The budget for healthcare services provided out with NHS Fife is showing an underspend of £72k for the period. This is based on an estimated underspend of £970k on Service Level Agreements with other Health Boards and an overspend of £911k on Unplanned Activity (UNPACs) and Out of Area Treatments (OATS) activity. The major driver of this overspend is the estimated increased UNPACs activity with NHS Lothian for cancer and other high cost drugs and an increase in bone marrow transplants. The OATS expenditure has increased due an additional Learning Disability patient being treated in England. These remain estimates at this point in the year pending ongoing discussions. Reserves Current estimates suggest that the Board could incur a further £2.3m on property impairments and provisions during 2015/16. The actual costs are matched with additional funding from SGHSCD. Similarly, an estimate of £20.6m is included in the reserve balance, as the NHS Fife share of the national Clinical Negligence & Other Risks Indemnity Scheme (CNORIS) increase in provisions. Funding of £5.088m has been recognised from the Fife-wide general reserve, offsetting the overall financial position across the system. This takes account of slippage from financial plan commitments and new allocations received. Miscellaneous Income An over-recovery in income of £552k is shown for the first eleven months of the financial year. Efficiency Savings The Board’s Financial Framework set out the need to deliver a total of £10.143m cash efficiency savings to support financial balance. At the end of February, cash releasing schemes totalling £6.450m had been identified. There are developed plans in place to deliver a further £0.066m of savings, leaving a balance of £3.627m outstanding. This shortfall is assumed in the overall year end forecast. This balance comprises a range of initiatives, some of which had been scoped as options at the time of the Financial Framework sign off last May, and the £1.5m target set by EGD for operational budgets in November, which had not been fully developed into specific proposals: £'000 Original proposals which will not deliver this year: Medicines and Prescribing 367 Workforce 250 Original proposals are now delivering through operational performance (run rate): Sickness Absence 500 Endowments 100 37 Balance of £1.5m target 644 Balance 1,729 Shortfall in savings 3,627
The budget for healthcare services provided out with NHS Fife is showing an underspend of £72k for the period. This is based on an estimated underspend of £970k on Service Level Agreements with other Health Boards and an overspend of £911k on Unplanned Activity (UNPACs) and Out of Area Treatments (OATS) activity. The major driver of this overspend is the estimated increased UNPACs activity with NHS Lothian for cancer and other high cost drugs and an increase in bone marrow transplants. The OATS expenditure has increased due an additional Learning Disability patient being treated in England. These remain estimates at this point in the year pending ongoing discussions. Reserves Current estimates suggest that the Board could incur a further £2.3m on property impairments and provisions during 2015/16. The actual costs are matched with additional funding from SGHSCD. Similarly, an estimate of £20.6m is included in the reserve balance, as the NHS Fife share of the national Clinical Negligence & Other Risks Indemnity Scheme (CNORIS) increase in provisions. Funding of £5.088m has been recognised from the Fife-wide general reserve, offsetting the overall financial position across the system. This takes account of slippage from financial plan commitments and new allocations received. Miscellaneous Income An over-recovery in income of £552k is shown for the first eleven months of the financial year. Efficiency Savings The Board’s Financial Framework set out the need to deliver a total of £10.143m cash efficiency savings to support financial balance. At the end of February, cash releasing schemes totalling £6.450m had been identified. There are developed plans in place to deliver a further £0.066m of savings, leaving a balance of £3.627m outstanding. This shortfall is assumed in the overall year end forecast. This balance comprises a range of initiatives, some of which had been scoped as options at the time of the Financial Framework sign off last May, and the £1.5m target set by EGD for operational budgets in November, which had not been fully developed into specific proposals: £'000 Original proposals which will not deliver this year: Medicines and Prescribing 367 Workforce 250 Original proposals are now delivering through operational performance (run rate): Sickness Absence 500 Endowments 100 37 Balance of £1.5m target 644 Balance 1,729 Shortfall in savings 3,627