10 Clinical Commissioning Group update
PDF 200 KB
To hear from Sarah Price,
Accountable Officer, Haringey Clinical Commissioning
Group.
Minutes:
Sarah Price, Accountable Officer, Haringey
Clinical Commissioning Group presented the following points:
- She will be working closely with Dr
Helen Pelendrides (Chair of the Haringey Clinical Commissioning
Group) through the authorisation process.
- At present the Clinical
Commissioning Group (CCG) has a delegated responsibility and can
therefore make decisions.
- The CCG won’t be fully
accountable until April 2013.
- There is lost of change coming for
the CCG over the next 6 months to prepare them for full
authorisation.
- This is a time of risk, however it
has been planned for which includes planning to mitigate
risks.
- The CCG is financially challenged,
with a significant overspend.
- The CCG is changing the way that
services are provided, moving towards a more integrated approach
and one which wraps around families.
- Working closely with other boroughs
and organisations to improve services and value for
money. There are potentially lots of
alliances which the Haringey CCG can benefit from.
In response to questions from the Panel the
following points were made:
- Referral management and demand
management are two key challenges.
- Budgets are not controlled by the
Clusters, they are centrally controlled.
- The Cluster has been able to
financially risk share by pooling a top-slice of
budgets. for example the 2% top slice
has been used to transform services.
- Haringey has previously paid less
into this top-slice due to it’s financial pressures.
- The CCG are looking at ‘risk
pool’ options across London. This
would enable CCG’s to access any
surplus which they wouldn’t have otherwise been able to.
- It is not necessarily better to have
an under-spend rather than an overspend as each area starts from
zero every year.
- The CCG is unable to pool budgets
with the Council until April 2013 as they are not a statutory body
until then.
- The direction of travel in Haringey
is towards greater integration.
- Discussion between the CCG and
senior Managers in Adult Services is taking place.
- The NCL Primary Care Strategy aims
to improve services across the board.
However there is a need to develop a Haringey Primary Care Strategy
from the NCL one.
- Haringey has a different GP profile
to the rest of the NCL cluster in that it has a high number of
salaried GPs.
- The CCG is hoping to appoint a
Medical Director and a Director of Quality soon.
- Allocation of Public Health funding
does not directly link to the previous spend of an area on Public
Health. Allocations are currently being
revised and so figures may change over the next couple of
months.
Sarah was welcomed to her new role in Haringey
by the Panel and thanked for attending so early in the role.
The Panel wished for their thanks to be passed
on to Andrew Williams, outgoing Borough Director/Acting Accountable
Officer for his help and support during his time in Haringey.
Action
Senior Policy Officer to look into what
disease areas are likely to cause the highest budget pressures.