The NHS Trust that runs hospitals in west Hertfordshire made savings of £24.2 million in 2024/25 – but still ended the year with an overspend of £5.54 million.
West Hertfordshire Teaching Hospitals NHS Trust – which operates Watford General, St Albans City, and Hemel Hempstead hospitals – has an annual expenditure budget of around £580 million.
However, a report presented to the Trust board on Thursday (May 1) revealed that the Trust overspent by £5.54 million over the 12-month period – £4 million more than initially forecast.
Financial pressures outlined in the report include a £9.1 million overspend on staffing costs, made up of £4.7 million in medical staffing and £1.5 million in nursing.
In addition, there was a £13.5 million ‘non-pay’ overspend, attributed mainly to clinical supplies and drugs (£6.4 million), “reflecting higher than planned activity levels,” and to a shortfall in savings (£5.4 million).
According to the report, the Trust delivered £24.2 million in savings during 2024/25 – £2.4 million less than the £26.6 million target.
The report also notes an additional £22.9 million in income from the NHS, which was higher than expected.
As of the end of March, the Trust’s cash balance was reported to be £14.8 million.
Commenting on the financial position following the meeting of the Trust board, a spokesperson for West Hertfordshire Teaching Hospitals NHS Trust said: “The Trust delivered a deficit of £5.5m for the financial year 24-25 which was in line with agreed forecast.
“This represented an improved financial position from 23-24 where the Trust had a reported deficit of £13.8m.
“The improvement was supported by the delivery of £24.2m worth of savings and the Trust remains committed to improving its underlying deficit position over the short to medium term.”





