South London
Pathfinder programme

Paving the way for specialised services delegation to ICSs from April 2024

Details

Further detail / documents of the South London Pathfinder programme is available on FutureNHS, within the Specialised Services Future Commissioning Model workspace (login required). 


[Pathfinder home]

Finance workstream

Objectives

  • Working with NHSE London Region contracting team to align seven regional associate contracts to SEL and SWL led host arrangements
  • Planning and safe transition to ICB allocation on ledger
  • Testing of accounting, cashflow and other national SOPs.
  • Testing attribution of financial flows to populations
  • Development of specialised finance matrix team approach (ICB and hub)
  • Aligning finance and contracting approaches
  • Risk management – including understanding impact of allocation formula change
  • Preparing ground for transformation opportunities (including whole pathway costing)
  • In depth work across NHSE, ICBs and providers to test comparability of service line reporting and costing (‘like for like’) – feedback to NHSE re impact on rebasing
  • Preparation for and management of impact of EPIC implementation in three tertiary trusts in 23/24
  • Development of lessons learned document to inform 24/25 planning across regions and ICBs

Success criteria

  • A low transactional cost system
  • A system with high levels of accuracy and timeliness
  • A process in which partners (providers, ICBs, regions, national team) feel engaged and recognise the final proposals for 24/25

Terms of reference

Download the Finance workstream terms of reference.