Update on proposed 2016/17 non-recurrent increase in allocation due to impact of NHS Property Services move to charging market rents

Transcription

1 CCG Chief Financial Officers Financial Control NHS England Quarry House Quarry Hill Leeds LS2 7UE 11 th January 2017 Gateway reference number: Dear Colleague Update on proposed 2016/17 non-recurrent increase in allocation due to impact of NHS Property Services move to charging market rents Background You may recall that I wrote to you in October 2016 to confirm that the increase in rent charges proposed by NHS Property Services (NHSPS) for your direct tenancies, any void costs you incur, the impact on your main providers and the impact on local CSUs would be funded through an additional non-recurrent revenue allocation in 2016/17. That October communication was accompanied by a statement setting out the proposed increase in charges, based on information provided by NHS Property Services at that time. We requested positive confirmation that the information provided to you represented properties that were either directly payable by your CCG or related to properties from which you commission services from Providers, highlighting any properties which you did not believe to be accurately attributed. I had hoped that those confirmed allocations could be actioned before Christmas. The responses identified a number of changes required to the information provided by NHSPS to improve the accuracy of the data and a large number of queries regarding implementation of the move to market rent policy. Therefore the Masterfile data is still not yet robust enough from which to action the 2016/17 non-recurrent allocations, hence the delay. Actions since October We have been working through the responses received in conjunction with NHSPS. Having chased missing responses, there remain a number of CCGs who have yet to reply. Please can the CCGs included at Appendix 1 respond immediately to the above address; funding allocations will not be made in the absence of a response.

2 The initial letter in this process (sent by Steve Wilson in January 2016, being Director of Financial Control at that time) identified that the net impact of the increase on the freehold estate and decrease on the leasehold estate would be funded. However, due to the later than planned provision of detailed information by NHSPS, we appreciate the difficulty this causes you in 16/17 to ensure funds are reallocated appropriately. Therefore, we have updated the information to currently exclude the reduction in costs on leasehold properties for 2016/17 arising from the cut of the administration charge from 10% to 5%. We will continue to work with NHSPS and DH to confirm funding arrangements for 2017/18 onwards. From the review of responses, we have also so far actioned and/or agreed the following: Amended the information in the NHSPS Masterfile to reallocate properties appropriately, where incorrect alignment was identified, including reallocation of pharmacy and dental to NHS England. There are a small number of properties flagged as incorrectly allocated that we have not yet been able to reallocate and we await further information from NHSPS regarding the tenant. We have excluded these from the current proposed allocations. Excluded PFI properties which had erroneously been included within the initial NHSPS information as these will continue to be charged under separate arrangements. Excluded the impact arising from increases within the CSU estate, which NHS England proposes to mitigate directly, rather than through additional allocations to CCGs to be passed on to CSUs. Excluded the impact arising from properties for which CCGs identified they did not have a commissioning/contractual commitment with the occupier. Included the irrecoverable VAT and depreciation against all properties, which was previously funded directly by the Department of Health (DH) but which will now be incorporated into the total revised impact from NSHPS and the funding passed to NHS England by DH. Included an estimated split of additional allocation between Admin and Programme. This split is based on the assumption that CCG occupied space is admin and charges to CCGs for void & subsidies are programme. Following the above amendments and revised approaches, Appendix 2 sets out the indicative additional non-recurrent allocation for 2016/17 for each CCG, based on the current version of the NHSPS Masterfile. This separately identifies the value being allocated for leasehold irrecoverable VAT and depreciation. Amounts for freehold VAT and depreciation are included within the impact of the move to market rents columns. I hope this information assists in the preparation of your month 9 draft accounts.

3 Next steps re 2016/17 We are continuing to work with NHSPS on outstanding issues and queries which may result in further refinements to the Masterfile over the next few weeks, hence the sharing of the attached information as an indicative allocation at this time. If you require a breakdown of the figures included in Appendix 2, please contact england.psmarketrents@nhs.net. The next steps are as follows: (i) Allocation agreed: Please respond to england.psmarketrents@nhs.net by 27 th January 2017 to confirm agreement with the proposed 2016/17 allocation set out in Appendix 2. In your response, please confirm the Admin/Prog split is acceptable or provide an alternative representation. The corresponding non-recurrent allocation transfer will be actioned by the end of the first week in February. (ii) Allocation not agreed: For those CCGs who still do not agree with the proposed allocation, we must action the allocation transfer in the first week of March, which will be based on the most updated information available at that time. This will reflect resolution of as many remaining issues and queries as possible. CCGs should continue to work with their NHS PS local contact. On the basis of the attached indicative allocation and the subsequent allocation transfers, I would ask that each CCG make appropriate funds available to those who require them as soon as possible (including in advance of the receipt of the formal allocation) and strongly encourage full settlement (or partial settlement as a minimum) of outstanding bills with NHSPS. These additional funds are being provided to mitigate the increases in charges from NHSPS and should not be used for any other purpose. 2017/18 and 2018/19 As explained previously and above, the NHSPS Masterfile is the basis of the funding allocations with regard to move to market rents (previously notified estimate of 127m in total) and is some way from being as accurate as we can make it. Therefore the 2017/18-19 planning guidance previously issued regarding the 58m already in CCG baselines should continue to be followed whilst we complete work with CCGs, NHSPS and DH regarding the detail within the Masterfile and associated funding.

