Financial Improvement Programme – Wave 2

Following the success of the first wave of the Financial Improvement Programme (FIP1), we are now launching FIP Wave 2 (FIP2).

We are seeking expressions of interest from trusts that wish to be involved in FIP2. If you would like to be involved, please respond by 12pm on Friday, 24 February.

FIP2 is designed to support trusts across the system maximise their financial improvement. In line with FIP1, FIP2 will be delivered at a local level through external suppliers paid for by trusts.

Selection criteria

Trust selection for the programme will be based on:

  • highest perceived financial opportunity for benefit from the programme, regardless of segmentation under the Single Oversight Framework
  • genuine enthusiasm from an effective trust management team to participate.

The financial opportunity can be seized only if there is real enthusiasm from local management to seize it.

Selected trusts will directly contract and pay for suppliers, but will benefit from central procurement and contract management support provided by NHSI. Trusts in FIP1 achieved a return of many times the cost they incurred.

Programme objectives

The key objective of FIP2 is to provide support to trusts to reduce costs materially thereby significantly improving both their 2017/18 and 2018/19 outturns while maintaining delivery of safe care.

Overall the programme will:

1. Provide additional on the ground expert capability and capacity from late March 2017 to:

  • identify and implement improvements to the way the trust undertakes financial improvement
  • identify savings the trust can make in 2017/18 and 2018/19 including making progress on Carter review savings and locum and agency work
  • deliver quick wins and enhanced CIP project management and delivery capability
  • leave the trust in a strong position to increase the savings implemented during the programme

2. Support a process of continuous learning during the programme (e.g. learning sets, workshops to share learnings, best practice visits etc.) that builds   upon learning from FIP1 and other financial improvement work undertaken across multiple trusts

3. Provide an NHSI lead for each trust that is part of the programme and with whom the senior trust leadership can discuss progress, concerns, and next steps

4. Be strongly delivery focussed, with a much-reduced diagnostic period of only two weeks. Provided both the trust and NHSI are happy with the scale of the opportunity identified, and the quality of the supplier work, there will be an implementation phase (of up to six months). During this time suppliers will be required to additionally focus on embedding processes, approaches and skills to ensure the sustainability of FIP benefits

5. Extend the engagement beyond six months in cases where specific additional longer term opportunities are identified

6. Adopt a streamlined NHSI approach for approval of consultancy expenditure by individual trusts on the basis of a high in-year return on investment.

Our support

In order to minimise the administrative and process burden on trusts of being a part of this programme, we will support and manage the procurement exercise (for multiple individual contracts) on behalf of the trusts involved. This centrally supported and managed procurement approach will also enable the NHS to maximise value for money from potential suppliers. We have seen that a large sector-wide procurement like FIP led by NHSI attracts interest from a wider range of consultants than smaller procurements led by individual trusts.

Following the procurement, we will provide real support and challenge in contract-managing suppliers and ensuring full value is delivered to trusts throughout the contract period.

The expert capacity and capability on the ground from suppliers will be procured to support trusts via individual contracts that will be funded from trust budgets. However, it is expected that the savings delivered in year will be in multiples of the supplier’s fee so that the programme represents an excellent investment by the trusts that are part of the programme.

The potential cost for a trust will vary according to both the size and complexity of the trust, and the extent of the trust’s existing financial improvement arrangements, with the cost for each trust being determined through the competitive procurement process. We will provide further information to trusts that express an interest and are successful in applying for this scheme.

Inclusion criteria

As with FIP1, we are expecting significant interest in FIP2 from trusts across the NHS. We may therefore have to prioritise requests for inclusion. Core to this prioritisation will be:

  • the potential size of a trust’s financial improvement opportunity
  • the capability and capacity of a trust’s management to seize the opportunity offered by FIP
  • the enthusiasm of a trust to participate in FIP

Further details regarding our expectations of the trusts and suppliers involved in the programme are currently being developed, as we are incorporating learnings from the experience of FIP1. However our objective remains to keep any additional reporting to NHSI as light as possible. Our intention is to encourage local ownership as much as possible through use of existing relationships with your NHSI leads.

Apply now

We strongly encourage trusts with real ambition to deliver financial improvement to express an interest in being a part of this programme. We have seen FIP1 trusts make real improvements to their financial position and we want to support more trusts in delivering these additional financial savings.

Please submit expressions of interest in being a part of this programme by no later than 12pm on Friday 24 February.

If you have any further questions or would like to express an interest in being a part of the programme, please contact your relationship lead or e-mail nhsi.financial-improvement@nhs.net.

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