our ref: foi id 5507 . 24. th. august 2015 . [email protected]. re: freedom of...

Our ref: FOI ID 5507

24th August 2015

[email protected]

Re: Freedom of Information Request

Please find below the response to your recent Freedom of Information request regarding Finance and Activity Plan for 2015-16 within NHS Southport and Formby CCG.

Request/Response:

All CCGs have been required to submit data to NHS England via this template: http://www.england.nhs.uk/wp-content/uploads/2014/12/2-ccg-act-finc-temp.xlsm

I am asking for the most recent version of this report.

Please send it in Excel format, rather than converting it into a pdf.

Please see Appendix 1.

NHS Southport & Formby CCG

Merton House Stanley Road

Bootle Merseyside

L20 DL

Direct dial: 0151 247 7000

mailto:[email protected]

http://www.england.nhs.uk/wp-content/uploads/2014/12/2-ccg-act-finc-temp.xlsm


http://www.ico.gov.uk/

2015/16 - Activity and Finance Plan

CCG

NHS Southport and Formby CCG 01V

Sub RegionCheshire and Merseyside Q75

RegionNorth Y54

Submission Date13-Jan-15

Completed By:James Bradley

Email:[email protected]

Contact Number:0151 2477070

Quality Checks Cleared?NO Quality Checks

Signed by CFO:

Version 3.2

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NHS Southport and Formby CCG 01VUsed Range subcode

Financial Plan Summary $A$1:$T$137 1.00 Revenue Resource Limit $A$1:$S$94 1.00 FinancialPlanDetail 1516 $A$1:$AP$104 4.00 Risk $A$1:$H$78 2.00 Investment $A$1:$Q$115 1.00 QIPP 1516 $A$1:$AJ$245 3.00 LD $A$1:$T$65 2.00 Mental Health $A$1:$Y$48 2.00 BCF $A$1:$V$164 1.00 SoFP $A$1:$AB$80 1.00 Cash $A$1:$Y$70 1.00 Capital $A$1:$U$53 2.00 Contract 1415 $A$1:$BG$77 3.00 Contract 1516 $A$1:$BG$112 6.00 Contract Analysis $A$1:$AC$74 5.00 50% Marginal Rate $A$1:$W$63 1.00 Quality Checks $A$1:$Z$62 1.00 Waterfall $A$1:$Q$40 1.00

- - -

38.00000

NHS Southport and Formby CCG 01V Contents

Financial Position

Revenue Resource Limit£ 000 2014/15 bla 2015/16 subOverview of financial position including FCOT, reserves, underlying position risk and mitigationRecurrent 168,526 174,313 SUNon-Recurrent 4,738 2,304 SUTotal 173,264 176,617 SU

SUIncome and Expenditure SUAcute 94,431 88,046 SUMental Health 14,677 14,830 SUCommunity 15,137 15,915 SUContinuing Care 13,036 14,187 SUPrimary Care 25,851 27,457 SUOther Programme 5,692 10,892 SUTotal Programme Costs 168,824 171,327 SU

SURunning Costs 2,690 2,606 SU

SUContingency - 884 SU

SUTotal Costs 171,514 174,817 SU

SUSU

£ 000 2014/15 2015/16 SUSurplus/(Deficit) In-Year Movement 181 50 SUSurplus/(Deficit) Cumulative 1,750 1,800 SUSurplus/(Deficit) % 1.0% 1.0% SUSurplus (RAG) GREEN GREEN SU

SUNet Risk/Headroom (1,619) SURisk Adjusted Surplus/(Deficit) Cumulative 182 SURisk Adjusted Surplus/(Deficit) % 0.1% SURisk Adjusted Surplus/(Deficit) (RAG) AMBER SU

SUUnderlying position - Surplus/ (Deficit) Cumulative 586 3,493 SUUnderlying position - Surplus/ (Deficit) % 0.3% 2.0% SU

SUContingency - 884 SUContingency % 0.0% 0.5% SUContingency (RAG) GREEN SU

SUNotified Running Cost Allocation + Quality Premium 3,196 2,606 SURunning Cost 2,690 2,606 SUUnder / (Overspend) 506 - SURunning Costs (RAG) GREEN GREEN SUPopulation Size (000) 123 123 SUSpend per head (£) 21.96 21.24 SU

SUM_B0011Key Planning Assumptions SUM_H9000

2015/16 SU Key planning assumptions and alignment of plans with providers/key stakeholdersNotified Allocation Change (£'000) 2,903 SUNotified Allocation Change (%) 1.7% SUTariff Change - Acute (%) -0.6% SUTariff Change - Non Acute (%) -0.2% SUDemographic Growth (%) 0.1% SUNon Demographic Growth - Acute (%) 1.3% SUNon Demographic Growth - Cont.Care(%) 7.3% SUNon Demographic Growth - Prescribing (%) 4.0% SUNon Demographic Growth - Other Non Acute (%) 2.9% SU

SUM_B0012Net QIPP Savings SUM_H1101£ 000 2014/15 2015/16 SU Overview on QIPP schemes and risk to deliveryRecurrent (inclusive of full year effect) (1,610) 5,653 SUNon-Recurrent - 1,000 SUTotal (1,610) 6,653 SU% of Notified Resource -0.9% 3.8% SU% Unidentified 0.0% 0.0% SU

SUM_B0013Non Recurrent Requirement SUM_H2100£ 000 2014/15 2015/16 SU Description of plans in place for non-recurrent expenditureValue 4,140 1,688 SUAgreed plans in place 4,140 1,688 SUDifference 0 0 SU

END

The CCG is planning to achieve its planned 1% surplus in both 2014/15 and 2015/16.

The CCG has made a number of assumptions in terms of growth in activity and costs, and these are described in the section below. These reflect a number of the risks facing the CCG, and the significant pressures experienced in 2014/15.

In order to achieve the planned 1% surplus, the CCG is required to deliver an ambitious QIPP target, which focuses on reductions in acute activity. The CCG currently has an unidentified QIPP target of £5.139m. Further decommissioning and investment plans associated with the QIPP achievement continue to be developed. A 1% non-recurrent Transofrmation Fund has been established in order to invest in cost-saving initiatives.

The BCF expenditure commitments are identified in the plan.

Contingency of 0.5% has been set aside in line with the business rules.

The CCG has identifed a number of risks, and these are explained in the risks tab.

The impact of the Enhanced Tariff Option (ETO) has been reflected in the plan.

A revised BCF activity plan has been detailed in the Contracts tab for 2015/16. This reflects a 3.3% reduction in activity. Costs associated with NEL activity remain the same due to increased acuity of patients, and the fact that BCF monies will flow once the activity has reduced.

The CCG is required to meet an ambitious QIPP target in order to achieve its financial targets. This is focussed on reducing acute activity through a range of initiatives.

There is also a continued focus on reducing prescribing spend.

A range of non-recurrent investment schemes are in place, including continued contributions to the CHC Restitution Risk Pool.

The programme allocation increase is in line with those published recently, namely 1.94%.The ETO tariff has been reflected in the plan.Demographic growth is based on population projections.Continuing care costs have risen significantly in 2014/15, and are expected to increase further. National guidance gives a range of 2-5%, with the CCG adopting the highest increase within that suggested bracket.The acute growth demonstrates a range of factors including activity growth and actions taken by providers to increase income (eg. counting and coding changes, review of block contracts).


