MRET/readmissions spend for this year (2017/18)
Our position relating to the MRET/Readmissions spend for this year (17/18)
In the past this has been combined with a winter resilience pot to provide support to the local system throughout the year and specifically over the winter months. The total allocation has been in the region of £11m including £3.6m winter resilience.
As advised and in light of the CCG financial position there will be no winter budget available for additional project spend in 17/18. However, while the monitored projects have been managed within the total amount, there have also been a number of additional projects and initiatives which could easily have been considered as support within the national MRET/Readmissions criteria.
The MRET/Readmissions statement which was produced several weeks ago illustrates where the spending allocations are being made in line with national guidance. The amounts shown below are indicative of FYE position only, not an agreed budget spend as they are all subject to review periodically to ensure they are delivering the benefits intended in both quality and cost.
Finally, as is demonstrated we are over committed against the current allocation and while monies may be released as projects are reviewed it cannot be assumed that those amounts are available for new initiatives as we need to consider current commitments in other areas which are within the MRET/Readmissions criteria and the current over commitment.
System resilience budget 2017/18
Initial cash balance: £7,546,000
Current balance: £35, 918 overspend
Operating cash flow
- MRET: £2,646,000
- Re-admissions: £4,900,000
- Total operating income: £7,546,000
|Rapid assessment interface & discharge(RAID)||£994,000|
|Rapid Response (excluding Dacorum)||£3,800,000|
|3 x hospital ambulance liaison officer (Halo) (Q1 only)||£51,852|
|Care home improvement (CHIT) team||£168,000|
|Specialist care at home - stroke pathway||£120,000|
|Hospital at home CLCH||£783,146|
|Emergency care practitioners (ECP) car team||£403,000|
|Dacorum holistic health care team||£395,000|
|Spot purchase beds||£163,000|
|Additional beds from 2016/17 - Willow Court (Q1 only)||£69,920|
|HCT Inreach and weekend bed bureau||£192,000|
|GP front end April-June 2017 (Q1 only)||£100,000|
|Directory of services (DOS) additional staff||£15,000|
|Total operating expenses||£7,581,918|