oxfordshire clinical commissioning group oxfordshire ccg annual public meeting 25 september 2014
TRANSCRIPT
OxfordshireClinical Commissioning Group
Oxfordshire CCG
Annual Public Meeting
25 September 2014
OxfordshireClinical Commissioning Group
OutlineTime 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
OxfordshireClinical Commissioning Group
Welcome and Introduction
Dr Joe McManners, Clinical Chair
OxfordshireClinical Commissioning Group
Review of 2013/14
Dr Joe McManners, Clinical Chair
OxfordshireClinical 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
OxfordshireClinical Commissioning Group
Our priorities 2013/14
Developing greater integration between health and social care
Developing care closer to homeCommissioning of early and effective
interventionsEmbedding quality improvement in all
we doReducing health inequalitiesMental health
OxfordshireClinical 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
OxfordshireClinical 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
emergency-multidisciplinary 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
OxfordshireClinical Commissioning Group
2013/14 Annual Accounts
Gareth Kenworthy, Chief Finance Officer
OxfordshireClinical Commissioning Group
Context of 2013-14
Major organisational change in the NHSFirst 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
OxfordshireClinical Commissioning Group
Financial HighlightsFinancial Accounts produced to
national deadlinesSmall surplus of £0.3m achieved All financial duties achievedUnqualified audit opinion on the
financial statements and on regularity
OxfordshireClinical Commissioning Group
Financial Performance Targets
OxfordshireClinical 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
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.
Surplus/(deficit)£'000
Plan 3.2Forecast at Month 6 -6.1Outturn 0.3
OxfordshireClinical 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£ per head of population
Acute Health care services 494.15Community Services 90.44Continuing Health Care 47.57Mental Health and Learning Disability 90.30Prescribing services 115.45Primary care services 13.40Other 28.83Running costs 21.74Surplus 0.37
902.25
OxfordshireClinical 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
OxfordshireClinical 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.
OxfordshireClinical Commissioning Group
Present and Future
Oxfordshire CCG submitted a deficit plan for 2014-15 (£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.
OxfordshireClinical Commissioning Group
2014/15 Forward Look
David Smith, Chief Executive and
OxfordshireClinical Commissioning Group
Strategy
Moving forward with outcomes based contracting – mental health and older people
Strengthening our joint working with Oxfordshire County Council
Better Care FundDeveloping primary care at scale
OxfordshireClinical Commissioning Group
Performance
Work with our partners to have a financially sustainable health and care system
Consistent delivery of NHS Constitution commitments
OxfordshireClinical 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