Finance Reporting Pack

Transcription

1 Finance Reporting Pack July 2018 (Month 4) Geoff Price Director of Finance Sutton Clinical Commissioning Group 1

2 Contents 1 Finance Scorecard 2 Key Indicators 3 Month 4 Financial Position 4 Summary Financial Position 5 Risks & Mitigations 6 Reducing Risk 7 QIPP 8 Acute Commissioning 9 Non-Acute Commissioning and Primary Care 10 Running Costs 11 Revenue Resource Limit 12 Financial Statements 13 Appendices 2

3 1. Finance Scorecard Financial Strategy Local Transformation Board, with Finance and Activity subcommittee will be working with other committees on the Sutton LTB Health & Care plan with a view to completing the plan by Oct/Nov /19 is year 3 of the 5 year notification of allocations. Years 4 and 5 are indicative allocations. Contracts have been agreed but with significant QIPP outside of contract. SWL system-wide commissioner control totals have been issued as well as CCG-specific. The CCG is working to ensure that the merging of the James O Riordan / Well Court Practices is financial neutral and risk free to the CCG and across the SWL system. The CCG is required to produce a financial recovery plan to get back to NHS business rules over a 2 year period. The plan will be informed by the financial review taking place in July. Financial Performance The target set by NHSE is for the CCG to achieve an in-year surplus of 0.062m. To achieve the NHSE target, the CCG has a QIPP programme of m As at month 4, 2.811m (20%) of the QIPP programme is unidentified. As at month 4, The planned QIPP programme had a forecast shortfall of 1.283m The CCG has reported on plan for month 4 both YTD and forecast. From the 3 months acute data available, the CCG has recognised a forecast 1.603m overperformance on its acute contracts, this has been offset by using the CCG s acute reserve and a proportion of its mandatory contingency. The CHC Care-track system forecast spend is currently within the budget set. The CCG forecasts to meet the Mental Health Investment Standard. Financial Governance The financial position is overseen by the Finance Committee, Executive Committee and the governing body, all of which meet monthly. The Audit committee is responsible for ensuring a robust system of internal control. Annual internal audit plan for 2018/19 has been agreed. Board Assurance Framework is updated Bi-monthly. Aim is for all internal audit reports to provide at least reasonable assurance. If not the case an action plan in place to do so. The CCG has completed its annual financial control and governance assessment return. Financial Risk The CCG has completed its financial risk assessment for month. Details can be seen in section 5, the current assessment of this risk is a shortfall against target of 3.556m. The CCG is working with Merton CCG to ensure that the O Riordan Practice transfer is neutral in terms of additional risk to either party. 3

4 2. Key Indicators For the four months ending 31st July 2018 Annual Budget Forecast Spend Expenditure Forecast RAG NHS Acute Contracts 144, ,111 Continuing Healthcare 20,547 20,547 Prescribing 25,218 25,218 NHSE Target Surplus QIPP 14,119 10,025 MH Investment Standard 3.40% 5.13% 4

5 3. Month 4 Financial Position At month 4 the CCG is reporting on plan. The CCG has reviewed the month 3 acute data and is forecasting a 1.6m overperformance on the SLA portfolio. 1.2m of this overperformance relates to St Georges NHS Foundation Trust, with a further 0.4m arising from the net Epsom & St Helier SLA position. These overspends have been offset from the CCG s modest acute performance reserve together with around a quarter of the CCGs mandatory 0.5% contingency. Continuing healthcare including Funded Nursing Care, Children and team costs is reporting on plan. The level of unidentified QIPP has reduced by 0.508m since month 3. ( 3.319m to 2811m) The position assumes that the remaining 2.811m of unidentified QIPP is delivered. The CCG s running costs are forecast to achieve the target. The mental health investment standard is planned to be met. 5

