FINANCE: East and North Hertfordshire Trust had a year-to-date surplus of just £0.76m at the end of January - £3.60m behind plan.

Part of the reason is fewer claims for the cost of treating patients after car accidents: a report to the board noted that from April last year to January ‘a low number of claims’ that been notified. The reasons for this are unclear as the trust believes it is treating a similar

And the trust has also seen agency spending rise to £0.59m in January – with more agency nurses called in to staff additional beds and cope with winter pressures. The agency spend was the highest since last June; however, the trust is still managing to substantially reduce its agency spend compared with the previous year.

It is still aiming to end the year with a £0.5m surplus and a financial risk rating of three – although there is a risk this could be reduced to two.