All 74 trusts in London were contacted in January and asked what their current financial status was.
The results are below, with explanations for how some trusts came to be in that position, or measures taken to tackle any problems. Minus figures show a deficit, figures without a minus sign indicate a trust which has a surplus or is breaking even.
Several trusts who revealed debts said they expected to break even by the end of the financial year in March.
LONDON HEALTH TRUST FINANCES
|
|
HEALTH TRUST
|
SURPLUS/ DEBT (£)
|
IMPACT/ EXPLANATION
|
Barking and Dagenham PCT
|
0
|
|
Barking, Havering and Redbridge Hospitals NHS Trust
|
-7,700,000
|
Expects to break even by end of financial year, helped by cutting spending on temporary staff and reducing unduly long lengths of stay for patients
|
Barnet and Chase Farm Hospitals NHS Trust
|
-10,400,000
|
Has strict controls on replacing staff and on employing agency staff, has put strict controls on purchasing and closed some beds
|
Barnet PCT
|
1,400,000
|
|
Barnet, Enfield and Haringey Mental Health NHS Trust
|
-700,000
|
Expects to break even by end of financial year
|
Barts and The London NHS Trust
|
0
|
|
Bexley Care Trust
|
-3,500,000
|
Trust predicts the deficit could reach £4.6m by end of financial year
|
Brent PCT
|
0
|
|
Bromley Hospitals NHS Trust
|
-12,000,000
|
Trust says it is actively working to cut its debt but with no impact on services for patients
|
Bromley PCT
|
-1,702,000
|
Expecting to break even by end of financial year
|
Camden & Islington Mental Health and Social Care Trust
|
0
|
|
Camden PCT
|
0
|
|
Central and North West London Mental Health NHS Trust
|
0
|
|
Chelsea and Westminster Healthcare NHS Trust
|
2,100,000
|
Surplus has risen by about £2m since end of the last financial year
|
City and Hackney Teaching PCT
|
0
|
|
Croydon PCT
|
0
|
|
Ealing Hospitals NHS Trust
|
-979,000
|
Expects to break even by end of financial year
|
Ealing PCT
|
1,200,000
|
|
East London and The City Mental Health NHS Trust
|
0
|
|
Enfield PCT
|
-2,000,000
|
Trust says "best case" would be to break even by end of financial year
|
Epsom and St Helier University Hospitals NHS Trust
|
-800,000
|
Expects to break even by end of financial year, helped by initiatives such as bringing maintenance contracts back in house
|
Great Ormond Street Hospital for Children NHS Trust
|
0
|
|
Greenwich Teaching PCT
|
-483,000
|
|
Guy's and St Thomas
|
0
|
|
Hammersmith and Fulham PCT
|
450,000
|
|
Hammersmith Hospitals NHS Trust
|
-35,300,000
|
£19.1m of debt is from Ravenscroft Hospital, which trust also runs. Says major improvements have been made to efficiency regarding things such as patients' length of stay, hospital-acquired infections and drug prescription. Expects the workforce to have dropped by 300 by March
|
Haringey Teaching PCT
|
-425,000
|
Trust predicts the deficit could reach £1.178m by end of financial year
|
Harrow PCT
|
-500,000
|
Trust predicts the deficit could reach £3.4m by end of financial year
|
Havering PCT
|
0
|
|
Hillingdon Hospital NHS Trust
|
1,700,000
|
|
Hillingdon PCT
|
-25,574,000
|
Savings have been cancelled out by increased hospital costs. Aiming to cut inappropriate admission to hospital through accident and emergency and has looked at switching patients to cheaper drugs. A recruitment freeze has been in place for several months, but is lifted if vacancies affect patients
|
Homerton University Hospital NHS Trust
|
0
|
