Governing Body report
Paper: 4.3
Date
20 January 2015
Title of paper
QIPP Plan 2015/16
Presenter
Simon Hope, Deputy Managing Director
Author
Katie Beach, Head of Strategic Planning
Responsible Director
Simon Hope, Deputy Managing Director
Clinical Lead
Dr Fiona Butler, Chair
Confidential
Yes
so)
No
(items are only confidential if it is in the public interest for them to be
The Governing body is asked to:
Note and support the proposed QIPP plan for 2015/16, which will be subject to further refinement in coming weeks
before final sign off in March 2015.
Summary of purpose and scope of report
The CCG has a QIPP target of 3% of its allocation (£10.2m) in 2015/16. At present, the CCG has identified efficiency
savings of just over £8.3m across a number of areas, including planned care (£3.9m), unplanned care (£1.2m) and
transactional savings (£3.2m). The unidentified QIPP gap is therefore £1.9m at present.
Transactional efficiencies in 2015/16 will include significant reductions (£684k) in void space costs at St Charles and
two other properties across the CCG area where leases are coming to an end. Unplanned care savings will be
generated mostly from reductions in non-elective admissions as part of the Community Independence Service.
Planned care savings will be generated from a range of service redesigns, including cardiology and respiratory, as
well as Out of Hospital service pathways being delivered in primary care.
Quality & Safety/ Patient Engagement/ Impact on patient services
The CCG’s transformational QIPP schemes aim to improve quality while creating cost efficiencies, and in most cases
this is achieved by enhancing services in the community and shifting care away from hospital. In 2015/16, there will
be a focus on reducing non-elective admissions and A&E attendances through the redesigned Community
Independence Service. In addition, there will be a significant focus on delivering planned care in the community, with
QIPP schemes launching in relation Out of Hospital Services, which will be delivered by GP practices. There are also
significant savings plans linked to the new cardiology and respiratory service, which has been procured in 2014/15
and will be live in April 2015.
Financial and resource implications
The CCG’s target is 3% of its allocation, or £10.2m. The current gap against this target is £1.9m. The impact of the
gap on the underlying financial position is currently being assessed and the outcome of this review will determine
whether additional QIPP needs to be identified.
Page 1 of 2
Governing Body report
Paper: 4.3
Equality / Human Rights / Privacy impact analysis
Equality Impact Assessments are completed for individual schemes as required.
Risk
Risks logs for all QIPP schemes are being developed at present. The QIPP plan is more heavily weighted towards
planned care (outpatient) schemes in 2015/16 than it has been previously, and this may present some risk in terms
of the CCG ensuring that the new community services launch early in 2015/16 and that the activity shift happens.
Individual project managers will be working to ensure their services launch in a timely manner, and practices will be
supported to ensure their referral activity reflects the CCG’s commissioned pathways.
Supporting documents
2015/16 QIPP plan.
Governance and reporting (list committees, groups, or other bodies that have discussed the paper)
Committee name
Date discussed
Outcome
Governing Body Development
Session
16/12/2015
Plan discussed and comments noted.
Page 2 of 2