Freedom of Information Requests
19th June 2017
1st Floor West Wing
New Alderley Building
Charlotte Peters Rock
Macclesfield District General Hospital
Tel: 01625 663828
Dear Charlotte Peters Rock, Re: Freedom of Information Act 2000
Audit, Cost & Services
Thank you for your information request indicated in bold below, which has now been
considered under the Freedom of Information Act 2000 by NHS Eastern Cheshire
Clinical Commissioning Group (CCG). I am able to provide you with the following
information and responses. You asked:
1) How much has ECCCG spent on external auditors (Deloitte now and
PWC (or other auditors) in the past)?
1) NHS Eastern Cheshire CCG has a contract with Grant Thornton LLP to
undertake the external audit of our statutory accounts each financial year with
an annual contract cost of approximately £54,000.
Please be advised that non-statutory review work undertaken by external
auditors, such as Deloitte, is funded by NHS England and not NHS Eastern
Cheshire CCG. You therefore may wish to redirect your request for information
about spend on external auditors undertaking non-statutory review work at NHS
Eastern Cheshire CCG to NHS England. NHS England can be contacted for
Freedom of Information requests at the following email address: firstname.lastname@example.org
Dr Paul Bowen BMBS MRCGP
2) What specific services is the CCG looking at stopping or curtailing?
3) Is our local East Cheshire NHS Trust going to lose services?
4) If so, which ones?
5) Where from? i.e.
i. Macclesfield Hospital,
ii. Congleton War Memorial Hospital,
iii. Knutsford Cranford Lodge Hospital, iv. Community Health Services, v.
Commercial Services, vi. Charitable or other services.
6) Will ECCCG be curtailing any services it currently buys in from other
hospital services out with this CCG area?
2 – 6) Eastern Cheshire CCG has published full details of its “Quality,
Innovation, Productivity & Prevention” (QIPP) plan, including changes to
prescribing of certain medicines, out-patient physiotherapy and reducing
administration costs. The focus of the QIPP plan is on reducing demand for
NHS services and improving the efficiency of existing services, including
national schemes like Right Care.
Whilst the proposed changes set out in the CCG’s QIPP plan do not currently
include any closure of specific services, the CCG is continuing to review all
options with respect to meeting its statutory duties. Should the CCG conclude
that service changes beyond its current plan are required it will actively seek the
involvement of the public and seek advice from the Cheshire East Scrutiny
Committee with respect to formal consultation. An example of this is the current
on-going review of Adult Mental Health services.
The CCG’s QIPP plan covers all organisations that the CCG currently
commissions services from, including public, private and voluntary sector both
within and outside of the CCG area.
Information about the progress of the CCG’s QIPP plan are detailed in our April
2017 Governing Body Financial Performance Report (Section 6: Quality,
Innovation, Productivity & Prevention Schemes), which is available on our
website at the following link: https://www.easterncheshireccg.nhs.uk/Downloads/Governing-
Information about the full range of efficiency measures being considered by
NHS Eastern Cheshire CCG are detailed in the minutes and agendas of our
monthly Governing Body meeting which can be accessed on our website at the
following link: https://www.easterncheshireccg.nhs.uk/Meetings/agendas-and-
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7) What is the current ECCCG debt?
7) NHS Eastern Cheshire CCG’s current forecasted deficit for the 2017/18
financial year is £13.4m.
8) How does it vary from previous years since the inception of ECCCG?
8) Please find listed in the table below, NHS Eastern Cheshire CCG’s end of year
surplus/deficit for each financial year since the inception of the CCG on 1st April
Surplus / Deficit
If you have any queries or concerns, wish to request a review of our response or are
unhappy with the service you have received in relation to this Freedom of
Information request, please do not hesitate to contact the Freedom of Information
Requests team; details provided at the top of this letter.
If you request a review of our response and are not content with the subsequent
outcome, you may apply directly to the Information Commissioner for a decision.
Generally, the Information Commissioner cannot make a decision unless you have
exhausted the Freedom of Information complaints procedure provided by NHS
Eastern Cheshire Clinical Commissioning Group.
The Information Commissioner can be contacted at: The Information Commissioner’s Office
Yours sincerely Jerry Hawker
NHS Eastern Cheshire Clinical Commissioning Group
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Re- Use of Information
Most of the information that we provide in response to Freedom of Information Act 2000 request will
be subject to copyright protection. In most cases the copyright will be owned by NHS Eastern
Cheshire CCG. The copyright in other information may be owned by another person or organisation,
as indicated on the information itself.
You are free to use any information supplied for your own non-commercial research or private study
purposes. The information may also be used for any other purpose allowed by a limitation or
exception in copyright law, such as news reporting. However, any other type of re-use, for example
by publishing the information in analogue or digital form, including on the internet, will require the
permission of the copyright owner. Therefore, you must ensure that you gain our permission before
reproducing any information. You may need a licence from us for this.
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