As part of new measures to help address financial challenges, Croydon CCG and Croydon Health Services NHS Trust have both been identified as requiring additional support to close long-standing financial deficits. This follows NHS England’s 2015/16 Annual Assurance Framework where all CCGs have been given an annual rating.  Croydon CCG have received a headline rating* for 2015/16.

Croydon CCG are now in financial special measures.  Since they came into being they have been working to address the huge deficit they inherited.  They have also been historically funded at a lower level to meet the health needs of the population leading to a tight budget for healthcare in the borough.  Clinical savings of £72 million have been made over the last five years and they have consistently met their financial targets whilst improving quality and performance each year. 

Their focus now is on transforming services to make them more efficient, effective and sustainable. This includes:

  • Making great strides with Croydon Council re Outcomes Based Commissioning (OBC) programme of work, transforming the way services for patients over 65 years old will be provided in Croydon by putting the things that matter most to them and their families at the heart of service provision.
  • A new network of urgent care services is being commissioned  to improve the outcomes, safety and experience of local people, helping them to get the right treatment by the right person in the right place when it launches in April 2017.
  • Real improvements have been made in cancer, mental health and A&E, urgent care and community services, improving the health of our population.

*Headline Rating:
Well led:                                   Good
Performance:                          Requires improvement
Financial Management:         Inadequate
Planning:                                  Requires improvement
Delegated Functions:            Good
Headline Assessment:         Requires improvement

As you can see from the five components of the rating, the financial position is the main element which has led to the overall rating. For this element the CCG has been rated as inadequate, as has been the case since authorisation in 2012 primarily due to the inherited financial deficit.

The CCG are pleased to have been rated as ‘Good’ for both the ‘Well-led’ and ‘Delegated Functions’ element of our annual assessment. The senior leadership team have made significant contributions to both the South West London STP and the Healthy London Partnership work for homelessness, 111 and urgency and emergency care. NHS England also appreciate that we have demonstrated innovative thinking in the development of our Outcomes Based Commissioning work for older people in the borough.

The CCG’s ratings for ‘Performance’ and ‘Planning’ are understandably brought down by the financial position. Overall, NHS England recognise the CCG’s commitment and engagement, and that there are significant challenges in the local health economy as a whole.

source Dr Anthony Brzezicki, Clinical Chair, Croydon CCG