Download 2. SNCCG Community Workshop - Nov 16 JL

NHS South Norfolk CCG –
Financial context and QIPP
Programme
James Leeming
Interim Turnaround Director
Local challenges:
• Populations are living longer
• Living with long term conditions
• Demands on access to care across health and
social care is increasing
• The rate of lifestyle-related health conditions
continues to increase
• NHS faces frontline recruitment issues, particularly
in Primary Care
Financial context:
2016-17 budget – total budget £272.6m
Of which:
• £139m is spent on acute (hospital-based) services
• £33m is spent on community-based services
• £23m is spent on mental health services and services
for people with learning disabilities
• £42m is spent on Primary Care (primarily prescribing)
• £20m is spent on Continuing Health Care
• £5m is allocated towards the running of the CCG
QIPP (1):
‘QIPP’ – Quality, Innovation, Productivity and
Prevention
• Transformation initiative introduced in 2010
• Identify efficiencies within commissioning to reinvest in
frontline care
• ‘Thinking differently’ about commissioning, and putting
local patients at the forefront of commissioning
decisions
• All CCGs are tasked with developing QIPP Programmes
to drive efficiency locally
QIPP (2):
• NHS England requires CCGs to achieve a 1% surplus
• Since the its inception in 2013-14, the CCG has set
ambitious QIPP plans to achieve financial balance, as
well as the required 1% surplus
• The CCG has delivered its QIPP plans each year, but
has not always delivered a 1% surplus
• This has created an underlying deficit in the CCG’s
budget of £8m
• The CCG’s 2016-17 QIPP programme is £13.9m to
reduce this deficit to £2.8m
QIPP (3):
Methods of delivering QIPP plans:
Transactional: Financial, contractual and performancerelated details
Transformational: Strategic, pathway changes, and
changes in national policy
Relational: Historic relationships, communication, local
knowledge and experience