Pam HobbsChief Finance Officer

2014/15 FinancesFinancial Overview• Revenue allocation of £222.7m + £2.4m income from other organisations

e.g. hosting services, prescriptions, and from pooled funds = £225.1m• 2014/15 closing distance from target allocation = -3.33% (£7.4m)• Expenditure £227.9m – Split into two categories

Programme which comprises cost of care from providers - £222.5mRunning costs – CCG costs of commissioning – £5.4m

•Overspend of £2.76m• QIPP Savings required in 2014/15 considerable plan of £11.93m achieved

with other recovery action £8.15m

2014/15 FinancesFinancial Duties overview – How did we do? • To ensure that the CCG stayed within the resources allocated to it. - but

overspend of £2.76m Consequences - S19 issued by External Auditors relating to deficit Reduction from CCG allocated resources in 2015/16 to repay the

deficit• To ensure the CCG running costs do not exceed the allowance – duty met• To manage the CCG cash to meet the draw down requirements – duty met • To pay 95% of our bills promptly (within 30 days) actual c98% – duty met

Spending by care setting net £225.5m(£227.9m expenditure and £2.4m income)

How did we spend the resources?• Responsible for NHS care for our population across UK (excluding

specialised services, contracts with GP’s pharmacists, dentists and optometrists, immunisations

• NHS and independent sector hospitals, care in community setting, prescriptions, nursing homes, ambulance services, Out of hours etc,

• Also responsible GP IT • Pooled budgets with Local Authority• Money follows patients – NHS contracts, activity and much tariff based

(price tag) • New/improved services – Including CAMHS waiting times, chronic fatigue

service, extension to psychiatric liaison in A&E and community geriatrician

What did we get for our resources Activity for our population

Activity for 14/15

Planned Admissions to hospital 30,000

First Outpatient appointments 98,000

Follow up Outpatient appointments 224,000

Emergency admissions 21,000

A & E attendances 46,000

Items prescribed to patients (prescriptions) 3,648,000

Continuing care clients 1,500

Mental Health Community support (contacts) 46,000

Community Mental Health inpatient care (Bed Days) 18,000

Community Nurse teams (District Nurses/Specialist Nurses) 91,000

Community Outpatients number of attendances 10,000

Ambulance Journeys 23,000

111 Services 58,000

Looking ahead – 2015/16• Increasing challenging financial position across system• Need to look at “whole resource available” deliver value from

every £1• Integrated working – Better Care Fund • Transformation key – CCG in good place to deliver this• Encourage healthy population - not ill health service