FINANCE: Nottingham University Hospitals Trust is reporting a deficit against plan of £1.28m and is carrying out activity that may not be funded by commissioners.

Its cumulative year to date income and expenditure surplus was £3.004m at the end of November, which is behind its original planned target of £4.285m.

It is predicting to achieve its target financial position by the end of the year.

However, this depends on whether commissioners pay for rising activity levels.

A board report states: “The current position challenges the ability of the PCT to manage patient activity within available funds. The trust continues to incur expenditure, above plan, related to activity over performance, for which agreed funding has not yet been secured from commissioners.”

In addition, the trust continues to report a significant non pay overspend that is largely mitigated by income over performance.