Hospitals must restructure to keep NHS afloat, MPs warn

Every NHS hospital could be forced to restructure significantly for the health service to remain financially sustainable, MPs have warned.

DH: accused of making up financial failure rules 'on the hoof'
DH: accused of making up financial failure rules 'on the hoof'

Commissioning in England could become more fragmented after clinical commissioning groups (CCGs) replace PCTs next year, the House of Commons public accounts committee warned today. But services will need to be reconfigured 'significantly' to deliver the scale of efficiency savings needed for the NHS to become financially sustainable, it warned.

A 'growing number' of NHS trusts and foundation trusts are in financial difficulty, a report by the committee warned, but rules to decide when they are put into 'special administration' appear to be decided 'on the hoof'.

The report, Securing the future financial sustainability of the NHS, said: ‘As the role of hospitals changes and more services are provided in the community it is possible that every trust in the country will have to restructure.

‘If changes are not made to concentrate and centralise hospital services, and deliver more services in the community, even greater efficiencies will be needed in hospitals to avoid waiting lists rising.'

Health minister Lord Howe said the NHS was in ‘robust financial health’. ‘We have already stated that we are not going to endlessly support trusts with historic financial problems but we know that some hospitals face difficulties and need to radically change to make sure they are providing the highest quality of care to patients,' he said.

* Blog by National Association of Primary Care chairman Dr Charles Alessi: Too many hospitals but consensus lacking on our doorsteps

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Renewable energy

GP practices can be 'more ambitious' on tackling climate change

GP practices can be more ambitious in taking steps to tackle climate change than...

GP surgery sign

Risks of being a partner have outstripped benefits, GPs told

The risks of being a partner have become greater that the benefits, the RCGP conference...

Image of Dr Farzana Hussain

GPs urged to use their voices to improve the lives of patients in deprived areas

The can-do attitude and independence of GPs offers a unique opportunity to help reverse...

Professor Sir Michael Marmot

Unequal impact of COVID-19 'utterly predictable' amid rising inequality, says Marmot

The disproportionate impact of COVID-19 on people in the most deprived parts of England...

Consulting room door

NHS on course for shortfall of 11,000 GPs within a decade

One in four GP and practice nurse posts will be vacant within a decade without a...

Dr Iona Heath

Lessons from the COVID-19 pandemic can help GPs tackle health inequalities

GPs can use evidence from the COVID-19 pandemic to put pressure on the government...