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Average CCG faces £10m topslice to pay for integration fund

The average clinical commissioning group will have more than £10m taken out of its budget in 2015-16 to pay for the government’s planned £3.8bn fund for the integration of health and social care, according to NHS England.

A paper going to the organisation’s board meeting this Thursday states that the sum to be transferred from core commissioning group budgets to local authorities in that year will be “equivalent to around 3 per cent of CCG allocations”.

In last month’s spending review, the government unveiled plans to create a £3.8bn “pooled fund” between the NHS, the Department of Health, and the Department for Communities and Local Government for the joint commissioning of health and social care.

The money will be formally transferred to councils, with the majority of it coming from CCG budgets.

The document states: “£3.4bn of these funds will come from clinical commissioning budgets and will require substantial savings to be made in other costs.”

That £3.4bn comprises £0.9bn already transferred from the NHS annually to support local authority funded social care, an extra £0.2bn that will be added to that pot next year, £0.3bn of “reablement” funding and £0.1bn of carer’s break funding currently included in CCG allocations, and an extra £1.9bn topslice from CCG budgets.

The paper, by NHS England chief financial officer Paul Baumann, continues: “For the average CCG, the establishment of the integration fund will mean £10m of allocated funding will be transferred to the pooled budget (in addition to the pooling of reablement and carers’ breaks funding that is currently within CCG baseline allocations).

“This is in the context that the average CCG was allocated [around] £300m in 2013-14 and hence the figure is equivalent to around 3 per cent of CCG allocations.”

It suggests that the spending review settlement effectively means NHS England plans to develop a long-term strategy for the NHS will “need to be accelerated, with the first full year of implementation becoming 2015-16”.

The paper also notes that the DH agreed in the spending round to a further £300m administration savings in 2015-16, and that discussions are “ongoing” about how these cuts will be split between NHS England, CCGs and commissioning support units.

Readers' comments (5)

  • Robbing Peter to pay Paul?

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  • The main source of funds will be the 2% reserve that CCG's spend non-recurrently. This is currently used to facilitate QIPP e.g double running costs of new schemes etc. What is the assumption at the centre? That QIPP stops from 2015/16 and integration takes over?? How does this square with £50bn savings.
    Also, I'll take bets that hardly any CCG's have ring fenced the correct amount of carers and reablement resource. There is a real reality gap here.

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  • Anon 1.18pm, is that official? I understood there was silence on this from NHSE? I also presumed it was from the 2% and also reducing the 2% surplus required in 14/15 back to 1%. However, many CCGs are using the 2% to bail out the commissioning budget if not funding QIPP initiatives and for those a 2% surplus is a non-starter. At least it will hit home just as we go in to the election....

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  • As I understand it is is on top of any other reserves.
    They've got to modify it, or find some way of holding LAs hard to account as all the risk for this lies with CCGs. We're assuming that it means our QIPP gap has gone up by £10m in 15/16

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  • Anon 7.53 I can only assume that policy makers are looking to grab the 2% reserves for integration with social care, otherwise it does just increase the QIPP as 3.12 says. You are right though, in reality many CCG's will not have this available therefore this must mean real cuts to the current service offer.

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