Revenue Resource Limit

£'000 signOpening 2014/15

Allocation 2015/16Programme Baseline Allocation - Published Dec 14 +ve 165,624 168,838 Post Mth07 Recurrent Transfers in 14/15 +ve/(-ve) (15) (15)Running Cost Allocation - Published Dec 14 +ve 2,917 2,606 Total Notified Allocation 168,526 171,429

Additional Better Care Fund Allocation 2,884

Non Recurrent AllocationsOther Non Recurrent allocations +ve/(-ve) 3,169 554 Return of Surplus/(Deficit) +ve/(-ve) 1,569 1,750 Non Recurrent Requirement (-ve) (4,140) (1,688)Non Recurrent Return +ve 4,140 1,688 50% Non Elective Collection +ve - - 50% Non Elective Return (-ve) - -

- Total Non Recurrent Allocation 4,738 2,304

Total Allocation 173,264 176,617

Closing target allocation per head +ve 1,280 1,317 Allocation per head +ve 1,351 1,376 Distance from Target 71 59 Distance from Target % (Dec14 Board Paper) 5.6% 4.5%

Other non-recurrent allocatonOpening 2014/15

Allocation 2015/16Quality Premium 279 Winter Funding 2,229 - RTT Funding 246 CEOV (80)GPIT 421 Capital Grants - Others 74 ETO/DTR Funding 554

Total 3,169 554

NHS Southport and Formby CCG 01V Contents Quality Checks

Resource2014/15 Forecast Outturn

Non-recurrent allocations (-) BLANK1 BLANK2 BLANK3 BLANK4

Forecast Exit Run Rate (underlying position (+) BLANK5 BLANK6 BLANK7

Increase in recurrent allocation BLANK8 BLANK9 BLANK10 BLANK11

Additional Better Care Fund Allocation BLANK12

Sub total - 2015/16 recurrent Resource Limit BLANK13 BLANK14 BLANK15 BLANK16 BLANK17

Sub total - 2015/16 Non Recurrent Resource

Total - 2015/16 Resource

Revenue Resource Limit (£000) 173,264 (4,738) 168,526 2,903 2,884 174,313 2,304 176,617

TOTAL

Income and Expenditure

2014/15 Forecast Outturn

Non-recurrent adjustment to allocation (-)

Non-recurrent spend (-/+)

14/15 Non-Recurrent QIPP (-

/+)

Full Year Effect of QIPP (-/+)

Other Full Year Effects (-/+) Forecast Exit Run

Rate (underlying Position) (+)

Gross Provider Efficiency (-)

Provider Inflation (+)

Net Tariff Deflation / Inflation (+/-)

Activity Growth (Demog) (+)

Activity Growth (Non-Demog) (+)

Other Recurrent Cost Pressures (+)

QIPP Gross Saving (-) REC

QIPP Investment (+) REC

Additional Better Care Fund Allocation (+)

Investment (Recurrent) (+)

Sub total - 2015/16 Recurrent

Application of NR Allocation / Passthrough (+)

Other NR Cost Pressures (+)

Investment (NR) (+)

QIPP Gross Saving (-) NRec

QIPP Investment (+) NRec

Sub -total Non-Recurrent

Total - 2015/16 Plan

Acute servicesAcute contracts -NHS (includes Ambulance services) 86,750 (902) - - 56 85,904 (3,261) 2,717 (544) 126 1,132 (4,139) - 1,090 83,569 - (700) - (700) 82,869Acute contracts - Other providers (non-nhs, incl. VS) 4,058 - - 4,058 (154) 129 (25) 6 59 - - - 4,098 - - - - 4,098Acute - Other - - - - - - - - - - - - -Acute - Exclusions / cost per case - - - - - - - - - - - - -Acute - NCAs 1,119 (30) - - 1,089 (49) 35 (14) 1 3 - - - 1,079 - - - - 1,079Acute - Pass-through payments 2,504 (2,474) (30) - - - - - - - - - - - -

Sub-total Acute services 94,431 (2,474) (962) - - 56 91,051 (3,464) 2,881 (583) 133 1,194 - (4,139) - - 1,090 88,746 - - - (700) - (700) 88,046

Mental Health services MH contracts - NHS 13,523 17 - - 13,540 (515) 431 (84) 20 203 (8) - - 13,671 - - - - 13,671MH contracts - Other providers (non-nhs, incl. VS) 1,020 71 - - 1,091 - 1 - - - 1,092 - - - - 1,092MH - Other - - - - - - - - - - - - -MH - Exclusions / cost per case - - - - - - - - - - - - -MH - NCAs 60 - - 60 5 5 1 1 - - - 67 - - - - 67MH - Pass-through payments 74 (74) - - - - - - - - - - - -

Sub-total Mental Health Services 14,677 (74) 88 - - - 14,691 (515) 436 (79) 22 204 - (8) - - - 14,830 - - - - - - 14,830

Community Health ServicesCH Contracts - NHS 14,163 (163) - - 14,000 (532) 443 (89) 21 151 - - 232 14,315 240 - - 240 14,555CH Contracts - Other providers (non-nhs, incl. VS) 828 79 - - 907 - - - - 907 307 - - 307 1,214CH - Other - - - - - - - - - - - - -CH - Exclusions / cost per case - - - - - - - - - - - - -CH - NCAs 146 - - 146 - - - - 146 - - - - 146CH - Pass-through payments - - - - - - - - - - - - -

Sub-total Community Health services 15,137 - (84) - - - 15,053 (532) 443 (89) 21 151 - - - - 232 15,368 - - 547 - - 547 15,915

Continuing Care Services (All Care Groups) 6,887 1,595 - - 8,482 - 19 724 - - - 9,225 - - - - 9,225Local Authority / Joint Services 2,885 (1,430) - - 1,455 - 2 73 - - - 1,530 - - - - 1,530Free Nursing Care 3,264 - - 3,264 - 5 163 - - - 3,432 - - - - 3,432

- -Sub-total Continuing Care services 13,036 - 165 - - - 13,201 - - - 26 960 - - - - - 14,187 - - - - - - 14,187

Primary Care servicesPrescribing 22,587 42 - - 22,629 - 34 901 138 (210) - - 23,492 - - - - 23,492Community Base Services - - - - - - - - - - - - -Out of Hours 1,030 - - 1,030 - - - - 1,030 - - - - 1,030PC - Other 2,234 (425) - - 1,809 - 2 - - 981 2,792 143 - - 143 2,935

Sub-total Primary Care services 25,851 - (383) - - - 25,468 - - - 36 901 138 (210) - - 981 27,314 - - 143 - - 143 27,457

Other Programme servicesGP IT Costs 618 (421) - - 197 - - - 55 252 - - - - 252NHS Property Services re-charge (excluding running cost) 719 13 - - 732 - - - - 732 - - - - 732Voluntary Sector Grants / Services 1,273 (49) - - 1,224 - - - - 1,224 140 - - 140 1,364Social Care - - - - - - - - - - - - -Other CCG reserves - - - - - (285) - - - (285) - (285)Other Programme Services 3,082 324 - - 3,406 - 174 (985) - 2,884 367 5,846 3,283 (300) - 2,983 8,829

-Sub-total Other Programme services 5,692 (421) 288 - - - 5,559 - - - - - (111) (985) - 2,884 422 7,769 - - 3,423 (300) - 3,123 10,892

Total - Commissioning services 168,824 (2,969) (888) - - 56 165,023 (4,511) 3,760 (751) 238 3,410 27 (5,342) - 2,884 2,725 168,214 - - 4,113 (1,000) - 3,113 171,327

Running CostsCCG Pay costs 1,175 59 - - 1,234 - (175) - - 1,059 - - - - 1,059CSU Re-charge 803 37 - - 840 - (136) - - 704 - - - - 704NHS Property Services re-charge / CHP Charges 47 40 - - 87 - - - - 87 - - - - 87Running Costs - Other Non-pay 665 91 - - 756 - - - - 756 - - - - 756

Sub-Total Running costs 2,690 - 227 - - - 2,917 - - - - - - (311) - - - 2,606 - - - - - - 2,606

Contingency - - - - 884 884 884

Total Application of Funds 171,514 (2,969) (661) - - 56 167,940 (4,511) 3,760 (751) 238 3,410 27 (5,653) - 2,884 2,725 170,820 - 884 4,113 (1,000) - 3,997 174,817

Surplus/(Deficit) 1,750 (1,769) - - (56) 586 3,493 - (1,693) 1,800

NON-RECURRENT EXPENDITURE (£000)RECURRENT (£000)(£000)


Risks and Mitigations

2015/16

Risks

Full Risk Value 15£'000

Probability of risk being realised 15

%

Potential Risk Value 15

£'000

Proportion of Total 15 %

Commentary 15CCGs

Acute SLAs 2,390 25.0% 598 23.9%Southport & Ormskirk Trust - review of a number of baseline issues between commissioners has identified potential increased costs.

Community SLAs 810 50.0% 405 16.2% Local system resilience funding - under discussion with provider.Mental Health SLAs 780 10.0% 78 3.1% Mersey Care pursuing over-activity, but data quality concerns remain.