6 4. Summary Financial Position CCG EXPENDITURE ANALYSIS Year to Date Net Expenditure Forecast Net Expenditure Plan Actual Variance Variance Plan Actual Variance Variance Prior Month Forecast Variance Movement Movement YTD Variance Analysis QIPP Variance Forecast Variance Analysis Other QIPP Variance Other m m m % m m m % m m % m m m m REVENUE RESOURCE LIMIT (IN YEAR) REVENUE RESOURCE LIMIT (CUMULATIVE) Acute Services (ISFE) (0.183) (0.4%) (0.382) (0.3%) - (0.382) (0.3%) (0.951) (0.236) (0.146) Mental Health Services (ISFE) % % % (0.016) Community Health Services (ISFE) (0.000) (0.0%) % % (0.001) Continuing Care Services (ISFE) (0.000) (0.0%) % % (0.000) (0.490) Primary Care Services (ISFE) % % % (0.014) (0.064) Prescribing % % % Primary Care Co-Commissioning (ISFE) % % % Other Programme Services (ISFE) % % % (0.304) (4.356) TOTAL COMMISSIONING SERVICES % (0.000) (0.0%) - (0.000) (0.0%) (1.197) (4.038) Running Costs (ISFE) (0.000) (0.0%) % % (0.008) (0.056) TOTAL CCG NET EXPENDITURE % (0.000) (0.0%) - (0.000) (0.0%) (1.205) (4.094) IN YEAR UNDERSPEND / (DEFICIT) (2.415) (2.415) % % CUMULATIVE UNDERSPEND / (DEFICIT) (1.940) (1.940) % % - - Commentary (free text) 6

7 5. Risks and Mitigations Current Reported Position Overspends Acute SLA Performance (net) (1,603) Mitigations CCG Acute Reserves 1221 Statutory Reserve 382 (1,603) 1,603 Total Reported Position 0 Potential Unmitigated Risks Further Risks St Georges RTT (236) LAS Contract Performance (200) Other Acute SLA Pressures (350) MH Contract Issues (Core24) (433) MH Placements (150) Community Provider Re-procurement (100) BCF Performance (200) Prescribing Performance (400) QIPP Programme Investments (500) QIPP Risk on Unidentified Schemes (2,811) (5,380) Planned In Year Surplus 62 C/Fwd Surplus 1,426 Net Position Reported at Month 4 1,488 Further Mitigations Statutory Reserve 1,022 CCG Reserve 369 Core 24 Funding 433 1,824 Potential Surplus / (Deficit) Risks to Mitigations (3,556) 7

8 6. Reducing Risk The CCG is working with Merton CCG to ensure that the O Riordan Practice transfer is neutral in terms of additional risk to either party. The CCG is formulating a Financial Recovery Plan (FRP) and undergoing an external financial review which will inform the recovery plan. The outcome of this FRP is intended to identify and deliver the remaining unidentified QIPP that the CCG requires to meet plan. Although the CCG has been notified of an additional IR allocation in respect of Epsom & St Helier NHS Trust, at this time there will be no correction for the shortfall for 2017/18. The CCG has requested an IR allocation adjustment with respect to the Royal Marsden NHS Foundation Trust but this is unlikely given it would involve allocation adjustments to a number of CCGs. Throughout the year the CCG supported by the NELCSU will continue to review and critique all expenditure that is cost and volume in nature. The CCG and partners will continue to bed in the new Sutton Health and Care model to ensure that as a healthcare system we reduce overall costs and improve care for that cohort of patients. 8

