CIPFA NEWS
CONFERENCES/SEMINARS
The CIPFA Health Finance Conference 2006: Achieving High Performance Organisations - 6 October, London
As Finance teams strive to implement the NHS reforms
it has been a particularly difficult year for many NHS
organisations. Nevertheless, many parts of the NHS have
been transformed into high performance organisations.
Others continue to pursue this goal, whilst some appear
to have struggled with the financial and operational
challenges.
The CIPFA Health Finance Conference – conveniently
now repackaged into a high profile one day format –
will address key issues that you and your teams currently
face. The CIPFA Health Panel has assembled a programme
of the most senior and influential speakers in and around
the NHS, aimed at helping you obtain the best performance
for your organisation.
To register and receive more details of this event
please go to http://secure.cipfa.org.uk/cgi-bin/CIPFA.storefront/EN/product/VS33
or contact Alexandra Aarons, CIPFA, 3 Robert Street,
London, WC2N 6RL (tel 020 7543 5751; e-mail alexandra.aarons@cipfa.org).
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HEALTH ADVISORY NETWORK
New Approaches to Performance Management
What are the key performance management tools and techniques
which drive healthcare modernisation? Do you really
know about lean operations, constraint theory, new generation
scorecards and excellence models – how these models
can be used to deliver smoother care pathways and reduced
costs? Find out at the radical and innovative Performance
Management workshop run by the CIPFA health Advisory
Network.
8th November 2006 – London
Practical examples will be analysed from the perspective
of using new improvement technologies to improve performance
in healthcare delivery. A key component of the day will
be creating a platform for performance improvement in
the attendee's own organisation.
Discussion of the impact of the Healthcare Commission
initiatives will also be undertaken to ensure the relevance
of the day's discussions.
The marketing challenge for healthcare - becoming
a provider of choice
The arrival of Payment by Results, Foundation Trusts,
Treatment Centres, and Booking has led to a vibrant
reappraisal of the role of marketing in the NHS. Providers
have a responsibility to publish information that will
enable informed choices to be made. Whether the issue
is one of commissioning or of patient choice, providers
must acknowledge the need to make clear why the service
they provide is the one that should be chosen.
It may not be that marketing is recognised as integral
to the NHS by everyone, what cannot be doubted is that
it is here to stay. Find out more at the CIPFA health
Advisory network workshop on:
16th November 2006 – London
During the day we will review the role of marketing
in healthcare and the link with improved healthcare
provision - What are the benefits for patients? We will
also look at developing partnerships across providers
and the practical elements of building a marketing strategy.
If you would like further details about either of these
workshops or would like to find out more about the CIPFA
Health Advisory network, please visit our website www.cipfanetworks.net/health/or
email Natalie.Lewis@ipf.co.uk.
Attendance at these workshops can count towards CIPFA's
CPD Scheme as laid out in CIPFA
CPD Guidelines.
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HEALTH PANEL
The Panel has a vacancy for a volunteer with a special
interest in Mental Health Services Finance.
Expressions of interest should be submitted on the
Panel feedback webpage http://www.cipfa.org.uk/panels/health/feedback.cfm
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PUBLIC MANAGEMENT AND POLICY
ASSOCIATION (PMPA)
The forum for today’s public managers
- A forum to hear from and talk to senior public
sector managers about the challenges of public management
- A forum to hear from and talk to leading public
policy academics about developments in public policy
thinking
The Public Management and Policy Association (PMPA)
is a national membership organisation which provides
a forum for public sector managers, academics and those
with an interest in public services to meet and discuss
today’s public policy and management issues. Membership
benefits include priority access to high quality publications
and stimulating lectures and discussions.
PMPA Public lectures:
3 October 2006 Effective Inspection
and Regulation in Education, Training and Children’s
Services – David Bell, Permanent Secretary,
Department for Education and Skills. Chair: Sir Brian
Bender Venue: QAG Conference Centre, 27 Queen Anne's
Gate, London SW1H 9BU
7 November 2006 Delivering Respect:
Why strengthening communities and making public services
more accountable is at the heart of success - Louise
Casey, Anti-Social Behaviour Unit.
