and Wrekin PCT
  843   Haringey Teaching PCT                3,433   North East Essex PCT
  841   Stockton-on-Tees Teaching PCT        3,386   Wakefield District PCT
  827   Leicester City Teaching PCT          3,367   City and Hackney Teaching PCT
  822   Lambeth PCT                          3,359   Leicester City Teaching PCT
  819   Brent Teaching PCT                   3,272   Brent Teaching PCT
  743   Lewisham PCT                         3,259   Redcar and Cleveland PCT
  700   Ealing PCT                           3,230   Enfield PCT
  590   City and Hackney Teaching PCT        2,972   Blackpool PCT
  546   Kensington and Chelsea PCT           2,944   Derby City PCT
  519   Westminster PCT                      2,843   North East Lincolnshire PCT
  518   Middlesbrough PCT                    2,606   North Lincolnshire PCT
  338   Heart of Birmingham Teaching PCT     2,600   Bexley PCT
  237   Newham PCT                           2,483   Isle of Wight Healthcare PCT
  194   Tower Hamlets PCT                    2,349   Tower Hamlets PCT
with a Musculoskeletal System Primary                                                    D99.Complex Elderly with a Respiratory System Primary
    Diagnosis                                              Respiratory                                        Diagnosis

                         Age Sex                                          Age Sex
                         Needs                                            Needs
                         Expenditure                                      Expenditure
                         Rate                                             Rate
                         (£/1000                                          (£/1000
                         population) PCT name                             population) PCT name
                               7,953 Southampton City PCT                      34,502 West Essex PCT
                               7,752 Knowsley PCT                              34,113 Salford Teaching PCT
                               7,651 North Tyneside PCT                        33,032 Portsmouth City Teaching PCT
                               7,625 Milton Keynes PCT                         31,560 Sunderland Teaching PCT
                               7,450 Portsmouth City Teaching PCT              31,188 Wandsworth PCT
                               7,344 Sheffield PCT                             31,135 Lewisham PCT
                               7,298 Newcastle PCT                             30,312 Gateshead PCT
                               7,121 Rotherham PCT                             30,085 Hammersmith and Fulham PCT
                               7,092 Tameside and Glossop PCT                  30,068 North Tyneside PCT
                               6,910 West Essex PCT                            30,005 Ealing PCT
                               6,865 Stockton-on-Tees Teaching PCT             29,996 Bradford and Airedale Teaching PCT
                               6,534 Manchester PCT                            29,870 Knowsley PCT
                               6,436 Sunderland Teaching PCT                   29,834 Waltham Forest PCT
                               6,405 Gateshead PCT                             29,712 Newcastle PCT
                               6,400 Ealing PCT                                29,492 Hounslow PCT
                               6,378 Liverpool PCT                             29,209 Luton Teaching PCT
                               6,369 Central Lancashire PCT                    28,969 Walsall Teaching PCT
                               6,350 Middlesbrough PCT                         28,763 Camden PCT
                               6,334 Hammersmith and Fulham PCT                28,620 Halton and St. Helens PCT
                               6,264 Stockport PCT                             28,568 Stoke On Trent Teaching PCT
                               6,080 Oldham PCT                                28,518 Solihull Care Trust
                               6,018 Darlington PCT                            28,489 Lambeth PCT
                               6,011 Salford Teaching PCT                      28,451 Barnet PCT
                               5,986 Barnet PCT                                28,320 Sandwell PCT
                               5,973 Barnsley PCT                              28,312 South Birmingham PCT
                               5,899 Hull Teaching PCT                         28,282 Richmond and Twickenham PCT
                               5,896 Stoke On Trent Teaching PCT               28,047 Rotherham PCT
                               5,822 Leicester City Teaching PCT               28,031 Barnsley PCT
                               5,813 Hartlepool PCT                            27,842 North Staffordshire PCT
                               5,801 Kensington and Chelsea PCT                27,812 Nottingham City PCT
                               5,730 Halton and St. Helens PCT                 27,711 Southwark PCT
                               5,669 Luton Teaching PCT                        27,559 Birmingham East and North PCT
                               5,645 North Lincolnshire PCT                    27,494 Warrington PCT
                               5,623 Richmond and Twickenham PCT               27,493 Middlesbrough PCT
                               5,622 Trafford PCT                              27,465 Greenwich Teaching PCT
                               5,610 Surrey PCT                                27,426 Sutton and Merton PCT
                               5,587 South Tyneside PCT                        27,241 Sheffield PCT
                               5,557 East Sussex Downs and Weald PCT           27,114 Central Lancashire PCT
                               5,541 Hounslow PCT                              27,092 Tameside and Glossop PCT
                               5,534 Tower Hamlets PCT                         27,047 Islington PCT
                               5,503 Cambridgeshire PCT                        27,029 South Tyneside PCT
                               5,468 Birmingham East and North PCT             27,011 Ashton, Leigh and Wigan PCT
                               5,345 Calderdale PCT                            26,995 Heart of Birmingham Teaching PCT
                               5,298 Sefton PCT                                26,937 Liverpool PCT
                               5,288 Bournemouth and Poole Teaching PCT        26,847 Bury PCT
                               5,271 Wandsworth PCT                            26,833 Eastern and Coastal Kent Teaching PCT
                               5,264 Hampshire PCT                             26,824 Hillingdon PCT
                               5,228 Bromley PCT                               26,732 Croydon PCT
                               5,214 Camden PCT                                26,714 Manchester PCT
                               5,211 Redcar and Cleveland PCT                  26,534 Enfield PCT
5,204   Hillingdon PCT                          26,518   Surrey PCT
5,179   Cumbria PCT                             26,471   Hartlepool PCT
5,177   Hastings and Rother PCT                 26,401   Nottinghamshire County Teaching PCT
5,175   Bath and North East Somerset PCT        26,391   West Hertfordshire PCT
5,110   West Hertfordshire PCT                  26,383   Kensington and Chelsea PCT
5,110   North Staffordshire PCT                 26,213   Bedfordshire PCT
5,093   Central and Eastern Cheshire PCT        26,194   Southampton City PCT
5,068   Bury PCT                                26,133   Doncaster PCT
5,067   West Kent PCT                           26,128   County Durham PCT
5,061   Sutton and Merton PCT                   26,102   Leicester City Teaching PCT
5,054   Warrington PCT                          26,089   Milton Keynes PCT
5,051   Solihull Care Trust                     26,045   Westminster PCT
5,043   Enfield PCT                             25,996   Leeds PCT
5,039   Havering PCT                            25,987   Trafford PCT
5,010   Greenwich Teaching PCT                  25,865   Barking and Dagenham PCT
5,010   Barking and Dagenham PCT                25,777   South East Essex PCT
5,009   Wirral PCT                              25,726   Medway Teaching PCT
4,987   Leeds PCT                               25,671   Kingston PCT
4,950   Berkshire East Teaching PCT             25,575   Bath and North East Somerset PCT
4,942   Leicestershire County and Rutland PCT   25,550   Hull Teaching PCT
4,935   Bolton PCT                              25,528   Bromley PCT
4,928   Northamptonshire Teaching PCT           25,466   South West Essex Teaching PCT
4,926   East Lancashire PCT                     25,394   Oldham PCT
4,925   Blackpool PCT                           25,338   Haringey Teaching PCT
4,923   East Riding Of Yorkshire PCT            25,323   North East Lincolnshire PCT
4,909   Islington PCT                           25,298   Wiltshire PCT
4,898   Doncaster PCT                           25,294   Havering PCT
4,884   Brighton and Hove City Teaching PCT     25,240   Newham PCT
4,882   Redbridge PCT                           25,233   Bassetlaw PCT
4,851   Bedfordshire PCT                        25,228   Leicestershire County and Rutland PCT
4,789   County Durham PCT                       25,218   Swindon PCT
4,786   Blackburn with Darwen Teaching PCT      25,195   Warwickshire PCT
4,785   Wiltshire PCT                           25,169   Central and Eastern Cheshire PCT
4,784   Bradford and Airedale Teaching PCT      25,088   Wakefield District PCT
4,771   South Birmingham PCT                    25,061   Stockport PCT
4,757   Westminster PCT                         25,009   Blackburn with Darwen Teaching PCT
4,735   West Sussex Teaching PCT                24,984   Harrow PCT
4,725   West Cheshire PCT                       24,858   West Kent PCT
4,706   Kirklees PCT                            24,813   Redcar and Cleveland PCT
4,677   Wakefield District PCT                  24,713   Brent Teaching PCT
4,675   North East Lincolnshire PCT             24,680   Telford and Wrekin PCT
4,658   Harrow PCT                              24,604   Bexley PCT
4,651   Swindon PCT                             24,570   Derbyshire County PCT
