Service redesign under the Northamptonshire sustainability and transformation plan may go so far that it will “make little sense to continue with separate organisational processes”.
The financial targets set for clinical commissioning groups in 2016-17 assume an average efficiency rate of 3 per cent, which is a 50 per cent increase compared to last year.
Clinical commissioning groups’ efficiency targets have risen by over a quarter this year in a sign that the financial strain on the health service is moving beyond the provider sector.
A London clinical commissioning group is considering whether it should refuse to make more primary care quality, innovation, productivity and prevention savings demanded by NHS England by the end of the year.
FINANCE: Commissioners in Birmingham have removed from their annual efficiency plan this year’s expected savings from the better care fund because the financial gains were unlikely to be realised this year.
NHS pricing authorities will require all providers to deliver another 3.8 per cent in efficiency savings next year, while tweaking the controversial “marginal rate” for emergency admissions to ease the financial strain on smaller hospitals
NHS England is in dispute with University College London Hospitals Foundation Trust over £75m of the trust’s specialised services contract for this financial year.
Monitor has asked foundation trusts to re-think their recently submitted two-year plans, claiming their assumptions were unrealistically optimistic at a time of escalating financial pressure.
Acute services in the NHS in England are facing a year of particular financial pressure in 2015-16, when changes to funding arrangements will see £2bn transferred to community health and social care provision, a parliamentary report has warned.
The Treasury has revealed that the Department of Health is forecasting a zero underspend on its revenue budget for 2013-14, in what one expert said was a sign of how “finances are deteriorating very quickly across the NHS”.
Healthcare leaders from across the community and mental health sectors have united against plans to cut the tariff price for their services by a fifth more than the reduction proposed for acute providers.
Commissioners are slipping behind on their efficiency plans
NHS commissioners are slipping behind on their efficiency plans and becoming more pessimistic about whether they will hit their year-end targets, HSJ can reveal.
There has been a sharp decline in the confidence of trust finance directors that they will meet their annual cost improvement targets, according to the latest King’s Fund quarterly monitoring report.
There is a 23-fold variation in the scale of clinical commissioning groups’ efficiency targets, with at least 11 groups planning to make savings of under 1 per cent, HSJ can reveal.
NHS England is predicting it will fall short of its efficiency savings target by 13 per cent in this financial year − a much bigger gap than that expected by clinical commissioning groups.
Treasury plans to recalculate the value of public sector pensions and introduce a single tier pension could leave the health service facing an annual bill of £2.5bn, HSJ can reveal.
Government plans to create a £3.8bn pooled fund for health and social care commissioning will take the level of savings needed by the health service in 2015-16 to at least 6 or 7 per cent, NHS England’s chief financial officer has warned.
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.