9 7. QIPP Year to Date and Forecast Outturn assessment Jun-18 Programme Ref Project Title Recurrent / Nonrecurrent Type Saving Plan YTD Savings Plan Full year GROSS SAVINGS Savings Actual YTD Savings FOT Costs Plan YTD Contractual 32 Accrual Non RecurrentTransactional 0 1, , , ,712-1% G G 1,712.0 Planned Care 1 Anticoagulation Recurrent Transformational % R A Medicines 2 Biologicals Recurrent Transformational % R G Continuing Care 3 CHC Recurrent Transactional 0 1, , , ,000 0% G G Continuing Care 4 Childen's CHC Recurrent Transactional % R R 0.0 Urgent Care 5 Children's Urgent Care Recurrent Transformational R 0.0 Planned Care 6 Demand Management Recurrent Transformational % R R Y Planned Care 7 Dermatology Recurrent Transformational % R G 0.0 Y Planned Care 8 Direct Access Pathology Recurrent Transformational % R A Y Planned Care 9 ECI Recurrent Transformational % G G Planned Care 10 ENT Recurrent Transformational % R R Y Medicines 11 FP10 Prescribing efficiencies Recurrent Transformational 602 2, , , ,206 0% G G 0.0 Planned Care 12 Gastro Recurrent Transformational % R G 5.7 Contractual 13 GP Texts Recurrent Transactional % B B 0.0 Urgent Care 14 High Impact Users Recurrent Transformational A 0.0 Contractual 33 IR Non RecurrentTransactional % G Sutton H&C 15 Localities Proactive Recurrent Transformational % B R 15.7 Y Contractual 16 Management Costs -NELCSU Recurrent Transactional % R R 0.0 Y Continuing Care 17 Mental Health Placements (Hexagon) Recurrent Transformational % G G 0.0 Planned Care 18 Merton Provision for Sutton Recurrent Transactional % G G 0.0 Planned Care 19 MSK Recurrent Transformational % R G Y Planned Care 20 Neurology Recurrent Transformational % A G 8.2 Planned Care 21 Ophthalmology Recurrent Transformational % R G Y Planned Care 22 Podiatry AQP Recurrent Transactional % G G 0.0 Contractual 23 Property Services Recurrent Transactional Black Black 0.0 Contractual 24 Recurrent Underspends Recurrent Transactional % B B Planned Care 25 Respiratory Recurrent Transformational % R R Urgent Care 26 Streaming, Patient Flow Recurrent Transformational A 0.0 Sutton H&C 27 Sutton Health & Care Reactive Recurrent Transformational 632 2, , , ,976 0% B A Y Contractual 28 TOPs Contract Recurrent Transactional % B B 0.0 Planned Care 29 Urology Recurrent Transformational R 0.0 Planned Care 30 Virtual Clinics Recurrent Transformational % G G Planned Care 31 WEWO Hernia Recurrent Transactional Black Black 0.0 Contractual 33 Wilson Walk in Recurrent Transactional % G G Total Programme Total 1,819 12,675 1,209 10, , ,159 1,555 11, ,144-10% A A 3,025 Costs Plan Full Year PROJECT COSTS Costs Actual YTD Costs FOT Net Savings Plan YTD NET SAVINGS Planned Savings Target Net Savings Actual YTD NET SAVINGS Forecast with block Net FOT Savings with block Variance % with block Rag Rating with block FOT vs Plan RAG Delivery Milestone RAG Movement from Last month Escalation Escalation to QIPP Assurance Yes - No Unidentified 2, ,811 9

10 8. Acute Commissioning - Contracts Mitigated SLAM Month Mitigated Forecast Previous Month Mitigated FOT YTD Budget YTD Actual YTD Variance % Variance FOT Budget FOT Actual FOT Variance % Variance Previous Month FOT Variance Improved/ (Deterior-ated) % Variance '000s '000s '000s % '000s '000s '000s '000s '000s STP Trust Croydon Health Services (12.4%) 1,776 1, (4.9%) % Epsom and St Helier University Hospitals 25,121 25, (2.6%) 100, ,883-1,400 (1.4%) (89.7%) South West London Elective Orthopaedic Centre 1,509 1, % 6,037 5,037 1, % % Kingston Hospital (1.4%) 1,309 1, (1.9%) % The Royal Marsden 1,260 1, % 5,041 4, % % St George's Healthcare 3,963 4, (6.7%) 15,851 17,078-1,227 (7.7%) - 1,221-6 (0.5%) St. George's Community Services At Queen Mary's Hospital (56.2%) (9.2%) % Total STP 32,729 33, (1.8%) 130, ,634-1,717 (1.3%) - 1, (40.6%) Non-STP Trusts Over 5m London Ambulance 1,837 1, % 7,348 7, % % Under 5m One line - all consolidated 1,520 1, % 6,081 5, % % non-nhs One line - all consolidated % % % Total Sutton CCG acute 36,086 36, % 144, ,947-1, % - 1, % 10

