HC Deb 09 February 2004 vol 417 c1403W
Mr. Hoban

To ask the Secretary of State for Health who is responsible for meeting the costs where the activity of an acute hospitals trust exceeds the amount commissioned by primary care trusts without the agreement of those primary care trusts. [152310]

Mr. Hutton

Discussions about commissioning arrangements are undertaken locally between national health service trusts and primary care trusts and if required the relevant strategic health authority. However, NHS trusts are responsible for balancing their income and expenditure in year.

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