FINANCE: The primary care trust could see year-end over-spends totalling £13.7m from its two main providers

In a worst case scenario the PCT would see Guy’s and St Thomas’s over-perform by £7.2m and King’s College Hospital by £4.5m, its finance report said.

The report said in this situation it would use £7.6m of reserves to plug part of the gap.

The board paper said at month nine, December, the acute budgets were overspent by £4.5m with GSTT and £2.2m with KCH, a position it says is likely to worsen by a third at GSTT.

The report said: “It is critical that these budgets do not over-spend and we have agreed a detailed contingency package with the [acute] sector.”

The package consists of reviewing waiting times, CQUINS achievement, using contract penalties, “data challenge” and “implementing national guidance on emergency readmissions”.