Continuing Care SLAs 950 50.0% 475 19.0%The CCG experienced significant increases in CHC in 2014/15. The CCG has planned for a 5% increase. This may be inadequate.

QIPP Under-Delivery - 0.0%Performance Issues - 0.0%Primary Care - 0.0%

Prescribing 310 50.0% 155 6.2%

Budgets have been increased by 4%. Costs in prescribing can be volatile and it is reasonable to reflect the risk of higher than planned expenditure. Risks reflect horizon scanning of anticipated changes.

Running Costs - 0.0%

BCF 1,320 25.0% 330 13.2%No guaranteed support from CCG for social seervices growth. Council expects c. £1.3m for demographic change.

Other Risks 462 100.0% 462 18.5% Extra day due to leap year - £462k.

TOTAL RISKS 7,022 36% 2,503 100.0%

Mitigations

Full Mitigation Value 15

£'000

Probability of success of

mitigating action 15%

Expected Mitigation Value

15£'000

Proportion of Total 15 %

Commentary15Uncommitted Funds (Excl 1% Headroom)Contingency Held 884 100.0% 884 100.0%Reserves - 0.0%Investments Uncommitted - 0.0%Uncommitted Funds Sub-Total 884 100% 884 100.0%Actions to ImplementFurther QIPP Extensions - 0.0%Non-Recurrent Measures - 0.0%Delay/ Reduce Investment Plans - 0.0%Mitigations relying on potential funding - - 0.0% Complete in section below - row 41Actions to Implement Sub-Total - - 0.0%

TOTAL MITIGATION 884 100.0% 884 100.0%

NET RISK / HEADROOM (6,138) 26.4% (1,619)

BEST CASE IMPACT 884 100.0% 884 No risks materialise and funds remain uncommitted.

WORST CASE IMPACT (6,138) 26.4% (1,619) All risks occur and further actions all unsuccessful, uncommitted funds mitigate only.

Mitigations relying on potential fundingFrom National -From Area Team -From CCGs -Potential Allocations - - 0.0%


Investments

2015/16

Description

Area of Spend (select from drop down)

Recurrent resource (underlying and in-yr

surplus)b

B/F surplusNon Recurrent Requirement

50% Threshold Re-admission Credit NR Total

bl

Total

Available to Invest 1,750 1,688 - 3,438 3,438

2015/16 Recurrent Investment

Description Area of Spend (select from drop down)

NHS COIN Infrastructure costs GP IT Costs 55 55

IVF - change in criteria Acute contracts -NHS (includes Ambulance services) 108 108

Transforming primary care PC - Other 981 981

EMIS Web roll out CH Contracts - NHS 31 31

Home oxygen service CH Contracts - NHS 27 27

System resilience Acute contracts -NHS (includes Ambulance services) 900 900

Alcohol Nurse Liaison Acute contracts -NHS (includes Ambulance services) 82 82

Community Childrens Nurse Outreach Team CH Contracts - NHS 174 174

Better Care Fund additional investment Other Programme Services 367 367

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Sub-total recurrent 2,725 - - - - 2,725

Non-Recurrent

Description Area of Spend (select from drop down)

CVS CH Contracts - Other providers (non-nhs, incl. VS) 307 307 307

Advancing Quality PC - Other 63 63 63

Non-Recurrent

Winter pressures - community CH Contracts - NHS 240 240 240

Winter pressures - primary care PC - Other 80 80 80

End of Life Facilitator Voluntary Sector Grants / Services 44 44 44

CHC Restitution - risk pool Other Programme Services 426 426 426

CHC Restitution admin Other Programme Services 150 150 150

Cheshire / Mersey Rehab Other Programme Services 262 378 640 640

IM&T (iLinks) Other Programme Services 267 267 267

Transform (End of Life) Team Voluntary Sector Grants / Services 96 96 96

Transformation fund Other Programme Services 1,800 1,800 1,800

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

Continuing Health Care Risk Pool - -

Sub-total Non-Recurrent - 2,425 1,688 - - 4,113 4,113

Total planned Investment 2,725 2,425 1,688 - - 4,113 6,838

Remaining Funds (2,725) (675) 0 - - (675) (3,400)


QIPP 2015/16

TOTAL QIPP

Local Scheme Name (over £0.5m) Area of Spend (select from drop down menu)

Is the QIPP Scheme included

within the BCF Plan?

14/15 Net Non-Recurrent QIPP (-/+)

14/15 Net Full Year Effect of

QIPP (-/+)

Gross Saving (-) RecT

CCG Investment Required (+)RecT

Net Total Scheme Saving (-)

Gross Saving (-)RecIY

CCG Investment Required (+)RecIY

Net 15/16 Saving (-)

Gross Saving (-)RecFY

CCG Investment Required (+)RecFY

Net Full Year Effect (-)

Gross Saving (-) Nrec

CCG Investment Required (+)Nrec

Net Non-recurrent QIPP

Saving (-)

Total 15/16 Net QIPP

blank1 April May June July August Sept. Oct. Nov. Dec. Jan. Feb. March Total

Transactional Productivity and Contractual Efficiency SavingsIM&T savings Other Programme Services No (985) (985) (985) (985) - - - - (985) (82) (82) (82) (82) (82) (82) (82) (82) (82) (82) (82) (82) (985)

Acute contracts -NHS (includes Ambulance services) No - - - - - (700) (700) (700) (58) (58) (58) (58) (58) (58) (58) (58) (58) (58) (58) (58) (700)- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -

Sub Total - - (985) - (985) (985) - (985) - - - (700) - (700) (1,685) (140) (140) (140) (140) (140) (140) (140) (140) (140) (140) (140) (140) (1,685)

Balance of Schemes under (£0.5m) CCG Pay costs No (175) (175) (175) (175) - - - - (175) (15) (15) (15) (15) (15) (15) (15) (15) (15) (15) (15) (15) (175)CSU Re-charge No (136) (136) (136) (136) - - - - (136) (11) (11) (11) (11) (11) (11) (11) (11) (11) (11) (11) (11) (136)MH contracts - NHS No (176) (176) (8) (8) (168) - (168) - (8) (1) (1) (1) (1) (1) (1) (1) (1) (1) (1) (1) (1) (8)Prescribing No (210) (210) (210) (210) - - - - (210) (18) (18) (18) (18) (18) (18) (18) (18) (18) (18) (18) (18) (210)Other Programme Services No - - - - - (300) (300) (300) (25) (25) (25) (25) (25) (25) (25) (25) (25) (25) (25) (25) (300)

- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -

Balance of Schemes under (£0.5m) Total - - (697) - (697) (529) - (529) (168) - (168) (300) - (300) (829) (69) (69) (69) (69) (69) (69) (69) (69) (69) (69) (69) (69) (829)

Transactional Productivity and Contractual Efficiency Savings - - (1,682) - (1,682) (1,514) - (1,514) (168) - (168) (1,000) - (1,000) (2,514) (210) (210) (210) (210) (210) (210) (210) (210) (210) (210) (210) (210) (2,514)

Transformational Service Re-design and Pathway Changes

- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -

Sub Total - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Balance of Schemes under (£0.5m) - - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -

Balance of Schemes under (£0.5m) Total - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Transformational Service Re-design and Pathway Changes - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Unidentified QIPP Acute contracts -NHS (includes Ambulance services) No (5,139) (5,139) (4,139) (4,139) (1,000) - (1,000) - (4,139) (690) (690) (690) (690) (690) (690) (4,139)- - - - - - - -- - - - - - - -- - - - - - - -- - - - - - - -

Total Unidentified QIPP - - (5,139) - (5,139) (4,139) - (4,139) (1,000) - (1,000) - - - (4,139) - - - - - - (690) (690) (690) (690) (690) (690) (4,139)

Total QIPP Schemes - - (6,821) - (6,821) (5,653) - (5,653) (1,168) - (1,168) (1,000) - (1,000) (6,653) (210) (210) (210) (210) (210) (210) (899) (899) (899) (899) (899) (899) (6,653)

External Investment Supporting QIPP

Local Scheme Name (over £0.5m) Organisation Making Investment

Is the QIPP Scheme included

within the BCF Plan?