4 For your information regarding 2017/18 onwards, Appendix 3 shows the current version of allocation impacts which follow the basis set out in the initial letter dated January 2016, that is the net impact of the increase of freehold properties charges and reduction of leasehold charges. Once all of this work is completed to the best standard possible, the 2 year nonrecurrent allocation of top up funding to CCGs will be confirmed. This is likely to be at the start of 2017/18, with the intention that the funding is incorporated into CCG recurrent baselines from 2019/20. If you have any further queries, please contact england.psmarketrents@nhs.net. Yours sincerely Louise Hampson Interim Director of Financial Control CC NHS England Chief Financial Officer Regional Directors of Finance Director of Finance, NHS Property Services

5 Appendix 1 Outstanding responses from CCGs Region DCO DCO Team Org CCG London Q71 London 07M NHS Barnet CCG London Q71 London 07P NHS Brent CCG London Q71 London 09A NHS Central London (Westminster) CCG London Q71 London 07Q NHS Bromley CCG London Q71 London 07Y NHS Hounslow CCG London Q71 London 08G NHS Hillingdon CCG Midlands and East Q79 East 07G NHS Thurrock CCG London Q71 London 08C NHS Hammersmith and Fulham CCG London Q71 London 07W NHS Ealing CCG London Q71 London 07X NHS Enfield CCG Midlands and East Q76 North Midlands 05N NHS Shropshire CCG London Q71 London 08E NHS Harrow CCG London Q71 London 08T NHS Sutton CCG Midlands and East Q76 North Midlands 05D NHS East Staffordshire CCG Midlands and East Q79 East 06Y NHS South Norfolk CCG Midlands and East Q77 West Midlands 05H NHS Warwickshire North CCG South Q81 South East 09D NHS Brighton & Hove CCG

6 Appendix /17 Indicative Allocations Region DCO DCO Team Org CCG Admin Programme Total London Q71 London 07L NHS Barking & Dagenham CCG 2 1,218 1,220 London Q71 London 07M NHS Barnet CCG 15 4,141 4,156 London Q71 London 07N NHS Bexley CCG London Q71 London 07P NHS Brent CCG London Q71 London 07Q NHS Bromley CCG London Q71 London 07R NHS Camden CCG London Q71 London 07T NHS City and Hackney CCG - 2,400 2,400 London Q71 London 07V NHS Croydon CCG London Q71 London 07W NHS Ealing CCG London Q71 London 07X NHS Enfield CCG London Q71 London 07Y NHS Hounslow CCG London Q71 London 08A NHS Greenwich CCG London Q71 London 08C NHS Hammersmith and Fulham CCG London Q71 London 08D NHS Haringey CCG London Q71 London 08E NHS Harrow CCG London Q71 London 08F NHS Havering CCG London Q71 London 08G NHS Hillingdon CCG London Q71 London 08H NHS Islington CCG London Q71 London 08J NHS Kingston CCG London Q71 London 08K NHS Lambeth CCG London Q71 London 08L NHS Lewisham CCG London Q71 London 08M NHS Newham CCG 278 1,051 1,329 London Q71 London 08N NHS Redbridge CCG - 1,080 1,080 London Q71 London 08P NHS Richmond CCG London Q71 London 08Q NHS Southwark CCG London Q71 London 08R NHS Merton CCG 28 1,669 1,697 London Q71 London 08T NHS Sutton CCG London Q71 London 08V NHS Tower Hamlets CCG - 1,101 1,101

