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Annual Provider Finance Conference 2017, HFMA

Come and meet us at this event, we are exhibiting, it would be great to see you!

Date/Time:
06 July 2017 09:00 - 07 July 2017 14:00
Location:
Stand 26, Novotel London West

HFMA Annual Provider Finance Conference will give you the opportunity to network with more than 170 NHS senior finance staff from across the country, discover the views of some of the most respected speakers in the sector, develop a greater understanding of a range of key issues faced by trusts and catch up with old acquaintances and make new contacts in a relaxed and informal environment.
 


Guest Speakers

Bob Alexander, Deputy CEO and Director of Resources at NHS Improvement
Caroline Clarke, Chief Finance Officer and Deputy CE at the Royal Free London NHS Foundation Trust
Aaron Cummins, Director of Finance, University Hospitals of Morecambe Bay NHS Foundation Trust
Carolyn Gullery, General Manager Planning, Funding and Decision Support, Canterbury District Health Board, New Zealand
Chris Ham, Chief Executive, The Kings Fund 
Professor Andy Hardy, CEO at University Hospitals Coventry and Warwickshire NHS Trust and Coventry and Warwickshire STP Lead
Julian Hartley, CEO at the Leeds Teaching Hospitals NHS Trust
Emmi Poteliakhoff, Director of Model Hospital and Analytics, Operational Productivity, NHS Improvement
Amanda Pritchard, CEO, Guy's and St Thomas' NHS Foundation Trust and South East London STP Lead
Matthew Swindells, Executive Director: Operations & Information, NHS England
Steve Wilson, Executive Lead (Finance & Investment) at Greater Manchester Health & Social Care Partnership


Thursday 6 July 9:00-09:55

 (3A)     Moving towards the ACO model: developing payment systems

Gary Andrews, senior pricing development manager, NHS England, Daniel Revellward, pricing development manager, NHS Improvement and Qiongwen Kang, funding and incentives policy manager, NHS England

The NHS England /NHS Improvement Joint Pricing Team have a significant role to play in the movement towards accountable care systems, and accountable care organisations, across the health sector. New models of care are directly linked to capitated payment systems which are incentivising both commissioners and providers to focus on patient outcomes over activity. Whilst the benefits of these systems are clear, innovation is required to ensure all parties are working together under an effective national framework.

Gary will begin the session by providing an update on the work being carried out within his team. His colleagues, Daniel and Wen will then help facilitate group work giving you a chance to provide feedback, ask questions and influence national policy development for Accountable Care System payments development.

(3B)     STP governance in action: emerging approaches
Lisa Robertson, research manager – policy and technical, HFMA and Andy Ray, Deputy Director of finance, Basildon and Thurrock University Hospitals NHS FT

Since the announcement of sustainability and transformation plans (STP) in December 2015, there has been much activity in establishing relationships and plans for each footprint. With plans completed by the end of 2016, the focus is now on implementation and action. Now there is a shift in effort as areas turn their visions into reality and STPs take shape in a financial and care context that is already very demanding.

The HFMA’s recent NHS financial temperature check found that 72% of NHS finance directors were concerned about STP governance. Governance models must be clear, robust and flexible to support the fundamental changes required. A fine balance will be required to ensure that governance arrangements provide sufficient assurance, while helping to overcome barriers and ensuring that progress in developing and delivering new models of care is being made. There is no doubt that this transformation is necessary and the challenge now is for the NHS to make system level working ‘business as usual’.

Lisa will outline the key messages from the recent NHS financial temperature check and
HFMA briefing: Emerging approaches: developing STP governance arrangements. Andy will
share his experiences so far and what he feels are the key next steps to ensure effective
governance supports system level working. There will also be the opportunity for you to share your own experiences and reflect on how STP governance arrangements are developing.

(3C)     The road to resilience

Claire Merrick, coaching and mentoring services manager, HFMA

Navigating the challenges of the culture and climate of the NHS is a huge test for even the most resilient leaders in commissioner and provider organisations. Those in leadership and management roles are expected to be many things: an effective member of a courageous group strong enough to be held to account if the organisation falls short; a helpful sounding board providing advice or a steer; a decision-maker.  It is a difficult mix operating as a critical friend to executives, direct reports and suppliers. So how can we stay resilient?

This interactive session will explore:
What resilience is
How we can use resilience tools to build effective relationships between commissioners and providers
Ways to maintain resilience under pressure.Build your individual road to resilience to keep you and your organisation motoring in the face of adversity.

 (3D)     How capitation arrangements can be applied to meet the demands of the STP: NHS North Staffordshire CCG case study


Dr John Harvey, consultant in public health, North Staffordshire CCG, Paul Davies, senior consultant and Joanne Buckle FIA, principal & consulting actuary, Milliman LLP

Capitation arrangements are traditionally used as an alternative to fee-for-service reimbursement to facilitate a transfer of risk from the funder to providers of healthcare services. The objective of introducing risk sharing between funders and providers is to encourage the delivery of efficient and patient-centered care by incentivising the integration of services and minimising unwarranted variation in care.

