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SOH900071-0001

Mandatory_ Cost Pressures % as a proportion of the totals of the 01/02 SLA

Non Cap Single Review Review Jnr Drs Non Pay use/ Health Organisation Body Pay Body Pay New Deal Inflation IndexationCharges Decontamination Total Award Award % % % % % % % Reading PCT RH4 QA7 2.59 0.35 0.60 0.53 0.31 PCT RHW QA7 2.52 0.34 0.61 0.56 0.29 Wokingham PCT 5DN QA7 2.57 0.46 0.57 0.62 0.31 Newbury & Community PCT 5DK QA7 2.59 0.35 0.60 0.53 0.31 Bracknell PCT 2.60 0.40 0.60 0.65 0.29 Windor, Ascot & Maidenhead PCT 2.58 0.36 0.58 0.64 0.31 HA QA7 2.66 0.41 0.62 0.60 0.31

Milton Keynes PCT 5CQ QA8 1.77 0.86 0.36 0.41 0.73 0.03 Presc? Vale ofAylesbury PCT 5DP QA8 1.99 0.80 0~30 0.40 0.70 0.23 Chiltern & Sth Bucks PCT QA8 2.26 0.64 0.38 0.35 0.57 0.12 0.13 wycombe Area PCT QA8 2.29! 0.65 0.38 0.39 0.50 0.64! 0.12 HA QA8 2.04 0.76 0.35 0.39

Ashford and Coastal hepway ~. hanet East HA QAE 1.11 0.03 1.05 0.57 0.57 3.33

East EImbridge PCT 2.70 0.30 0.50 0.80 0.50 0.20 East PCT 3.10 0.10 0.20 0.80 0.60 0.50 0.30 East Surrey HA QAK 2.80 0.20 0.40 0.80 0.50

Brighton and Hove Downs Bexhill & Rother PCT 5AX QAM & St Leonards PCT 5FJ QAM Sussex Weald and Downs HA QAM 1.75 0.69 0.57 0.60 0.30 0.45 4.36

Fareham & PCT 3.79 0.64 0.68 1.46 0.75 7.32 8.14 lOW PCT 5DG QEV 4.13 0.48 0.68 2.30 0.55 Portmouth City PCT QEV 3.65 0.41 0.58 1.63 0.75 7.02 7,10 iEast Hants PCT 5FD QEV 3.86 0.37 0.44 1.69 0.74 loW/ HA QEV

North Hants PCT 5DF QD1 Mid Hants PCT 5E9 QD1 Hart PCT N&M Hants HA QD1

!.)xford City PCT 5DW QCE South East PCT 5DX QCE South West Oxford PCT 5DY QCE North East Oxford PCT 5DT QCE Cherwell Vale PCT 5DV QCE HA QCE

Eastleigh & TVS PCT City PCT 5AD QD3 New Forest PCT 5A1 QD3 Southampton & SW Hants HA QD3

Maidstone & Mailing PCT 5FG QAF South West Kent PCT 5FF QAF , Gravesham & PCT 5CM QAF West Kent HA QAF

North Surrey PCT Guildford & Waverley PCT Woking PCT West Surrey HA QAL

Arun, Adur, & 1.69 0.70 0.26 0.63 0.56 0.21 4.05 Chichester Regis 1.86 0.56 0.36 0.71 0.49 0.15 4.13 4.54 1.85 0.67 0.28 0.61 0.53 0.60 4.39 Horsham 1.76 0.68 0.33 0.61 0.52 0.49 4.48 Mid Sussex PCT 5FK QAN 1.52 0.69 0.76 0.62 0.41 0.48 4.28 HA QAN 1.74 0.68 0.38 0.65 0.51 0.32 SOH900071-0002

Primary_ Care Prescribing Expressed as % of 2001/02 Prescribing Budget

01/02 02/03 Incr. To 02/03 2002/03 Health Organisation Budget Inflation Develop’ts meet FOT Total vs.FOT uplift incl. NICE

