Report comment

Sally what do you mean when you say that the QIPP challenge hasn't been made any easier even though "the extra year might massage out an another £8-£9billion? That sounds like it got easier to me and surely that's why the DoH have made this announcement?
In any case it is very difficult 'on the ground' to understand how these savings are actually being made up. As far as i can see it seems to be largely from DoH/SHA/PCT's holding back a large amount of money from the start, coupled with tariff deflation and then declaring surpluses. I'm not sure that's efficiency as commonly understood and one wonders if there is any plan B once this device runs dry?