FINANCE: NHS North of England has said it is “essential” emerging clinical commissioning groups are involved in developing plans to overcome the commissioning deficit in North Yorkshire and York.

An SHA board paper says: “The system changes required to address the issue [budget shortfall] will not all be completed within 2012-13, and the SHA has therefore accepted the PCT’s decision to declare a forecast £19m maximum operating deficit on the basis that it must progress in year to minimise this position as far as possible.

“Significant work continues within the health economy to review the position and implement both short and longer term changes to bring the situation back to a financially sustainable position including the involvement of specialist programme management and change skills,” the papers add.

“The engagement of emerging CCGs in this work is essential as they develop strategies to ensure their emerging financial plans are affordable and activity levels are manageable and deliverable going forward.”