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 April 2022 57 KB46
Over 25k Report March 2022 88 KB38
Over 25k Report February 2022 75 KB91
Over 25k Report January 2022 79 KB84
Over 25k Report December 2021 67 KB110
Over 25k Report November 2021 67 KB127
Over 25k Report October 2021 69 KB139
Over 25k Report September 2021 61 KB161
Over 25k Report August 2021 66 KB160
Over 25k Report July 2021 59 KB175
Over 25k Report June 2021 57 KB173
Over 25k Report May 2021 32 KB95
Over 25k Report April 2021 55 KB204
Over 25k Report March 2021 57 KB225
Over 25k Report February 2021 72 KB183
Over 25k Report January 2021 52 KB188
Over 25k Report December 2020 56 KB192
Over 25k Report November 2020 67 KB174
Over 25k Report October 2020 54 KB201
Over 25k Report September 2020 49 KB231
Over 25k Report August 2020 50 KB208
Over 25k Report July 2020 65 KB223
Over 25k Report June 2020 5 KB229
Over 25k Report May 2020 4 KB231
Over 25k Report April 2020 6 KB223
Over 25k Report March 2020 5 KB228
Over 25k Report February 2020 41 KB254
Over 25k Report January 2020 43 KB240
Over 25k Report December 2019 47 KB261
Over 25k Report November 2019 38 KB265
Over 25k Report October 2019 47 KB274
Over 25k Report September 2019 46 KB265
Over 25k Report August 2019 8.4 MB229
Over 25k Report July 2019 43 KB200
Over 25k Report June 2019 38 KB177
Over 25k Report May 2019 27 KB175
Over 25k Report April 2019 30 KB197
Over 25k Report March 2019 44 KB178
Over 25k Report February 2019 39 KB180
Over 25k Report January 2019 41 KB171
Over 25k Report December 2018 39 KB165
Over 25k Report November 2018 42 KB166
Over 25k Report October 2018 39 KB207
Over 25k Report September 2018 39 KB187
Over 25k Report August 2018 40 KB186
Over 25k Report July 2018 38 KB203
Over 25k Report June 2018 40 KB182
Over 25k Report May 2018 37 KB165
Over 25k Report April 2018 37 KB173
Over 25k Report January 2018 0.2 MB281
Over 25k Report December 2017 0.2 MB280
Over 25k Report November 2017 0.5 MB273
Over 25k Report October 2017 0.3 MB277
Over 25k Report September 2017 0.2 MB259
Over 25k Report August 2017 0.2 MB280
Over 25k Report July 2017 0.2 MB262
Over 25k Report June 2017 0.2 MB280
Over 25k Report May 2017 0.2 MB265
Over 25k Report April 2017 0.2 MB280
Over 25k Report March 2017 0.3 MB240
Over 25k Report February 2017 0.2 MB264
Over 25k Report January 2017 0.2 MB261
Over 25k Report December 2016 0.2 MB270
Over 25k Report November 2016 0.2 MB260
Over 25k Report October 2016 0.2 MB239
Over 25k Report September 2016 0.2 MB242
Over 25k Report August 2016 0.3 MB245
Over 25k Report July 2016 0.2 MB254
Over 25k Report June 2016 90 KB268
Over 25k Report May 2016 98 KB260
Over 25k Report April 2016 0.1 MB281
Over 25k Report December 2015 78 KB259
Over 25k Report November 2015 0.2 MB263
Over 25k Report October 2015 0.2 MB253
Over 25k Report September 2015 0.2 MB240
Over 25k Report August 2015 0.2 MB281
Over 25k Report July 2015 0.2 MB263
Over 25k Report June 2015 0.2 MB250
Over 25k Report May 2015 0.2 MB251
Over 25k Report April 2015 0.1 MB235
Over 25k Report March 2015 0.1 MB249
Over 25k Report February 2015 0.1 MB248
Over 25k Report January 2015 0.1 MB248
Over 25k Report December 2014 0.1 MB241
Over 25k Report November 2014 0.1 MB257
Over 25K Report October 2014 0.1 MB267
Over 25k Report September 2014 0.1 MB257
Over 25k Report August 2014 0.1 MB271
Over 25k Report July 2014 0.1 MB249
Over 25k Report June 2014 0.1 MB252
Over 25k Report May 2014 0.1 MB260
Over 25k Report April 2014 0.1 MB258

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 April 2022 58 KB22
Over 25k Report March 2022 80 KB23
Over 25k Report February 2022 67 KB31
Over 25k Report January 2022 77 KB39
Over 25k Report December 2021 0.2 MB57
Over 25k Report November 2021 70 KB65
Over 25k Report October 2021 66 KB55
