Summary Saving Analysis
Monthly Performance Monitoring Report
CIP plans 2010/11
Appendix 1
Key Information
Project Lead and Team Project Proposal
Medical Director Best Value Savings Plan
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
CO.01 Urgent Care 187 187 188 187 270 271 293 294 294 293 294 294 3,051 3,051 0
CO.02 Planned Care 34 34 34 34 34 67 150 151 217 217 217 217 1,404 1,404 0
CO.03 Corporate Savings 271 271 271 271 271 271 271 271 271 271 271 271 3,250 3,250 0
CO.04 Jointly Commissioned Services 115 115 115 262 262 262 262 262 262 262 262 262 2,700 2,700 0
CO.05 Disinvestments
6,485 456 460 540 541 545 617 617 622 705 705 706 13,000 9,569 3,831
Core 7,091 1,062 1,067 1,293 1,377 1,415 1,593 1,594 1,666 1,747 1,749 1,750 23,405 19,974 3,831
Actual saving achieved in-month
CO.01 Urgent Care (21) 55 0 0 0 0 0 0 0 0 0 0 34 0 0
CO.02 Planned Care 17 17 17 15 0 0 0 0 0 0 0 0 66 0 0
CO.03 Corporate Savings 231 231 231 231 0 0 0 0 0 0 0 0 924 0 0
CO.04 Jointly Commissioned Services 83 83 83 161 0 0 0 0 0 0 0 0 410 0 0
CO.05 Disinvestments 4,697 118 118 1,621 0 0 0 0 0 0 0 0 6,554 0 0
Core 5,007 504 449 2,028 0 0 0 0 0 0 0 0 7,987 0 0
Variance in-month (2,084) (559) (619) 735 (1,377) (1,415) (1,593) (1,594) (1,666) (1,747) (1,749) (1,750) (15,418) (19,974) (3,831)
Forecast Cumulative Savings 7,091 8,154 9,221 10,514 11,891 13,306 14,899 16,493 18,159 19,906 21,655 23,405 23,405 19,974 3,831
Actual Cumulative Savings 5,007 5,510 5,959 7,987 7,987 7,987 7,987 7,987 7,987 7,987 7,987 7,987 15,974 0 0
Cumulative Variance (2,084) (2,643) (3,262) (2,527) (3,904) (5,319) (6,912) (8,506) (10,172) (11,919) (13,668) (15,418) (7,431) (19,974) (3,831)
Forecast savings in month Forecast Cumulative Savings
Monthly Position Cumulative Position
Actual saving achieved in-month Actual Cumulative Savings
8,000 25,000
7,000
20,000
6,000
5,000
15,000
4,000
£000
10,000
3,000
2,000
5,000
1,000
£000
-
- Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Further Information
Target Achievable At risk
RAG Saving Confidence Comments
(£000) (£000) (£000)
Red Urgent Care 3,051 TBC TBC 1,543 See breakdown within Urgent Care
Red Planned Care 1,404 64% 904 500 See breakdown within Planned Care
Green Corporate Savings 3,250 85% 2,750 500 See breakdown within Corporate Savings
Amber Jointly Commissioned Services 2,700 63% 1,700 1,000 See breakdown within Joint Commissioning
Amber Disinvestments 13,000 65% 8,501 4,498 See breakdown within Disinvestments
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 7,091
Forecast Cumulative Savings8,154 9,221 10,514 11,891 13,306 14,899 16,493 18,159 19,906 21,655 23,405
Actual Cumulative Savings 5,007
Actual Cumulative Savings 5,510 5,959 7,987 7,987 7,987 7,987 7,987 7,987 7,987 7,987 7,987
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings in month in month 1,062
Forecast savings 7,091 1,067 1,293 1,377 1,415 1,593 1,594 1,666 1,747 1,749 1,750
Actual saving achieved in-month 5,007 504
Actual saving achieved in-month 449 2,028 - - - - - - - -
Red
Amber
Green
N/A
Monthly Saving Monitoring Report Appendix 2
Scheme: CO.01 Urgent Care
Key Information
Project Lead and Team Project Proposal
Carol Herity To support people to remain as independent as possible and in control of their own lives and care when needed is delivered
promptly, by the right professional in the right setting.
