FINANCE: By the end of December the foundation had over-performed against its contract with primary care trust NHS Blackpool by £3,794,458.

The main areas contributing to the overspend were emergency non-electives and electives, new board papers from the PCT show.

The commissioner’s finance report says that both accident and emergency attendances and non-elective short stay admissions had been above plan but showing a downward trend until December.

But in the last month of 2010 both rose again. The increases were reflected “across the system and due to the exceptional December weather and the impact of flu”, it states.

It adds: “It is expected that a financial agreement will be reached with the [foundation] for Winter Pressures as instructed by the Department of Health.

“The [foundation is] currently analysing the financial impact of Winter Pressures for consideration by NHS Blackpool.

“As the amount is not yet quantified, no adjustment is included within this report.”