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Hospitals forecast a rise in emergency admissions, while commissioners forecast a fall

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g4699 (Published 18 July 2014) Cite this as: BMJ 2014;349:g4699
  1. Matthew Limb
  1. 1London

Cracks in NHS performance in England are appearing alongside signs of a “worrying mismatch” in planning between those who commission and those who provide services, an analysis shows.

The health think tank the King’s Fund has said that growing pressure on finance and rising demand for services meant that hospitals had to choose between maintaining the quality of care and balancing the books. Many hospital trusts were recruiting more nurses, despite budgets being stretched to the limit: the nursing workforce rose by almost 9000 over the past six months to nearly 315 000, the “highest on record,” the fund said.

The fund published its latest quarterly monitoring report, for the period from April to June 2014, on Thursday 17 July.1

It also reported that a quarter of NHS trust finance directors (18 of 73 surveyed) said that they expected to overspend their budgets in 2014-15. …

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