Labour today accused the Government of losing control of NHS finances as reports indicate Trusts will be in deficit this year for the first time since the General Election.
A new analysis published by Liz Kendall MP, Labour’s Shadow Minister for Care and Older People, shows that:
• More than one in three acute Trusts (58) are currently in deficit for 2013-14 – compared to just one in ten (16) at the time of the last General Election.
• There has been a marked worsening of NHS finances in the last year.
• Two thirds of hospitals that have gone into the red since the election (27 out of 42) have done so in the last financial year.
The figures, obtained from Monitor, the Trust Development Authority and the House of Commons Library, show NHS finances have gone backwards in every English region since the General Election. The worst deterioration has been in the East of England, London, the East Midlands and the West Midlands.
Labour’s analysis comes as reports suggest Ministers are putting emergency money into an unprecedented summer crisis in A&E and to tackle the growing backlog of operations.
Liz Kendall said:
“David Cameron promised that he would protect the NHS. Instead, his disastrous reorganisation has thrown the NHS into chaos.
“Patient care is going backwards as more people are forced to wait longer in A&E, cancelled operations are at their highest for a decade and waits for vital cancer tests and treatments are increasing too.
“We now know that the Government has also lost grip of the NHS’s finances. A third of hospitals are reporting deficits, putting patient care at even greater risk in future. The fact that Ministers are having to put more money in to tackle a summer crisis in A&E and the growing backlog of operations shows how desperate the situation now is.
“Forcing through a £3 billion back-room reorganisation when the NHS faces the biggest financial challenge of its life was David Cameron’s single biggest mistake on the NHS, and it is patients who are suffering as a result.”
Ends
Notes to Editors:
1. The House of Commons Library provided figures for NHS Trusts’ overall surplus or deficit for each financial year between 2009-10 and 2012-13. The Trust Development Authority (responsible for NHS Trusts) supplied figures for NHS Trusts for the end of month ten, 2013-14. Monitor (responsible for NHS Foundation Trusts) supplied detailed figures for each year from 2009-10 to Q3 2013-14.
2. The Chief Executive’s report to the last Board Meeting of the Trust Development Authority says the final financial figures for 2013/14 “demonstrate a net deficit of £241m across the NHS Trust sector, a significant deterioration on the planned position. The plans submitted by NHS Trusts for 2014/15 suggest this position is set to deteriorate further” (pg 6).
Monitor’s most recent report says that 40 Foundation Trusts reported deficits at the end of March 2014; 21 more than had planned a deficit and almost double the number of Trusts in deficit at the end of March 2013 (pg 4).
3. Reports last week indicated that Ministers are having to put emergency money into tackling an unprecedented summer crisis in A&E and to try and address the growing backlog of operations (http://www.theguardian.com/society/2014/jun/13/cancer-test-delays-lives-risk).
4. The overall estimated position for NHS Trusts and Foundation Trusts’ surplus or deficit for each year back to 2009/10 is shown in the table below.
5. The financial position of acute Trusts in each region of England, plus the Trusts now in the red, is shown below. The figures for Q3/month 10 suggest that 58 Trusts out of 160 – more than 1 in 3 – will be in deficit for 2013-14, compared to 16 – or 1 in 10 – just before the last General Election.