% % % % % Reading PCT RH4 QA7 Slough PCT RHW QA7 Wokingham PCT 5DN QA7 Newbury& Community PCT 5DK QA7 Berkshire HA QA7 +2.99 0.00 10.22 0.00 10.22

Milton Keynes PCT 5CQ QA8 Vale ofAylesbury PCT 5DP QA8 iChiltern & Sth Bucks PCT QA8 Wycombe Area PCT QA8 Buckinghamshire HA QA8 +7.59 5.74 2.74 7.78 16.26

Ashford Canterbury and Coastal Shepway Thanet --ast Kent HA QAE 3.86 8.66 12.52

East Elmbridge PCT East Surrey PCT East Surrey HA QAK +0.79 0.00 8.00 1.00 9.00

Brighton and Hove Eastbourne Downs Bexhill & Rother PCT 5AX QAM Hastings & St Leonards PCT 5FJ QAM Sussex Weald and Downs East Sussex HA QAM 5.71 9.60 5.78 21.09

Fareham & Gosport PCT 8.57 2.71 9.50 20.78 lOW PCT 5DG QEV 7.58 12.91 20.49 Portmouth City PCT QEV 8.46 2.71 8.51 19.68 East Hants PCT 5FD QEV 9.12 2.73 8.37 20.22 loW/Portsmouth HA QEV

North Hants PCT 5DF QD1 Mid Hants PCT 5E9 QD1 Rushmoor Hart PCT N&M Hants HA QD1 0.03 0.04

Oxford City PCT 5DW QCE South East Oxford PCT 5DX QCE South West Oxford PCT 5DY QCE North East Oxford PCT 5DT QCE CherwetlVale PCT 5DV QCE Oxfo~:dshire HA QCE +5.27 5.27 10.53 1.80 17.60

Eastleigh & TVS PCT 6.74 2.49 7.76 16.99 Southampton City PCT 5AD QD3 6.03 2.65 7.52 16.20 New Forest PCT 5A1 QD3 7.31 10.68 17.99 Southampton & SW Hants HA QD3 +7.70 6.65 5.42 4.95 17.02

Maidstone & Mailing PCT 5FG QAF South West Kent PCT 5FF QAF Dartford, Gravesham & Swanley PCT 5CM QAF West Kent HA QAF +4.39 3.87 8.05 5.92 17.84

North Surrey PCT Guildford & Waverley PCT Woking PCT Wes~ Surrey HA QAL -36.80 4.79 7.36 1.77 13.92

Arun, Adur, & Worthing 5.79 8.41 2.10 16.31 Chichester Regis 6.10 8.46 2.12 16.65 Crawley 7.82 8.65 2.16 18.6; Horsham 4.82 8.38 2.10 15.3(: Mid Sussex PCT 5FK QAN 3.81 8.31 2.08 14.2(~ West Sussex HA QAN 5.71 8.44 2.11 16.2( SOH900071-0003

Other Cost Pressures % as a proportion of the totals of the 01/02 baseline

Cost of Health Organisation CNST Living Pay Drift Total Supp. % % % % Reading PCT RH4 QA7 0.45 Slough PCT RHW QA7 0.51 Wokingham PCT 5DN QA7 0.48 Newbury & Community PCT 5DK QA7 0.30 Bracknell PCT 0.46 Windsor, Ascot & Maidenhead PCT 0.48 Berkshire HA QA7 0.47

Milton Keynes PCT 5CQ QA8 0.70 0.00 Vale ofAylesbury PCT 5DP QA8 0.56 0.00 Chiltern & Sth Bucks PCT QA8 0.63 0.00 Wycombe Area PCT QA8 0.55 0.00 Buckinghamshire HA QA8 0.62 0.00

Ashford Canterbury and Coastal Shepway iThanet ~East Kent HA QAE 0.26 0.67 0.00 0.93 East Elmbridge PCT 0.40 East Surrey PCT 0.40 East Surrey HA QAK 0.40

