Joint Health & Wellbeing Board Lambeth CCG Operating Plan - - PowerPoint PPT Presentation

joint health wellbeing board lambeth ccg operating plan
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Joint Health & Wellbeing Board Lambeth CCG Operating Plan - - PowerPoint PPT Presentation

Joint Health & Wellbeing Board Lambeth CCG Operating Plan 2013/14 6 th February 2013 6 th February 2013 Overview Lambeth CCG is required to submit to the NHS Commissioning Board an annual operating plan that provides a coherent approach to


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Joint Health & Wellbeing Board Lambeth CCG Operating Plan 2013/14 6th February 2013 6th February 2013

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SLIDE 2

Overview

Lambeth CCG is required to submit to the NHS Commissioning Board an annual operating plan that provides a coherent approach to meeting the objectives as set out in:

  • ur 5 year Commissioning Strategy Plan

national NHS priorities for 2013/14 – as determined by NHS CB local priorities for 2013/14 Secretary of State’s decision on South London Healthcare Trust

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“Improving Health, Improving Quality”

Serious Mental Illness Cardio Vascular Disease Diabetes

Help 5000 more

HIV

Halve the proportion

Smoking

Help 12500

Childhood Obesity

Help 900 more

Alcohol

Increase front-line

Our Vision: Health improvement is at the heart of all we do. We will increase life expectancy for all and reduce the difference in life expectancy between the most and least deprived in our diverse communities. We will maintain a thriving, financially viable, health economy delivering safe and effective high quality care. We will commission comprehensive integrated care that meets the needs of local people. We will value diversity amongst providers, but will expect excellent outcomes.

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Illness

Enable 1000 people to move to a new asset and recovery based service offer.

Disease

Improve hypertension control of 1000 more people. more people control their blood sugar. proportion

  • f very late

HIV diagnosis. 12500 more people to quit smoking. Help 900 more children

  • vercome
  • besity , 10000

to maintain a healthy weight. front-line staff training in screening & in brief Intervention.

Increase life expectancy Reduce health inequalities Improve Patient Experience DELIVER QUALITY, INNOVATION, PRODUCTIVITY & PREVENTION

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SLIDE 4

Quality premium

A Quality Premium will be paid in 2014/15 to clinical commissioning groups that in 2013/14 improve or achieve high standards of quality in the following four measures from the NHS Outcomes Framework: Potential years of life lost from causes considered amenable to healthcare

  • Avoidable emergency admissions
Target is within our existing priority health goals Target area identified within our Joint Strategic Needs Assessment (JSNA) Mental Health target - to reflect parity with physical health Target is credible with all partner
  • rganisations
Target is measurable and amenable to in-year monitoring Target is within the specific remit of CCG commissioning responsibilities Can member practices be fully engaged with delivering the target? Will JHWB be supportive of the target SCORE (No of 'YES')

YES 7 NO YES YES YES

H GOALS

YES YES YES

Serious mental illness: 90% of users in care programme approach with HoNoS Cardio vascular disease 73% of people with hypertension with BP <= 150/90

YES YES 7 YES YES YES YES 7 NO YES YES YES

H GOALS

YES YES YES YES YES NO

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  • The Friends and Family Test
  • Incidence of healthcare associated infections

(MRSA and CDiff) In addition 37.5% of the Quality Premium will based on achieving: 3 Local priorities for 2013/14 – agreed with Health & Wellbeing Board

LAMBETH CCG: 7 STRATEGIC HEALTH G

Diabetes 71% of people with diabetes with blood sugar HbA1c <8 HIV 14% Lambeth residents diagnosed very late with HIV (<200 CD4 cells/mm3) Smoking 1155 smoking quitters per 100,000 population Childhood obesity Year 6 obesity prevalence in children 23.25% Alcohol 90% of the identified frontline staff have receivedtraining in screening andbrief intervention foralcohol misuse

YES YES YES YES YES 5 5 YES YES NO NO YES YES NO YES NO NO YES YES NO YES 6 5 YES YES NO YES YES NO YES NO NO YES YES YES NO YES 7 YES YES YES YES

LAMBETH CCG: 7 STRATEGIC HEALTH G

YES YES NO

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Financial allocations

£000s CCG Baseline 406,263 Recurrent Uplift (2.3%) 9,344 Total Baseline 415,607 Running Cost Allowance 8,238 Total Recurrent Allocation 423,845

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CCG allocation is 62% of PCT historic allocation after

transfers to the NHSCB and Local Authority Flat rate growth of 2.3% across all CCGs CCG’s surplus (£4.4m) has been returned for reinvestment in 2013/14 LBL allocation of £5.4m for 2013/14 for support for joint working with Health and Social Care

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Draft financial framework

Financial Framework 2013/14 £000s Income Recurrent Uplift (2.3%) 9,344 Prior Year Surplus brought forward (1.0%) 4,372 Total Income Changes 13,716 Expenditure 2012/13 Outturn Pressures 10,306

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Tariff and generic uplifts 10,437 Efficiency with Tariff (13,937) Net Tariff/ Generic Uplift (-1.1%) (3,500) Population & Incidence Growth 8,225 Investment Proposals 6,193 QIPP Savings Initiatives (2.9%) (11,880) Change in Recurrent Expenditure 9,344 Total Planned Surplus of 1% 4,372

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Risks and risk management

Risk transfer of commissioning budgets in particular Specialist Services in-year demand – Acute, Continuing Care QIPP delivery performance risks Risk management Risk management population and non demographic growth funding commissioning risk share; provider risk share and block agreements SE London CCG risk share arrangements including mutual financial assistance in-year contingency planning

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QIPP Programme

2012/13 2013/14 2014/15 Total QIPP Schemes

£000s £000s £000s £000s

Acute 5,251 5,838 5,500 16,588 Community Services

  • 1,438

1,200 3,901 Mental Health 3,020 3,043 1,500 7,563 Primary Care 5,107 1,203 800 7,110

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Primary Care 5,107 1,203 800 7,110 Other 616 358 1,100 2,074 Total QIPP 15,256 11,880 10,100 37,236