Shared system control total – a means to an end? | KPMG | UK
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Shared system control total – a means to an end?

Shared system control total – a means to an end?

A shared system control total (SSCT) can be an important enabler for sustainability and transformation plans (STPs).


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Going into the second half of the financial year, both providers and commissioners are gaining a clearer view as to whether their agreed financial control total or single organised control total (SCT) is within reach or not. Could having a shared system control total (SSCT) on a higher level than the individual organisation be part of the solution?

A solution to what problem?

In the 2016/17 fiscal year, all NHS providers will ‘have to deliver an agreed financial control total’ (single organised control total ‘SCT’) which has been introduced to try to ensure the provider sector achieves financial balance. With the SCT, regulators try to ensure everyone stays on track against their individual control totals. In theory if everyone would (and could) live up to it, the system would be in balance. So that makes sense doesn’t it? Well, yes and no. Yes, because SCTs help to strive for financial balance; but no because they may hamper system-wide transformation by creating perverse financial incentives and a set of behaviours that create silos in the system.

View the full report to find out why a shared system control should be embraced as an enabler for system change.

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