Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

In terms of affordability the following approach has been agreed:
• Use of the World Class Commissioning assumptions on allocations and tariff as issued by
the SHA and Centre for the period ending in 2013/14.
• Remodelling the affordability of the agreed activity from 2014/15 to 2017/18 based on
agreed assumptions to provide two scenarios.
• The Trust will review infrastructure cost reductions related to design, to include 24/7 medical
cover and 23 hour surgery
• PCTs will identify within the re-modelled financial projections opportunities to invest in
community services which will require expansion
• PCTs will articulate their proposals to achieve cost reductions in more detail in their World
Class Commissioning submissions
It was further agreed that the Finance Directors will meet to agree the effect of these assumptions and
ensure alignment and consistency within the Long Term Sustainability Models and in anticipation of the
refresh of the New Hospital Outline Business Case. This will constitute the ‘sense check’ that all the
elements work together.
It will be important to discuss with the SHA the acceptability of the assumptions we are making from
2014/15 onwards and the potential for our Local Health Economy to receive more than our fair share
of transition funding to assist in ensuring this major strategic change.
Review of Commissioning Arrangements in Birmingham – The three Birmingham PCTs have
developed their recommendation to the SHA on the future arrangements. The report was submitted on
4 th January 2010 to the SHA and a response is expected from the SHA in February.
The Boards of the three Birmingham PCTs have put forward the recommended option of one
commissioning organisation for the NHS in Birmingham, on the basis that the detail and evidence is
further developed for this option. In addition they recommended that this option is developed in line with
a proposed set of principles.
The need to ensure continued partnership working with Sandwell PCT and the continued viability and
sustainability of the RCRH Partnership is acknowledged although not expressed as a formal principle.
The RCRH Programme is developing a programme of activities to maintain a high profile for the RCRH
Programme in Birmingham.
RECOMMENDATIONS
The Trust Board is recommended to:
1. NOTE the progress made with the Right Care Right Here Programme.
Jayne Dunn
Redesign Director – Right Care Right Here
15th February 2010
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