FINANCE: Commissioners in Birmingham and Solihull have reported a £16.9m gap in their efficiency savings plans, accounting for 29 per cent of the total for this year.

Quality, innovation, productivity and prevention savings have so far yielded less than half the target amount - £4.8m against a plan of £9.7m.

The Birmingham and Solihull primary care trust cluster is only forecasting achieving savings of £32.7m against a target of £58 in 2012-13 as a whole.

QIPP schemes are progressing well in medicines management, maternity and children, and alcohol and tobacco. However savings worth £16m are yet to be identified, and end of life care another area representing “the most significant areas of delivery slippage”. The total of £16.9m amounts to 29 per cent of the £58m QIPP total.

All four PCTs are predicting deficits, principally due to QIPP shortfalls.

The cluster’s five clinical commissioning groups have each been allocated a share of the £16m, and work is under way to find extra savings.

At the end of 2012-13 the cluster is forecasting a £23m shortfall against a planned surplus of £4m – although this assumes that further QIPP savings are not identified this year.

The cluster is also expecting to overshoot its running cost budget by £7m.