The NHS is, at a national level, facing unprecedented levels of financial challenge.
The South Tees health and care system is, like many other systems, experiencing significant financial pressures.
For our CCG this means that for the first time since its inception in 2013 we reported an overspend (deficit) for the financial year 2017-18 and we also expect to report a deficit for 2018-19.
The overspend is in the main due to three areas of significant pressure:
- Increases in the numbers of patients requiring, and the costs associated with, Continuing Health Care needs – our expenditure has grown over the life of the CCG from c£18 million to around c£36 million;
- High levels of spend associated with prescribing. South Tees CCG prescribes over 7 million items per year and spends c£4 million more than the North East and Cumbria CCGs average;
- Increased costs associated with the provision of planned and unplanned (emergency) care taking place in a hospital based setting – we have spent c£2 million more on planned and urgent care at South Tees Hospital over what we spent in previous years.
NHS England have this week published CCG annual ratings in relation to 2017/18.
A significant factor in the production of these ratings is CCG Financial performance, i.e. delivery of financial control totals.
As a direct consequence of our financial overspends we have been rated as Inadequate against the Quality of Leadership domain, resulting in the CCG being placed in special measures.
We have already taken significant action to address our financial pressures and are working closely with our partners in the NHS and both Local Authorities to make the necessary improvements in our financial position whilst continuing to deliver the best possible care for our population.