The level of healthcare inequality across the country is disclosed in a detailed report which shows some areas are spending twice as much tackling heart disease and cancer as others
"Postcode lottery" prescribing means some patients are not getting the same access to vital drugs and treatments as their neighbours.
In Knowsley, Merseyside, healthcare bosses spend £118 per head on cancer treatments, but in Ealing, west London, they spend just £47.
Middlesbrough spends £167 per head on circulatory diseases, including heart disease, compared with £76 by Southwark, central London.
The spending variations were "almost certainly not justified", warned Nial Dickson, the chief executive of the King's Fund, the influential health think-tank, which compiled the report.
The wide variations in how much the National Health Service trust spends on these diseases has remained unchanged for three years.
This despite an extra £9billion investment by ministers.
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Are Primary Care Trusts (PCT) working?
If not; How should the NHS administer drugs and treatments?