1. National and Local NHS Context Pam Kaur – Commercial Finance Manager
GFM
Teaching and Training almost 15 years
If you think about it you probably provide some form of knowledge sharing and education in your everyday role without even noticing it…..
Before we start just want you think about something or write it down as I’ll come back to it at the end.
Do you look forward to providing training and enthusiastic about it or do you dread it think of it as something you don’t always have time for?

2. A little bit about me…

3. An Overview of NHS Do you know? The age of the NHS?
How many employees work in the NHS?
The size of the NHS budget?
How many organisations are in the NHS?
How many patients are treated by the NHS in a 36 hour window?
What is UHCW’s budget?

4. NATIONAL CONTEXT

5. Overview of NHS Structure

6. Overview of Accountability
NHSI

7. NHS Funding Flow

8. Government Spending on Health

9. Government Spending on Health

10. 5 Year NHS Spending

11. 2016-17 Tariff 3.1% increase 2% efficiency target
1.1% overall increase

12. Staffing in the NHS

13. Challenges Facing the NHS
The conundrum of patient care versus value for money……
Quality of patient care and national targets :–
Waiting Times (referral to treatment RTT)
A&E Targets
Mortality Rates
Employer of choice
Francis Enquiry, Keogh Report - greater regulation
The current economic climate :–
Payment Mechanisms, e.g. National Tariff (Payment by Results)
Negative inflation
Efficiency requirements
Doctor Strikes and agency costs

14. Performance management

15. The Quadrilateral of Terror

16. A total reported deficit of £822m for 2014-15
National Figures
Foundation Trusts reported deficit of £349m
NHS Trusts reported deficit of £473m
A total reported deficit of £822m for
Source HFMA June 2015

17. Foundation Trusts reported deficit of £1,096m
National Figures
Foundation Trusts reported deficit of £1,096m
NHS Trusts reported deficit of £1,351m
A total reported deficit of £2.4b for (£22m deficit at 30th September 2016 – Q2)
Source HFMA June 2016 and November 2016

18. National Figures
Source HFMA June 2016

19. International comparisons

20. Two sides of the same coin
Patient care and value for money;
Are they mutually exclusive?
The aim of clinicians and managers should be to improve the quality of care to patients as efficiently as possible

21. SUGGESTED RESOURCES

22. Resources 1/2 Five Year Forward View Published 2014
NHS Constitution
Single Oversight Framework
Liberating the NHS 2010

23. Resources 2/2 Planning Guidance 2017-19
UK NHS National Tariffs Guidance and proposals for
Strategic and Operational Planning Process 2014 to 2019
Planning guidance 2016/17