NHS Wessex Commissioning Finance Staff Development Event SPEAKER - PowerPoint PPT Presentation

NHS Wessex Commissioning Finance Staff Development Event – SPEAKER SLIDES 25th June 2014

James&Rimmer&

Wessex Commissioning - Finance Staff Development Event Rising to the challenge: the national context James&Rimmer& Chief&Financial&Officer& NHS&Southampton&City&CCG&

Context – The Financial Challenge • £30bn&funding&gap&by&2020/21& • UK&Budget&Deficit&not&cleared&unJl&2018/19&

• CCGs&must&manage&within&running&cost&target& (10%&reducJon&in&2015/16)&–&but&what&about& addiJonal&work&around&commissioning&primary& care&and&specialist&services?&& • CSUs&lead&provider&framework&W&Under&this& framework,&NHS&England&will&award&between& 10&to&15&support&services&providers&a&qualityW assured&status.&ApplicaJons&for&this&“lead& provider”&status&can&be&made&by&CSUs,&private& firms&or&through&joint&bids.& & • ExternalisaJon&of&CSUs?&

Simon&Stevens&becomes&CEO&of&NHS&England&on&1&April& 2014.&From&1997&to&2004&&Simon&was&the&Prime&Minister’s& Health&Adviser&at&10&Downing&Street,&and&policy&adviser&to& successive&Health&Secretaries&& He&joins&NHS&England&from&UnitedHealth&Group,&where&as& president&of&its&global&health&division& Mr&Stevens&“asked&to&take&a&voluntary&10&per&cent& pay&cut&for&the&year&ahead”&in&comparison&to&Sir& NHS&England&seeks&to&drop&safety,& David’s&salary.&He&will&be&paid&£189,900.& revalidaJon&and&tech&roles& Stevens&steps&back&from&'15&specialist&centres'&plan& CCGs&receive&details&of&Stevens'&coW commissioning&plan& Review&of&'overdefined'&specialised&services& Mr&Stevens&said&during&his&first&three&months&he& underway& would&carry&out&“due&diligence&on&the&state&of& NHS&finances&both&for&2014W15&and&2015W16”.& Exclusive:&Stevens&launches&quickWfire& NHS&England&'structure'&review&

7 th &May&2015& Rt&Hon&Jeremy&Hunt&MP& & v & Rt&Hon&Andy&Burnham&MP & & • Hunt&says&there&must&no&turning&back&on& On&the&issue&of&NHS&funding,&Burnham&says&puhng&in&more& • Francis.&He&adds&that&unsafe&care&is&also& money&now&would&be&"propping&up&a&20th&century&model&of& expensive&in&the&long&term& care".&He&says&remodelling&is&necessary&before&assessing& Hunt&says&that&the&NHS&remain&sustainable&if& • whether&the&health&service&needs&more&money&and,&if&so,&how& it&is&bold&in&areas&of&reform.&He&says&the&first& much.& area&of&reform&should&be&paJent&safety& Hunt&says&there&needs&to&be&a&renovaJon&in& • • Burnham&calls&for&the&financial&Jde&to&"pull&towards&home,&not& out&of&hospital&care.&He&says&in&theory& hospital“& something&there&is&lijle&disagreement,&but& • Burnham&says&his&vision&cannot&be&achieved&without&reforms&to& there&is&a&lot&of&scepJcism&about&whether&it& can&work& the&"malnourished&minimal&social&care&system".& Hunt&says:&“It&will&be&much&easier&to&make& • • Burnham&says&he&would&like&to&see&the&21st&century&healthcare& the&case&for&an&increase&in&NHS&funding&if&we& system&built&on&the&"twin&pillars&of&collaboraJon&before& can&show&we’ve&done&everything&to&eliminate& compeJJon,&people&before&profits"& waste”.&

Bejer&Care&Fund& SPENDING&ROUND&2013&Chancellor&of&the&Exchequer&=&puhng&£3.8& billion&in&a&single&pooled&budget&for&health&and&social&care&services&to& work&more&closely&together&in&local&areas,&based&on&a&plan&agreed& between&the&NHS&and&local&authoriJes.&With&the&aim&of&delivering& bejer,&more&joinedWup&services&to&older&and&disabled&people,&to&keep& them&out&of&hospital&and&to&avoid&long&hospital&stays.&& 7&May&2014&£3.8bn&NHS&Bejer&Care&Fund&policy& delayed&aler&damning&Whitehall&review& DH&plans&tougher&tests&for&bejer&care&fund& concluded&that&claims&for&policy&to&bring&together& 19&MAY,&2014&The&Department&of&Health&and&the& health&and&social&care&services&'don't&stack&up'& Cabinet&Office&will&today&meet&with&health&and& local&government&representaJves&to&draw&up&a& tougher&set&of&tests&for&the&bejer&care&fund.& Hunt&moves&to&shield&hospitals&from&integraJon&fund&failure&12&JUNE,& 2014&Jeremy&Hunt’s&warning&that&there&must&be&a&“proper&risk&sharing& profile”&in&all&bejer&care&fund&plans&has&been&interpreted&as&a&move&to& protect&fragile&acute&hospital&finances&ahead&of&the&general&elecJon.&

How&do&we&invest&in& QUALITY?& 12&June&2014&W&NHS&waiJng&list&passes&3m&for&first& Jme&in&six&years& 10&June&2014&NHS&facing&summer&crisis&as&A&E& performance&deteriorates,&says&Labour&

Mark&Orchard&

NHS Finance Leadership Council

Finance practitioners Managerial leaders pre-engagement Clinicians Finance leaders

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Maximise existing local networks Wessex CFOs/ commissioning finance Wessex CFOs/ commissioning finance peer groups… plus cross sector cross sector relationships relationships including local providers, regulators (Monitor, TDA, CQC), HEE, PHE, PropCo… and South Central DoFs, HFMA, FSD…

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Troublemaker+ Radical+ break&rules& change&rules& Sometimes leaders see radicals ✔ as troublemakers complain& create& ✖ asserJons& quesJons& meWfocused& missionWfocused& ✔ anger& passion& ✖ pessimist& opJmist& ✖ energyWsapping& energyWgeneraJng& ✔ alienate& ajract& problems& possibiliJes& ✔ vocalize&problems& socialize&opportuniJes& ✖ worry&that.........& wonder&if...........& point&fingers& pinpoint&causes& ✖ doubt& believe& Source: Lois Kelly alone& together& www.foghound.com ✔

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