4,648   Bristol Teaching PCT                    24,562   Northumberland Care Trust
4,642   Berkshire West PCT                      24,552   Calderdale PCT
4,636   Peterborough PCT                        24,546   Hampshire PCT
4,622   South Gloucestershire PCT               24,535   Bolton PCT
4,616   Croydon PCT                             24,526   Cambridgeshire PCT
4,612   Heywood, Middleton and Rochdale PCT     24,468   Darlington PCT
4,557   Lewisham PCT                            24,445   Bournemouth and Poole Teaching PCT
4,543   Bexley PCT                              24,391   South Gloucestershire PCT
4,537   North Lancashire PCT                    24,333   North Lincolnshire PCT
4,535   Nottingham City PCT                     24,253   Northamptonshire Teaching PCT
4,534   Northumberland Care Trust               24,245   South Staffordshire PCT
4,529   Walsall Teaching PCT                    24,240   Redbridge PCT
4,513   South West Essex Teaching PCT           24,046   East Lancashire PCT
4,502   Telford and Wrekin PCT                  24,035   East and North Hertfordshire PCT
4,477   Buckinghamshire PCT                     23,998   Berkshire East Teaching PCT
4,440   Brent Teaching PCT                      23,923   Kirklees PCT
4,411   Nottinghamshire County Teaching PCT     23,890   Worcestershire PCT
4,377   Gloucestershire PCT                     23,754   Buckinghamshire PCT
4,351   Warwickshire PCT                        23,670   Stockton-on-Tees Teaching PCT
4,339   Derbyshire County PCT                   23,630   Coventry Teaching PCT
4,332   East and North Hertfordshire PCT          23,621   Wolverhampton City PCT
4,214   Medway Teaching PCT                       23,580   Berkshire West PCT
4,179   Derby City PCT                            23,505   Dudley PCT
4,178   Wolverhampton City PCT                    23,493   Wirral PCT
4,169   Oxfordshire PCT                           23,357   Lincolnshire Teaching PCT
4,169   Heart of Birmingham Teaching PCT          23,119   Bristol Teaching PCT
4,159   Dorset PCT                                23,064   Hastings and Rother PCT
4,133   Sandwell PCT                              23,056   Heywood, Middleton and Rochdale PCT
4,127   Cornwall and Isles Of Scilly PCT          23,029   Brighton and Hove City Teaching PCT
4,077   Worcestershire PCT                        22,853   North Yorkshire and York PCT
4,037   Kingston PCT                              22,814   Isle of Wight Healthcare PCT
4,024   North Yorkshire and York PCT              22,772   Somerset PCT
4,015   Coventry Teaching PCT                     22,758   Cumbria PCT
3,998   Southwark PCT                             22,714   Suffolk PCT
3,989   Eastern and Coastal Kent Teaching PCT     22,705   West Sussex Teaching PCT
3,970   Somerset PCT                              22,670   Oxfordshire PCT
3,960   Ashton, Leigh and Wigan PCT               22,557   Dorset PCT
3,954   Waltham Forest PCT                        22,294   Cornwall and Isles Of Scilly PCT
3,950   Plymouth Teaching PCT                     22,242   Herefordshire PCT
3,938   Torbay Care Trust                         22,225   West Cheshire PCT
3,900   City and Hackney Teaching PCT             22,212   North Somerset PCT
3,819   Suffolk PCT                               22,166   Sefton PCT
3,733   Bassetlaw PCT                             22,112   North Lancashire PCT
3,702   Dudley PCT                                22,097   East Riding Of Yorkshire PCT
3,662   Lincolnshire Teaching PCT                 22,006   City and Hackney Teaching PCT
3,636   South Staffordshire PCT                   21,922   Tower Hamlets PCT
3,533   North Somerset PCT                        21,800   Mid Essex PCT
3,460   Herefordshire PCT                         21,732   East Sussex Downs and Weald PCT
3,367   Isle of Wight Healthcare PCT              21,548   Plymouth Teaching PCT
3,326   South East Essex PCT                      21,434   Peterborough PCT
3,298   Haringey Teaching PCT                     21,318   Norfolk PCT
3,291   Devon PCT                                 21,297   Blackpool PCT
3,284   Norfolk PCT                               21,206   Devon PCT
3,196   Mid Essex PCT                             20,660   Derby City PCT
3,085   Shropshire County PCT                     19,638   Great Yarmouth and Waveney Teaching PCT
3,034   Lambeth PCT                               19,451   Gloucestershire PCT
2,939   Newham PCT                                19,157   Shropshire County PCT
2,590   Great Yarmouth and Waveney Teaching PCT   19,023   North East Essex PCT
2,530   North East Essex PCT                      18,334   Torbay Care Trust
y with a Respiratory System Primary
   Diagnosis                                               Genito Urinary                      L09.Kidney or Urinary Tract Infections >69 or w cc

                         Age Sex                                             Age Sex
                         Needs                                               Needs
                         Expenditure                                         Expenditure
                         Rate                                                Rate
                         (£/1000                                             (£/1000
                         population) PCT name                                population) PCT name
                               9,206 Bexley PCT                                   35,098 Lewisham PCT
                               8,450 Lewisham PCT                                 32,175 Bexley PCT
                               7,947 Bromley PCT                                  31,848 Hounslow PCT
                               7,784 Wirral PCT                                   31,161 Waltham Forest PCT
                               7,753 Ealing PCT                                   29,632 Richmond and Twickenham PCT
                               7,554 West Essex PCT                               29,141 Ealing PCT
                               7,515 Surrey PCT                                   28,909 Kingston PCT
                               7,275 Central Lancashire PCT                       28,140 Middlesbrough PCT
                               7,137 Barnet PCT                                   28,015 Surrey PCT
                               7,100 East Sussex Downs and Weald PCT              27,996 Redbridge PCT
                               7,055 Trafford PCT                                 27,651 Berkshire East Teaching PCT
                               6,929 Bury PCT                                     27,649 Stockton-on-Tees Teaching PCT
                               6,757 Havering PCT                                 27,383 Havering PCT
                               6,727 Northamptonshire Teaching PCT                27,185 Bury PCT
                               6,705 Waltham Forest PCT                           27,050 Barking and Dagenham PCT
                               6,627 Berkshire East Teaching PCT                  26,626 Telford and Wrekin PCT
                               6,615 Rotherham PCT                                26,582 Wandsworth PCT
                               6,578 South Staffordshire PCT                      26,423 Greenwich Teaching PCT
                               6,511 Bournemouth and Poole Teaching PCT           26,381 Brent Teaching PCT
                               6,444 West Cheshire PCT                            26,365 Sutton and Merton PCT
                               6,438 Greenwich Teaching PCT                       26,310 Hartlepool PCT
                               6,390 Redbridge PCT                                26,147 Central Lancashire PCT
                               6,301 Croydon PCT                                  26,023 Berkshire West PCT
                               6,214 Enfield PCT                                  26,011 Warwickshire PCT
                               6,185 West Sussex Teaching PCT                     25,827 West Essex PCT
                               6,172 Hampshire PCT                                25,824 Milton Keynes PCT
                               6,154 Warwickshire PCT                             25,709 Redcar and Cleveland PCT
                               6,111 Wiltshire PCT                                25,603 Islington PCT
                               6,078 North Somerset PCT                           25,580 Plymouth Teaching PCT
                               6,047 Tameside and Glossop PCT                     25,475 Barnet PCT
                               5,997 South Gloucestershire PCT                    25,453 Croydon PCT
                               5,970 Leicestershire County and Rutland PCT        25,284 East Sussex Downs and Weald PCT
                               5,888 Swindon PCT                                  25,221 Tameside and Glossop PCT
                               5,774 Medway Teaching PCT                          25,215 Central and Eastern Cheshire PCT
                               5,734 Harrow PCT                                   25,169 Barnsley PCT
                               5,714 Stockport PCT                                24,816 Southwark PCT
                               5,698 East and North Hertfordshire PCT             24,793 Walsall Teaching PCT
                               5,694 Dorset PCT                                   24,694 Bournemouth and Poole Teaching PCT
                               5,674 Sutton and Merton PCT                        24,650 Ashton, Leigh and Wigan PCT
                               5,633 North Lancashire PCT                         24,382 Halton and St. Helens PCT
                               5,626 Central and Eastern Cheshire PCT             24,255 Leicester City Teaching PCT
                               5,625 Heywood, Middleton and Rochdale PCT          24,216 North Tyneside PCT
                               5,606 Kingston PCT                                 24,200 Hillingdon PCT
                               5,605 East Riding Of Yorkshire PCT                 24,068 Leicestershire County and Rutland PCT
                               5,588 West Kent PCT                                24,026 Sunderland Teaching PCT
                               5,587 Hillingdon PCT                               23,968 Wiltshire PCT
