2014/15 FINANCIAL OUTLOOK AND CHALLENGES
This presentation is the property of its rightful owner.
Sponsored Links
1 / 18

2014/15 FINANCIAL OUTLOOK AND CHALLENGES PowerPoint PPT Presentation


  • 61 Views
  • Uploaded on
  • Presentation posted in: General

2014/15 FINANCIAL OUTLOOK AND CHALLENGES. Overview. Financial Context Summary of 2014/15 position: Key pressures/service developments Savings opportunities 2015/16 and future outlook Implications for 2014/15 and Choices. Scale of Financial Challenge in 2014/15.

Download Presentation

2014/15 FINANCIAL OUTLOOK AND CHALLENGES

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


2014 15 financial outlook and challenges

2014/15 FINANCIAL OUTLOOK AND CHALLENGES


Overview

Overview

  • Financial Context

  • Summary of 2014/15 position:

    • Key pressures/service developments

    • Savings opportunities

  • 2015/16 and future outlook

  • Implications for 2014/15 and Choices


Scale of financial challenge in 2014 15

Scale of Financial Challenge in 2014/15

Additional funding of £420m needed to meet all identified costs of meeting existing policies and expectations

Savings of £170m have been identified by DHSSPS

DHSSPS budget due to increase by £90m

A funding gap of £160m still needs to be resolved


Dhssps budget 2010 profile

DHSSPS Budget 2010 Profile


Efficiencies already delivered

Efficiencies Already Delivered


Efficiency indicator trends

Efficiency Indicator Trends


Opening position for 2014 15

Opening position for 2014/15

Significant

unresolved

challenges experienced in 2013/14

The HSC is carrying deficits of £115m into 2014/15

  • Reliance on non-recurrent measures in 2013/14:

    • In Year Monitoring

    • Managed slippage/deferral of expenditure


Latest assessment of 2014 15

Latest Assessment of 2014/15


Key pressures in 2014 15

Key Pressures in 2014/15

Pay & non-pay inflation

£52m

NICE Drugs

£19m

Demography

£35m

MH and LD Resettlement

£17m

Service Developments

£76m

Specialist Hospital Services

£7m

Family Health Services

£37m

Transforming Your Care

£21m

Public Health Agency

£4m

Revenue Costs of Capital

£7m


Service developments in 2014 15

Service Developments in 2014/15

Psychological Therapies

£2.5m

NICE Drugs

£19m

Cath labs

£4.5m

Elective

Care

£15m

ED Capacity Planning

£5m

Normative Nursing

£12m

Family and Child Care

£7m


Savings opportunities 2014 15

Savings Opportunities 2014/15


Savings opportunities at trusts 2014 15

Savings Opportunities at Trusts – 2014/15

  • ACUTE

  • REFORM

  • Reduce Excess Bed Days

  • Increase in day case rates

  • Reduce Did Not Attends

  • Improve theatre utilisation

  • Reduce level of cancellations

  • SOCIAL CARE REFORM

  • Reablement

  • Shift to lower cost provision

  • Reform of Social Care

  • STAFF PRODUCTIVITY

  • Review of skill mix

  • Reduction in backfill (whilst maintaining safe staffing levels)

  • Reduce sickness absence

  • Unit cost management

  • OTHER PRODUCTIVITY

  • Rationalisation of the estate

  • Procurement

  • Management costs/shared services


2015 16 outlook

2015/16 Outlook

  • Total additional pressures are estimated at £317m

  • There is a growing trend of cost pressures:


Population

Population

The 2011 Census, indicates that 20% of the resident population were aged 60+.

By 2021 it is projected that this will increase to 23.2% and by 2051 almost one third (32.6%) of the population will be aged 60+.

Between 2011 and 2051, the proportion of the population aged 85+ is expected to increase from 1.7% to 6.7% .


2014 15 financial outlook and challenges

Unplanned Admissions to HSC Hospitals in Northern Ireland with a Long Term Condition for those aged 65 and Over by HSC Trust, 2010/11

By 2020: Number of adults with LTC will increase 40% in RoI, 30% in Northern Ireland

80% of GP consultations & 60% of hospital bed days relate to LTC and complications.*

* Source: Making Chronic Conditions Count IPHI


Key reform initiatives under tyc

Key Reform Initiatives Under TYC

Shifting 5% of hospital expenditure with reinvestment in primary, community

and social care services

Improving integration of care through the development of integrated care partnerships – reducing need for unnecessary hospital visits

Maximising the potential of technology

Building a model of care which is focused on

the individual rather than the institutions


Impact of budget allocation 2014 15

Impact of budget allocation – 2014/15

  • Deterioration in waiting times for elective services – which would exacerbate the health inequalities we are committed to addressing

  • Compromising the safety and quality of services provided to patients and clients

  • Compromising the delivery of statutory requirements, Programme of Government commitments and key Ministerial priorities and commitments

  • A growing parity gap between Northern Ireland and the rest of the UK by not funding all demand led pressures


Choices for executive

Choices For Executive

1

Increase even further the extent of savings required across the HSC

2

Constraining pay for HSC staff

3

Reducing the range and/or standard of services offered

4

Impose additional charges or co-payments for services

5

Provide additional recurrent resources to DHSSPS


  • Login