ICB Watch · NW NHS workforce evidence
2026/27 — the year ahead
The national payroll change above, broken down by staff group (April 2025 to April 2026):
Failure to maintain suitability of premises and environments which may lead to increased health & safety incidents, breach of regulation and suboptimal patient and staff experience.
Principal Risk 6.1 - Failure to deliver annual revenue (including cash) and capital financial plans: Increased from 16 (Impact 4 x Likelihood 4) to 20 (Impact 4 x Likelihood 5), reflecting acknowledgement that the Trust will not achieve its annual revenue plan as set out at the beginning of the financial year. Further to this, and as previously reported to the Board, a control total of a £7.5m deficit has been agreed with Greater Manchester ICB and the NHS England Regional Team. A residual risk of £1.8m remains against delivery of the control total, which continues to be managed through rigorous expenditure control and ongoing balance sheet review.