Securing the Future Financial Sustainability of the NHS: Department of Health

HC 191, Report by the Comptroller and Auditor General, Session 2012-13

National Audit Office (NAO)
TSO (The Stationery Office)

'Securing the Future Financial Sustainability of the NHS: Department of Health (HC 191)' reports that achieving long term financially sustainable healthcare is likely to mean changes to how and where people access services, and some local commissioners are already consulting on and developing plans to do this.

In spite of a surplus of 2.1 billion across the NHS as a whole during 2011-12, some hospital trusts are continuing to experience financial distress. Some organisations have relied on additional financial support from within the NHS; ten NHS trusts, 21 NHS foundation trusts, and three Primary Care Trusts (PCTs) have reported a combined deficit of 356 million. There are four foundation trusts and 17 NHS trusts which between 2006-07 and 2011-12 needed injections of working capital from the Department of Health totalling 1 billion.

The Department anticipates that NHS trusts and NHS foundation trusts are likely to need around 300 million more public dividend capital in 2012-13; 51% of PCTs reported concern about the financial sustainability of their healthcare providers.

Previously, PCTs and Strategic Health Authorities (SHAs) have been able to support otherwise weak providers. It is not yet clear whether clinical commissioning groups and the NHS Commissioning Board will agree to provide financial support to providers in this way.

The NAO concludes that it is hard to see how continuing to give financial support to organisations in difficulty will be a sustainable way of reconciling the growing demand for healthcare with the size of efficiency gains required within the NHS.

Extent 43 pages ISBN 9780102977202
Size A4 Price £16.00
Format Paperback Published 05 Jul 2012
Availability Colour copy: 3 - 5 days Availability help (opens in new window) Delivery Delivery options and charges
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