Investment in NHS transformation projects

Secretary of State for Health and NHS England have announced £325m of capital investment for local projects that will help the NHS to modernise and transform care for patients.

Patients will see this investment deliver faster diagnosis for conditions like cancer, easier access to mental health care, expansion of A&Es, shorter waits for operations, and more services in GPs surgeries. This initial tranche of funding has been targeted at the strongest and most advanced schemes in STPs.

Read more via NHS England

Additional link: RCGP press release

Department of Health annual report

The annual report and accounts show how the department has funded its activities and used its resources in the period 2016 to 2017. | Department of Health

The annual report and accounts give an overview of the department’s resources and how it has used them to fulfill its statutory functions during the financial year 2016 to 2017.

The document describes DH’s performance against objectives and includes the Secretary of State’s annual report on the performance of the health service in England.

Department of Health annual report and accounts 2016 to 2017 (web version)

Department of Health annual report and accounts 2016 to 2017 (print version)

Additional link: Health Foundation press release

NHS Bursary Scheme rules 2017

Information about the NHS Bursary Scheme new rules applicable for the academic year 2017 to 2018, including 2 new schemes | DoH

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Students who began their studies before 1 September 2012 and are continuing training in the 2017 to 2018 academic year should refer to the NHS Bursary Scheme old rules (seventeenth edition).

Transitional Arrangements for 2017 to 2018 (first edition) is a scheme for new students beginning eligible pre-registration programmes between 1 August 2017 and 31 July 2018. Eligible programmes include postgraduate healthcare programmes, dental hygiene and dental therapy programmes and part-time programmes within the transitional capping arrangements.

Learning Support Fund for 2017 to 2018 (first edition) gives information about allowances for eligible students beginning pre-registration healthcare programmes on or after 1 August 2017. Allowances include:

  • Child Dependants Allowance
  • Exceptional Support Fund
  • Travel and dual accommodation expenses

NHS Bursary Scheme new rules for academic year 2017 to 2018

Financial challenges facing the NHS

The Healthcare Financial Management Association (HFMA) has published NHS financial temperature check: finance directors’ views on financial challenges facing the NHS in England. 


This briefing draws on the responses of finance directors of trusts and foundation trusts and chief finance officers of CCGs.  It finds the financial performance of the NHS remains under significant financial pressure.

Trusts reported a combined deficit of £791m in 2016/17, after receiving additional funds of £1.8bn from the sustainability and transformation fund (STF).

The performance of CCGs, based on month 11 forecasts, looks better than that of trusts with a forecast in-year underspend of £250m, but this is after the release of the £800m risk reserve to CCGs’ bottom line.

Full document: NHS financial temperature check – briefing July 2017

Additional link: NHS Providers

Capital collaborations between the NHS and local authorities

The Chartered Institute of public Finance and Accountability and the Healthcare Financial Management Association have worked together to produce this briefing as an initial output from a joint workshop on capital funding in the NHS.

The briefing provides background on the local authority and NHS funding mechanisms, including the prudential code under which local authority treasury management and borrowing is determined.  It sets out the problems that NHS bodies currently face in relation to capital funding and identifies some opportunities for working together on capital projects.

Reforming social care

Reform the independent think-tank has published Social care: a prefunded solution.

This paper makes the case for much more fundamental reform: replacing the current ‘pay-as-you-go’ (PAYG) approach to financing later-life care with a prefunded arrangement. Under this proposal, working-age people would contribute a percentage of their income into a Later Life Care Fund (LLCF). These pooled savings would then be managed privately, before being used to fund the care costs of those that contributed.

Key points

  • The cost of long-term care is projected to rise from £19.0 billion today to £30.5 billion in twenty years’ time.
  • The proportion of spending going to people beyond the state pension age is increasing.
  • Due to the ageing population, in the absence of reform, a 26-year old today will pay a third more in tax to fund social care than people born just ten years earlier.
  • An extra payroll tax can be introduced to fund future care liabilities. The funds would be pooled in a government fund with management outsourced to the private sector.
  • A guideline for the magnitude of the extra tax is 2.55 per cent of earnings, or £60 for the median earner.
  • Once contributors retire, their care liabilities will be covered by the fund.
  • Transition to such a funding model would require the current older population to pay more towards their care

Hull CCG pools entire budget with council in £600m fund

A Yorkshire clinical commissioning group is aligning its entire budget with a local authority to create a strategic commissioning fund of £600m | HSJ


  • Hull CCG to align entire £400m budget with local authority
  • CCG chief officer joins Hull City Council’s corporate management team
  • Committee in common will approve decisions by new integrated commissioning board

Read the full article here