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GBAF 242 East Cheshire NHS Trust
Underlying Financial Position
Alex Mitchell
Chief Finance Officer
22 February 2017
Governing Body Meeting
Macclesfield Town Hall
East Cheshire NHS Trust
Risk Added Oct 15
16/17 Deficit of £19.6m
STF Funding of £4.3m
South Cheshire & Vale Royal
CCGs recommissioning of
Community Services Potential Impact:
• Community services
unsustainable
• Clinically
• Financially
• Request additional funding
• Serve notice
• Impact on Quality
Services
under PBR
Services under Block
/ Local Tariff
Key Timeline
16/17 ECT Commissioning Intentions
£954k Investment
£1,734k Served Notice
Developments
£1,000k Frailty
17/18 Contract Settlement
£1,400k Intermediate Care
£2,200k Shortfall on Community Services
Current Assessment
ECT
Improved by
£6.3m
(Funding/Notice)
Investment
£1m
Services
Sustainable
Deficit
Reduced
17/18
ECCCG
Deteriorate
by £7.3m
Activity
Avoided
Services
Sustainable
Deficit
Increase
17/18
Overall System – Remains Unchanged
Future Assessment
• Underlying Deficit (PbR)
• No intentions to seek support from Commissioners
• Remaining services stable
• 17/18 Contract signed
• Caring Together Programme Board Options
– Include focus on system cost reduction
• GB Consideration:
• Risk Reviewed 25 Down to 16 or ?

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GBAF242 ECT Underlying Financial Position

  • 1. GBAF 242 East Cheshire NHS Trust Underlying Financial Position Alex Mitchell Chief Finance Officer 22 February 2017 Governing Body Meeting Macclesfield Town Hall
  • 2. East Cheshire NHS Trust Risk Added Oct 15 16/17 Deficit of £19.6m STF Funding of £4.3m South Cheshire & Vale Royal CCGs recommissioning of Community Services Potential Impact: • Community services unsustainable • Clinically • Financially • Request additional funding • Serve notice • Impact on Quality Services under PBR Services under Block / Local Tariff
  • 3. Key Timeline 16/17 ECT Commissioning Intentions £954k Investment £1,734k Served Notice Developments £1,000k Frailty 17/18 Contract Settlement £1,400k Intermediate Care £2,200k Shortfall on Community Services
  • 4. Current Assessment ECT Improved by £6.3m (Funding/Notice) Investment £1m Services Sustainable Deficit Reduced 17/18 ECCCG Deteriorate by £7.3m Activity Avoided Services Sustainable Deficit Increase 17/18 Overall System – Remains Unchanged
  • 5. Future Assessment • Underlying Deficit (PbR) • No intentions to seek support from Commissioners • Remaining services stable • 17/18 Contract signed • Caring Together Programme Board Options – Include focus on system cost reduction • GB Consideration: • Risk Reviewed 25 Down to 16 or ?