Dr Harvey will provide an account of his work with Staffordshire CCG’s and Milliman LLP in identifying wasteful healthcare services and for which capitation could be used as an incentive mechanism to reduce in the future. Additionally, Milliman have explored how the principles of a traditional capitation arrangement may apply in a regional NHS system where the stakeholder roles differ and the implementation of various key capitation principles are not possible.


Thursday 6 July 10:05-11:00

 (4A)     Moving towards the ACO model: case study from Mid-Nottinghamshire 'Better Together'

Marcus Pratt, associate chief finance officer, Mansfield and Ashfield CCG and Gary Andrews, senior pricing development manager, NHS England

NHS Mansfield and Ashfield CCG are part of the Better Together vanguard; one of nine Primary and Acute Care Systems (PACS) within NHS England's Five Year Forward View. The programme set out to offer a framework for integrated care to tackle increasing demand for health and social care services across the Mid-Nottinghamshire area.

Marcus will explain how the Vanguard is working with Gary and the NHS pricing team to develop ways in which funds within an Alliance PACS model could flow. The session will also share their experiences of how financial risk sharing within the Better Together programme is being implemented, the recent alliance contract for Musculoskeletal (MSK) services and implications surrounding it.

 (4B)     Future-Focused Finance:  improving collaboration between providers and commissioners

Gayle Wells, strategic business accountant, Mersey Care NHS FT and Elisa Llewellyn assistant director of Finance – contracting, income & planning, East Kent Hospitals University NHS FT

With the emergence of new models of care and accountable care organisations throughout the NHS, providers and commissioners are exploring how best to work together through these emerging partnerships and alliances.  Working collaboratively instead of competitively has become more important than ever within the NHS.

Join Gayle and Elisa in this workshop, to hear more about the FFF toolkit that has been developed jointly with the King’s Fund, to help us to reflect on and improve their working relationships.

This workshop will:
Give an overview of the toolkit
Outline its success so far both with clinicians and finance teams
Give practical examples of how the tool can be utilised to improve relationships between providers and commissioners and potentially across STP footprints.

(4C)     Can we deliver a decade of NHS workforce efficiency?

Caroline Waterfield, assistant director of development and employment, NHS Employers & Paul Healy, head of analysis, NHS Confederation

Unprecedented savings have been made in the first half of this decade to close the gap between funding and public expectations. However, it has become increasingly apparent in recent years that productivity is now harder to achieve, yet the funding squeeze is expected to continue through to the next decade.

This session explores what potential is left to make savings and how the NHS might deliver new approaches to ensure the sustainability of the NHS workforce in the future. It will also explore the need to balance the immediate workforce supply challenges whilst focusing on developing the workforce for 2030.

 (4D)     Enabling collaborative cost reduction in healthcare

Gary Welch, programme director, Shelford Procurement Group Project and Chris Robson, managing director, Akeso & Co

Collaboration is increasingly recognised as a means for the NHS to drive greater efficiency – clinically, operationally and commercially. Applying this logic to Procurement & Supply Chain is especially relevant and powerful as it results in situations where NHS Customers are able to take a greater volume to market, drive greater supply chain integration and drive down costs to serve.

This workshop will be presented by Gary Welch, programme director of the Shelford Procurement Group Project and Chris Robson, managing director of Akeso & Co, a management consultancy supporting the collaborative programme. Chris and Gary will be sharing key insights and learnings from this programme, as well as other Akeso & Co collaborative programmes including the West Yorkshire Association of Acute Trusts and the Greater Manchester Combined Authority. The presentation will consider the key enablers to procurement and supply chain collaboration, the accelerators they have found which will drive value faster in new collaborative projects, and how they see collaborative procurement in the changing NHS landscape. 


Thursday 6 July 16:00-16.55

 (5A)     Learning from Canterbury: how international examples of integrated care are inspiring the NHS

Kate Hudson, chief finance officer, NHS South Tyneside CCG, Mark Girvan, senior project manager
‚ÄčNorth of England Commissioning Support Unit (NECS) and Carolyn Gullery, general manager planning, funding & decision support, Canterbury District Health Board, New Zealand

NHS South Tyneside CCG have been working closely with Canterbury District Health Board since last year, and Carolyn and Kate will begin by outlining the relationship between the two organisations and why both parties decided to work with each other. Mark will share their experiences incorporating HealthPathways, an innovative web-based tool developed for GPs, into their health economy to improve the referrals mechanism of patients moving into hospitals. The tool acts as an enabler to reduce variation and highlight pathways to ensure patients are offered the most appropriate services. Whilst still in its early stages, the system is already being used widely in the GP practices across the CCG's area and Mark will provide an update on the progress seen to date. The session will conclude with all three speakers offering their thoughts on lessons learnt, challenges, achievements and where and how best practice can be shared.

