North West London Month 12 Budget Update SaHF & NWL Strategy and Transformation Programmes April 2014 Purpose This paper provides the month 12 budget update for NWL-wide financial strategy/ SaHF including Strategy & Transformation programmes. The Collaboration Board are asked to: a) note the month 12 budget report. 2 Contents 1 Sources of funding 2 Applications of funding 3 Budget Analysis 4 Month 12 S&T budget report 5 Consultancy contracts let 3 Sources of funding Month 11 Month 12 A CCGs contribute to the programme from the 2% top slice £24.3m1 £25.1m2 B NHS E fund equivalent of the 2% contribution from services they commission £13.0m £13.0m C Trust providers contribute to the zone management structure supporting implementation £0.25m3 £0.25m D Whole systems design phase funded from partnership funding £3.0m £3.0m £40.55m £41.35m Total resource available 1 Ealing CCG no longer contributing 0.5% (£1.2m) Contribution from Richmond CCG (£0.8m) – funding West Middlesex 3 Acute trusts are committing significant additional resources internally developing their business cases, not represented in figures above 2 4 Applications of funding Initial agreed budgets - S&T projects Provider support £24.3m £10.5m (Hillingdon £8m, West Mid £2.5m) £34.8m Inclusion of Whole Systems £3.0m £37.8m Specialist commissioning shortfall - Agreed at January Collaboration Board £1.0m (Harrow £0.7m, Hillingdon £0.3m) NWLHT - merger £1.4m Richmond CCG contribution £0.8m Total £41.0m Note: £0.25m represents Trusts contribution to zone management support, retained locally . 5 Breakdown of agreed S&T (inc. Whole Systems) budgets 1 2 Enhanced integration Primary care transformation 1.1 Whole systems service Implementation 1.2 Networks £1.6m £1.8m £3.0m 2.1 GP Transformation 2.2 Primary care estates 2.3 Primary care IT 2.4 OOH workforce delivery support £2.1m £1.1m £2.5m £1.1m 3 Transforming Mental Health services Slide 6 1.3 Design Phase for Whole Systems1 3.1 Transforming Mental Health services S&T CCGs £3.7m £2.7m £3.9m £2.9m £1.2m £0.8m £11.0m - £1.1m - £20.9m £6.4m £2.0m 4 4.1 Implementation planning and governance 4.2.1 Local hospital development 4.2.2 Major hospital development 4.2.3 Clinical implementation groups £3.0m £3.1m £1.6m £0.3m SaHF implementation 4.2.4 Zone management 4.3 Workforce / enabler projects 4.4 IRP review and JR £0.6m £0.8m £1.6m Other costs (core team, non-pay, events) 1 Includes partnership funding of £3m, held by the Tri-borough Total £27.3m 6 Month 12 S&T budget report Committed Spend YTD BUDGET YTD ACTUAL (Committed Spend) YTD VARIANCE YTD 1 Enhanced integration Whole systems service implementation Networks Design phase for whole systems TOTAL £0.6m £0.1m £3.0m1 £3.7m £0.6m £0.1m £3.0m £3.7m - 2 Primary care transformation GP Transformation Primary care estates Primary care IT OOH workforce delivery support TOTAL £0.6m £1.6m £0.4m £1.5m £4.1m £0.6m £1.5m £0.4m £1.6m £4.1m -£0.1m £0.1m - 3 Transforming mental health services TOTAL £0.7m2 £0.7m - Implementation planning and governance Provider business case + zone + LH Workforce / enabler projects IRP review and JR TOTAL £3.0m £5.6m £0.8m £1.6m £11.0m £3.0m £5.6m £0.8m £1.3m £10.7m -£0.3m -£0.3m 4 SaHF Implementation 5 Other costs (core team, non-pay, events) TOTAL £0.9m £1.2m £0.3m3 CCG Funding TOTAL £6.9m4 £6.9m - £27.3m £27.3m - 6 Total 1 Whole systems design phase funded from partnership funding 2 Excludes £0.5m mental health CCG funding 3 Variance due to inclusion of senior team pay costs 4 Includes £0.5m mental health CCG funding 7 S&T consultancy contacts let since 1st April 2013 (1/2) Contract let Contract Value Provider Finnamore and Oak Group Decision-making panel