Agenda item

5.1  Susanna White, Malcolm Hines and Dr Jane Fryer introduced a series of mini-presentations covering:

a)  QIPP programme for 2011/12.

b)  QIPP programme – clinical leadership.

c)  QIPP – programme – financial outlook 2011/12.

d)  Provider productivity.

e)  Redesigned planned and urgent care – polysystems.

f)  Efficiency measures (Estates and management cost).

g)  Mental health commissioning.

h)  QIPP programme – engagement in improving services.

5.2   Susanna White commented on the context of the QIPP being to achieve improvements in quality and to drive down costs. The current NHS Southwark budget was approximately £500m. The shape of future NHS healthcare services would be influenced by GP commissioners.

5.3  Malcolm Hines provided some financial information, including:

a)  2010.11 – NHS is forecasting a £1.3m surplus.

b)  For 2011/12, NHS Southwark has been asked by the Department of Health to make a 1% surplus, i.e. about £5m.

c)  Further Sir David Nicholson, NHS Chief Executive, has called on a further 2% (£11m) to be shared with NHS London as a ‘recurrent pressures’ budget towards healthcare such as flu provision, or a particular capital funding need. After 2012, this ‘top slice’ would be taken by the South-East London PCT cluster since strategic health authorities, such as NHS London, will cease in 2012. After 2013, it is possible that the ‘top slice’ will be directed towards GP commissioning consortia in some way, perhaps through the NHS Commissioning Board.

d)  The restructuring of the commissioning and management of Community Services, with NHS Lambeth, will result in a further £2.2m efficiency saving.

e)  Redundancy costs associated with management restructuring will not be known until May 2011, and will be published in the accounts in June 2011. This information will be shared with the Committee when it is available.

f)  Current section 106 funds will remain ring-fenced to certain areas of Southwark as per the original provision / agreement.

g)  Intermediate care beds. The focus is on commissioning and delivering ‘home based services’ rather than care in ‘hospital beds’. Home care services are more affordable, particularly in the current financial climate.

h)  In response to a question about some home-based services being preferred over hospital based services, members were reminded that commissioning will be clinically-led in the new arrangements.

i)  Dr Jane Fryer agreed to gather some information relating to GP training provided by Marina House, and to share it with members.

5.4  It was confirmed that there would be greater public engagement in the healthcare planning process than there wasd now, and that there may not necessarily be fewer delegations to scrutiny since new ways of doing things often caused tensions, and so lead to more representations.