Kettering general hospital

Hospital, CCG and GP consolidation mooted by STP

Service redesign under the Northamptonshire sustainability and transformation plan may go so far that it will “make little sense to continue with separate organisational processes”.

Piles of pound coins

CCG efficiency target up 50 per cent

The financial targets set for clinical commissioning groups in 2016-17 assume an average efficiency rate of 3 per cent, which is a 50 per cent increase compared to last year.

Illustraion showing NHS in a vice

CCG efficiency targets rise sharply as financial squeeze spreads

Clinical commissioning groups’ efficiency targets have risen by over a quarter this year in a sign that the financial strain on the health service is moving beyond the provider sector.

London streets

London CCG could defy NHS England on QIPP demands

A London clinical commissioning group is considering whether it should refuse to make more primary care quality, innovation, productivity and prevention savings demanded by NHS England by the end of the year.


Birmingham CCG removes £4m integration savings from QIPP plan

FINANCE: Commissioners in Birmingham have removed from their annual efficiency plan this year’s expected savings from the better care fund because the financial gains were unlikely to be realised this year.

Hospital sign

Tariff reveals NHS savings targets for 2015-16

NHS pricing authorities will require all providers to deliver another 3.8 per cent in efficiency savings next year, while tweaking the controversial “marginal rate” for emergency admissions to ease the financial strain on smaller hospitals

University College Hospital

NHS England and UCLH in contracting dispute

NHS England is in dispute with University College London Hospitals Foundation Trust over £75m of the trust’s specialised services contract for this financial year.

David Bennett

Exclusive: Regulator to tell FTs to re-do overly optimistic plans

Monitor has asked foundation trusts to re-think their recently submitted two-year plans, claiming their assumptions were unrealistically optimistic at a time of escalating financial pressure.


MPs: Monitor ‘must not be an obstacle to change’

Acute services in the NHS in England are facing a year of particular financial pressure in 2015-16, when changes to funding arrangements will see £2bn transferred to community health and social care provision, a parliamentary report has warned.


Updated: DH forecasts tightest financial year end since 2006

The Treasury has revealed that the Department of Health is forecasting a zero underspend on its revenue budget for 2013-14, in what one expert said was a sign of how “finances are deteriorating very quickly across the NHS”.

Blurred hospital corridor with three figures in it

Exclusive: Non-acute providers allege institutional bias

Healthcare leaders from across the community and mental health sectors have united against plans to cut the tariff price for their services by a fifth more than the reduction proposed for acute providers.

Spotlight on QIPP

Data video: the growing QIPP shortfall explained

Commissioners are slipping behind on their efficiency plans


Growing QIPP shortfall predicted

NHS commissioners are slipping behind on their efficiency plans and becoming more pessimistic about whether they will hit their year-end targets, HSJ can reveal.

John Appleby

Sharp fall in trust confidence on savings targets

There has been a sharp decline in the confidence of trust finance directors that they will meet their annual cost improvement targets, according to the latest King’s Fund quarterly monitoring report.

Huge variation in savings targets

Exclusive: Huge variation emerges in CCGs' efficiency ambition

There is a 23-fold variation in the scale of clinical commissioning groups’ efficiency targets, with at least 11 groups planning to make savings of under 1 per cent, HSJ can reveal.

NHS England and CCG QIPP plans

Exclusive: NHS England forecasts 13pc savings plan shortfall

NHS England is predicting it will fall short of its efficiency savings target by 13 per cent in this financial year − a much bigger gap than that expected by clinical commissioning groups.


Exclusive: Treasury raid on pensions could drain billions from NHS

Treasury plans to recalculate the value of public sector pensions and introduce a single tier pension could leave the health service facing an annual bill of £2.5bn, HSJ can reveal.

Paul Baumann

Baumann: NHS needs 'heroic' savings to pay for integration fund

Government plans to create a £3.8bn pooled fund for health and social care commissioning will take the level of savings needed by the health service in 2015-16 to at least 6 or 7 per cent, NHS England’s chief financial officer has warned.

Sliced apples and oranges interspliced with each other

Average CCG faces £10m topslice to pay for integration fund

The average clinical commissioning group will have more than £10m taken out of its budget in 2015-16 to pay for the government’s planned £3.8bn fund for the integration of health and social care, according to NHS England.

Landscape with trees and fields

Analysed: commissioning structures in Surrey

This week’s HSJ Local Briefing investigates the changing picture of commissioning across Surrey