FINANCE: NHS Medway and its clinical commissioning group have cited “over-performance” by the local foundation trust as the key cause of overspending during the first quarter of 2012-13.

The finance report from the July board meeting of the Kent and Medway primary care trust cluster details the position of both NHS Medway and Medway CCG.

It said that, at the end of June, the overall performance for Medway PCT was a surplus of £1.153m, which was in line with its planned trajectory for the financial year.

“However, this position is supported by the use of £1.518m from contingency reserves, which represents 100% of the pro rata available funds,” the report warned. “Without this support, the PCT would have been overspent by £0.367m, and would not be on line to achieve the planned surplus.

“Most of the PCT’s overspend is centred on commissioning, and in particular the position at Medway NHS Foundation Trust,” it added.

Local intelligence and data analysis “all point to a significant overperformance” by the FT, the report said. It cited one indicator showing the number of occupied bed days has increased by 7 per cent over the same period last year.

Meanwhile, Medway CCG is reporting an overspend of £0.994m on the budgets it is responsible for.

“The CCG is currently forecasting to breakeven although it will have to manage some significant financial risks during the year to avoid missing its financial targets,” the report said.

“The main factor leading to this overall position is an over-performance at Medway NHS Foundation Trust, where there is an overspend of £1.0m.”