BLANK2 BLANK3Investment

Required (Recurent) (+)

Investment Required (Non Recurent) (+)

Comments BLANK5 BLANK6 BLANK7

BLANK8 BLANK9 BLANK10 BLANK11 subcodeCCG QIP_H5002

QIP_D5003QIP_D5004QIP_D5005QIP_D5006QIP_D5007QIP_D5008QIP_D5009QIP_D5010

Area Team QIP_D5011QIP_D5012QIP_D5013QIP_D5014QIP_D5015QIP_D5016QIP_D5017QIP_D5018

Local Government QIP_D5019Providers QIP_D5020Charity QIP_D5021Other QIP_D5022

ENDHealth Economy Wide QIPP £000 subcodePrice Efficiency Acute (3,464) QIP_D6001Price Efficiency Mental Health (515) QIP_D6002Price Efficiency Community (532) QIP_D6003Price Efficiency Other - QIP_D6004

QIP_B0014Total Health Economy Wide QIPP (4,511) QIP_T6005

NON-RECURRENT (£000) Saving Profile (£000)RECURRENT VALUE OF FUTURE SAVINGS (£000) FULL YEAR EFFECT (£000)IN - YEAR SAVING (£000)


Mental Health Parity of Esteem

Area of Spend (£'000)

an2014/15 Forecast Outturn

Spend on Mental Health in other Areas

14/15_Outturn

2014/15 Restated Forecast Outturn

an 2015/16 Plan

Spend on Mental Health in other Areas

15/16

2015/16 Restated Plan

B

% Change

Acute 94,431 (507) 93,924 88,046 (516) 87,530 -6.8%Mental Health Services 14,677 6,032 20,709 14,830 6,351 21,181 2.3%Community Health Services 15,137 15,137 15,915 15,915 5.1%Continuing Care Services 13,036 (4,005) 9,031 14,187 (4,267) 9,920 9.8%Primary Care Services 25,851 (1,520) 24,331 27,457 (1,568) 25,889 6.4%Other Programme Services 5,692 5,692 10,892 10,892 91.4%Total 168,824 - 168,824 171,327 - 171,327

NHS Southport and Formby CCG 01V Contents Quality Checks 0

Figures in £'000s

BLANK1

BMandated Transfer from CCG Baseline

Additional CCG Contribution to BCF

1415

BAdditional 2015/16

BCF Allocation

2015/16 Mandated Transfer from CCG

Baseline


1516Total

SubcodeBCF Allocation BCF_D1002Additional BCF Allocation 2,884.4 BCF_D1003Transfer from Existing CCG Allocations to the BCF 5,960.6 BCF_D1004Minimum 2015/16 CCG Contribtion to BCF 2,884.4 5,960.6 - 8,845.0 BCF_T1005

BCF_B0002Additional CCG contribution to BCF 25.0 25.0 BCF_T1006

BCF_B0003Total CCG contribution to BCF - 2,884.4 5,960.6 25.0 8,870.0 BCF_T1007

BCF_B0004BCF Expenditure BCF_H2000Acute services - NHS 138.0 138.0 BCF_D2001Acute services - Non-NHS - BCF_D2002MH services - NHS - BCF_D2003MH services - Non-NHS 363.0 363.0 BCF_D2004Community services - NHS 3,635.0 3,635.0 BCF_D2005Community services - Non-NHS 162.0 10.0 172.0 BCF_D2006Continuing Care services - BCF_D2007Primary Care services 67.6 67.6 BCF_D2008Social Care 2,884.4 1,595.0 15.0 4,494.4 BCF_D2009Other Programme services - BCF_D2010Total CCG BCF Expenditure - - 2,884.4 5,960.6 25.0 8,870.0 BCF_T2011Growth 15/16 5,960.6 BCF_D2012Surplus 14/15 BCF_D2013Mandated Transfer 15/16 5,960.6 BCF_T2014

BCF_B0005TRUE TRUE TRUE TRUE TRUE BCF_C0001 0BCF_B0011BCF_B0012BCF_B0013

BCF_B0014BCF_B0015

Figures in £'000s BCF_H5000

Mandated Transfer from CCG Baseline


Additional 2015/16 BCF Allocation


Baseline


Total

BCF_H5001BCF Allocation BCF_D5002Additional BCF Allocation BCF_D5003Transfer from Existing CCG Allocations to the BCF BCF_D5004Minimum 2015/16 CCG Contribtion to BCF - - - - BCF_T5005

BCF_B0016Additional CCG contribution to BCF - BCF_T5006

BCF_B0017Total CCG contribution to BCF - - - - - BCF_T5007

BCF_B0018BCF Expenditure BCF_H6000Acute services - NHS - BCF_D6001Acute services - Non-NHS - BCF_D6002MH services - NHS - BCF_D6003MH services - Non-NHS - BCF_D6004Community services - NHS - BCF_D6005Community services - Non-NHS - BCF_D6006Continuing Care services - BCF_D6007Primary Care services - BCF_D6008Social Care - BCF_D6009Other Programme services - BCF_D6010Total CCG BCF Expenditure - - - - - - BCF_T6011Growth 15/16 BCF_D6012Surplus 14/15 BCF_D6013Mandated Transfer 15/16 - BCF_T6014

BCF_B0019TRUE TRUE TRUE TRUE TRUE BCF_C0002 0

BCF_B0020BCF_B0029BCF_B0030BCF_B0031BCF_B0032


(000)Additional CCG

Contribution to BCFAdditional 2015/16

BCF Allocation


Baseline


TotalBCF_H9001

BCF Allocation BCF_D9002Additional BCF Allocation BCF_D9003Transfer from Existing CCG Allocations to the BCF BCF_D9004Minimum 2015/16 CCG Contribtion to BCF - - - - BCF_T9005





BCF_B0037BCF_B0049BCF_B0050BCF_B0051BCF_B0052


(000)Additional CCG

Contribution to BCFAdditional 2015/16

BCF Allocation


Baseline


TotalBCF_H4101

BCF Allocation BCF_D4102Additional BCF Allocation BCF_D4103Transfer from Existing CCG Allocations to the BCF BCF_D4104Minimum 2015/16 CCG Contribtion to BCF - - - - BCF_T4105





END

Health and Well Being Board A

Health and Well Being Board B

2014/15 2015/16

Health and Well Being Board C

Health and Well Being Board D

2014/15 2015/16

2014/15 2015/16

2014/15 2015/16


2014/15 Outturn (£000)

SoFP signMarch

13 BlaApr 15

May15

June15

July15

August15

Sept.15

Oct.15

Nov. 15

Dec.15

Jan.16

Feb.16

March16 Bla SubCode

Assets SOF_H1000Non Current Assets SOF_H1001

Opening Balance +ve 33 33 33 33 33 33 33 27 27 27 27 27 27 SOF_D1002Depreciation -ve (6) (6) SOF_D1003Additions +ve SOF_D1004

SOF_B0001Long Term Receivables +ve SOF_D1005

SOF_B0002Total Non Current Assets 33 33 33 33 33 33 27 27 27 27 27 27 21 SOF_T1006

SOF_B0003Current Assets SOF_T2000

Inventories +ve SOF_D2001NHS Trade and Other Receivables +ve 916 916 916 916 916 916 916 916 916 916 916 916 916 SOF_D2002Non NHS Trade and Other Receivables +ve 15 15 15 15 15 15 15 15 15 15 15 15 15 SOF_D2003Cash and Cash Equivalents +ve 156 141 145 142 153 146 138 159 149 145 148 137 143 SOF_D2004

SOF_B0003Total Current Assets 1,087 1,072 1,076 1,073 1,084 1,077 1,069 1,090 1,080 1,076 1,079 1,068 1,074 SOF_T2005

SOF_B0004Total Assets 1,120 1,105 1,109 1,106 1,117 1,110 1,096 1,117 1,107 1,103 1,106 1,095 1,095 SOF_T3000

SOF_B0005Liabilities SOF_H4000

Non Current Liabilities SOF_H4001Borrowings -ve SOF_D4002Deferred Income (non current) -ve SOF_D4003Provisions (non current) -ve SOF_D4004Trade and Other Payables (non current) -ve SOF_D4005Finance Leases (non current) -ve SOF_D4006

