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Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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Paper A<br />

LLR <strong>PCT</strong> Cluster Board meeting<br />

14 June 2012<br />

The return <strong>of</strong> nominal roll confirmation forms has improved this month<br />

to 50%, but is still below what is expected.<br />

Budget holder workshops are taking place in May to advise budget<br />

holders regarding <strong>the</strong> new coding structure, which takes account <strong>of</strong><br />

destination organisation requirements.<br />

The resource limits for <strong>NHS</strong> LC <strong>of</strong> £562.65m <strong>and</strong> <strong>NHS</strong> LCR <strong>of</strong><br />

£976.22m are expected to be <strong>the</strong> final resource limits for each <strong>PCT</strong>.<br />

These will be confirmed to <strong>the</strong> Cluster by <strong>the</strong> Department <strong>of</strong> Health<br />

during May.<br />

The final use <strong>of</strong> in-year flexibilities was also noted. In line with <strong>the</strong><br />

delegated approval given by <strong>the</strong> Cluster Board in March 2012 final<br />

adjustments were made to <strong>the</strong> expenditure proposals right up to 31<br />

March to ensure that residual expenditure was managed in line with <strong>the</strong><br />

resources available to each <strong>PCT</strong>.<br />

Mr Mell asked about <strong>the</strong> month 12 position regarding UHL. Dr Freeman<br />

said that at month 12 <strong>the</strong>re were still disputes in relation to follow-up<br />

ratios, changes in A&E coding etc; <strong>the</strong>se sums <strong>of</strong> approximately £3m<br />

will continue to be disputed during 2012-2013. Ms Bishop said that she<br />

had written to <strong>the</strong> Director <strong>of</strong> Finance at UHL as part <strong>of</strong> <strong>the</strong> usual year<br />

end process <strong>of</strong> agreeing balances with o<strong>the</strong>r bodies. An agreement<br />

was reached on <strong>the</strong> numbers to be reflected in <strong>the</strong> accounts, but <strong>the</strong>re<br />

remain contractual differences between <strong>the</strong> two organisations. Dr<br />

Freeman noted that <strong>the</strong> disputed sums are being shown as paid in <strong>the</strong><br />

UHL financial plan. Mrs Ellis said that she had raised this with <strong>the</strong> UHL<br />

Chair after <strong>the</strong> UHL public Board meeting on 26 th April 2012<br />

It was RESOLVED<br />

- to note <strong>the</strong> finance report for <strong>the</strong> month ended 31 March 2012.<br />

- to delegate authority to approve <strong>the</strong> final 2011/12 accounts to <strong>the</strong><br />

Audit Committee.<br />

CB/12/154 Acute Contract Performance Report February/March 2012<br />

Dr Simon Freeman, Managing Director <strong>of</strong> <strong>Leicester</strong> City CCG<br />

presented <strong>the</strong> report detailing <strong>the</strong> performance position for acute<br />

contracts for both <strong>NHS</strong> <strong>Leicester</strong> City (<strong>NHS</strong> LC) <strong>and</strong> <strong>NHS</strong><br />

<strong>Leicester</strong>shire County <strong>and</strong> Rutl<strong>and</strong> (<strong>NHS</strong> LCR) (as attached in Minute<br />

Book – Appendix Number CB/05/10/S).<br />

The reported position at month 12 against <strong>the</strong> total acute<br />

commissioning budget for <strong>NHS</strong> <strong>Leicester</strong> City is just £26k or 0.01%<br />

over budget, <strong>and</strong> for <strong>NHS</strong> <strong>Leicester</strong>shire County & Rutl<strong>and</strong> £2.15m or<br />

0.54% above budget However, within <strong>the</strong> overall position <strong>the</strong>re is a<br />

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