11 8. Acute Commissioning - PODs Mitigated SLAM Month Mitigated Forecast Previous Month Mitigated FOT YTD Budget YTD Actual YTD Variance % Variance FOT Budget FOT Actual FOT Variance % Variance Previous Month FOT Variance Improved/ (Deterior-ated) % Variance '000s '000s '000s % '000s '000s '000s '000s '000s A&E 6,889 6, (0.6%) 28,204 28, (1.9%) (1518.8%) CQUIN 8,441 8, % 33,821 33, % % Critical Care (4.6%) 3,007 3, (0.8%) 1,139-1,163 (102.1%) Direct Access 3,187 3, % 12,746 12, % % Drugs & Devices 2,141 2, % 8,564 8, % % Elective 2,104 2, (6.4%) 8,448 9, (8.0%) - 1, % Emergency 2,607 2, (9.8%) 10,550 11, (8.6%) 168-1,073 (640.2%) Maternity Pathway 1,728 1, (10.6%) 6,932 7, (10.3%) (86.5%) Non-Elective (2.3%) 2,496 2, (0.8%) (226.3%) Other 1,219 1, % 4,817 4, (0.7%) 1,907-1,941 (101.8%) Out Patient 1st 1,218 1, (7.4%) 4,873 5, (7.4%) % Out Patient Follow Up 1,468 1,473-5 (0.4%) 5,900 5, % - 1,066 1, % Out Patient Procedure 2,675 2, % 9,654 8, % , % PTS (5.0%) 1,135 1, (3.0%) 4-38 (873.7%) Unbundled Diagnostics % 3,197 3, % % Total 36,086 36, % 144, ,947-1, % - 1, % 11

12 8. Acute Commissioning - Other Mitigated SLAM Month Mitigated Forecast Previous Month Mitigated FOT YTD Budget YTD Actual YTD Variance % Variance FOT Budget FOT Actual FOT Variance % Variance Previous Month FOT Variance Improved/ (Deterior-ated) % Variance '000s '000s '000s % '000s '000s '000s '000s '000s Acute NHS SLA's Per Previous Slides 36,086 36, (1.4%) 144, ,947-1,602 (1.1%) - 1, (100.0%) Acute NHS SLA's M4 forecast 12,083 11, % % % Acute Non-NHS SLA's % % % Acute NCAs 1,045 1, % 3,135 3, % % Acute QIPP Outside Of SLA - 1,458-1, % - 4,373-4, % % Other Acute Provisions % 2,561 1,340 1, % 1, % Total 48,689 48, % 146, , % % 12

13 8. Acute Commissioning Based on three months of SLAM data for Acute, there are 3 main trusts driving the CCG s overall acute performance. Epsom & St Helier (acute) contract Forecast to be 1.4m overspent mainly due to: Mainly driven by Planned Care of which 1.6m is on Outpatients before reflecting QIPP delivery. Activity within OP Follow Up (YTD 193k) is driving the spends above plan and is across several TFCs of which Ophthalmology and Diabetic Medicine contribute to 40% of the over performance. OP procedure is also over performing (YTD 196k) on Ophthalmology & Urology. A QIPP delivery of 1.2m is expected for Planned Care. Critical Care spend is also over performing mainly due to richer case-mix and long-stayers albeit the forecast spend is in line with 16/17 & 17/18 trend. Overspending has also been seen in non-elective areas (mainly due to high Viral Pneumonia activity), but this activity has been blocked and therefore does not pose a risk in this financial year to the CCG. Epsom & St Helier SWLEOC contract Forecast to be 1m underspent mainly due to: Very major hip & Knee procedures for non-trauma YTD M03 188k under plan with 17 & 8 spells respectively. Trauma procedures is also below activity on Knee procedure. Due to less number of complex cases being performed Critical Care activity is also performing below plan. St Georges Main Acute contract Forecast to be 1,227k overspent mainly due to: Elective 105k ( 54k for Vascular surgery including 13k for high cost amputations) & 48k for General Surgery (Very Complex Large Intestine Procedure ) Outpatients 111k above plan (Respiratory Medicine which is subject to counting & coding change and QIPP) Emergency 56k over plan (mainly within Vascular Surgery due to case-mix) NEL 63k ( 36k Cardiology & 24k QIPP) Outpatients 111k above plan (Respiratory Medicine which is subject to counting & coding change and QIPP) Maternity 32k mainly due to deliveries above plan. 13

