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CCG has 0.5% of its budget remaining for this financial year

A CCG has allocated all but £3.3m of its £658m budget - 0.5% - for this financial year with nine months still remaining, sparking fears that it may not be able to fund practices to provide extra services.

Oxfordshire CCG said that it has allocated the £654.7m on planned acute, community and health services as increases in the cost of emergency care had put it under pressure. Its chair insisted the CCG will not run out of money.

However, local GP leaders warned the lack of remaining budget would adversely affect GPs.

Dr Paul Roblin, chief executive of Berkshire, Buckinghamshire and Oxon LMC said the the CCG may not have enough left in its budget to pay practices for putting on extra services such as such oral glucose tolerance tests for gestational diabetes in pregnant women on the advice of midwives and phlebotomy.

He added: ‘We will be discussing this very issue with the CCG tomorrow. The LMC will be telling them that if they don’t want to buy these services they won’t get them.’

Increases in the costs of emergency care have put the CCG under pressure, its chief executive Stephen Richards told the BBC.

Dr Richards added that the CCG would not run short of money, but it will have to ‘live frugally’ and may have to reign in the number of knee and hip operations.

It plans to save £28.9 million over three years by cutting A&E admission rates by 10% and emergency operation rates by 15%.

A spokesperson for the CCG said: ‘Whilst year one is challenging, the CCG is well advanced with plans to deliver sustainable high quality health care.’

The CCG outlined its financial position to its governing body at a meeting at the end of last month.

Readers' comments (9)

  • Trying working in a CCG with a recurrent deficit of 10m !

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  • "sparking fears that it may not be able to fund practices to provide extra services". Isnt it strange that GP services and hence income will take the hit not overall services. This CCG business just isnt going to work, another reason not to enter General Practice,

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  • Surely the fear is that the CCG will be unable to fund services for patients, not that the CCG will be unable to fund practices.

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  • The fear is that the CCG will not be able to fund practices...... to provide services FOR PATIENTS!!!!

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  • "may have to reign in the number of knee and hip operations". This is just simply deferring the inevitable not saving money.

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  • Healthcare is going to implode just as we are about to have an election.....

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  • CCGs don't fund practices for general practise (that is NHS England) only enhanced or additional services so the issue here is more likely an inabillity to fund new services or pathways unless they save money.

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  • It plans to save £28.9 million over three years by cutting A&E admission rates by 10% and emergency operation rates by 15%

    I have seen other CCGs planning for big reductions in emergency activity but no detailed plans how they are going to achieve this?
    If it is so easy why are we repeatedly seeing headlines about melt down in A & E and planned operations being cancelled due to lack of beds?

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  • Must patients suffer whilst S251 prevents effective financial validation of SUS bills? Based on Audit Commission findings the error rate is £2.25 billion per annum or £268,000 for every practice in England.

    The 84 practices in Oxfordshire CCG should therefore be challenging £22,512,000. That represents thousands of episodes of care that should not have to be delayed.

    When are the fundamentals of managing the health business going to be allowed to operate, and stop paying for services that have not been delivered correctly?

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