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 July 2020 65 KB18
Over 25k Report June 2020 5 KB23
Over 25k Report May 2020 4 KB30
Over 25k Report April 2020 6 KB29
Over 25k Report March 2020 5 KB29
Over 25k Report February 2020 41 KB55
Over 25k Report January 2020 43 KB49
Over 25k Report December 2019 47 KB65
Over 25k Report November 2019 38 KB64
Over 25k Report October 2019 47 KB64
Over 25k Report September 2019 46 KB70
Over 25k Report August 2019 8.4 MB64
Over 25k Report July 2019 43 KB72
Over 25k Report June 2019 38 KB68
Over 25k Report May 2019 27 KB70
Over 25k Report April 2019 30 KB73
Over 25k Report March 2019 44 KB67
Over 25k Report February 2019 39 KB74
Over 25k Report January 2019 41 KB66
Over 25k Report December 2018 39 KB59
Over 25k Report November 2018 42 KB62
Over 25k Report October 2018 39 KB59
Over 25k Report September 2018 39 KB69
Over 25k Report August 2018 40 KB72
Over 25k Report July 2018 38 KB63
Over 25k Report June 2018 40 KB74
Over 25k Report May 2018 37 KB63
Over 25k Report April 2018 37 KB65
Over 25k Report January 2018 0.2 MB138
Over 25k Report December 2017 0.2 MB143
Over 25k Report November 2017 0.5 MB143
Over 25k Report October 2017 0.3 MB166
Over 25k Report September 2017 0.2 MB148
Over 25k Report August 2017 0.2 MB145
Over 25k Report July 2017 0.2 MB143
Over 25k Report June 2017 0.2 MB149
Over 25k Report May 2017 0.2 MB143
Over 25k Report April 2017 0.2 MB159
Over 25k Report March 2017 0.3 MB140
Over 25k Report February 2017 0.2 MB153
Over 25k Report January 2017 0.2 MB148
Over 25k Report December 2016 0.2 MB150
Over 25k Report November 2016 0.2 MB148
Over 25k Report October 2016 0.2 MB139
Over 25k Report September 2016 0.2 MB139
Over 25k Report August 2016 0.3 MB139
Over 25k Report July 2016 0.2 MB144
Over 25k Report June 2016 90 KB144
Over 25k Report May 2016 98 KB147
Over 25k Report April 2016 0.1 MB159
Over 25k Report December 2015 78 KB147
Over 25k Report November 2015 0.2 MB133
Over 25k Report October 2015 0.2 MB143
Over 25k Report September 2015 0.2 MB133
Over 25k Report August 2015 0.2 MB151
Over 25k Report July 2015 0.2 MB141
Over 25k Report June 2015 0.2 MB141
Over 25k Report May 2015 0.2 MB142
Over 25k Report April 2015 0.1 MB134
Over 25k Report March 2015 0.1 MB129
Over 25k Report February 2015 0.1 MB133
Over 25k Report January 2015 0.1 MB142
Over 25k Report December 2014 0.1 MB125
Over 25k Report November 2014 0.1 MB147
Over 25K Report October 2014 0.1 MB143
Over 25k Report September 2014 0.1 MB138
Over 25k Report August 2014 0.1 MB149
Over 25k Report July 2014 0.1 MB143
Over 25k Report June 2014 0.1 MB139
Over 25k Report May 2014 0.1 MB138
Over 25k Report April 2014 0.1 MB139

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 July 2020 78 KB13
Over 25k Report June 2020 3 KB16
Over 25k Report May 2020 3 KB27
Over 25k Report April 2020 4 KB30
Over 25k Report March 2020 3 KB28
Over 25k Report February 2020 44 KB48
Over 25k Report January 2020 50 KB45
Over 25k Report December 2019 51 KB55
Over 25k Report November 2019 44 KB54
Over 25k Report October 2019 54 KB65
Over 25k Report September 2019 43 KB70
Over 25k Report August 2019 43 KB70
Over 25k Report July 2019 40 KB73
Over 25k Report June 2019 41 KB69
Over 25k Report May 2019 39 KB61
Over 25k Report April 2019 37 KB60
Over 25k Report March 2019 42 KB57
Over 25k Report February 2019 36 KB74
Over 25k Report January 2019 39 KB61
Over 25k Report December 2018 41 KB69
Over 25k Report November 2018 37 KB75
Over 25k Report October 2018 37 KB71
Over 25k Report September 2018 44 KB67
Over 25k Report August 2018 39 KB65
Over 25k Report July 2018 38 KB75
Over 25k Report June 2018 40 KB72
Over 25k Report May 2018 46 KB170
Over 25k Report April 2018 37 KB172
Over 25k Report March 2018 46 KB159
Over 25k Report February 2018 39 KB203
Over 25k Report January 2018 37 KB168
Over 25k Report December 2017 40 KB159
Over 25k Report November 2017 40 KB157
Over 25k Report October 2017 35 KB160
Over 25k Report September 2017 45 KB158
Over 25k Report August 2017 43 KB78
Over 25k Report July 2017 39 KB132
Over 25k Report June 2017 58 KB176
Over 25k Report May 2017 47 KB159
Over 25k Report April 2017 41 KB163
Over 25k Report March 2017 49 KB172
Over 25k Report February 2017 41 KB181
Over 25k Report January 2017 36 KB177
Over 25k Report December 2016 42 KB154
Over 25k Report November 2016 40 KB137
Over 25k Report October 2016 38 KB153
Over 25k Report September 2016 43 KB168
Over 25k Report August 2016 39 KB77
Over 25k Report July 2016 38 KB155
Over 25k Report June 2016 43 KB174
Over 25k Report May 2016 43 KB145
Over 25k Report April 2016 42 KB160
Over 25k Report March 2016 14 KB179
Over 25k Report February 2016 8 KB165
Over 25k Report January 2016 7 KB161
Over 25k Report December 2015 9 KB155
Over 25k Report November 2015 6 KB161
Over 25k Report October 2015 6 KB126
Over 25k Report September 2015 7 KB124
Over 25k Report August 2015 8 KB141
Over 25k Report July 2015 8 KB137
Over 25k Report June 2015 8 KB104
Over 25k Report May 2015 6 KB128
Over 25k Report April 2015 6 KB113
Over 25k Report March 2015 15 KB139
Over 25k Report February 2015 7 KB136
Over 25k Report January 2015 6 KB134
Over 25k Report December 2014 6 KB133
Over 25k Report November 2014 5 KB125
Over 25k Report October 2014 6 KB65
Over 25k Report September 2014 7 KB138
Over 25k Report August 2014 5 KB70
Over 25k Report July 2014 5 KB139
Over 25k Report June 2014 6 KB133
Over 25k Report May 2014 6 KB138
Over 25k Report April 2014 7 KB123
Over 25k Report March 2014 16 KB130
Over 25k Report February 2014 6 KB140
Over 25k Report January 2014 7 KB119
Over 25k Report December 2013 5 KB130
Over 25k Report November 2013 6 KB126
Over 25k Report October 2013 6 KB124
Over 25k Report September 2013 5 KB144
Over 25k Report August 2013 5 KB70
Over 25k Report July 2013 7 KB119
Over 25k Report June 2013 5 KB140
Over 25k Report May 2013 8 KB150
Over 25k Report April 2013 4 KB135

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