FINANCE: Birmingham and Solihull primary care trust cluster has predicted a £26m shortfall on efficiency savings against a target of £58m.

Board papers for July showed the West Midlands strategic health authority called an “additional assurance meeting” to “raise concerns regarding current reported quality innovation, productivity and prevention scheme delivery”.

“The SHA sought assurance that clinical commissioning group QIPP schemes were in the pipeline and would be entering the QIPP portfolio imminently and sought assurance that [the cluster] would be able to forecast the contribution that these additional schemes would make to in year to QIPP delivery.”

The £58m savings target represents 2.4 per cent of the overall cluster budget.

Board papers say: “In addition to the unidentified QIPP gap, a high proportion of the identified schemes were classified as high risk, and the latest forecast is that a significant proportion of schemes will not deliver the level of savings planned.”

At month three, year to date savings against the QIPP plan were assessed at £6.2m against a plan of £12.8m.