NHS Hastings and Rother CCG- 2018/19 financial position and 2019/20 priorities
- Meeting of Hastings and St Leonards Local Strategic Partnership, Monday, 28th January, 2019 10.00 am (Item 54.)
10 minutes plus 10 minutes Q&A
Richard Watson Health Inequalities Programme Manager of Hastings and Rother CCG provided an update about the CCG’s financial position. He reminded the Board that the CCG is responsible for commissioning the vast majority of healthcare services in Hastings and St Leonards, including GP services, the Conquest Hospital, Mental Health services, and Learning Disability Support.
Richard stated that CCG’s budget for 2018/19 of £250 million is spent across 5 key service areas:
· 52% acute (East Sussex Healthcare NHS Trust’s Conquest hospital services)
· 9% primary care (NHS cost for GPs including general practice)
· 8% mental health (Sussex Partnership NHS Foundation Trust)
· 7% community (ESHT’s community services)
· 12% prescribing
(%s based on 2017/18 actual expenditure)
Richard advised the Board, that the CCG started the financial year with a budget deficit and legal directions from NHS England. In addition, the CCG faced a number of challenges, similar to those of our wider NHS partners in the region and nationally:
· An increased demand for health care services
· People are living longer with more complex needs
· Ongoing national austerity impacts
However, set against these challenges, the CCG has worked closely with other East Sussex Better Together (ESBT) partners in 2018/19 transforming and integrating health care services and other services that support health outcomes. Richard highlighted the following successes:
· Integration to address health inequalities
· Improved access, quality and safety of local people
· The Conquest Hospital performed well last winter and has continued to do so this winter
· A & E performance is in the upper quartile nationally
· There has been a reduction in the length of stays in hospital
· Reduced delays in the transfer of care
· Recognised as good practice by Matt Hancock( Secretary of State for Health & Social Care) in his recent visit to Hastings.However, this is set against a back drop of significant increases in demand for GP, A & E services and planned care especially in deprived communities coupled with an increase in the unit cost of care.
Richard advised that the CCG have a 4 year Financial Recovery Plan in place ( 2018/19 to 2021/2022 ), to ensure our local health care system is returned to financial sustainability. The implications of this include
· An agreement with NHS England that Hastings & Rother CCG will deliver a £12milion deficit during 2018/19, total saving required is £32 million – with Eastbourne and Hailsham CCG required to deliver £20 million of savings. This includes an agreed £18million Quality, Innovation, Productivity and Prevention (QIPP) savings programme.
Richard stated that the CCG is on target to achieve its QIPP plans in 2018/19, which means the CCG will receive end of year NHS England investment through its Commissioning Sustainability Fund. Richard detailed some of the QIPP achievements as:
· Reductions in prescribing costs led by the CCG’s medicines management team
· Establishing integrated locality teams e.g. district nursing, occupational therapists and social workers
· Good financial housekeeping
Priorities for 2019/2020
The contracted sum has been agreed with East Sussex Healthcare NHS Trust for 2019/2020. The CCG has recently received confirmation from NHS England about its financial settlement for the coming year.
Hastings and Rother and Eastbourne, Hailsham and Seaford CCGs are now working collaboratively with 6 other CCGs in Sussex and East Surrey, for example sharing back office functions. They now have one Chief Executive, Adam Doyle, who will shortly be announcing a new Sussex and East Surrey senior management team.
The NHS Long Term Health Plan was published in January – see the attached link for further information https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
The aim of the 10 year health plan for patients is to:
· Make sure everyone gets the best start in life
· Deliver world class care for major health problems and
· To support people to age well
Following the publication of the 10 year plan, CCGs are tasked with developing their own 5 year plans to demonstrate how the national plan’s ambitions will be delivered locally. Priorities include:
1. Doing things differently
2. Preventing illness and tackling health inequalities
3. Backing our workforce
4. Making better use of data and digital technology
5. Getting the most out of the tax payers’ investment
The CCG will be developing with key stakeholders a five year plan, to deliver the ambitions of the 10 year national plan, and that there willbe stakeholder engagement event(s) in March 2019 to help develop the local plan, to which the LSP Board will be invited. The plan provides further opportunity to work together and collaborate and additional investment opportunities.
The Hastings and Rother CCG event is taking place on the 13th March at 2pm in Bexhill – follow the attached link to attend the event https://www.eventbrite.co.uk/e/our-health-and-careour-future-tickets-54978483123?utm_term=eventurl_text
Richard confirmed that NHS England will be providing communities with the greatest scale of inequality additional investment to tackle local health needs.