EAST OF ENGLAND
Total Trusts: 18
In deficit 2009-10: 1
In deficit 2013-14: 10
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
Peterborough and Stamford Hospitals NHS Foundation Trust -£25.63m
Mid Essex Hospital Services NHS Trust -£19.56m
The Princess Alexandra Hospital NHS Trust -£16.64m
West Hertfordshire Hospitals NHS Trust -£13.50m
Queen Elizabeth Hospital Kings Lynn NHS Trust -£9.05m
Bedford Hospitals NHS Trust -£8.49m
Cambridge University Hospitals NHS Foundation Trust -£8.34m
Basildon & Thurrock University Hospitals NHS Foundation Trust -£4.66m
West Suffolk Hospitals NHS Trust -£1.38m
Colchester Hospital University NHS Foundation Trust -£0.77m
EAST MIDLANDS
Total Trusts: 8
In deficit 2009-10: 0
In deficit 2013-14: 5
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
University Hospitals of Leicester NHS Trust -£39.80m
United Lincolnshire Hospitals NHS Trust -£25.59m
Sherwood Forest Hospitals NHS Foundation Trust -£17.91m
Derby Hospitals NHS Foundation Trust -£6.39m
Kettering General Hospital NHS Foundation Trust -£4.84m
LONDON
Total Trusts: 27
In deficit 2009-10: 4
In deficit 2013-14: 9
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
Barts Health NHS Trust -£39.00m
Barking, Havering and Redbridge Hospitals NHS Trust -£38.07m
North West London Hospitals NHS Trust -£20.34m
Croydon Health Services NHS Trust -£19.78m
Barnet and Chase Farm Hospitals NHS Trust -£16.90m
South London Healthcare NHS Trust[1] -£16.07m
Epsom and St Helier University Hospitals NHS Trust -£7.40m
West Middlesex University Hospital NHS Trust -£4.85m
King’s College Hospital NHS Foundation Trust -£3.01m
NORTH EAST
Total Trusts: 8
In deficit 2009-10: 1
In deficit 2013-14: 2
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
South Tees Hospitals NHS Trust -£7.46m
South Tyneside NHS Foundation Trust -£1.57m
NORTH WEST
Total Trusts: 28
In deficit 2009-10: 0
In deficit 2013-14: 9
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
North Cumbria University Hospitals NHS Trust -£23.74m
University Hospitals of Morecambe Bay NHS Trust -£21.17m
Bolton NHS Foundation Trust -£5.90m
Tameside Hospital NHS Foundation Trust -£4.18m
Warrington and Halton Hospitals NHS Foundation Trust -£3.32m
Wirral University Teaching Hospital NHS Foundation Trust -£2.55m
Lancashire Teaching Hospitals NHS Foundation Trust -£1.68m
Liverpool Heart and Chest Hospital NHS Trust -£0.74m
Wrightington, Wigan and Leigh NHS Foundation Trust -£0.50m
SOUTH EAST
Total Trusts: 20
In deficit 2009-10: 4
In deficit 2013-14: 7
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
East Sussex Healthcare NHS Trust -£23.10m
Milton Keynes Hospital NHS Foundation Trust -£11.79m
Maidstone and Tunbridge Wells NHS Trust -£9.60m
Heatherwood and Wexham Park Hospitals NHS Foundation Trust -£4.91m
Royal Berkshire NHS Foundation Trust -£3.07m
Medway NHS Foundation Trust -£2.99m
Hampshire Hospitals NHS Foundation Trust -£0.14m
SOUTH WEST
Total Trusts: 18
In deficit 2009-10: 3
In deficit 2013-14: 7
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
Plymouth Hospitals NHS Trust -£13.00m
Weston Area Health NHS Trust -£4.95m
Great Western Hospitals NHS Foundation Trust -£1.34m
Royal National Hospital for Rheumatic Diseases NHS Foundation Trust -£1.06m
Royal Devon and Exeter NHS Foundation Trust -£0.79m
Taunton & Somerset NHS Foundation Trust -£0.10m
Poole Hospital NHS Foundation Trust -£0.02m
WEST MIDLANDS
Total Trusts: 19
In deficit 2009-10: 1
In deficit 2013-14: 6
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
University Hospital of North Staffordshire NHS Trust -£25.00m
Mid Staffordshire NHS Foundation Trust -£13.56m
Worcestershire Acute Hospitals NHS Trust -£12.00m
George Eliot Hospital NHS Trust -£10.08m
The Dudley Group NHS Foundation Trust -£1.38m
Burton Hospitals NHS Foundation Trust -£0.79m
YORKSHIRE AND THE HUMBER
Total Trusts: 14
In deficit 2009-10: 2
In deficit 2013-14: 3
Trusts in deficit: Deficit 2013-14 (Q3/month 10)
Mid Yorkshire Hospitals NHS Trust -£19.80m
Northern Lincolnshire and Goole Hospitals NHS Foundation Trust -£2.22m
Rotherham NHS Foundation Trust