SHA Handover Reports - NHS Yorkshire and the Humber

issue, with cases significantly above trajectory at month 4 of 2011/12. Action is being
taken by the SHA, cluster and local systems (particularly Sheffield) to address this. In
addition, the SHA Medical Director is working with Doncaster and Bassetlaw NHS FT
and the cluster about issues of clinical quality and education at the FT.
54. The South Yorkshire and Bassetlaw cluster has a history of strong performance and
financial management. Despite this 2010‐11 was a difficult year financially for
Sheffield PCT, with pressures associated with non‐elective activity, continuing
healthcare and slippage in planned efficiencies.
55. On QIPP, while individual commissioner plans are generally strong, it is clear that
there are still challenges to be addressed in terms of aligning approaches across the
cluster, and developing a whole system approach.
56. On commissioning development, emerging CCGs coterminous with current PCTs are
in place in Bassetlaw, Doncaster, Rotherham and Sheffield. However, in Barnsley,
GPs are having difficulties agreeing configuration arrangements and further
discussions are taking place to resolve these issues.
57. The cluster area does not have any non‐FT organisations and no major outstanding
TCS issues. Bassetlaw’s community services are not transferring to Rotherham FT as
previously planned due to the FT’s recent Monitor financial risk down‐grading; working with
NHS Bassetlaw the cluster has agreed to integrate the services with Nottinghamshire
Healthcare NHS Trust with staff transfer completed hopefully for 1 st November 2011. NHS
Trust with staff transfer completed hopefully for 1 st November 2011.NHS Doncaster has
begun consultation about the future configuration of acute medical and
intermediate care services.
58. South Yorkshire areas have made good progress in delivering improved health
outcomes across a range of indicators. Challenges remain but local areas have good
plans and robust partnerships.
59. NHS Barnsley hosts the region’s specialist commissioning group which is highly
regarded by all PCT clusters. It has for instance, taken on the commissioning of
additional services at the request of all Yorkshire and the Humber cluster PCTs and
as part of QIPP planning. The SCG also hosts a number of clinical networks and has a
strong history service development through effective joint working with these
networks.
Key challenges going forward
60. In summary, while performance in the region has been very strong, there are a
number of risks we have undertaken to mitigate in the interests of patients and the
local community.