Four primary care trusts and one hospital trust who were predicting year-end surpluses in the first quarter of 2010-11 are now predicting deficits.

Figures released in the Department of Health’s second quarterly publication for the financial year showed four PCTs and three NHS trusts in total are now predicting a combined deficit of £125m by the end of March 2011.

The PCTs are Haringey predicting £25m, Sutton and Merton £15m, Cumbria £11m, and Peterborough with £5m.

United Lincolnshire Hospitals Trust was forecasting a £1m surplus in quarter one, it is now predicting a £14m deficit.

South London Healthcare Trust and Barking Havering and Redbridge Hospitals are still predicting the same deficits they have been forecasting since the start of the financial year - £36m and £19m respectively. 

United Lincolnshire Hospitals Trust most recent board papers said the “immensely challenging” financial position was caused by “the delivery of cost improvements [being] much slower than expected and the levels of emergency activity being treated in the hospitals rising”.

The trust’s financial plan for the year required a cost improvement programme of £18.3m and at the end of October there was an income and expenditure deficit of £4.8m.

Income was £3.7m below plan which the finance report said was partly down to NHS Lincolnshire withdrawing “’tariff plus’ transformational support” of £6.9m.

It also said medical staff expenditure was “again overspending exponentially”.

A spokeswoman for the trust said: “Our financial position deteriorated during quarter two, and it became apparent that our cost improvement programmes for the year were not performing as we had hoped, whilst expenditure had risen.

“Our forecast deficit is due to the trust having significant issues around the cost of medical staff and an increase in emergency activity, for which we are only paid a reduced price in accordance with national guidelines.

“The medical staffing issues relate to the trust having a significant number of consultant and junior doctor vacancies which we need to cover using locum or agency staff, to ensure that we continue to provide quality and safe care to patients.”