Does anyone else find the situation to be obscene? The HSJ has extracted data from the House of Commons library and SHA Board papers for September, and come up with the figures in the table. What I find obscene is that the SHAs in the areas known to have the worst health inequalities are predicting really massive underspends: even if they return the funds topsliced from PCTs (have they ever been known to do this?) to the PCTs, many of whom are still in turn-around and cutting front line services, Yorkshire and the Humber, East Midlands, North East and North West - the old industrial areas - and South West will still be in significant surplus. What services was this money supposed to supply, and are those services being provided? Or has someone in the DH got their sums wrong when calculating allocations? MaryH Http://shorterlink.co.uk/13275 Projected surpluses SHA Topsliced from PCTs Total predicted surplus London £268m £135m Yorkshire and the Humber £85m £280m West Midlands £74m £102m South Central £68m £80m South East Coast £58m £60m East of England £57m £46m South West £46m £149m East Midlands £38m £114m North East £26m £142m North West £9m £350m Totals £729m *£1,458m Sources: House of Commons library Nov 07 (topslices); SHA board papers, Sept-Nov 2007 *Based on data to September, estimates since risen -- Mary Hawking