National Audit Office, 11 September 2014
- This report examines how the Department of Health and NHS England allocate funds to the local commissioners of healthcare and compares approaches in place now and with the approach previously used for primary care trusts.
- The report finds a wide variation in the extent to which the funding received by local commissioners differs from their target allocations, which are based on relative need. In 2014-15, over three-quarters of local authorities, and nearly two-fifths of CCGs are more than five percentage points above or below their fair share of funding per person. Funding for clinical commissioning groups varies from £137 per person below target to £361 per person above target.
- The analysis highlights a clear relationship between the financial position of CCGs and their distance from target funding allocations. Of the 20 groups with the tightest financial positions at 31 March 2014, 19 had received less than their target allocation. And, of the 20 groups with the largest surpluses, 18 had received more than their target allocation.
- Allocations to local commissioners 2014-15 are available as a separate publication.
