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<p>As happens prior to the start of every financial year, the National Health Service
was asked by the Department to develop a plan for balancing NHS budgets in 2017/18.
As part of their plan, NHS England and NHS Improvement have designed and implemented
the capped expenditure process (CEP), and they therefore have lead responsibility
for it.</p><p> </p><p>CEP is an extension of the annual planning process. Financial
performance information for each clinical commissioning group (CCG) (and in total
for CCGs) can be found in the quarterly published Financial Performance Reports, accessible
via the link:</p><p><a href="https://www.england.nhs.uk/publication/financial-performance-reports/"
target="_blank">https://www.england.nhs.uk/publication/financial-performance-reports/</a></p><p>As
with all public services, local NHS areas need to live within the budget agreed –
otherwise they effectively take up resources that could be spent on general practitioners,
mental health care, and cancer treatment. As part of their financial planning, NHS
England and NHS Improvement have been running a process to look at how a small number
of areas could do more to balance their financial plans, as many already have.</p><p>
</p><p>NHS England have published, at a national level, documents which describe the
overall approach. Individual clinical commissioning groups directly affected will
reflect the impact of the capped expenditure process as part of their publication
of plans, and will comply with any further requirements for consultation.</p>
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