FINANCE: Coventry primary care trust reported a better than planned surplus of £3.7m in October.

Board papers reveal the PCT was beating its plan of £2.9m in October, and expected to hit its year end target of £5.8m.

Some potential financial risks were identified. They were an “upward trend” in emergency activity, and “the usual volume-related risks in relation to specialised services and continuing healthcare/individual placements and transition costs”. The PCT said it was assured it could mitigate these.

The commissioner’s main contract with University Hospitals Coventry and Warwickshire was £2.4m over plan. The worst over performance related to outpatients and emergency activity. The PCT expected to be £6m over budget on this contract by year end.

The PCT’s QIPP programme was forecast to under achieve by £3.5m.

The papers said: “Reasons for this are varied and include delays in developing business cases, agreeing funding with providers, recruitment delays and insufficient project management capacity. Discussions with CSS and Providers suggest there is limited action that can be taken to recover the original QIPP savings trajectory.”