Welcome Dr Faruk Majid GP and CCG Chair Agenda Welcome Annual - - PowerPoint PPT Presentation

Annual General Meeting 2019

Welcome

Dr Faruk Majid GP and CCG Chair

• Welcome
• Annual report and accounts for 2018-19
• Q&A to the Governing Body

Agenda

Annual Report 2018/19

Martin Wilkinson Managing Director

Full report available at www.lewishamccg.nhs.uk

Improving Health and Care Planned Care Urgent & Emergency Care Our priorities for 2018/19 Financial delivery 2018-19 and financial planning 2019/20

Annual Review 2018/19

See the film online at https://youtu.be/VOyVeXYcp_0

Our performance (1)

Ambulance response mean time

Standard 7 mins, performance 6.38 mins

Ambulance response

Standard 15 mins, performance 10.57 mins

A&E 4 hour wait

Standard 95%, performance 87.2%

Cancer 2 week wait

Standard 93%, performance 94.6%

Cancer GP referral to treatment within 62 days

Standard 85%, performance 74.1% (0.5% improvement on 17/18)

Our performance (2)

Electronic referrals

Standard 80%, performance 84%

Referral to treatment within 18 weeks

Standard 92%, performance 84.9%

52 week waits

Standard 0, performance 337

Diagnostics within 6 weeks

Standard 99%, performance 98.5%

Continuing Healthcare assessment in hospital

Standard less than 15%, performance 12.5%

Our performance (3)

Continuing Healthcare assessment within 28 days

Standard 80%, performance 91.6%

Personal health budgets per 100,000 people

Standard 33.4, performance 22.4 (6.9 improvement on 17/18)

Dementia diagnosis

Standard 66.7%, performance 74.2%

Eating disorders – urgent access within 1 week

Standard 100%, performance 66.7% (one patient)

Eating disorders – routine access within 4 weeks

Standard 80%, performance 84%

Our performance (4)

Access to psychological therapies

Standard 4.2%, performance 4.5%

Treated within 6 weeks of referral to psychological therapy

Standard 75%, performance 82.7%

Recovery following psychological therapies

Standard 50%, performance 51.3%

Access to early intervention in psychosis services within 2 weeks

Standard 50%, performance 72.5%

NHS England CCG Annual Assessment

Overall headline rating for 2018/19 is ‘GOOD’ Key clinical indicators:

• Diabetes – OUTSTANDING
• Dementia Care – OUTSTANDING
• Maternity – OUTSTANDING
• Mental Health – OUTSTANDING
• Cancer – REQUIRES IMPROVEMENT

NHS England conditions relating to urgent and emergency care lifted in March 2019.

Annual Accounts and Financial Review 2018/19

David Maloney Director of Finance

Full report available at www.lewishamccg.nhs.uk

2018/19 Year End Results

£000 Allocation* 486,668 Other Income 3,137 Total Income 489,805 Expenditure (489,474) In Year Surplus 2018/19 331 Cumulative Surplus at 1st April 2018 10,360 In Year Surplus 2018/19 331 Cumulative Surplus at 31st March 2019 10,691 Planned surplus at 31st March 2019 10,660 Surplus achieved greater than target 31

* Includes capital allocation £105k

Statutory Financial Performance Duties

Measure Target £000 Outcome £000 Duty achieved?

Expenditure not to exceed income 489,805 489,474 Yes Capital resource use does not exceed the amount specified in Directions 105 105 Yes Revenue resource use does not exceed the amount specified in Directions 486,563 486,232 Yes Revenue administration resource use does not exceed the amount specified in Directions (RCA) 6,744 6,099 Yes

Other Financial Performance Targets

Measure Target £000 Outcome £000 Target achieved?

Deliver targeted cumulative surplus 10,660 10,691 Yes Cash spending within cash available 486,392 481,373 Yes Minimal cash balance at year end 706 5 Yes Make prompt payments 95.0% 99.5% Yes

Independent Auditors Opinion The annual accounts have been audited by KPMG LLP (External Auditors)

Audit Opinion Opinion Issued

Financial statements present a true and fair view Unqualified opinion issued Regularity of the financial statements Unqualified opinion issued Value for money (VFM) Conclusion ‘Except for’ qualification

Expenditure by Category

Questions to the Governing Body