FINANCE: The south east London PCT says it will probably need to access the 2 per cent of its budget that NHS London top-sliced at the start of the financial year in order “to maintain its financial position”.

NHS Greenwich said in a paper delivered to the South East London cluster: “The biggest risk for Greenwich Clinical Commissioning Committee is management of the acute element of its portfolio. Already at month three there is considerable over performance against this contract.

“Work is being done between Greenwich BSU and the central cluster teams to understand this more fully and ensure that the service redesign effort is having the intended impact.

“The two areas of over performance at this stage are outpatients and nonelective admissions.

“It is likely that Greenwich will need to draw on the 2 per cent lodged with NHS London to maintain its financial position in 2011-12 and with this is on target to enable NHS Greenwich to meet all of its financial obligations.”