“The speed with which the CSU were able to get the project up and running and the level of expertise they brought was excellent. Within 6 weeks we were able to implement an entire end to end National Tariff process which we wouldn’t have been able to do without the CSU’s involvement.” Carmen Chadwick Cox, Deputy Director of Commissioning, Somerset CCG
Yeovil District Hospital and Taunton & Somerset NHS Foundation Trust provide Acute hospital services to Somerset CCG.
Prior to April 2016, both trusts were still operating under historical ‘block’ arrangements. There was building pressure from NHS England to move to a full National Tariff contract.
Through the 2016/17 contracting negotiations it became clear, at very short notice, that in order to reach contract agreement this transition would be required, for the start of the new financial year.
SCW, being the current provider of the Business Intelligence component of the Multi Disciplinary Team (MDT), were commissioned by Somerset CCGs to review existing working practices and work closely with the CCG to manage the transition to a full National Tariff Contract from April 2016. In the immediacy SCW was required to ensure robust Activity and Finance Validation was completed, initially for month 1 data and then to establish sustainable on-going working practices.
- Advice and support to complete the 16/17 Contract Documentation, including application of legal and statutory National Tariff rules & data disciplines
- Dedicated additional senior finance resource with strong expertise in the Tariff
- Issued Month 1 ‘Challenge’ letters to both Trusts according to contract timetable (6 week turnaround) and worked with the CCG to tactically respond
- Established fully integrated, cross-organisational MDT processes and an approach for robust monthly Activity & Finance interrogation and validation
- Financial advice and guidance to manage development work plan and in-year risk
- Advice on longer-term substantive staffing requirement for MDT to enable management and development of the new National Tariff based contract
- Developed on-going CCG reporting requirements for the new contract
- Provided National Tariff training to local teams
- SCW, with the CCG, promptly recruited and embedded both permanent and interim contract, finance and BI expertise to support the CCGs business objectives
- Through drawing on the resources of the wider CSU geographic footprint we were able to apply our extensive experience of similarly complex, high-value Acute Provider Contracts, into this local area.
- Within the first week we were able to deliver an initial assessment of the CCG’s immediate need, explanation of the appropriate processes to establish, and likely medium to long-term solution. This quickly gave the CCG visibility of the scale of the task, an understanding of how best to mitigate considerable risk in a very tight delivery window, and assurance that the task could be delivered with strong management control.
- We offered significant finance and business intelligence expertise in advising the CCG on the legal and statutory processes surrounding the National Tariff to give the CCG confidence in negotiating and agreeing a new common and robust contract framework with the two trusts.
- The SCW team then guided the establishment of new processes for the cross-organisational Multi-Disciplinary Teams, providing a clear understanding of day-to-day operational roles and responsibilities, whilst enabling the CCG to retain overall leadership and full control of the processes, coherently across two internal teams.
- This work is replicable for other CCGs in similar circumstances as either a stand alone project or part of the Financial Recovery & Sustainability service.