7 Region DCO DCO Team Org CCG Admin Programme Total London Q71 London 08W NHS Waltham Forest CCG London Q71 London 08X NHS Wandsworth CCG London Q71 London 08Y NHS West London (K&C& QPP) CCG - 4,722 4,722 London Q71 London 09A NHS Central London (Westminster) CCG - 1,304 1,304 Midlands & East Q76 North Midlands 03X NHS Erewash CCG Midlands & East Q76 North Midlands 03Y NHS Hardwick CCG Midlands & East Q76 North Midlands 04E NHS Mansfield & Ashfield CCG 12 1,220 1,232 Midlands & East Q76 North Midlands 04H NHS Newark & Sherwood CCG Midlands & East Q76 North Midlands 04J NHS North Derbyshire CCG 98 1,253 1,351 Midlands & East Q76 North Midlands 04K NHS Nottingham City CCG 3 1,353 1,356 Midlands & East Q76 North Midlands 04L NHS Nottingham North & East CCG Midlands & East Q76 North Midlands 04M NHS Nottingham West CCG Midlands & East Q76 North Midlands 04N NHS Rushcliffe CCG 20 1,256 1,276 Midlands & East Q76 North Midlands 04R NHS Southern Derbyshire CCG 29 1,001 1,030 Midlands & East Q76 North Midlands 05D NHS East Staffordshire CCG Midlands & East Q76 North Midlands 05G NHS North Staffordshire CCG Midlands & East Q76 North Midlands 05N NHS Shropshire CCG Midlands & East Q76 North Midlands 05Q NHS South East Staffs and Seisdon and Peninsular CCG Midlands & East Q76 North Midlands 05W NHS Stoke on Trent CCG Midlands & East Q76 North Midlands 05X NHS Telford & Wrekin CCG Midlands & East Q77 West Midlands 04X NHS Birmingham South and Central CCG - 1 1,008 1,007 Midlands & East Q77 West Midlands 05A NHS Coventry and Rugby CCG Midlands & East Q77 West Midlands 05C NHS Dudley CCG 5 1,049 1,054 Midlands & East Q77 West Midlands 05F NHS Herefordshire CCG Midlands & East Q77 West Midlands 05H NHS Warwickshire North CCG Midlands & East Q77 West Midlands 05J NHS Redditch and Bromsgrove CCG Midlands & East Q77 West Midlands 05L NHS Sandwell and West Birmingham CCG 61 1,015 1,076 Midlands & East Q77 West Midlands 05P NHS Solihull CCG Midlands & East Q77 West Midlands 05R NHS South Warwickshire CCG

8 Region DCO DCO Team Org CCG Admin Programme Total Midlands & East Q77 West Midlands 05T NHS South Worcestershire CCG 6-6 Midlands & East Q77 West Midlands 05Y NHS Walsall CCG Midlands & East Q77 West Midlands 06A NHS Wolverhampton CCG Midlands & East Q77 West Midlands 13P NHS Birmingham CrossCity CCG Midlands & East Q78 Central Midlands 03T NHS Lincolnshire East CCG Midlands & East Q78 Central Midlands 03V NHS Corby CCG Midlands & East Q78 Central Midlands 03W NHS East Leicestershire and Rutland CCG Midlands & East Q78 Central Midlands 04C NHS Leicester City CCG Midlands & East Q78 Central Midlands 04D NHS Lincolnshire West CCG Midlands & East Q78 Central Midlands 04F NHS Milton Keynes CCG Midlands & East Q78 Central Midlands 04G NHS Nene CCG 32 1,396 1,428 Midlands & East Q78 Central Midlands 04Q NHS South West Lincolnshire CCG Midlands & East Q78 Central Midlands 04V NHS West Leicestershire CCG Midlands & East Q78 Central Midlands 06F NHS Bedfordshire CCG Midlands & East Q78 Central Midlands 06K NHS East and North Hertfordshire CCG Midlands & East Q78 Central Midlands 06N NHS Herts Valleys CCG Midlands & East Q78 Central Midlands 06P NHS Luton CCG Midlands & East Q78 Central Midlands 99D NHS South Lincolnshire CCG Midlands & East Q79 East 06H NHS Cambridgeshire and Peterborough CCG Midlands & East Q79 East 06L NHS Ipswich and East Suffolk CCG ,059 Midlands & East Q79 East 06M NHS Great Yarmouth & Waveney CCG Midlands & East Q79 East 06Q NHS Mid Essex CCG Midlands & East Q79 East 06T NHS North East Essex CCG Midlands & East Q79 East 06V NHS North Norfolk CCG Midlands & East Q79 East 06W NHS Norwich CCG - 1,606 1,606 Midlands & East Q79 East 07G NHS Thurrock CCG Midlands & East Q79 East 07H NHS West Essex CCG ,010 Midlands & East Q79 East 07J NHS West Norfolk CCG Midlands & East Q79 East 07K NHS West Suffolk CCG Midlands & East Q79 East 99E NHS Basildon and Brentwood CCG

