FINANCE: Financially troubled NHS North Yorkshire and York is to take “‘immediate and extraordinary” cost cutting measures, to mitigate higher than expected demand.

NHS North Yorkshire and York is predicting a £19m deficit, even despite the measures. The changes include “a number of measures to reduce elective activity including ensuring that all thresholds with regard to treatment are adhered to”; delays to investments, including in expanding health visiting; and ending some local enhanced services.

A September board paper says: “Due largely to significant overtrades in acute contracts, we will need to take further immediate and extraordinary measures to ensure we do not exceed that figure.

“This month’s performance dashboard shows the health economy continues to overspend on a month by month basis. Regular reviews of current Quality, Innovation, Productivity and Prevention (QIPP) schemes also show that not all the efficiencies identified within the four North Yorkshire Clinical commissioning Groups (CCGs) plans will be released in this financial year.”

It says the short term measures - which have been agreed by clinical commissioning groups - are “unpalatable” but “vital… If the risk of overspend is not managed there is a significant threat that the organisation will not be able to make payments to trusts, GPs and other contractors for services and products such as drugs”.