                               5,555 Hounslow PCT                                 23,963 Enfield PCT
                               5,547 Blackpool PCT                                23,920 Bromley PCT
                               5,523 Southampton City PCT                         23,837 Luton Teaching PCT
                               5,505 Oldham PCT                                   23,720 Manchester PCT
5,491   Barking and Dagenham PCT                  23,568   Tower Hamlets PCT
5,473   Southwark PCT                             23,547   Brighton and Hove City Teaching PCT
5,403   North Lincolnshire PCT                    23,517   Stockport PCT
5,379   Berkshire West PCT                        23,433   Newcastle PCT
5,374   Cornwall and Isles Of Scilly PCT          23,406   Rotherham PCT
5,370   South West Essex Teaching PCT             23,382   Haringey Teaching PCT
5,330   North Tyneside PCT                        23,345   Gateshead PCT
5,304   Hull Teaching PCT                         23,300   Dudley PCT
5,287   Richmond and Twickenham PCT               23,288   South West Essex Teaching PCT
5,270   Lincolnshire Teaching PCT                 23,237   Somerset PCT
5,238   Nottinghamshire County Teaching PCT       23,224   Southampton City PCT
5,222   Eastern and Coastal Kent Teaching PCT     23,218   Calderdale PCT
5,219   Buckinghamshire PCT                       23,209   Swindon PCT
5,214   Sandwell PCT                              23,184   Knowsley PCT
5,196   Brent Teaching PCT                        23,085   Northamptonshire Teaching PCT
5,179   West Hertfordshire PCT                    22,990   Oldham PCT
5,163   Leeds PCT                                 22,947   Coventry Teaching PCT
5,140   Northumberland Care Trust                 22,921   Lambeth PCT
5,127   Great Yarmouth and Waveney Teaching PCT   22,914   Bath and North East Somerset PCT
5,091   Halton and St. Helens PCT                 22,899   Hastings and Rother PCT
5,063   Worcestershire PCT                        22,897   Kensington and Chelsea PCT
5,051   Warrington PCT                            22,880   Trafford PCT
5,033   Calderdale PCT                            22,727   Westminster PCT
5,021   Plymouth Teaching PCT                     22,661   Harrow PCT
5,005   Wandsworth PCT                            22,655   Northumberland Care Trust
4,998   Solihull Care Trust                       22,597   Peterborough PCT
4,973   Stockton-on-Tees Teaching PCT             22,553   Cornwall and Isles Of Scilly PCT
4,957   North Yorkshire and York PCT              22,544   Bedfordshire PCT
4,957   Kensington and Chelsea PCT                22,537   Birmingham East and North PCT
4,937   Salford Teaching PCT                      22,500   Salford Teaching PCT
4,935   Knowsley PCT                              22,391   Hampshire PCT
4,886   Manchester PCT                            22,301   Heywood, Middleton and Rochdale PCT
4,885   Redcar and Cleveland PCT                  22,289   Heart of Birmingham Teaching PCT
4,867   Hastings and Rother PCT                   22,219   South Gloucestershire PCT
4,855   Leicester City Teaching PCT               22,197   Leeds PCT
4,818   Sefton PCT                                22,056   Mid Essex PCT
4,817   Mid Essex PCT                             22,054   West Hertfordshire PCT
4,816   Sunderland Teaching PCT                   22,041   Hammersmith and Fulham PCT
4,801   Norfolk PCT                               22,000   Worcestershire PCT
4,794   Derby City PCT                            21,992   Derbyshire County PCT
4,779   Brighton and Hove City Teaching PCT       21,938   Dorset PCT
4,766   Derbyshire County PCT                     21,921   West Kent PCT
4,714   North Staffordshire PCT                   21,898   Oxfordshire PCT
4,686   Cumbria PCT                               21,856   Nottinghamshire County Teaching PCT
4,685   Walsall Teaching PCT                      21,840   Derby City PCT
4,671   South East Essex PCT                      21,755   Camden PCT
4,669   Westminster PCT                           21,753   Sheffield PCT
4,608   Cambridgeshire PCT                        21,632   Sandwell PCT
4,588   Bedfordshire PCT                          21,599   Nottingham City PCT
4,583   Birmingham East and North PCT             21,549   Bassetlaw PCT
4,567   Newcastle PCT                             21,498   West Sussex Teaching PCT
4,556   Telford and Wrekin PCT                    21,498   Cumbria PCT
4,547   Bristol Teaching PCT                      21,459   Shropshire County PCT
4,535   Middlesbrough PCT                         21,441   Herefordshire PCT
4,515   Devon PCT                                 21,397   Warrington PCT
4,479   Bradford and Airedale Teaching PCT        21,327   Stoke On Trent Teaching PCT
4,410   Barnsley PCT                              21,317   Sefton PCT
4,401   Bath and North East Somerset PCT          21,305   Wirral PCT
4,401   Milton Keynes PCT                         21,231   Cambridgeshire PCT
4,345   Coventry Teaching PCT                     21,121   South Tyneside PCT
4,278   Kirklees PCT                              21,055   Buckinghamshire PCT
4,230   Hammersmith and Fulham PCT                21,005   Newham PCT
4,215   Gloucestershire PCT                       20,929   North Staffordshire PCT
4,190   Oxfordshire PCT                      20,910   South Staffordshire PCT
4,178   Suffolk PCT                          20,886   South Birmingham PCT
4,172   Sheffield PCT                        20,821   Wakefield District PCT
4,129   North East Lincolnshire PCT          20,669   Solihull Care Trust
4,116   Portsmouth City Teaching PCT         20,650   North Somerset PCT
4,110   Shropshire County PCT                20,588   Lincolnshire Teaching PCT
4,104   Herefordshire PCT                    20,577   County Durham PCT
4,016   East Lancashire PCT                  20,545   Kirklees PCT
4,016   Bolton PCT                           20,471   Gloucestershire PCT
3,999   Wakefield District PCT               20,280   Doncaster PCT
3,995   Peterborough PCT                     20,275   Hull Teaching PCT
3,979   Islington PCT                        20,183   West Cheshire PCT
3,950   North East Essex PCT                 20,055   City and Hackney Teaching PCT
3,935   Haringey Teaching PCT                20,003   North Yorkshire and York PCT
3,878   Stoke On Trent Teaching PCT          19,971   East Riding Of Yorkshire PCT
3,830   Somerset PCT                         19,869   Devon PCT
3,824   South Birmingham PCT                 19,869   South East Essex PCT
3,811   Wolverhampton City PCT               19,859   Liverpool PCT
3,808   Gateshead PCT                        19,756   East and North Hertfordshire PCT
3,771   South Tyneside PCT                   19,664   Portsmouth City Teaching PCT
3,756   Luton Teaching PCT                   19,653   Bristol Teaching PCT
3,725   Camden PCT                           19,653   Eastern and Coastal Kent Teaching PCT
3,723   Lambeth PCT                          19,625   Bradford and Airedale Teaching PCT
3,707   Darlington PCT                       19,518   North East Lincolnshire PCT
3,664   Hartlepool PCT                       19,503   North Lincolnshire PCT
3,628   Liverpool PCT                        19,477   Medway Teaching PCT
3,620   Dudley PCT                           19,353   East Lancashire PCT
3,602   Torbay Care Trust                    18,809   Suffolk PCT
3,598   County Durham PCT                    18,792   North East Essex PCT
3,553   Isle of Wight Healthcare PCT         18,565   Darlington PCT
3,551   Ashton, Leigh and Wigan PCT          18,226   Wolverhampton City PCT
3,384   Bassetlaw PCT                        18,127   North Lancashire PCT
3,325   Blackburn with Darwen Teaching PCT   17,542   Norfolk PCT
3,244   Heart of Birmingham Teaching PCT     17,448   Blackburn with Darwen Teaching PCT
3,075   Newham PCT                           17,339   Bolton PCT
3,061   Nottingham City PCT                  17,223   Great Yarmouth and Waveney Teaching PCT
2,920   Doncaster PCT                        17,068   Blackpool PCT
2,913   City and Hackney Teaching PCT        16,850   Isle of Wight Healthcare PCT
2,399   Tower Hamlets PCT                    15,578   Torbay Care Trust
inary Tract Infections >69 or w cc              M07.Upper Genital Tract Major Procedures                             Gastro Intestinal

                           Age Sex                                                   Age Sex
                           Needs                                                     Needs
                           Expenditure                                               Expenditure
                           Rate                                                      Rate
                           (£/1000                                                   (£/1000
                           population) PCT name                                      population) PCT name
                                 7,266 Bournemouth and Poole Teaching PCT                  4,856 North Tyneside PCT
                                 6,993 Stockport PCT                                       3,911 Central and Eastern Cheshire PCT
                                 6,784 Devon PCT                                           3,834 Stockton-on-Tees Teaching PCT
                                 6,417 Herefordshire PCT                                   3,770 Stockport PCT
                                 6,194 Greenwich Teaching PCT                              3,770 Bromley PCT
                                 6,023 West Sussex Teaching PCT                            3,719 Knowsley PCT
                                 5,825 Bromley PCT                                         3,670 Sheffield PCT
                                 5,548 North East Lincolnshire PCT                         3,619 Bournemouth and Poole Teaching PCT
                                 5,517 Wolverhampton City PCT                              3,607 Ealing PCT
                                 5,497 Waltham Forest PCT                                  3,599 Newcastle PCT
                                 5,241 Torbay Care Trust                                   3,582 West Sussex Teaching PCT
                                 5,232 Southwark PCT                                       3,557 Cambridgeshire PCT