Brighton and Hove Eastbourne Downs Bexhill & Rother PCT 5AX QAM Hastings & St Leonards PCT 5FJ QAM Sussex Weald and Downs East Sussex HA QAM 0.50

Fareham & Gosport PCT 0.29 0.21 0.02 0.52 lOW PCT 5DG QEV 0.35 0.00 0.09 0.44 Portmouth City PCT QEV 0.60 0.23 0.08 0.91 East Hants PCT 5FD QEV 0.60 0.20 0.07 0.87 loW/Portsmouth HA QEV

North Hants PCT 5DF QD1 Mid Hants PCT 5E9 QD1 Rushmoor Hart PCT N&M Hants HA QD1

xford City PCT 5DW QCE outh East Oxford PCT 5DX QCE iouth West Oxford PCT 5DY QCE North East Oxford PCT 5DT QCE CherwellVale PCT 5DV QCE Oxfordshire HA QCE

Eastleigh & TVS PCT 0.35 0.29 0.64 Southampton City PCT 5AD QD3 0.22 0.49 0.71 New Forest PCT 5A1 QD3 0.30 0.42 0.72 Southampton & SW Hants HA QD3 0.28 0.42 0.70

Maidstone & Mailing PCT 5FG QAF South West Kent PCT 5FF QAF Dartford, Gravesham & Swaniey PCT 5CM QAF West Kent HA QAF

North Surrey PCT Guildford & Waverley PCT Wokin~l PCT Wes~ Surrey HA QAL

Arun, Adur, & Worthing 0.52 0.00 0.00 0.52 Chichester Regis 0.50 0.00 0.00 0.50 Crawley 0.59 0.00 0.00 0.59 Horsham 0.59 0.00 0.00 0.59 Mid Sussex PCT 5FK QAN 0.56 0.00 0.00 0.56 West Sussex HA QAN 0.54 0.00 0.00 0.54 RLA Adjustments Anticipated Recurrent Baseline (Expo Book Line N)

Movement Shared Free PC Perf. in StBOP Services Nursing Brokerage PMS Fund Provisions Top Slice Care

% % Berkshire HA QA7 Buckinghamshire HA QA8 East Kent HA QAE N/A N/A N/A N/A N/A N/A N/A East Surrey HA QAK yes yes yes yes East Sussex HA QAM yes yes loW/Portsmouth HA QEV yes yes yes yes N&M Hants HA QD1 0 0 0 0 yes Oxfordshire HA QCE Southampton & SW Hants HA QD3 West Kent HA QAF West Surrey HA QAL yes yes West Sussex HA I QAN yes yes yes SOH900071-0005

Financial Savings % as a proportion of the totals of the 01/02 SLA

01/02 Recovery Health Organisation CRES PIPs Plans % % % Reading PCT RH4 QA7 Slough PCT RHW QA7 Wokingham PCT 5DN QA7 Newbury & Community, PCT 5DK QA7 Berkshire HA QA7 0.00 0.00 0.00

Milton Keynes PCT 5CQ QA8 Vale ofAylesbury PCT 5DP QA8 Chiltern & Sth Bucks PCT QA8 Wycombe Area PCT QA8 Buckinghamshire HA QA8

Ashford Canterbury and Coastal Shepway Thanet East Kent HA QAE N/A N/A N/A

’Fast Elmbridge PCT East Surrey PCT East Surrey’ HA QAK 0.09 0.30

Brighton and Hove Fastbourne Downs Bexhill & Rother PCT 5AX QAM Hastings & St Leonards PCT 5FJ QAM Sussex Weald and Downs East Sussex HA QAM 1.24 0.21

Fareham & Gosport PCT 0.53 0.63 lOW PCT 5DG QEV 0.43 1.52 1.95 Portmouth City PCT QEV 0.71 0.70 East Hants PCT 5FD QEV 0.75 0.64 loW/Portsmouth HA QEV

