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

2. 2 This paper provides the month 12 budget update for NWL-wide financial strategy/ SaHF including Strategy & Transformation programmes. The Collaboration Board are asked to: a)note the month 12 budget report. Purpose

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

4. 4 Sources of funding CCGs contribute to the programme from the 2% top slice NHS E fund equivalent of the 2% contribution from services they commission Trust providers contribute to the zone management structure supporting implementation £24.3m 1 £13.0m £0.25m 3 £3.0m Whole systems design phase funded from partnership funding Month 11 A B C Month 12 £41.35m 1 Ealing CCG no longer contributing 0.5% (£1.2m) 2 Contribution from Richmond CCG (£0.8m) – funding West Middlesex 3 Acute trusts are committing significant additional resources internally developing their business cases, not represented in figures above £25.1m 2 Total resource available £40.55m D £13.0m £0.25m £3.0m

5. 5 (Hillingdon £8m, West Mid £2.5m) Applications of funding Initial agreed budgets £24.3m £10.5m £3.0m £34.8m Total £41.0m -S&T projects -Provider support Inclusion of Whole Systems NWLHT - merger £1.4m £37.8m Specialist commissioning shortfall - Agreed at January Collaboration Board £1.0m (Harrow £0.7m, Hillingdon £0.3m) Note: £0.25m represents Trusts contribution to zone management support, retained locally. Richmond CCG contribution £0.8m

6. 6 Breakdown of agreed S&T (inc. Whole Systems) budgets 1 Includes partnership funding of £3m, held by the Tri-borough £20.9m Total Slide 6 Primary care transformation Transforming Mental Health services Enhanced integration 2 1 3 2.2 Primary care estates 1.2 Networks 1.1 Whole systems service Implementation 2.4 OOH workforce delivery support 2.3 Primary care IT 2.1 GP Transformation 3.1 Transforming Mental Health services 3.1 Transforming Mental Health services £1.6m £2.5m £1.8m £1.1m £2.1m £1.1m £2.0m £3.7m £3.9m £1.2m Other costs (core team, non-pay, events) £1.1m SaHF implementation 4.1 Implementation planning and governance £3.0m 4.2.1 Local hospital development £3.1m 4.2.2 Major hospital development £1.6m 4.2.3 Clinical implementation groups £0.3m 4 £11.0m £2.7m £2.9m £0.8m - - S&TCCGs £6.4m 4.3 Workforce / enabler projects £0.8m 4.4 IRP review and JR £1.6m 4.2.4 Zone management £0.6m 1.3 Design Phase for Whole Systems 1 £3.0m £27.3m

7. 7 Month 12 S&T budget report Committed Spend YTD Enhanced integration 1 Primary care trans- formation 2 Trans- forming mental health services 3 SaHF Implement- ation 4 Other costs (core team, non-pay, events) 5 Whole systems service implementation Networks Design phase for whole systems TOTAL GP Transformation Primary care estates Primary care IT OOH workforce delivery support TOTAL Implementation planning and governance Provider business case + zone + LH Workforce / enabler projects IRP review and JR TOTAL 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 £0.6m £0.1m £3.0m 1 £3.7m £0.6m £0.1m £3.0m £3.7m £0.6m £1.6m £0.4m £1.5m £4.1m £0.6m £1.5m £0.4m £1.6m £4.1m £0.7m 2 £0.7m £3.0m £5.6m £0.8m £1.6m £11.0m £3.0m £5.6m £0.8m £1.3m £10.7m £0.9m£1.2m Total £27.3m CCG Funding 6 TOTAL£6.9m 4 £6.9m -------- - -£0.1m - £0.1m - - -£0.3m £0.3m 3 - - BUDGET YTD ACTUAL (Committed Spend) YTD VARIANCE YTD

8. 8 S&T consultancy contacts let since 1 st April 2013 (1/2) ContractValueProviderDecision-making panel Shaping a healthier future programme support IRP and JR extension PA Consulting £495,000 Single tender waiver agreed under sections H, J and K of Central London’s standing orders by Chief Officer and CCG Chair MCAP implementation support £249,000 Finnamore and Oak Group Medical Director SaHF, Chief Executive Ealing Hospital, Finance Lead Ealing CCG, GP Ealing CCG, Chief Officer CWHH CCGs, Director of Strategy & Transformation, Deputy Director of Strategy & Transformation Primary care investment principles £163,500 Methods Consulting Ltd 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 Shaping a healthier future Implementation Model £98,890 McKinsey & Company Chief Finance Officer SaHF, Deputy Director of Strategy & Transformation Contract let July 2013 April 2013 July 2013 May 2013 Hub outline business case development PA Consulting £1,434,562 Chair Harrow CCG, CWHH Chief Officer, Managing Director, Central London CCG, Director Strategy & Transformation, Lay Member Harrow CCG Shaping a healthier future PMO Support £1,393,035 PA Consulting Single bid evaluated by : CWHH Chief Officer, Chair Hammersmith & Fulham CCG, CWHH Finance Director, Deputy Director Strategy & Transformation Local hospitals development £1,999,462PwC 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 Whole systems integrated care £3,355,621 McKinsey & Company 20 panel members from CCGs, Local Authorities, Acute Providers, NHS England, CSU, S&T, Lay members September 2013 Informatics/ IT in NWL PA Consulting £95,025 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

9. 9 Single tender waiver agreement Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation S&T consultancy contacts let since 1 st April 2013 (2/2) ContractValueProviderDecision-making panel Communications Support to NWL CCGs £358,400 LCA/ Consolidated PR Chief Officer CWHH CCGs, Director of Strategy & Transformation, Chair of NWL Integrated Pilots, Director of Communications, Programme Officer of Strategy & Transformation 7 Day GP Access in NWL – Simulation Model £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 Contract let October 2013 November 2013 Workforce Transformation Programme £64,879 PA Consulting January 2014 Impact of Services Changes on Protected Groups in NWL Major & Local Hospitals £59,375 Mott Macdonald Ltd Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation, Assistant Director Patient Experience & Equalities CWHHE CCGs, Communications Engagement Manager Strategy & Transformation February 2014 NWL Financial Advisory Role £165,000 McKinsey & Company December 2013 Patient Travel Patterns Data Analysis for 9 Hospital Sites in North West London £58,500 Sky High Technology GP & Deputy Chair Ealing CCG, Deputy Director Strategy & Transformation, Travel Plan Adviser, PMO Strategy & Transformation March 2014 MCAP implementation support - extension £95,200 Finnamore and Oak Group Single tender waiver agreement December 2013