Lunch & Learn – Session 5 Plan and Contracts Overview 19 th March 2014

1. Lunch & Learn – Session 5 Plan and Contracts Overview 19th March 2014

2. To provide attendees with an overview of key messages contained in the NHS planning guidance, the Strategic Plan, Operational Plan and Financial Plan submission and contracts, thus assisting with the ongoing development of programme/project plans. • Previously….on Lunch & Learn #1 • Keep it Simple • Keep it Proportionate • Remove the Bureaucracy • Feedback from previous Lunch & Learn events: • “great to have opportunity to input” • “good to have engaged input from leads to enable them to feel they are part of the process. Everyone will have the same understanding” • “I really value the introduction of the PMO, I think it will help Programme Leads manage and prioritise their work and help us to know what is expected and when” Aim

3. Part 1: • Overview of NHS Planning Guidance • Part 2: • 5 Year Strategic Plan: Highlights and key messages • 2 Year Operational/Activity Plan: Highlights and key messages • Finance Plan: Highlights and key messages • Part 3: • Contracts Overview Agenda

4. A little test!!!................ Part 1: Overview of NHS Planning Guidance

5. Complete NHS England’s vision statement: • High quality care for - - - , now and for - - - - - - generations • 2. There are four fundamental outcomes detailed in the NHS planning • guidance: • Delivery across the five domains and seven outcome measures • Improving health • Reducing health inequalities • Parity of esteem • Can you identify which of the following improving outcomes • ambitions are the real SEVEN? Part 1: Overview of NHS Planning Guidance

6. Part 1: Overview of NHS Planning Guidance

7. NHS England has introduced six transformational service models that they believe will determine any high quality, sustainable health and care system in England in the next five years. • Can you fill in the gaps? • A completely new approach to ensuring that citizens are fully included in all aspects of _______ _______ and ______ and that patients are fully _________ in their own care. • Wider _______ care, provided at scale. • A modern model of __________ care. • Access to the highest quality ______ and _________ care. • A step-change in the productivity of ________ care. • ___________ services concentrated in centres of excellence. Part 1: Overview of NHS Planning Guidance

8. 4. When do NHS England expect CCGs to have: • a) determined the footprint of their urgent and emergency care network? • b) begin the process of designating facilities within the network? • One of the six transformational models of care requires a ‘step change in the productivity of elective care’. • What is the level of improvement required within the next 5 years? Part 1: Overview of NHS Planning Guidance

9. 6. According to the NHS England Allocation process ND CCG has a greater share • of CCG resources than is equitable in 2014/2015, but by how much? • 7. What are the total Programme Resources available to the CCG in 2014/2015? • 8. What are the following percentages in 2014/2015: • a) Minimum risk reserve • b) Minimum Control total • c) Minimum Transformation monies • 9. When we have to have the BCF in place in 2015/2016 how much will it be? Part 1: Overview of NHS Planning Guidance

10. And the answers………… Part 1: Overview of NHS Planning Guidance

11. Part 1: Answers

12. Complete NHS England’s vision statement: • High quality care for ALL, now and for FUTUREgenerations • 2. There are four fundamental outcomes detailed in the NHS planning • guidance: • Delivery across the five domains and seven outcome measures • Improving health • Reducing health inequalities • Parity of esteem • Can you identify which of the following improving outcomes • ambitions are the real SEVEN? Part 1: Answers

13. Part 1: Answers

14. NHS England has introduced six transformational service models that they believe will determine any high quality, sustainable health and care system in England in the next five years. • Can you fill in the gaps? • A completely new approach to ensuring that citizens are fully included in all aspects of SERVICE REDESIGN and CHANGEand that patients are fully EMPOWEREDin their own care. • Wider PRIMARYcare, provided at scale. • A modern model of INTEGRATEDcare. • Access to the highest quality URGENTand EMERGENCYcare. • A step-change in the productivity of ELECTIVE care. • SPECIALISEDservices concentrated in centres of excellence. Part 1: Answers

15. 4. When do NHS England expect CCGs to have: • a) determined the footprint of their urgent and emergency care network? • ‘During 2014/15’ • b) begin the process of designating facilities within the network? • ‘In 2015/16’ • One of the six transformational models of care requires a ‘step change in the productivity of elective care’. • What is the level of improvement required within the next 5 years? • ‘20% productivity improvement within 5 years, so that existing activity levels can be • delivered with better outcomes and 20% less resource’ Part 1: Answers

16. 6. According to the NHS England Allocation process ND CCG has a greater share of CCG resources than is equitable in 2014/2015, but by how much? 8.8% 7. What are the total Programme Resources available to the CCG in 2014/2015? £369.807m 8. What are the following percentages in 2014/2015: a) Minimum risk reserve 0.5% b) Minimum Control total 1.0% c) Minimum Transformation monies 2.5% 9. When we have to have the BCF in place in 2015/2016 how much will it be? £19.439m Part 1: Answers

17. NDCCG Strategic Vision: • Work together across health, social care, housing, voluntary sector and with the public itself to enable people to retain independence supported by their local community. When publicly funded services are required they will be responsive, safe, caring and provide a good experience of care still within the local community in the majority of cases. Where exceptionally people need to access more specialised services outside of their community this will happen easily and they will be supported to return to their local community as quickly as possible. Part 2: Overview of Strategic Plan

18. 5 Year Strategic Plan – NDCCG Plan on a Page

19. Targets: • As per NHS Constitution/CCG Assurance Framework • IAPT: • % of need in population served by IAPT: 15% • % of people completing treatment and moving to recovery: 50% • Local priority: 80% of clinical navigation referrals into the SPA will avoid acute admission or be maintained in the community • Dementia diagnosis rate: • 2014/15: 67% • 2015/16: 68% • C-Diff: Trajectory now received from NHS England: ceiling of 138 cases (vs 85 cases) Part 2: Overview of Operational Plan

20. Improving Outcomes Ambitions Part 2: Overview of Operational Plan

21. Operational, activity and finance plans must triangulate • Growth set at: • NEL: 5.7% (offset by 3.2% QIPP) • OP & EL: 1% • A & E: 2% • QIPP: • NEL: 3.2% = reduction of c. 700 NEL admissions (per year) • OP: 0.3% = reduction of c. 300 attendances • More work to do before final submission on 4th April Part 2: Overview of Activity Plan

22. Resources in 2014/2015: • Programme £369,807,000 • Admin £7,077,000 • The first priority is to: • Recurrently fund all budget shortfalls • Fund all recurrent expenditure funded in 2013/2014 from non-recurrent • sources of funding • Fund 2013/2014 outturn • Whilst maintaining realistic and achievable levels of: • QIPP and efficiencies • Growth in secondary care activity • Contingencies to mitigate risk Part 2: Overview of Finance Plan

23. DCHS • Continuation of the contract rebasing • Reapportion the contract over CCG’s • Chesterfield Royal FT • Work toward the closure of a Non elective ward by 1st September • Work on the frailty unit • Contract penalties • Standard contract penalties national and local. Part 3: Contracts Overview

24. Any Questions?

25. Next Steps

26. Next Lunch & Learns Lunch & Learn – Session 5

27. Thank you for coming and please provide us with your feedback! • Is there anything you felt was missing from this presentation? • How could we do this better next time?