HSJ’s round-up of stories and analysis of the NHS’s finance and performance “reset”
- Today’s must read: Regulators step up intervention on financial failure – full coverage
Regulators get tough on failure
In what HSJ’s editor called the most significant day for health policy since the 2015 general election, Thursday saw the much trailed NHS finance and performance “reset” finally happen. This involved a new financial special measures regime (for providers and CCGs), new performance and efficiency targets and the first ever CCG ratings.
In addition, the Department of Health’s accounts and NHS England’s annual report also contained important stories.
Here is our round-up of the day’s must-know developments:
- A new financial special measures regime was announced for trusts and CCGs to ensure the NHS lives within its means. Five trusts and nine CCGs have been put in the programme. This map shows all those affected.
- The Department of Health managed to keep within the element of its revenue budget “voted” by parliament, but only after receiving £417m extra of national insurance contributions due to an “administrative error”.
- New CCG ratings have also been published, with 26 groups rated inadequate. This map shows all the ratings. NHS England is intervening in all of these, including creating “single commissioning leadership structures” in Surrey and the South West.
- CCG efficiency targets have gone up 50 per cent on last year. Fines for trusts missing targets have also gone up.
- Local NHS organisations are expected to agree two-year operational plans by the end of December, with NHS England and NHSI saying they will release joint planning guidance in September.
- Performance trajectories reveal that more than a third of hospital trusts will still be missing the four hour A&E waiting time target by March 2017.
- Twenty-six trusts have not agreed control totals with NHSI, and 16 of these are predicting more than £400m in deficits for 2016-17.
- Trusts could face financial penalties from NHSI for over-recruiting staff.
- A cap has been introduced for the pay of interim managers working at CCGs.
In other news…
Trust chiefs hit back at claims of overspending on staff
- Currently reading
Daily Insight: CCG ratings, financial reset and a new regime