Progress with implementation
Savings Analysis Metrics Actioned
1 Falls Prevention
2 Kenrick
3 Rapid Response Team
4 Discharge Planning
5 Carewell
6 End of Life
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
Falls Prevention 23 23 23 23 23 23 23 23 23 23 23 23 274 274 0
Rapid Response Team 118 118 118 118 201 201 201 201 201 201 201 201 2,080 2,080 0
Discharge Planning 20 20 20 20 20 20 20 20 20 20 20 20 237 237 0
Carewell 23 23 24 23 23 24 46 47 47 46 47 47 420 420 0
End of Life 3 3 3 3 3 3 3 3 3 3 3 3 40 40 0
CO.01 Urgent Care 187 187 188 187 270 271 293 294 294 293 294 294 3,051 3,051 0
Falls Prevention (21) 55 0 0 0 0 0 0 0 0 0 0 34 0 0
Rapid Response Team 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Discharge Planning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Carewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
End of Life 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Actual saving achieved in-month (21) 55 0 0 0 0 0 0 0 0 0 0 34
Variance in-month (207) (132) (188) (187) (270) (271) (293) (294) (294) (293) (294) (294) (3,017) (3,051) 0
Forecast Cumulative Savings 187 374 562 749 1,019 1,290 1,582 1,876 2,170 2,463 2,757 3,051 3,051 3,051 0
Actual Cumulative Savings (21) 34 34 34 34 34 34 34 34 34 34 34 34 0 0
Cumulative Variance (207) (340) (528) (714) (984) (1,255) (1,548) (1,842) (2,136) (2,429) (2,723) (3,017) (3,017) (3,051) 0
Monthly Saving 2010-11 Forecast Actual Forecast Cumulative Savings
Cumulative Position
Actual Cumulative Savings
350
3,500
300
3,000
250
2,500
200 2,000
£000
150 1,500
100 1,000
50 500
-
£000
0
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
(500)
-50
Further Information
Target Achievable At risk
RAG Saving Confidence Comments
(£000) (£000) (£000)
Fall's have reduced based on two months data, will need to continue to review the
Amber Falls Prevention 274 50% 137 137 service and performance, paper being prepared.
Rapid Response
Red 2,080 45% 936 1,144 Against a reduction of 1,771, there has only been a reduction of 7.
Team
Red Discharge Planning 237 0% 0 237 Still awaiting information from Aetna to access if delivering the savings required
The orginal saving was based on a full years affect, due to delays this will not be
Red Carewell 420 TBC TBC TBC achieved
Amber End of Life 40 40% 16 24 Meeting in August to discuss how to deliver and monitor the saving.
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 187
Forecast Cumulative Savings 374 562 749 1,019 1,290 1,582 1,876 2,170 2,463 2,757 3,051
Actual Cumulative Savings Savings
Actual Cumulative(21) 34 34 34 34 34 34 34 34 34 34 34
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings in month Forecast 187 187 188 187 270 271 293 294 294 293 294 294
Actual saving achieved in-month Actual -20.55 54.8 0 0 0 0 0 0 0 0 0 0
Red
Amber
Green
N/A
Monthly Saving Monitoring Report Appendix 3
Scheme: CO.01 Planned Care Projects
Key Information
Project Lead and Team Project Proposal
Suzanne Cleary
Progress with implementation
Savings Analysis Metrics Actioned
1 Benchmarking (Peer Review)
2 Consultant to Consultant referrals
3 PBC Referral
4 LES No Longer Required
5 PMS Review
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
Benchmarking (Peer Review) SRG 0 0 0 0 0 33 33 34 100 100 100 100 500 500 0
Consultant to Consultant referrals SRG 17 17 17 17 17 17 17 17 17 17 17 17 200 200 0
PBC Referral BVG 0 0 0 0 0 0 84 83 84 83 84 83 500 500 0
LES No Longer Required BVG 8 8 8 8 8 8 8 8 8 8 8 8 100 100 0
PMS Review BVG 9 9 9 9 9 9 9 9 9 9 9 9 104 104 0
CO.01 Planned Care Projects 34 34 34 34 34 67 150 151 217 217 217 217 1,404 1,404 0
Benchmarking (Peer Review) SRG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Consultant to Consultant referrals SRG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PBC Referral BVG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LES No Longer Required BVG 8 8 8 6 0 0 0 0 0 0 0 0 30 0 0
PMS Review BVG 9 9 9 9 0 0 0 0 0 0 0 0 36 0 0
