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London Councils – Leaders Committee 6 February 2007

Ruth Carnall and George Greener. London Councils – Leaders Committee 6 February 2007. Agenda. Strategy Service Reconfigurations Financial Pressures Relationships with Local Government. Healthcare for London. A Framework for Action. 1. Healthcare for London: A Framework for Action.

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London Councils – Leaders Committee 6 February 2007

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  1. Ruth Carnall and George Greener London Councils – Leaders Committee 6 February 2007

  2. Agenda • Strategy • Service Reconfigurations • Financial Pressures • Relationships with Local Government

  3. Healthcare for London A Framework for Action 1

  4. Healthcare for London: A Framework for Action The project aims to: • Advise on the values that should underpin healthcare provision in London • Develop a set of design principles that will guide service development and change in London • Define the core characteristics of a world class health service to meet the health needs of London • Develop a series of illustrative models of care and care-pathways that reflect the principles and characteristics defined above • NHS London expects to receive the report in early April 2007 2

  5. How it fits Healthcare for London Mayor’s strategy on health inequalities PCT commissioning strategies Local Area Agreements London Boroughs Service reconfiguration work in sectors 3

  6. The case for change • London's health services have not kept pace with changes in medicine • As a result health and healthcare are not as good as they could be • London's world-class reputation in health science research is in jeopardy without change • Healthcare for London represents an opportunity for: • better health • improved care and better outcomes • stronger and more competitive health science research 4

  7. Key Elements 5

  8. The programme of engagement • Two meetings with London Councils • Invitation to submit evidence by the end of February • MORI poll of 7000 Londoners for NHS London • Two deliberative events for 100 members of the public • Voluntary sector event • MPs’ briefings • Clinicians’ conference • Range of stakeholder meetings • Interactive website: www.healthcareforlondon.nhs.uk • Media opportunities 6

  9. Service Reconfigurations 8

  10. Financial Pressures 11

  11. 2006/07 Month 9 Financial Position Plan Forecast Variance £m £m £m NHS Trusts PCTs SHA incl. risk reserve Total (108) (123) (15) (74) (164) (90) 92 162 70 (90) (125) (35) 12

  12. Organisations with a forecast outturn > £10m for 2006/7 PCTs Trusts Plan Variation Forecast Plan Variation Forecast 1.QEH Woolwich 2.Whipps Cross 3.North West London 4.BHR Hospitals 5.Bromley Hospitals 6.Lewisham Hospital (36) 0 (36) (30) 0 (30) (32) 6 (26) (9) (7) (16) (13) 0 (13) (15) 3 (12) 1.Hillingdon 2.Kingston 3.Brent 4.Sutton & Merton 5.Hounslow 6.Bexley (54) (5) (59) (17) (5) (22) 0 (18) (18) (7) (6) (13) 0 (10) (10) 0 (10) (10) 13

  13. 2007/08 Financial Planning • NHS London to achieve overall financial balance or better • All organisations to plan for in-year balance at worst • Significant repayment of accumulated debt by organisations in turnaround • PCTs planning for a 3.6% top slice to cover the remaining accumulated debt • May be able to reduce top slice depending on 06/07 outturn • Even after 3.6% top slice, no PCT will receive less than 6.8% growth, with an average of 7.8% 14

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