Transcript What is a Clinical Commissioning Group for?

Oxfordshire
Clinical Commissioning Group
Oxfordshire CCG
Annual Public Meeting
25 September 2014
Oxfordshire
Clinical Commissioning Group
Outline
Time
Item
Presenter
18.00
Welcome and Introduction
Dr Joe McManners , Clinical
Chair
18.05
Review of 2013/14
Dr Joe McManners, Clinical Chair
18.20
Financial Overview
Gareth Kenworthy, Director of
Finance
18.30
2014/15 Forward Look
David Smith, Chief Executive
18.35
Question and Answer Session
19.00
Close
Oxfordshire
Clinical Commissioning Group
Welcome and Introduction
Dr Joe McManners, Clinical Chair
Oxfordshire
Clinical Commissioning Group
Review of 2013/14
Dr Joe McManners, Clinical Chair
Oxfordshire
Clinical Commissioning Group
A challenging beginning
Authorised with 3 conditions in April 2013
Conditions formally discharged in January
2014
A year of transition and financial challenge
Not all NHS Constitution commitments met
Oxfordshire
Clinical Commissioning Group
Our priorities 2013/14
Developing greater integration between
health and social care
Developing care closer to home
Commissioning of early and effective
interventions
Embedding quality improvement in all we do
Reducing health inequalities
Mental health
Oxfordshire
Clinical Commissioning Group
Our GPs and member practices
• Crucial to our organisation, including our
Governing Body, and how we run
• A Clinical Chair and 6 Locality leads
• Many others work on specific areas – urgent
care, cancer, community and long term
conditions
• All of them see patients every week and
bring back that insight to the CCG
Oxfordshire
Clinical Commissioning Group
Our achievements
 Involving local people to help shape five-year health
strategy
 More spot checks to monitor quality of services
 New technology to help GPs better plan patient care (ACGs)
 Guardian healthcare award for Abingdon emergencymultidisciplinary unit (EMU) and opening a second EMU in
Witney
 Development of single point of access
 Increased pooled budget with Oxfordshire County Council
for older people to a total of £188m
 Implementation of Oxfordshire Care Summary
Oxfordshire
Clinical Commissioning Group
2013/14 Annual Accounts
Gareth Kenworthy, Chief Finance
Officer
Oxfordshire
Clinical Commissioning Group
Context of 2013-14
Major organisational change in the NHS
First year of operation of CCGs and of
Central Southern Commissioning Support
Service
Agreement of Specialised Commissioning
financial arrangement with NHS England.
Management of in-year financial risks – in
particular overspending on acute contracts
Oxfordshire
Clinical Commissioning Group
Financial Highlights
Financial Accounts produced to national
deadlines
Small surplus of £0.3m achieved
All financial duties achieved
Unqualified audit opinion on the financial
statements and on regularity
Oxfordshire
Clinical Commissioning Group
Financial Performance Targets
Oxfordshire
Clinical Commissioning Group
Financial challenges during 2013-14
 The plan for 2013-14 was to achieve a surplus of £3.2m but, by
month 6, Oxfordshire CCG was forecasting a deficit of £6.1m
Surplus/
(deficit)
£'000
Plan
Forecast at Month 6
Outturn
3.2
-6.1
0.3
 Section 19 report issued by External Audit
 The potential overspend was managed down by a number of
non-recurrent measures to achieve a small surplus by year end of
£0.3m.
Oxfordshire
Clinical Commissioning Group
How was the money spent?
In 2013-14 Oxfordshire CCG received £902.25 per head of population,
which was spent as follows:
Area of Spend
Acute Health care services
Community Services
Continuing Health Care
Mental Health and Learning Disability
Prescribing services
Primary care services
Other
Running costs
Surplus
£ per head
of
population
494.15
90.44
47.57
90.30
115.45
13.40
28.83
21.74
0.37
902.25
Oxfordshire
Clinical Commissioning Group
External Audit Opinion
 Financial statements – an unqualified opinion that the
accounts reported fairly on the CCGs finances
 Regularity of income and expenditure – an unqualified
opinion that financial transactions were conducted within
the CCG legal framework
 Other matters – qualification re exclusion of pension details
specific individuals
 Public Interest Report – no matters to report
Oxfordshire
Clinical Commissioning Group
External Audit Opinion cont’d
Referrals to the Secretary of State and NHS England – a
referral was made on 31 March 2014 on the in-year projected
year end deficit
Value for money – the following matters were reported on:
 in year projected financial deficit
 financial forecasting of year end position
 failure to achieve internal savings plans
 the deficit budget set for 2014-15.
Oxfordshire
Clinical Commissioning Group
Present and Future
Oxfordshire CCG submitted a deficit plan for 201415 (£1m) as part of Five year plan agreed with
NHS England
Triggers further Section 19 report for 2014-15
Plan brings CCG back into surplus from 2015-16
and achieving all financial planning targets from
2016-17.
Oxfordshire
Clinical Commissioning Group
2014/15 Forward Look
David Smith, Chief Executive and
Oxfordshire
Clinical Commissioning Group
Strategy
Moving forward with outcomes based
contracting – mental health and older people
Strengthening our joint working with
Oxfordshire County Council
Better Care Fund
Developing primary care at scale
Oxfordshire
Clinical Commissioning Group
Performance
Work with our partners to have a financially
sustainable health and care system
Consistent delivery of NHS Constitution
commitments
Oxfordshire
Clinical Commissioning Group
Fit for Purpose organisation
Embedding our new structure and ways of
working
Developing clinical leaders
 Current leaders
 Identifying and supporting new leaders
Joint clinician and manager development