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

2. 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

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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