14 9. Non-Acute Commissioning and Primary Care YTD Budget YTD Actual YTD Variance % Variance FOT Budget FOT Actual FOT Variance % Variance Previous Month FOT Variance Improved/ (Deterior-ated) % Variance '000s '000s '000s % '000s '000s '000s '000s '000s Mental Health SLA 5,712 5, % 17,143 17, % % Mental Health Named Clients & NCAs 1,412 1, % 4,235 4, % % Mental Health Voluntary Sector Contracts % % % Mental Health Provisions % 1,214 1, % % Mental Health LD Provisions % % % Mental Health BCF Pass Through Payments % 1,320 1, % % Total MH Services 8,532 8, % 25,594 25, % % End Of Lifecare and Hospices % % % Intermediate Care % % % Community Block Contract & Services 5,773 5, % 17,319 17, % % Continuing Care 6,849 6, % 20,547 20, % % Total Community Services 13,260 13, % 39,782 39, % % Primary Care Developments % 1,768 1, % % Local Commissioned Services % 1,242 1, % % Out Of Hours % 1,457 1, % % Primary Care Delegated Commissioning 8,644 8, % 26,041 26, % % Prescribing 8,406 8, % 25,218 25, % % Total Primary Care Services 18,539 18, % 55,726 55, % % Other Programme Costs 2,958 5,246-2,288 (77.3%) 16,181 15, % % Total Other Programme Expenses 2,958 5,246-2, % 16,181 15, % % Total Non-Acute Programme Services 43,289 45,521-2, % 137, , % % 14

15 10. Running Costs YTD Budget YTD Actual YTD Variance % Variance FOT Budget FOT Actual FOT Variance % Variance Previous Month FOT Variance Improved/ (Deterior-ated) % Variance '000s '000s '000s % '000s '000s '000s '000s '000s Administration & Business Support % % % CEO Board And Office % % % Chair And Non-Execs % % % Primary Care Support % % % Commissioning % % % Corporate Costs % % % Finance % % % Performance % % % Quality Assurance % % % Recharges CSU % 1,566 1, % % General Reserve % % % Total Running Costs 1,391 1, % 4,174 4, % % 15

16 11. Statement of Financial Position STATEMENT OF FINANCIAL POSITION JUL-18 JUN-18 MAY-18 APR-18 ADJ-18 Intangible Assets 157, , ,611 92,556 97,056 Property, Plant And Equipment 164, , ,877 1, ,880 Non-current Assets Total 322, , ,488 93, ,936 Cash And Cash Equivalents (737,349) (736,133) (50,583) (940,175) 60,665 Current Trade And Other Receivables 2,683,040 2,183,583 4,188,478 2,372,805 3,885,258 Current Assets Total 1,945,691 1,447,450 4,137,895 1,432,630 3,945,923 Current Other Liabilities (371,929) (374,382) (330,845) (320,256) (441,735) Current Trade And Other Payables (28,649,366) (25,531,172) (26,232,686) (23,468,005) (25,036,789) Provisions Current Liabilities Total (29,021,295) (25,905,554) (26,563,530) (23,788,261) (25,478,524) Grand Total (26,753,480) (24,124,090) (22,087,147) (22,261,670) (21,162,665) General Fund 26,753,480 24,124,090 22,087,147 22,261,670 21,162,665 Financed by Taxpayers Equity: Total 26,753,480 24,124,090 22,087,147 22,261,670 21,162,665 Grand Total 26,753,480 24,124,090 22,087,147 22,261,670 21,162,665 This balance sheet snapshot reflects payments and payment runs made on or before 31 st July that have not yet been presented to the CCG s bank. The CCG s correct cash position is a surplus of 71k as per cash drawdown slide (page 18) 16

