FINANCE: Warwickshire primary care trust is over-spending on its acute contracts amid “exceptionally high” emergency activity.

The PCT was £2m above plan on its acute contracts in July. So far the PCT has had to release a third of its general reserve allocation for the year.

The commissioner’s finance report for July, published in September’s board papers, said the PCT would hold discussions with trusts over high cost drug spending.

The report also said: “Emergency activity was exceptionally high in June and information from trusts suggests it will also be high in July. Further analysis is required to understand the nature of problem and identify possible actions.”

The PCT’s contract with South Warwickshire NHS Foundation Trust is £465,000 over plan, with £288,000 of that coming from high cost drugs.

The contract with University Hospitals of Coventry and Warwickshire is £384,000 over plan, with a backlog of patients has leading to an overperformance in day-cases.

Meanwhile, the PCT overspent by £363,000 on its contract with George Eliot Hospital, most of which was down to higher than expected levels of emergency admissions.

Non-acute activity is also over plan by £300,000, and is forecast to go £1.1m over budget.