1. NHS South Norfolk CCG – 2017/18 QIPP Programme
James Leeming
Interim Turnaround Director

2. Overview of 2016/17 QIPP Programme : 2016/17 Programme Overview
QIPP target of £13.8m
QIPP Programme developed to meet this target
Month 9 delivery currently stands at £6.9m
Delivery rate of 75% against plan
2016/17 projected year end £11m
Year end delivery outturn at 80%
Challenging Year
Changes within year to programme
System issues

3. 2017/18 QIPP Challenge : QIPP Programme Overview 17/18
Programme Target - £ £18m *
5.2% - 6.6% of our budget allocation *
System working
Commissioner alignment
Transparency and openness
Tough decisions
Demand Management
Community development
Scrutiny of every budget line
Return on Investment
*Subject to financial planning and NSHE agreement

4. ‘Flatten our demand and live within a cost envelope’
QIPP PRESCRIBING :
‘Flatten our demand and live within a cost envelope’
Work with the 24 practices in South Norfolk to develop and implement initiatives to reduce wastage
Nationally led programmes of work around prescribing of items such as paracetamol, skin emolients etc.
Reduce the 4% growth (16/17 reduction of 2.2%) and deliver the QIPP target
Work in conjunction with NNCCG and NCCG to align messaging and communications
Specific areas of prescribing targeted such as SIPs etc.

5. QIPP CONTINUING HEALTHCARE:
‘Making the best use of our CHC budgets and enabling people to live independently’
Fastest growing budget area within the NHS
Patients tend to need CHC support if they are out of their ‘normal’ environment for longer than required
Discharge to Assess
High Cost Package reviews
Checks and Balances of CHC patient list
Better management of our private provider sector

6. QIPP DEMAND MANAGEMENT :
‘Better use of our South Norfolk resources, keeping patients out of hospital’
Primary Care Variation
Clinical Thresholds
Pathology and Radiology, Diagnostic Testing
Clinical Decision Support
Pathway Design
RightCare Initatives

7. QIPP NON ELECTIVE CARE :
‘Development of our community offering in South Norfolk’
Supported Care Service
MCP development
A&E Frequent Attenders
Care Home Admissions
ICES Management