The NHS hospital trust sector is predicting a deficit at the end of this financial year, HSJ can reveal.
Slashed income and a reduction in bailouts have led to a spike in the number of individual trusts predicting deficits at the end of the year.
Data from the NHS Trust Development Authority shows nearly half of the hospital trusts it regulates are predicting a deficit at the end of 2013-14.
Twenty-five of the 62 acute non-foundation trusts started the financial year with a deficit plan, the data shows, but five more have since had to adjust their forecasts from a breakeven or surplus position to deficit.
The 30 trusts predict a total shortfall between spending and income of £232m, dragging the sector as a whole into a deficit of £87m.
If the predictions are accurate it would mark the first time the acute non-foundation trust sector has ended a financial year in deficit, although in previous years the underlying shortfalls were masked by “transitional funding” from strategic health authorities, primary care trusts or the Department of Health.
The TDA’s report, published this morning, said: “There [has] been a £282m reduction in non-recurring income planned to be paid to NHS trusts in 2013-14 compared to the previous year, and [there is] variation in approach across England with trusts in the Midlands and East seeing a reduction of just over £122m while NHS trusts in London see a reduction of just over £25m.”
The report said there was a 2 per cent difference between trusts’ 2012-13 income and their planned 2013-14 income. This difference amounted to £616m.
It said: “This is due to a combination of a net price deflator, a reduction in education and training funding and a commissioner rules-based approach resulting in a decrease in nonrecurring income from 2012-13.”
The figures do not cover foundation trusts, which are overseen by Monitor.
The five trusts who have slipped from a break-even position this year
Barts Health Trust in east London was predicting a surplus of £1.1m on its £1bn turnover this year. It is now forecasting a £51m deficit.
East Cheshire Trust was predicting a £1.7m surplus on its £187m turnover but is now looking at a year-end deficit of £8.4m.
Ealing Hospital Trust has seen its planned £48,000 surplus dwindle to a £8.9m deficit.
Kingston Hospital Trust and Western Sussex Hospitals Trust both became foundation trusts this financial year but the TDA document said they “Leave the NHS trust sector with a combined deficit of £1.95m having been authorised as a foundation trust part way through 2013-14”..
|Trust||Predicted % deficit as of TDA summer report|
|Princess Alexandra Hospital NHS Trust||9|
|Mid Essex Hospital Services NHS Trust||7.1|
|University Hospital of North Staffordshire NHS Trust||6.7|
|George Eliot Hospital NHS Trust||6.5|
|North West London Hospitals NHS Trust||5.3|
|South London Healthcare NHS Trust||5.1|
|East Sussex Hospital||5|
|NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST||4.7|
|Barnet and Chase Farm Hospitals NHS Trust||4.7|
|EAST CHESHIRE NHS TRUST||4.5|
|Mid Yorkshire Hospitals NHS Trust (www.midyorks.nhs.uk)||4.5|
|Barts and the London NHS Trust||4|
|Croydon Health Services NHS Trust||4|
|United Lincolnshire Hospitals NHS Trust||3.9|
|Barking, Havering and Redbridge Hospitals NHS Trust||3.9|
|Ealing Hospital NHS Trust||3.8|
|Bedford Hospital NHS Trust||2.2|
|Epsom and St Helier University Hospitals NHS Trust||2.1|
|Northampton General Hospital NHS Trust||1.8|
|Worcestershire Acute Hospitals NHS Trust||1.4|
|Lewisham Hospital NHS Trust||1.2|
|PENNINE ACUTE HOSPITALS NHS TRUST||0.8|
|The Shrewsbury and Telford Hospital NHS Trust||0.8|
|Kingston Hospital NHS Trust||0.2|