FINANCE: Harrogate and District NHS Foundation Trust has highlighted concern about delivering some “high risk” cost improvement plans, but is still predicting stable financial performance.

July board reports say several schemes have not been delivered as planned, but so far the lack of savings has been offset by underspending against plan elsewhere.

However, minutes add: “Whilst it is still very early in the financial year, a straight line forecast of this position would result in an overspend of £1.056m at year end. All directorates and departments must take action to bring expenditure back into line with budgets and deliver the activity as planned.”

The “high risk” CIPs were “Bed Closures across Medicine & Surgical Directorates”; “Other smaller plans across Medicine & Surgical Directorates (for example ENT outreach, reduction in Consultant PA’s and development of Neuroloy Alliances with Airedale”; “Community Services Directorate schemes not yet actioned including staff savings, and increasing income”; and “Corporate Services schemes not yet actioned, including staff savings”.

The trust was still able to report a strong risk-rating score of four to Monitor for the first quarter, minutes say.

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