annual general meeting 2014/15 17 september 2015
TRANSCRIPT
What we stand for
Our Vision: Work with others to invest in quality healthcare for Doncaster patients
Our Values:• The needs of our patients are paramount
• We will drive forward continuous improvement
• Relationships based on integrity and trust
Mission Statement: A high quality and accountable Clinical Commissioning Group, encouraging responsible partnership engagement in a transparent climate of ongoing learning in order to create a patient-centred yet financially astute and corporate approach to commissioning
Transformational change areas/activity
• Care out of Hospital - Comm. nursing redesign
- End of life care
• Care of the Frail - Intermediate care
- Transforming primary care
• Coordinated Care - IT integration across p/ways
Clinical priorities and actions 1. Dementia, Mental Health, Unplanned Care,
Cancer, Children’s Services, Continuing Healthcare,
Long term conditions
2.Evolving: service improvement & commissioning landscape
3.Embedding: responsive clinical commissioning
4.Emerging: neurology, respiratory, diabetes, stroke
Changingcommissioning landscape
• Co-commissioning Primary Care• CCG strategy: Moving Forward, Getting Better
• NHS E: 5 year forward view
• Better Care Fund
• Working Together
• Vanguards
Building up Primary Care
• Continuing transformation
• Review CCG’s internal working
• Review relationships and interactions with partners: commissioners and providers
Year-end governance assurance
• Annual Governance Statement: no significant control issues
• Head of Internal Audit Opinion: significant assurance of a sound system of internal control
• ISA 260 Report from External Auditors to those charged with Governance: proper arrangements to secure economy, efficiency and effectiveness in our use of resources
Financial Position 2014/15
• £435m in 2014/15
• Achievement of statutory financial targets
• Supported transformation agenda
• Invested in priority areas
• Investment of £4m to support Primary Care Strategic Framework
Summary of financial performance
Duty Target£’000
Performance£’000
Expenditure not to exceed income (Achieve a Surplus)
436,043 428,418
Revenue resource use does not exceed the amount specified in Directions (Total Allocation)
435,925 428,300
Revenue resource use on specified matter(s) does not exceed the amount specified in Directions (Programme)
427,134 421,265
Revenue administration resource use does not exceed the amount specified in Directions (Admin/Running costs)
8,791 7,034
Combined cash balance at the bank as at 31st March 2015 must not exceed 1.25% of the March drawdown
442.5 42.7
Better Payment Practice Code: pay 95% of valid NHS and Non-NHS invoices within 30 days: by number and by value
All four 95%+ All four achieved
Challenging times
• NHS funding gap of £30b 2013/14 to 2020/21
• Challenging financial climate– Savings needed to offset demographic growth,
demand, new technologies, inflation– Non-recurrent pump priming of new services– Investment linked back to delivery plans /
transformational priorities– Running cost reductions– Delivery of an efficiency programme: failure means
reduced investment being available
Financial Plan 2015/16
• Second year refresh of two year operational plan
• Changes to business rules
• £8.5m reduction in funding
• Management Costs reduction
• Implementation of Better Care Fund
Financial Risks 2015/16
• Non-delivery of our £4m efficiency programme • Growth on individual placements• Over performance against acute contract• Unforeseen prescribing costs and growth• Implementation impact of our Unplanned Care
procurement
Contact us!
Address: NHS Doncaster CCGSovereign HouseHeavens WalkDoncaster DN4 5HZ
Telephone: 01302 566300 Email: [email protected] (General)
[email protected] (FOI)
Website: www.doncasterccg.nhs.uk