Does Council Tax Valuation Band (CTVB) correlate with Under-Privileged Area 8 (UPA8) score and could it be a better 'Jarman Index'?

BMC Public Health. 2001:1:13. doi: 10.1186/1471-2458-1-13. Epub 2001 Nov 8.

Abstract

Background: Widespread scepticism persists on the use of the Under-Privileged Area (UPA8) score of Jarman in distributing supplementary resources to so-attributed 'deprived' UK general practices. The search for better 'needs' markers continues. Having already shown that Council Tax Valuation Band (CTVB) is a predictor of UK GP workload, we compare, here, CTVB of residence of a random sample of patients with their respective 'Jarman' scores.

Methods: Correlation coefficient is calculated between (i) the CTVB of residence of a randomised sample of patients from an English general practice and (ii) the UPA8 scores of the relevant enumeration districts in which they live.

Results: There is a highly significant correlation between the two measures despite modest study size of 478 patients (85% response).

Conclusions: The proposal that CTVB is a marker of deprivation and of clinical demand should be examined in more detail: it correlates with 'Jarman', which is already used in NHS resource allocation. But unlike 'Jarman', CTVB is simple, objective, and free of the problems of Census data. CTVB, being household-based, can be aggregated at will.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catchment Area, Health
  • Community Health Planning
  • Cultural Deprivation
  • Family Characteristics*
  • Family Practice / economics*
  • Health Care Rationing / methods*
  • Humans
  • Psychosocial Deprivation
  • Residence Characteristics / classification*
  • Residence Characteristics / statistics & numerical data
  • State Medicine
  • Taxes / classification*
  • United Kingdom
  • Vulnerable Populations / classification*