The overall NHS England budget is forecast to be overspent for the first time in 2016-17, and 45 clinical commissioning groups are performing worse than planned.
In its finance report for the three months to July, the national body forecasts an overspend of £83m against the core financial performance measure. This incorporates the performance of CCGs.
In 2015-16, NHS England recorded an underspend of £599m, much of which was achieved through one-off measures. It helped the Department of Health avoid a formal parliamentary process to ask for more money.
NHS England has reported an underspend to the DH in each of the three years since it was formed.
Full story in the HSJ 27 July 2016