STRUCTURE: Wiltshire Clinical Commissioning Group has been authorised with two conditions.
FINANCE: The Wiltshire and Bath and North East Somerset primary care trust cluster was overspent on its contract with Great Western Hospitals Foundation Trust by £3.3m at the end of January.
STRUCTURE: The Royal National Hospital for Rheumatic Diseases Foundation Trust is to cease providing inpatient neurological rehabilitation services from the end of March.
FINANCE: The Bath and North East Somerset and Wiltshire primary care trust cluster QIPP plan has been rated amber by NHS South of England, despite good progress against milestones set out as part of QIPP initiatives.
WORKFORCE: John Wilderspin is set to be appointed as managing director of the Central Southern commissioning support unit.
WORKFORCE: Wiltshire Clinical Commissioning Group has appointed a former primary care trust director as its interim accountable officer.
A second commissioner is considering retendering its services provided by a struggling mental health trust, in a move that could further destabilise the organisation.
STRUCTURE: Talks are already under way to further expand the NHS commissioning support service already stretching from Berkshire to Gloucestershire.
WORKFORCE: NHS Wiltshire chair Tony Barron has been appointed to lead the Wiltshire and Bath and North East Somerset primary care trust cluster.
WORKFORCE: The chair of NHS Bath and North East Somerset is to stand down at the end of the month when the primary care trust board finally merges with NHS Wiltshire.
FINANCE: The amount being paid by Avon and Wiltshire Partnership Trust in contract penalties has continued to fall at the start of this year.
WORKFORCE: Ed Macalister Smith has been appointed to lead the Wiltshire and Bath and North East Somerset primary care trust cluster through its last year of existence.
FINANCE: A £15m gap is opening up between what NHS Wiltshire wants to pay for services at Salisbury Foundation Trust in the next financial year and what the trust says they should cost.
FINANCE: A software package that advises GPs when chepaer alternative drugs are available had saved NHS Wiltshire £708,000 as of the end of October.
FINANCE: NHS Bath and North East Somerset is under using its contract with independent provider UK Specialist Hospitals by £243,000.
COMMERCIAL: A south west primary care trust cluster has been told it will have to select an additional service to open up to any qualified provider after one of its first choices did not comply with national guidance.
FINANCE: NHS Wiltshire is no longer able to make a £6.5m surplus by the end of the financial year and has reduced its forecast to £2m.
STRUCTURE: NHS Wiltshire has commissioned an outcomes based continuing healthcare service designed to improve quality, reduce cost and link up with social care – but which completely restricts patient choice.
FINANCE: Southampton University Hospitals NHS Trust has gained £1m worth of cardiac surgery as a result of work by Hampshire primary care trust to move services outside of London.
STRUCTURE: A scheme aimed at reducing accident and emergency attendances is causing “confusion and complaints” among patients, according to primary care trust board papers.