FINANCE: All three CCGs in Leicester have reduced emergency and outpatients activity in 2011-12 after three years of growth.

The CCGs were given a financial target to meet a proportion of the PCT Cluster QIPP plan for 2011-12. This financial target was translated into a reduction in emergency and elective activity compared to 2010/11 figures, based on an average cost per attendance / procedure.

This was applied as individual targets to practices based on where they ranked against their peers in 2010-11.

GP initiated referrals have reduced, in some cases significantly. Other changes in activity can be partly attributed to the change in coding and contracting process.

Compared with 2010-11, outpatient attendances have dropped by up to 9.5 per cent and emergency activity has dropped by up to 4 per cent.