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Practice development Workshop

Practice development Workshop. Commissioning Finance. 09 February 2012. Workshop Goals and Topics. Understanding CCG budgets what is new? Financial environment and clinical decision making Understanding linkage between activity, Finance & QIPP

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Practice development Workshop

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  1. Practice development Workshop Commissioning Finance 09 February 2012

  2. Workshop Goals and Topics • Understanding CCG budgets what is new? • Financial environment and clinical decision making • Understanding linkage between activity, Finance & QIPP • Financial communication between CCG and its practices • Implications for CCG and member practices • Performance management at practice level

  3. What’s Different Now? Source: Kinds Fund, “Clinical commissioning: what can we learn from previous commissioning models?”, 2010

  4. Business Fundamentals of a CCG Health Finance 101 Revenue Resource Limit = Clinical Service Costs + Running Costs Units x Unit Price Direct + Shared Allocation for CCG to Spend Core Functions CSO & Leeds Shared National Tariff Local Tariff Block Arrangements Population Health Management Utilisation and Market Management Breakeven Devolved to practices Linked to COMPACT

  5. Quality, Innovation Productivity & Prevention (QIPP) • NHS has to save £20bn by 2014/15 • No real growth in the NHS for the next decade • Growing demand and ageing population • Cost pressures (new drugs & treatments) • Impact on the level of service if we don’t do things differently • Practices are a key innovator and implementer of QIPP programme

  6. Payment by Result (PbR) – Why Important to GPs? • Contracts will be agreed at CCG level with providers, 90% PbR • Appropriate treatment in the right setting • Focus on ensuring pathway compliance • Practice will receive commissioning information – activity, finance and referrals – and will work with CCG to interpret and take actions • COMPACT – Will be partially linked to successful compliance and implementation of pathways and maintaining budgetary control PbR Development • Being extended beyond secondary care • Mental health • Ambulance • Community Services

  7. Implications for CCG and member practices • CCG to balance its books need to work with member practices to operate within allocated budget. • Collaborative working to achieve financial balance • Practice based budgets • Activity & finance information sharing and communication • Performance management & Compact • CCG financial position will impact on the level of services that can be commissioned by a CCG

  8. Checkpoint Health Finance 101 • Break into 4 groups • Each group has been assigned a finance and Activity scenario • In your own group, work through the following: • Discuss insights and follow up questions / actions • Present back to broader group

  9. Handouts Identifying issues & potential actions

  10. Group Exercise: Scenario 1 Handout (Practice – I)

  11. Group Exercise: Scenario 1 Handout (Practice – I)

  12. Group Exercise: Scenario 2 Handout (Practice S)

  13. Group Exercise: Scenario 2 Handout (Practice – S)

  14. Handouts Understanding Accountability

  15. Group Exercise: Scenario 2 Handout • Fill in some answers?

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