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Some 38% of NHS trust finance directors are currently concerned about achieving their savings plans this year.
Only 2% of trust finance directors and 12% of CCG finance leads said that patient care had improved over the past 12 months.
Trust finance directors also expressed concern about performance against the four-hour A&E waiting times target, which is currently the worst on record.
And 67% of CCG finance officers and 48% of trust finance directors reported a "high degree of risk" associated with achieving their organisation's financial plan for this year.
The King's Fund's latest quarterly monitoring report shows nearly 90% of acute trust finance directors surveyed say social care cuts are affecting the performance of local health services.
Some 65% of NHS trust finance directors thought patient care had got worse over the last year, as did 54% of CCG finance leads.
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One possibility would be to pay social benefits from a trust financed by oil revenues.
With the purchase, AmerGen would also inherit a $455 million trust, financed by rate payers, to pay for the eventual closing.
This has punched a black hole in primary care trust finances at a time when financial pressures through ministerial incompetence have hit an all-time high".
Court papers show that in 2005 each current beneficiary was to receive an $8.3 million payout from the trust, financed with a portion of the dividends from Hearst Corporation stock.
The chair of the Audit Commission, which regulates councils and health trust finances, gets the same as Platt, though his organisation's budget is more than twice hers.
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