Morbidity and life circumstances subgroup
The NRAC Committee made recommendations for the on-going maintenance and development of the formula (see NRAC report, Annex 10 ). They recommended that the Morbidity and Life Circumstances (MLC) element of the formula should be updated at least every 3 years – the updating to include the variables making up the needs indices and the coefficients measuring the relationship between indices and costs. The programme of updating the MLC is being taken forward by TAGRA on a rolling basis through the work of the MLC subgroup.
TAGRA agreed that the detailed analysis to review the MLC adjustment, undertaken by the technical subgroup, should begin by examining the Mental Health and Learning Difficulties (MH & LD) care programme and then continue with the other care programmes. The morbidity and life circumstances subgroup examining the MH & LD care programme was established in April 2011; the subgroup completed their final report in December 2012 which included recommendations to TAGRA on potential changes to the formula. TAGRA accepted these recommendations in December 2012 and the changes were incorporated into the formula in 2012/13 which influenced the resulting 2013/14 target allocations.
At the April 2013 meeting TAGRA agreed that the next care programme to be reviewed would be the acute care programme. The subgroup held its first meeting in February 2014.
Further information on the work of these subgroups is available via the link below.
Morbidity and life circumstances subgroup
Remote and Rural subgroup
The remote and rural subgroup was established in April 2011. The areas of priority work related to:
- Out of hours services;
- Establishing an estimate of the de minimis cost of services.
The subgroup made its recommendations to TAGRA for potential changes to the formula in December 2012. The changes were accepted by TAGRA and were incorporated into the formula in 2012/13 and influenced the resulting 2013/14 target allocations.
Further information on the work of this subgroup is available via the link below.