Actual saving achieved in-month 17 17 17 15 0 0 0 0 0 0 0 0 66
Variance in-month (17) (17) (17) (19) (34) (67) (150) (151) (217) (217) (217) (217) (1,339) (1,404) 0
Forecast Cumulative Savings 34 67 101 135 168 235 385 536 753 970 1,187 1,404 1,404 1,404 0
Actual Cumulative Savings 17 34 51 66 66 66 66 66 66 66 66 66 66 0 0
Cumulative Variance (17) (33) (50) (69) (103) (170) (320) (470) (688) (904) (1,121) (1,339) (1,339) (1,404) 0
Monthly Savings 2010-11 Forecast Cumulative Savings
Forecast Actual Cumulative Position
Actual Cumulative Savings
250
1,600
1,400
200
1,200
150 1,000
£000
800
100 600
400
50
200
£000
-
- Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Further Information
RAG Target Achievable At risk
Saving Confidence Comments
(£000) (£000) (£000)
Amber Savings are not expected to be generated until September 2010 but plans awaited from
New to Review 500 80% 400 100 providers via contractual meetings
Red Consultant to
200 0% 0 200 Reviewing monthly data at present to identify savings
Consultant referrals
Amber Savings are expected to be delivered from October 2010, no concerns or issues on non
PBC Referral 500 60% 300 200 delivery have been raised to date.
Green LES No Longer Currently a number of LES's are within a number of Programmes, a Programme Lead has
100 100% 100 0
Required been tasked with looking at all LES's across the Programmes.
Green PMS Review 104 100% 104 0
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 34
Forecast Cumulative Savings 67 101 135 168 235 385 536 753 970 1,187 1,404
Actual Cumulative Savings 17
Actual Cumulative Savings 34 51 66 66 66 66 66 66 66 66 66
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings in month Forecast 34 34 34 34 34 67 150 151 217 217 217 217
Actual saving achieved in-month Actual 17 17 17 15 - - - - - - - -
Red
Amber
Green
N/A
Monthly Saving Monitoring Report Appendix 4
Scheme: CO.01 Corporate Savings
Key Information
Project Lead and Team Project Proposal
Jonathan Horgan
Andrea Hadley
Progress with implementation
Savings Analysis Metrics Actioned
1 Review of Corporate Budget Yes
2 Prescribing Joint Formulary Yes
3 Prescribing Efficiency Yes
4 Other Corporate Savings
5 Joint Procurement
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
Review of Corporate Budget 167 167 167 167 167 167 167 167 167 167 167 167 2,000 2,000 0
Prescribing Joint Formulary 42 42 42 42 42 42 42 42 42 42 42 42 500 500 0
Prescribing Efficiency 63 63 63 63 63 63 63 63 63 63 63 63 750 750 0
CO.01 Corporate Savings 271 271 271 271 271 271 271 271 271 271 271 271 3,250 3,250 0
Review of Corporate Budget SRG 126 126 126 126 0 0 0 0 0 0 0 0 504 0 0
Prescribing Joint Formulary SRG 42 42 42 42 0 0 0 0 0 0 0 0 168 0 0
Prescribing Efficiency BVG 63 63 63 63 0 0 0 0 0 0 0 0 252 0 0
Actual saving achieved in-month 231 231 231 231 0 0 0 0 0 0 0 0 924 0 0
Variance in-month (40) (40) (40) (40) (271) (271) (271) (271) (271) (271) (271) (271) (2,326) (3,250) 0
Forecast Cumulative Savings 271 542 813 1,083 1,354 1,625 1,896 2,167 2,438 2,708 2,979 3,250 3,250 3,250 0
Actual Cumulative Savings 231 462 693 924 924 924 924 924 924 924 924 924 924 0 0
Cumulative Variance (40) (80) (120) (160) (430) (701) (972) (1,243) (1,514) (1,785) (2,055) (2,326) (2,326) (3,250) 0
Forecast savings Forecast Cumulative Savings
Monthly Saving 2010-11 Cumulative Saving Target Position
Actual saving achieved Actual Cumulative Savings
300 3,500
3,000
250
2,500
200
2,000
£000
150
1,500
100 1,000
500
50
£000
-
0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Further Information
Target Achievable At risk
RAG Saving Confidence Comments
(£000) (£000) (£000)
Currently for this financial year savings of £1.5m have been profiled into the Corporate
Review of Corporate
Amber 2,000 75% 1,500 500 Budgets, leaving a shortfall of £0.5m. The delivery of the savings will be judged by how
Budget
Corporate performance agains budget on a monthly basis.
