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PCT Financial Position and Outlook

PCT Financial Position and Outlook. Changes Required. Planning assumptions require the PCT to make a 1% surplus per annum from 2010-11, which equates to £5.2m In addition 2% revenue is to be spent non recurrently only

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PCT Financial Position and Outlook

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  1. PCT Financial Position and Outlook

  2. Changes Required • Planning assumptions require the PCT to make a 1% surplus per annum from 2010-11, which equates to £5.2m • In addition 2% revenue is to be spent non recurrently only • In order to achieve this surplus position over the next 3 years the PCT needs to achieve the following: - decommission £17.9m of current spend (that is stop activity occurring at all) - find Cost Improvement savings of £14.0m - shift £18.9m of activity from acute settings to lower cost care closer to home - reduce management costs by £3.5m

  3. 2010-11 Current Plan • The PCT is planning a surplus of £5.2m • To achieve this requires: - £3.9m of activity to be decommissioned - £5.2m of Cost Improvement Savings to be made - all current risks to be managed in year • The PCT is facing a number of risks to achieving this, especially acute over performance and increased costs in children’s continuing care services

  4. How will this be achieved • Currently working with University Hospital Lewisham and General Practice on seven pathway redesigns to: - identify activity that can be stopped/managed in primary care - redesign pathways of care to enable activity to be undertaken closer to patient's homes in lower cost settings • Also undertaking more work on prevention through increased investment in smoking cessation, vascular check programme, expert patient programmes, Respiratory programmes to enable people to take greater control of their own health.

  5. Potential Issues • Government has signalled major changes to the way in which healthcare is commissioned. In his speech to the NHS Confederation in June 2010 Andrew Lansley said: “ We want to give GPs control of commissioning, creating a direct relationship between the management of care and the management of resources. To support GP consortia in their commissioning decisions we will create an autonomous NHS Commissioning Board, free from day-to-day political interference.” The White Paper gives more detail, and heralds the end of PCTs.

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