Primary Care Committee Tuesday 6 February 2018

9.30am – 11.30am Sherwood Board Room 1

A G E N D A

Item Lead Enc. Time

1. Welcome & Apologies Chair 9.30am

2. Declaration of Interests Chair

3. Minutes of Previous Meeting held on Wednesday 10 January 2018

Chair PCC18/01 9.35am

4. Matters Arising Chair

Operational

5. Primary Care Budget

PMS Enhanced Services

Edna Muraya PCC18/02 9.45am

6. E - Consultations Alex Friend PCC18/03 9.55am

Any Other Business

7. 10.05am

Date of next meeting

8. Wednesday 7 March, 2pm – 4pm Sherwood Board Room 1

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PCC18

Outcome

Completed CompletedCompletedCompletedCompletedCompletedCompleted

Completed

Completed Completed

Completed

/01

MKCCG Delegated Commissioning Finance Report

December 2017

By Edna MurayaSenior Finance Manager

PCC18/02

KEY MESSAGES ON THE BUDGET

The budget for 17/18 for delegated commissioning is £32.205M. At Month 9 the budget was underspent by £524K and forecast to be underspend by £572K.

This underspend partly relates to an uncommitted contingency reserve of £379K . This is phased equally in the budget with no actual spend currently forecast.

In its 17/18 financial and operating plan the CCG held back 1.0% of its allocation to meet future Transformational costs. This totalled to £327K

The areas that are underspending are:Global sum is underspent more year to date than the forecast due to the phasing of the plan as there are patient population growth is reflected in the last two quarters of the year.

Minor surgery, rent and extended hours are lower than planned. We have received the updated claims from NHSE and adjusted the actual spend and forecast based on this latest data.

MPIG underspend is growing as anticipated as it is being phased out and so are the seniority payments which are projected to be going down year on year.

DELEGATED COMMISSIONING FINANCE REPORT- DEC 2017

PCC18/02

Business Rates expenditure was planned at 16/17 levels however post national rates rebate exercise are now being reflected in 17-18 hence an underspend of £64K YTD and forecast at £86K.

The areas that are overspending are as follows:

Indemnity Insurance will overspend as its based on population size at 51.6p per patient. We are still awaiting direction from NHSE but this will be paid at the end of the financial year.

The maternity and sickness payments are currently overspent based on the information we have and are awaiting NHSE to send the claims that have been put forward by practices.

QOF achievement for 16/17 indicated an increase from the achievement level in 15/16 on which the 16/17 budget was based. Therefore a £140K YTD overspend exists and is forecast to overspend by £266K for the year 2017-18

DELEGATED COMMISSIONING FINANCE REPORT-NOV 2017 (cont’d)

