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 May 2020 4 KB7
Over 25k Report April 2020 6 KB7
Over 25k Report March 2020 5 KB11
Over 25k Report February 2020 41 KB37
Over 25k Report January 2020 43 KB32
Over 25k Report December 2019 47 KB40
Over 25k Report November 2019 38 KB45
Over 25k Report October 2019 47 KB46
Over 25k Report September 2019 46 KB48
Over 25k Report August 2019 8.4 MB43
Over 25k Report July 2019 43 KB51
Over 25k Report June 2019 38 KB47
Over 25k Report May 2019 27 KB49
Over 25k Report April 2019 30 KB51
Over 25k Report March 2019 44 KB45
Over 25k Report February 2019 39 KB55
Over 25k Report January 2019 41 KB41
Over 25k Report December 2018 39 KB41
Over 25k Report November 2018 42 KB46
Over 25k Report October 2018 39 KB42
Over 25k Report September 2018 39 KB49
Over 25k Report August 2018 40 KB53
Over 25k Report July 2018 38 KB45
Over 25k Report June 2018 40 KB49
Over 25k Report May 2018 37 KB47
Over 25k Report April 2018 37 KB49
Over 25k Report January 2018 0.2 MB109
Over 25k Report December 2017 0.2 MB121
Over 25k Report November 2017 0.5 MB122
Over 25k Report October 2017 0.3 MB141
Over 25k Report September 2017 0.2 MB123
Over 25k Report August 2017 0.2 MB126
Over 25k Report July 2017 0.2 MB123
Over 25k Report June 2017 0.2 MB125
Over 25k Report May 2017 0.2 MB119
Over 25k Report April 2017 0.2 MB135
Over 25k Report March 2017 0.3 MB124
Over 25k Report February 2017 0.2 MB129
Over 25k Report January 2017 0.2 MB127
Over 25k Report December 2016 0.2 MB129
Over 25k Report November 2016 0.2 MB132
Over 25k Report October 2016 0.2 MB118
Over 25k Report September 2016 0.2 MB121
Over 25k Report August 2016 0.3 MB119
Over 25k Report July 2016 0.2 MB127
Over 25k Report June 2016 90 KB124
Over 25k Report May 2016 98 KB125
Over 25k Report April 2016 0.1 MB133
Over 25k Report December 2015 78 KB128
Over 25k Report November 2015 0.2 MB112
Over 25k Report October 2015 0.2 MB117
Over 25k Report September 2015 0.2 MB115
Over 25k Report August 2015 0.2 MB130
Over 25k Report July 2015 0.2 MB115
Over 25k Report June 2015 0.2 MB123
Over 25k Report May 2015 0.2 MB124
Over 25k Report April 2015 0.1 MB112
Over 25k Report March 2015 0.1 MB113
Over 25k Report February 2015 0.1 MB112
Over 25k Report January 2015 0.1 MB120
Over 25k Report December 2014 0.1 MB102
Over 25k Report November 2014 0.1 MB123
Over 25K Report October 2014 0.1 MB123
Over 25k Report September 2014 0.1 MB117
Over 25k Report August 2014 0.1 MB129
Over 25k Report July 2014 0.1 MB122
Over 25k Report June 2014 0.1 MB122
Over 25k Report May 2014 0.1 MB113
Over 25k Report April 2014 0.1 MB116

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 May 2020 3 KB7
Over 25k Report April 2020 4 KB9
Over 25k Report March 2020 3 KB9
Over 25k Report February 2020 44 KB29
Over 25k Report January 2020 50 KB28
Over 25k Report December 2019 51 KB34
Over 25k Report November 2019 44 KB32
Over 25k Report October 2019 54 KB46
Over 25k Report September 2019 43 KB49
Over 25k Report August 2019 43 KB52
Over 25k Report July 2019 40 KB51
Over 25k Report June 2019 41 KB47
Over 25k Report May 2019 39 KB42
Over 25k Report April 2019 37 KB43
Over 25k Report March 2019 42 KB41
Over 25k Report February 2019 36 KB55
Over 25k Report January 2019 39 KB45
Over 25k Report December 2018 41 KB48
Over 25k Report November 2018 37 KB57
Over 25k Report October 2018 37 KB54
Over 25k Report September 2018 44 KB48
Over 25k Report August 2018 39 KB46
Over 25k Report July 2018 38 KB56
Over 25k Report June 2018 40 KB55
Over 25k Report May 2018 46 KB147
Over 25k Report April 2018 37 KB149
Over 25k Report March 2018 46 KB137
Over 25k Report February 2018 39 KB181
Over 25k Report January 2018 37 KB147
Over 25k Report December 2017 40 KB138
Over 25k Report November 2017 40 KB132
Over 25k Report October 2017 35 KB141
Over 25k Report September 2017 45 KB135
Over 25k Report August 2017 43 KB54
Over 25k Report July 2017 39 KB112
Over 25k Report June 2017 58 KB158
Over 25k Report May 2017 47 KB142
Over 25k Report April 2017 41 KB143
Over 25k Report March 2017 49 KB151
Over 25k Report February 2017 41 KB160
Over 25k Report January 2017 36 KB156
Over 25k Report December 2016 42 KB138
Over 25k Report November 2016 40 KB115
Over 25k Report October 2016 38 KB135
Over 25k Report September 2016 43 KB150
Over 25k Report August 2016 39 KB54
Over 25k Report July 2016 38 KB135
Over 25k Report June 2016 43 KB153
Over 25k Report May 2016 43 KB125
Over 25k Report April 2016 42 KB137
Over 25k Report March 2016 14 KB155
Over 25k Report February 2016 8 KB144
Over 25k Report January 2016 7 KB131
Over 25k Report December 2015 9 KB135
Over 25k Report November 2015 6 KB141
Over 25k Report October 2015 6 KB105
Over 25k Report September 2015 7 KB99
Over 25k Report August 2015 8 KB120
Over 25k Report July 2015 8 KB115
Over 25k Report June 2015 8 KB84
Over 25k Report May 2015 6 KB106
Over 25k Report April 2015 6 KB91
Over 25k Report March 2015 15 KB114
Over 25k Report February 2015 7 KB116
Over 25k Report January 2015 6 KB111
Over 25k Report December 2014 6 KB109
Over 25k Report November 2014 5 KB102
Over 25k Report October 2014 6 KB43
Over 25k Report September 2014 7 KB115
Over 25k Report August 2014 5 KB51
Over 25k Report July 2014 5 KB115
Over 25k Report June 2014 6 KB110
Over 25k Report May 2014 6 KB116
Over 25k Report April 2014 7 KB103
Over 25k Report March 2014 16 KB108
Over 25k Report February 2014 6 KB118
Over 25k Report January 2014 7 KB96
Over 25k Report December 2013 5 KB106
Over 25k Report November 2013 6 KB101
Over 25k Report October 2013 6 KB100
Over 25k Report September 2013 5 KB118
Over 25k Report August 2013 5 KB46
Over 25k Report July 2013 7 KB97
Over 25k Report June 2013 5 KB118
Over 25k Report May 2013 8 KB129
Over 25k Report April 2013 4 KB110

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