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Finance Eve Baker Director of Finance Debbie Fraser Deputy Director of Finance
3 Questions • What skills will you need at your disposal to deliver the finance management agenda? • What can you do differently on a daily basis to deliver QIPP? • How many Finance Directors does it take to change a light bulb?
How is the PCT Funded PCT Allocation is based on • Responsible Population • ONS+/- patients registered with one practice while resident in another PCT area+ All Prisoners irrespective of the time in prison+ Armed Forces+ Asylum seekers • This is then adjusted for age, need and MFF • Add Primary Dental, Ophthalmic and Pharmaceutical funding • Add Funding Support for Social Care
Funding per crude head of population – including Funding for Social Care Exposition Book March 2011 Lowest - Berkshire West - £1,367 Highest - Islington - £2,350 Average allocation - £1,693 NHS Berkshire East - £1,451 - 9th Lowest Additional allocation if avge per head £98m
How will GPC be funded Indicative Figures £m PCT Allocation 582 Less • Specialist Commissioning 30 – Public Health & Mgt Cost Reductions 6 • GMS/PMS & QOF 74 Commissioned Services & Running Costs 472
Remaining Risks 2010/11 • With SIRF Borrowing support should break even • Legacy Risks resolved • Disputes with HWP over - Data Challenges- Readmission Thresholds • Attempting a negotiated settlement • Frimley & RBFT smaller risks
Key Risks 2011/12 • Recurrent overspend B/fwd • Repayment of support in 2011/12 • Delivery of QIPP- Big Hitters - Urgent Care - Managing the order book - PLCV - Intermediate care and EOL • Changes in Provider Market Share • Impact of QIPP on Providers
What does PCT Finance currently do? • Financial and Statutory Reporting • Balance Sheet • Capital Asset Accounting • Cash and Treasury • Raising invoices and debt collection
What does PCT Finance currently do? • Creditors (BPPC)/Procurement • Management accounting and reporting • Financial Planning (operating plan/medium term plans) • QIPP • VAT accounting • Payroll and Staff Expenses
What finance functions are GP Consortia likely to require? Emerging guidance is giving indications… • Keep Proper Accounts/Annual Audit • In year reporting against budgetary/parliamentary controls to NHS CB (financial and other data) • Budgeting
What finance functions are GP Consortia likely to require? • Monitoring of budgets • Managing Revenue Resource Limit to achieve breakeven • Managing Capital Funding (consortium premises/IT) • Developing and delivering operational plans • Longer term financial plans
What finance functions are GP Consortia likely to require? • Monitoring of admin costs so not to exceed running cost allowance • Use prescribed banking service (Government banking system) to manage consortium’s funds • Request funds in advance • No significant month end balance
Support to GPCC in Transition • Restructure across the Cluster – Finance, Contracts, Information • Move to shadow CSU over time • Maintain core specialist functions and transaction processes • Create customer facing roles so that each consortia knows where it will access specialist support • Draft structures for comment as soon as possible following appointment of SAO and SFO
What might a CSU include? • Finance – Separate Consortia allocations and business entities • Contracts – 1 Specialist team per provider to consolidate Consortia Commissioning Intentions. • Berkshire wide Informatics framework – supporting commissioning, contracting, planning, reporting • BSS services – CSU infrastructure, CSU Transaction processes, Procurement services, GP Premises, GP IT. • Primary Care Agency Discussion paper under preparation