SOF_B0006Total Non Current Liabilities - - - - - - - - - - - - - SOF_T4007

SOF_B0007Current Liabilities SOF_H5000

Borrowings -ve SOF_D5001Deferred Income (current) -ve SOF_D5002Provisions (current) -ve SOF_D5003Trade and Other Payables (current) -ve (13,742) (13,577) (13,431) (13,278) (13,139) (12,982) (12,818) (12,689) (12,529) (12,375) (12,228) (12,067) (11,917) SOF_D5004Finance Leases (current) -ve SOF_D5005

SOF_B0008Total Current Liabilities (13,742) (13,577) (13,431) (13,278) (13,139) (12,982) (12,818) (12,689) (12,529) (12,375) (12,228) (12,067) (11,917) SOF_T5006

SOF_B0009Total Liabilities (13,742) (13,577) (13,431) (13,278) (13,139) (12,982) (12,818) (12,689) (12,529) (12,375) (12,228) (12,067) (11,917) SOF_T6000

SOF_B0010TOTAL ASSETS EMPLOYED (12,622) (12,472) (12,322) (12,172) (12,022) (11,872) (11,722) (11,572) (11,422) (11,272) (11,122) (10,972) (10,822) SOF_T7000

SOF_B0011SOF_B0012

Taxpayers' Equity SOF_H8000SOF_B0013

General Fund +ve/-ve (12,622) (12,472) (12,322) (12,172) (12,022) (11,872) (11,722) (11,572) (11,422) (11,272) (11,122) (10,972) (10,822) SOF_D8001Revaluation Reserve +ve/-ve SOF_D8003Other Reserves +ve/-ve SOF_D8004

SOF_B0014TOTAL ASSETS EMPLOYED (12,622) (12,472) (12,322) (12,172) (12,022) (11,872) (11,722) (11,572) (11,422) (11,272) (11,122) (10,972) (10,822) SOF_T8005

SOF_B0015Check TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE SOF_C0001

END

2015/16 Plan (£000)


Headings April May June July August September October Nov Dec January February March Total2015/16 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000

Expenditure 14,405 14,823 14,736 15,165 14,193 13,797 15,125 13,985 14,426 15,443 14,352 15,449 175,901Less Non Cash ItemsDepreciation/Amortisation - Running Costs -Depreciation/Amortisation - Programme Costs (6) (6) (12)Impairments - Running Costs -Impairments - Programme Costs -

Less Top SlicesPrescription Pricing Authority (1,742) (1,797) (1,751) (1,889) (1,807) (1,785) (1,958) (1,837) (1,798) (1,835) (1,692) (1,855) (21,746)Other Central / BSA payments -Remaining Expenditure 12,663 13,026 12,985 13,276 12,386 12,006 13,167 12,148 12,628 13,608 12,660 13,588 154,143

2015/16 April May June July August September October Nov Dec January February March Total£000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000

ReceiptsBalance b/fwd 156 141 145 142 153 146 138 159 149 145 148 137BACS -CHAPS -CCG-Drawdown 12,507 12,885 12,840 13,134 12,233 11,860 13,029 11,989 12,479 13,463 12,512 13,451 152,382CCG-Drawdown additional -Other -PCS Payments Reimbursements -VAT 2 2 2 2 2 2 2 2 2 2 2 2 24Capital Receipts -

Total Receipts 12,665 13,028 12,987 13,278 12,388 12,008 13,169 12,150 12,630 13,610 12,662 13,590 152,406PaymentsCreditors NHS 9,436 9,779 9,729 10,017 9,189 8,787 9,892 8,915 9,432 10,341 9,443 10,308 115,268Creditors CHAPS -Salary CHAPS 49 49 49 49 49 49 49 49 49 49 49 49 588Pensions 17 17 17 17 17 17 17 17 17 17 17 17 204Tax & NI 23 23 23 23 23 23 23 23 23 23 23 23 276Standing Orders /Direct Debits -PCS Payments -Other 2,999 3,015 3,027 3,019 2,964 2,994 3,029 2,997 2,964 3,032 2,993 3,050 36,083Capital Payments -

Total -Expenditure 12,524 12,883 12,845 13,125 12,242 11,870 13,010 12,001 12,485 13,462 12,525 13,447 152,419

Balance c/fwd 141 145 142 153 146 138 159 149 145 148 137 143


Planned Capital Expenditure (Please describe the Scheme) BLANK1 2015/16 subcode subcodeALLValue £'000s CAP_H1000 CAP_H1000

N CAP_D1001 CAP_D1001CAP_D1002 CAP_D1002CAP_D1003 CAP_D1003CAP_D1004 CAP_D1004CAP_D1005 CAP_D1005CAP_D1006 CAP_D1006CAP_D1007 CAP_D1007CAP_D1008 CAP_D1008CAP_D1009 CAP_D1009CAP_D1010 CAP_D1010

- CAP_T1011 CAP_T1011END CAP_B0001

CAP_B00022015/16 Subcode CAP_H2001

Value £'000s CAP_H2002 CAP_H2002

CAP_D2003 CAP_D2003CAP_D2004 CAP_D2004CAP_D2005 CAP_D2005CAP_D2006 CAP_D2006CAP_D2007 CAP_D2007CAP_D2008 CAP_D2008CAP_D2009 CAP_D2009CAP_D2010 CAP_D2010CAP_D2011 CAP_D2011CAP_D2012 CAP_D2012

TOTAL - CAP_T2013 CAP_T2013END END

Capital Expenditure Dependencies - Schemes expected to be delivered by other bodies, e.g. NHS Property Services, NCB Primary Care Grants. (Please describe the Scheme)

Lead Organisation

Confirmed Scheme?

Business Case Submitted (Y/N)

TOTAL

Capital Grants

01V NHS Southport and Formby CCG Contents Quality Checks 0

Validation Messages:

1 Please select a trust from the drop down

Total CQUIN 14/15 Contract Type

2 Please provide cost and activity for Non-Elective

£000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 3 Please provide cost and activity for Elective

Spells EC23 Spells EC23 Spells EC4 Spells EC2 Spells EC21 Spells EC1 A&E Non-Elective Elective Daycase A&E 4 Please provide cost and activity for Attendances-1st

Code Trust

Daycase Elective Spells -

all specialties E.C.32

Non-elective spells - all

specialties E.C.23

Non-elective spells - G&A E.C.4

Daycase Elective Spells - G&A

E.C.2

Ordinary Elective Spells - all

specialties E.C.21

Ordinary Elective Spells - G&A

E.C.1

All First Outpatient

Attendances - all specialties E.C.24


Attendances - G&A E.C.5

First Outpatient Attendances following GP Referrals - all

specialties E.C.25

First outpatient attendance

following a GP referral - G&A

E.C.12

All subsequent outpatient

attendances - all specialities E.C.6

A&E attedances all types E.C.8

B

Gross SLAless 50%

Marginal rate credit- (-)

Net Non-elective

Daycase Elective Spells - all

specialties E.C.32 £



All first outpatient

attendances - all specialties E.C.24

£



A&E attedances all types E.C.8 £

Excluded Drugs and Devices

OtherMental Health

ContractsAmbulance

Community Services

ContractsTotal CQUIN Spells NE Spells E Spells D Attendances-1st

Attendances-follow-ups

Attendances

BBB

Validation

subcode SubcodeA Rank Rank (No DB08 Valid

atio

n 1

Valid

atio

n 2

Valid

atio

n 3

Valid

atio

n 4

Valid

atio

n 5

Valid

atio

n 6

Valid

atio

n 7

Valid

atio

n 8

Valid

atio

n 9

Valid

atio

n Co

unt

5 Please provide cost and activity for Attendances-follow-ups

RVY Southport and Ormskirk Hospital NHS Trust 12,290 15,326 14,864 12,290 1,688 1,688 28,224 27,296 17,553 16,950 54,765 35,783 21,017 21,017 6,221 3,922 5,090 6,080 3,284 704 18,498 10,797 75,613 1,739 PbR 1.37 2.32 0.51 0.18 0.11 0.09 C15 D100 C15 D100 1 1.0 0 0 6 Please provide cost and activity for A&ERW4 Mersey Care NHS Trust 0 12,283 12,283 298 Block - - - - - - C15 D100 C15 D100 2 2.0 0 0 7 Please provide activity data for both Daycase EC2 (colF) & EC32 (colC)

