Income flow into any organization
MANAGEMENT OF CARE ASSIGNMENT
AS A HEALTH CARE PROVIDER, DESCRIBE HOW INCOME FLOWS INTO THE ORGANIZATION OF YOUR CHOICE (E.G. HOSPITAL, COMMUNITY OR A PRIVATE COMPANY)
The aim of this essay is to describe how income flow into Cornwall Partnership National Health Service (NHS) Foundation Trust (CPNFT) within the period of 2017/2018. This will incorporate all the funds generated from varying sources and the flow of funds from the central authority to CPNFT.
CPNFT is a public benefit organisation established in 2002 as Cornwall Partnership NHS Trust to provide range of mental and physical health services to both children and adults in the community (CPNFT, 2018). In 2010, it received full accreditation to operate as a Foundation Trust according to NHS Act (2006), (CPNFT, 2019). The Foundation Trust works in partnership with Royal Cornwall Hospital NHS Trust, and Kernow Community Interest Company to provide integrated services to individuals of Cornwall and the Isles of Scilly (CPNFT, 2019).
According to CPNFT 2017/2018 annual report and account, majority of its financial income came services that were commissioned by the Clinical Commissioning Groups (CCGs) from the various location they provide care from (CPNFT, 2018). Meanwhile, CCGs are NHS groups that were launched by the Health and Social Care Act (2012) as part of NHS reform. They replaced Primary Care Trusts as organisers and commissioners of NHS services across England (NHS England, 2018). According to Gerada (2013), they currently manage majority of the budget of the NHS and they have the legal responsibility to ensure that all health care organisations such as CPNFT are providing quality health care services to individuals in the community.
Furthermore, evidence from CPNFT annual financial report indicates that 86% of the entire income care from all services related to patient care commissioned by the CCGs specifically on Payment by Result Basis (PbR) (Wright et al., 2017). Additionally, the trust also received 2.3% of its total income directly from NHS England. However, non- patient care services accounted for 2.5% of the income received by CPNFT. They received operating income from other sources such as research and development, education and training, NHS charities, rentals from leases etc. from the financial report, it suggests that the foundation trust generated an additional 2.3% income in 2017/2018 more than from 2016/2017 financial year (CPNFT, 2018)
Describing the central fund flow, the NHS funding System (Wharton, 2018) highlights that the parliament approves all the funds that are made available for the services provided by CPNFT. The funds approved by the parliament moves from department of health to Public health England, from where it moves to NHS England before they are made available to CPNFT through payment by result based on care commissioned by the CCGs. According to the NHS Pay review Body (2018), all the fund allocated to the department of health comes are generated from taxes and revenues. Basically, the DH is responsible for the supervision and regulation of the entire health services in the UK (ibid). They ensure that funds are available to CCGs to finance health care services provided by CPNFT. For operational and clinical viability in CPNFT, the MONITOR and Clinical Quality Commission (CQC) provides periodic monitoring and evaluations of operations and activities of CPNFT.