The Prescribing Budget for this financial year is net of the £0.5m savings identified by the
Green Prescribing Joint Best Value Group. Based on Month 2 Data, the budget is overspending and is of limited
500 100% 500 0
Formulary realiability. With Prescribing range and Volatilty the PCT is forecasting a breakeven
position.
Green Prescribing Efficiency 750 100% 750 0 Please note comment above,
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 271
Forecast Cumulative Savings 542 813 1,083 1,354 1,625 1,896 2,167 2,438 2,708 2,979 3,250
Actual Cumulative Savings 231
Actual Cumulative Savings 462 693 924 924 924 924 924 924 924 924 924
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333 270.8333
Forecast savings
Actual saving achieved 230.75
Actual saving achieved 231 231 231 0 0 0 0 0 0 0 0
Red
Amber
Green
N/A
Monthly Saving Monitoring Report Appendix 5
Scheme: Jointly Commissioned Services
Key Information
Project Lead and Team Project Proposal
David Parkes
Progress with implementation
Savings Analysis Metrics Actioned
1 Continuing Care - Spot Purchase Reduction in Contract Yes
2 Mental Health - Activity Modelling Reduction in Contract Yes
3 Mental Health: Demand Management Reduction in Contract Yes
4 LD Pooled Budget Reduction in Contract Yes
5
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
Continuing Care - Spot Purchase 0 0 0 78 78 78 78 78 78 78 78 78 700 700 0
Mental Health - Activity Modelling 32 32 32 32 32 32 32 32 32 32 32 32 380 380 0
Mental Health: Demand Management 0 0 0 69 69 69 69 69 69 69 69 69 620 620 0
LD Pooled Budget 83 83 83 83 83 83 83 83 83 83 83 83 1,000 1,000 0
CO.01 Jointly Commissioned Services 115 115 115 262 262 262 262 262 262 262 262 262 2,700 2,700 0
Continuing Care - Spot Purchase SRG 0 0 0 78 0 0 0 0 0 0 0 0 78 0 0
Mental Health - Activity Modelling SRG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mental Health: Demand Management BVG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LD Pooled Budget BVG 83 83 83 83 0 0 0 0 0 0 0 0 332 0 0
Actual saving achieved in-month 83 83 83 161 0 0 0 0 0 0 0 0 410
Variance in-month (32) (32) (32) (101) (262) (262) (262) (262) (262) (262) (262) (262) (2,290) (2,700) 0
Forecast Cumulative Savings 115 230 345 607 869 1,130 1,392 1,654 1,915 2,177 2,439 2,700 2,700 2,700 0
Actual Cumulative Savings 83 166 249 410 410 410 410 410 410 410 410 410 410 0 0
Cumulative Variance (32) (64) (96) (197) (459) (720) (982) (1,244) (1,505) (1,767) (2,029) (2,290) (2,290) (2,700) 0
Forecast savings Forecast Cumulative Savings
Monthly Saving 2010-11 Cumulative Position
Actual saving achieved
Actual Cumulative Savings
300
3,000
250 2,500
200 2,000
£000
150 1,500
1,000
100
500
50
-
£000
0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Further Information
Target Achievable At risk
RAG Saving Confidence Comments
(£000) (£000) (£000)
Green Continuing Care - Spot Reduction in Unit Cost but increase in number of new cases which is causing a £1m
700 100% 700 0
Purchase overspend.
red Mental Health - Recent meeting with Senior Management at BSMHT indicated that the contract may be a block
380 0% 0 380
Activity Modelling this year, waiting on formal understanding and agreement from BSMHT.
red Demand Management 620 0% 0 620 Please note comment above
Green Discussions are taking place with BSMHT, awaiting confirmation if the contact for 2010-11 will
LD Pooled Budget 1,000 100% 1,000 0 be a block
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 115
Forecast Cumulative Savings 230 345 607 869 1,130 1,392 1,654 1,915 2,177 2,439 2,700
Actual Cumulative Savings 83
Actual Cumulative Savings 166 249 410 410 410 410 410 410 410 410 410
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings 115.0408 115.0408 115.0408 261.7075 261.7075 261.7075 261.7075 261.7075 261.7075 261.7075 261.7075 261.708
Forecast savings
Actual saving achieved 83
Actual saving achieved 83 83 161 0 0 0 0 0 0 0 0
Red
Amber
Green
N/A
Monthly Saving Monitoring Report Appendix 6
Scheme: CO.01 Disinvestments
Key Information
Project Lead and Team Project Proposal
Variouus
Progress with implementation
Savings Analysis Metrics Actioned
1 Appropriate Place of Care See Programme
2 Brighter Futures for Children See Programme
3 Planned Care See Programme
4 Screening & Health Assessment See Programme
5 Healthier Lifestyles See Programme
6 End of Life See Programme
7 Improved Mental Well Being See Programme
8 Rasing Quality in Primary Care See Programme
9 Outcomes for Mothers & Babies See Programme
10 Long Term Conditions See Programme
11 Other/Corporate See Programme
12 Procedures of Limited Clincial Value See Programme
13 Unidentifed Savings
Key Financials
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
April May June July August September October November December January February March Total REC NR
£000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s £000s
Saving profile
Appropriate Place of Care 555 0 0 13 13 13 13 13 13 13 13 13 668 668 0
Brighter Futures for Children 81 0 0 0 0 0 0 0 0 0 0 0 81 81 0
Planned Care 5 5 9 9 9 9 9 9 9 30 30 30 163 163 0
Screening & Health Assessment 0 0 0 43 43 43 43 43 43 43 43 43 390 390 0
Healthier Lifestyles 49 40 40 53 53 57 87 87 87 87 87 87 815 815 0
End of Life 13 13 13 13 13 13 55 55 55 55 55 55 409 409 0
Improved Mental Well Being 42 42 42 42 42 42 42 42 42 42 42 42 500 500 0
Rasing Quality in Primary Care 2,446 15 15 15 15 15 15 15 15 15 15 16 2,615 184 2,431
Outcomes for Mothers & Babies 42 0 0 11 11 11 11 11 11 11 11 11 142 142 0
Long Term Conditions 489 16 16 16 17 17 17 17 22 22 22 22 695 695 0
Other/Corporate 2,451 13 13 13 13 13 13 13 13 76 76 76 2,780 1,780 1,400
Procedures of Limited Clincial Value 250 250 250 250 250 250 250 250 250 250 250 250 3,000 3,000 0
Unidentifed Savings 62 62 62 62 62 62 62 62 62 62 62 63 742 742 0
CO.01 Disinvestments 6,485 456 460 540 541 545 617 617 622 705 705 705 13,000 9,569 3,831
Appropriate Place of Care 555 0 0 0 0 0 0 0 0 0 0 0 555 0 0
Brighter Futures for Children 81 0 0 0 0 0 0 0 0 0 0 0 81 0 0
Planned Care 3 3 3 3 0 0 0 0 0 0 0 0 13 0 0
Screening & Health Assessment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Healthier Lifestyles 46 37 37 41 0 0 0 0 0 0 0 0 163 0 0
End of Life 13 13 13 13 0 0 0 0 0 0 0 0 53 0 0
Improved Mental Well Being 42 42 42 42 0 0 0 0 0 0 0 0 167 0 0
Rasing Quality in Primary Care 931 0 0 1,500 0 0 0 0 0 0 0 0 2,431 0 0
