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NHS trusts and primary care trusts (PCTs) in the West Midlands have combined debts of more than �80m, a BBC News website investigation has found.

All 58 trusts in the region - in Birmingham, The Black Country, Warwickshire, Hereford and Worcester, Shropshire and Staffordshire - were contacted in January and asked what their current financial status was.

The results are below, with explanations for how some trusts came to be in that position, or measures taken to tackle any problems. Minus figures show a deficit, figures without a minus sign indicate a trust which has a surplus or is breaking even.

Several trusts who revealed debts said they expected to break even by the end of the financial year in March.

WEST MIDLANDS HEALTH TRUST FINANCES
HEALTH TRUST	SURPLUS/ DEBT (�)	IMPACT/ EXPLANATION
Birmingham and Solihull Mental Health NHS Trust	0
Birmingham Children's Hospital NHS Trust	0
Birmingham Women's Health Care NHS Trust	0
Burntwood, Lichfield and Tamworth PCT	-4,000,000
Burton Hospitals NHS Trust	-1,200,000
Cannock Chase PCT	0
Coventry PCT	0
Dudley Beacon and Castle PCT	294,000
Dudley Group of Hospitals NHS Trust	0
Dudley South PCT	0
East Staffordshire PCT	0
Eastern Birmingham PCT	0
George Eliot Hospital NHS Trust	-5,300,000
Good Hope Hospital NHS Trust	-6,500,000	Has imposed strict controls on staffing costs, including a commitment to reduce the workforce by 80, and will close a ward by the end of the financial year
Heart of Birmingham PCT	3,900,000
Heartlands NHS Foundation Trust	3,500,000
Hereford Hospitals NHS Trust	0
Herefordshire and Worcestershire Ambulance NHS Trust	0
Herefordshire PCT	0
Mid Staffordshire General Hospitals NHS Trust	0
Newcastle under Lyme PCT	-715,000
North Birmingham PCT	-950,000
North Staffordshire Combined Healthcare NHS Trust	0
North Stoke PCT	-5,600,000
North Warwickshire PCT	0
Oldbury and Smethwick PCT	-1,300,000
Redditch and Bromsgrove PCT	0
Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust	0
Rowley Regis and Tipton PCT	-2,300,000
Royal Wolverhampton Hospitals NHS Trust	-10,100,000
Rugby PCT	0
Sandwell and West Birmingham Hospitals NHS Trust	-6,000,000	Has introduced 37 money-saving projects, including losing nearly 200 staff through voluntary redundancy or retirement. Rising fuel costs contributed �900,000 of the deficit
Sandwell Mental Health NHS and Social Care Trust	0
Shrewsbury and Telford Hospital NHS Trust	-10,000,000	Has carried over more debts from last year. Is looking to cut 80 jobs this financial year and 211 more next year
Shropshire County PCT	-3,100,000	Expects debt to be down to �1.9m by end of financial year, helped by a recruitment freeze and a review of contracts where the trust is overspending
Solihull PCT	0
South Birmingham PCT	0
South Staffordshire Healthcare NHS Trust	0
South Stoke PCT	-889,000
South Warwickshire General Hospitals NHS Trust	-1,800,000
South Warwickshire PCT	0
South Western Staffordshire PCT	-2,000,000	The PCT has produced a modernisation/ recovery plan which centres around shifting activity from a hospital setting into a primary care setting
South Worcestershire PCT	0
Staffordshire Ambulance Service NHS Trust	0
Staffordshire Moorlands PCT	-4,900,000
Telford and Wrekin PCT	800,000
The Royal Orthopaedic Hospital NHS Trust	0
University Hospital of North Staffordshire NHS Trust	-18,100,000	Deficit is double predicted level, which led to resignation of trust chairman and four non-executive directors, who blamed national policy, private finance initiatives and new pay schemes for staff. Finances expected to be affected for next three years
University Hospitals Coventry and Warwickshire NHS Trust	0
Walsall Hospitals NHS Trust	0
Walsall Teaching PCT	700,000
Warwickshire Ambulance NHS Trust	0
Wednesbury and West Bromwich PCT	968,000
West Midlands Service NHS Ambulance Trust	-3,000,000	First deficit in 12 years of NHS trust status
Wolverhampton City PCT	0
Worcestershire Acute Hospitals NHS Trust	-3,800,000
Worcestershire Mental Health Partnership NHS Trust	0
Wyre Forest PCT	-2,100,000
TOTAL	-83,492,000

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