FINANCE: The south west London primary care trust has agreed a year-end settlement plan with Kingston and West Middlesex University Hospitals and is “finalising” a similar deal with St George’s.

The latest finance paper for the PCT said month 11 (February) had seen an improvement in its position, following acute over-performance up to the end of January. It said this “has been stabilised due to the advanced settlements of outturn positions at Kingston and West Middlesex”.

But it noted that although a series of other measures were starting to have an impact on performance, the year-end position was still “likely to be in excess of £8m above plan”. It said this “will require the PCT to commit covering resources from reserves which will increase the pressure going into 2011-12”.

Among the measures, the PCT commissioned BUPA to help it look at data from providers and assess whether challenges should be made on some invoices.

At Kingston and West Middlesex hospitals, the independent hospital group helped the PCT and acute commissioning unit define agreements on emergency admissions.

The report also said new key performance indicators would be introduced at Chelsea and Westminster Foundation Trust around the caesarian section rate.

The report concluded: “The range of remedial actions put into effect by the sector acute commissioning unit supplemented by local NHS Richmond and local authority commissioning initiatives, including the use of BUPA Health Dialogue, have had an impact on reversing the rate of growth.”