North Hants PCT 5DF QD1 0.47 Mid Hants PCT 5E9 QD1 1.12 Rushmoor Hart PCT 0.03 N&M Hants’ HA QD1 0.54

City PCT 5DW QCE ~oXfOrduth East Oxford PCT 5DX QCE South West Oxford PCT 5DY QCE North East Oxford PCT 5DT QCE CherwellVale PCT 5DV QCE Oxfordshire HA QCE

Eastleigh & TVS PCT 0.67 1.58 Southampton City PCT 5AD QD3 1.06 1.65 New Forest PCT 5A1 QD3 0.82 1.68 Southampton & SW Hants HA QD3 0.89 1.64

Maidstone & Mailing PCT 5FG QAF South West Kent PCT 5FF QAF Dartford, Gravesham & Swanle~/PCT 5CM QAF West Kent HA QAF 1.28

North Surrey PCT Guildford & Waverley PCT Woking PCT West Surre,/HA QAL 0.18 2.3£

Arun, Adur, & Worthing Chichester Regis Crawley Horsham Mid Sussex PCT 5FK QAN West Sussex HA QAN 1.40 0.76 0.2,~ SOH900071-0006

Investment to achieve taraet % as a proportion of the totals of the 01/02 SLA

Bldg Capacity Pr. Care FYE 01/02 Health Organisation Cancer CHD MH IM&T Proposal Access Dev’ts

% % % % % % % Reading PCT RH4 QA7 Slough PCT RHW QA7 Wokingham PCT 5DN QA7 Newbur~ & Community PCT 5DK QA7 Berkshire HA QA7 3.44 0.19 0.15 0.19 0.50 0.21 0.51

Milton Keynes PCT 5CQ QA8 Vale of Aylesbury PCT 5DP QA8 Chiltern & Sth Bucks PCT QA8 Wycombe Area PCT QA8 Buckinghamshire HA QA8 2.09 0.19 0.09 0,23 0.17 0.23 0.16

Ashford Canterbury and Coastal Shepway Thanet East Kent HA QAE 2.90 0.29 0.14 0.26 0.13 0.20

East Elmbridge PCT East Surrey PCT East Surrey HA QAK 1.48 0.40 0.30 0.20 0.12 0.20 2.70

Brighton and Hove astbourne Downs ~ exhill & Rother PCT 5AX QAM Hastings & St Leonards PCT 5FJ QAM Sussex Weald and Downs East Sussex HA 2.85 0.37 0.30 0.74 0.29 0.28 0.06

Fareham & Gosport PCT 4.08 0.18 0.14 0.18 0.13 0.20 IOWPCT 5DG QD2 1.54 0.56 0.20 0.29 0.19 0.28 1.92 Portmouth City PCT QD2 3.23 0.30 0.23 0.29 0.22 0.33 East Hants PCT 5FD QD2 5.59 0.27 0.22 0.27 0.20 0.30 loW/Portsmouth HA

iNorth Hants PCT 5DF QD1 0.00 0.00 0.00 0.00 0.00 0.00 0.01 Mid Hants PCT 5E9 QD1 0.02 0.00 0.00 0.00 0.00 0.00 0.02 Rushmoor Hart PCT 0.01 0,00 0.00 0.00 0.00 0.00 0.02 N&M Hants HA QD1 0.01 0.00 0.00 0.00 0.00 0.00 0.01

Oxford City PCT 5DW QCE South East Oxford PCT 5DX QCE South West Oxford PCT 5DY QCE North East Oxford PCT 5DT QCE CherwellVale PCT 5DV QCE Oxfordshire HA QCE

Eastleigh & TVS PCT 2.11 0.19 0.15 0.19 0.14 0.21 Southampton City PCT 5AD QD3 2.14 0.19 0.15 0.19 0.14 0.21 New Forest PCT 5A1 QD3 2.02 0.18 0.14 0.18 0.13 0.20 Southampton & SW Hants HA QD3 2.09 0.19 0.15 0.18 0.14 0.21