                                 5,073 Warwickshire PCT                                    3,537 East Riding Of Yorkshire PCT
                                 5,032 Lewisham PCT                                        3,419 Cumbria PCT
                                 4,939 Lincolnshire Teaching PCT                           3,395 South Tyneside PCT
                                 4,853 Worcestershire PCT                                  3,385 South Gloucestershire PCT
                                 4,835 Oxfordshire PCT                                     3,381 Sefton PCT
                                 4,716 Bexley PCT                                          3,379 West Essex PCT
                                 4,655 Bedfordshire PCT                                    3,366 Hampshire PCT
                                 4,570 Nottinghamshire County Teaching PCT                 3,362 Wirral PCT
                                 4,559 Bolton PCT                                          3,344 Surrey PCT
                                 4,549 Sandwell PCT                                        3,339 Milton Keynes PCT
                                 4,544 Milton Keynes PCT                                   3,334 Hillingdon PCT
                                 4,490 Barking and Dagenham PCT                            3,321 Calderdale PCT
                                 4,476 West Essex PCT                                      3,311 Halton and St. Helens PCT
                                 4,463 Medway Teaching PCT                                 3,308 Wiltshire PCT
                                 4,458 Wiltshire PCT                                       3,301 Central Lancashire PCT
                                 4,441 Trafford PCT                                        3,297 Bedfordshire PCT
                                 4,429 Cornwall and Isles Of Scilly PCT                    3,289 Bexley PCT
                                 4,401 South Gloucestershire PCT                           3,270 Portsmouth City Teaching PCT
                                 4,400 South Staffordshire PCT                             3,267 Northumberland Care Trust
                                 4,382 Hastings and Rother PCT                             3,230 Redcar and Cleveland PCT
                                 4,332 Hartlepool PCT                                      3,230 North Yorkshire and York PCT
                                 4,325 Hampshire PCT                                       3,206 Middlesbrough PCT
                                 4,284 Bath and North East Somerset PCT                    3,170 Tameside and Glossop PCT
                                 4,282 Harrow PCT                                          3,167 Hull Teaching PCT
                                 4,269 Dorset PCT                                          3,167 Trafford PCT
                                 4,263 Tameside and Glossop PCT                            3,161 North Lincolnshire PCT
                                 4,217 Surrey PCT                                          3,156 Heywood, Middleton and Rochdale PCT
                                 4,186 Leicestershire County and Rutland PCT               3,150 Hartlepool PCT
                                 4,155 East Sussex Downs and Weald PCT                     3,147 Havering PCT
                                 4,153 Northamptonshire Teaching PCT                       3,144 West Kent PCT
                                 4,128 East and North Hertfordshire PCT                    3,136 East Sussex Downs and Weald PCT
                                 4,105 Cambridgeshire PCT                                  3,132 Dorset PCT
                                 4,090 Cumbria PCT                                         3,130 Leeds PCT
                                 4,053 Bristol Teaching PCT                                3,110 Salford Teaching PCT
                                 4,048 Plymouth Teaching PCT                               3,105 Liverpool PCT
                                 4,042 Havering PCT                                        3,083 West Cheshire PCT
                                 4,038 East Riding Of Yorkshire PCT                        3,080 Berkshire East Teaching PCT
                                 4,037 Mid Essex PCT                                       3,076 Bury PCT
4,001   Gloucestershire PCT                       3,056   Leicestershire County and Rutland PCT
3,985   Sefton PCT                                3,050   Bath and North East Somerset PCT
3,957   Derbyshire County PCT                     3,041   East and North Hertfordshire PCT
3,953   North Somerset PCT                        3,025   Gloucestershire PCT
3,952   Central Lancashire PCT                    3,024   Oxfordshire PCT
3,941   Berkshire West PCT                        3,010   Barnsley PCT
3,917   Eastern and Coastal Kent Teaching PCT     3,007   Bristol Teaching PCT
3,915   Brent Teaching PCT                        3,006   Warrington PCT
3,882   Coventry Teaching PCT                     3,000   Cornwall and Isles Of Scilly PCT
3,881   South Birmingham PCT                      2,999   Brighton and Hove City Teaching PCT
3,870   Dudley PCT                                2,980   South East Essex PCT
3,866   Enfield PCT                               2,979   North Staffordshire PCT
3,848   Central and Eastern Cheshire PCT          2,970   Sutton and Merton PCT
3,846   Swindon PCT                               2,968   West Hertfordshire PCT
3,810   Suffolk PCT                               2,960   Redbridge PCT
3,803   West Cheshire PCT                         2,954   Warwickshire PCT
3,798   Croydon PCT                               2,938   North Somerset PCT
3,798   Lambeth PCT                               2,937   Hammersmith and Fulham PCT
3,765   North Lincolnshire PCT                    2,937   Hounslow PCT
3,748   Stockton-on-Tees Teaching PCT             2,909   Northamptonshire Teaching PCT
3,685   Walsall Teaching PCT                      2,895   Sunderland Teaching PCT
3,674   Peterborough PCT                          2,890   Bassetlaw PCT
3,668   Derby City PCT                            2,882   Luton Teaching PCT
3,652   Redbridge PCT                             2,878   Stoke On Trent Teaching PCT
3,588   Oldham PCT                                2,877   Buckinghamshire PCT
3,586   Great Yarmouth and Waveney Teaching PCT   2,871   Darlington PCT
3,580   North East Essex PCT                      2,851   Derby City PCT
3,559   Sutton and Merton PCT                     2,848   Hastings and Rother PCT
3,555   West Hertfordshire PCT                    2,843   Rotherham PCT
3,531   Haringey Teaching PCT                     2,837   Devon PCT
3,529   North Staffordshire PCT                   2,833   Gateshead PCT
3,527   North Lancashire PCT                      2,830   Croydon PCT
3,505   West Kent PCT                             2,821   Lincolnshire Teaching PCT
3,502   Shropshire County PCT                     2,818   North East Lincolnshire PCT
3,483   Hull Teaching PCT                         2,811   Isle of Wight Healthcare PCT
3,476   South West Essex Teaching PCT             2,786   Bradford and Airedale Teaching PCT
3,470   Rotherham PCT                             2,768   Bolton PCT
3,466   Salford Teaching PCT                      2,764   Suffolk PCT
3,466   Buckinghamshire PCT                       2,750   Solihull Care Trust
3,464   Norfolk PCT                               2,743   Wakefield District PCT
3,463   East Lancashire PCT                       2,742   Swindon PCT
3,454   Leicester City Teaching PCT               2,742   North Lancashire PCT
3,436   Portsmouth City Teaching PCT              2,732   Peterborough PCT
3,430   Hillingdon PCT                            2,726   Greenwich Teaching PCT
3,429   Birmingham East and North PCT             2,708   Kirklees PCT
3,409   North Yorkshire and York PCT              2,693   County Durham PCT
3,389   Ealing PCT                                2,679   Derbyshire County PCT
3,387   Bradford and Airedale Teaching PCT        2,676   Richmond and Twickenham PCT
3,383   Stoke On Trent Teaching PCT               2,654   Barnet PCT
3,345   South Tyneside PCT                        2,642   East Lancashire PCT
3,338   South East Essex PCT                      2,623   Harrow PCT
3,329   Somerset PCT                              2,621   Ashton, Leigh and Wigan PCT
3,319   Heywood, Middleton and Rochdale PCT       2,616   Oldham PCT
3,294   Barnsley PCT                              2,611   Manchester PCT
3,216   Telford and Wrekin PCT                    2,601   Telford and Wrekin PCT
3,209   Luton Teaching PCT                        2,587   Birmingham East and North PCT
3,142   Sheffield PCT                             2,576   Doncaster PCT
3,131   Solihull Care Trust                       2,575   Shropshire County PCT
3,100   Northumberland Care Trust                 2,571   Enfield PCT
3,093   Leeds PCT                                 2,558   Barking and Dagenham PCT
3,091   Sunderland Teaching PCT                   2,555   Blackpool PCT
3,087   Hounslow PCT                              2,546   Westminster PCT
3,079   Darlington PCT                            2,541   Nottinghamshire County Teaching PCT
3,064   Calderdale PCT                        2,534   South Birmingham PCT
3,052   Nottingham City PCT                   2,486   Blackburn with Darwen Teaching PCT
3,041   Doncaster PCT                         2,462   Somerset PCT
3,029   Newham PCT                            2,453   Leicester City Teaching PCT
2,987   Newcastle PCT                         2,425   Kingston PCT
2,978   Liverpool PCT                         2,421   Coventry Teaching PCT
2,977   Barnet PCT                            2,408   Worcestershire PCT
2,973   Warrington PCT                        2,403   Sandwell PCT
2,962   Isle of Wight Healthcare PCT          2,393   Mid Essex PCT
2,926   Southampton City PCT                  2,381   South Staffordshire PCT
2,883   Kirklees PCT                          2,356   Torbay Care Trust
2,879   Halton and St. Helens PCT             2,354   South West Essex Teaching PCT
2,859   Redcar and Cleveland PCT              2,354   Norfolk PCT
2,825   Wirral PCT                            2,352   Great Yarmouth and Waveney Teaching PCT
2,801   Heart of Birmingham Teaching PCT      2,343   Kensington and Chelsea PCT
2,801   County Durham PCT                     2,343   Walsall Teaching PCT
2,797   Hammersmith and Fulham PCT            2,343   Southampton City PCT
2,795   City and Hackney Teaching PCT         2,326   Dudley PCT
2,745   Blackburn with Darwen Teaching PCT    2,325   Berkshire West PCT
2,743   Blackpool PCT                         2,312   North East Essex PCT
2,681   Bury PCT                              2,309   Waltham Forest PCT
2,673   Wandsworth PCT                        2,278   Brent Teaching PCT
2,638   Knowsley PCT                          2,270   Camden PCT
2,636   North Tyneside PCT                    2,266   Plymouth Teaching PCT
2,577   Manchester PCT                        2,218   Wolverhampton City PCT
2,555   Ashton, Leigh and Wigan PCT           2,159   Islington PCT
2,525   Wakefield District PCT                2,148   Haringey Teaching PCT
2,363   Kingston PCT                          2,136   Herefordshire PCT
2,346   Gateshead PCT                         2,132   Medway Teaching PCT
2,308   Berkshire East Teaching PCT           2,120   Wandsworth PCT
2,249   Brighton and Hove City Teaching PCT   2,098   Lewisham PCT
2,222   Middlesbrough PCT                     2,087   Southwark PCT
2,191   Islington PCT                         2,040   Eastern and Coastal Kent Teaching PCT
2,158   Bassetlaw PCT                         1,843   Nottingham City PCT
2,098   Westminster PCT                       1,781   City and Hackney Teaching PCT
2,061   Richmond and Twickenham PCT           1,680   Tower Hamlets PCT
1,866   Kensington and Chelsea PCT            1,576   Lambeth PCT
1,644   Tower Hamlets PCT                     1,518   Heart of Birmingham Teaching PCT
1,469   Camden PCT                            1,459   Newham PCT
Gastro Intestinal                  F06.Diagnostic Procedures, Oesophagus and Stomach    F35.Large Intestine - Endoscopic or Intermediate Procedures

                    Age Sex                                                 Age Sex
                    Needs                                                   Needs
                    Expenditure                                             Expenditure
                    Rate                                                    Rate
                    (£/1000                                                 (£/1000
                    population) PCT name                                    population) PCT name
                         45,740 Sefton PCT                                        5,318 Central and Eastern Cheshire PCT
                         43,855 South Tyneside PCT                                5,195 Bromley PCT
                         42,488 Stockport PCT                                     5,173 Croydon PCT
                         42,263 Knowsley PCT                                      5,172 North Tyneside PCT
                         41,540 Heywood, Middleton and Rochdale PCT               5,052 Oxfordshire PCT
                         40,902 North Tyneside PCT                                4,851 Bournemouth and Poole Teaching PCT
                         40,803 Cumbria PCT                                       4,827 Cumbria PCT
                         40,725 Bolton PCT                                        4,722 Sefton PCT
                         40,667 North Lincolnshire PCT                            4,707 Northumberland Care Trust
                         40,592 Rotherham PCT                                     4,707 Ealing PCT
                         40,430 Ashton, Leigh and Wigan PCT                       4,590 North East Lincolnshire PCT
                         40,267 North Yorkshire and York PCT                      4,585 Stockton-on-Tees Teaching PCT
                         40,195 Central and Eastern Cheshire PCT                  4,584 Harrow PCT
                         40,021 Tameside and Glossop PCT                          4,547 Sutton and Merton PCT
                         39,915 Bournemouth and Poole Teaching PCT                4,533 East Riding Of Yorkshire PCT
                         39,906 South Gloucestershire PCT                         4,502 Hillingdon PCT
                         39,801 Isle of Wight Healthcare PCT                      4,448 Surrey PCT
                         39,723 Wiltshire PCT                                     4,397 Dorset PCT
                         39,356 Bromley PCT                                       4,389 North Yorkshire and York PCT
                         39,270 Liverpool PCT                                     4,382 Heywood, Middleton and Rochdale PCT
                         39,061 Halton and St. Helens PCT                         4,365 Hartlepool PCT
                         38,888 North East Lincolnshire PCT                       4,338 North Lancashire PCT
                         38,854 Dorset PCT                                        4,335 Isle of Wight Healthcare PCT
                         38,704 Kingston PCT                                      4,313 North Lincolnshire PCT
                         38,670 Newcastle PCT                                     4,307 Trafford PCT
                         38,365 Cambridgeshire PCT                                4,282 East Sussex Downs and Weald PCT
                         38,186 Sheffield PCT                                     4,266 Berkshire East Teaching PCT
                         38,112 Hounslow PCT                                      4,266 Bury PCT
                         38,025 Swindon PCT                                       4,265 Buckinghamshire PCT
                         38,010 Northumberland Care Trust                         4,206 Central Lancashire PCT
                         37,992 Bath and North East Somerset PCT                  4,203 Cambridgeshire PCT
                         37,886 Trafford PCT                                      4,131 Ashton, Leigh and Wigan PCT
                         37,827 Croydon PCT                                       4,106 Knowsley PCT
                         37,764 Barnsley PCT                                      4,104 Lewisham PCT
                         37,727 West Cheshire PCT                                 4,065 Gloucestershire PCT
                         37,708 Kirklees PCT                                      4,040 Hull Teaching PCT
                         37,619 South East Essex PCT                              4,007 West Cheshire PCT
                         37,590 Luton Teaching PCT                                4,007 South East Essex PCT
                         37,588 Berkshire East Teaching PCT                       3,989 Halton and St. Helens PCT
                         37,494 Blackburn with Darwen Teaching PCT                3,979 West Hertfordshire PCT
                         37,297 Ealing PCT                                        3,958 Havering PCT
                         37,276 Bristol Teaching PCT                              3,958 West Kent PCT
                         37,093 West Sussex Teaching PCT                          3,951 East and North Hertfordshire PCT
                         37,032 Hartlepool PCT                                    3,916 Bexley PCT
                         36,854 Hillingdon PCT                                    3,908 Barnet PCT
                         36,787 Surrey PCT                                        3,884 Middlesbrough PCT
                         36,717 Wirral PCT                                        3,874 Newcastle PCT
                         36,672 Harrow PCT                                        3,862 Stockport PCT
                         36,656 East Lancashire PCT                               3,853 Northamptonshire Teaching PCT
                         36,621 Salford Teaching PCT                              3,805 Bath and North East Somerset PCT
36,532   Shropshire County PCT                     3,786   Greenwich Teaching PCT
36,498   Stockton-on-Tees Teaching PCT             3,784   West Sussex Teaching PCT
36,466   Doncaster PCT                             3,778   Coventry Teaching PCT
36,417   Bury PCT                                  3,738   Shropshire County PCT
36,373   West Essex PCT                            3,734   Tameside and Glossop PCT
36,300   Greenwich Teaching PCT                    3,726   Warwickshire PCT
36,296   Brent Teaching PCT                        3,713   Hammersmith and Fulham PCT
36,279   East Riding Of Yorkshire PCT              3,712   Wakefield District PCT
36,217   North Somerset PCT                        3,706   Wiltshire PCT
36,190   Central Lancashire PCT                    3,689   Solihull Care Trust
36,187   Warrington PCT                            3,683   Hastings and Rother PCT
36,163   Portsmouth City Teaching PCT              3,669   Bradford and Airedale Teaching PCT
36,135   Bexley PCT                                3,616   Rotherham PCT
36,110   Peterborough PCT                          3,614   Brent Teaching PCT
36,081   Oldham PCT                                3,558   Sandwell PCT
36,008   Hammersmith and Fulham PCT                3,520   West Essex PCT
35,993   Sutton and Merton PCT                     3,514   Redcar and Cleveland PCT
35,892   West Hertfordshire PCT                    3,507   Blackpool PCT
35,817   Buckinghamshire PCT                       3,506   Redbridge PCT
35,787   County Durham PCT                         3,471   County Durham PCT
35,753   Coventry Teaching PCT                     3,470   Bedfordshire PCT
35,577   Gloucestershire PCT                       3,462   Barnsley PCT
35,555   Oxfordshire PCT                           3,422   Darlington PCT
35,399   Bedfordshire PCT                          3,413   Enfield PCT
35,256   Havering PCT                              3,405   Hampshire PCT
35,217   Bradford and Airedale Teaching PCT        3,402   Oldham PCT
35,130   Waltham Forest PCT                        3,399   Brighton and Hove City Teaching PCT
35,029   Barnet PCT                                3,397   Kingston PCT
35,001   Great Yarmouth and Waveney Teaching PCT   3,367   Lambeth PCT
34,937   Richmond and Twickenham PCT               3,365   Manchester PCT
34,923   West Kent PCT                             3,345   Telford and Wrekin PCT
34,734   Calderdale PCT                            3,330   Sheffield PCT
34,570   Hampshire PCT                             3,314   Lincolnshire Teaching PCT
34,470   Telford and Wrekin PCT                    3,309   Islington PCT
34,441   Solihull Care Trust                       3,297   Leicestershire County and Rutland PCT
34,280   Derby City PCT                            3,260   South Staffordshire PCT
34,270   Leicestershire County and Rutland PCT     3,258   Kensington and Chelsea PCT
34,263   Lincolnshire Teaching PCT                 3,249   Southwark PCT
34,191   South Staffordshire PCT                   3,228   Berkshire West PCT
34,187   Manchester PCT                            3,211   South Tyneside PCT
34,132   Milton Keynes PCT                         3,207   Milton Keynes PCT
34,123   East Sussex Downs and Weald PCT           3,207   Great Yarmouth and Waveney Teaching PCT
34,086   Kensington and Chelsea PCT                3,201   Haringey Teaching PCT
34,040   Redbridge PCT                             3,191   South West Essex Teaching PCT
33,955   Middlesbrough PCT                         3,177   Salford Teaching PCT
33,926   North East Essex PCT                      3,160   East Lancashire PCT
33,709   Devon PCT                                 3,153   Leeds PCT
33,689   Derbyshire County PCT                     3,145   Norfolk PCT
33,627   Sunderland Teaching PCT                   3,130   Kirklees PCT
33,585   Lewisham PCT                              3,105   Camden PCT
33,584   East and North Hertfordshire PCT          3,067   Wandsworth PCT
33,582   Westminster PCT                           3,046   Waltham Forest PCT
33,580   Hull Teaching PCT                         3,005   Worcestershire PCT
33,393   North Lancashire PCT                      2,968   Derbyshire County PCT
33,376   Haringey Teaching PCT                     2,950   Richmond and Twickenham PCT
33,346   Dudley PCT                                2,949   Warrington PCT
33,154   Hastings and Rother PCT                   2,946   Calderdale PCT
33,154   Leeds PCT                                 2,930   Barking and Dagenham PCT
33,084   Redcar and Cleveland PCT                  2,920   Wirral PCT
33,015   Birmingham East and North PCT             2,908   Luton Teaching PCT
32,903   Enfield PCT                               2,897   Nottinghamshire County Teaching PCT
32,890   Wandsworth PCT                            2,897   Sunderland Teaching PCT
32,857   Barking and Dagenham PCT                  2,895   Liverpool PCT
32,822   Northamptonshire Teaching PCT           2,884   Dudley PCT
32,814   Norfolk PCT                             2,882   South Birmingham PCT
32,811   Islington PCT                           2,874   Walsall Teaching PCT
32,810   Cornwall and Isles Of Scilly PCT        2,873   Bassetlaw PCT
32,782   Camden PCT                              2,864   Doncaster PCT
32,752   North Staffordshire PCT                 2,804   Westminster PCT
32,673   Wakefield District PCT                  2,785   North Staffordshire PCT
32,663   Brighton and Hove City Teaching PCT     2,767   Devon PCT
32,553   Stoke On Trent Teaching PCT             2,762   Blackburn with Darwen Teaching PCT
32,415   Torbay Care Trust                       2,725   Bolton PCT
32,400   Warwickshire PCT                        2,719   North East Essex PCT
32,249   Leicester City Teaching PCT             2,707   Birmingham East and North PCT
32,211   South Birmingham PCT                    2,658   Hounslow PCT
32,178   Newham PCT                              2,653   Mid Essex PCT
32,111   Bassetlaw PCT                           2,616   Bristol Teaching PCT
31,904   Nottinghamshire County Teaching PCT     2,606   South Gloucestershire PCT
31,851   Lambeth PCT                             2,601   Derby City PCT
31,788   Berkshire West PCT                      2,554   Cornwall and Isles Of Scilly PCT
31,606   Somerset PCT                            2,553   North Somerset PCT
31,189   Walsall Teaching PCT                    2,548   Somerset PCT
31,172   Sandwell PCT                            2,544   City and Hackney Teaching PCT
30,830   Tower Hamlets PCT                       2,506   Portsmouth City Teaching PCT
30,077   Blackpool PCT                           2,500   Peterborough PCT
29,706   City and Hackney Teaching PCT           2,483   Stoke On Trent Teaching PCT
29,677   South West Essex Teaching PCT           2,443   Swindon PCT
29,563   Worcestershire PCT                      2,352   Leicester City Teaching PCT
29,384   Southwark PCT                           2,350   Tower Hamlets PCT
29,317   Darlington PCT                          2,337   Suffolk PCT
29,298   Nottingham City PCT                     2,305   Newham PCT
28,973   Suffolk PCT                             1,986   Nottingham City PCT
28,964   Mid Essex PCT                           1,873   Torbay Care Trust
28,757   Medway Teaching PCT                     1,749   Wolverhampton City PCT
28,587   Heart of Birmingham Teaching PCT        1,127   Medway Teaching PCT
28,265   Gateshead PCT                             785   Heart of Birmingham Teaching PCT
28,249   Herefordshire PCT                         506   Gateshead PCT
25,796   Eastern and Coastal Kent Teaching PCT     440   Herefordshire PCT
24,985   Southampton City PCT                      374   Eastern and Coastal Kent Teaching PCT
24,945   Wolverhampton City PCT                    208   Southampton City PCT
22,469   Plymouth Teaching PCT                     162   Plymouth Teaching PCT
                                                                                                    B13.Phakoemulsification Cataract Extraction and Insertion of
Endoscopic or Intermediate Procedures   A99.Complex Elderly with Nervous System Primary Diagnosis                             Lens

                          Age Sex                                                    Age Sex
                          Needs                                                      Needs
                          Expenditure                                                Expenditure
                          Rate                                                       Rate
                          (£/1000                                                    (£/1000
                          population) PCT name                                       population) PCT name
                                6,173 Leicester City Teaching PCT                          5,956 Brent Teaching PCT
                                6,134 Portsmouth City Teaching PCT                         5,923 Hounslow PCT
                                6,058 Sutton and Merton PCT                                5,695 Harrow PCT
                                5,934 Leicestershire County and Rutland PCT                5,691 Waltham Forest PCT
                                5,834 Heart of Birmingham Teaching PCT                     5,584 Ealing PCT
                                5,809 Wandsworth PCT                                       5,271 Richmond and Twickenham PCT
                                5,729 Warrington PCT                                       5,255 Kingston PCT
                                5,542 Luton Teaching PCT                                   4,885 Redbridge PCT
                                5,333 Solihull Care Trust                                  4,761 Haringey Teaching PCT
                                5,281 Ealing PCT                                           4,574 Havering PCT
                                5,261 West Essex PCT                                       4,538 Berkshire East Teaching PCT
                                5,252 Wiltshire PCT                                        4,537 Newham PCT
                                5,233 Croydon PCT                                          4,517 Rotherham PCT
                                5,229 Halton and St. Helens PCT                            4,465 Hampshire PCT
                                5,199 Eastern and Coastal Kent Teaching PCT                4,428 Surrey PCT
                                5,165 Hammersmith and Fulham PCT                           4,391 Islington PCT
                                5,142 Worcestershire PCT                                   4,387 Enfield PCT
                                5,035 Richmond and Twickenham PCT                          4,333 Derby City PCT
                                4,984 South East Essex PCT                                 4,269 Wandsworth PCT
                                4,962 South Birmingham PCT                                 4,232 West Essex PCT
                                4,888 Trafford PCT                                         4,185 Bedfordshire PCT
                                4,886 Bedfordshire PCT                                     4,157 Hillingdon PCT
                                4,883 Hounslow PCT                                         4,152 North Lincolnshire PCT
                                4,842 Nottingham City PCT                                  3,984 Bromley PCT
                                4,823 Sunderland Teaching PCT                              3,968 Somerset PCT
                                4,811 Birmingham East and North PCT                        3,956 Barnet PCT
                                4,797 Nottinghamshire County Teaching PCT                  3,923 City and Hackney Teaching PCT
                                4,732 Wolverhampton City PCT                               3,916 West Hertfordshire PCT
                                4,710 Bury PCT                                             3,913 Tower Hamlets PCT
                                4,694 Haringey Teaching PCT                                3,890 Barking and Dagenham PCT
                                4,641 Herefordshire PCT                                    3,841 Lincolnshire Teaching PCT
                                4,628 Central Lancashire PCT                               3,833 Sutton and Merton PCT
                                4,551 Kingston PCT                                         3,828 Bath and North East Somerset PCT
                                4,531 Bath and North East Somerset PCT                     3,803 Milton Keynes PCT
                                4,530 West Kent PCT                                        3,788 Croydon PCT