Medical Director SaHF, Chief Executive Ealing Hospital, Finance Lead Ealing CCG, GP Ealing CCG, Chief Officer CWHH CCGs, Director of Strategy & Transformation, Deputy Director of Strategy & Transformation April 2013 MCAP implementation support £249,000 May 2013 Shaping a healthier future Implementation Model £98,890 McKinsey & Company Chief Finance Officer SaHF, Deputy Director of Strategy & Transformation July 2013 Shaping a healthier future programme support IRP and JR extension £495,000 PA Consulting Single tender waiver agreed under sections H, J and K of Central London’s standing orders by Chief Officer and CCG Chair July 2013 Primary care investment principles £163,500 Methods Consulting Ltd GP West London CCG, Deputy Head of Primary Care (NW London) NHSE, Deputy Director of Strategy & Transformation, Assistant Director of Strategy & Transformation, Primary Care Programme Manager Strategy & Transformation September 2013 Whole systems integrated care £3,355,621 McKinsey & Company 20 panel members from CCGs, Local Authorities, Acute Providers, NHS England, CSU, S&T, Lay members September 2013 Local hospitals development £1,999,462 PwC Vice Chair Ealing CCG, CWHH Finance Director, CWHH Chief Officer, Deputy Director of Strategy & Transformation, Non-Executive Director BEHH, Director of Strategy Imperial Healthcare Trust, Deputy Chief Executive Ealing Hospital, Chair Hammersmith & Fulham CCG September 2013 Hub outline business case development £1,434,562 PA Consulting Chair Harrow CCG, CWHH Chief Officer, Managing Director, Central London CCG, Director Strategy & Transformation, Lay Member Harrow CCG September 2013 Shaping a healthier future PMO Support £1,393,035 PA Consulting Single bid evaluated by : CWHH Chief Officer, Chair Hammersmith & Fulham CCG, CWHH Finance Director, Deputy Director Strategy & Transformation £95,025 PA Consulting October 2013 Informatics/ IT in NWL Chair Hillingdon CCG, GP Ealing CCG, GP Managing Partner at Newton Medical Centre and Central London CCG Assistant IT lead, CWHH CCGs Deputy Director of Finance, Strategy & Transformation Informatics Lead 8 S&T consultancy contacts let since 1st April 2013 (2/2) Contract let Contract October 2013 Communications Support to NWL CCGs November 2013 7 Day GP Access in NWL – Simulation Model £346,755 Private Public Ltd December 2013 MCAP implementation support - extension £95,200 Finnamore and Oak Group Single tender waiver agreement December 2013 NWL Financial Advisory Role £165,000 McKinsey & Company Single tender waiver agreement £64,879 PA Consulting Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation February 2014 Impact of Services Changes on Protected Groups in NWL Major & Local Hospitals £59,375 Mott Macdonald Ltd Chief Officer CWHHE CCGs, Director Strategy & Transformation, Deputy Director Strategy & Transformation, Assistant Director Patient Experience & Equalities CWHHE CCGs, Communications Engagement Manager Strategy & Transformation March 2014 Patient Travel Patterns Data Analysis for 9 Hospital Sites in North West London £58,500 Sky High Technology GP & Deputy Chair Ealing CCG, Deputy Director Strategy & Transformation, Travel Plan Adviser, PMO Strategy & Transformation January 2014 Workforce Transformation Programme Value £358,400 Provider LCA/ Consolidated PR Decision-making panel Chief Officer CWHH CCGs, Director of Strategy & Transformation, Chair of NWL Integrated Pilots, Director of Communications, Programme Officer of Strategy & Transformation Deputy Director Strategy & Transformation, Deputy Managing Director H&F CCG, GP & Deputy Chair Harrow CCG, GP and Clinical Lead Harrow CCG, Programme Officer of Strategy & Transformation 9