Insights into NHS Finance Management Challenges
Uncover the financial challenges faced by NHS England (East) with a deficit of £117.1m and strategies to address variance drivers such as temporary staffing premiums. Learn about the efforts to improve exit run-rates for 2023/24 while ensuring quality patient care, amidst the need for potential difficult decisions. Stay informed on planning updates and interventions to navigate the financial landscape effectively.
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Presentation Transcript
VALUE MAKERS 25 January 2024 Jason Donovan (Head of Finance, NHS England (East)
FOR CONTEXT Systems in Region Spend c. 15bn (15,000 x 1m). 0.66% of 15bn is 100m 1 Current System Revenue Position M9 YTD Plan M9 YTD Actual YTD M9 FOT Plan M9 FOT Actual FOT Variance M9 m Variance M9 C&P N&W MSE SNEE BLMK HWE EoE TOTAL 1.2 -3.3 -17.4 -54.7 -0.2 -9.9 -31.7 -117.1 -4.5 -6.6 -22.6 2.4 -10.3 -13.2 -54.9 0.0 0.0 -6.2 -2.7 -58.9 0.0 -8.2 -10.9 -86.8 -6.2 -2.7 -18.5 0.0 -8.2 -10.9 -46.5 -10.8 -32.1 -2.6 0.4 -18.4 -62.2 -40.3 0.0 -0.0 -0.0 -40.3 At M9 systems had an I&E deficit of 117.1m. This is 54.9m worse than plan The 46.5m FOT deficit (to plan) driven by two issues MSE System Core Deficit increasing to 57m Impact of Industrial Action in December and January
2 What are Region Doing About It? Getting as clear as possible about variance drivers e.g. temporary staffing premia, challenges delivering CIPs Communicating National Policy to Systems Communicatiing Local Challenges to National Team Helicopter Analysis, Share Best Practice, Direct Hands-On Support, Critical Friend Analysis, Ideas, Direct Intervention (e.g. Triple Lock) Holistic / Multi-Disciplinary Team Approach The NHS Needs Players Not Scorekeepers
3 Update on Planning Latest update is final guidance will be released by 31 January First Flash Return (or equivalent) from systems due 29 February Hoping initial returns are triangulated (Finance, WTE and Activity) and broadly in line with available envelopes Current Focus for Regional Finance Team is to improve 2023/24 exit run-rates by introducing recurrent CIPs .whilst protecting the quality and level of patient care .but preparing systems that collectively we may need to make difficult decisions
