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NHS South Norfolk CCG – 2017/18 QIPP Programme

An overview of the 2016/17 and 2017/18 QIPP Programmes to meet budget targets and improve healthcare services in South Norfolk. Initiatives include demand management, prescribing strategies, and continuing healthcare improvements.

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NHS South Norfolk CCG – 2017/18 QIPP Programme

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  1. NHS South Norfolk CCG – 2017/18 QIPP Programme James Leeming Interim Turnaround Director

  2. Overview of 2016/17 QIPP • Programme : • 2016/17 Programme Overview • QIPP target of £13.8m • QIPP Programme developed to meet this target • Month 9 delivery currently stands at £6.9m • Delivery rate of 75% against plan • 2016/17 projected year end £11m • Year end delivery outturn at 80% • Challenging Year • Changes within year to programme • System issues

  3. 2017/18 QIPP Challenge : • QIPP Programme Overview 17/18 • Programme Target - £14.1 - £18m * • 5.2% - 6.6% of our budget allocation * • System working • Commissioner alignment • Transparency and openness • Tough decisions • Demand Management • Community development • Scrutiny of every budget line • Return on Investment • *Subject to financial planning and NSHE agreement

  4. QIPP PRESCRIBING : • ‘Flatten our demand and live within a cost envelope’ • Work with the 24 practices in South Norfolk to develop and implement initiatives to reduce wastage • Nationally led programmes of work around prescribing of items such as paracetamol, skin emolients etc. • Reduce the 4% growth (16/17 reduction of 2.2%) and deliver the QIPP target • Work in conjunction with NNCCG and NCCG to align messaging and communications • Specific areas of prescribing targeted such as SIPs etc.

  5. QIPP CONTINUING HEALTHCARE: • ‘Making the best use of our CHC budgets and enabling people to live independently’ • Fastest growing budget area within the NHS • Patients tend to need CHC support if they are out of their ‘normal’ environment for longer than required • Discharge to Assess • High Cost Package reviews • Checks and Balances of CHC patient list • Better management of our private provider sector

  6. QIPP DEMAND MANAGEMENT : • ‘Better use of our South Norfolk resources, keeping patients out of hospital’ • Primary Care Variation • Clinical Thresholds • Pathology and Radiology, Diagnostic Testing • Clinical Decision Support • Pathway Design • RightCare Initatives

  7. QIPP NON ELECTIVE CARE : • ‘Development of our community offering in South Norfolk’ • Supported Care Service • MCP development • A&E Frequent Attenders • Care Home Admissions • ICES Management

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