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M onth 12 Budget Update. SaHF & NWL Strategy and Transformation Programmes April 2014. Purpose. This paper provides the month 12 budget update for NWL-wide financial strategy/ SaHF including Strategy & Transformation programmes. The Collaboration Board are asked to:

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M onth 12 budget update

Month 12 Budget Update

SaHF & NWL Strategy and Transformation Programmes

April 2014


Purpose
Purpose

This paper provides the month 12 budget update for NWL-wide financial strategy/ SaHF including Strategy & Transformation programmes.

The Collaboration Board are asked to:

  • note the month 12 budget report.


Contents
Contents

Sources of funding

1

Applications of funding

2

Budget Analysis

3

Month 12 S&T budget report

4

Consultancy contracts let

5


Sources of funding
Sources of funding

Month 12

Month 11

£25.1m2

CCGs contribute to the programme from the 2% top slice

£24.3m1

A

£13.0m

NHS E fund equivalent of the 2% contribution from services they commission

£13.0m

B

£0.25m

Trust providers contribute to the zone management structure supporting implementation

£0.25m3

£3.0m

C

D

Whole systems design phase funded from partnership funding

£3.0m

Total resource available

£40.55m

£41.35m

1 Ealing CCG no longer contributing 0.5% (£1.2m)

2 Contribution from Richmond CCG (£0.8m) – funding West Middlesex

3Acute trusts are committing significant additional resources internally developing their business cases, not represented in figures above


Applications of funding
Applications of funding

  • S&T projects

  • Provider support

(Hillingdon £8m, West Mid £2.5m)

Initial agreed budgets

£24.3m

£10.5m

£34.8m

Inclusion of Whole Systems

£3.0m

£37.8m

£1.0m

Specialist commissioning shortfall

- Agreed at January Collaboration Board

(Harrow £0.7m, Hillingdon £0.3m)

£1.4m

NWLHT- merger

£0.8m

Richmond CCG contribution

£41.0m

Total

Note: £0.25m represents Trusts contribution to zone management support, retained locally.


Breakdown of agreed s t inc whole systems budgets
Breakdown of agreed S&T (inc. Whole Systems) budgets

S&T

CCGs

Enhanced integration

£3.7m

£2.7m

1.1 Whole systems service Implementation

1.2 Networks

1.3 Design Phase for Whole Systems1

1

£1.6m

£1.8m

£3.0m

Primary care

transformation

£3.9m

£2.9m

2.1 GP Transformation

2.2 Primary care estates

2.3 Primary care IT

2.4 OOH workforce delivery support

Slide 6

2

£1.1m

£2.1m

£1.1m

£2.5m

£0.8m

£1.2m

Transforming

Mental Health

services

3.1 Transforming

Mental Health

services

3

£2.0m

£11.0m

SaHF implementation

-

4.1 Implementation planning and governance

4.2.1 Local hospital development

4.2.2 Major hospital development

4.2.3 Clinical implementation groups

£3.0m

£3.1m

£1.6m

£0.3m

4

4.2.4 Zone management

4.3 Workforce / enabler projects

4.4 IRP review and JR

£0.6m

£0.8m

£1.6m

£1.1m

Other costs (core team, non-pay, events)

-

Total

£20.9m

1 Includes partnership funding of £3m, held by the Tri-borough

£6.4m

£27.3m


Month 12 S&T budget reportCommitted Spend YTD

VARIANCE

YTD

BUDGET YTD

ACTUAL

(Committed Spend)

YTD

Enhanced integration

  • Whole systems service implementation

  • Networks

  • Design phase for whole systems

    TOTAL

£0.6m

£0.1m

£3.0m1

£3.7m

£0.6m

£0.1m

£3.0m

£3.7m

-

-

-

-

1

Primary care

trans-formation

GP Transformation

Primary care estates

Primary care IT

OOH workforce delivery support

TOTAL

£0.6m

£1.6m

£0.4m

£1.5m

£4.1m

£0.6m

£1.5m

£0.4m

£1.6m

£4.1m

-

-£0.1m

  • -

  • £0.1m

  • -

2

Trans-forming

mental health

services

TOTAL

£0.7m2

£0.7m

-

3

SaHF Implement-ation

  • Implementation planning and governance

  • Provider business case + zone + LH

  • Workforce / enabler projects

  • IRP review and JR

    TOTAL

£3.0m

£5.6m

£0.8m

£1.6m

£11.0m

£3.0m

£5.6m

£0.8m

£1.3m

£10.7m

-

-

-

-£0.3m

-£0.3m

4

Other costs (core team, non-pay, events)

