Transcript Implementation Planning

North West London
Month 12 Budget Update
SaHF & NWL Strategy and Transformation Programmes
April 2014
Purpose
This paper provides the month 12 budget update for NWL-wide financial
strategy/ SaHF including Strategy & Transformation programmes.
The Collaboration Board are asked to:
a) note the month 12 budget report.
2
Contents
1
Sources of funding
2
Applications of funding
3
Budget Analysis
4
Month 12 S&T budget report
5
Consultancy contracts let
3
Sources of funding
Month 11
Month 12
A
CCGs contribute to the programme from the 2% top
slice
£24.3m1
£25.1m2
B
NHS E fund equivalent of the 2% contribution from
services they commission
£13.0m
£13.0m
C
Trust providers contribute to the zone management
structure supporting implementation
£0.25m3
£0.25m
D
Whole systems design phase funded from partnership
funding
£3.0m
£3.0m
£40.55m
£41.35m
Total resource available
1
Ealing CCG no longer contributing 0.5% (£1.2m)
Contribution from Richmond CCG (£0.8m) – funding West Middlesex
3 Acute trusts are committing significant additional resources internally developing their business
cases, not represented in figures above
2
4
Applications of funding
Initial agreed budgets
-
S&T projects
Provider support
£24.3m
£10.5m (Hillingdon £8m, West Mid £2.5m)
£34.8m
Inclusion of Whole Systems
£3.0m
£37.8m
Specialist commissioning shortfall
- Agreed at January Collaboration Board
£1.0m (Harrow £0.7m, Hillingdon £0.3m)
NWLHT - merger
£1.4m
Richmond CCG contribution
£0.8m
Total
£41.0m
Note: £0.25m represents Trusts contribution to zone management support, retained locally .
5
Breakdown of agreed S&T (inc. Whole Systems) budgets
1
2
Enhanced integration
Primary care
transformation
1.1 Whole
systems service
Implementation
1.2 Networks
£1.6m
£1.8m
£3.0m
2.1 GP
Transformation
2.2 Primary care
estates
2.3 Primary care
IT
2.4 OOH
workforce
delivery support
£2.1m
£1.1m
£2.5m
£1.1m
3
Transforming
Mental Health
services
Slide 6
1.3 Design
Phase for Whole
Systems1
3.1 Transforming
Mental Health
services
S&T
CCGs
£3.7m
£2.7m
£3.9m
£2.9m
£1.2m
£0.8m
£11.0m
-
£1.1m
-
£20.9m
£6.4m
£2.0m
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4.1 Implementation
planning and
governance
4.2.1 Local
hospital
development
4.2.2 Major
hospital
development
4.2.3 Clinical
implementation
groups
£3.0m
£3.1m
£1.6m
£0.3m
SaHF implementation
4.2.4 Zone
management
4.3 Workforce /
enabler projects
4.4 IRP review
and JR
£0.6m
£0.8m
£1.6m
Other costs (core team, non-pay, events)
1 Includes partnership funding of £3m, held by the Tri-borough
Total
£27.3m
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Month 12 S&T budget report
Committed Spend YTD
BUDGET
YTD
ACTUAL
(Committed Spend)
YTD
VARIANCE
YTD
1
Enhanced
integration
Whole systems service implementation
Networks
Design phase for whole systems
TOTAL
£0.6m
£0.1m
£3.0m1
£3.7m
£0.6m
£0.1m
£3.0m
£3.7m
-
2
Primary
care
transformation
GP Transformation
Primary care estates
Primary care IT
OOH workforce delivery support
TOTAL
£0.6m
£1.6m
£0.4m
£1.5m
£4.1m
£0.6m
£1.5m
£0.4m
£1.6m
£4.1m
-£0.1m
£0.1m
-
3
Transforming
mental
health
services
TOTAL
£0.7m2
£0.7m
-
Implementation planning and governance
Provider business case + zone + LH
Workforce / enabler projects
IRP review and JR
TOTAL
£3.0m
£5.6m
£0.8m
£1.6m
£11.0m
£3.0m
£5.6m
£0.8m
£1.3m
£10.7m
-£0.3m
-£0.3m
4
SaHF
Implementation
5
Other costs
(core team,
non-pay,
events)
TOTAL
£0.9m
£1.2m
£0.3m3
CCG
Funding
TOTAL
£6.9m4
£6.9m
-
£27.3m
£27.3m
-
6
Total
1 Whole systems design phase funded from partnership funding
2 Excludes £0.5m mental health CCG funding
3 Variance due to inclusion of senior team pay costs
4 Includes £0.5m mental health CCG funding
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S&T consultancy contacts let since 1st April 2013 (1/2)
Contract let
Contract
Value
Provider
