1. NHS South Norfolk CCG – Financial context and QIPP Programme
James Leeming
Interim Turnaround Director

2. Local challenges: Populations are living longer
Living with long term conditions
Demands on access to care across health and social care is increasing
The rate of lifestyle-related health conditions continues to increase
NHS faces frontline recruitment issues, particularly in Primary Care

3. Financial context: 2016-17 budget – total budget £272.6m Of which:
£139m is spent on acute (hospital-based) services
£33m is spent on community-based services
£23m is spent on mental health services and services for people with learning disabilities
£42m is spent on Primary Care (primarily prescribing)
£20m is spent on Continuing Health Care
£5m is allocated towards the running of the CCG

4. ‘QIPP’ – Quality, Innovation, Productivity and Prevention
Transformation initiative introduced in 2010
Identify efficiencies within commissioning to reinvest in frontline care
‘Thinking differently’ about commissioning, and putting local patients at the forefront of commissioning decisions
All CCGs are tasked with developing QIPP Programmes to drive efficiency locally

5. QIPP (2): NHS England requires CCGs to achieve a 1% surplus
Since the its inception in , the CCG has set ambitious QIPP plans to achieve financial balance, as well as the required 1% surplus
The CCG has delivered its QIPP plans each year, but has not always delivered a 1% surplus
This has created an underlying deficit in the CCG’s budget of £8m
The CCG’s QIPP programme is £13.9m to reduce this deficit to £2.8m

6. QIPP (3): Methods of delivering QIPP plans:
Transactional: Financial, contractual and performance-related details
Transformational: Strategic, pathway changes, and changes in national policy
Relational: Historic relationships, communication, local knowledge and experience