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 September 2020 49 KB30
Over 25k Report August 2020 50 KB18
Over 25k Report July 2020 65 KB38
Over 25k Report June 2020 5 KB40
Over 25k Report May 2020 4 KB43
Over 25k Report April 2020 6 KB42
Over 25k Report March 2020 5 KB43
Over 25k Report February 2020 41 KB73
Over 25k Report January 2020 43 KB64
Over 25k Report December 2019 47 KB77
Over 25k Report November 2019 38 KB75
Over 25k Report October 2019 47 KB82
Over 25k Report September 2019 46 KB86
Over 25k Report August 2019 8.4 MB86
Over 25k Report July 2019 43 KB89
Over 25k Report June 2019 38 KB77
Over 25k Report May 2019 27 KB84
Over 25k Report April 2019 30 KB86
Over 25k Report March 2019 44 KB86
Over 25k Report February 2019 39 KB87
Over 25k Report January 2019 41 KB77
Over 25k Report December 2018 39 KB71
Over 25k Report November 2018 42 KB76
Over 25k Report October 2018 39 KB80
Over 25k Report September 2018 39 KB84
Over 25k Report August 2018 40 KB86
Over 25k Report July 2018 38 KB83
Over 25k Report June 2018 40 KB85
Over 25k Report May 2018 37 KB74
Over 25k Report April 2018 37 KB79
Over 25k Report January 2018 0.2 MB155
Over 25k Report December 2017 0.2 MB159
Over 25k Report November 2017 0.5 MB156
Over 25k Report October 2017 0.3 MB180
Over 25k Report September 2017 0.2 MB158
Over 25k Report August 2017 0.2 MB163
Over 25k Report July 2017 0.2 MB154
Over 25k Report June 2017 0.2 MB166
Over 25k Report May 2017 0.2 MB154
Over 25k Report April 2017 0.2 MB173
Over 25k Report March 2017 0.3 MB150
Over 25k Report February 2017 0.2 MB166
Over 25k Report January 2017 0.2 MB160
Over 25k Report December 2016 0.2 MB164
Over 25k Report November 2016 0.2 MB163
Over 25k Report October 2016 0.2 MB151
Over 25k Report September 2016 0.2 MB152
Over 25k Report August 2016 0.3 MB154
Over 25k Report July 2016 0.2 MB157
Over 25k Report June 2016 90 KB160
Over 25k Report May 2016 98 KB159
Over 25k Report April 2016 0.1 MB178
Over 25k Report December 2015 78 KB161
Over 25k Report November 2015 0.2 MB149
Over 25k Report October 2015 0.2 MB158
Over 25k Report September 2015 0.2 MB151
Over 25k Report August 2015 0.2 MB169
Over 25k Report July 2015 0.2 MB154
Over 25k Report June 2015 0.2 MB157
Over 25k Report May 2015 0.2 MB155
Over 25k Report April 2015 0.1 MB151
Over 25k Report March 2015 0.1 MB144
Over 25k Report February 2015 0.1 MB148
Over 25k Report January 2015 0.1 MB159
Over 25k Report December 2014 0.1 MB139
Over 25k Report November 2014 0.1 MB162
Over 25K Report October 2014 0.1 MB158
Over 25k Report September 2014 0.1 MB149
Over 25k Report August 2014 0.1 MB163
Over 25k Report July 2014 0.1 MB159
Over 25k Report June 2014 0.1 MB151
Over 25k Report May 2014 0.1 MB153
Over 25k Report April 2014 0.1 MB156

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 September 2020 49 KB13
Over 25k Report August 2020 52 KB17
Over 25k Report July 2020 78 KB30
Over 25k Report June 2020 3 KB25
Over 25k Report May 2020 3 KB40
Over 25k Report April 2020 4 KB41
Over 25k Report March 2020 3 KB39
Over 25k Report February 2020 44 KB65
Over 25k Report January 2020 50 KB59
Over 25k Report December 2019 51 KB66
Over 25k Report November 2019 44 KB63
Over 25k Report October 2019 54 KB78
Over 25k Report September 2019 43 KB83
Over 25k Report August 2019 43 KB84
Over 25k Report July 2019 40 KB87
Over 25k Report June 2019 41 KB80
Over 25k Report May 2019 39 KB77
Over 25k Report April 2019 37 KB75
Over 25k Report March 2019 42 KB70
Over 25k Report February 2019 36 KB86
Over 25k Report January 2019 39 KB79
Over 25k Report December 2018 41 KB85
Over 25k Report November 2018 37 KB88
Over 25k Report October 2018 37 KB86
Over 25k Report September 2018 44 KB78
Over 25k Report August 2018 39 KB79
Over 25k Report July 2018 38 KB89
Over 25k Report June 2018 40 KB91
Over 25k Report May 2018 46 KB188
Over 25k Report April 2018 37 KB191
Over 25k Report March 2018 46 KB173
Over 25k Report February 2018 39 KB215
Over 25k Report January 2018 37 KB186
Over 25k Report December 2017 40 KB174
Over 25k Report November 2017 40 KB173
Over 25k Report October 2017 35 KB178
Over 25k Report September 2017 45 KB172
Over 25k Report August 2017 43 KB93
Over 25k Report July 2017 39 KB148
Over 25k Report June 2017 58 KB189
Over 25k Report May 2017 47 KB177
Over 25k Report April 2017 41 KB180
Over 25k Report March 2017 49 KB187
Over 25k Report February 2017 41 KB200
Over 25k Report January 2017 36 KB193
Over 25k Report December 2016 42 KB170
Over 25k Report November 2016 40 KB149
Over 25k Report October 2016 38 KB171
Over 25k Report September 2016 43 KB184
Over 25k Report August 2016 39 KB91
Over 25k Report July 2016 38 KB173
Over 25k Report June 2016 43 KB187
Over 25k Report May 2016 43 KB163
Over 25k Report April 2016 42 KB175
Over 25k Report March 2016 14 KB196
Over 25k Report February 2016 8 KB186
Over 25k Report January 2016 7 KB173
Over 25k Report December 2015 9 KB172
Over 25k Report November 2015 6 KB179
Over 25k Report October 2015 6 KB143
Over 25k Report September 2015 7 KB139
Over 25k Report August 2015 8 KB159
Over 25k Report July 2015 8 KB150
Over 25k Report June 2015 8 KB121
Over 25k Report May 2015 6 KB141
Over 25k Report April 2015 6 KB130
Over 25k Report March 2015 15 KB154
Over 25k Report February 2015 7 KB149
Over 25k Report January 2015 6 KB149
Over 25k Report December 2014 6 KB149
Over 25k Report November 2014 5 KB140
Over 25k Report October 2014 6 KB80
Over 25k Report September 2014 7 KB153
Over 25k Report August 2014 5 KB84
Over 25k Report July 2014 5 KB151
Over 25k Report June 2014 6 KB145
Over 25k Report May 2014 6 KB154
Over 25k Report April 2014 7 KB137
Over 25k Report March 2014 16 KB145
Over 25k Report February 2014 6 KB156
Over 25k Report January 2014 7 KB130
Over 25k Report December 2013 5 KB144
Over 25k Report November 2013 6 KB140
Over 25k Report October 2013 6 KB138
Over 25k Report September 2013 5 KB158
Over 25k Report August 2013 5 KB84
Over 25k Report July 2013 7 KB131
Over 25k Report June 2013 5 KB153
Over 25k Report May 2013 8 KB166
Over 25k Report April 2013 4 KB152

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