Annual Public Meeting Dr Kiren Collison Clinical Chair Agenda - PowerPoint PPT Presentation

Oxfordshire Clinical Commissioning Group Annual Public Meeting Dr Kiren Collison Clinical Chair

Agenda Oxfordshire Clinical Commissioning Group Chair’s introduction, welcome Dr Kiren Collison 18.00 and announcements (KC) Apologies for absence KC 18.10 Gareth Financial Accounts 2017/2018 Kenworthy (GK) 18.15 KC and Board Review of the year 2017/2018 members 18.25 Questions KC / All 19.05 Close 19.30

Oxfordshire Clinical Commissioning Group Annual Accounts 2017/18 Gareth Kenworthy Director of Finance

Context of 2017/18 Oxfordshire Clinical Commissioning Group  Fifth year of operation of CCG and fourth successive year of delivery of our financial targets in full  Second year of being fully responsible for GP Primary Care Commissioning from NHS England (received a transfer of allocation of £92m in order to achieve this)  Management of in-year financial risks – System risk share agreement and RTT pressure, CHC and Prescribing pressure from “no cheaper stock obtainable”

Financial highlights Oxfordshire Clinical Commissioning Group  Financial accounts produced to national deadlines  Surplus of £24.5m achieved – £4.5m higher than planned due to funds released by NHS England. This additional surplus will be carried forward for drawdown in future years.  All financial duties achieved  Unqualified audit opinion on the financial statements, regularity and value for money

Financial Performance targets Oxfordshire Clinical Commissioning Group Target Position Achieved Position Revenue spend not to exceed allocation of £892m Actual revenue surplus £24.5m Revenue administration spend not to exceed allocation of £14.6m Actual administration spend of £13.5m 98% of total value of invoices paid within 30 95% of invoices paid within 30 days days Remain within cash funding Cash target achieved

Where was the money spent? Oxfordshire Clinical Commissioning Group Annual Budget Actual Variance Budget Month 12 Month 12 Month 12 £'000 £'000 £'000 £'000 Acute 418,263 418,263 426,401 8,139 Community Health 72,465 72,465 73,964 1,499 Continuing Care 63,889 63,889 66,087 2,197 Mental Health and Learning Disability 73,099 73,099 73,554 455 Delegated Co-Commissioning 92,368 92,368 92,368 (0) Primary care 107,041 107,041 104,880 (2,160) Other Programme 17,751 17,751 17,118 (632) Sub Total Programme costs 844,875 844,875 854,373 9,497 Running costs 14,627 14,627 13,537 (1,090) Sub Total CCG 859,502 859,502 867,909 8,407 Risk Reserve 5,407 5,407 0 (5,407) 1% Non recurrent reserve (50% required) 3,717 3,717 0 (3,717) 0.5% Contingency reserve 3,842 3,842 0 (3,842) Total CCG after contributions to/from rese 872,468 872,468 867,909 (4,559) Planned Surplus c fwd 19,989 19,989 0 (19,989) Total 892,457 892,457 867,909 (24,548)

External Audit Opinion Oxfordshire Clinical Commissioning Group  Financial statements – an unqualified opinion that the accounts reported fairly on the CCGs finances  Regularity of income and expenditure – an unqualified opinion that financial transactions were conducted within the CCG legal framework  Value for money – no matters to report

How was the money spent? Oxfordshire Clinical Commissioning Group  In 2017/18 we spent £868million That’s . . .  £1,175 per person per year  £2.38 million per day  £1,651 per minute Plus £24.5m ‘surplus’ carried forward to 2018/19

How is the money spent? Oxfordshire Clinical Commissioning Group

And what did it buy? Oxfordshire Clinical Commissioning Group  146,439 attendances at A&E & MIU  26,987 emergency inpatient admissions  61,078 planned inpatient admissions and day cases  661,128 outpatient appointments  89,437 ambulance incidents  217,249 calls answered by NHS 111  108,907 calls to out of hours GP services  585,583 contacts with community services  92,146 podiatry appointments  10,000 provided with mental health information and advice  11,000 were given support for their mental wellbeing via TalkingSpacePlus  And more

If you live to be 85 . . . Oxfordshire Clinical Commissioning Group What would your NHS “receipt” at the end of your life look like?

In hospital Oxfordshire Clinical Commissioning Group Approx £46,500 would be spent on hospital care … Approx. £ Birth (some comps) 3,700 Under 5 A&E x2 300 Age 5 - Squint Correction 600 Age 14 – Appendectomy 2,800 Age 19 - A&E 150 Age 36 - Minor Shoulder Surgery 1,000 Age 56 - Diagnostic Bone Marrow 500 Extraction Age 56 - Malignant Lymphoma 7,300 Age 71 - Complex Knee Replacement 16,200 Age 77 - Pacemaker Implant 3,200 Age 80s - Various Outpatients 300 Age 83 - Falls and breaks hip 5,000 Age 84 - Bronchitis 2,700 Age 85 - 7 days Specialist Palliative Care 2,500 Total 46,250

Oxfordshire Clinical Commissioning Group £2,700 = approx cost of ambulance journeys per person in a lifetime £8,500 on mental health

Oxfordshire Clinical Commissioning Group Care outside hospital = £8,500 £7,600 = continuing health care equivalent to …maybe 5 weeks of CHC care in a care home

Oxfordshire Clinical Commissioning Group • Total spent: £10,000 • Number of prescription items: 3,500 • Range in cost from 80p to £4,000

What would your NHS “receipt” look like ? Oxfordshire Clinical Commissioning Group On average Acute Hospital Care £46,500 Ambulances £2,700 Mental Health £8,500 Care outside hospital £8,500 Prescriptions £10,000 GP Services £10,600 Other primary care £2,000 Nursing Home / CHC £7,600 Other £3,600 Sub total £100,000 Specialist treatments £22,000 Grand total £122,000

Present and future Oxfordshire Clinical Commissioning Group  For the financial year 2018/19 OCCG has a £23m increase to our funding compared to £16m in 2017-18 and £50m in 2016/17. The CCG remains at 4.9% below target funding.  OCCG has submitted a plan for 2018/19 that was compliant with financial planning targets including a surplus of £23m.  Key risk for OCCG moving forward into 2018/19 remains the same as it is for all NHS organisations across the country, which is to address the increasing demand for NHS services within the resources available and to work as part of a wider system to improve service provision.

Oxfordshire Clinical Commissioning Group Questions?

Oxfordshire Clinical Commissioning Group Review of the year . . . Dr Kiren Collison Clinical Chair

Oxfordshire Clinical Commissioning Group Questions?