Healthcare Commission Annual Check 200708 200809

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Healthcare Commission Annual Check 2007/08
2008/09
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Context

• Brent PCT underwent a significant financial and
  governance failure resulting in the 25m deficit
  in 2006/07
• 2007/08 focussed on financial turnaround-
  delivered a 1m surplus (after repayment of
  approximately 15m of deficit)
• During 07/08 complete change at Board level. New
  CEO October 2007. New director team thereafter.
• During 08/09 stabilize and lay foundations for
  future success
• Quality and performance recovery
• Development of strategic plan
• Delivery of 12.4m surplus (after balance of
  deficit repayment approximately 10m)
• Establish comprehensive monitoring and reporting
• Reorganise and rebuild business processes

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Healthcare Commission StandardsIn 2007/08 14
standards were not met. We are on target to
achieve compliance this year (Full Action Plan
attached - Appendix A)
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Performance Targets

• In the 07/08 HCC ratings, the PCTs position was
  as follows

• For 08/09, a number of indicators have changed
  and the PCTs current position against the 08/09
  indicators (as on the HCC website as at 14/11) is
  set out on the following two pages

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Performance scorecard 08/09 (07/08 targets
failed/underachieved highlighted)
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Actions to address performance issues

• Four key areas have been identified as needing
  priority action to improve our rating
• Smoking cessation
• Steering group established under CEO, further
  incentive payments proposed to generate maximum
  quits by year-end
• Dental access
• Publicity to highlight the availability of NHS
  dentistry in Brent
• Dental access hotline
• Additional orthodontics to be contracted for
• Time on stroke unit
• Data problems to be addressed
• Support to acute trust to address
• Crisis resolution
• Data issues masks true performance
• Recovery in these areas will generate the best
  year end performance outturn

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Use of Resources - In 07/08 score of 1 overall
with 4 out of 5 components scored at 1 (all
except financial standing) - Actions taken based
on 07/08 weaknesses these have been mapped to
08/09 Use of Resources criteria to ensure no
gaps - Internal audit review recently confirmed
PCT on track to meet score of 2
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Standards for Better Health Action Plan(Appendix
A)

• Appendix A