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Welcome to the Health Panel e-newsletter.

If you have any comments or suggestions regarding future editions please submit your comments at www.cipfa.org.uk/panels/health/feedback.cfm.

IN THIS ISSUE:

 

CIPFA Health Conference 2008

The CIPFA Health Finance conference is taking place on the 16 October at the London Hilton Paddington. It is on the theme of Our NHS, Our Future with a focus on delivery of the reforms proposed by Lord Darzi (that can be downloaded from www.dh.gov.uk).This is a valuable conference for all Health Professionals with exceptional speakers. The programme can be seen below.

Please book by the 18 July to receive the 25% early bird discount being offered on the CIPFA Shop
Our NHS, Our Future: implementing the vision Programme.


Programme

09.30

Registration

10.00

Welcome to the Conference: Peter Shanahan, Finance Director, NHS West Midlands and Chair, The CIPFA Health Finance Panel

  • what is the CIPFA Health Panel’s current and forthcoming agenda and how is it helping to lead and support finance teams throughout the NHS?

Peter will hand over to the Conference Chair and Facilitator, David Walker, who will set the scene for the day, which will be focussed on implementing the Darzi vision, and will introduce the panel of speakers.

10.30

Challenges for NHS Finance

  • has the NHS turned the corner and established a pattern of healthy finances?
  • the current scale and distribution of surpluses and deficits across NHS organisations, in terms of the numbers and types of organisations affected
  • key messages for finance teams: challenges ahead, goals and objectives
  • the role of finance in delivering the Darzi vision

Speaker: Bob Alexander, Director of Finance (NHS), Department of Health

11.15

Coffee

11.45

King's Fund Perspective: NHS Policy Decisions To Support the Darzi Vision

  • the case for an NHS constitution: lifting decision making out of the political arena once and for all?
  • NHS democracy: improving local influence over commissioners, and strengthening accountability
  • linking the vision to NHS funding and performance

Speaker: Anna Dixon, Acting Director of Policy, The King's Fund

12.30

Providers Delivering the Vision

  • the role of this agency is managing and developing the performance of London’s health service providers – acute and mental health trusts, and The London Ambulance Service. How is it implementing this new approach to performance management?
  • new ways to help trusts to deliver their obligations – how can some of these lessons and models be transferred to other parts of the country?

Speaker: Malcolm Stamp, Chief Executive, The London NHS Provider Development Agency

1.15

Lunch

2.15

Challenges and Opportunities

  • the Darzi challenge: How policy reforms pushed through now must learn the lessons of previous policy failures and ensure that real benefits for patients and staff are delivered
  • the NHS challenge: what are the key challenges and what ought to be the major objectives for the future? Better feedback and measuring, supported by responsive rewards and the ability to make changes; improvements in primary care and community services; the NHS workforce and world class management; information systems that deliver

Speaker: Nigel Edwards, Policy Director, NHS Confederation

3.00

Tea

3.15

Transforming Organisations: Did Gerry Robinson Fix the NHS? (in Rotherham)

  • as a chief executive, what can you control and what is out of your direct control?
  • achieving transformation: how can it be done – in the real world? And how has it impacted on Rotherham?

Speaker: Brian James, Chief Executive, Rotherham NHS Foundation Trust

3.55

Chairman’s closing remarks & questions

4.15

Close of conference

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Reduction in NHS Drug Costs

The Department of Health has negotiated a 5% price cut in the cost of drugs as part of ongoing negotiations under the price regulation scheme; this is anticipated to save £400m. A consultation on plans to control the price of branded drugs has been launched and can be viewed at:

www.dh.gov.uk/consultations

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Guidance for NHS Charities

The Charity Commission has launched a consultation on draft guidance for the management of NHS Charities. The consultation runs until the 9 September and can be viewed at:

www.charitycommission.gov.uk

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IFRS & PFI

Discussions are continuing between the Treasury and the Department of Health on financial compensation as a result of the increased costs of placing PFI schemes on Balance sheet from April 2009. The changes will have significant implications for resource allocation and financial duties.

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Audit Commission PCT Resources Assessment

The Audit Commission has amended the Resources Assessment for Primary Care Trusts. The assessments will apply across the Public sector. There will be 10 key lines of enquiry, managing resources (3), governing the business (4), and managing resources (3). Details can be found at:

www.audit-commission.gov.uk

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Foundation Trust Compliance Framework

Monitor has published an updated Compliance Framework that monitors compliance by NHS Foundation Trusts with their Terms of Authorisation and for intervening in the event of failure to comply. The latest version incorporates healthcare targets and national core standards, updated self certifications, refined reporting requirements and required underpinning self-certification on clinical quality.

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NHS Foundation Trusts Review of 12 Months to 31 March 2008

Monitor has published its review of NHS Foundation Trusts for the 12 Months to 31 March 2008. This shows from a total of 89 Foundation Trusts a combined net surplus of £514m. It also highlights a significant variation across Regions of the numbers of approved Foundation Trusts from 16 in the North West to 2 in the South East Coast Region.

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Consultation on the Interpretation and Application of the Private Patient Cap

Monitor is seeking views on the rules that Foundation Trusts should follow in relation to the legal “cap” on the income they may earn from charges for services to patients. Unison has issued a legal challenge to the interpretation; the consultation closes on Tuesday 9 September.

The Compliance Framework, the 12 Months report and the consultation document can be found at:

www.monitor-nhsft.gov.uk

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Is the Treatment Working?

A joint report has been published by the Audit & the Healthcare Commissions on progress with the NHS system reform agenda.

This concentrates on key aspects of the reform agenda, Patient choice, Payment by Results (PbR), Practice based Commissioning, Foundation Trusts, Greater use of the Private sector and Workforce Contractual changes.

The report concludes that although patients are beginning to benefit from the existence of a diverse range of providers and that PbR & FT status had improved financial management the reforms were not yet delivering the desired change The report and its recommendations can be found at:

www.audit-commission.gov.uk

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Department of Health: Departmental Report 2008

The Department of Health’s eighteenth annual report plays a key role in the Department’s accountability to Parliament for its management of the public money invested in health and social care.

It provides a comprehensive overview of spending and investment programmes and of the system reforms accompanying this investment. It focuses on the continuous improvements being delivered for people using health and social care services and on the Department’s progress against its Public Service Agreements (PSAs).

The report also sets out the Department’s plans for future years. In particular, this focuses on activities and improvements planned for 2008-09. The October 2007 Comprehensive Spending Review (CSR 2007) set the future financial context for health and social care.

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The Quarter - Quarter 4 report for 2007/8

The Quarter – The Department’s Quarter 4 report shows a draft surplus of £1.7bn for 2007/8 for the NHS in England. The full Departmental Report & the Quarter 4 Report can be found at:

www.dh.gov.uk

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United Kingdom Health Statistics

The Office for National statistics have published a compendium of Health Statistics for the UK in edition 3 2008. This reflects a spend per head for England of £1915 compared to £2,313 in Scotland. The detailed report can be found at

www.statistics.gov.uk

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