Lansley forced to assist struggling NHS trusts

National Audit Office issues warning at least 20 trusts are not "economically viable or clinically"

Health Secretary Andrew Lansley is to provide grants to keep essential services going in the health service, such as the National Audit Office (NAO) warned that at least 20 NHS trusts do are not "economically or clinically viable in its current form. "

The watchdog of public spending, said the government challenged the NHS to find savings of £ 20000000000 in March 2015, while hospitals work towards Foundation Trust status. Ensure that the NHS is entirely composed of foundations charitable foundations, private companies and suppliers is key Lansley plans, under which hospitals will compete with each other for patients.

The NAO said the NHS trying to get the status of the foundation were approximately £ 1.5 billion in efficiency gains this year. Last year, when the NHS was still seeing increased spending, the government had to rescue the 16 trusts to help them break even with £ 90m of taxpayers' cash.

The situation is much worse this year, of 113 NHS trusts, the NAO warns that "up to 36 may need £ 376m loan facility" to ensure that you have enough money to operate in the health of the new function Lansley.

He says more than a fifth of NHS hospitals had a cumulative debt level is an "obstacle to the achievement of foundation status."

• Lansley has made much of his claim that the hospitals had a "toxic debt" Labour inherited from the past in the form of costly private finance initiative (PFI) schemes. However, the report shows that six trusts "are not viable in one of the scenarios tested."
• Seventeen of the 20 most challenged trusts have already announced they hope to avoid the need for rescue health service by merging with or being acquired by another NHS Trust or NHS Foundation Trust.

in Cambridgeshire, Hinchingbrooke trust is being delivered to a private company, Circle of Health. Three other trusts are not yet providing solutions to their difficulties.

Lansley should establish a support program for the control of the NHS hospital later this year. Sources familiar with the health secretary said that while "national support will further the work of NHS organizations to help them overcome their problems."

London rates particularly poorly. Over 60% of trusts in the capital have not yet attained the status NHS Foundation Trust - the biggest challenge for a single region

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