0 0 - - - - - - C15 D100 C15 D100 3 3.0 0 0 8 Please complete GP Referals0 0 - - - - - - C15 D100 C15 D100 3 4.0 0 0 9 Please provide cost and activity for Elective Day Case0 0 - - - - - - C15 D100 C15 D100 3 4.0 0 00 0 - - - - - - C15 D100 C15 D100 3 4.0 0 00 0 - - - - - - C15 D100 C15 D100 3 4.0 0 00 0 - - - - - - C15 D100 C15 D100 3 4.0 0 00 0 - - - - - - C15 D100 C15 D100 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D101 C15 D101 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D102 C15 D102 3 4.0 0 00 0 - - - - - - C15 D103 C15 D103 3 4.0 0 00 0 - - - - - - C15 D103 C15 D103 3 4.0 0 00 0 - - - - - - C15 D103 C15 D103 3 4.0 0 00 0 - - - - - - C15 D103 C15 D103 3 4.0 0 0

Other Contracts (less than £5m) 3,081 1,277 1,103 3,081 1,124 1,122 7,340 7,333 3,834 3,830 25,486 2,925 2,208 2,208 2,354 2,759 1,088 2,065 235 2,144 8,139 1,374 4,565 3,512 30,443 1.73 2.45 0.76 0.15 0.08 0.08 C15 D103 C15_D1034 0 0Total 15,371 16,603 15,967 15,371 2,812 2,810 35,564 34,629 21,387 20,780 80,251 38,708 23,225 0 23,225 8,575 6,681 6,178 8,145 3,519 2,848 26,637 13,657 4,565 14,309 118,339 2,037 1.40 2.38 0.56 0.17 0.10 0.09 C15 T1035 C15_T1035 0Non NHS Providers 1,450 1,450 191 191 3,673 3,673 3,673 3,673 9,756 0 1,757 575 520 434 0 772 1,020 0 828 5,906 C15 T1036 C15_T1036 0 0

C15 B0001C15_B0001 0Total NHS & Non NHS Providers 16,821 16,603 15,967 16,821 3,003 3,001 39,237 38,302 25,060 24,453 90,007 38,708 23,225 0 23,225 10,332 7,256 6,698 8,579 3,519 2,848 27,409 14,677 4,565 15,137 124,245 2,037 C15 T1037 C15_T1037 0

END C15_B0001 0Profile of total Activity Finance (£'000) Profile Average Cost (£'000) C15_H2000 0

Cube Month




specialties E.C.23

Non-elective spells - G&A E.C.4


E.C.2


specialties E.C.21


E.C.1






specialties E.C.25



E.C.12




BBLANK4 BLANK5

Non-elective admissions - all

specialties E.C.23





All first outpatient attendances - all specialties E.C.24

£




BLANK6 BLANK7 BLANK8 Validation BLANK9 BLANK10 BLANK11

BLANK12

Non-Elective Elective Daycase Outpatients 1st Outpatients Follow up

A&E

subcode

C15_H2001

020150430 April 1,368 1,350 1,299 1,368 244 244 3,190 3,114 2,037 1,988 7,318 3,147 1,888 840 589 545 698 286 1.399 2.414 0.614 0.171 0.095 0.091 C15_D2002 C15_D2002 0 020150531 May 1,434 1,419 1,365 1,434 256 256 3,346 3,266 2,137 2,085 7,675 3,308 1,985 881 619 571 732 301 1.399 2.418 0.614 0.171 0.095 0.091 C15_D2003 C15_D2003 0 020150630 June 1,484 1,374 1,321 1,484 265 265 3,463 3,380 2,211 2,158 7,943 3,203 1,922 912 640 591 757 291 1.399 2.415 0.615 0.171 0.095 0.091 C15_D2004 C15_D2004 0 020150731 July 1,453 1,483 1,426 1,453 259 259 3,389 3,309 2,165 2,112 7,775 3,458 2,075 893 627 579 741 314 1.399 2.421 0.615 0.171 0.095 0.091 C15_D2005 C15_D2005 0 020150831 August 1,227 1,355 1,303 1,227 219 219 2,862 2,793 1,828 1,783 6,564 3,159 1,896 754 529 488 626 287 1.399 2.416 0.615 0.171 0.095 0.091 C15_D2006 C15_D2006 0 020150930 September 1,348 1,207 1,162 1,348 241 241 3,145 3,070 2,009 1,960 7,215 2,697 1,618 828 582 537 688 247 1.341 2.415 0.614 0.171 0.095 0.092 C15_D2007 C15_D2007 0 020151031 October 1,493 1,370 1,316 1,493 267 266 3,483 3,400 2,225 2,171 7,990 3,311 1,986 917 644 595 762 301 1.450 2.412 0.614 0.171 0.095 0.091 C15_D2008 C15_D2008 0 020151130 November 1,360 1,190 1,144 1,360 243 243 3,173 3,098 2,027 1,978 7,279 2,774 1,665 836 587 542 694 252 1.399 2.416 0.615 0.171 0.095 0.091 C15_D2009 C15_D2009 0 020151231 December 1,223 1,434 1,379 1,223 218 218 2,852 2,784 1,822 1,778 6,543 3,343 2,006 751 527 486 623 304 1.399 2.417 0.614 0.170 0.095 0.091 C15_D2010 C15_D2010 0 020160131 January 1,507 1,554 1,494 1,507 269 269 3,516 3,432 2,245 2,191 8,065 3,622 2,173 926 650 600 769 329 1.398 2.416 0.614 0.171 0.095 0.091 C15_D2011 C15_D2011 0 020160228 February 1,345 1,365 1,313 1,345 240 240 3,138 3,063 2,004 1,956 7,198 3,183 1,910 826 581 535 686 289 1.399 2.421 0.614 0.170 0.095 0.091 C15_D2012 C15_D2012 0 020160331 March 1,579 1,502 1,445 1,579 282 281 3,680 3,593 2,350 2,293 8,442 3,503 2,101 968 681 629 803 318 1.399 2.415 0.613 0.171 0.095 0.091 C15_D2013 C15_D2013 0 0

Total 16,821 16,603 15,967 16,821 3,003 3,001 39,237 38,302 25,060 24,453 90,007 38,708 23,225 10,332 7,256 6,698 8,579 3,519 1.399 2.416 0.614 0.171 0.095 0.091 C15_T2014 C15_T2014 0Error? NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO C15_C0001 C15_C0001 0

END C15_B0002 0

Cube GP Referrals (G&A) BLANK2GP Referals E.C.9

Other Referals E.C.10

Total E.C.11BLANK3 Validations BLANK4 BLANK5 BLANK6 BLANK7 Subcode C15 H3000 0

20150430 April 2,214 1,160 3,374 C15_D3001 C15_D3001 0 020150531 May 2,225 1,126 3,351 C15_D3002 C15_D3002 0 020150630 June 2,286 1,189 3,475 C15_D3003 C15_D3003 0 020150731 July 2,500 1,259 3,759 C15_D3004 C15_D3004 0 020150831 August 2,052 1,082 3,134 C15_D3005 C15_D3005 0 020150930 September 2,448 1,189 3,637 C15_D3006 C15_D3006 0 020151031 October 2,615 1,261 3,876 C15_D3007 C15_D3007 0 020151130 November 2,446 1,337 3,783 C15_D3008 C15_D3008 0 020151231 December 2,032 1,039 3,071 C15_D3009 C15_D3009 0 020160131 January 2,504 1,280 3,784 C15_D3010 C15_D3010 0 020160228 February 2,235 1,143 3,378 C15_D3011 C15_D3011 0 020160331 March 2,622 1,340 3,962 C15_D3012 C15_D3012 0 0

Total 28,179 14,405 42,584 C15_T3013 C15_T3013 0 0END END 0

Outpatients Non-elective spells - all specialties E.C.23 Outpatients Outpatients

ActivityG&A / All Specialties (Activity)

Value of Activity by Provider 2014/15 (NB this should be FOT, inclusive of under/over performance, not the SLA value)

Average Cost - Acute Services (£'000)

Finance

01V NHS Southport and Formby CCG Contents Quality Checks

Expected contract value 2015/16 Total CQUIN 15/16 Contract TypeQIPP 15/16

Contract Signed?

