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Improving health services… Improving health services… Wednesday 2nd October 2013
Improving health services… Improving health services…
Annual General Meeting Wednesday 2 nd October 2013 Improving health - - PowerPoint PPT Presentation
Annual General Meeting Wednesday 2 nd October 2013 Improving health - - PowerPoint PPT Presentation
Annual General Meeting Wednesday 2 nd October 2013 Improving health services Improving health services Clinically Led Commissioning Making A Difference? Dr Jim Hogan Clinical Leader & Chief Clinical Officer Improving health
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The Portsmouth Pound How does the CCG spend its money and what do things cost?
Jo Gooch Chief Finance Officer
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Improving health services… Programme Costs Total £m Acute 129 Community Health 24 Continuing Health Care 14 Centrally held costs 12 Mental Health 32 Social Care & Voluntary 3 Primary Care Prescribing 31 Total 245
53% 10% 5% 5% 13% 1% 13%
Acute Community Health Continuing Care Corporate Mental health Other Primary Care
Commissioning Spend
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Improving health services… 18% 23% 44% 15%
Portsmouth Hospital NHS Trust Income by Commissioner
NHS England Portsmouth CCG Other CCG's Other
14% 30% 37% 19%
Solent NHS Trust Income by Commissioner
NHS England Portsmouth CCG Other CCG's Local Authorities
Provider Landscape
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Investment
- Population & Demand
- Improved Access to
Psychological Therapies
- Emergency Care
Redesign
- Carers
- 111
- New Drugs
Savings
- Medicines Management
- Emergency Care
- Mental Health
- Equipment Services
- Continuing Healthcare
- Planned Care
- Children & Maternity
“QIPP” Quality, Innovation, Productivity & Prevention
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Funding Per Head
£245m equates to: £1,150 per head
Acute Hospital Care £605 Emergency 40% Planned 60% Community Based Care £113 Mental Health £150 Continuing Health Care £66 Primary Care Prescribing £146 Other £70
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16,000 planned admissions 16,000 planned admissions 23,500 emergency admissions 23,500 emergency admissions 122,000 outpatients 122,000 outpatients 42,000 A&E attendances 42,000 A&E attendances Hospital Activity For a population of approx. 215,000:
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A&E attendance £63 - £258 Out of hours £13, £50, £167 Ambulance £100 Outpatient (new) Average £156 Hip Replacement £5,750 X-Ray £27 Pathology test £1.67 Birth £1,600 - £2,300 Critical Care £1,500 per day
So What Do Things Cost?
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Rising population Changing needs of population & rising demands New technology Rising costs No growth funding Reshaping services within available resources
Future Challenges
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A Call to Action
Innes Richens – Chief Operating Officer & Dr Linda Collie – Clinical Executive
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1,000,000 people are treated by the NHS every 36 hours
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Source: Ipsos Mori 2013
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Put more emphasis on prevention Put more emphasis on prevention Work with others to tackle health inequalities Work with others to tackle health inequalities Introduce more personalised care planning (with personal health budgets) Introduce more personalised care planning (with personal health budgets) Bring together GP, community and social care services into one team, with each patient having a care co-ordinator Bring together GP, community and social care services into one team, with each patient having a care co-ordinator Improve the use of tele-health in the people’s care Improve the use of tele-health in the people’s care Establish 7 day- week working for the NHS including primary care Establish 7 day- week working for the NHS including primary care Make greater use
- f feedback from
GPs as patient representatives Make greater use
- f feedback from
GPs as patient representatives Join up IT systems across
- rganisations
Join up IT systems across
- rganisations
What do you think about these as solutions?
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Improving General Practice
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The Case for Change
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Strengths of General Practice
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Vision for General Practice
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- What are the key things about general
practice you value?
- What are the key changes you think need
to be made to primary care to meet these challenges?
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Your Feedback Needed …
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Further Information
www.england.nhs.uk/2013/07/11/call-to-action
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Thank you
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