Governing Body 13th June 2019 Buckinghamshire CCG 2019/20 Plan

Recommendation Governing Body is asked to: NOTE and APPROVE the 19/20 CCG Financial Plan and associated budgets as submitted on 15/5/19 NOTE and APPROVE the 19/20 CCG Operational Plan as submitted on 11/4/19 updated for finance submission made on 15/5/19

Plan Overview *Increased to £3.5m as a revised target following 2018/19 year end position 1

Plan – For Approval For APPROVAL : £15m deficit plan - includes Bucks system risk vs £15m control total £5m Net Risk Efficiency Savings of £25.2m included of which £20.2m is identified and £5m is unidentified at planning stage Associated budgets – shown over next 2 slides 1

Use of CCG Allocation 19/20 CCG Allocation £731.8m CCG Core Spend Delegated Co-Commissioning £70.8m Running Costs £11.6m Gross Budget less Delegated Co-Commissioning £70.8m QIPP (£1.0m) QIPP (£24.2m) QIPP = Running Costs £10.6m CCG Core Spend £665.4m Total Expenditure = £746.8m Net Budget Deficit of £15.0m (£731.8m less £746.8m) Your community, Your care : Developing Buckinghamshire Together

Core CCG Spend CCG Core £689.6m Acute £399.5m Community £53.7m Mental Health £67.5m CHC £61.5m Prescribing £71.4m Other £36.0m QIPP (£10.2m) QIPP (£3.1m) QIPP (£3.9m) QIPP (£7.0m) Acute £389.3m Community £53.7m Mental Health £67.5m CHC £58.4m Prescribing £67.5m Other £29.0m Your community, Your care : Developing Buckinghamshire Together

Efficiency/QIPP Summary Initial Gap £25.2m: £20.2m QIPP identified and embedded in plan. £19.2m Recurrent £1m Non Recurrent c£5m Efficiency Savings to be identified 21

Risks &Mitigations Note: £5m gap on QIPP within submitted plan also 21   £k Notes Risks (1,000) NCSO pressures not budgeted ( £10m per month nationally BCCG c0.8%) Baseline pressures ( interoperability, FNC, Graphnet, Big 4 50% etc) Unidentified QIPP (2,000) CHC ( £1.5m FYE from M12 18/19 and £0.5m growth) (5,000) System Risk S117 FYE of risk pool built into plan and growth (10,000) Mitigations 3,769 0.5% Contingency 1,000 External Funding 231 Other Savings 5,000 Note: £5m gap on QIPP within submitted plan also 21

Operational Plan – For Approval 19/20 CCG Operational Plan as submitted on 11/4/19 updated for revised finance submission made on 15/5/19 Full document attached as an appendix to this presentation. 1