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

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 /15 Forward LookDavid Smith, Chief Executive 18.35Question and Answer Session 19.00Close

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

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

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

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

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

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

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

Oxfordshire Clinical Commissioning Group Context of  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

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

Oxfordshire Clinical Commissioning Group Financial Performance Targets

Oxfordshire Clinical Commissioning Group Financial challenges during  The plan for 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.

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

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

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

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

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

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

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

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