1. FINANCIAL REPORT TO THE GOVERNING BODY
FOR THE ELEVEN MONTH PERIOD TO 29 FEBRUARY 2016
& FORECAST OUT-TURN TO 31 MARCH 2016

2. At A Glance KEY 1% Better than Plan On Plan 1% Worse than Plan
Not Applicable
Neutral awaiting information
Statutory Duties Q1 Q2 Q3 Q4
YTD
Revenue Resource Limit
Cash Limit
Better Payment Practice Code
NHS
Non NHS
Financial Performance Q1 Q2 Q3 Q4
YTD
1% Surplus
2.5% Recurrent Surplus
2.5% NR Investment
QIPP Performance – delivery of target
QIPP Performance – delivery against identified schemes
Main Provider Performance
KEY MESSAGES
Forecast Surplus position = £17.687m (on plan)
QIPP schemes identified to £6.760m of £9m target
ELHT reported as £4m overspend although actual forecast activity shows £5m over.
Prescribing figures at month 11 show a £220k overspend, thus the year end forecast has been adjusted to £300k overspent.
IPA - £1,850k forecast over spend

3. Statutory Duties Revenue Resource Limit (RRL)
Expenditure MUST stay within the limits set for the financial year
Cash Limit (CL)
Cash spending must stay within the maximum cash drawdown allocated to the CCG for the year
Limit
£’000
On Target
Notes
Commissioning Budgets
574,106 P
The figures reported are the total of notified and confirmed allocations. Adjustments have been actioned to reflect the transfer of commissioning responsibility for some specialist services.
Running Costs
7,926  P
Limit
£’000
On Target
Notes
CCG Total
569,078 P
The CCG is currently on target as regards spending being within the maximum allocated cash drawdown.

4. Cumulative Performance to Date
Better Payment Practice Code (BPPC)
The target is to pay ALL invoices within 30 days of receipt of a valid invoice
Target
Cumulative Performance to Date
On Target for Year End
Notes
NHS
Value
95%
99.9% P
With regard to the Better Payment Practice Code, the CCG is currently exceeding target levels for both NHS and non-NHS invoices.
Volume
99.0%
Non-NHS
98.8%

5. Performance Measures 1% Surplus
The CCG has to plan to deliver a 1% surplus
Annual Surplus
£’000
YTD Planned Surplus
Actual reported YTD Surplus
Confidence Dial
Notes
17,687
7,046
17,046
The CCG has declared an additional £10m surplus to NHS England.
This will be carried over for the CCG to draw down to invest in future years. Through the planning process we will be agreeing with NHS England the phasing of the drawdown

6. Monies owed to ELCCG at Month end
Monies owed to ELCCG by NHS Organisations at month end.
Monies owed to ELCCG by Non-NHS Organisations at month end.
Monies owed to ELCCG as a percentage of ELCCG Annual Budget
£’000
111
1,480
0.273%
Number of customers 21 4
Average outstanding debt per customer£’000 5
370

7. Total QIPP Schemes – Achievement of target
QIPP Scheme Delivery
Analysis of identified QIPP schemes and delivery against savings plans to date
Total QIPP Target
£’000
Identified schemes
QIPP Gap
Confidence Dial
Notes
9,000
6,460
2,540
The QIPP gap has increased slightly this month following the deterioration in the overall prescribing position.
Confidence remains very low that the gap will be recurrently bridged in year
Identified Schemes£’000
YTD Planned Savings
£’000
Actual reported Savings
Confidence Dial
Notes
6,460
4,520
5,290
Of the identified QIPP schemes, confidence remains moderate to high that they will deliver.

8. Main Provider Activity (ELHT) Acute Services ONLY
Annual Budget
£’000
Plan YTD
YTD Expenditure
YTD Variance
Forecast Out-turn
Confidence Dial
209,814
192,321
197,405
5,084
4,000
Notes
ELHT’s over-trade continues to increase. The forecast level has been maintained at£4m while the position is being investigated to validate ELHT’s figures, but also reflecting that a year end position has been agreed in advance with ELHT.
The IBR for month 09 will give a detailed analysis of the activity and pressure areas, but by way of highlight the key pressure areas are, Vascular, Urology, Gastroenterology and Respiratory medicine
Officers are working to understand the pressures in these particular areas and to mitigate the recurrent risks that this poses and to understand the recurrent impact that this might have.

9. Favourable variances are depicted in black and in brackets
Adverse variances are depicted in red

10. Highlights and Risks Area Comment Best Case £’000 Likely Case
Worst Case
Acute SLA’s
Whilst ELHT contract is forecasting significant over activity, other contracts (Airedale, Pennine and periphery providers) are compensating with forecast underspends
There is however additional activity with the private sector, mainly orthopaedics, which is mitigated to a certain extent by an underspend in elective orthopaedic work with ELHT.
-1,000
4,000
IPA
The forecast overspend on IPA includes backdated charges for a particularly high package of care, which were accounted for in month 7, the position has improved slightly in month 1.
-2,000
1,850
2,000
QIPP
Failure to identify the balance of the in-year recurrent QIPP target
2,240
Prescribing
M11 PPA prescribing figures show a large increase in expenditure which has resulted in a forecast overspend of £300k. This increase in expenditure has been mirrored by all Lancashire CCGs and is not therefore purely an East Lancashire issue. The position is being monitored.
300
1,000

11. Highlights and Risks Area Comment Best Case £’000 Likely Case
Worst Case
Primary Care
Primary care is on target to breakeven by year end.
The co-commissioning budget of £42.9m is forecast to underspend slightly.
-300
300