M onth 12 Budget Update

1. Month 12 Budget Update SaHF & NWL Strategy and Transformation Programmes April 2014

2. 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.

3. Contents Sources of funding 1 Applications of funding 2 Budget Analysis 3 Month 12 S&T budget report 4 Consultancy contracts let 5

4. 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

5. 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.

6. 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

7. 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

8. 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

9. 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