How we spend your money

We value the important principles that the NHS was founded on: healthcare free at the point of use, funded from general taxation, and available to all based on need and not their ability to pay.

To provide transparency and to allow the people to hold public bodies such as the CCGs to account, we now publish information relating to all expenditure over £25,000 every month. ‘Expenditure’ includes all individual invoices, grant payments, expense payments, payments to GPs and other such transactions. Payments to staff are not included in this disclosure.

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How we decide what to spend your money on

As CCGs we work closely with healthcare providers to ensure they are providing safe, high quality services. We also work very closely with local authorities and the voluntary sector to ensure services are integrated and meet the needs of patients and their families.

Each year commissioners at the CCGs work with clinical leads and service providers to develop commissioning intentions and aspirations to be taken forward into the following financial year.

Commissioning intentions are defined as things we’ve already developed or can develop for implementation for the beginning of the new financial year. Commissioning aspirations are defined as things we’ve partially developed or will develop for implementation during the financial year. Both these intentions and aspirations are developed in line with national or local policy or where a need in service provision has been identified.

Once a commissioning intention/aspiration is identified it is scored based on a number of indicators and is then prioritised alongside all the other intentions and aspirations.

An independent evaluation panel, which includes patient participation group representation, reviews the scoring given to the commissioning intentions and aspirations in order to ensure transparency and avoid any bias with regard to the service development.

Where the commissioning intention or aspiration relates to an existing provider, these are taken forward as part of contract negotiations.

What we don’t pay for

To ensure that we can provide the best care for the maximum number of people, it is vital that we make every penny count.

Carrying out operations and medical procedures that are not of great health benefit uses up resources that could be spent on really making a difference elsewhere. This is why doctors and health professionals across Lancashire have put together a list of procedures that the NHS does not carry out, as well as others that are only carried out if patients meet special criteria or during exceptional circumstances. By way of example, we don’t generally carry out operations or procedures to treat hair loss or remove tattoos for cosmetic reasons.

You can obtain a copy of the full list from your doctor, or view it on the policies page.

It is important to remember though that, while the NHS does not generally fund operations that have little health benefit in general, there are times when there may be overwhelming health benefits for an individual patient.

If this is the case, your doctor, on your behalf, will explain the exceptional circumstances to a request panel consisting of doctors and other health experts here at the CCGs, and a decision will be reached on an individual, case-by-case basis.

Blackpool CCG Expenditure

25k Expenditure reports are updated by the last working day of each month.  For example, October 2019’s report will be published by the last working day in November 2019.