 (5B)     Future-Focused Finance:  improving relationships between Providers and Commissioners

Gayle Wells, strategic business accountant, Mersey Care NHS FT and Elisa Llewellyn assistant director of finance – contracting, income & planning, East Kent Hospitals University NHS FT

With the emergence of new models of care and accountable care organisations throughout the NHS, providers and commissioners are exploring how best to work together through these emerging partnerships and alliances.  Working collaboratively instead of competitively has become more important than ever within the NHS.

Join Gayle and Elisa in this workshop, to hear more about the FFF toolkit that has been developed jointly with the King’s Fund, to help us to reflect on and improve their working relationships.

This workshop will:
Give an overview of the toolkit
Outline its success so far both with clinicians and finance teams
Give practical examples of how the tool can be utilised to improve relationships between providers and commissioners and potentially across STP footprints.

 (5C)     Accountable Care Systems: implementation and delivery

David Loughton, chief executive officer, The Royal Wolverhampton NHS Trust and Jamie Foster, partner, Hempsons

David has been leading The Royal Wolverhampton NHS Trust’s pioneering vertical integration project and the development of an Accountable Care Organisation for the people of Wolverhampton and parts of South Staffordshire. Jamie has been advising leading NHS vanguard and other clients on developing new care models for integrated health and social care systems. David and Jamie will share will learning gained so far to support organisations to deliver the plans for Accountable Care Systems set out in Next Steps on the NHS Five Year Forward View.

Topics covered will include:
Strategic context and rationale
Decision-making and governance structures
Options for organisational form
Procurement and contracting
Staged implementation

 (5D)     Making costing work for you

Winston Piddington, costing transformation manager, NHS Improvement

This session will explore the types of costing information which trusts and CCGs have access to and will focus on how to make the most of this information at every level, from averaged reference costs to quality patient-level costing. NHS Improvement has been working with acute, mental health, ambulance and community trusts to develop consistent, patient-level costing information which follows the patient across the continuum of care. The next challenge is to apply that information to influence care delivery models.


Thursday 6 July 17:05-18:00

 (6A)     Learning from Canterbury, NZ: getting into the detail

Carolyn Gullery, general manager planning, funding & decision support, Canterbury District Health Board, New Zealand

Following on from Carolyn’s main stage plenary, we are offering a further session for those looking to get a more detailed picture of the Canterbury system, including a comprehensive look at alliance contracting, demand management, population-based planning, risk and reward arrangements and flow of funds.

 (6B)     The power of partnership: a tale from Morecambe Bay

Aaron Cummins, deputy CEO & chief finance officer, University Hospital of Morecambe Bay NHS FT

The Morecambe Bay health system has been on a significant journey of improvement in recent years. Moving from a system in special measures and with significant quality issues to a position of being rated as “Good” and “Outstanding” for care overall in its recent CQC inspection. In this session Aaron will describe this journey, providing an insight into the approaches taken both within the acute Trust and as part of working in partnership with the wider system. This will include an overview of the emerging Accountable Care system and the development of Bay Health and Care Partners – working without boundaries to drive an innovative, system based solution. The Power of Partnership!

 (6C)     An NHS trust and county council partnership approach to land development 

Gwyn Owen, head of housing, Essex County Council, Dawn Scrafield, director of finance and Chris Howlett, director of estates and facilities, Colchester Hospital University NHS FT

This workshop will explore the ways in which the public sector is working together to find innovative approaches to maximise the potential of surplus estates. Join Dawn, Chris and Gwyn to hear about their organisations’ experiences of how, by working in partnership, the Trust and Council have succeeded in bringing a disused site forward for development.

In this workshop, you will hear details of the journey both organisations have embarked on, the importance of both strong local relationships between health and local government and the need for plans to be politically acceptable locally.

 (6D)     E-Invoicing: generating both significant time and cost savings

John McLoughlin, senior finance lead in financial accounting and services, NHS England Matthew Jordan, eProc & eInvoicing team leader, NHS Shared Business Services

With the potential to save the NHS millions of pounds annually, moving to e-invoicing is a win-win for commissioners and providers. Join John and Matthew for an interactive workshop outlining the advantages of e-invoicing, including the cost and time savings that this generates, while demonstrating how simple e-invoicing is to use.

In this session, you will hear first-hand from colleagues at South Kent Coast CCG and Leeds Teaching Hospitals NHS Trust who have implemented e-invoicing and have already started to reap the benefits, whilst learning what resources and support is available to enable you to successfully implement e-invoicing in your organisation. This workshop is aimed at everyone attending the conference, providers, commissioners and other organisations.

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