17 11. Cash Flow Statement STATEMENT OF CASH FLOWS JUL-18 JUN-18 MAY-18 APR-18 ADJ-18 (Increase) decrease in trade and other receivables (499,457) 2,004,894 (1,815,673) 1,512,453 (483,129) Depreciation and amortisation 11,890 4,474 4,474 4,474 5,789 Increase (decrease) in provisions Increase (decrease) in trade and other payables 3,115,740 (657,976) 2,775,269 (1,690,262) 4,150,315 Net operating costs for the financial year (24,811,956) (24,231,767) (23,369,701) (23,369,812) (27,387,933) Provisions utilised Cash Flows from Operating Activities: Total (22,183,782) (22,880,375) (22,405,631) (23,543,147) (23,714,958) (Payments) for intangible assets 0 0 (70,056) 4,500 (70,056) (Payments) for property, plant and equipment 0 0 (178,944) 267,000 (196,944) 2.Cash Flows from Investing Activities Total 0 0 (249,000) 271,500 (267,000) Net parliamentary funding received 22,182,566 22,194,825 23,544,223 22,270,807 24,226, Cash Flows from Financing Activities Total 22,182,566 22,194,825 23,544,223 22,270,807 24,226,505 Grand Total (1,215) (685,551) 889,592 (1,000,840) 244,547 Movement (1,215) (685,551) 889,592 (1,000,840) 244,547 Opening Amount (736,133) (50,583) (940,175) 60,665 (183,882) Closing Amount (737,349) (736,133) (50,583) (940,175) 60,665 17

18 11. Cash Drawdown to Month 4 Month Forecast Monthly Drawdown 000s Main Drawdown 000s Additional Drawdown 000s Difference between Forecast and Actual 000s Cumulative Drawdown 000s Proportion of Annual Cash Resource Limit KPI 1.25% of main drawdown 000s Actual month end cash balance 000s KPI achievem ent Apr-18 21,929 19,500 1,000-1,429 19, % % May-18 21,929 19,100 2, , % % Jun-18 21,929 20, ,629 61, % % Jul-18 21,929 19, ,729 81, % % Aug-18 21,929 25,000 3,400 6, , % 313 Sep-18 21,929 Oct-18 21,929 Nov-18 21,929 Dec-18 21,929 Jan-19 21,929 Feb-19 21,929 Mar-19 21,925 Annual Total 263, ,100 7,900 1,355 The cash target is achieved when the month end bank (not ledger) balance is less than 1.25% of the main cash drawdown value for that month. The cash target has been met in all months to date in This table has been updated to reflect the June 18 Cash Report figures. BANK REC Items not yet represented in the Ledger JUL-18 JUN-18 MAY-18 APR-18 SOFP Balance -737, ,133-50, ,175 BACS Run 809, ,029 83, ,598 Remittance 71,737 Un posted ,950 Outstanding Cheques less Bank Charges less Petty Cash Revised SOFP 71,475 75,070 32,524 95,783 Bank Balance 71,475 75,070 32,524 95,783 Difference