£000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000 £000

Spells EC23 Spells EC23 Spells EC4 Spells EC2 Spells EC21 Spells EC1 A&E A&E Non-Elective Elective Daycase A&E Yes/No

Code Trust




specialties E.C.23

Non-elective spells - G&A

E.C.4


E.C.2


specialties E.C.21


E.C.1






specialties E.C.25



E.C.12




BLANK2

Gross SLAless 50%

Marginal rate credit- (-)

Net Non-elective







£




Excluded Drugs and Devices

OtherMental Health

ContractsAmbulance

Community Services

ContractsTotal CQUIN Spells NE Spells E Spells D Attendances-1st


Attendances

B

QIPPCQUIN 15/16

Validation

RVY Southport and Ormskirk Hospital NHS Trust 12,290 15,326 14,864 12,290 1,688 1,688 28,224 27,296 17,553 16,950 54,765 35,783 21,017 21,017 6,221 3,922 5,090 6,080 3,284 704 16,770 0 0 10,601 73,689 1,765 PbR 1.37 2.32 0.51 0.18 0.11 0.09 NoRW4 Mersey Care NHS Trust 0 12,150 12,150 296 Block - - - - - - No

0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - - 0 0 - - - - - -

XXX Other Contracts (less than £5m) 3,081 1,277 1,103 3,081 1,124 1,122 7,340 7,333 3,834 3,830 25,486 2,925 2,208 2,208 2,354 2,759 1,088 2,065 235 2,144 3,469 1,588 4,538 4,100 26,548 1.73 2.45 0.76 0.15 0.08 0.08 NoTotal 15,371 16,603 15,967 15,371 2,812 2,810 35,564 34,629 21,387 20,780 80,251 38,708 23,225 0 23,225 8,575 6,681 6,178 8,145 3,519 2,848 20,239 13,738 4,538 14,701 112,387 2,061 1.40 2.38 0.56 0.17 0.10 0.09 0

NON Non NHS Providers 1,450 1,450 191 191 3,673 3,673 3,673 3,673 9,756 0 1,757 575 520 434 0 812 1,092 0 1,214 6,404

Total NHS & Non NHS Providers 16,821 16,603 15,967 16,821 3,003 3,001 39,237 38,302 25,060 24,453 90,007 38,708 23,225 0 23,225 10,332 7,256 6,698 8,579 3,519 2,848 21,051 14,830 4,538 15,915 118,791 2,061 0

Profile of total Activity Finance (£'000) Profile Average Cost (£'000)

cube Month




specialties E.C.23

Non-elective spells - G&A

E.C.4


E.C.2


specialties E.C.21


E.C.1






specialties E.C.25



E.C.12




B BLANK4 BLANK5


specialties E.C.23







£




BLANK6 BLANK7 BLANK8 Validation BLANK9 BLANK10 BLANK11

BLANK12

Non-Elective Elective Daycase Outpatients 1st Outpatients Follow up

A&E

subcode

20150 April 1,368 1,350 1,299 1,368 244 244 3,190 3,114 2,037 1,988 7,318 3,147 1,888 840 589 545 698 286 1.399 2.414 0.614 0.171 0.095 0.091 C16_D200220150 May 1,434 1,419 1,365 1,434 256 256 3,346 3,266 2,137 2,085 7,675 3,308 1,985 881 619 571 732 301 1.399 2.418 0.614 0.171 0.095 0.091 C16_D200320150 June 1,484 1,374 1,321 1,484 265 265 3,463 3,380 2,211 2,158 7,943 3,203 1,922 912 640 591 757 291 1.399 2.415 0.615 0.171 0.095 0.091 C16_D200420150 July 1,453 1,483 1,426 1,453 259 259 3,389 3,309 2,165 2,112 7,775 3,458 2,075 893 627 579 741 314 1.399 2.421 0.615 0.171 0.095 0.091 C16_D200520150 August 1,227 1,355 1,303 1,227 219 219 2,862 2,793 1,828 1,783 6,564 3,159 1,896 754 529 488 626 287 1.399 2.416 0.615 0.171 0.095 0.091 C16_D200620150 September 1,348 1,207 1,162 1,348 241 241 3,145 3,070 2,009 1,960 7,215 2,697 1,618 828 582 537 688 247 1.341 2.415 0.614 0.171 0.095 0.092 C16_D200720151 October 1,493 1,370 1,316 1,493 267 266 3,483 3,400 2,225 2,171 7,990 3,311 1,986 917 644 595 762 301 1.450 2.412 0.614 0.171 0.095 0.091 C16_D200820151 November 1,360 1,190 1,144 1,360 243 243 3,173 3,098 2,027 1,978 7,279 2,774 1,665 836 587 542 694 252 1.399 2.416 0.615 0.171 0.095 0.091 C16_D200920151 December 1,223 1,434 1,379 1,223 218 218 2,852 2,784 1,822 1,778 6,543 3,343 2,006 751 527 486 623 304 1.399 2.417 0.614 0.170 0.095 0.091 C16_D201020160 January 1,507 1,554 1,494 1,507 269 269 3,516 3,432 2,245 2,191 8,065 3,622 2,173 926 650 600 769 329 1.398 2.416 0.614 0.171 0.095 0.091 C16_D201120160 February 1,345 1,365 1,313 1,345 240 240 3,138 3,063 2,004 1,956 7,198 3,183 1,910 826 581 535 686 289 1.399 2.421 0.614 0.170 0.095 0.091 C16_D201220160 March 1,579 1,502 1,445 1,579 282 281 3,680 3,593 2,350 2,293 8,442 3,503 2,101 968 681 629 803 318 1.399 2.415 0.613 0.171 0.095 0.091 C16_D2013

Total 16,821 16,603 15,967 16,821 3,003 3,001 39,237 38,302 25,060 24,453 90,007 38,708 23,225 10,332 7,256 6,698 8,579 3,519 1.399 2.416 0.614 0.171 0.095 0.091 C16_T2014Error? NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO C16_C0001

END

Cube GP Referrals (G&A) BLANK2GP Referals E.C.9

Other Referals E.C.10

Total E.C.11Blank3 Validations BLANK4 BLANK5 BLANK6 BLANK7 Subcode

20150 April 2,214 1,160 3,374 C16_D300120150 May 2,225 1,126 3,351 C16_D300220150 June 2,286 1,189 3,475 C16_D300320150 July 2,500 1,259 3,759 C16_D300420150 August 2,052 1,082 3,134 C16_D300520150 September 2,448 1,189 3,637 C16_D300620151 October 2,615 1,261 3,876 C16_D300720151 November 2,446 1,337 3,783 C16_D300820151 December 2,032 1,039 3,071 C16_D300920160 January 2,504 1,280 3,784 C16_D301020160 February 2,235 1,143 3,378 C16_D301120160 March 2,622 1,340 3,962 C16_D3012

Total 28,179 14,405 42,584 C16_T3013END

Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q1 Q2 Q3 Q4

row Health & Wellbeing Board (HWB) Blank1

Jan14 - Mar14 Apr14 - Jun14 Jul14 - Sep14 Oct14 -Dec14 Jan15 - Mar15 Apr15 - Jun15 Jul15 - Sep15 Oct15 -Dec15 Total

Has the % change in non-elective admisions change from the BCF submission?

If yes, has this change been signed off by the Health and Well Being Board?

b

Apr15 - Jun15 £

Jul15 - Sep15 £

Oct15 - Dec15 £

Jan16 - Mar16 £

Subcode

Is the s75 agreement in place for the HWB?

Non-elec. Op plan = HWB plan? (Yes/No)

If there is a difference, what is the

stretch percentage?

