4. DRIVERS FOR VARIANCE
The main drivers for the
variance from the planned
financial position were:
TRUSTS CCGs
72%increase in agency
staff costs
55%under-achievement
of planned savings
66%acute contract
programme cost
increases
53%slippage on
planned savings
6. FINANCIAL PLANS
A small percentage of finance directors feel
there is low risk to achieving their plans.
2015/16 plans 2016/17 plans
2%
Trusts
4%
CCGs
16%
10%
Trusts
CCGs
Finance directors are even less
confident about achieving their
financial plans in the near future.
7. RISKS TO
FINANCIAL
PLANS
The main risks finance
directors identified to
their financial plans are
slippage in cost savings,
increased demand for
services and increased
emergency activity.
9. LEVERS FOR CHANGE
73%
TRUST FINANCE DIRECTORS
However, when thinking about their local
area, finance directors felt they did not
have sufficient levers to effect change.
Respondents felt, within their
organisations, they probably have
sufficient levers to improve quality
and financial performance.
43%
CCG CFOs
10. RESOURCES
Less than 10%
of English finance
directors believe
the organisations
in their area have
sufficient resources
to support their
long-term financial
plans.
LONG-TERM
PLANS
RESOURCES
11. ACTIONS TO HELP
FINANCE DIRECTORS
MEET FINANCIAL
CHALLENGES
Honesty about
services that can be
provided within the
financial settlement
FINANCE
DIRECTORS
SUGGESTED
Changes and
improvements to the
national payment
system in England
Greater integration of
services specifically more
progress on the Better
Care Fund in England
Improved joint
working and
collaboration