TOTAL

£0.9m

£1.2m

£0.3m3

5

CCG Funding

TOTAL

£6.9m4

£6.9m

-

6

Total

£27.3m

£27.3m

-

1 Whole systems design phase funded from partnership funding

2 Excludes £0.5m mental health CCG funding

3 Variance due to inclusion of senior team pay costs

4 Includes £0.5m mental health CCG funding


S t consultancy contacts let since 1 st april 2013 1 2
S&T consultancy contacts let since 1st April 2013 (1/2)

Contract let

Contract

Value

Provider

Decision-making panel

Medical Director SaHF, Chief Executive Ealing Hospital, Finance Lead Ealing CCG, GP Ealing CCG, Chief Officer CWHHCCGs, Director of Strategy & Transformation, Deputy Director of Strategy & Transformation

April 2013

MCAP implementation support

£249,000

Finnamore and Oak Group

Chief Finance Officer SaHF, Deputy Director of Strategy & Transformation

May 2013

Shaping a healthier future Implementation Model

£98,890

McKinsey & Company

Single tender waiver agreed under sections H, J and K of Central London’s standing orders by Chief Officer and CCG Chair

July 2013

Shaping a healthier future programme support IRP and JR extension

£495,000

PA Consulting

GP West London CCG, Deputy Head of Primary Care (NW London) NHSE, Deputy Director of Strategy & Transformation, Assistant Director of Strategy & Transformation, Primary Care Programme Manager Strategy & Transformation

July 2013

Primary care investment principles

£163,500

Methods Consulting Ltd

20 panel members from CCGs, Local Authorities, Acute Providers, NHS England, CSU, S&T, Lay members

September 2013

Whole systems integrated care

£3,355,621

McKinsey & Company

Vice Chair Ealing CCG, CWHH Finance Director, CWHH Chief Officer, Deputy Director of Strategy & Transformation, Non-Executive Director BEHH, Director of Strategy Imperial Healthcare Trust, Deputy Chief Executive Ealing Hospital, Chair Hammersmith & Fulham CCG

September 2013

Local hospitals development

£1,999,462

PwC

Chair Harrow CCG, CWHH Chief Officer, Managing Director, Central London CCG, Director Strategy & Transformation, Lay Member Harrow CCG

September 2013

Hub outline business case development

£1,434,562

PA Consulting

Single bid evaluated by :

CWHH Chief Officer, Chair Hammersmith & Fulham CCG, CWHH Finance Director, Deputy Director Strategy & Transformation

September 2013

Shaping a healthier future PMO Support

£1,393,035

PA Consulting

Chair Hillingdon CCG, GP Ealing CCG, GP Managing Partner at Newton Medical Centre and  Central London CCG Assistant IT lead, CWHH CCGs Deputy Director of Finance, Strategy & Transformation Informatics Lead

October 2013

Informatics/ IT in NWL

£95,025

PA Consulting


S t consultancy contacts let since 1 st april 2013 2 2
S&T consultancy contacts let since 1st April 2013 (2/2)

Contract let

Contract

Value

Provider

Decision-making panel

Chief Officer CWHHCCGs, Director of Strategy & Transformation, Chair of NWL Integrated Pilots, Director of Communications, Programme Officer of Strategy & Transformation

October 2013

Communications Support to NWL CCGs

£358,400

LCA/ Consolidated PR

7 Day GP Access in NWL – Simulation Model

November 2013

£346,755

Private Public Ltd

Deputy Director Strategy & Transformation, Deputy Managing Director H&F CCG, GP & Deputy Chair Harrow CCG, GP and Clinical Lead Harrow CCG, Programme Officer of Strategy & Transformation

£95,200

Single tender waiver agreement

December 2013

MCAP implementation support - extension

Finnamore and Oak Group

Single tender waiver agreement

NWL Financial Advisory Role

December 2013

McKinsey & Company

£165,000

Workforce Transformation Programme

Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation

January 2014

£64,879

PA Consulting

Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation, Assistant Director Patient Experience & Equalities CWHHE CCGs, Communications Engagement Manager Strategy & Transformation

Impact of Services Changes on Protected Groups in

NWL Major & Local Hospitals

February 2014

£59,375

Mott Macdonald Ltd

GP & Deputy Chair Ealing CCG, Deputy Director Strategy & Transformation, Travel Plan Adviser, PMO Strategy & Transformation

Patient Travel Patterns Data Analysis for  9 Hospital Sites in North West London

March 2014

£58,500

Sky High Technology


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