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Acute Healthcare Services in East of England Technical Analysis Simon Wood

Acute Healthcare Services in East of England Technical Analysis Simon Wood. December 2006. Drivers for Reconfiguration. Clinical outcomes Clinical sustainability Financial sustainability. Clinical Guidelines (1) – Catchment Populations. General surgery 300,000

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Acute Healthcare Services in East of England Technical Analysis Simon Wood

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  1. Acute Healthcare Services in East of EnglandTechnical AnalysisSimon Wood December 2006

  2. Drivers for Reconfiguration • Clinical outcomes • Clinical sustainability • Financial sustainability

  3. Clinical Guidelines (1) – Catchment Populations General surgery 300,000 Cancer surgery 1 million Haemato-oncology 500,000 Burns 5 million Oral & maxillofacial surgery 1 million Neonatal intensive care 1.5 million Vascular surgery 500,000 Urology 500,000 (1) Clinical outcomes and/or clinical sustainability

  4. Other Clinical Guidelines (1) Paediatric surgery Cardiology Stroke Services Emergency Paediatrics Ophthalmology ENT Renal Medicine (1) Clinical outcomes and/or clinical sustainability

  5. Population per General Hospital across Strategic Health Authorities Source : IPPR Briefing – Hospital reconfiguration, Sep 2006

  6. EoE Data Analysis • Catchment populations – Southend 310,000 (EoE range 530,000 to 165,000) • Births – Southend 3,600 (EoE range 5,500 to 2,100) • Standardised activity rates per 1,000 weighted population (draft) – South-East Essex PCT 112 • Significant progress required to comply with 2009 European Working Time Directive standards (surgery & medicine; Southend at EoE average)

  7. Key Pressure Points • Emergency Surgery • Local Emergency Services • Maternity Services

  8. Financial Position • Large historic and underlying deficit • Payment by Results will put additional cost pressures on PCTs and improve position of Acute Trusts • Growth in income after 2007/08 will be modest

  9. Proposed General Workstreams • Surgical Subspecialisation • Maternity • European Working Time Directive • Acute Commissioning • Technical (Weighted Capitation, Population Growth)

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