Outcomes for Mothers & Babies 92 0 0 0 0 0 0 0 0 0 0 0 92 0 0
Long Term Conditions 489 16 16 16 0 0 0 0 0 0 0 0 537 0 0
Other/Corporate 2,444 6 6 6 0 0 0 0 0 0 0 0 2,462 0 0
Procedures of Limited Clincial Value 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Unidentifed Savings 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Actual saving achieved in-month 4,697 118 118 1,621 0 0 0 0 0 0 0 0 6,554
Variance in-month (1,788) (338) (342) 1,081 (541) (545) (617) (617) (622) (705) (705) (705) (6,447) (9,569) (3,831)
Forecast Cumulative Savings 6,485 6,941 7,401 7,941 8,482 9,026 9,644 10,261 10,883 11,588 12,293 12,999 12,999 9,569 3,831
Actual Cumulative Savings 4,697 4,814 4,932 6,554 6,554 6,554 6,554 6,554 6,554 6,554 6,554 6,554 6,554 0 0
Cumulative Variance (1,788) (2,126) (2,469) (1,387) (1,928) (2,473) (3,090) (3,707) (4,329) (5,034) (5,740) (6,445) (6,445) (9,569) (3,831)
Forecast Actual Forecast Cumulative Savings
Monthly Saving 2010-11 Cumulative Position
Actual Cumulative Savings
7000
14,000
6000
12,000
5000 10,000
4000 8,000
£000
3000 6,000
2000 4,000
1000 2,000
-
£000
0
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Further Information
RAG Target Achievable At risk
Saving Confidence Comments
(£000) (£000) (£000)
Green Appropriate Place of
668 85% 567 100 Boots WIC
Care
Green Brighter Futures for
81 100% 81 0
Children
Red With the delay in the new Pain Management Service the savings will not be realised this
Planned Care 163 28% 46 117 financial year.
Savings against the Breast Screening Service is dependent on central funding being
Amber Screening & Health made avaliable, presently we are unable to get confirmation that this funding will be
390 49% 190 200
Assessment forthcoming. The other saving targets have been factored into being delivered in Quarter
2
Amber The dis-investment relating to DAAT is profiled to be delivered towards the back end of
Healthier Lifestyles 815 75% 615 200 year. The savings are based upon efficiencies and decisions with other partners.
A proposal has been made to St Mary's Hospice to defer a payment of £0.25m from 2010-
Amber End of Life 409 39% 159 250 11 into 2011-12. This proposal will be presented to the Board at St Mary's for
consideration.
Green Improved Mental Well
500 100% 500 0 Please note comments within Joint Commissioning under Mental Health
Being
Rasing Quality in Enhanced Services Portfolio of £0.2m yet to be identified, falls under the Enhanced
Green 2,615 100% 2,615 0
Primary Care Service review by the Programme Lead.
Amber Outcomes for Mothers
142 30% 42 100
& Babies
Green Long Term Conditions 695 100% 695 0
Savings identified of £0.20m and FUR's of £1.4m have been adjusted within the Ledger.
The funding of £0.838m for NLOP, some element of funding is required by IT. The 3rd
Amber Other/Corporate 2,780 90% 2,510 270 Sector Review saving of £0.189m is based on the saving being delivered from January
2010, there is a concern that this target may not be acheived, the same issues with the
Independent Savings of £0.089m
Red Unidentifed Savings 742 0% 0 742 Outstanding savings that have yet to be identified
The saving of £0.354m is based upon all NHS Trust supporting Phase 1 of PLCV, if
Red Procedures of Limited
3,000 16% 480 2,520 support is not forthcoming then this target of £0.5m for this financial year will be a
Clincial Value
challenge.