9 Region DCO DCO Team Org CCG Admin Programme Total Midlands & East Q79 East 99F NHS Castle Point and Rochford CCG Midlands & East Q79 East 99G NHS Southend CCG North Q72 Yorkshire and the Humber 02N NHS Airedale, Wharfedale and Craven CCG North Q72 Yorkshire and the Humber 02P NHS Barnsley CCG North Q72 Yorkshire and the Humber 02Q NHS Bassetlaw CCG North Q72 Yorkshire and the Humber 02R NHS Bradford Districts CCG North Q72 Yorkshire and the Humber 02T NHS Calderdale CCG North Q72 Yorkshire and the Humber 02V NHS Leeds North CCG North Q72 Yorkshire and the Humber 02W NHS Bradford City CCG North Q72 Yorkshire and the Humber 02X NHS Doncaster CCG North Q72 Yorkshire and the Humber 02Y NHS East Riding of Yorkshire CCG North Q72 Yorkshire and the Humber 03A NHS Greater Huddersfield CCG North Q72 Yorkshire and the Humber 03C NHS Leeds West CCG North Q72 Yorkshire and the Humber 03D NHS Hambleton, Richmondshire & Whitby CCG North Q72 Yorkshire and the Humber 03E NHS Harrogate and Rural District CCG North Q72 Yorkshire and the Humber 03F NHS Hull CCG North Q72 Yorkshire and the Humber 03G NHS Leeds South and East CCG North Q72 Yorkshire and the Humber 03H NHS North East Lincolnshire CCG North Q72 Yorkshire and the Humber 03J NHS North Kirklees CCG North Q72 Yorkshire and the Humber 03K NHS North Lincolnshire CCG North Q72 Yorkshire and the Humber 03L NHS Rotherham CCG North Q72 Yorkshire and the Humber 03M NHS Scarborough and Ryedale CCG North Q72 Yorkshire and the Humber 03N NHS Sheffield CCG North Q72 Yorkshire and the Humber 03Q NHS Vale of York CCG 31 2,302 2,333 North Q72 Yorkshire and the Humber 03R NHS Wakefield CCG North Q74 Cumbria and North East 00C NHS Darlington CCG North Q74 Cumbria and North East 00D NHS Durham Dales, Easington & Sedgefield CCG North Q74 Cumbria and North East 00J NHS North Durham CCG North Q74 Cumbria and North East 00K NHS Hartlepool and Stockton-on-Tees CCG North Q74 Cumbria and North East 00L NHS Northumberland CCG 5 1,002 1,007

10 Region DCO DCO Team Org CCG Admin Programme Total North Q74 Cumbria and North East 00M NHS South Tees CCG 3 1,570 1,573 North Q74 Cumbria and North East 00N NHS South Tyneside CCG North Q74 Cumbria and North East 00P NHS Sunderland CCG 17 2,374 2,391 North Q74 Cumbria and North East 01H NHS Cumbria CCG North Q74 Cumbria and North East 13T NHS Newcastle Gateshead CCG North Q74 Cumbria and North East 99C NHS North Tyneside CCG North Q75 Cheshire and Merseyside 01C NHS Eastern Cheshire CCG North Q75 Cheshire and Merseyside 01F NHS Halton CCG North Q75 Cheshire and Merseyside 01J NHS Knowsley CCG North Q75 Cheshire and Merseyside 01R NHS South Cheshire CCG North Q75 Cheshire and Merseyside 01T NHS South Sefton CCG North Q75 Cheshire and Merseyside 01V NHS Southport and Formby CCG North Q75 Cheshire and Merseyside 01X NHS St Helens CCG North Q75 Cheshire and Merseyside 02D NHS Vale Royal CCG North Q75 Cheshire and Merseyside 02E NHS Warrington CCG North Q75 Cheshire and Merseyside 02F NHS West Cheshire CCG North Q75 Cheshire and Merseyside 12F NHS Wirral CCG North Q75 Cheshire and Merseyside 99A NHS Liverpool CCG North Q83 Greater Manchester 00T NHS Bolton CCG North Q83 Greater Manchester 00V NHS Bury CCG North Q83 Greater Manchester 00W NHS Central Manchester CCG 33 1,098 1,131 North Q83 Greater Manchester 00Y NHS Oldham CCG North Q83 Greater Manchester 01D NHS Heywood, Middleton & Rochdale CCG North Q83 Greater Manchester 01G NHS Salford CCG North Q83 Greater Manchester 01M NHS North Manchester CCG North Q83 Greater Manchester 01N NHS South Manchester CCG North Q83 Greater Manchester 01W NHS Stockport CCG North Q83 Greater Manchester 01Y NHS Tameside and Glossop CCG North Q83 Greater Manchester 02A NHS Trafford CCG North Q83 Greater Manchester 02H NHS Wigan Borough CCG