NameSizeHits
Over 25k Report November 2021 67 KB18
Over 25k Report October 2021 69 KB42
Over 25k Report September 2021 61 KB53
Over 25k Report August 2021 66 KB62
Over 25k Report July 2021 59 KB67
Over 25k Report June 2021 57 KB76
Over 25k Report May 2021 32 KB52
Over 25k Report April 2021 55 KB108
Over 25k Report March 2021 57 KB120
Over 25k Report February 2021 72 KB83
Over 25k Report January 2021 52 KB84
Over 25k Report December 2020 56 KB91
Over 25k Report November 2020 67 KB76
Over 25k Report October 2020 54 KB100
Over 25k Report September 2020 49 KB134
Over 25k Report August 2020 50 KB109
Over 25k Report July 2020 65 KB124
Over 25k Report June 2020 5 KB124
Over 25k Report May 2020 4 KB130
Over 25k Report April 2020 6 KB121
Over 25k Report March 2020 5 KB124
Over 25k Report February 2020 41 KB156
Over 25k Report January 2020 43 KB144
Over 25k Report December 2019 47 KB165
Over 25k Report November 2019 38 KB163
Over 25k Report October 2019 47 KB167
Over 25k Report September 2019 46 KB169
Over 25k Report August 2019 8.4 MB180
Over 25k Report July 2019 43 KB152
Over 25k Report June 2019 38 KB140
Over 25k Report May 2019 27 KB140
Over 25k Report April 2019 30 KB157
Over 25k Report March 2019 44 KB142
Over 25k Report February 2019 39 KB144
Over 25k Report January 2019 41 KB135
Over 25k Report December 2018 39 KB127
Over 25k Report November 2018 42 KB128
Over 25k Report October 2018 39 KB165
Over 25k Report September 2018 39 KB144
Over 25k Report August 2018 40 KB146
Over 25k Report July 2018 38 KB162
Over 25k Report June 2018 40 KB146
Over 25k Report May 2018 37 KB125
Over 25k Report April 2018 37 KB133
Over 25k Report January 2018 0.2 MB237
Over 25k Report December 2017 0.2 MB234
Over 25k Report November 2017 0.5 MB215
Over 25k Report October 2017 0.3 MB244
Over 25k Report September 2017 0.2 MB218
Over 25k Report August 2017 0.2 MB226
Over 25k Report July 2017 0.2 MB219
Over 25k Report June 2017 0.2 MB239
Over 25k Report May 2017 0.2 MB225
Over 25k Report April 2017 0.2 MB235
Over 25k Report March 2017 0.3 MB210
Over 25k Report February 2017 0.2 MB227
Over 25k Report January 2017 0.2 MB223
Over 25k Report December 2016 0.2 MB228
Over 25k Report November 2016 0.2 MB222
Over 25k Report October 2016 0.2 MB204
Over 25k Report September 2016 0.2 MB209
Over 25k Report August 2016 0.3 MB207
Over 25k Report July 2016 0.2 MB218
Over 25k Report June 2016 90 KB219
Over 25k Report May 2016 98 KB223
Over 25k Report April 2016 0.1 MB239
Over 25k Report December 2015 78 KB222
Over 25k Report November 2015 0.2 MB206
Over 25k Report October 2015 0.2 MB217
Over 25k Report September 2015 0.2 MB208
Over 25k Report August 2015 0.2 MB229
Over 25k Report July 2015 0.2 MB224
Over 25k Report June 2015 0.2 MB217
Over 25k Report May 2015 0.2 MB214
Over 25k Report April 2015 0.1 MB204
Over 25k Report March 2015 0.1 MB205
Over 25k Report February 2015 0.1 MB205
Over 25k Report January 2015 0.1 MB215
Over 25k Report December 2014 0.1 MB204
Over 25k Report November 2014 0.1 MB221
Over 25K Report October 2014 0.1 MB222
Over 25k Report September 2014 0.1 MB217
Over 25k Report August 2014 0.1 MB230
Over 25k Report July 2014 0.1 MB211
Over 25k Report June 2014 0.1 MB213
Over 25k Report May 2014 0.1 MB215
Over 25k Report April 2014 0.1 MB219

Fylde and Wyre CCG Expenditure

25k Expenditure reports are updated by the last working day of each month.  For example, October 2019’s report will be published by the last working day in November 2019.