19 11. Analysis Of Aged Debt to Month 4 Org. Sales document number Transaction source Customer PO number Invoiced date Payment Due Date Total AR due amount AR overdue 1-30 amount AR overdue amount AR overdue amount AR overdue amount AR overdue amount AR overdue amount AR overdue 361+ amount Total AR due and Customer overdue amount number Customer name 08T T T STANDARD ORDER STANDARD ORDER STANDARD ORDER 08T OM YE 08T OM YE 08T T T T STANDARD ORDER STANDARD ORDER STANDARD ORDER STANDARD ORDER XXCELLIOTT 16/02/ /03/ , , ALL-W NHS WANDSWORTH CCG XXCELLIOTT 16/02/ /03/ , , ALL-W NHS WANDSWORTH CCG XXACIAPSK 10/03/ /03/ , , ALL-S- A NHS PROPERTY SERVICES LTD XXMFIGUEIR 29/03/ /04/ , , ALL-Z- EDO NHS ENGLAND XXMFIGUEIR 05/04/ /04/ , , ALL-Z- EDO NHS ENGLAND RE /07/ /07/ , , T-T SUTTON LONDON BOROUGH COUNCIL /07/ /07/ , , T-T SUTTON LONDON BOROUGH COUNCIL XXDMARSH 18/07/ /08/ , , ALL-W- MAN NHS WANDSWORTH CCG XXILOURO 21/07/ /08/ , , ALL-Z NHS ENGLAND 180, , , , ,309, Rank Customer Name Total AR O/S Amt AR Ageing AR Ageing 1-30 Amt Amt AR Ageing Amt AR Ageing Amt AR Ageing Amount AR Ageing Amount 1 SUTTON LONDON BOROUGH COUNCIL 490, , NHS ENGLAND 477, , , , NHS PROPERTY SERVICES LTD 205, , NHS WANDSWORTH CCG 135, , , Grand Total 1,309, , , ,

20 11. Better Payment Practice Code (BPPC) BETTER PAYMENT PRACTICE CODE Jun-18 Jul-18 NUMBERS FOR THE MONTH NHS NON-NHS TOTAL NHS NON-NHS TOTAL Total number of invoices paid in the month , ,183 Number of invoices paid within target , ,181 Numbers % for the month 97.4% 99.29% 98.94% 99.6% 99.90% 99.83% VALUES FOR THE MONTH Total value of invoices paid in the month 15,917 5,986 21,903 15,153 4,630 19,783 Value of invoices paid within target 15,863 5,899 21,762 15,153 4,618 19,771 Value % for the month 99.66% 98.55% 99.36% % 99.74% 99.94% CUMULATIVE NUMBERS TO THE MONTH Total number of invoices paid YTD 686 2,456 3, ,411 4,325 Number of invoices paid within target 673 2,437 3, ,391 4,291 Numbers % Cumulative 98.10% 99.23% 98.98% 98.47% 99.41% 99.21% CUMULATIVE VALUES TO THE MTH Total value of invoices paid YTD 47,910 16,490 64,400 63,063 21,120 84,183 Value of invoices paid within target 47,793 16,252 64,045 62,946 20,870 83,816 Value % Cumulative 99.76% 98.56% 99.45% 99.81% 98.82% 99.56% 20

