FINANCE: The Birmingham and Solihull primary care trust cluster is overspending by £2.6m on its contract with University Hospitals Birmingham.

At the end of month five, the year’s forecast overspend is now £6.8m, and is described as “significantly worse than reported at month four”.

Activity was rising further above plan in accident and emergency, elective day case and, “in particular”, outpatient services.

Spend on high cost drugs was also growing faster than expected.

Cluster board papers for September said: “The overspend is likely to be due at least in part to QIPP schemes not yet delivering in line with plan.”