11 Region DCO DCO Team Org CCG Admin Programme Total North Q84 Lancashire 00Q NHS Blackburn with Darwen CCG North Q84 Lancashire 00R NHS Blackpool CCG North Q84 Lancashire 00X NHS Chorley and South Ribble CCG North Q84 Lancashire 01A NHS East Lancashire CCG North Q84 Lancashire 01E NHS Greater Preston CCG North Q84 Lancashire 01K NHS Lancashire North CCG North Q84 Lancashire 02G NHS West Lancashire CCG North Q84 Lancashire 02M NHS Fylde & Wyre CCG South Q70 Wessex 10J NHS North Hampshire CCG South Q70 Wessex 10K NHS Fareham and Gosport CCG South Q70 Wessex 10L NHS Isle of Wight CCG South Q70 Wessex 10R NHS Portsmouth CCG - 1,506 1,506 South Q70 Wessex 10V NHS South Eastern Hampshire CCG South Q70 Wessex 10X NHS Southampton CCG 142 1,626 1,768 South Q70 Wessex 11A NHS West Hampshire CCG 14 1,136 1,150 South Q70 Wessex 11J NHS Dorset CCG South Q70 Wessex 99M NHS North East Hampshire and Farnham CCG South Q80 South West 11H NHS Bristol CCG South Q80 South West 11N NHS Kernow CCG 43 1,360 1,403 South Q80 South West 11T NHS North Somerset CCG South Q80 South West 11X NHS Somerset CCG South Q80 South West 12A NHS South Gloucestershire CCG South Q80 South West 99P NHS North, East, West Devon CCG 40 1,762 1,802 South Q80 South West 99Q NHS South Devon and Torbay CCG South Q81 South East 08J NHS Kingston CCG South Q81 South East 09C NHS Ashford CCG South Q81 South East 09D NHS Brighton & Hove CCG South Q81 South East 09E NHS Canterbury and Coastal CCG - 1,342 1,342 South Q81 South East 09F NHS Eastbourne, Hailsham and Seaford CCG South Q81 South East 09G NHS Coastal West Sussex CCG 242 1,467 1,709

12 Region DCO DCO Team Org CCG Admin Programme Total South Q81 South East 09H NHS Crawley CCG 111 1,415 1,526 South Q81 South East 09J NHS Dartford, Gravesham and Swanley CCG South Q81 South East 09L NHS East Surrey CCG South Q81 South East 09N NHS Guildford and Waverley CCG South Q81 South East 09P NHS Hastings & Rother CCG South Q81 South East 09W NHS Medway CCG South Q81 South East 09X NHS Horsham and Mid Sussex CCG - 1,065 1,065 South Q81 South East 09Y NHS North West Surrey CCG South Q81 South East 10A NHS South Kent Coast CCG South Q81 South East 10C NHS Surrey Heath CCG South Q81 South East 10D NHS Swale CCG 3 1,169 1,172 South Q81 South East 10E NHS Thanet CCG South Q81 South East 99H NHS Surrey Downs CCG South Q81 South East 99J NHS West Kent CCG ,001 South Q81 South East 99K NHS High Weald Lewes Havens CCG 42 2,393 2,435 South Q82 South Central 10G NHS Bracknell and Ascot CCG South Q82 South Central 10H NHS Chiltern CCG South Q82 South Central 10M NHS Newbury and District CCG South Q82 South Central 10N NHS North & West Reading CCG South Q82 South Central 10Q NHS Oxfordshire CCG South Q82 South Central 10T NHS Slough CCG South Q82 South Central 10W NHS South Reading CCG South Q82 South Central 10Y NHS Aylesbury Vale CCG South Q82 South Central 11C NHS Windsor, Ascot and Maidenhead CCG 47 1,036 1,083 South Q82 South Central 11D NHS Wokingham CCG South Q82 South Central 11E NHS Bath and North East Somerset CCG South Q82 South Central 11M NHS Gloucestershire CCG South Q82 South Central 12D NHS Swindon CCG South Q82 South Central 99N NHS Wiltshire CCG Total 5, , ,420

13 Appendix /18 net allocation impact Region DCO DCO Team Org CCG Admin Programme Total London Q71 London 07L NHS Barking & Dagenham CCG 2 1,217 1,219 London Q71 London 07M NHS Barnet CCG 15 4,141 4,156 London Q71 London 07N NHS Bexley CCG London Q71 London 07P NHS Brent CCG London Q71 London 07Q NHS Bromley CCG London Q71 London 07R NHS Camden CCG London Q71 London 07T NHS City and Hackney CCG - 1 2,330 2,329 London Q71 London 07V NHS Croydon CCG London Q71 London 07W NHS Ealing CCG London Q71 London 07X NHS Enfield CCG London Q71 London 07Y NHS Hounslow CCG London Q71 London 08A NHS Greenwich CCG London Q71 London 08C NHS Hammersmith and Fulham CCG London Q71 London 08D NHS Haringey CCG London Q71 London 08E NHS Harrow CCG London Q71 London 08F NHS Havering CCG London Q71 London 08G NHS Hillingdon CCG London Q71 London 08H NHS Islington CCG London Q71 London 08J NHS Kingston CCG London Q71 London 08K NHS Lambeth CCG London Q71 London 08L NHS Lewisham CCG London Q71 London 08M NHS Newham CCG 278 1,010 1,288 London Q71 London 08N NHS Redbridge CCG London Q71 London 08P NHS Richmond CCG London Q71 London 08Q NHS Southwark CCG London Q71 London 08R NHS Merton CCG 12 1,602 1,614 London Q71 London 08T NHS Sutton CCG London Q71 London 08V NHS Tower Hamlets CCG - 1,018 1,018