6 December 2006 Leading and Measuring
Improvement in Local Government - Colin Moore,
Chief Executive of Redcar & Cleveland Council and
John Wilson, Dean, Teesside Business School, University
of Teesside. Venue: University of Teesside, Middlesborough.
Unless otherwise indicated all PMPA lectures start
at 5.45pm and will be held at CIPFA, 3 Robert Street,
London WC2N 6RL. PMPA events are free to attend, book
online at www.pmpa.co.uk
or email info.pmpa@cipfa.org
for further details.
Other Events
PMPA Annual Conference, 5th December 2006
When will we ever learn: can public sector organisations
learn from their mistakes? Speakers include: Professor
Patrick Dunleavy, Professor of Political Science and
Public Policy at the LSE, who will assess the UK’s
record on public policy mistakes. Lord Laming, who chaired
the Public Inquiry into the circumstances leading to
the death of Victoria Climbie, who will speak on learning
from Public Inquiries. To register your interest in
attending and for further information, contact Rikki
Ellsmore, CIPFA Courses Unit. Tel 020 7543 5746; email
rikki.ellsmore@cipfa.org
PMPA Reports:
The latest PMPA report Public Service Improvement
- The Conditions for Success and the Scottish Experience
by Robert W. Black, Auditor General for Scotland
is now available. (Non-member price £10). Further
details available on the website www.pmpa.co.uk
Membership
Individual Membership is £80 (£75 for CIPFA
and other associate member organisations) and £35
for retired members and full time students. Corporate
rates start at £350 for up to five persons registered
by their employing organisations to receive the benefits
package. Full details are available on the Association's
website www.pmpa.co.uk
or email info.pmpa@cipfa.org
asking for an information pack and sample publications.
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PUBLICATIONS
Practice Based Commissioning – The Essential
Guide to Practical Implementation
This new and timely CIPFA title is an invaluable tool
for all those involved in practice based commissioning
(PBC).
It will be of particular benefit to executives and
non-executives at primary care trusts, professional
executive committee (PEC) members, PBC leads, project
managers and finance managers. Equally, the publication
will be of great use to practice based commissioners
– both practitioners and practice business managers.
This comprehensive guide provides practical advice
on the issues that need to be dealt with and the sub-systems
of the NHS that need to adapt in order to facilitate
successful PBC. It identifies what needs to be considered
in designing, implementing and maintaining local systems
and provides guidance on the foundations that need to
be laid for the further evolution and growth of PBC.
It details the requirements of the key stakeholders,
including practices, PCTs, PECs and SHAs in setting
up practice based commissioning; considers the challenges
in doing this and how to overcome them; and the potential
directions for the strategic development of PBC at a
local and wider health economy level.
In doing this it provides an in depth analysis of the
roles of the key players and stakeholders, the commissioning
models available, their governance and financial management
requirements, and the interaction between partners and
the overall health care agenda.
This publication is a highly effective and accessible
guide and reference for all working within practice
based commissioning.
To purchase a copy visit http://secure.cipfa.org.uk/cgi-bin/CIPFA.storefront/EN/product/HE012
Financing Long Term Illness in the NHS
The successful management of long term health conditions
presents one of the greatest challenges for NHS management
in the 21st century. Life-threatening diseases such
as diabetes, heart failure and respiratory illness are
making heavier and heavier demands on hospital resources
across the western world. Meanwhile, conditions such
as arthritis and lower back injury have a profound impact,
both on health services and - through prolonged absence
from work - on the economy as a whole.
This timely publication on the financing of long term
health conditions addresses two important needs:
- First and foremost, it offers NHS finance professionals,
service managers, commissioners and others a solid
grounding in the financial importance, concepts and
practice of modern chronic disease management. It
includes:
- an introduction to chronic care and the linked
concepts of case management and supported self-care;
- an overview of experience to date, including
a range of case studies; and
- a survey of tools and techniques that support
good chronic disease management, covering modern
technology, end of life care, and policy initiatives
such as expert patient programmes and the GMS
contract.
- In addition, it provides an independent professional
commentary on key financial and accounting issues
arising from the NHS's new focus on long term illness,
and practical signposts through some of the associated
dilemmas. Principal areas covered include the business
case for chronic care, the implications for acute
hospitals, and how chronic disease management can
be squared with payment by results.
