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London capitation weighting: social deprivation, homelessness and mental health

Published online by Cambridge University Press:  02 January 2018

Stuart Turner  and
Carolyn Haskins
Stuart Turner
Affiliation:
Camden & Islington Community Health Services NHS Trust, 112 Hampstead Road, London NW1 2LT
Carolyn Haskins
Affiliation:
Camden & Islington Community Health Services NHS Trust, 112 Hampstead Road, London NW1 2LT
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Inner London, together with many other inner city areas, faces a crisis of funding in health services. Budgets are now allocated to commissioning authorities primarily on the basis of the sizes of resident populations. Although it is recognised that different communities have different needs and that some adjustment to this simple approach (capitation weighting) is required, there is no clarity about the best mechanism to achieve a fair resolution (Stern, 1992). Those inner city areas with high levels of social deprivation, high indices of health service need and especially those with high numbers of homeless people require additional resources to provide acceptable levels of overall care. Failure to take adequate account of these pressures may result in further gradual reductions in funding and consequently in service provision.

Type
Keynotes
Information
Psychiatric Bulletin , Volume 17 , Issue 11 , November 1993 , pp. 641 - 646
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 1993

References

Access to Health (1992) Developing a Weighting for Homeless People. London: Access to Health.Google Scholar
Fisher, N. R., Turner, S W. & Pugh, R. (1990) Homeless and mentally ill. The Lancet, 335, 916–917.10.1016/0140-6736(90)90516-8CrossRefGoogle ScholarPubMed
James, A. (1991) Homeless women in London: the hostel perspective. Health Trends, 23, 80–84.Google ScholarPubMed
Jarman, B., Hirsch, S., White, P. & Driscoll, R. (1992) Predicting psychiatric admissions. British Medical Journal 304, 1146–1151.10.1136/bmj.304.6835.1146CrossRefGoogle Scholar
Leff, J. (1993) All the homeless people – where do they all come from? British Medical Journal, 306, 669–670.10.1136/bmj.306.6879.669CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (1988) Psychiatric Beds and Resources: Factors influencing Bed Use and Service Planning. Report of a Working Party of the Section for Social and Community Psychiatry. London: Gaskell (Royal College of Psychiatrists).Google Scholar
Scheuer, M. A., Black, M., Victor, C., Benzeval, M. et al (1991) Homelessness and the Utilisation of Acute Hospital Services in London. London: Kings Fund Institute.Google Scholar
Stern, R. (1992) London weighting. Health Services Journal, (28 May 1992) 22–23.Google Scholar
Thornicroft, G., Margolius, O. & Jones, D. (1992) The TAPS project 6: New long stay psychiatric patients and social deprivation. British Journal of Psychiatry, 161, 621–624.10.1192/bjp.161.5.621CrossRefGoogle ScholarPubMed
Timms, P. W. & Fry, A. H. (1989) Homelessness and mental illness. Health Trends, 21, 70–71.Google ScholarPubMed
Tomlinson, B. (1992) Report on the Inquiry into London's Health Service, Medical Education and Research. London: HMSO.Google Scholar
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