06.07.12
Financial tangles
The story of NHS finances is becoming increasingly confusing, and seemingly contradictory, with reports of “robust financial health” on one hand and failing trusts, administration and PFI debt on the other.
Real terms spending has been slightly reduced, but in cash terms it has increased by £3.4bn. Government statistics show NHS PFI repayments are going to grow to an eye-watering £79.1bn and care providers complain about councils driving down prices and risking service quality.
It is clear that the NHS is under a period of sustained pressure as it struggles to achieve significant efficiency savings, and that poor decisions on PFI deals are hindering this ability to cope.
With 20 trusts identified as currently financial unsustainable, there must be huge variation between the best performing areas and those who cannot balance their budgets.
At a time of massive restructure, these differing reports add another dimension to those who are still unsure of where and with whom they will be working come next April. If this is not managed carefully, meeting the efficiency savings target will prove even more of a challenge.
Tell us what you think – have your say below, or email us directly at [email protected]