All three main acutes are showing reduced overperformance in M5 SLA Monitoring (SLAM) position. There continues to be some Acute services  overperformance in independent sector contracts, much of which is planned. Budgets are being reviewed. 0.68% No significant variance; a budget adjustment in M6 in relation to s28 Learning Disability Mental health services  payments made to Wiltshire Council has addressed the M5 overspend. 0.01% Community services No significant variance 0.00%  Forecast overspend based on current and Continuing care services expected Continuing Healthcare (CHC)  patients. 1.98% Area Commentary Trend RAG Forecast underspending relates to reduction in FNC rate in 17/18, reduced impact of year Funded nursing care (FNC)  charges in year and in-housing of FNC payments. -9.01% Other programme services No significant variance -0.02%  Delegated Primary Care No significant variance 0.00%  Prescribing No significant variance 0.00%  Out of hours and NHS 111 No significant variance 0.00%  Local Enhanced Services No significant variance 0.00%  Primary care IT No significant variance 0.00%  Reduced use of reserves to offset other Reserves  pressures. -7.95% Forecast underspending relates to QIPP and Running  transfer of CHC costs to programme budgets. -5.65% Financial risks In M6 the CCG has updated its risk position, to reflect decreased risks around contract overperformance and acute QIPP. There remain risks around CHC and Quality Premium QIPP which are now reflected separately. In addition, the CCG is recognising a risk in respect of a CHC patient challenge from Dorset CCG. The CCG is continuing to reflect risks around potential un-funded costs for new patients taken into the Daisy who were previously the responsibility of NHS England. In addition the CCG is continuing to report risks in relation to cost pressures arising from the transfer of property from Great Western Hospital NHS Foundation Trust to NHS Property Services. There is currently a lack of clarity around some of the
Acute services All three main acutes are showing reduced overperformance in M5 SLA Monitoring (SLAM) position. There continues to be some overperformance in independent sector contracts, much of which is planned. Budgets are being reviewed.  0.68% Mental health services No significant variance; a budget adjustment in M6 in relation to s28 Learning Disability payments made to Wiltshire Council has addressed the M5 overspend.  0.01% Community services No significant variance  0.00% Continuing care services Forecast overspend based on current and expected Continuing Healthcare (CHC) patients.  1.98% Area Commentary Trend RAG Funded nursing care (FNC) Forecast underspending relates to reduction in FNC rate in 17/18, reduced impact of year charges in year and in-housing of FNC payments.  -9.01% Other programme services No significant variance  -0.02% Delegated Primary Care No significant variance  0.00% Prescribing No significant variance  0.00% Out of hours and NHS 111 No significant variance  0.00% Local Enhanced Services No significant variance  0.00% Primary care IT No significant variance  0.00% Reserves Reduced use of reserves to offset other pressures.  -7.95% Running Forecast underspending relates to QIPP and transfer of CHC costs to programme budgets.  -5.65% Financial risks In M6 the CCG has updated its risk position, to reflect decreased risks around contract overperformance and acute QIPP. There remain risks around CHC and Quality Premium QIPP which are now reflected separately. In addition, the CCG is recognising a risk in respect of a CHC patient challenge from Dorset CCG. The CCG is continuing to reflect risks around potential un-funded costs for new patients taken into the Daisy who were previously the responsibility of NHS England. In addition the CCG is continuing to report risks in relation to cost pressures arising from the transfer of property from Great Western Hospital NHS Foundation Trust to NHS Property Services. There is currently a lack of clarity around some of the