2012/13 Financial Position and Recovery Plan Month 12 Outturn - - PowerPoint PPT Presentation

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2012/13 Financial Position and Recovery Plan Month 12 Outturn - - PowerPoint PPT Presentation

Apr 28, 2023 237 likes •408 views

Croydon Attachment D1 2012/13 Financial Position and Recovery Plan Month 12 Outturn Performance April 2013 0 Index 1. Financial Position Summary 2. QIPP Recovery Performance 1 1. Executive Summary Final outturn is a 63k surplus,

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April 2013

Croydon 2012/13 Financial Position and Recovery Plan Month 12 Outturn Performance

Attachment D1

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Index 1. Financial Position Summary

  • 2. QIPP Recovery Performance

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  • 1. Executive Summary
  • Final outturn is a £63k surplus, following the release of funds from the SWL

Risk Sharing Arrangement (£9.0m) and additional resource limit released for continuing care restitution payments (£2.6m) and Croydon share of transition costs.

  • Year-end agreement was reached with Croydon Healthcare Services

(CHS) and South London & the Maudsley

  • Key estimates include: continuing care, premises severance, review of

provisions for old clinical negligence settlements

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1.1 Financial Outturn

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Financial Performance Target/ Indicator Measure Target Forecast Status Performance Trend Statutory Break Even Duties Revenue Resource Limit (RRL) Stay within RRL £620.2m (incl. £9m from risk share) £620.1m Green Capital Resource Limit Stay within CRL £1.0m £0.7m Green Cash Resource Limit Stay within Cash Limit £619.4m (incl £9m from risk share) £619.4m Green Administration Duties Better Practice Payment Policy Payment of valid invoices within 30 days. 90% Between 78% and 93% Amber Other Significant Financial Targets QIPP Delivery of Programme Savings £25m £21.1m Green (see Appendix 12/13)

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1.2 Financial Outturn – Key Estimates

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Key estimates included in the outturn position include:

  • Prescribing accrual (£3.4m)
  • Provision for continuing care restitution claims (£4.5m)
  • Severance costs on premises (Leon House and Windsor House) (£0.8m)
  • Bad Debt and Bad Debt Provisions (£1.1m)
  • Partially completed acute inpatient spells (£3.1m)
  • Review of old clinical negligence provisions (£0.7m)
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1.3 Financial Performance By Receiver Organisation

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1.4 Financial Performance CCG: ACUTE (10 months)

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1.5 Financial Performance CCG: Out of Hospital Services

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1.6 Financial Performance NCB: Primary Care / Specialist

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1.7 YTD/FOT QIPP Performance Graph (M11)

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1.8 RAG Rating of QIPP Schemes

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PMO RAG Rating Number of Projects Annual Plan (£000) Forecast Saving (£000) Variance (£000)

Green 20 13,608 19,142 5,534 Amber 6 2,564 1,742 (822) Red 17 6,341 223 (6,109) Unidentified 2,487

  • (2,487)

Total (M11) 43 25,000 21,107 (3,893) Total (M10) 43 25,000 21,220 (3,780)

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  • £25m recovery target (net after investment)
  • £22.5m Net Savings Plans Agreed (90%)
  • Risks on Forecast outturn:
  • Non-delivery on agreed schemes (£1.4m)
  • Non-delivery to be identified (£2.5m)
  • 2. Recovery/QIPP Performance

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2.1 Year to date performance

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  • Based on 11 months actual acute data
  • Achieved net savings of £18.9m against plan of £22.5m (84%)
  • Key areas of adverse performance:
  • Primary Care
  • Shift of Care: Intermediate Services / Demand Management
  • Mental Health Efficiency
  • LTC and GP Support for Care Homes initiatives
  • Direct Access Diagnostics
  • Key areas of favourable performance:
  • Continuing Care: Mental Health, Children and LD
  • Prescribing
  • Corporate/Public Health
  • Community Efficiency
  • Acute KPIs/underperformance in outpatient activity
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2.2 2012/13 Programme Overview

RED HIGHLIGHT: Delivering shifts of activity, but not seeing underperformance on acute SLAs 13

QIPP Category 2011/12 Outturn 2012/13 Planned Net Savings Confirmed Work in Progress Total Mental Health 1,465 3,083 3,083 Acute Sector 1,977 9,939 9,939 Primary Care 1,294 824 824 Community Support Services

  • 1,416

1,416 Activity Shifts

  • 1,167

1,167 Long Term Conditions 480 2,156 2,156 Urgent Care 2,365 104 104 Planned Care 3,547 1,407 1,407 End of Life 350 877 877 Staying Healthy

  • 325

325 Back office 2,965 177 177 Staffing

  • 240

240 Prescribing 2,325 800 800 Total 16,769 22,513 22,513 Unidentified 2,487 Target savings for 2012/13 22,513 25,000

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2.3 Top Ten QIPP Schemes

Project £’000 PMO Rating Status Description Acute KPI/CQUINs – CUH 8,145 G New Savings from agreed contract levers with CUH Mental Health Efficiency 2,030 R New Reduction in acute MH contract value, activity reductions and shifts into primary care CCHS (Community) Efficiency 1,416 G New Reduction in agreed value of CCHS contract COPD Community Service 874 R Exp. COPD ‘hot clinic’ to avoid emergency admissions, doors opened in March Prescribing Efficiency 800 G New Reduction in GP prescribing spend. Limited data YTD. LSCG Efficiencies 778 G New Principally reduced pricing for SCG services Acute KPI/CQUINs – Other Trusts 746 G New Savings from agreed contract levers with other Acute Providers Mental Health National Efficiency 735 G New National efficiency adjustment Urology Service Redesign 600 G New Savings agreed with CUH through service redesign Intermediate Ophthalmology Pathway 575 R FYE Community triage service established to reduce activity flow into Secondary Care Total (67% of total target) 16,699

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