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 services… Improving health services…
The Portsmouth Pound How does the CCG spend its money and what do things cost? Jo Gooch Chief Finance Officer Improving health services… Improving health services…
Commissioning Spend Programme Costs Total £m 1% Acute 129 13% Community Health 24 13% Continuing Health Care 14 53% 5% Centrally held costs 12 5% Mental Health 32 10% Social Care & Voluntary 3 Primary Care Prescribing 31 Total 245 Acute Community Health Continuing Care Corporate Mental health Other Primary Care Improving health services…
Provider Landscape Portsmouth Hospital NHS Trust Solent NHS Trust Income by Commissioner Income by Commissioner 15% 14% 19% 18% 30% 23% 44% 37% NHS England Portsmouth CCG NHS England Portsmouth CCG Other CCG's Local Authorities Other CCG's Other Improving health services…
“QIPP” Quality, Innovation, Productivity & Prevention Investment Savings • Population & Demand • Medicines Management • Improved Access to • Emergency Care Psychological Therapies • Mental Health • Emergency Care • Equipment Services Redesign • Continuing Healthcare • Carers • Planned Care • 111 • Children & Maternity • New Drugs Improving health services…
Funding Per Head Acute Hospital Care Emergency 40% £245m £605 Planned 60% equates to : Community Based Care £113 Mental Health £150 £1,150 per head Continuing Health Care £66 Primary Care Prescribing £146 Other £70 Improving health services…
Hospital Activity For a population of approx. 215,000: 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 Improving health services…
So What Do Things Cost? A&E attendance Out of hours Ambulance £63 - £258 £13, £50, £167 £100 Outpatient (new) Hip Replacement X-Ray Average £156 £5,750 £27 Pathology test Birth Critical Care £1.67 £1,600 - £2,300 £1,500 per day Improving health services…
Future Challenges Rising population Changing needs of population & rising demands New technology Rising costs No growth funding Reshaping services within available resources Improving health services…
A Call to Action Innes Richens – Chief Operating Officer & Dr Linda Collie – Clinical Executive Improving health services… Improving health services…
1,000,000 people are treated by the NHS every 36 hours Improving health services… Improving health services…
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Improving health services… 15 Source: Ipsos Mori 2013
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Improving health services… Improving health services…
What do you think about these as solutions? Put more Put more Bring together GP, Bring together GP, Improve the use of Improve the use of emphasis on emphasis on community and community and tele-health in the tele-health in the prevention prevention social care social care people’s care people’s care services into one services into one Work with others Work with others Establish 7 day- Establish 7 day- team, with each team, with each to tackle health to tackle health week working for week working for patient having a patient having a inequalities inequalities the NHS including the NHS including care co-ordinator care co-ordinator primary care primary care Introduce more Introduce more personalised care personalised care Make greater use Make greater use Join up IT systems Join up IT systems planning (with planning (with of feedback from of feedback from across across personal health personal health GPs as patient GPs as patient organisations organisations budgets) budgets) representatives representatives Improving health services… 18
Improving General Practice Improving health services… Improving health services…
The Case for Change Improving health services… 20
Strengths of General Practice Improving health services… 21
Vision for General Practice Improving health services… 22
Your Feedback Needed … • 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? Improving health services… 23
Further Information www.england.nhs.uk/2013/07/11/call-to-action Improving health services… 24
Thank you Improving health services… 25
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