DATE OF MEETING: 27 September 2012 Paper Title:
Agenda Item: 13 Enclosure: CKWCB/12/188 Category of Paper Tick(ďƒź) Decision and Approval
Primary Care Trust Baseline Spend Exercise
Position statement
Responsible Director:
Discussion
Ian Currell
Information
Paper Author:
FOI Status:
Ian Currell
Open
Executive Summary:
This paper provides a summary of the PCT baseline spend exercise that will help inform allocations to new organisations post April 2013.
Outcome of Equality Impact Assessment:
N/A
Sub Group/Committee:
Calderdale PCT Finance & Performance Group Kirklees PCT Finance & Performance Group Wakefield PCT Finance & Performance Committee
Recommendation (s):
Board members are asked to note the contents of this report.
1.0
Purpose of Report To update Board members on the recently completed Department of Health Primary Care Trust baseline spend exercise.
2.0
Background One of the key tasks for finance staff this year is to ensure that there is a reliable and consistent transfer of resources from the current commissioning architecture to the new. To help inform this process the Department of Health wrote to all Primary Care Trust (PCT) clusters on the 14th June 2012 asking them to complete a detailed analysis of 2011/12 actual spend and 2012/13 budgeted spend. This analysis using detailed guidance from the Department of Health, mapped spend from the existing organisations to the new organisations post April 2013. This analysis will help inform how funding allocations are made between Clinical Commissioning Groups (CCGs), National Commissioning Board, Local Authorities and Public Health England but we are not yet aware of the exact process that will be used. A needs based allocation formulae for the allocation of resources to individual CCGs is being developed separately and any final allocations are likely to include a transparent pace of change policy from baseline allocations.
3.0
Assurance process PCT Clusters were required to submit the completed forms to their SHA for validation and consistency checking by the 11 July and to the Department of Health by the 23rd July. These timescales did not allow us to bring the full results of the exercise to Board before submission but a range of local assurance processes were put in place. The forms mandated sign off by the Cluster Director of Finance and CCG Accountable Officer. In addition locally we asked for sign off by the CCG shadow Chief Finance Officer following consultation with their local Director of Public Health. In order to ensure an accurate reflection of primary care spend each PCT primary care lead was involved along with the Cluster Medical Director. Although Board was not able to review the forms we asked each local Finance & Performance committee to review the return for their PCT. Finally on behalf of the Board the three local Audit Group chairs met with the Director of Finance for the Cluster to review all three PCT returns.
4.0
Spend Summary Yorkshire & Humber £1,000
Calderdale
Kirklees
£1,000
£1,000
£1,000
CCG List Based Responsibilities* CCG Geographical Responsibilities** CCG Total
7,010,748 12,214 7,022,963
74.2%
268,403
75.8%
509,037
73.7%
474,616
73.9%
NHS Commissioning Board***
2,138,406
22.6%
75,527
21.3%
154,717
22.4%
144,779
22.5%
Public Health – LA Responsibilities Public Health England Hosted services Clinical networks Other (Impairments & Cost of Capital) Premises becoming the responsibility of NHS Prop Co.
241,254
2.5%
7,998
2.3%
20,302
2.9%
19,062
3.0%
19,571 923 2,177 -5,648
0.2% 0.0% 0.0% -0.1%
807 -66 117 0
0.2% 0.0% 0.0% 0.0%
1,390 0 0 -1,233
0.2% 0.0% 0.0% -0.2%
1,343 0 0 0
0.2% 0.0% 0.0% 0.0%
50,508
0.5%
1,126
0.3%
6,775
1.0%
2,455
0.4%
9,470,153
100.0%
353,912
100.0%
690,989
100.0%
642,255
100.0%
GRAND TOTAL
267,838 565
Wakefield
508,313 725
473,594 1,022
* Includes secondary & community, prescribing, primary care LES, Out of Hours, Running Costs ** includes unregistered populations, exempt overseas visitors, non-rechargeable services *** includes specialist services, armed forces, offender health outside prison, prison health, GP services, General Dental, General Ophthalmic, Secondary dental care, Pharmaceutical services, NCB PH responsibilities, PCT running costs for NCB functions
CCG Spend Comparisons The CCG spend per head of population for 2012/13 data averaged £1,259 across the Yorkshire & Humber region. For our four local CCGs the figures were Calderdale £1,265, Wakefield £1,348, Greater Huddersfield £1,189 and North Kirklees £1,231. Specialist Commissioning Analysis of the specialist commissioning expenditure has been carried out prior to final confirmation of the specialist services expected to transfer in April 2013 and also excludes any services due to migrate in the remainder of 2012/13. We expect that the baseline exercise will be re-opened to allow for these additional transfers to be made. 5.0
Kirklees PCT The baseline spend for Kirklees PCT had to be split between North Kirklees CCG and Greater Huddersfield CCG. Where actual activity information was available that was used, where not the split was based on weighted capitation. The CCGs have been encouraged to agree how, and under what circumstances, any new information that more accurately informs this original split of resources will be used in the future.
5.0
Recommendations Board members are asked to note the contents of this report.