                                4,506 Lewisham PCT                                         3,770 Lewisham PCT
                                4,457 City and Hackney Teaching PCT                        3,765 South Tyneside PCT
                                4,429 Sandwell PCT                                         3,754 South West Essex Teaching PCT
                                4,417 North Staffordshire PCT                              3,748 Mid Essex PCT
                                4,393 Northamptonshire Teaching PCT                        3,734 Norfolk PCT
                                4,368 Swindon PCT                                          3,723 South Gloucestershire PCT
                                4,358 Bradford and Airedale Teaching PCT                   3,682 South East Essex PCT
                                4,357 Waltham Forest PCT                                   3,680 Southampton City PCT
                                4,351 Suffolk PCT                                          3,676 Heart of Birmingham Teaching PCT
                                4,344 Doncaster PCT                                        3,659 Southwark PCT
                                4,330 Somerset PCT                                         3,654 Worcestershire PCT
                                4,330 Bexley PCT                                           3,649 Buckinghamshire PCT
                                4,320 Lincolnshire Teaching PCT                            3,640 Nottinghamshire County Teaching PCT
                                4,307 Southwark PCT                                        3,638 North Yorkshire and York PCT
                                4,302 South Tyneside PCT                                   3,615 Telford and Wrekin PCT
4,287   Derbyshire County PCT                 3,607   Gloucestershire PCT
4,274   East Sussex Downs and Weald PCT       3,594   Bournemouth and Poole Teaching PCT
4,262   Bolton PCT                            3,582   East and North Hertfordshire PCT
4,248   Lambeth PCT                           3,556   Derbyshire County PCT
4,245   West Sussex Teaching PCT              3,556   Cambridgeshire PCT
4,225   Rotherham PCT                         3,554   East Riding Of Yorkshire PCT
4,222   Central and Eastern Cheshire PCT      3,544   Sunderland Teaching PCT
4,210   West Hertfordshire PCT                3,538   Warwickshire PCT
4,172   Hastings and Rother PCT               3,536   Plymouth Teaching PCT
4,131   Kensington and Chelsea PCT            3,509   Luton Teaching PCT
4,127   Sheffield PCT                         3,463   Northamptonshire Teaching PCT
4,124   Brent Teaching PCT                    3,458   Portsmouth City Teaching PCT
4,078   South West Essex Teaching PCT         3,447   Bassetlaw PCT
4,075   South Staffordshire PCT               3,446   West Sussex Teaching PCT
4,068   Bristol Teaching PCT                  3,436   Heywood, Middleton and Rochdale PCT
4,066   North Lancashire PCT                  3,425   Blackburn with Darwen Teaching PCT
4,054   North Yorkshire and York PCT          3,391   Lambeth PCT
4,021   Salford Teaching PCT                  3,390   Shropshire County PCT
4,007   North Somerset PCT                    3,387   Swindon PCT
3,995   Hampshire PCT                         3,386   Bristol Teaching PCT
3,977   Knowsley PCT                          3,384   Devon PCT
3,938   Medway Teaching PCT                   3,377   Oxfordshire PCT
3,848   South Gloucestershire PCT             3,377   Berkshire West PCT
3,839   Devon PCT                             3,365   Leeds PCT
3,830   Stockport PCT                         3,362   Peterborough PCT
3,827   Heywood, Middleton and Rochdale PCT   3,361   Doncaster PCT
3,808   Oldham PCT                            3,338   Leicestershire County and Rutland PCT
3,798   Walsall Teaching PCT                  3,330   Greenwich Teaching PCT
3,785   Greenwich Teaching PCT                3,316   West Kent PCT
3,772   Manchester PCT                        3,311   North Tyneside PCT
3,768   Warwickshire PCT                      3,295   East Sussex Downs and Weald PCT
3,767   Cumbria PCT                           3,290   Herefordshire PCT
3,759   Blackburn with Darwen Teaching PCT    3,272   Bexley PCT
3,743   Gateshead PCT                         3,243   Cumbria PCT
3,743   Enfield PCT                           3,238   Northumberland Care Trust
3,729   Surrey PCT                            3,236   North Somerset PCT
3,715   Newcastle PCT                         3,234   Barnsley PCT
3,706   Redbridge PCT                         3,220   Dorset PCT
3,697   Harrow PCT                            3,217   Camden PCT
3,683   Cambridgeshire PCT                    3,213   Sheffield PCT
3,667   Ashton, Leigh and Wigan PCT           3,194   Bradford and Airedale Teaching PCT
3,642   Barnet PCT                            3,192   Wiltshire PCT
3,641   East Lancashire PCT                   3,169   Medway Teaching PCT
3,638   Mid Essex PCT                         3,161   Hull Teaching PCT
3,630   Isle of Wight Healthcare PCT          3,161   Newcastle PCT
3,609   Norfolk PCT                           3,127   Hastings and Rother PCT
3,607   Westminster PCT                       3,114   Trafford PCT
3,606   Camden PCT                            3,112   Stockport PCT
3,604   Berkshire East Teaching PCT           3,104   West Cheshire PCT
3,586   Coventry Teaching PCT                 3,100   Central Lancashire PCT
3,579   Cornwall and Isles Of Scilly PCT      3,088   Bury PCT
3,541   Barnsley PCT                          3,079   South Birmingham PCT
3,536   Northumberland Care Trust             3,011   Ashton, Leigh and Wigan PCT
3,503   West Cheshire PCT                     3,003   Stockton-on-Tees Teaching PCT
3,483   Bassetlaw PCT                         2,995   Eastern and Coastal Kent Teaching PCT
3,456   Dorset PCT                            2,983   Gateshead PCT
3,440   Milton Keynes PCT                     2,961   County Durham PCT
3,420   Bromley PCT                           2,947   Brighton and Hove City Teaching PCT
3,419   Calderdale PCT                        2,915   Bolton PCT
3,400   East Riding Of Yorkshire PCT          2,910   East Lancashire PCT
3,377   Liverpool PCT                         2,899   Darlington PCT
3,377   Hull Teaching PCT                     2,886   Torbay Care Trust
3,346   County Durham PCT                     2,877   Nottingham City PCT
3,344   Tameside and Glossop PCT                  2,877   Great Yarmouth and Waveney Teaching PCT
3,326   North Lincolnshire PCT                    2,876   North Lancashire PCT
3,269   Peterborough PCT                          2,868   Redcar and Cleveland PCT
3,218   Leeds PCT                                 2,836   Hartlepool PCT
3,214   Telford and Wrekin PCT                    2,835   Central and Eastern Cheshire PCT
3,181   Wakefield District PCT                    2,803   Wakefield District PCT
3,149   Havering PCT                              2,789   Blackpool PCT
3,144   Shropshire County PCT                     2,783   Tameside and Glossop PCT
3,138   Berkshire West PCT                        2,775   Solihull Care Trust
3,134   Darlington PCT                            2,764   North East Essex PCT
3,089   Torbay Care Trust                         2,737   Suffolk PCT
3,078   Oxfordshire PCT                           2,723   Liverpool PCT
3,072   Newham PCT                                2,693   Coventry Teaching PCT
3,019   Great Yarmouth and Waveney Teaching PCT   2,675   Sandwell PCT
3,013   Stockton-on-Tees Teaching PCT             2,649   Salford Teaching PCT
2,961   Islington PCT                             2,634   Walsall Teaching PCT
2,926   Wirral PCT                                2,631   Wolverhampton City PCT
2,883   Stoke On Trent Teaching PCT               2,598   Calderdale PCT
2,836   Bournemouth and Poole Teaching PCT        2,595   Isle of Wight Healthcare PCT
2,824   Derby City PCT                            2,579   Manchester PCT
2,820   Hartlepool PCT                            2,564   Dudley PCT
2,771   Sefton PCT                                2,552   Knowsley PCT
2,740   Hillingdon PCT                            2,539   Oldham PCT
2,637   Southampton City PCT                      2,522   Birmingham East and North PCT
2,611   Tower Hamlets PCT                         2,444   Middlesbrough PCT
2,587   Buckinghamshire PCT                       2,388   Cornwall and Isles Of Scilly PCT
2,575   Kirklees PCT                              2,349   Kirklees PCT
2,569   Middlesbrough PCT                         2,309   Warrington PCT
2,542   North East Essex PCT                      2,282   Sefton PCT
2,344   Brighton and Hove City Teaching PCT       2,220   Leicester City Teaching PCT
2,249   Redcar and Cleveland PCT                  2,214   Hammersmith and Fulham PCT
2,128   North East Lincolnshire PCT               2,214   Westminster PCT
1,956   Barking and Dagenham PCT                  2,186   Halton and St. Helens PCT
1,548   Blackpool PCT                             2,154   Wirral PCT
  941   East and North Hertfordshire PCT          2,033   North East Lincolnshire PCT
  503   North Tyneside PCT                        1,987   South Staffordshire PCT
  488   Dudley PCT                                1,984   Kensington and Chelsea PCT
  463   Plymouth Teaching PCT                     1,789   North Staffordshire PCT
  237   Gloucestershire PCT                       1,576   Stoke On Trent Teaching PCT
on Cataract Extraction and Insertion of
     Lens                                     C58.Intermediate Mouth or Throat Procedures

                           Age Sex                                                   Age Sex
                           Needs                                                     Needs
                           Expenditure                                               Expenditure
                           Rate                                                      Rate
                           (£/1000                                                   (£/1000
                           population) PCT name                                      population)
                                 7,635 Bromley PCT                                          9,112
                                 7,372 Bury PCT                                             9,070
