FINANCE: Commissioners and providers in Oxfordshire are to negotiate risk sharing amid significant over performance on the local acute provider contract.

Oxfordshire clinical commissioning group said that at month five, the contract was £5.9m over budget, with an estimated overperformance of £6.5m in month six.

The month five figure represented an overperformance of 4.4 per cent.

A board report for the CCG said: “It is clear that urgent care activity is significantly over-performing, both against plan and against previous year’s trends.

“Given the PCT’s investment in urgent care QIPP schemes this is a concern and it under investigation. This will inform a negotiation with the trust to fix a year-end position and cap/share risk.”

Oxfordshire primary care trust is planning to deliver efficiencies worth around £27.9m, of which £22.1m is overseen by the CCG.

At month six there is a reported under-delivery of £1.4m against the year-to-date plan of £5.7m.

Urgent care is reporting a year-to-date under delivery of £1.7m, “due to slippage in the launch of the NHS 111 initiative (£0.9m) and activity reporting delays in the end of life projects (£1.3m).”