Ruislip Residents' Association

Hillingdon Clinical Commissioning Group Governing Body - Friday 1st April 2016

1. Quality, Innovation, Productivity and Prevention programme (QIPP):

The current QIPP projections are that the CCG needs to realise around £50m over the next five years.  The challenge for 2016-17 is £10.5m.

Currently the CCG has schemes to realise £8.6m, but some schemes have high failure risk.  The biggest gaps are in long term conditions, mental health and out of hospital care.

To put this challenge in context, it is possible that within 5 years the CCG could be facing 20% more demand with a 20% gap in its funding.

2. Financial Plan 2016/17:

A plan has been submitted to NHS England for a surplus of 1% (around £3.6m).  This is despite expecting a reduction of £5.3m in its NWL Strategy funding and being expected to contribute its full 2.5% share to the other NWL Strategy and Saving a Healthier Future workstreams (£8.6m in 16/17 compared to £1.5m in 15/16).

In addition, in line with current NHSE guidance, the CCG is required to retain 1% of its funding as uncommitted at the planning stage in 16/17 (£3.4m) in addition to the usual 0.5% contingency (£1.8m).

3. Finance Report to end of February 2016:

The year to date surplus was £6.858m, £3.666m ahead of plan.  The revised year end forecast is a surplus of £7.482m.

4. Community Dermatology Service:

In 2015/16 the CCG appointed Concordia to run this service, but activity was below the expected level and there are now revisions for 2016/17 to reduce cost and waiting times and to introduce Patch Testing and support for Acne, which were not included originally.

5. Termination of Pregnancy Service:

The current service commissioned by Hammersmith and Fulham for NW London CCGs is to be extended by one year to allow time for review.

6. Children’s and Adolescents’ Mental Health Services: There is a risk of poor access to these services due to lack of investment and there are difficulties in recruiting and retaining staff.  CNWL CAMHS is able to meet the waiting time targets for urgent and emergency referrals, but not for routine.  The demand for these services has increased year on year, therefore any additional funding to reduce waiting times has not had a sustainable impact.

A significant increase in incidences of self harm adds pressure to the system.  There are long waiting lists for assessment and treatment, with poor educational and health outcomes as a result of lack of early intervention.

7. January 2016 Integrated Performance:

The four hour target for A&E patients to be admitted or discharged within 4 hours was not met, nor the 31 day treatment standard for radiotherapy, nor some mental health or community service targets.  London Ambulance Service again did not meet its targets for response to major calls within 8 minutes.

Published in Hillingdon Clinical Commissioning Group on 06 April 2016. Updated on 19 April 2016
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