When looking at other waiting times the NHS “maintained the trend seen in recent years: a slow but steady worsening in performance across the board for the most prominent standards”. The next steps document loosened the 18 week referral-to-treatment target, which may explain why the King’s Fund saw the percentage of CCGs cancelling or cutting back spending plans jump by 50 percent.
CCGs rated general practice as their “second highest operational concern”, which may be a reflection of the reduction in the number of GPs over the last 12 months.
Under two-thirds of mental health providers surveyed were concerned commissioners would not reach the mental health funding commitment this financial year, however only 16 percent of CCGs were fairly concerned they would not meet the target.
Trusts were more positive about finances compared to the last QMR with the percentage forecasting a surplus rising from 38 per cent in February to 54 per cent. While they seem pessimistic about many performance measures, they are slightly less “gloomy” than last year, which is the “first widespread reduction in pessimism QMR has recorded” The King’s Fund suggest this may be because of the next steps document and the extra £2bn for social care.