Hillingdon PCT at Christmas 2008
1. Finance
Good news is that the PCT has been granted an additional £1.31m capital allocation, to be spent by the end of March 2009 on its backlog of estate needs and critical IT needs! The Trust still predicts breakeven at year end – its top priority – but it will be hard-pushed to achieve this as it is currently £5.1m overspent against budget.
2. Medium Term Financial Strategy for London (MTFS) This strategy aims to clear legacy debts of London’s PCTs and hospital trusts and to ensure implementation of Healthcare for London across the capital. A new Challenged Trust Board will ensure stringent controls and governance arrangements are in place for those trusts that are enabled to clear historic debts. If Hillingdon PCT maintains breakeven for the next two years, its outstanding debt at the end of 2010/11 will be paid off with funds provided by other London PCTs. (More details are given in the report from Harrow PCT’s December meeting). In the meantime Hillingdon PCT may be able to borrow from nearby PCTs to invest in Healthcare for London initiatives. From the perspective of Hillingdon residents, this is a major step forward, which - if the PCT can continue to balance its books - will eventually wipe out £19m of historic debt!
3. Operating framework 2009-10 / financial allocations
Hillingdon PCT is a loser under a new weighted capitation formula, which favours areas with a higher proportion of older people. Hillingdon is deemed 6.4% over-capitation, so the PCT will have reduced increases each year until it reaches its new target allocation. In the next two years it will receive the minimum growth of 10.6%, in contrast to the average of 11%, with some PCTs having considerably larger increases.
4. London Clinical and Business Support Agency (LCBSA)
This new agency, known as the “Hub”, brings together pan-London services, supports PCT commissioners and shares risks across the capital. It is expected to improve the health of Londoners and minimise costs. It will be responsible for delivery of Healthcare for London planning and The Thames Cancer Registry. Hillingdon PCT is a net gainer in the system and it is handing over its BUPA contract to the HUB.
5. London Specialised Commissioning Group (SCG) This Group, based in Croydon PCT, will operate as a single team, with five Divisional Directors. It will cover many specialised services eg Burns, HIV, AIDS, cystic fibrosis, cleft lip and palate.
6. Consultation on acute stroke and major trauma services
All 31 London PCTs are working together on these services and both East & North Herts PCT and West Herts PCT have shown interest in joining them too.
Three London trusts can meet the criteria for designation as major trauma centres by 2010 – Barts and The London / Kings College Hospital / St Georges Healthcare. Provision for some areas of north and west London are still being explored.
Twelve bids met the requirements for a hyperacute stroke unit, including Northwick Park Hospital. Hillingdon Hospital only met the criteria for being a stroke unit, but both these hospitals met the criteria for Transient Ischaemic Attack (TIA) services.
It had been intended that public consultation would start in January, but this may be delayed.
Joan Davis
Good news is that the PCT has been granted an additional £1.31m capital allocation, to be spent by the end of March 2009 on its backlog of estate needs and critical IT needs! The Trust still predicts breakeven at year end – its top priority – but it will be hard-pushed to achieve this as it is currently £5.1m overspent against budget.
2. Medium Term Financial Strategy for London (MTFS) This strategy aims to clear legacy debts of London’s PCTs and hospital trusts and to ensure implementation of Healthcare for London across the capital. A new Challenged Trust Board will ensure stringent controls and governance arrangements are in place for those trusts that are enabled to clear historic debts. If Hillingdon PCT maintains breakeven for the next two years, its outstanding debt at the end of 2010/11 will be paid off with funds provided by other London PCTs. (More details are given in the report from Harrow PCT’s December meeting). In the meantime Hillingdon PCT may be able to borrow from nearby PCTs to invest in Healthcare for London initiatives. From the perspective of Hillingdon residents, this is a major step forward, which - if the PCT can continue to balance its books - will eventually wipe out £19m of historic debt!
3. Operating framework 2009-10 / financial allocations
Hillingdon PCT is a loser under a new weighted capitation formula, which favours areas with a higher proportion of older people. Hillingdon is deemed 6.4% over-capitation, so the PCT will have reduced increases each year until it reaches its new target allocation. In the next two years it will receive the minimum growth of 10.6%, in contrast to the average of 11%, with some PCTs having considerably larger increases.
4. London Clinical and Business Support Agency (LCBSA)
This new agency, known as the “Hub”, brings together pan-London services, supports PCT commissioners and shares risks across the capital. It is expected to improve the health of Londoners and minimise costs. It will be responsible for delivery of Healthcare for London planning and The Thames Cancer Registry. Hillingdon PCT is a net gainer in the system and it is handing over its BUPA contract to the HUB.
5. London Specialised Commissioning Group (SCG) This Group, based in Croydon PCT, will operate as a single team, with five Divisional Directors. It will cover many specialised services eg Burns, HIV, AIDS, cystic fibrosis, cleft lip and palate.
6. Consultation on acute stroke and major trauma services
All 31 London PCTs are working together on these services and both East & North Herts PCT and West Herts PCT have shown interest in joining them too.
Three London trusts can meet the criteria for designation as major trauma centres by 2010 – Barts and The London / Kings College Hospital / St Georges Healthcare. Provision for some areas of north and west London are still being explored.
Twelve bids met the requirements for a hyperacute stroke unit, including Northwick Park Hospital. Hillingdon Hospital only met the criteria for being a stroke unit, but both these hospitals met the criteria for Transient Ischaemic Attack (TIA) services.
It had been intended that public consultation would start in January, but this may be delayed.
Joan Davis
posted by Community Voice at
6:37 pm
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