FINANCE: South Tyneside, Gateshead and Sunderland PCTs have been working to address elective and non-elective overperformance, but are expecting to end the year in surplus.

In March the cluster board reported “significant over-performance of some acute contracts in particular Newcastle Hospitals Foundation Trust with associated “knock on” consequences in other area”.

Other papers identify that for Gateshead and South Tyneside, outpatient referrals and attendances are above plan, and for all three daycases are over plan.

For non-elective care, Gateshead PCT is within contract, Sunderland is close to contract, but there have been large increases in South Tyneside with no single reason identified.

The PCTs were taking action including addressing primary care clinical variation with GP commissioners, checking data, funding additional reablement services, and a “full programme of urgent care reform”.

All three were on course to finish the year with a small surplus.