• Cambridgeshire and Peterborough CCG misses control total by £26m
  • Financially troubled CCG brokers £35m deficit target with NHS England for 2018-19
  • The CCG is also looking for a new accountable officer

One of England’s largest clinical commissioning groups posted a £42m deficit in 2017-18, £26m worse than its control total, according to its May finance report.

Cambridgeshire and Peterborough CCG had a £15.5m control total for last year. It was one of 14 CCGs allowed to submit deficit positions.

Its finance report said: “There are four key drivers for the financial performance for 2017-18: acute overperformance, under delivery of [efficiency targets], higher than anticipated growth in individual placements including the recognition of the backlog of cases within the NHS Continuing Healthcare service and the national pricing concession issue within prescribing.”

The CCG had been forecasting to hit its control total up until December, according to NHSE’s figures.

It has brokered a deal with NHSE to submit a £35.1m deficit plan for 2018-19, as national officials acknowledged its plea that the “significant financial challenge faced by the CCG [last] year continues into 2018-19”.

A separate document on the CCG’s financial plan said: “Further discussions with NHSE are ongoing to determine whether this will be a revised control total for the CCG, or whether it will be a permitted variance from the existing £15m deficit [control total].”

The CCG is also looking to recruit a new accountable officer with interviews scheduled this week.

Interim accountable officer Sheila Bremner also leads the Cambridgeshire and Peterborough sustainability and transformation partnership.

Ms Bremner took over as STP lead in January from Tracy Dowling, the chief executive of Cambridgeshire and Peterborough Foundation Trust.