The boss of NHS Providers has warned that what is currently being asked of NHS Trusts in the coming financial year is well beyond reach.
A detailed analysis by NHS Providers sets out how greater realism, flexibility and support are needed if Trusts are to deliver in 2017/18.
The report, entitled ‘Mission Impossible? The task for NHS providers in 2017/18’, presents a detailed assessment of the demands that are being placed on NHS Trusts through the NHS planning guidance. These are compared against next year’s significantly lower funding increases, revealing a currently unbridgeable gap.
NHS Providers chief executive Chris Hopson said: "The NHS is a can-do organisation which achieves extraordinary results for patients every day. NHS Trusts are treating more patients than ever before and performance remains good by international standards. So when those Trusts say that they can’t deliver what’s currently being asked for next year, it is time to sit up and listen.
"It is unprecedented for us to warn the NHS will not be able to deliver on its commitments before the financial year has even started. But Trusts are currently being asked to absorb a 5% plus cost and demand increase, recover the four week A&E wait and 18 week surgery targets, improve care for cancer and mental health and balance next year’s books financially. All on a 1.3% funding NHS England funding increase, down from this year’s 3.6% increase. Taken together, this is mission impossible. The numbers don’t add up.
"Trusts can only deliver if funding keeps pace with rapidly rising demand. In the absence of those funding increases, we need greater realism, flexibility and support from those leading the service.
The report sets out, in detail, the challenges facing the NHS in 2017/18. These include:
- Absorb a projected 3.1% increase in overall demand from patients and 2.1% increase in costs including pay, buildings and laboratories;
- Recover key performance targets, such as for A&E and routine operations. The estimated extra cost of delivering these targets across the year is £2.4–3.1 billion;
- Deliver new commitments on cancer and mental health with an estimated cost of £150-£200 million;
- Trusts to collectively balance their books with an estimated financial performance improvement of £800-900 million required; and
- All of this is set against sharply reduced NHS England funding, with funding increases dropping from 3.6% this year to 1.3% in 2017/18.
Hopson continued: "Trusts won’t be able to recover the A&E and elective surgery targets across the whole year. Just stabilising the rapidly increasing performance decline would be an achievement in itself. Given that demand and cost increases will easily outstrip funding and efficiency increases, just reproducing this year’s financial performance is a stretching target.
"We also need to redirect money to front line care and provide more support to help providers reduce unwarranted variation and improve performance as quickly as possible.
"There is a clear and simple warning in our analysis. We have now reached the point where, on the resources available, NHS trusts can no longer deliver what the NHS constitution requires."
NHS Providers is the membership organisation and trade association for NHS acute, ambulance, community and mental health services that treat patients and service users in the NHS.
