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NHS trusts and primary care trusts (PCTs) in the East Midlands have combined debts of nearly �50m, a BBC News website investigation has found.

All 38 trusts in the region - in Nottinghamshire, Derbyshire, Leicestershire and Lincolnshire - 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.

EAST MIDLANDS HEALTH TRUST FINANCES
HEALTH TRUST	SURPLUS/ DEBT (�)	IMPACT/ EXPLANATION
Amber Valley PCT	0
Ashfield PCT	190,000
Bassetlaw PCT	-26,000
Broxtowe and Hucknall PCT	20,000
Central Derby PCT	19,000
Charnwood and North West Leicestershire PCT	-2,800,000
Chesterfield and North Derbyshire Royal Hospital NHS Foundation Trust	2,744,000
Chesterfield PCT	-234,000	No closures, service changes or job losses
Derby Hospital NHS Foundation Trust	-2,400,000
Derbyshire Dales and South Derbyshire PCT	-188,000	Expects to break even by end of financial year
Derbyshire Mental Health Services NHS Trust	-840,000	Reducing agency staff use, not affecting patient care and expects to break even by end of financial year
East Lincolnshire PCT	-6,700,000	Closed 15-bed ward at Skegness Hospital for four months, cut teenage advice sessions and closed two family planning clinics
East Midlands Ambulance Service NHS Trust	-68,000
Eastern Leicester PCT	-500,000	Has made savings of �5m
Erewash PCT	-163,000	Recruitment freeze and non-mandatory training stopped
Gedling PCT	-300,000
Greater Derby PCT	1,000
High Peak and Dales PCT	-2,900,000	Opening hours cut at Buxton Hospital minor injuries unit. Wards temporarily closed at two hospitals
Hinckley and Bosworth PCT	-3,600,000
Leicester City West PCT	-3,000,000	Charging GPs for some things that used to be free, eg immunisations and vaccinations, and not replacing any staff who leave
Leicestershire Partnership NHS Trust	-668,000	Mental health ward with 30 beds at Leicester General Hospital closing for six months to save money
Lincolnshire Ambulance and Health Transport Service NHS Trust	-22,000	Expects to break even by end of financial year
Lincolnshire Partnership NHS Trust	0
Lincolnshire South West Teaching PCT	0
Mansfield PCT	975,000
Melton, Rutland and Harborough PCT	-2,100,000	Has not taken any measures which affect waiting time targets
Newark and Sherwood PCT	312,000
North Eastern Derbyshire PCT	-1,400,000	No closures, service changes or job losses and expects to break even at end of financial year
Nottingham City Hospital NHS Trust	-6,300,000	Some wards closed and some shut at weekends. Only filling essential vacancies
Nottingham City PCT	-1,900,000	Community matrons taking on case management responsibilities. Expects to break even by end of financial year
Nottinghamshire Healthcare NHS Trust	1,048,000
Queen's Medical Centre - Nottingham University Hospital NHS Trust	-4,000,000	Aims to break even by end of financial year. No redundancies or ward closures, but assessing grade of vacant nursing posts. Bought equipment to reduce length of hospital stay
Rushcliffe PCT	54,000
Sherwood Forest Hospitals NHS Trust	-1,800,000	Expects debt to drop to �272,000 by end of financial year. Will use �200,000 in 2005/2006 previously being saved for use in 2006/2007
South Leicestershire PCT	-2,750,000	Only recruiting if post is clinically imperative and switching to cheaper but equally effective medicines
United Lincolnshire Hospitals NHS Trust	-7,896,000
University Hospitals of Leicester NHS Trust	-782,000	Expects to break even by end of financial year
West Lincolnshire PCT	0
TOTAL	-47,974,000

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