1 Sefton Health and Wellbeing Board 4,117 3,985 3,891 3,839 4,252 3,839 3,750 3,699 15,540.00 Yes No 221 221 221 221 C16_D4001 No Yes2 - C16_D40023 - C16_D40034 - C16_D40045 Reconciling Activity - C16_T4011

Total 4,117 3,985 3,891 3,839 4,252 3,839 3,750 3,699 15,540 221 221 221 221 C16_D4012END

Matches Activity Profile YES YES YES YES NO NO NO Above correct: YES YES YES

Health and Wellbeing Board plan - Original

Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q1 Q2 Q3 Q4

row Health & Wellbeing Board (HBW) Blank1Jan14 - Mar14 Apr14 - Jun14 Jul14 - Sep14 Oct14 -Dec14 Jan15 - Mar15 Apr15 - Jun15 Jul15 - Sep15 Oct15 -Dec15 Total

Blank2 Blank3 BApr15 - Jun15

£Jul15 - Sep15

£Oct15 - Dec15

£Jan16 - Mar16

£ Subcode1 Sefton Health and Wellbeing Board 8,455 8,145 8,148 7,793 8,100 7,900 7,900 7,500 31,400 221 221 221 221 C16_D50012 - C16_D50023 - C16_D50034 - C16_D5004

Total 8,455 8,145 8,148 7,793 8,100 7,900 7,900 7,500 31,400 C16_T5005HWB Plan Complete YES END

Health and Wellbeing Board Plan - revised

Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q1 Q2 Q3 Q4

row Health & Wellbeing Board (HBW) Blank1Jan14 - Mar14 Apr14 - Jun14 Jul14 - Sep14 Oct14 -Dec14 Jan15 - Mar15 Apr15 - Jun15 Jul15 - Sep15 Oct15 -Dec15 Total

Blank2 Blank3 BApr15 - Jun15

£Jul15 - Sep15

£Oct15 - Dec15

£Jan16 - Mar16

£ Subcode1 Sefton Health and Wellbeing Board 8,502 8,459 8,204 8,204 8,502 8,126 7,800 7,800 32,228 221 221 221 221 C16_D60012 - C16_D60023 - C16_D60034 - C16_D6004

Total 8,502 8,459 8,204 8,204 8,502 8,126 7,800 7,800 32,228 C16_T6005Revised HWB Plan Complete YES END

Outpatients

FinanceAverage Cost - Acute Services (£'000)

ActivityG&A / All Specialties (Activity)

OutpatientsOutpatients Non-elective spells - all specialties E.C.23

Is the reduction in non-elective admissions the same in the operating plan as it is in the HWB plan?Financial Value of Payment by CCG (£'000)

Financial Value of Payment by CCG (£'000)

Financial Value of Payment by CCG (£'000)

Baseline Activity Year Pay for performance period




TotalCQUIN 14/15

£000 £000 £000 £000 £000

Spells Spells A&E

Elective admissions - ordinary - all

specialties

A&EExcluded

DrugsOther

Mental Health

ContractsAmbulance

Community Services

ContractsTotal CQUIN

BLANK1


specialties E.C.23


specialties E.C.21

All first outpatient attendance - all

specialties E.C.24


attendancies - all specialities E.C.6


B

Gross SLA

less 50% Marginal

rate credit-(-)

Net Non-elective

Daycase Elective

Spells - G&A E.C.2 £




attendance - all



attendancies - all

specialities E.C.6 £

A&EExcluded

DrugsOther

Mental Health

ContractsAmbulance

Community Services

ContractsTotal

B

CQUIN

2014/15 16,603 2,812 35,564 80,251 38,708 23,225 - 23,225 8,575 6,681 6,178 8,145 3,519 2,848 26,637 13,657 4,565 14,309 118,339 2,0372015/16 16,603 2,812 35,564 80,251 38,708 23,225 - 23,225 8,575 6,681 6,178 8,145 3,519 2,848 20,239 13,738 4,538 14,701 112,387 2,061

2014/15 - 2015/16 Change - - - - - - - - - - - - - - (6,398) 81 (27) 392 (5,952) 242014/15 - 2015/16 Change % 0% 0% 0% 0% 0% 0% #DIV/0! 0% 0% 0% 0% 0% 0% 0% -24% 1% -1% 3% -5% 1%

Spells Spells A&E

BLANK1


specialties E.C.23


specialtiesE.C.21


specialtiesE.C.24



A&E attedances all types

E.C.8subcode

2014/15 1.399 2.376 0.174 0.101 0.091 CAN_D30032015/16 1.399 2.376 0.174 0.101 0.091 CAN_D3004

CAN_B00042014/15 - 2015/16 Change - - - - - CAN_D40012014/15 - 2015/16 Change % 0% 0% 0% 0% 0% CAN_D4002

END

Spells Spells A&E Total

BLANK1


specialties E.C.23


specialtiesE.C.21


specialtiesE.C.24



A&E attedances all types

E.C.8B

Total

subcode2014/15 - 2015/16 Change - - - - - - CAN_D5001

END

BLANK1Spells EC23 Spells EC21 Attendances-1st


AttendancesB

Totalsubcode

2014/15 - 2015/16 Change - - - - - - CAN_D6001

Acute Services (£000)

OutpatientsNon-elective admissions - all specialties

E.C.23Outpatients

Average Cost - Acute Services (£'000)Outpatients

Outpatients

Acute Services (Activity) All Specialties

Acute Services Change in Cost due to Price - Acute Services (£'000)

Acute Services Change in Cost due to Activity - Acute Services (£'000)

01V NHS Southport and Formby CCG Contents Quality Checks

Have providers sought to change the 2008/09 emergency admissions baseline? Yes

Please answer the additional questions below

Which Provider(s)? What evidence was produced in support of change?Has a change to the

baseline been made?

Value of Emergency Admissions Baseline

before change (£'000)

Value of Emergency Admissions Baseline after

change (£'000)If no, on what grounds was the request refused? Trust Code

Subcode

Southport and Ormskirk Hospital NHS Trust Basline amended in 2014/15 contract. YesRVY

MR__D1001

MR__D1002

MR__D1003

MR__D1004

MR__D1005

MR__D1006

MR__D1007

MR__D1008

MR__D1009

MR__D1010

MR__D1011

MR__D1012END


Quality ChecksCheck Sheet1 sheet2 BlValue1 Value2 Variance ErrorStatus

Check Sheet(s)Sheet comparator or Cell

Reference BlValue Value in compartor Difference Validation Error

SoFP Balances 2015/16 SoFP SoFP (10,822) (10,822) - NO

Cash matches SOFP 2015/16 Cash SoFP 143 143 - NO

Contracts compared to financial detail Financial Plan Detail 1516 Contract 1415 124,245 124,245 - NO

Contracts compared to financial detail Financial Plan Detail 1516 Contract 1516 118,791 118,791 - NO

Recurrent QIPP Gross Savings Financial Plan Detail 1516 QIPP 1516 (5,653) (5,653) - NO

Recurrent QIPP Investment Financial Plan Detail 1516 QIPP 1516 - - - NO

Investment Recurrent Financial Plan Detail 1516 Investment 2,725 2,725 - NO

Non-Recurrent QIPP Gross Savings Financial Plan Detail 1516 QIPP 1516 (1,000) (1,000) - NO

Non-Recurrent QIPP Investment Financial Plan Detail 1516 QIPP 1516 - - - NO

Investment Non-Recurrent Financial Plan Detail 1516 Investment 4,113 4,113 - NO

Monthly Profile - Financial Plan Financial Plan Detail 1516 Financial Plan Detail 1516 1,800 1,800 0 YES

Memorandom - Other Non Rec Cost Pressures Financial Plan Detail 1516 H86-H93 Multiple checks on sheet. NO

Monthly Profile - QIPP QIPP 1516 QIPP 1516 (6,653) (6,653) - NO

50% Check Revenue Resource Limit Contract 1516 - - - NO

Headings Value Ends Before After subcode14/15 Surplus 1,750 1,750 WAT_D1001Non Recurrent Adjustments -1,164 1,750 586 WAT_D100214/15 Recurrent Surplus 586 586 WAT_D1003Change in Allocation 5,787 586 6,373 WAT_D1004Net Tariff Deflator 751 6,373 7,124 WAT_D1005Activity Growth -3,648 7,124 3,476 WAT_D1006Other Cost Pressures -27 3,476 3,449 WAT_D1007QIPP savings 5,653 3,449 9,102 WAT_D1008Investment -2,725 9,102 6,377 WAT_D1009Non Recurrent Adjustments -1,693 6,377 4,684 WAT_D1010BCF Spend -2,884 4,684 1,800Planned 15/16 surplus 1,800 WAT_D1011

END

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

14/1

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Movement between 14/15 Outturn and 15/16 Plan Surplus

our ref: foi id 5507 . 24. th. august 2015 . [email protected]. re: freedom of...

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