NameSizeHits
Over 25k Report November 2021 70 KB16
Over 25k Report October 2021 66 KB14
Over 25k Report September 2021 67 KB25
Over 25k Report August 2021 64 KB25
Over 25k Report July 2021 62 KB24
Over 25k Report June 2021 42 KB33
Over 25k Report May 2021 68 KB49
Over 25k Report April 2021 53 KB50
Over 25k Report March 2021 52 KB48
Over 25k Report February 2021 54 KB48
Over 25k Report January 2021 49 KB50
Over 25k Report December 2020 47 KB50
Over 25k Report November 2020 55 KB58
Over 25k Report October 2020 53 KB69
Over 25k Report September 2020 48 KB100
Over 25k Report August 2020 52 KB69
Over 25k Report July 2020 78 KB96
Over 25k Report June 2020 3 KB92
Over 25k Report May 2020 3 KB97
Over 25k Report April 2020 4 KB106
Over 25k Report March 2020 3 KB111
Over 25k Report February 2020 44 KB122
Over 25k Report January 2020 50 KB111
Over 25k Report December 2019 51 KB115
Over 25k Report November 2019 44 KB116
Over 25k Report October 2019 54 KB129
Over 25k Report September 2019 43 KB146
Over 25k Report August 2019 43 KB140
Over 25k Report July 2019 40 KB143
Over 25k Report June 2019 41 KB139
Over 25k Report May 2019 39 KB163
Over 25k Report April 2019 37 KB137
Over 25k Report March 2019 42 KB132
Over 25k Report February 2019 36 KB136
Over 25k Report January 2019 39 KB137
Over 25k Report December 2018 41 KB144
Over 25k Report November 2018 37 KB143
Over 25k Report October 2018 37 KB149
Over 25k Report September 2018 44 KB133
Over 25k Report August 2018 39 KB133
Over 25k Report July 2018 38 KB146
Over 25k Report June 2018 40 KB144
Over 25k Report May 2018 46 KB273
Over 25k Report April 2018 37 KB263
Over 25k Report March 2018 46 KB241
Over 25k Report February 2018 39 KB282
Over 25k Report January 2018 37 KB255
Over 25k Report December 2017 40 KB254
Over 25k Report November 2017 40 KB240
Over 25k Report October 2017 35 KB253
Over 25k Report September 2017 45 KB237
Over 25k Report August 2017 43 KB162
Over 25k Report July 2017 39 KB228
Over 25k Report June 2017 58 KB268
Over 25k Report May 2017 47 KB261
Over 25k Report April 2017 41 KB248
Over 25k Report March 2017 49 KB260
Over 25k Report February 2017 41 KB272
Over 25k Report January 2017 36 KB265
Over 25k Report December 2016 42 KB239
Over 25k Report November 2016 40 KB219
Over 25k Report October 2016 38 KB241
Over 25k Report September 2016 43 KB258
Over 25k Report August 2016 39 KB166
Over 25k Report July 2016 38 KB248
Over 25k Report June 2016 43 KB264
Over 25k Report May 2016 43 KB237
Over 25k Report April 2016 42 KB251
Over 25k Report March 2016 14 KB266
Over 25k Report February 2016 8 KB251
Over 25k Report January 2016 7 KB244
Over 25k Report December 2015 9 KB235
Over 25k Report November 2015 6 KB254
Over 25k Report October 2015 6 KB216
Over 25k Report September 2015 7 KB211
Over 25k Report August 2015 8 KB225
Over 25k Report July 2015 8 KB228
Over 25k Report June 2015 8 KB205
Over 25k Report May 2015 6 KB214
Over 25k Report April 2015 6 KB193
Over 25k Report March 2015 15 KB225
Over 25k Report February 2015 7 KB215
Over 25k Report January 2015 6 KB217
Over 25k Report December 2014 6 KB215
Over 25k Report November 2014 5 KB210
Over 25k Report October 2014 6 KB146
Over 25k Report September 2014 7 KB228
Over 25k Report August 2014 5 KB144
Over 25k Report July 2014 5 KB232
Over 25k Report June 2014 6 KB226
Over 25k Report May 2014 6 KB229
Over 25k Report April 2014 7 KB211
Over 25k Report March 2014 16 KB216
Over 25k Report February 2014 6 KB235
Over 25k Report January 2014 7 KB201
Over 25k Report December 2013 5 KB208
Over 25k Report November 2013 6 KB213
Over 25k Report October 2013 6 KB204
Over 25k Report September 2013 5 KB233
Over 25k Report August 2013 5 KB145
Over 25k Report July 2013 7 KB208
Over 25k Report June 2013 5 KB231
Over 25k Report May 2013 8 KB238
Over 25k Report April 2013 4 KB233

Last updated on 6 November 2019 at 11:02 by Communications and engagement officer