Total Disinvestments 10,000 8,021 1,979
Data for graphs
Cumulative Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast Cumulative Savings 6,485
Forecast Cumulative Savings6,941 7,401 7,941 8,482 9,026 9,644 10,261 10,883 11,588 12,293 12,999
Actual Cumulative Savings 4,697
Actual Cumulative Savings 4,814 4,932 6,554 6,554 6,554 6,554 6,554 6,554 6,554 6,554 6,554
Monthly Data for graph Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Forecast savings in month Forecast 6484.988 455.7875 460.0042 539.8235 541.0735 544.8235 617.0602 617.0602 622.0602 705.3435 705.3435 705.3435
Actual saving achieved in-month Actual 4696.747 117.7474 117.7474 1621.288 0 0 0 0 0 0 0 0
Red
Amber
Green
N/A
SUMMARY OF PROGRAMME DISINVESTMENTS 2009-10 Appendix 7
Acheivement of Savings
Further
2010/11 Identified Total
Programme Project
Saving Savings
Savings Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 TOTAL
Assertive case management - LES (Notice Given) 55 0 55 55 0 0 0 55
Foot Clinic (Bunbury Road ex GPFH scheme) - notice to be given (3/12 saving) 13 0 13 0 0 0 0 0
Appropriate
Urgent Care Boots - Redesign 0 100 100 0 0 0 0 0
Place of Care
Contracting Reserve Released 0 500 500 500 0 0 0 500
Total Disinvestments Appropriate Place of Care 68 600 668 555 0 0 0 0 0 0 0 0 0 0 0 555
Brighter BCH FT CAMHS Drop In (at Dell Meadow - Clinician) - OUT (Double count) 36 0 36 36 0 0 0 36
Futures for Welsh House Farm Project 45 0 45 45 0 0 0 45
Children Total Disinvestments Brighter Futures for Childrens 81 0 81 81 0 0 0 0 0 0 0 0 0 0 0 81
Low Back Pain (Spinal GPSI) with effect from Jan 2011 6 0 6 0 0 0 0 0
Efficient High Goserelin LES - 6 mnths notice given from Dec 09 64 0 64 0 0 0 0 0
Quality Choice & Booking 0 40 40 3 3 3 3 13
Planned Care Orthopaedic Triage (from Jan 2011) 54 0 54 0 0 0 0 0
Total Disinvestments Planned Care 124 40 164 3 3 3 3 0 0 0 0 0 0 0 0 13
Chlamydia Screening Programme 0 150 150 0 0 0 0 0
Screening & Health protection - breast cancer screening (£100k efficiencies) 100 300 400 0 0 0 0 0
Health HPV 0 40 40 0 0 0 0 0
Assessment New Investment (200) (200) 0 0 0 (22)
Total Disinvestments Earlier Screening 100 290 390 0 0 0 0 0 0 0 0 0 0 0 0 0
BMI (CHD) - Data collection (DIA completed by A.Toms - approved) 9 0 9 9 0 0 0 9
Changing lifestyle - childhood obesity: Villa Vitality 26 0 26 2 2 2 2 9
Changing lifestyle - childhood obesity: Watch It 106 0 106 9 9 9 9 36
DAAT: Mental Health - Lifestyle Change - alcohol & drugs - MH review 200 200 400 0 0 0 0 0
Exercise On Prescription - BCC 60 0 60 5 5 5 5 20
Gateway Health Trainers 32 0 32 3 3 3 3 11
Increasing male life expectancy - Fit for life 52 0 52 4 4 4 4 17
Mental Health - Lifestyle Change - CBT 95 0 95 8 8 8 8 32
Healthier
Rosemary Conley 19 0 19 0 0 0 2 2
Lifestyles
Slimming World 19 0 19 0 0 0 0 0
Stop smoking - call centre (BHWP) - 15% efficiency proposed 6 0 6 1 1 1 1 2