~laidstone & Mailing PCT 5FG QAF South West Kent PCT 5FF QAF Dartford, Gravesham & Swanley PCT 5CM QAF West Kent HA QAF 0.34 0.21 0.40 0.13 0.42 0.41

North Surrey PCT Guildford & Waverley PCT Woking PCT West Surrey HA QAL 4.44 0.62 0.14 0.36 0.32 0.19

Arun, Adur, & Worthing Chichester Regis Crawley Horsham Mid Sussex PCT 5FK QAN West Sussex HA QAN 0.58 0,20 0.16 0.00 0.15 0.22 1.1( SOH900071-0007

PORTSMOUTH & SOUTH EAST HEALTH ECONOMY

CANCER SERVICE DEVELOPMENT SCHEMES FOR ’EAR-MARKED’ CANCER MONIES IN 2002/03

Portsmouth Costs Year 1:2002/03 Year 2:2003/04 Organisations Item Rec, Cost Non Rec. Total Cost Add. Rec. Cost Add. Non Rec. Total Add. Cost Total Recurrent Responsible iYearl Year 1 Year1 Year 2 Year 2 Year 2 Cost 2002-04 2002/03 2002/03 2002/03 2003/04 2003/04 2003/04 PHT Linac - Radiotherapy Treatment 106,395 106,395 88,838 88,838 195,233 PCTs Clinical Nurse Specialist - Lymphodema 88,328 4,500 92,828 88,328 PCTs 3 Palliative Care Nurses 87,160 87,160 87,160 PCTs Health Improvement Programme 60,000 60,000 60,000 PHT & PCTs Oncology Physiotherapist 49,618 9,500 59,118 49,618 PHT Treatment Planning System 47,360 47,360 23,680 23,680 71,040 PHT CNS Upper GI ¯ 46,381 4,500 50,881 46,381 PCTs Clinical Psychologist - Cancer Services 37,640 3,000 40,840 37,840 PCTs Paediatric Palliative Care: out-of-hours 35,300 35,300 35,300 35,300 70,600 PHT CNS Gynae-Oncelogy 34,000 34,000 34,000 PHT CNS Uro-Oncelogy 34,000 34,000 34,000 PHT CNS Paediatric Oncelogy 34,000 34,000 34,000 PCTs SUHT relocation cost (est) 38,000! 38,000 18,000 18,000 56,000 Totals 698,382~ 21,500 719,882 165,818 0 165,818 864,200

NOTES:

Linac - Radiotherapy Treatment Prior commitment. Approved in full by District Cancer Services Group. Clinical Nurse Specialist - Lymphodema Postholder to be based in community. Macmillan Cancer Relief may fund salary for three years. Consumable costs to be tested as some may already be funded by PCTs. Palliative Care: 3 Palliative Care Nurses Further discussion/clarity needed about scope of roles, where based, who manages them and 1 Clinical Psychologist for Cancer how posts will complement existing community, hospice and hospital services. Paediatric Pall Care Out-of-Hours Service Portsmouth City PCT to identify alternative options for Paediatric Service to ensure best value fo Oncology Physiotherapist Increased inpatient throughput and ward capacity. Posts may be community based and inreach. Radiotherapy Treatment Planning System Approved in full by Distdct Cancer Services Group. CNS Upper GI Upper GI Service to confirm if CNS will be used to support or diagnose patients or a mix of both. CNS Gynae-Oncology Approved in full by District Cancer Services Group. CNS Uro-Oncelogy Approved in full by District Cancer Services Group.

CNS Paediatric Oncelogy Approved in full by District Cancer Services Group.

Schemes approved in 2002-03 will be a prior commitment for new cancer monies in 2003-04. I

All schemes to be supported by fully costed Outline Business Cases that include all set up and recurrent on-costs, e.g. travel, consumables.

NN:/CancedBids/SaFF Bids 2002-03 Portsmouth Version 11/02/2002