FINANCE: One of England’s most financially troubled primary care trusts cannot guarantee it will meet the national requirement to hold 2 per cent of its funding back from routine spending.

The Department of Health announced in December that 2 per cent of all PCTs’ 2011-12 budgets would be “topsliced” by strategic health authorities.

The cash is only released to PCTs when SHAs approve business cases showing how the money will be spent non-recurrently, for example on redundancy payments.

However, an NHS Yorkshire and the Humber board paper says the requirement applies to all its PCTs “with the exception of North Yorkshire and York PCT”.In 2010-11 it broke even despite a planned £17.7m surplus.

An SHA spokesman said it was discussing non-recurrent commitments as part of a process undertaken with all of its PCTs