Our plans and objectives

Barking and Dagenham, Havering and Redbridge CCGs have shared a set of corporate objectives for the past four years, reflecting our collaborative approach.

We have had a challenging few years, and our objectives each year have reflected our particular priorities, namely addressing our financial challenges and addressing poor performance in relation to a number of our constitutional targets.

We know that we cannot solve our system challenges by working alone and over the past year have intensified system and partnership working. We moved to a new arrangement for contracting with Barking, Havering and Redbridge University Hospitals Trust where we share the benefits and risk together. Together with our NHS provider partners we have developed a ground-breaking NHS Financial Recovery Plan, which is being discussed at this meeting.

The NHS Long Term Plan (LTP) was published earlier this year, with a focus on improving the quality of patient care and health outcomes. We have reviewed our objectives in light of the plan and are pleased to note that our CCGs, and wider system plans are in line with the direction outlined in the LTP.

We have strong foundations in place to further develop and accelerate integrated care system working to transform care for local people while creating a system that is financially sustainable.

Our objectives build on those agreed last year, but have been refreshed in light of the LTP, and are as follows:

• High quality, safe and compassionate care for all commissioned services – delivering better outcomes for local people
• Establish our integrated care system, with primary care as the foundation of a system delivering improved health and wellbeing, through our strong health and care partnerships
• Transform the way that care is delivered and secure financial recovery through the work of our multi-agency transformation boards and delivery of our joint NHS system financial recovery plan.

System Intentions 2019-2021 

Historically the CCGs have issued ‘Commissioning Intentions’ at the end of September to announce our intentions for the following year. For 2020-21, given the changing relationships between the partner organisations across the system, it was decided that the CCGs would produce ‘System Intentions’ jointly with our partners within primary care, NELFT, BHRUT and in local authorities. 

The specific intentions outlined within the System Intentions document are consistent with our submission in response to the NHS Long Term Plan (LTP) and our System Financial Recovery Plan and support both our aspirations to improve outcomes for the population we serve and to also ensure the financial sustainability of our system. 

Quality, Innovation, Productivity and Prevention Programme

QIPP – Quality, Innovation, Productivity and Prevention – is a large scale transformational programme for the NHS, involving all NHS staff, clinicians, patients and the voluntary sector. It will improve the quality of care the NHS delivers while making efficiency savings so that money can be reinvested in frontline care.

The national QIPP workstreams fit into three key areas identified in order to deliver the quality and productivity challenge.  

1. Commissioning and pathways

• Safe care
• Right care
• Long term conditions
• Urgent care
• End of life care

2. Provider efficiency

• Back office efficiency and optimal management
• Productive care
• Medicines use and procurement

3. System enablers

• Primary care contracting and primary care commissioning
• Technology and digital vision

Finance

At each CCG governing body meeting, a finance report is presented which covers:

• Acute revenue – which includes a report on how our local hospitals are performing and what their costs are
• Non- acute revenue – which includes a report on how our local primary care services are performing and what their costs are
• A report on the Quality, Innovation, Productivity and Performance programme (QIPP) show where efficiency savings have been made
• Capital expenditure includes estates and infrastructure
• A statement of financial position and cash flow

You can see the latest governing body papers here.

Clinical commissioning Groups need to procure and locally appoint their own auditors for the year 2017-18 and subsequent financial years; as well as managing the contracts going forward. This notice relates to the appointment of External Auditors for the following clinical commissioning groups (CCGs): The East London (WEL/BHR) CCGs collaborated to procure External Audit Services (EAS) to start from 1 April 2017 up until 31 March 2020. More information on this can be found here.