|
Hounslow PCT
|
-8,800,000
|
|
Islington PCT
|
-633,000
|
|
Kensington and Chelsea PCT
|
-20,900,000
|
|
King's College Hospital NHS Trust
|
0
|
|
Kingston Hospital NHS Trust
|
-2,250,000
|
Expects to break even by end of financial year
|
Kingston PCT
|
-7,900,000
|
|
Lambeth PCT
|
0
|
|
Lewisham Hospital NHS Trust
|
-7,000,000
|
Has imposed a recruitment freeze, made about 20 redundancies and reduced clinical divisions from five to three where duplication of roles was identified
|
Lewisham PCT
|
-1,920,000
|
Trust plans to cut debt by vacancy savings and reducing use of agency staff
|
London Ambulance Service NHS Trust
|
1,300,000
|
|
Mayday Healthcare NHS Trust
|
-6,000,000
|
Expects debt to reach £9m by end of financial year. Has reduced spending on agency staff and is aiming to reduce length of stay for patients, enabling more people to be treated as day cases, using fewer beds
|
Moorfields Eye Hospital NHS Trust
|
1,200,000
|
|
Newham Healthcare NHS Trust
|
0
|
|
Newham PCT
|
0
|
|
North East London Mental Health NHS Trust
|
0
|
|
North Middlesex University Hospital NHS Trust
|
-5,000,000
|
Has introduced assessment of non-emergency patients to cut risk of cancelling operations at last minute because they are medically unfit for surgery
|
North West London Hospitals NHS Trust
|
-25,500,000
|
Looking at 15 areas where it is thought savings can be made, including efficient use of operating theatres, better deals from suppliers and avoiding unnecessarily long hospital stays for patients. Some of the debt has been in place since previous financial year
|
Oxleas NHS Trust
|
0
|
|
Queen Elizabeth Hospital NHS Trust
|
-18,900,000
|
Looking to break even by 2007/2008, without impacting on patient care
|
Queen Mary's Sidcup NHS Trust
|
-10,000,000
|
|
Redbridge PCT
|
0
|
|
Richmond and Twickenham PCT
|
1,100,000
|
|
Royal Brompton and Harefield Hospital NHS Trust
|
1,600,000
|
|
Royal Free Hampstead NHS Trust
|
0
|
Was £10m in debt a year ago
|
Royal Marsden NHS Trust
|
2,000,000
|
Surplus of £2m will used to fund developments in the coming year
|
Royal National Orthopaedic Hospital NHS Trust
|
0
|
|
South London and Maudsley Mental Health NHS Trust
|
111,000
|
|
South West London & St Georges Mental Health NHS Trust
|
0
|
|
Southwark PCT
|
-860,000
|
Expects to break even at end of financial year
|
St George's Healthcare NHS Trust
|
-12,500,000
|
Has closed about 100 beds and aims to reduce time patients spend in hospital, where clinically appropriate
|
St Mary's NHS Trust
|
0
|
|
Sutton and Merton PCT
|
-3,200,000
|
"Optimistic" of breaking even by end of financial year. Has cut spending on agency staff and is sharing services such as accounting with other NHS organisations
|
Tavistock & Portman NHS Trust
|
0
|
|
Tower Hamlets PCT
|
0
|
|
University College London Hospitals NHS Trust
|
-17,400,000
|
Debt has been added to by the terror attacks in London in July 2005, which the trust estimates cost it £2m, and the building of a new teaching hospital
|
Waltham Forest PCT
|
0
|
|
Wandsworth PCT
|
-1,090,000
|
|
West London Mental Health NHS Trust
|
0
|
|
West Middlesex University Hospital NHS Trust
|
-2,200,000
|
Trust has cut its deficit by £3.4m over the past year
|
Westminster PCT
|
1,000,000
|
|
Whipps Cross University Hospital NHS Trust
|
0
|
|
Whittington Hospital NHS Trust
|
-1,500,000
|
Reducing spending on agency staff by recruiting more permanent staff
|
TOTAL
|
-240,455,000
|
|
|