14 Region DCO DCO Team Org CCG Admin Programme Total London Q71 London 08W NHS Waltham Forest CCG London Q71 London 08X NHS Wandsworth CCG London Q71 London 08Y NHS West London (K&C& QPP) CCG - 4,669 4,669 London Q71 London 09A NHS Central London (Westminster) CCG 1,002 1,230 2,232 Midlands & East Q76 North Midlands 03X NHS Erewash CCG Midlands & East Q76 North Midlands 03Y NHS Hardwick CCG Midlands & East Q76 North Midlands 04E NHS Mansfield & Ashfield CCG 5 1,187 1,192 Midlands & East Q76 North Midlands 04H NHS Newark & Sherwood CCG Midlands & East Q76 North Midlands 04J NHS North Derbyshire CCG 98 1,253 1,351 Midlands & East Q76 North Midlands 04K NHS Nottingham City CCG 3 1,173 1,176 Midlands & East Q76 North Midlands 04L NHS Nottingham North & East CCG Midlands & East Q76 North Midlands 04M NHS Nottingham West CCG Midlands & East Q76 North Midlands 04N NHS Rushcliffe CCG 11 1,249 1,260 Midlands & East Q76 North Midlands 04R NHS Southern Derbyshire CCG Midlands & East Q76 North Midlands 05D NHS East Staffordshire CCG Midlands & East Q76 North Midlands 05G NHS North Staffordshire CCG Midlands & East Q76 North Midlands 05N NHS Shropshire CCG Midlands & East Q76 North Midlands 05Q NHS South East Staffs and Seisdon & Peninsular CCG Midlands & East Q76 North Midlands 05W NHS Stoke on Trent CCG Midlands & East Q76 North Midlands 05X NHS Telford & Wrekin CCG Midlands & East Q77 West Midlands 04W NHS Birmingham CrossCity CCG Midlands & East Q77 West Midlands 04X NHS Birmingham South and Central CCG Midlands & East Q77 West Midlands 05A NHS Coventry and Rugby CCG Midlands & East Q77 West Midlands 05C NHS Dudley CCG Midlands & East Q77 West Midlands 05F NHS Herefordshire CCG Midlands & East Q77 West Midlands 05H NHS Warwickshire North CCG Midlands & East Q77 West Midlands 05J NHS Redditch and Bromsgrove CCG Midlands & East Q77 West Midlands 05L NHS Sandwell and West Birmingham CCG Midlands & East Q77 West Midlands 05P NHS Solihull CCG

15 Region DCO DCO Team Org CCG Admin Programme Total Midlands & East Q77 West Midlands 05R NHS South Warwickshire CCG Midlands & East Q77 West Midlands 05T NHS South Worcestershire CCG Midlands & East Q77 West Midlands 05Y NHS Walsall CCG Midlands & East Q77 West Midlands 06A NHS Wolverhampton CCG Midlands & East Q77 West Midlands 13P NHS Birmingham CrossCity CCG Midlands & East Q78 Central Midlands 03T NHS Lincolnshire East CCG Midlands & East Q78 Central Midlands 03V NHS Corby CCG Midlands & East Q78 Central Midlands 03W NHS East Leicestershire and Rutland CCG Midlands & East Q78 Central Midlands 04C NHS Leicester City CCG Midlands & East Q78 Central Midlands 04D NHS Lincolnshire West CCG Midlands & East Q78 Central Midlands 04F NHS Milton Keynes CCG Midlands & East Q78 Central Midlands 04G NHS Nene CCG 18 1,348 1,366 Midlands & East Q78 Central Midlands 04Q NHS South West Lincolnshire CCG Midlands & East Q78 Central Midlands 04V NHS West Leicestershire CCG Midlands & East Q78 Central Midlands 06F NHS Bedfordshire CCG Midlands & East Q78 Central Midlands 06K NHS East and North Hertfordshire CCG Midlands & East Q78 Central Midlands 06N NHS Herts Valleys CCG Midlands & East Q78 Central Midlands 06P NHS Luton CCG Midlands & East Q78 Central Midlands 99D NHS South Lincolnshire CCG Midlands & East Q79 East 06H NHS Cambridgeshire and Peterborough CCG Midlands & East Q79 East 06L NHS Ipswich and East Suffolk CCG ,016 Midlands & East Q79 East 06M NHS Great Yarmouth & Waveney CCG Midlands & East Q79 East 06Q NHS Mid Essex CCG Midlands & East Q79 East 06T NHS North East Essex CCG Midlands & East Q79 East 06V NHS North Norfolk CCG Midlands & East Q79 East 06W NHS Norwich CCG - 1,600 1,600 Midlands & East Q79 East 06Y NHS South Norfolk CCG Midlands & East Q79 East 07G NHS Thurrock CCG Midlands & East Q79 East 07H NHS West Essex CCG ,031 Midlands & East Q79 East 07J NHS West Norfolk CCG

