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SAVINGS PROPOSALS 2012/13

SAVINGS PROPOSALS 2012/13. CITY & HACKNEY CCG. CONTEXT. This report provides information to the Shadow Health & Wellbeing Board on proposed savings in 2012/13 against the commissioning budgets delegated to the CCG

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SAVINGS PROPOSALS 2012/13

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  1. SAVINGS PROPOSALS2012/13 CITY & HACKNEY CCG

  2. CONTEXT • This report provides information to the Shadow Health & Wellbeing Board on proposed savings in 2012/13 against the commissioning budgets delegated to the CCG • The CCGs plan was to consider a 3% saving across all budgets (both delegated and those held by NHS ELC) as this would cover the financial gap for 12/13 • For spend in the acute (hospital) sector CSS provided benchmarked information on where efficiencies could be achieved • All savings proposals have been put through a “clinical challenge” process for CCG clinical leads to discuss the assumptions and impact, and through a financial challenge – CSS Director of Finance has been asked to assess all plans and assure CCG on their deliverability • All plans have been discussed at the CCG Committee • Total savings proposed are £9m

  3. ACUTE CARE • The main savings will be subject to contract negotiations but are aimed at commissioning “best practice” • Reducing out patient followups (£2.6m) • CCG audits have been undertaken to understand the implications • Impact at all Trusts – BLT has biggest potential to reduce activity • Reducing new GP referrals (£130k) • Continuing CCG work on implementing new pathways • Implementing new contractual arrangements for some services (£770k) • Reductions in attendances at A&E as a result of 111/new out of hours model (£500k) • Reductions in activity if walk in centres close (£650k) • Transfer of dental activity from Homerton to community (£200k) • Reduction in spend by practices (£90k)

  4. Cost improvement programme on Community Health services provided by Homerton • Part of transfer agreement (£1.2m) • Reduction in obstetric non delivery short stay admissions (£75k – subject to audit on potential to shift to primary care) • Reduction in double payments to Homerton maternity services (£500k) • Reduction in spend on GP prescribing (£945k)

  5. MENTAL HEALTH SERVICES • Reduction in psychological therapy and Life Skills service at ELFT (£1m) • Reduction in voluntary sector contracts (£200k) • Reduction in spend on out of area contracts (£200k)

  6. INVESTMENTS • A range of new investments have been proposed as part of this exercise • We also expect Trusts to put forward some investment ideas • Undertake an initial assessment of investment proposals • Further discussion about the proposals at the February HWBB

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