To purchase a copy visit http://secure.cipfa.org.uk/cgi-bin/CIPFA.storefront/EN/product/HE009
Future Publications
More details will be published in future editions.
Public Money and Management (PMM)
Public Money & Management is owned and managed
by CIPFA, and is the official journal of the Public
Management and Policy Association which is published
on behalf of CIPFA by Blackwell Publishing.
The October 2006 issue will be on Financial Exclusion.
Details about submitting an article are on the Public
Money & Management section of the CIPFA website
or micky@mickylavender.com
For further information on PMM and details on how to
subscribe, please see www.cipfa.org.uk/pt/pmm
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TIS HEALTH ONLINE
Do you have experience in a foundation trust? Are
you looking for a way to share your expertise and develop
your CPD portfolio? If so, contributing to TIS Health
could be for you.
The editorial board is looking for someone to write
an introduction to foundation trusts for www.tisonline.net,
the online resource for the public sector. The board
welcomes new members, but also accepts contributions
from external authors.
There are a number of benefits for becoming a member,
including free personal access to www.tisonline.net,
the chance to have work published in a respected source,
and the opportunity to meet other practitioners, but
all contributions qualify for CPD.
If you are interested in contributing, please contact
Sarah Jeal on 020 8667 8156 or at sarah.jeal@ipf.co.uk
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OTHER NEWS ENGLAND
CAPITAL INVESTMENT
NHS bodies massively underspent their capital budgets
last year and are likely to do the same in the current
financial year.
The surprise emerged from government figures issued
in the summer, drawing criticism in a report by the
think tank Reform.
Underspend in 2005-06 was £1.2 billion, twice
the level of the previous year.
“Despite the urgent need for and potential benefits
of new investment, the current attitude of the NHS managers
appears to be based on caution and reluctance,”
comments the report, whose lead author and health economic
guru is Nick Bosanquet.
Reform notes that the last two years’ underspend
will already have caused delays in replacing equipment
and in maintenance. “The flight from capital is
likely to mean the re-appearance of a backlog in replacement
and maintenance,” it says.
It says this year’s capital allocation of £2
billion is likely to be substantially underspent again
unless causes are identified and remedial action taken.
The capital underspend is a combination of both slippage
on capital schemes and of speeding-up of asset disposals,
according to the Department of Health. It says that
much of the “slippage” was deliberately
generated by loss-making trusts to release cash to finance
their revenue deficits.
But according to Reform, the underspend is so large
that many other trusts must have been cutting capital
expenditure too – partly due to the government’s
“crude attempts to retrench on spending”.
“Currently there is a fear of capital spending
owing to the financial environment and worries about
adding to running costs,” says Reform.
It urges managers not to be scared of new capital projects
despite the government’s recent diktat that all
strategic health authorities must clear their investment
plans with the Department of Health before proceeding.
For more details visit www.reform.co.uk
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COMMUNITY HOSPITALS
SHA and PCT chief executives have been reminded that
the first deadline for submitting proposals to SHAs
for central capital funding for community hospitals
and services is 30 September.
For more details view www.dh.gov.uk
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END OF LIFE CARE
The Secretary of State for Health has pledged £27
million over the next three years to support hospice
services for children and young people within the voluntary
sector whilst they develop a long term statutory funding
strategy. The funding will be distributed by grants
made under section 64 of the Health Services and Public
Health Act 1968.
For more details view www.dh.gov.uk.
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HOSPICE CARE
£50m boost to make physical improvements to hospices
caring for older people nearing the end of life has
been announced by health minister Rosie Winterton.
This money, which is capital funding, will be spread
over the next two years and will help adult hospices
undertake a wide range of refurbishment, modernisation
or enhancement works agreed as necessary to make them
more able to provide better facilities and services
for patients nearing the end of life.
It will allow hospices to make physical improvements
to their buildings, for instance;
- Refurbishing day rooms, dining rooms bedrooms and
all common spaces used by patients
- Improving hospice grounds so patients can spend
time outdoors, and
- Modernising parts of a hospice's facilities.
