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NHS Trust Financial Position and Sustainability Risk
- 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 ?