HSJ’s daily digest of Wednesday’s significant developments for healthcare leaders.

Vanguard sites unable to access pledged government funding

HSJ revealed this afternoon that some of the £200m that chancellor George Osborne pledged last year as part of a “down-payment” to help the health service implement the NHS Five Year Forward View will be spent on other projects.

Many thought they had been led to understand this money would be accessible by the 29 vanguard new models of care sites identified by NHS England. We have learned this is not so - and that some will now be spent on projects not connected with the vanguard.

An undisclosed figure will be used to support NHS England’s “transforming care” scheme, which began nearly two years before the forward view was published. The initiative, established in response to the Winterbourne View scandal, is designed to improve services for people with autism and learning disabilities.

Election 2015: Must-reads and Labour’s final stretch before polling day

Since the start of the year, the NHS has been a crucial election battleground with the Conservatives, Labour and Liberal Democrats all making high profile pledges on funding and the future of the service.

Ahead of polling day tomorrow, here are the must read HSJ interviews, analyses and polls from the campaign – and a look at what might happen from 8 May.

Meanwhile, shadow chancellor Ed Balls has today said that a Labour election victory would be followed by an immediate NHS cash injection as the “centrepiece” of a budget to fast-track the party’s key manifesto pledges.

The Guardian reports that no date has yet been fixed for a budget in the event that Ed Miliband becomes prime minister, but Balls is dropping hints that he would want to deliver a package before parliament rises for its summer recess.

Turnaround chief goes into troubled West Midlands trust

Election aside, it’s business as usual for the watchdogs. The NHS Trust Development Authority has appointed an improvement director in an attempt to turn around a West Midlands trust beset by problems in its accident and emergency department.

Marie-Noelle Orzel will work with Worcestershire Acute Hospitals Trust to improve its urgent and emergency services, patient care, quality and safety processes and to “apply good practice consistently”. It appears to be another example of intervention by regulators at at earlier stage, rather than waiting for further deterioration to more severe problems.