FINANCE: An estimate of the topslice of clinical commissioning group budgets to pay for specialised commissioning could lead to “unforeseen financial pressures” in Southampton if it turns out to be incorrect.

Southampton City clinical commissioning group’s May risk register identifies the risk that the topslice was wrong as a red risk.

It has the maximum risk score for likelihood of happening, with five points out of five, and three points out of five for impact. The register says £21m was removed from the CCG allocation.

“As this was estimate driven there is great difficulty to reconcile back to this number,” the register says. “We believe the estimation requires correcting, failure to correct may lead to unforeseen financial pressures.”

To mitigate the risk, “The CCG finance team are working closely with the specialist commissioning arm of the area team to agree changes required to the initial deduction.”