21 Row Ref 12. Resource Limits As At Month 4 Contra Organisation Contra Org Code Contra Org Region Contra Org Region Code Type Rec/ NonRec Funding Stream Historic / In-Year Revenue Resource 000 Description (80 Characters) 1 X24 - NHS England Central X Non-recurrent Programme In-Year /19 Paramedic Allocations Mth01 - N/A 2 X24 - NHS England Central X Recurrent Programme In-Year 83 18/19 Opening Position between 08T and X24 - HRG 4 Mth01 - N/A 3 X24 - NHS England Central X Recurrent Programme In-Year (37) 18/19 Opening Position between 08T and X24 - IR Mth01 - N/A 4 X24 - NHS England Central X Recurrent Running Costs In-Year 4,141 18/19 Opening Position between 08T and X24 - Running Costs Mth01 - (blank) 5 13R - London Commissioning Hub 13R 13R Y56 Recurrent Programme In-Year 68 18/19 Opening Position between 08T and 13R - Recurrent Change Mth01 - (blank) 6 Q71 - London Q71 Q71 Y56 Recurrent Co-Comm In-Year 26,239 18/19 Opening Position between 08T and Q71 - Co Commissioning Mth01 - (blank) 7 13R - London Commissioning Hub 13R 13R Y56 Recurrent Programme In-Year 2,046 18/19 Opening Position between 08T and 13R Opening 1819 Recurrent Allocation Mth01 - (blank) 8 X24 - NHS England Central X Recurrent Programme In-Year 245,857 18/19 Opening Position between 08T and X Opening 1819 Recurrent Allocation Mth01 - (blank) 9 X24 - NHS England Central X Recurrent Programme In-Year 2,029 Additional Resource Mth X24 - NHS England Central X Non-recurrent Running Costs In-Year 33 Market Rent -Running Costs Mth X24 - NHS England Central X Recurrent Programme In-Year (62) Market Rent Mth X24 - NHS England Central X Non-recurrent Programme In-Year 47 HSCN Mth X24 - NHS England Central X Non-recurrent Running Costs In-Year 3 HSCN - running Costs Mth X24 - NHS England Central X Non-recurrent Programme Historic 1, /18 Brought Forward Surplus/Deficit Mth T - NHS Sutton CCG 08T Q71 Y56 Non-recurrent Programme In-Year 198 Moved from Delegated to Programme - GPFV Mth T - NHS Sutton CCG 08T Q71 Y56 Non-recurrent Co-Comm In-Year (198) Moved from Delegated to Programme - GPFV Mth Q71 - London Q71 Q71 Y56 Recurrent Programme In-Year 55 CHP Charges for voids and subsidies Mth03 J.Jeyatheswar en@nhs.net - 18 Q71 - London Q71 Q71 Y56 Non-Recurrent Programme In-Year 49 Liaison and Diversion /CYP Co-commissioning Mth03 J.Jeyatheswar en@nhs.net - 19 X24 - NHS England Central X Non-Recurrent Programme In-Year 504 Core Funding for RM Partners Cancer Alliance Mth03 susana.lukic@ nhs.net Cancer 20 X24 - NHS England Central X Non-Recurrent Programme In-Year 285 LWBC Revenue Funding Q1 for Pan London Cancer Alliance (RM Partners lead) Mth03 susana.lukic@ nhs.net Cancer 21X24 - NHS England Central X Non-Recurrent Programme In-Year 2,216ED Revenue Funding Q1 for RM Partners Cancer Alliance Mth03 susana.lukic@ nhs.net Cancer 22 X24 - NHS England Central X Non-recurrent Programme In-Year 217 Wave 1 Liaison MH Transf Funding Q1 & Q2 Mth03 None given Mental Health 23X24 - NHS England Central X Non-recurrent Programme In-Year 44DWP Employment Advisers in IAPT Mth03 None given Mental Health 24X24 - NHS England Central X Non-recurrent Programme In-Year 78Allocation for IUC pharmacist - Payment 1 of 7 (1st 2 quarters of a 2yr programme) Mth03 None given Primary Care 25 08K - NHS Lambeth CCG 08K Q71 Y56 Non-Recurrent Programme In-Year (88) Office of CCG Programme - Sutton CCG (08T) Mth04 mark.dowell@ swlondon.nhs. uk - 26 X24 - NHS England Central X Non-Recurrent Programme In-Year 1,052 Transformation - M04 IAT Adjustment for IR Changes Mth04 None given N/A 27 X24 - NHS England Central X Non-Recurrent Programme In-Year 285 LWBC Q2 Pan London (RM Partners Lead) Mth04 susana.lukic@ nhs.net Cancer 28 X24 - NHS England Central X Non-Recurrent Programme In-Year 2,216 ED Q2 RM Partners Alliance Mth04 susana.lukic@ nhs.net Cancer Month of transaction Contact for Further Information Underlying Position Category 288,949 21