FINANCE: Warwickshire primary care trust has reported a £2.4m under-delivery on quality, innovation, productivity and prevention schemes in the first four months of 2012-13.

It comes amid a “paucity of robust quantitative data” on QIPP – assessments were based on “soft intelligence”.

“In-county” acute contract over-performance of £2.8m, while non acute service budgets were overspent by £506,000, due to continuing health care packages, nursing homes in particular.

This was predominantly due to the delayed implementation a QIPP programme for continuing health care.

The cluster had met its £67,000 surplus target for the year to date and was expecting to hit the end of year target of £200,000 – but only after the West Midlands strategic health authority confirmed it would release the full £16m “strategic change reserve” to the cluster