Over 25k Report September 2021 67 KB62
Over 25k Report August 2021 64 KB64
Over 25k Report July 2021 62 KB65
Over 25k Report June 2021 42 KB67
Over 25k Report May 2021 68 KB85
Over 25k Report April 2021 53 KB84
Over 25k Report March 2021 52 KB85
Over 25k Report February 2021 54 KB86
Over 25k Report January 2021 49 KB83
Over 25k Report December 2020 47 KB83
Over 25k Report November 2020 55 KB93
Over 25k Report October 2020 53 KB103
Over 25k Report September 2020 48 KB137
Over 25k Report August 2020 52 KB101
Over 25k Report July 2020 78 KB127
Over 25k Report June 2020 3 KB129
Over 25k Report May 2020 3 KB138
Over 25k Report April 2020 4 KB142
Over 25k Report March 2020 3 KB142
Over 25k Report February 2020 44 KB161
Over 25k Report January 2020 50 KB146
Over 25k Report December 2019 51 KB151
Over 25k Report November 2019 44 KB151
Over 25k Report October 2019 54 KB163
Over 25k Report September 2019 43 KB190
Over 25k Report August 2019 43 KB174
Over 25k Report July 2019 40 KB180
Over 25k Report June 2019 41 KB182
Over 25k Report May 2019 39 KB211
Over 25k Report April 2019 37 KB177
Over 25k Report March 2019 42 KB173
Over 25k Report February 2019 36 KB169
Over 25k Report January 2019 39 KB172
Over 25k Report December 2018 41 KB185
Over 25k Report November 2018 37 KB180
Over 25k Report October 2018 37 KB193
Over 25k Report September 2018 44 KB176
Over 25k Report August 2018 39 KB171
Over 25k Report July 2018 38 KB193
Over 25k Report June 2018 40 KB192
Over 25k Report May 2018 46 KB310
Over 25k Report April 2018 37 KB310
Over 25k Report March 2018 46 KB276
Over 25k Report February 2018 39 KB317
Over 25k Report January 2018 37 KB288
Over 25k Report December 2017 40 KB300
Over 25k Report November 2017 40 KB275
Over 25k Report October 2017 35 KB288
Over 25k Report September 2017 45 KB274
Over 25k Report August 2017 43 KB195
Over 25k Report July 2017 39 KB264
Over 25k Report June 2017 58 KB302
Over 25k Report May 2017 47 KB299
Over 25k Report April 2017 41 KB287
Over 25k Report March 2017 49 KB290
Over 25k Report February 2017 41 KB307
Over 25k Report January 2017 36 KB297
Over 25k Report December 2016 42 KB273
Over 25k Report November 2016 40 KB255
Over 25k Report October 2016 38 KB274
Over 25k Report September 2016 43 KB295
Over 25k Report August 2016 39 KB198
Over 25k Report July 2016 38 KB286
Over 25k Report June 2016 43 KB302
Over 25k Report May 2016 43 KB269
Over 25k Report April 2016 42 KB288
Over 25k Report March 2016 14 KB314
Over 25k Report February 2016 8 KB291
Over 25k Report January 2016 7 KB277
Over 25k Report December 2015 9 KB266
Over 25k Report November 2015 6 KB288
Over 25k Report October 2015 6 KB247
Over 25k Report September 2015 7 KB244
Over 25k Report August 2015 8 KB264
Over 25k Report July 2015 8 KB265
Over 25k Report June 2015 8 KB254
Over 25k Report May 2015 6 KB251
Over 25k Report April 2015 6 KB230
Over 25k Report March 2015 15 KB264
Over 25k Report February 2015 7 KB251
Over 25k Report January 2015 6 KB251
Over 25k Report December 2014 6 KB249
Over 25k Report November 2014 5 KB245
Over 25k Report October 2014 6 KB182
Over 25k Report September 2014 7 KB262
Over 25k Report August 2014 5 KB179
Over 25k Report July 2014 5 KB275
Over 25k Report June 2014 6 KB262
Over 25k Report May 2014 6 KB263
Over 25k Report April 2014 7 KB252
Over 25k Report March 2014 16 KB250
Over 25k Report February 2014 6 KB274
Over 25k Report January 2014 7 KB237
Over 25k Report December 2013 5 KB243
Over 25k Report November 2013 6 KB251
Over 25k Report October 2013 6 KB247
Over 25k Report September 2013 5 KB267
Over 25k Report August 2013 5 KB178
Over 25k Report July 2013 7 KB246
Over 25k Report June 2013 5 KB270
Over 25k Report May 2013 8 KB279
Over 25k Report April 2013 4 KB269

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