PCC18/02

Service Budget 2017‐18Sum of YTD Budget

Sum of YTD Actual

Sum of YTD Variance

Sum of Forecast Variance

APMS ContractAPMS Contract 1,657,056 1,221,894 1,243,686 21,792 1,673,530 16,474Sub total 1,657,056 1,221,894 1,243,686 21,792 1,673,530 16,474CorpOther‐Indem Insurance 135,204 101,403 111,507 10,104 148,676 13,472Other‐Corp 95,872 71,904 47,110 ‐24,794  15,642 ‐80,230 Caretaking Fees 28,500 28,500 28,500 0 28,500 0Sterile Services 32,060 24,045 0 ‐24,045  47,172 15,112Sub total 291,636 225,852 187,117 ‐38,735  239,990 ‐51,646 EHSExtended Hrs 449,724 337,293 282,773 ‐54,520  377,030 ‐72,693 Learning Dis 33,192 24,894 21,576 ‐3,318  28,768 ‐4,424 Minor Surg 357,708 268,281 217,530 ‐50,751  289,392 ‐68,316 Violent Patients 54,000 40,500 40,500 0 54,000 0Sub total 894,624 670,968 562,379 ‐108,589  749,190 ‐145,434 GMS ContractGlobal Sum 20,337,336 15,266,775 15,056,103 ‐210,673  20,154,375 ‐182,961 MPIG 254,976 191,232 150,173 ‐41,059  202,278 ‐52,698 Sub total 20,592,312 15,458,007 15,206,276 ‐251,731  20,356,653 ‐235,659 PCOMat Leave 152,124 114,093 115,745 1,652 159,630 7,506PCO‐Other 20,004 15,003 0 ‐15,003  0 ‐20,004 Seniority 378,528 283,896 263,369 ‐20,527  351,159 ‐27,369 sickness 50,064 37,548 63,149 25,601 70,084 20,020Susp Drs 0 0 0Sub total 600,720 450,540 442,263 ‐8,277  580,872 ‐19,847 PMS ContractFDR 944,088 708,066 708,068 2 944,091 3PMS Reviews CCG 472,044 354,033 354,034 1 472,045 1Sub total 1,416,132 1,062,099 1,062,102 3 1,416,136 4PremisesActual rent 2,812,812 2,109,609 2,064,187 ‐45,422  2,754,482 ‐58,330 Clin Waste 188,400 141,300 141,298 ‐2  188,397 ‐3 Water 23,676 17,757 17,755 ‐2  23,673 ‐3 CQC Fees 0 104,708 104,708 136,650 136,650PIG 0 0 0 0Rates 462,348 346,761 282,530 ‐64,230  376,707 ‐85,640 Sub total 3,487,236 2,615,427 2,610,477 ‐4,950  3,479,909 ‐7,326 Presc/DispDisp 0 0 0 0 0Presc 223,980 167,985 167,985 ‐0  194,582 ‐29,398 Sub total 223,980 167,985 167,985 ‐0  194,582 ‐29,398 QOF 0ach 798,648 0 0 0 884,495 85,847Asp 1,863,516 1,397,637 1,537,713 140,076 2,043,817 180,301Sub total 2,662,164 1,397,637 1,537,713 140,076 2,928,313 266,148OtherVoluntary levy deductions 0 0 0 0Trade waste 0 0 11,210 11,210 13,664 13,664Sub total 0 0 11,210 11,210 13,664 13,664Total 31,825,859 23,270,408 23,031,208 ‐478,400 31,632,839 ‐193,020Contingency 379152 284,364 0 ‐284,364  0 ‐379,152Grand Total 32,205,011 23,554,772 23,031,208 ‐523,564 31,632,839 ‐572,172

PCC18/02

Recommendations

Primary Care Committee is asked to note the content of this finance report.

Other primary care budgets.

Year to Date ‐ Month 09 Forecast Outturn

Annual Plan Budget Actual Variance RAG Forecast Variance RAG£000 £000 £000 £000 % Rating £000 £000 % Rating

GP Delegated Commissioning 32,205 23,555 23,031 ‐524 ‐2.2% G 31,633 ‐572 ‐1.8% G1% Transformation Fund NHSE (GP Alloc) 327 245 0 ‐245 ‐100.0% G 0 ‐327 ‐100.0% GLocal Enhanced Services 1,587 1,190 910 ‐281 ‐23.6% G 1,199 ‐388 ‐24.5% GPMS Plus Contract 380 285 285 0 ‐0.2% G 380 ‐1 ‐0.2% GSupport to GP Practices (£3/head) 430 0 0 0 0.0% G 0 ‐430 ‐100.0% GGP Forward View 1,373 992 1,179 187 18.8% R 1,642 269 19.6% RCommissioning Schemes for over 75s 0 0 ‐187 ‐187 0.0% G ‐270 ‐270 0.0% G111 Service  734 581 614 33 5.6% R 802 68 9.3% ROther Commissioning Schemes 143 107 81 ‐26 ‐24.7% G 111 ‐32 ‐22.1% GUrgent Care Contract 3,305 2,431 2,217 ‐214 ‐8.8% G 3,014 ‐291 ‐8.8% GTOTAL PRIMARY CARE 40,484 29,387 28,129 ‐1,258 ‐4.3% G 38,511 ‐1,972 ‐4.9% G

PCC18/02

   

  

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