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

NameSizeHits
Over 25k Report September 2019 46 KB3
Over 25k Report August 2019 5.5 MB12
Over 25k Report July 2019 0.4 MB29
Over 25k Report June 2019 0.4 MB21
Over 25k Report May 2019 0.4 MB22
Over 25k Report April 2019 0.4 MB23
Over 25k Report March 2019 0.4 MB64
Over 25k Report February 2019 0.4 MB57
Over 25k Report January 2019 0.4 MB79
Over 25k Report December 2018 0.4 MB82
Over 25k Report October 2018 0.4 MB77
Over 25k Report September 2018 0.4 MB89
Over 25k Report August 2018 0.4 MB88
Over 25k Report July 2018 0.3 MB85
Over 25k Report June 2018 0.3 MB87
Over 25k Report May 2018 0.4 MB79
Over 25k Report April 2018 0.3 MB94
Over 25k Report February 2018 0.2 MB72
Over 25k Report January 2018 0.2 MB59
Over 25k Report December 2017 0.2 MB75
Over 25k Report November 2017 0.5 MB72
Over 25k Report October 2017 0.3 MB91
Over 25k Report September 2017 0.2 MB76
Over 25k Report August 2017 0.2 MB71
Over 25k Report July 2017 0.2 MB73
Over 25k Report June 2017 0.2 MB73
Over 25k Report May 2017 0.2 MB74
Over 25k Report April 2017 0.2 MB72
Over 25k Report March 2017 0.3 MB73
Over 25k Report February 2017 0.2 MB80
Over 25k Report January 2017 0.2 MB70
Over 25k Report December 2016 0.2 MB76
Over 25k Report November 2016 0.2 MB87
Over 25k Report October 2016 0.2 MB74
Over 25k Report September 2016 0.2 MB76
Over 25k Report August 2016 0.3 MB70
Over 25k Report July 2016 0.2 MB77
Over 25k Report June 2016 90 KB74
Over 25k Report May 2016 98 KB77
Over 25k Report April 2016 0.1 MB81
Over 25k Report December 2015 78 KB82
Over 25k Report November 2015 0.2 MB63
Over 25k Report October 2015 0.2 MB70
Over 25k Report September 2015 0.2 MB72
Over 25k Report August 2015 0.2 MB75
Over 25k Report July 2015 0.2 MB71
Over 25k Report June 2015 0.2 MB65
Over 25k Report May 2015 0.2 MB73
Over 25k Report April 2015 0.1 MB65
Over 25k Report March 2015 0.1 MB72
Over 25k Report February 2015 0.1 MB65
Over 25k Report January 2015 0.1 MB74
Over 25k Report December 2014 0.1 MB57
Over 25k Report November 2014 0.1 MB75
Over 25K Report October 2014 0.1 MB70
Over 25k Report September 2014 0.1 MB71
Over 25k Report August 2014 0.1 MB78
Over 25k Report July 2014 0.1 MB70
Over 25k Report June 2014 0.1 MB72
Over 25k Report May 2014 0.1 MB68
Over 25k Report April 2014 0.1 MB73

Fylde and Wyre CCG Expenditure

NameSizeHits
Over 25k Report September 2019 43 KB4
Over 25k Report August 2019 43 KB11
Over 25k Report July 2019 40 KB8
Over 25k Report June 2019 41 KB7
Over 25k Report May 2019 39 KB8
Over 25k Report April 2019 37 KB7
Over 25k Report March 2019 42 KB7
Over 25k Report February 2019 36 KB9
Over 25k Report January 2019 39 KB7
Over 25k Report December 2018 41 KB6
Over 25k Report November 2018 37 KB7
Over 25k Report October 2018 37 KB9
Over 25k Report September 2018 44 KB9
Over 25k Report August 2018 39 KB9
Over 25k Report July 2018 38 KB10
Over 25k Report June 2018 40 KB7
Over 25k Report May 2018 46 KB93
Over 25k Report April 2018 37 KB94
Over 25k Report March 2018 46 KB93
Over 25k Report February 2018 39 KB122
Over 25k Report January 2018 37 KB96
Over 25k Report December 2017 40 KB97
Over 25k Report November 2017 40 KB81
Over 25k Report October 2017 35 KB89
Over 25k Report September 2017 45 KB86
Over 25k Report August 2017 43 KB19
Over 25k Report July 2017 39 KB66
Over 25k Report June 2017 58 KB100
Over 25k Report May 2017 47 KB93
Over 25k Report April 2017 41 KB80
Over 25k Report March 2017 49 KB99
Over 25k Report February 2017 41 KB117
Over 25k Report January 2017 36 KB96
Over 25k Report December 2016 42 KB89
Over 25k Report November 2016 40 KB68
Over 25k Report October 2016 38 KB86
Over 25k Report September 2016 43 KB98
Over 25k Report August 2016 39 KB20
Over 25k Report July 2016 38 KB80
Over 25k Report June 2016 43 KB101
Over 25k Report May 2016 43 KB77
Over 25k Report April 2016 42 KB88
Over 25k Report March 2016 14 KB111
Over 25k Report February 2016 8 KB93
Over 25k Report January 2016 7 KB77
Over 25k Report December 2015 9 KB79
Over 25k Report November 2015 6 KB96
Over 25k Report October 2015 6 KB60
Over 25k Report September 2015 7 KB56
Over 25k Report August 2015 8 KB72
Over 25k Report July 2015 8 KB64
Over 25k Report June 2015 8 KB47
Over 25k Report May 2015 6 KB66
Over 25k Report April 2015 6 KB52
Over 25k Report March 2015 15 KB69
Over 25k Report February 2015 7 KB73
Over 25k Report January 2015 6 KB72
Over 25k Report December 2014 6 KB73
Over 25k Report November 2014 5 KB62
Over 25k Report October 2014 6 KB14
Over 25k Report September 2014 7 KB64
Over 25k Report August 2014 5 KB14
Over 25k Report July 2014 5 KB72
Over 25k Report June 2014 6 KB67
Over 25k Report May 2014 6 KB71
Over 25k Report April 2014 7 KB57
Over 25k Report March 2014 16 KB58
Over 25k Report February 2014 6 KB74
Over 25k Report January 2014 7 KB57
Over 25k Report December 2013 5 KB68
Over 25k Report November 2013 6 KB59
Over 25k Report October 2013 6 KB62
Over 25k Report September 2013 5 KB77
Over 25k Report August 2013 5 KB17
Over 25k Report July 2013 7 KB49
Over 25k Report June 2013 5 KB77
Over 25k Report May 2013 8 KB89
Over 25k Report April 2013 4 KB72

Last updated on 5 June 2019 at 13:34 by Communications and Engagement Assistant