16 Region DCO DCO Team Org CCG Admin Programme Total Midlands & East Q79 East 07K NHS West Suffolk CCG Midlands & East Q79 East 99E NHS Basildon and Brentwood CCG Midlands & East Q79 East 99F NHS Castle Point and Rochford CCG Midlands & East Q79 East 99G NHS Southend CCG North Q72 Yorkshire and the Humber 02N NHS Airedale, Wharfedale and Craven CCG North Q72 Yorkshire and the Humber 02P NHS Barnsley CCG North Q72 Yorkshire and the Humber 02Q NHS Bassetlaw CCG North Q72 Yorkshire and the Humber 02R NHS Bradford Districts CCG North Q72 Yorkshire and the Humber 02T NHS Calderdale CCG North Q72 Yorkshire and the Humber 02V NHS Leeds North CCG North Q72 Yorkshire and the Humber 02W NHS Bradford City CCG North Q72 Yorkshire and the Humber 02X NHS Doncaster CCG North Q72 Yorkshire and the Humber 02Y NHS East Riding of Yorkshire CCG North Q72 Yorkshire and the Humber 03A NHS Greater Huddersfield CCG North Q72 Yorkshire and the Humber 03C NHS Leeds West CCG North Q72 Yorkshire and the Humber 03D NHS Hambleton, Richmondshire and Whitby CCG North Q72 Yorkshire and the Humber 03E NHS Harrogate and Rural District CCG North Q72 Yorkshire and the Humber 03F NHS Hull CCG North Q72 Yorkshire and the Humber 03G NHS Leeds South and East CCG North Q72 Yorkshire and the Humber 03H NHS North East Lincolnshire CCG North Q72 Yorkshire and the Humber 03J NHS North Kirklees CCG North Q72 Yorkshire and the Humber 03K NHS North Lincolnshire CCG North Q72 Yorkshire and the Humber 03L NHS Rotherham CCG North Q72 Yorkshire and the Humber 03M NHS Scarborough and Ryedale CCG North Q72 Yorkshire and the Humber 03N NHS Sheffield CCG North Q72 Yorkshire and the Humber 03Q NHS Vale of York CCG 4 2,291 2,295 North Q72 Yorkshire and the Humber 03R NHS Wakefield CCG North Q74 Cumbria and North East 00C NHS Darlington CCG North Q74 Cumbria and North East 00D NHS Durham Dales, Easington and Sedgefield CCG North Q74 Cumbria and North East 00J NHS North Durham CCG

17 Region DCO DCO Team Org CCG Admin Programme Total North Q74 Cumbria and North East 00K NHS Hartlepool and Stockton-on-Tees CCG North Q74 Cumbria and North East 00L NHS Northumberland CCG North Q74 Cumbria and North East 00M NHS South Tees CCG - 2 1,413 1,411 North Q74 Cumbria and North East 00N NHS South Tyneside CCG North Q74 Cumbria and North East 00P NHS Sunderland CCG 8 2,367 2,375 North Q74 Cumbria and North East 01H NHS Cumbria CCG North Q74 Cumbria and North East 13T NHS Newcastle Gateshead CCG North Q74 Cumbria and North East 99C NHS North Tyneside CCG North Q75 Cheshire and Merseyside 01C NHS Eastern Cheshire CCG North Q75 Cheshire and Merseyside 01F NHS Halton CCG North Q75 Cheshire and Merseyside 01J NHS Knowsley CCG North Q75 Cheshire and Merseyside 01R NHS South Cheshire CCG North Q75 Cheshire and Merseyside 01T NHS South Sefton CCG North Q75 Cheshire and Merseyside 01V NHS Southport and Formby CCG North Q75 Cheshire and Merseyside 01X NHS St Helens CCG North Q75 Cheshire and Merseyside 02D NHS Vale Royal CCG North Q75 Cheshire and Merseyside 02E NHS Warrington CCG North Q75 Cheshire and Merseyside 02F NHS West Cheshire CCG North Q75 Cheshire and Merseyside 12F NHS Wirral CCG North Q75 Cheshire and Merseyside 99A NHS Liverpool CCG North Q83 Greater Manchester 00T NHS Bolton CCG North Q83 Greater Manchester 00V NHS Bury CCG North Q83 Greater Manchester 00W NHS Central Manchester CCG ,069 1,052 North Q83 Greater Manchester 00Y NHS Oldham CCG North Q83 Greater Manchester 01D NHS Heywood, Middleton & Rochdale CCG North Q83 Greater Manchester 01G NHS Salford CCG North Q83 Greater Manchester 01M NHS North Manchester CCG North Q83 Greater Manchester 01N NHS South Manchester CCG North Q83 Greater Manchester 01W NHS Stockport CCG North Q83 Greater Manchester 01Y NHS Tameside and Glossop CCG