                                 7,222 Heywood, Middleton and Rochdale PCT                  8,728
                                 7,219 Rotherham PCT                                        8,506
                                 7,209 Portsmouth City Teaching PCT                         8,401
                                 7,119 Trafford PCT                                         8,251
                                 7,076 Swindon PCT                                          8,092
                                 6,912 Blackpool PCT                                        7,952
                                 6,797 Torbay Care Trust                                    7,596
                                 6,616 Blackburn with Darwen Teaching PCT                   7,466
                                 6,299 Cornwall and Isles Of Scilly PCT                     7,399
                                 6,270 West Essex PCT                                       7,306
                                 6,150 Northamptonshire Teaching PCT                        7,196
                                 5,900 Sheffield PCT                                        7,187
                                 5,881 Hampshire PCT                                        7,163
                                 5,872 Havering PCT                                         7,161
                                 5,866 Croydon PCT                                          7,096
                                 5,840 North East Lincolnshire PCT                          7,062
                                 5,802 Stockport PCT                                        6,979
                                 5,730 Central Lancashire PCT                               6,877
                                 5,667 North Lincolnshire PCT                               6,806
                                 5,583 Bedfordshire PCT                                     6,771
                                 5,566 Ashton, Leigh and Wigan PCT                          6,676
                                 5,558 Cambridgeshire PCT                                   6,669
                                 5,539 Sunderland Teaching PCT                              6,590
                                 5,523 Barnsley PCT                                         6,571
                                 5,499 Isle of Wight Healthcare PCT                         6,520
                                 5,494 Devon PCT                                            6,480
                                 5,466 Surrey PCT                                           6,349
                                 5,459 South Gloucestershire PCT                            6,203
                                 5,382 North East Essex PCT                                 6,185
                                 5,349 Hounslow PCT                                         6,104
                                 5,340 North Somerset PCT                                   6,097
                                 5,333 Wiltshire PCT                                        6,094
                                 5,302 East Lancashire PCT                                  6,084
                                 5,151 West Cheshire PCT                                    6,043
                                 5,120 North Lancashire PCT                                 6,035
                                 5,119 Shropshire County PCT                                6,027
                                 5,106 Manchester PCT                                       5,981
                                 5,042 West Hertfordshire PCT                               5,975
                                 5,022 Southwark PCT                                        5,918
                                 5,017 Lincolnshire Teaching PCT                            5,890
                                 5,012 Barnet PCT                                           5,885
                                 5,009 Mid Essex PCT                                        5,865
                                 5,005 Bristol Teaching PCT                                 5,845
                                 4,964 Peterborough PCT                                     5,834
                                 4,960 City and Hackney Teaching PCT                        5,789
                                 4,959 Dorset PCT                                           5,770
                                 4,950 Northumberland Care Trust                            5,746
                                 4,948 East Sussex Downs and Weald PCT                      5,706
4,941   Hammersmith and Fulham PCT                5,627
4,908   Waltham Forest PCT                        5,626
4,880   Bath and North East Somerset PCT          5,618
4,865   South Tyneside PCT                        5,616
4,853   Hastings and Rother PCT                   5,589
4,829   Norfolk PCT                               5,580
4,794   Doncaster PCT                             5,579
4,779   Tameside and Glossop PCT                  5,502
4,764   Middlesbrough PCT                         5,494
4,728   Lambeth PCT                               5,443
4,722   East Riding Of Yorkshire PCT              5,409
4,707   Bournemouth and Poole Teaching PCT        5,407
4,683   Sutton and Merton PCT                     5,376
4,670   Darlington PCT                            5,372
4,661   Derby City PCT                            5,358
4,658   Redcar and Cleveland PCT                  5,355
4,652   Enfield PCT                               5,348
4,650   Warwickshire PCT                          5,329
4,640   Herefordshire PCT                         5,326
4,638   Bolton PCT                                5,319
4,636   Suffolk PCT                               5,293
4,629   Stockton-on-Tees Teaching PCT             5,225
4,598   Bradford and Airedale Teaching PCT        5,219
4,590   Islington PCT                             5,188
4,585   Redbridge PCT                             5,134
4,577   Sefton PCT                                5,080
4,577   Salford Teaching PCT                      5,078
4,542   Hillingdon PCT                            5,060
4,512   Gloucestershire PCT                       5,020
4,507   Southampton City PCT                      5,011
4,491   Oldham PCT                                5,005
4,483   Lewisham PCT                              5,002
4,483   North Staffordshire PCT                   4,997
4,479   Coventry Teaching PCT                     4,974
4,461   Berkshire East Teaching PCT               4,972
4,447   Dudley PCT                                4,961
4,441   North Yorkshire and York PCT              4,908
4,405   West Sussex Teaching PCT                  4,853
4,386   Ealing PCT                                4,848
4,379   Barking and Dagenham PCT                  4,840
4,377   Kirklees PCT                              4,809
4,301   Plymouth Teaching PCT                     4,808
4,257   South West Essex Teaching PCT             4,760
4,245   Central and Eastern Cheshire PCT          4,756
4,233   Harrow PCT                                4,714
4,199   East and North Hertfordshire PCT          4,695
4,196   Bassetlaw PCT                             4,683
4,161   North Tyneside PCT                        4,668
4,107   Bexley PCT                                4,668
4,101   Wakefield District PCT                    4,667
4,091   Derbyshire County PCT                     4,643
4,089   Richmond and Twickenham PCT               4,597
4,081   County Durham PCT                         4,595
4,067   Stoke On Trent Teaching PCT               4,573
4,056   South East Essex PCT                      4,559
4,054   Luton Teaching PCT                        4,498
4,024   Calderdale PCT                            4,474
4,024   Camden PCT                                4,465
3,986   Haringey Teaching PCT                     4,439
3,936   West Kent PCT                             4,436
3,936   Liverpool PCT                             4,410
3,925   Wandsworth PCT                            4,366
3,895   Great Yarmouth and Waveney Teaching PCT   4,352
3,866   Somerset PCT                            4,339
3,863   Hull Teaching PCT                       4,317
3,851   Eastern and Coastal Kent Teaching PCT   4,305
3,830   Berkshire West PCT                      4,297
3,809   Leicestershire County and Rutland PCT   4,269
3,793   Brighton and Hove City Teaching PCT     4,217
3,791   Newcastle PCT                           4,213
3,760   Buckinghamshire PCT                     4,163
3,757   Kensington and Chelsea PCT              4,110
3,735   Greenwich Teaching PCT                  4,110
3,705   Westminster PCT                         4,105
3,695   Halton and St. Helens PCT               4,099
3,691   Wirral PCT                              4,078
3,688   Newham PCT                              3,971
3,685   Hartlepool PCT                          3,908
3,629   Knowsley PCT                            3,875
3,596   Wolverhampton City PCT                  3,862
3,571   Gateshead PCT                           3,841
3,567   Nottinghamshire County Teaching PCT     3,810
3,566   Telford and Wrekin PCT                  3,708
3,564   Brent Teaching PCT                      3,683
3,466   Tower Hamlets PCT                       3,642
3,464   South Staffordshire PCT                 3,592
3,397   Worcestershire PCT                      3,548
3,352   Oxfordshire PCT                         3,487
3,346   Milton Keynes PCT                       3,454
3,342   Medway Teaching PCT                     3,438
3,307   Leeds PCT                               3,363
3,253   Solihull Care Trust                     3,333
3,235   Cumbria PCT                             3,332
3,215   Sandwell PCT                            3,311
3,093   Walsall Teaching PCT                    3,285
3,088   Warrington PCT                          3,279
2,982   Kingston PCT                            3,275
2,918   Leicester City Teaching PCT             3,119
2,873   South Birmingham PCT                    3,066
2,574   Birmingham East and North PCT           2,978
2,534   Heart of Birmingham Teaching PCT        2,605
2,310   Nottingham City PCT                     2,192

								
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