FINANCE: NHS Enfield will end 2012-13 with a £7.6m deficit on current projections if “further actions” are not taken.

A report to the North Central London primary care trust cluster said: “The year end forecast before further actions are taken would result in all five PCTs failing to meet their control totals. Barnet, Enfield and Haringey would over-spend and Camden and Islington under spend primarily due to unspent investment reserves.

“The total QIPP gap across the cluster is £28m and addressing this remains a key priority for all.”

The finance report said there were six key workstreams to address potential overspend with acute trusts: “Contract penalties, validation of internal processes and accounting for transfers, rigorous pursuit of contract challenges, identification of new areas of challenge, strengthening position on metric delivery and associated penalties and working with clinical commissioning groups to develop understanding of acute activity trends and developing supply side responses (which links to the QIPP opportunities in development)”