It should be noted as well that planned care activity lines have been adjusted due to the difference in the number of working days between years as advised by NHS E. Unplanned care Despite seeing an increase in A&E attendances in 2016-17 (5.1%), this was lower than that seen nationally (5.6%) and has not translated in to a corresponding increase in emergency admissions. In fact over the same period NELCCG has realised a 2.8% reduction in admissions whilst there has been a 3% increase across England. Again underlying trend and demographic growth rates have been applied in line with historic levels and therefore are likely to be lower than the STP anticipated growth. The final element modelled in to our activity plans is the impact of the CCGs QIPP schemes. Most notably these are: Support to care homes Developing the out of hospital urgent and emergency care system Enhancing LTC support in the community Reducing falls The table below sets out the stages of activity modelling and breaks these stages down in more detail than that shown in the waterfall table in the national template. For reference the waterfall table structure has been included to help reconcile the two tables. Underlying CCG Trend and Transformational Policy Changes FOT Activity Demographic Change Changes Growth Underlying to trend and Transformational are no not demographic Working FOT Change (QIPP changes applied growth plus days adj schemes) here for NELCCG Sustain 18 weeks agreeing contracts with Providers The contract position for our key providers is summarised below:
It should be noted as well that planned care activity lines have been adjusted due to the difference in the number of working days between years as advised by NHS E. Unplanned care Despite seeing an increase in A&E attendances in 2016-17 (5.1%), this was lower than that seen nationally (5.6%) and has not translated in to a corresponding increase in emergency admissions. In fact over the same period NELCCG has realised a 2.8% reduction in admissions whilst there has been a 3% increase across England. Again underlying trend and demographic growth rates have been applied in line with historic levels and therefore are likely to be lower than the STP anticipated growth. The final element modelled in to our activity plans is the impact of the CCGs QIPP schemes. Most notably these are: Support to care homes Developing the out of hospital urgent and emergency care system Enhancing LTC support in the community Reducing falls The table below sets out the stages of activity modelling and breaks these stages down in more detail than that shown in the waterfall table in the national template. For reference the waterfall table structure has been included to help reconcile the two tables. CCG FOT Activity Changes Underlying Trend and Demographic Growth Transformational Change Policy Changes FOT Working days adj Underlying trend and demographic growth plus Sustain 18 weeks Transformational Change (QIPP schemes) are no changes applied here for NELCCG to not agreeing contracts with Providers The contract position for our key providers is summarised below: