STRUCTURE: Vale Royal CCG board papers warn of a conflict between the new CCGs in the region and North West Ambulance Service NHS Trust.

The board papers state that despite previously agreeing to transfer patients to the nearest vascular centre at University Hospital of North Staffordshire NHS Trust for vascular services from the beginning of December  NWAS “are now saying they will not do this without negotiating a new tariff for this work”.

“Urgent discussions have been held to aim to resolve the issue as quickly as possible…The Governing Body requested that the Chair write to NWAS expressing significant concern about this issue which appears to be placing financial considerations before patient care.”