18 Region DCO DCO Team Org CCG Admin Programme Total North Q83 Greater Manchester 02A NHS Trafford CCG North Q83 Greater Manchester 02H NHS Wigan Borough CCG North Q84 Lancashire 00Q NHS Blackburn with Darwen CCG North Q84 Lancashire 00R NHS Blackpool CCG North Q84 Lancashire 00X NHS Chorley and South Ribble CCG North Q84 Lancashire 01A NHS East Lancashire CCG North Q84 Lancashire 01E NHS Greater Preston CCG North Q84 Lancashire 01K NHS Lancashire North CCG North Q84 Lancashire 02G NHS West Lancashire CCG North Q84 Lancashire 02M NHS Fylde & Wyre CCG South Q70 Wessex 10J NHS North Hampshire CCG South Q70 Wessex 10K NHS Fareham and Gosport CCG South Q70 Wessex 10L NHS Isle of Wight CCG South Q70 Wessex 10R NHS Portsmouth CCG - 1,453 1,453 South Q70 Wessex 10V NHS South Eastern Hampshire CCG South Q70 Wessex 10X NHS Southampton CCG 142 1,616 1,758 South Q70 Wessex 11A NHS West Hampshire CCG 3 1,100 1,103 South Q70 Wessex 11J NHS Dorset CCG South Q70 Wessex 99M NHS North East Hampshire and Farnham CCG South Q80 South West 11H NHS Bristol CCG South Q80 South West 11N NHS Kernow CCG 17 1,347 1,364 South Q80 South West 11T NHS North Somerset CCG South Q80 South West 11X NHS Somerset CCG South Q80 South West 12A NHS South Gloucestershire CCG South Q80 South West 99P NHS North, East, West Devon CCG 14 1,694 1,708 South Q80 South West 99Q NHS South Devon and Torbay CCG South Q81 South East 08J NHS Kingston CCG South Q81 South East 09C NHS Ashford CCG South Q81 South East 09D NHS Brighton & Hove CCG South Q81 South East 09E NHS Canterbury and Coastal CCG - 1,342 1,342

19 Region DCO DCO Team Org CCG Admin Programme Total South Q81 South East 09F NHS Eastbourne, Hailsham and Seaford CCG South Q81 South East 09G NHS Coastal West Sussex CCG 242 1,381 1,623 South Q81 South East 09H NHS Crawley CCG 111 1,413 1,524 South Q81 South East 09J NHS Dartford, Gravesham and Swanley CCG South Q81 South East 09L NHS East Surrey CCG South Q81 South East 09N NHS Guildford and Waverley CCG South Q81 South East 09P NHS Hastings & Rother CCG South Q81 South East 09W NHS Medway CCG South Q81 South East 09X NHS Horsham and Mid Sussex CCG - 1,033 1,033 South Q81 South East 09Y NHS North West Surrey CCG South Q81 South East 10A NHS South Kent Coast CCG South Q81 South East 10C NHS Surrey Heath CCG South Q81 South East 10D NHS Swale CCG 1 1,142 1,143 South Q81 South East 10E NHS Thanet CCG South Q81 South East 99H NHS Surrey Downs CCG South Q81 South East 99J NHS West Kent CCG South Q81 South East 99K NHS High Weald Lewes Havens CCG 23 2,388 2,411 South Q82 South Central 10G NHS Bracknell and Ascot CCG South Q82 South Central 10H NHS Chiltern CCG South Q82 South Central 10M NHS Newbury and District CCG South Q82 South Central 10N NHS North & West Reading CCG South Q82 South Central 10Q NHS Oxfordshire CCG South Q82 South Central 10T NHS Slough CCG South Q82 South Central 10W NHS South Reading CCG South Q82 South Central 10Y NHS Aylesbury Vale CCG South Q82 South Central 11C NHS Windsor, Ascot and Maidenhead CCG 47 1,036 1,083 South Q82 South Central 11D NHS Wokingham CCG South Q82 South Central 11E NHS Bath and North East Somerset CCG South Q82 South Central 11M NHS Gloucestershire CCG South Q82 South Central 12D NHS Swindon CCG

20 Region DCO DCO Team Org CCG Admin Programme Total South Q82 South Central 99N NHS Wiltshire CCG Total 4, , ,379