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Understanding, and justifying, the impact of any commissioning authority has become increasingly necessary in the current economic climate and it is now widely accepted by various organisations and bodies as a means to demonstrate the benefits of commissioning services that satisfies the requirements of the commissioning cycle.

As a solution to this problem a web-based finance and activity model is available that will enable local commissioners to see the impact of QIPPs (or any other activity scenario that might be required locally) and will provide detail all the way down to the GP practice level.

Activity Model

Enables the delivery of the Commissioning Strategy Plan (CSP) for the CCG to NHS England by being a single point of input for all the planning variables that will need to be considered for the quantification of activity volumes and associated costs.

Enables the delivery of the Operating Plan for CCGs to NHS England by bridging the gap between the CSP and any subsequent refinements that may be published by the Department of Health; for example tariff changes and new readmission guidance.

Provides triangulation between commissioners and provider intentions

Supports the development of QIPPs by providing a single point for monitoring the impact of all the initiatives in your locality

Supports and informs the basis of all acute contract negotiations through the production of all provider impact analysis reports which would be required to illustrate the financial and activity impacts associated with each initiative

Facilitates the devolution of CCGs’ revenue based on whatever principles are applicable e.g. “fair shares” revenue and spend at a practice level

Enables the modelling of any activity and finance scenario that might be required for a locality and compares it with a ‘do nothing’ scenario

Stores the output in sequel server databases, data warehouses and cubes where applicable.

Provides a centralised repository of all planning assumptions including those of public health, thereby making the model a holistic medium for the reduction of health inequalities across the sector.

Provides an automated audit trail to enable tracking changes and scenario comparison

Provides financial monitoring by illustrating monthly actual spend against planned spend together with a yearend forecast using actuals

Provides the devolution of GP practice revenue and spend as well as providing access to all stakeholders for viewing and analysis of their respective budgets.

Provides both flexibility and overarching architecture

Current Model

The Finance and Activity Model is currently available to provide demonstrations to CCGs and has already been be used.

In 2011 and 2012 the East London and City Alliance (ELC) used the Activity and Finance Model and its plan was credited with full assurance by NHS London. The plan also enabled this sector/cluster to be in a state of readiness to deliver against the changing demands of NHS London regarding the Commissioning Strategy Plan submissions of 10/11 and the Operating Plan. NHS London feedback gave the following positive messages about this planning submission:

Future Developments

It is likely that, over time, CCGs will require more individual scenario modelling and will need to refine details to complement their specific business requirements and vision.

Consequently, a certain amount of bespoke development based on individual requirement capture will be needed to translate any individual CCG vision into relevant critical success factors or business objectives.

Digital Impact Ltd delivers their Activity and Financial planning tool with QIPP reporting functionality, through the use of agile development methodology. This will provide you with early and continuous opportunities to check that your business requirements are being met.