Finnamore
and Oak
Group
Decision-making panel
Medical Director SaHF, Chief Executive Ealing Hospital,
Finance Lead Ealing CCG, GP Ealing CCG, Chief Officer
CWHH CCGs, Director of Strategy & Transformation, Deputy
Director of Strategy & Transformation
April 2013
MCAP implementation
support
£249,000
May 2013
Shaping a healthier future
Implementation Model
£98,890
McKinsey &
Company
Chief Finance Officer SaHF, Deputy Director of Strategy &
Transformation
July 2013
Shaping a healthier future
programme support IRP
and JR extension
£495,000
PA
Consulting
Single tender waiver agreed under sections H, J and K of
Central London’s standing orders by Chief Officer and CCG
Chair
July 2013
Primary care investment
principles
£163,500
Methods
Consulting
Ltd
GP West London CCG, Deputy Head of Primary Care (NW
London) NHSE, Deputy Director of Strategy &
Transformation, Assistant Director of Strategy &
Transformation, Primary Care Programme Manager Strategy
& Transformation
September 2013
Whole systems integrated
care
£3,355,621
McKinsey &
Company
20 panel members from CCGs, Local Authorities, Acute
Providers, NHS England, CSU, S&T, Lay members
September 2013
Local hospitals
development
£1,999,462
PwC
Vice Chair Ealing CCG, CWHH Finance Director, CWHH
Chief Officer, Deputy Director of Strategy & Transformation,
Non-Executive Director BEHH, Director of Strategy Imperial
Healthcare Trust, Deputy Chief Executive Ealing Hospital,
Chair Hammersmith & Fulham CCG
September 2013
Hub outline business case
development
£1,434,562
PA
Consulting
Chair Harrow CCG, CWHH Chief Officer, Managing Director,
Central London CCG, Director Strategy & Transformation,
Lay Member Harrow CCG
September 2013
Shaping a healthier future
PMO Support
£1,393,035
PA
Consulting
Single bid evaluated by :
CWHH Chief Officer, Chair Hammersmith & Fulham CCG,
CWHH Finance Director, Deputy Director Strategy &
Transformation
£95,025
PA
Consulting
October 2013
Informatics/ IT in NWL
Chair Hillingdon CCG, GP Ealing CCG, GP Managing
Partner at Newton Medical Centre and Central London CCG
Assistant IT lead, CWHH CCGs Deputy Director of Finance,
Strategy & Transformation Informatics Lead
8
S&T consultancy contacts let since 1st April 2013 (2/2)
Contract let
Contract
October 2013
Communications Support
to NWL CCGs
November 2013
7 Day GP Access in NWL –
Simulation Model
£346,755
Private
Public Ltd
December 2013
MCAP implementation
support - extension
£95,200
Finnamore
and Oak
Group
Single tender waiver agreement
December 2013
NWL Financial Advisory Role
£165,000
McKinsey &
Company
Single tender waiver agreement
£64,879
PA
Consulting
Chief Officer CWHHE CCGs, Director Strategy &
Transformation, Deputy Director Strategy & Transformation
February 2014
Impact of Services Changes
on Protected Groups in
NWL Major & Local Hospitals
£59,375
Mott
Macdonald
Ltd
Chief Officer CWHHE CCGs, Director Strategy &
Transformation, Deputy Director Strategy & Transformation,
Assistant Director Patient Experience & Equalities CWHHE
CCGs, Communications Engagement Manager Strategy &
Transformation
March 2014
Patient Travel Patterns Data
Analysis for 9 Hospital Sites
in North West London
£58,500
Sky High
Technology
GP & Deputy Chair Ealing CCG, Deputy Director Strategy &
Transformation, Travel Plan Adviser, PMO Strategy &
Transformation
January 2014
Workforce Transformation
Programme
Value
£358,400
Provider
LCA/
Consolidated
PR
Decision-making panel
Chief Officer CWHH CCGs, Director of Strategy &
Transformation, Chair of NWL Integrated Pilots, Director of
Communications, Programme Officer of Strategy &
Transformation
Deputy Director Strategy & Transformation, Deputy
Managing Director H&F CCG, GP & Deputy Chair Harrow
CCG, GP and Clinical Lead Harrow CCG, Programme Officer
of Strategy & Transformation
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