FINANCE: The Southampton, Hampshire, Isle of Wight and Portsmouth primary care trust cluster relied on one-off savings to hit its cost reduction target for 2011-12, with emergency demand singled out as a cause for concern.

May board papers said all four of the cluster PCTs met or exceeded their quality, innovation, productivity and prevention savings targets.

In total £103.3m was saved, against a target of £99.8m.

The papers said: “However, not all of these savings have been delivered by delivering sustainable reductions in activity and demand. Managing levels of non-elective demand in particular has proved extremely difficult across the cluster… this has meant an increasing reliance on savings delivered through contract mitigations and risk management in Hampshire PCT and slippage on investments or other contingencies in Southampton City and Portsmouth City PCTs.”

However, “really strong performance” was reported in “managing with running cost targets” and against prescribing savings targets.

“Hampshire PCT has also been able to report notable success in managing demand.”