Issue - items at meetings - Financial Performance Report (Jan13)

Report of Director of Finance, NHS Sussex and Director of Finance, BHCC (copy attached).

(1)       That the forecast outturns for the s75 budgets as at month 8 be noted.

(2)       That the budget strategies for the health and social care arrangements set out for development and agreement by Budget Council and NHS Sussex Board be noted.

23.1    The Board considered a report of the Director of Finance, NHS Sussex and Director of Finance, BHCC which set out the financial position and forecast for the partnership budgets at the end of month 8.  The report contained the proposed 2013 /14 budget strategies for consultation.

23.2    The Head of Finance, Business Engagement, BHCC reported that services commissioned from the Sussex Community Trust were reporting an overspend of £26 million.  The overspend was partially offset by savings against the HIV/AIDS budget.  An underspend of £501k was currently being forecast in respect of services commissioned from the Sussex Partnership Foundation Trust.  Learning Disabilities were showing an underspend of £0.633m.  The PCT contracts with SCT and SPFT were currently forecast to breakeven.       

23.3    The Council’s draft budget strategies for 2013/14 were presented to the Council’s Policy & Resources Committee in November and would be updated for budget P&R and Budget Council.  The initial assessment indicated that the level of savings required across the Council could be approximately £21m in 2013/14.  Adult Social Care (including Learning Disabilities and S75) was expected to generate savings of £5.7 million in 2013/14.  

23.4         The Chief Operating Officer, CCG explained that the NHS Commissioning Board had published its planning framework for Clinical Commissioning Groups.  The CCG was no longer responsible for primary care services or specialised services.   The CCG had a saving target of approximately £10 million for next year.  There was a need to work to the same quality for less money and this would be achieved through better commissioning of services and better management of primary services.  The CCG’s Operating Plan would be presented to the Joint Commissioning Board in March 2013.     

23.5    RESOLVED - (1)      That the forecast outturns for the s75 budgets as at month 8 be noted.

(2)       That the budget strategies for the health and social care arrangements set out for development and agreement by Budget Council and NHS Sussex Board, be noted.