FINANCE: Efficiency schemes fell 40 per cent short of target in the Warwickshire Primary Care Trust area over the first six months of 2012-13.

The PCT was £4.3m short of its quality, innovation, productivity and prevention plan of £10.8m, November board papers showed.

However, papers also note that there is a “paucity of robust quantitative data” on its performance.

Neighbouring Coventry PCT was forecast to fall £3.5m short on its QIPP plan.

The NHS Commissioning Board QIPP tracker, released to HSJ under the Freedom of Information Act, gave the Arden cluster of the two PCTs a red rating at the end of quarter two. This was due to higher than planned activity levels and the underperformance of some savings schemes.

The tracker said the cluster was conducting “confirm and challenge meetings” with its three clinical commissioning groups due to QIPP underperformance.

A scheme to cut GP referral management for elective care had “variable” impact across the cluster, the tracker said, exceeding planned reductions in the south of Warwickshire but falling short elsewhere. South Warwickshire was also the only part of the cluster where high cost drugs savings schemes were proving effective.

GP prescribing schemes were delivering savings below planned levels in Coventry and Rugby.

Supported discharge and admission avoidance were not delivering anticipated activity and finance reductions. A plan to implement a web-based scheme to help with case management had not been adopted in any planned specialties.

Six of the cluster’s seven initiatives were red-rated, with the other rated amber. All had deteriorated between quarters one and two.

Warwickshire overspent on acute contracts by £6.7m. The year-end forecast was an overspend of £13.3m. In Coventry, commissioners expected to be £6m over budget on their main acute contract.