What we spend
We have around £244.4m to spend each year on health services for local people.
We are committed to using this money to improve your health and to provide safe, high quality services while working to help you stay healthy.
In 2013/14 here's the big areas we are funding to keep you healthy:
- Hospital services- £135.9m (all hospital services including ambulance, maternity and accident and emergency)
- Community health services – £21.6m (community hospitals and community-based care including nurses, health visitors and therapists)
- Primary Care Medicines – £36.5m (prescriptions for medicines issued by GPs and health professionals)
- Mental health services – £18.1m (hospital and community based mental health services)
- Learning difficulties – £3.2m (services for people with learning difficulties, delivered in partnership with West Sussex County Council)
- Continuing and funded care – £19.1m (healthcare packages for people with continuing health care needs and funded nursing care for people in nursing homes)
- Other Programmes - £8.0m (Patient Transport Service, NHS 111, other CCG programme spend including corporate costs of £4.2m)
Please note that the CCG does not contract all health services - specialised services, dental, public health and primary care
How the CCG uses its Quality Premium payment
The ‘quality premium’ is intended to reward CCGs for improvements in the quality of NHS services it commissions, associated improvements to patient’s health outcomes and for reducing health inequalities in the local community.
The quality premium paid to the CCG in 2014/15 reflected the quality of the health services commissioned in 2013/14 based on four national measures and three local measures.
Quality premium payments may be used by the CCG for:
(i) the quality of health services; or
(ii) the outcomes achieved from the provision of health services; or
- reducing inequalities between patients with respect to
(i) their ability to access health services; or
(ii) the outcomes achieved for them by the provision of health services.
The CCG regularly reports progress against quality premium indicators in its Governing Body Performance Report. In 2014/15 the CCG used the £416,000 quality premium earned the previous year on the following schemes:
- Care Home Locally Commissioned Service (a scheme to improve quality in local care homes by providing enhanced GP support) £42,000
- Risk profiling and Care management Locally Commissioned service (a scheme to identify patients most at risk and provide enhanced care planning for them) £204,000
- A Community Geriatrician service that provides better care for frail elderly patients with complex needs £130,000
- A Care Home in reach team to improve the quality of care provided within homes. £40,000
Annual Report and Accounts
The Better Care Fund in West Sussex
The Better Care Fund is a new single, shared budget between health (NHS) and social care that is designed to bring about closer working to deliver better services for the population of West Sussex.
The aim is that it will support health and social care to transform local services; to concentrate on providing people with the right care, in the right place, at the right time; care that is planned and tailored to a person’s individual needs; and that is delivered in partnership, to the highest possible standards.
Expenditure over £25,000
We are committed to being open and transparent in relation to how public funds are used and with this in mind, we publish expenditure over £25,000. These are published in 'CSV' format so they can be linked into the Government’s data.gov.uk website.
Please note - you may identify single lines in the files which are below £25,000. This is because the payment to the supplier has been split across a number of service areas. However, the total transaction with the supplier is greater than £25,000.
Publication of Financial Sanctions (application of NHS Standard Contract terms) 2015/16
As part of the national rules surrounding arrangements within the NHS Standard Contract Horsham and Mid Sussex CCG is required to report on financial fines and penalties imposed on providers for not achieving national standards of performance.
In year monitoring:
All sanctions (fines and penalties) are monitored for each individual provider on a monthly basis as part of routine contract management arrangements. This will include dialogue with the provider about the level and type of sanction.
For contracts where Horsham and Mid Sussex CCG do not hold a co-ordinating commissioner role the CCG receives updates from other commissioners outlining the sanctions being applied supported by relevant evidence.
Basis of the calculation:
Sanctions are routinely calculated and form part of the routine monitoring of contracts, recognising the national requirements against each indicator within:
- Operational Standards - Included are the constitutional requirements to 18 weeks referral to treatment, A&E waiting times, Cancer standards, mixed sex accommodation, cancelled operations
- National Quality Standards - Included are MRSA, C-Diff, over 52 week waiters, Ambulance handovers, duty of candour, parity of esteem
- Local standards - Included are re-admission rates.
Information on Sanctions applied(/estimated):
Each NHS trust and health body is directed by the Secretary of State to provide counter fraud provision, these counter fraud officers are working with the CCG towards eradicating fraud within the NHS.
If you work for our CCG and have a suspicion of a fraud occurring in your workplace, or if you are a member of the public that is concerned that a fraud might be taking place at the trust please do not hesitate to contact us.
Your counter fraud team are accredited professionals and belong to NHS Protect. Their contact details are:
NHS Counter Fraud Manager
Mobile: 07879 434976
Tel: 01424 776750
Email: email@example.com / firstname.lastname@example.org
NHS Counter Fraud Officer
Tel: 01424 776750
Mobile: 07979 503198
Email: email@example.com / firstname.lastname@example.org
NHS Counter Fraud Officer
Tel: 01424 776750
Mobile: 07827 230526
Email: email@example.com / firstname.lastname@example.org
Alternatively you can contact the NHS Fraud and Corruption Reporting Line 0800 028 40 60 or submit a report online.
What does NHS fraud look like?
- By health professionals: fraud by NHS professionals includes claiming for treatment or services not provided (e.g. medicines use reviews at pharmacies, dental treatment or optical services not carried out) and working elsewhere while on sick leave.
- By managers and staff: fraud by NHS managers and staff includes submitting fraudulent claims for grants and payments (e.g. false or inflated travel or subsistence claims, and fraudulent applications for funding and training).
- By contractors and suppliers: contractor and supplier fraud includes charging for items of a higher quality or greater quantity than those supplied, and using inappropriate tendering processes.
- By patients: patient fraud includes claiming for free or reduced cost treatment and services when not entitled, and using aliases to get prescription drugs.
The NHS Counter Fraud Service wants to hear from you if you have any suspicions of fraud. If in doubt – make the referral. Remember, fraud in the NHS deprives hospitals and patients of valuable equipment, staff and resources and costs you, the taxpayer, more money to fund the NHS. It’s your NHS. Don’t let them get away with it.