Sue Harriman's slides from the Portsmouth Innovation Forum, describing the task at hand for the NHS in Portsmouth and south east Hampshire.

1. The Problem at Scale

2. 16 Private andConfidential
Demand due to an
ageing population
Cost of
services
Advances in
technology
£540m-£610m gap by 2020/21
This equates to 19-21% of thecommissioner
allocation for H&IOW
Which is equal to the turnover of 2 of our smaller
provider trusts combined
….and does not include the shortfalls in socialcare
and specialised commissioning
Delivering these savings year on year will
require fundamental change
“Do nothing” by year
In a ‘do nothing’ scenario HIOW will face a
financial gap of a projected £540m -
£610m by 2020/21
Please note that these figures are only indicative as they are highly contingent on the assumptionsused.

3. -100.0
-80.0
-60.0
-40.0
-20.0
-
20.0
40.0
60.0
Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18
Surplus/(deficit)£m
STPFinancialPositionM7
NationalControlTotal
TotalActual
ForecastActual
ForecastRisk

5. Progress

7. 7
8 commissioning
groups
3 acute trusts
3 mental health
providers
2 ambulance trusts
and NHS 111
providers
226 GP practices
1 county council
1 integrated trust
IOW
2 community
providers
3 out of hours
providers
3 unitary
authorities
21
providers 8 CCGs
11 district & borough
councils
Complexity and conditioned behaviours in a large patch: