Twenty NHS providers accounted for almost £600m of deterioration against the trust sector’s financial plans in 2017-18.

Twenty NHS providers accounted for almost £600m of deterioration against the trust sector’s financial plans in 2017-18.

Analysis of financial data published in NHS Improvement’s year-end performance report by HSJ reveals the trusts which missed their financial plans by the largest amounts – and, therefore, put the most pressure on the combined position.

It also shows those providers that were able to beat their financial plans, many of which have received large bonus payments from the £1.8bn “sustainability and transformation fund” as a result. The 20 trusts with the best performance reported a positive variance against plan of around £230m.

Many of the trusts with the best performance against plan have completed large land sales which helped boost their position, including Royal Brompton and Harefield Foundation Trust; University College London Hospitals FT; and Barnet, Enfield And Haringey Mental Health Trust. 

Barts Health Trust finished the year £60m worse than its original plan, but still received most of its STF after NHS Improvement agreed to relax its control total.

HSJ looked at financial performance excluding STF, which is how trusts are assessed by NHSI.

20 trusts reporting the worst deteriorations (outturn figures are pre-STF)

 2017-18 Outturn (£)Variance to plan (£)STF received (£)
King’s College Hospital NHS Foundation Trust -132.0 -93.5 0.0
Barts Health NHS Trust* -145.0 -60.0 36.2
Barking, Havering and Redbridge University Hospitals NHS Trust -55.1 -37.8 6.1
Portsmouth Hospitals NHS Trust -38.4 -34.6 4.6
Oxford University Hospitals NHS Foundation Trust -14.7 -33.7 5.4
Heart of England NHS Foundation Trust -58.7 -29.9 5.0
North Tees and Hartlepool NHS Foundation Trust -28.9 -25.1 1.2
Lancashire Teaching Hospitals NHS Foundation Trust -42.0 -23.0 4.4
Lewisham and Greenwich NHS Trust -61.8 -22.4 4.3
Mid Essex Hospital Services NHS Trust -55.9 -22.3 3.0
East Sussex Healthcare NHS Trust -58.5 -22.1 3.5
Royal Liverpool and Broadgreen University Hospitals NHS Trust -26.2 -21.6 0.0
Norfolk and Norwich University Hospitals NHS Foundation Trust -30.4 -21.5 7.4
United Lincolnshire Hospitals NHS Trust -84.8 -21.5 3.6
Northern Lincolnshire and Goole NHS Foundation Trust -44.5 -21.0 2.3
West Hertfordshire Hospitals NHS Trust -46.3 -20.6 3.7
Isle of Wight NHS Trust -23.7 -19.9 0.5
Medway NHS Foundation Trust -66.1 -19.2 4.3
York Teaching Hospital NHS Foundation Trust -27.1 -18.7 3.1
Gloucestershire Hospitals NHS Foundation Trust -33.0 -18.4 0.0

* Barts Health Trust missed its original plan, but its control total was relaxed by NHS Improvement during the year, which meant it retained full access to STF.

20 trusts with the best performance against plan (outturn figures are pre-STF)

 2017-18 Outturn (£)Variance to plan (£)STF received (£)
Royal Brompton and Harefield NHS Foundation Trust 24.3 38.1 50.5
The Christie NHS Foundation Trust 40.0 31.2 34.9
University College London Hospitals NHS Foundation Trust          26.0 30.9 50.0
Barnet, Enfield And Haringey Mental Health NHS Trust 12.6 18.4 21.0
Royal Surrey County Hospital NHS Foundation Trust 3.9 15.9 25.8
The Royal Marsden NHS Foundation Trust 15.4 13.8 18.3
Cambridgeshire and Peterborough NHS Foundation Trust 10.9 9.9 12.7
Alder Hey Children’s NHS Foundation Trust 5.0 9.3 17.0
Salford Royal NHS Foundation Trust -3.7 8.1 21.7
Manchester University NHS Foundation Trust 7.2 7.6 30.5
Colchester Hospital University NHS Foundation Trust -24.6 6.3 19.9
East Midlands Ambulance Service NHS Trust -0.1 6.2 8.8
Sherwood Forest Hospitals NHS Foundation Trust -40.5 5.9 16.9
The Newcastle Upon Tyne Hospitals NHS Foundation Trust -4.4 5.3 13.9
Chelsea and Westminster Hospital NHS Foundation Trust -1.8 5.2 27.4
Sandwell And West Birmingham Hospitals NHS Trust 4.6 5.1 17.8
Royal Devon and Exeter NHS Foundation Trust -4.3 5.0 16.8
University Hospital Southampton NHS Foundation Trust 13.9 4.6 27.2
Sheffield Teaching Hospitals NHS Foundation Trust -18.6 4.2 27.1
London North West Healthcare NHS Trust -65.1 3.8 26.0

 

Topics

Financial performance: Best and worst of 2017-18