1 / 12

Improving Healthcare in a Constrained Financial Environment

Improving Healthcare in a Constrained Financial Environment. Dr Kathy McLean Medical Director. Context. The NHS has enjoyed a decade of growth and expansion We have seen real improvements: More patients treated than ever before Reduced waiting times

eleanor-rowe
Télécharger la présentation

Improving Healthcare in a Constrained Financial Environment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Healthcare in a Constrained Financial Environment Dr Kathy McLean Medical Director

  2. Context • The NHS has enjoyed a decade of growth and expansion • We have seen real improvements: • More patients treated than ever before • Reduced waiting times • Better outcomes for cancer and heart patients, and others • The focus on improving quality culminated in 2008 in regional and county clinical visions • We have been working to implement these visions and want to continue with greater urgency

  3. Quarter more over 85s by 2015 The cost of new drugs is increasing Diseases of modern lifestyles Rising consumer expectations The NHS facesincreasing pressures

  4. The Challenge • From April 2011 we expect that funding increases will be negligible. At the same time: • Prices will increase by 2.9% per year • Demand for activity will increase by 3.1% per year • By 2014 we will face a funding gap of around £1.3 billion • The NHS must respond by becoming much more efficient. We will need to do things differently to get more value from the resources we have

  5. How do we respond? • There is much evidence that we can reduce costs by focusing on improving quality: • Eliminating waste • Avoiding duplication • Performing at the levels of the best

  6. What are we doing about this?

  7. Work has been progressingat all levels

  8. Focus on tackling variation • Huge variation in the rate of emergency admissions for COPD within the East Midlands • LCR: 155 admissions per 100,000 population • Leicester City: 275 admissions per 100,000 population

  9. Tackling variation Legend Trust Score 3SD Confidence Limits Mean Peer Min-Max 98% Target % NOF fracture patients operated on within 24-48h of admission (Q4 2008/09) Regional control limits National control limits

  10. Tackling variation Years of Life Lost per 10,000 population 2006-2008 – Bronchitis, Emphysema & COPD

  11. How should we move forward? • We have developed a regional delivery plan: • Driven by lead clinicians • Sponsored by chief executives leading individual work streams • Underpinned by metrics for quality improvement as well as financial savings • We need to engage GPs – as future commissioners – more directly in achieving the required improvements

  12. For Discussion In light of the proposed White Paper reforms: • Are we doing the right things in the right way? • How do you want to be involved? • How can we best engage you in key change projects?

More Related