Around £40 million will be made available through
our Dignity in Care programme for Older People although,
of course, the improvements the funding will bring will
benefit all patients using adult hospice facilities,
irrespective of their age.
In the region of a further circa of £10 million
will be made available directly to Marie Curie Cancer
Care to support their programme of major capital modernisation
works.
For more details visit www.dh.gov.uk
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NHS LIFT
The Department of Health and Partnerships UK (PUK)
have announced that the Department is set to become
the sole owner of Partnerships for Health (PfH), the
public private partnership set up to encourage investment
in GP premises and health centres.
The decision follows the successful completion of
the third wave of the Government's £1 billion
NHS Local Improvement Finance Trust (LIFT) programme
to improve primary and community healthcare facilities
and is in line with PUK's mission to pioneer new models
and initiatives with public and private sector bodies.
Under the deal, the Department will assume sole responsibility
for PfH's 20 per cent stake in each of the 42 NHS LIFT
companies. The seven schemes in the fourth wave of NHS
LIFT will continue as planned, with the department providing
all investment and support to PfH.
The NHS LIFT standard documentation has also been revised.
Version 5 of the documentation was introduced on 9 August
2006.
For more details visit www.dh.gov.uk
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NHS SUPPLIES
New arrangements for the supply and delivery of healthcare
related products to the NHS will save £1bn which
can be reinvested in frontline patient services, Health
Minister Andy Burnham has announced.
Over 1,000 new jobs will be created in NHS Supply Chain,
the name of the new service, with the outsourcing of
parts of supply chain services of the NHS to leading
logistics expert DHL. The outsourcing covers NHS Logistics
and parts of the NHS Purchasing and Supply Agency (NHS
PASA).
Under the agreement, DHL will be responsible for procuring
a range of products - from catering supplies to medical
equipment - and delivering them to NHS hospitals and
GP surgeries.
By offering a wider range of goods to NHS trusts at
lower prices, it is expected that trusts will make more
use of the new service. This in turn will mean more
products are distributed through the system - a bigger
operation than today - creating the new jobs and safeguarding
the vast majority of existing jobs.
For more details visit www.dh.gov.uk
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NICE
Health Minister Andy Burnham has announced that the
National Institute for Health and Clinical Excellence
(NICE) will begin a significant new programme of work
to help the NHS identify and stop ineffective interventions
and make health services more equitable across the country.
Reducing ineffective practice will potentially allow
the NHS to reinvest millions of pounds on drugs and
approaches that do improve patient care.
NICE will select the topics included in the new programme,
based on clear criteria.
More details are available at www.nice.org.uk
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PRIMARY CARE TRUSTS
The Department of Health has issued revised model standing
orders and related documents previously issued in March
2006 which are available at www.dh.gov.uk.
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SOCIAL SERVICES FINANCE
Net social services spending by councils in England
increased by 6 per cent last year, according to provisional
figures published by the Office for National Statistics.
Local authorities spent £17.3bn on social services
in 2005-6, up from £16.3bn in 2004-5, which accounted
for 18 per cent of councils’ total revenue spending.
For more details view www.statistics.gov.uk
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SCOTLAND
COUNTER FRAUD
Anti-fraud measures since 2000 that have saved the
NHS more than £18 million, including £7.4
million last year, were revealed in the latest annual
report from NHS Scotland Counter Fraud Services (CFS).
In one case investigated by CFS, a pharmacist claimed
for payment from NHSScotland for drugs which had not
been dispensed through the pharmacy he owned. He pled
guilty at court to fraud and repaid his NHS Board £120,000
in respect of unlawful fees.
For more details view www.scotland.gov.uk
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DENTAL SERVICES
The Scottish Executive has published details of a new
NHS dental bursary scheme.
It will provide £4,000 per year of study to
dental undergraduates starting in year two of the course,
on condition that recipients are tied into carrying
out five years (or part time equivalent) of NHS dental
work in Scotland, beginning within one year of graduation.
Students in Year 3, Year 4 and Year 5 will be eligible
for a bursary of £4,000 per year of study in return
for a four, three and two year tie-in respectively.
For more details view www.scotland.gov.uk
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