Section 2: Finance and Information FINANCE AND ACCESS Target Responsible Director Where will performance and assurance be sought RAG status Delivery of the 1% Surplus Steve Perkins Finance and performance committee review Underlying recurrent surplus Steve Perkins Finance and performance committee review Running costs within allocation Steve Perkins Finance and performance committee review Operating within cash limit Steve Perkins Finance and performance committee review Better payment performance by value Steve Perkins Finance and performance committee review Better payment performance by number Perkins Finance and performance committee review Non Elective Activity on Plan Jo Cullen Finance and performance committee review Non elective QIPP plan delivery Jo Cullen Finance and performance committee review Planned Activity on Target Lucy Baker Finance and performance committee review Outpatient targets are being delivered Lucy Baker Finance and performance committee review Planned care QIPP plan delivery Lucy Finance and performance committee review Other activity targets are being delivered Multiple Finance and performance committee review A&E 4 Hour wait (SFT) Jo Cullen Finance and performance committee review A&E 4 Hour wait (GWH) Jo Cullen Finance and performance committee review A&E 4 Hour wait (RUH) Jo Cullen Finance and performance committee review Cancer waiting times Lucy Baker Finance and performance committee review Summary In line with NHS England (NHSE) planning requirements the CCG is required to deliver a 1% surplus against its available resources and to hold a 1% uncommitted headroom (which may only be released in conjunction with NHSE / Treasury approval). £'m B/f surplus from year delivery 5.5
Community services Children’s community services is forecasting a small overspend at M09 linked to additional charges.  0.48% Continuing care services Continuing care services (including personal health budgets) is reporting a small overspend due to a small number of additional patients being identified with in-year back-dated costs.  1.15% Funded nursing care Funded nursing care budgets are reporting an overspend due to a 40% increase in FNC  26.18% Other programme services No material forecast issues identified at month 9.  -2.50% Prescribing Prescribing continues to report a forecast underspend at M09 on FP10 forecast data.  -1.21% Out of hours and NHS 111 No material forecast issues identified at month 9.  -80.00% Local Enhanced Services No material forecast issues identified at month 9.  -71.00% Primary care IT No material forecast issues identified at month 9.  0.00% Reserves Represents release of reserves to offset identified forecast pressures and anticipated savings derived from FRP.  -28.47% Running costs Forecast underspend linked to the achievement of QIPP target.  -4.78% An upward trend arrow indicates a favourable movement, and a downwards trend arrow represents an adverse movement. Financial risks In M09 the CCG has reported increased risks against the Continuing Health Care budget from the potential non delivery of QIPP and an eligibility decision dispute. These risks have been mitigated by potential non recurrent measures. Further risks and mitigations against the CCG forecast position are identified below: Area Potential risk / £'000s Likelihood % Residual risk / £'000s Comment Risk issues services 750 100% 750 Possible additional pressures in acute services
Explanation The table above indicates a RAG status in two columns related to the life of a project. These columns relate to the development and delivery stages. The first column indicates whether those planned activities which need to be completed for benefit/savings to be achieved have been completed. Benefits may not be released from the start of a project as there may developmental work which needs to be completed before a service of change becomes operational or goes live. RAG status for projects in RAG for ‘Planned Milestones’ column is described Red – not on track in current period and with need for plans to be developed and agreed to address issues and mitigate risks and get back on track Amber – not on track in current period but with agreed and traceable plans in place to address issues and mitigate risks and get back on track – on track in current period and with no currently known issues or risks to RAG status for the above is taken from information reported internally via Directorate Dashboards. If a project is not delivering the financial benefit anticipated, the RAG for ‘Delivery of Planned Benefits’ column will show red. Programme Management The Programme Management Office (PMO) tracks progress of delivery through meetings with project managers and also the Directorate Dashboards which are reviewed monthly by the Executive Management Team. The PMO also produces status reports for the CCG’s Finance and Performance Committee. A number of mechanisms designed to increase accountability, identified by internal audit and agreed by the CCG’s Audit and Assurance Committee are included in the PMO reporting process and this Integrated Performance Report. Update on the 16/17 QIPP work streams November 2016 performance data is shown in this report. The 16/17 Delivery Plan included the requirement for QIPP savings to be delivered in order to achieve financial balance. QIPP is divided into the following categories: Programme Related Activity, including: