News

SYBICS News (12/2/18)

New name, and new system wide policies, system wide budgets and system wide commissioning.  With new operational plans by 30/04/18 to describe how CCGs will spend their money – but these CCG plans must fit with the SYBICS’s system wide plans, policy and system wide budget intentions.

NHS England now works alongside NHS Improvement.  NHSE has statutory responsibilities to oversee how CCGs work and NHS services are delivered in England, with other absolute responsibilities for pharmacies, for dentists, opticians and specialist services for rarer conditions.  NHSI has statutory responsibilities for working with NHS Trusts (formerly the Trust Development Authority and Monitor).

Both NHSE and NHSI jointly published the planning guidance update for 2018/19 for CCGs (Clinical Commissioning Groups, responsible for funding local NHS services). The update can be found at Refreshing the NHS Plan 2018/19, with Ps 11-14 being about how Accountable Care Systems are affected – beginning with the change to their name to Integrated Care Systems.

Briefly the new changes that will affect SYB include:

  • that it’s all to be SYSTEM WIDE – money (under system wide total financial control sums)  & all decisions & policies ‘aligned‘ across the system
  • that SYSTEM LEADERS have more control than the individual statutory CCG / Provider / LA leaders (and who are these system leaders accountable to?)
  • Everything must be endorsed/approved by NHS England & NHS Improvement at all stages introducing much more ‘central control’ than before

SO our CCGs can’t decide how to spend money allocated locally – they must fit SYBICS system plans & NHSE/NHSI & System Leaders must approve it all.

AND the SYBICS System Leaders must sort out any disagreements between the way CCGs want to run their local services for their local population and the way the System wants to run our NHS in SYB for the wider population.

ALSO any of the extra money made available to struggling CCGs and Trusts will only follow compliance with all of the system wide plans –  with many more incentives built into the whole thing now.

BUT –  who are the System Leaders?   Nobody knows!

Are they the SYBICS staff?  Are they the CCG Chairs?  Are they just the 5 ‘places’ in the SYBICS ‘footprint’?   Or are people in North Derbyshire and Mid Yorkshire included in these system leaders that now have so much power?

None of this is quite within the law – but they are doing it anyway!

 

Local NHS funding announced for 2018/19 (8/2/18)

NHS England has now published the revised allocation of NHS funding for each of our 5  CCGs (Clinical Commissioning Groups) to provide the NHS services their local population needs over the next financial year.  You can see this information on the NHS England website – just look for the CCG name on this page Revised CCG Allocations 2018/19

TOWN 2016 forecast for 2018/19 (What CCGs expected) Total sum for 2018/19 (What CCGs actually get)    +/- £s
Barnsley £379.236m £377.332m -£1.904m
Bassetlaw £159.280m £159.737m +£0.457m
Doncaster £452.107m £451.375m -£0.732m
Rotherham £364.303m £363.665m -£0.638m
Sheffield £761.852m £764.771m +£2.919m
TOTAL £2,116.778m £2,116.880m +£0.102m

Please Note: there was an additional sum for Sheffield  (£3.496m) and for Barnsley (£1.532m) that is money for two years (2017-2019) only for delivering GP access projects.

But it appears that allocation money is moving from Doncaster to Bassetlaw and Sheffield, but more money is moving from Rotherham and especially from Barnsley to Sheffield.  This is before the new system wide budget is set up from the individual CCG 2018/19 budget allocations.

It is important to note that the projected CCG allocations for 2018/19 that were published in 2016 was information that the new partnerships across SY & B used about available funding when they were writing their Sustainability and Transformation plans. 

They thought the amount of savings they were expected to make was £571 million, before 2021, but it turns out they will have to save a bit more money, as they are getting less funding next year than they expected when the STP was written.

 

What happened in SYB in 2017 (3/1/18):

SYBSTP (South Yorkshire & Bassetlaw Sustainability & Transformation Partnership) was given the go-ahead to work as an Accountable Care System, and to carry out the proposals in their STP plan.

They are making these changes by creating a complex bureaucracy (with management costs) to run services across the SYB area, and also at local level (more management costs).

This is to run our NHS services on the cheap.  Why? – Because the government won’t be giving SYB £571 million of the money our area needs in the next couple of years, to provide the NHS services that SYB people need.  So the money, staff, and their skills, will be stretched across a wider area by creating specialist centres and closing local units along with many smaller community care services.

Here is a snap shot of what happened in each of the 5 ‘places’ in 2017:

In Barnsley:

  • Hyper Acute Stroke Service partly closed & decision made to close the whole service
  • Mount Vernon hospital – community hospital – closed
  • Decision to close non-specialist Children’s Surgery and Anaesthesia in 2018
  • Free NHS Pain service acupuncture treatment service closed
  • Keresforth Centre for young disabled people to be closed
  • Hospital Review threatens Emergency Unit, Children’s Ward, Maternity & Neonatal

In Bassetlaw:

  • Children’s ward closed overnight – children transferred 18 miles to Doncaster
  • Out of hours GP service unavailable in some areas

In Doncaster:

  • Earmarked as a specialist stroke centre – potential overcrowding issues
  • Also potential specialist centre as part of hospital review and overcrowding issues

In Rotherham:

  • Decision to close Non-specialist Children’s Surgery & Anaesthesia services in 2018
  • Decision to close Hyper Acute Stroke Service in July 2018
  • Hospital Review threatens Emergency Unit, Children’s Ward, Maternity & Neonatal

In Sheffield:

  • Earmarked as a specialist stroke centre – potential overcrowding issues
  • Also potential specialist centre as part of hospital review and overcrowding issues
  • Minor Injury & Walk In Centres to be closed in city centre

REMEMBER – the NHS ‘belongs to the people’ – DON’T LET THEM STEAL IT!

We should all get a say in any changes to OUR NHS!

JOIN US – to oppose the destructive changes to OUR NHS!

 

Sheffield News (29/11/17)

  • Sheffield SSONHS have been working hard to collect signatures for our petition against the closure of the Minor Injuries Unit at the Hallamshire Hospital – we are getting a good response on street stalls and in the hospital itself, and  have made new contacts through this as well.  We’ve been invited to speak at 3 meetings so far – and counting.  The CCG public meeting was well-attended, with many people opposing the changes.
  • Scrutiny Committee called in the decision to endorse the Accountable Care Partnership shadow board for Sheffield and will discuss this at a special meeting on 5 December.
  • Our members continue to write monthly articles for the local paper.  In August they published this piece about commercialisation in the NHS, in September an article about Accountable Care and in November another on inspiration from Cuba.
  • MP Louise Haigh has been actively campaigning for the NHS for some time, for example here.

 

 

TOWN 2016 forecast for 2018/19 (What CCGs expected) Total sum for 2018/19

(What CCGs actually get)

Barnsley £379.236m £377.332m
Bassetlaw £159.380m £159.737m
Doncaster £452.107m £451.375m
Rotherham £364.303m £363.665m
Sheffield £761.852 £764.771m
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