FINANCE: The PCT cluster said the “upper” limit on risk was £25m while the “likely” savings shortfall was £22.6m, a position that would only see a break-even achieved after using £11m of contingency.

The figures come from a finance document sent to the cluster’s board.

The report said the “likely” outcome was also predicated on the assumption that “cap” arrangements were made with the three main acute trusts in the area: Ealing, Imperial and West Middlesex hospitals.