FINANCE: East and North Hertfordshire Trust reported a year to date deficit of £262,000 at the end of October, which was £1.4m behind its plan.

According to board papers from its November governing body meeting: “The disappointing month 7 performance was due to a combination of lower income and higher expenditure than planned.”

An increase in non-elective activity has had a “significant adverse impact on the financial position”, as much of it is reimbursed at 30 per cent of normal tariff value, and “often the work is undertaken at premium costs due to the opening of additional unfunded capacity”.