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Welfare Reform on the Web (January 2012): National Health Service - funding

Finance

A. Moore (editor)

Health Service Journal, Dec. 1st 2011, p.19-23

This special report covers: 1) the challenges faced by the more than 100 trusts which had not gained foundation status by the end of 2011 due to lack of clinical or financial viability or the burden of PFI repayments; 2) the new legal obligation on NHS organisations to have policies in place to prevent bribery; and 3) difficulties faced by acute trusts in recruiting finance directors.

'Innovate in six areas or face penalties

B. Clover and D. West

Health Service Journal, Dec. 8th 2011, p. 4-5

CQUIN is a system of payments linked to quality indicators, some set nationally and some locally by commissioners. From April 2013, commissioner-assessed compliance with six 'high impact innovations' will be a pre-condition for receiving CQUIN payments. There will also be a compliance regime for NICE's technology appraisals. These will be reported in an innovation scorecard which could be linked to the quality premiums for commissioners set out in the Health Bill.

Non-foundation trusts may be 'heading for deficit'

B. Clover and C. Dowler

Health Service Journal, Dec. 15th 2011, p. 4-5

In December 2011, research by the Health Service Journal revealed that at least eight non-foundation trust providers were expecting to finish financial year 2011/12 in deficit, up from six at the end of June. The most troubled trusts were forecasting a combined deficit of 201m, up from the 170m forecast in the NHS's first quarterly report for 2011/12. The rise in forecast deficits wiped out half the 61m net surplus forecast for the trust sector in that report.

Push for local pay flexibility divides service

C. Santry

Health Service Journal, Dec. 15th 2011, p. 6-7

A survey of more than 500 Health Service Journal readers showed that overall only 37% of respondents were in favour of NHS pay negotiations taking place at a more regional or local level instead of nationally. However, of the 83 chief executives, finance managers and human resources managers who responded, 60% backed local pay rates. Nearly two-thirds of all respondents thought local pay would mean the majority of staff being paid less. Asked which aspects of pay they wanted greater control over, 45% of respondents said clinical excellence awards, although they are not included in the government's upcoming review of local pay.

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