Stop Smoking in pregnancy (BHWP) - 15% efficiency proposed 3 0 3 0 0 0 0 1
Stop Smoking in the home 70 0 70 6 6 6 6 23
Weight Watchers (UK) Ltd 19 0 19 0 0 0 2 2
Intergrated Sexual Health Hubs 0 100 100 0 0 0 0 0
New Investment (200) (200) (17) (17) (17) (17)
Total Disinvestments Healthier Lifestyles 715 100 815 46 37 37 41 0 0 0 0 0 0 0 0 163
Improved St Mary's Hospice 0 250 250 0 0 0 0
Palliative Care - Supportive Services (Balance remaining after re-allocating) 9 150 159 13 13 13 13 53
Choices at
End of Life Total Disinvestments End of Life 9 400 409 13 13 13 13 0 0 0 0 0 0 0 0 53
Improved
BSMHT additional Savings / efficiencies 500 0 500 42 42 42 42 500
Mental
Wellbeing Total Disinvestments Improved Mental Well Being 500 0 500 42 42 42 42 0 0 0 0 0 0 0 0 500
CIAMS: SSDP - Estates Strategy (Premises) 431 0 431 431 0 0 0 431
Raising
Primary Care Dental 500 1,500 2,000 500 0 0 1,500 2,000
Quality in
Enhanced Services Portfolio £200k less BMI, Minor Inj, Asylum Seekers 184 0 184 0 0 0 0 0
Primary Care
Total Disinvestments Quality in Primary Care 1,115 1,500 2,615 931 0 0 1,500 0 0 0 0 0 0 0 0 2,431
Breast Feeding Support 70 0 70 70 0 0 0 70
Improved
Northfield infant mortality NRF projects: 22 0 22 22 0 0 0 22
Outcomes -
Community Midwifery 0 100 100 0 0 0 0 22
Mothers &
New Investment (50) (50) 0 0 0 0
Babies
Total Disinvestments Mothers & Babies 92 100 142 92 0 0 0 0 0 0 0 0 0 0 0 114
Beta Blockers (Heart Failure) - service finished April 2009 77 0 77 6 6 6 6 25
Community-based diabetes service - part yr saving 20 0 20 0 0 0 0 0
COPD - Met Office Telemonitoring - agreed to stop 60 0 60 5 5 5 5 20
Living Well
Self Care - Buddy System - agreed to come out (pick up thru EPP Adults) 10 0 10 0 0 0 0 0
with Long
Self Care - Diabetes Structured Education - S/Oak, Edgb & Nfld 301 0 301 301 0 0 0 301
Term
Self Care - LAA EPP & SHA targets (Childrens) 122 0 122 122 0 0 0 122
Conditions
Stroke - early supported discharge service (out until B/Case written) 50 0 50 50 0 0 0 50
COPD - LES Baseline 0 55 55 5 5 5 5 18
Total Disinvestments Long Term Conditions 640 55 695 489 16 16 16 0 0 0 0 0 0 0 0 537
Management/Commissioning Capacity 200 0 200 200 0 0 0 200
NLOP (National Local Ownership Programme) 838 0 838 838 0 0 0 838
BHWP: BVSC - £47k - 15% efficiences 7 0 7 1 1 1 1 2
LES - Asylum Seekers (DIA completed - approved for disinvestment) 8 0 8 1 1 1 1 3
Other &
Total Birmingham Health & Wellbeing Partnership - 15% efficiencies 57 0 57 5 5 5 5 19
Corporate
Independent Sector Providers: efficiency target 81 0 81 0 0 0 0 0
Savings
3rd Sector review savings 189 0 189 0 0 0 0 0
FURS 0 1,400 1,400 1,400 0 0 0 1,400
Unidentified Savings 0 741 741 0
Total Disinvestments Corporate 1,380 2,141 3,521 2,444 6 6 6 0 0 0 0 0 0 0 0 2,462
TOTAL DISINVESTMENTS EXCL BEST VALUE GROUP 4,824 5,226 10,000 4,697 118 118 1,621 0 0 0 0 0 0 0 0 6,909