Issue - meetings

Joint report of NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group.

Further to Minute No. 48 (2) of 27 February 2018, Martin McDowell, the Deputy Chief Officer and Chief Finance Officer of NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group (CCG) will be in attendance at the meeting to present the report to the Committee and respond to questions put by Members.

Further to Minute No. 48 (2) of 27 February 2018, the Committee considered the joint report/presentation submitted by NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group (CCG), providing a financial update.

The presentation outlined the following:-

·         NHS Southport and Formby CCG – Financial spend 2017/18;

·         NHS Southport and Formby CCG – Financial performance 2013/14 -  2017/18;

·         NHS South Sefton CCG – Financial spend 2017/18;

·         NHS South Sefton CCG – Financial performance 2013/14 -  2017/18;

·         Health care spending by age group;

·         2018/19 allocations: Merseyside and West Lancashire CCGs – Financial Allocation, Target and Distance from Target;

·         Shaping Sefton;

·         Vision: 5 year strategy;

·         Triple aim triangle;

·         Challenges facing CCGs.

Martin McDowell, the Deputy Chief Officer and Chief Finance Officer of NHS South Sefton CCG and NHS Southport and Formby CCG was in attendance at the meeting to make the presentation to the Committee; to explain aspects of it; and to respond to questions put by Members.

Members of the Committee asked questions/raised matters on the following issues:-

·         With regard to the total spend for acute services, how much was provided by the independent sector?

About 2% of acute services for South Sefton CCG and 3% for Southport and Formby CCG was provided by the independent sector, procedures for eye care being the main service provided by this sector.

·         Reference was made to the demographics within Sefton.

The financial allocations received by both CCGs per head of population did not necessarily reflect the high level of frail older populations who tended to acquire multiple and chronic conditions and there was a need for the CCGs to target resources.

·         Was the Council’s Local Plan, together with future plans for additional housing taken into account for financial allocations?

The Council’s Local Plan and communication with the Council’s Planning function was taken into account although the increased population forecast for Sefton was relatively low at present. Planning documents were also publicly available via the Council’s web-site. Financial resources were considered to be challenging for the CCGs, even before taking into account any increased population forecast.

Challenges for the CCGs also included the proportionately high use of emergency care across Merseyside and the need to start shifting this use towards primary care provision.

RESOLVED:

That the Finance Update submitted by the Sefton Clinical Commissioning Groups be noted.