1. Oxfordshire Clinical Commissioning Group Oxfordshire CCG Annual Public Meeting 25 September 2014

2. Oxfordshire Clinical Commissioning Group Outline TimeItemPresenter 18.00Welcome and IntroductionDr Joe McManners, Clinical Chair 18.05Review of 2013/14Dr Joe McManners, Clinical Chair 18.20Financial OverviewGareth Kenworthy, Director of Finance 18.302014/15 Forward LookDavid Smith, Chief Executive 18.35Question and Answer Session 19.00Close

3. Oxfordshire Clinical Commissioning Group Welcome and Introduction Dr Joe McManners, Clinical Chair

4. Oxfordshire Clinical Commissioning Group Review of 2013/14 Dr Joe McManners, Clinical Chair

5. Oxfordshire Clinical Commissioning Group A challenging beginning  Authorised with 3 conditions in April 2013  Conditions formally discharged in January 2014  A year of transition and financial challenge  Not all NHS Constitution commitments met

6. Oxfordshire Clinical Commissioning Group Our priorities 2013/14  Developing greater integration between health and social care  Developing care closer to home  Commissioning of early and effective interventions  Embedding quality improvement in all we do  Reducing health inequalities  Mental health

7. Oxfordshire Clinical Commissioning Group Our GPs and member practices Crucial to our organisation, including our Governing Body, and how we run A Clinical Chair and 6 Locality leads Many others work on specific areas – urgent care, cancer, community and long term conditions All of them see patients every week and bring back that insight to the CCG

8. Oxfordshire Clinical Commissioning Group Our achievements  Involving local people to help shape five-year health strategy  More spot checks to monitor quality of services  New technology to help GPs better plan patient care (ACGs)  Guardian healthcare award for Abingdon emergency- multidisciplinary unit (EMU) and opening a second EMU in Witney  Development of single point of access  Increased pooled budget with Oxfordshire County Council for older people to a total of £188m  Implementation of Oxfordshire Care Summary

9. Oxfordshire Clinical Commissioning Group 2013/14 Annual Accounts Gareth Kenworthy, Chief Finance Officer

10. Oxfordshire Clinical Commissioning Group Context of 2013-14  Major organisational change in the NHS  First year of operation of CCGs and of Central Southern Commissioning Support Service  Agreement of Specialised Commissioning financial arrangement with NHS England.  Management of in-year financial risks – in particular overspending on acute contracts

11. Oxfordshire Clinical Commissioning Group Financial Highlights  Financial Accounts produced to national deadlines  Small surplus of £0.3m achieved  All financial duties achieved  Unqualified audit opinion on the financial statements and on regularity

12. Oxfordshire Clinical Commissioning Group Financial Performance Targets

13. Oxfordshire Clinical Commissioning Group Financial challenges during 2013-14  The plan for 2013-14 was to achieve a surplus of £3.2m but, by month 6, Oxfordshire CCG was forecasting a deficit of £6.1m  Section 19 report issued by External Audit  The potential overspend was managed down by a number of non-recurrent measures to achieve a small surplus by year end of £0.3m.

14. Oxfordshire Clinical Commissioning Group How was the money spent? In 2013-14 Oxfordshire CCG received £902.25 per head of population, which was spent as follows:

15. Oxfordshire Clinical Commissioning Group External Audit Opinion  Financial statements – an unqualified opinion that the accounts reported fairly on the CCGs finances  Regularity of income and expenditure – an unqualified opinion that financial transactions were conducted within the CCG legal framework  Other matters – qualification re exclusion of pension details specific individuals  Public Interest Report – no matters to report

16. Oxfordshire Clinical Commissioning Group External Audit Opinion cont’d Referrals to the Secretary of State and NHS England – a referral was made on 31 March 2014 on the in-year projected year end deficit Value for money – the following matters were reported on:  in year projected financial deficit  financial forecasting of year end position  failure to achieve internal savings plans  the deficit budget set for 2014-15.

17. Oxfordshire Clinical Commissioning Group Present and Future  Oxfordshire CCG submitted a deficit plan for 2014- 15 (£1m) as part of Five year plan agreed with NHS England  Triggers further Section 19 report for 2014-15  Plan brings CCG back into surplus from 2015-16 and achieving all financial planning targets from 2016-17.

18. Oxfordshire Clinical Commissioning Group 2014/15 Forward Look David Smith, Chief Executive and

19. Oxfordshire Clinical Commissioning Group Strategy  Moving forward with outcomes based contracting – mental health and older people  Strengthening our joint working with Oxfordshire County Council  Better Care Fund  Developing primary care at scale

20. Oxfordshire Clinical Commissioning Group Performance  Work with our partners to have a financially sustainable health and care system  Consistent delivery of NHS Constitution commitments

21. Oxfordshire Clinical Commissioning Group Fit for Purpose organisation  Embedding our new structure and ways of working  Developing clinical leaders  Current leaders  Identifying and supporting new leaders  Joint clinician and manager development