No Slide TitleSalford Service impact
April 2011 > GP Commissioning Pathfinders active
April 2012 > SHA abolished
April 2012 > National Commissioning Board
April 2013 > PCTs abolished
April 2013 > GP Commissioners statutory Orgs
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Eg Bariatric Surgery
Uniqueness of Health Care inflation
Reducing Management Capacity
Developing GP Consortia
Health
Poor Cancer outcomes
The system approach
Finances
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Hospital Services - £16M annually for 4 years (£64M)
Urgent / Unscheduled Care - £7.2M in 3 years
Community Services – c£5M in 4 years
Drug Budgets - £8M in 4 years
Management Costs - £5M in 3 years
Total c £90M in 4 years
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C 15% real terms reduction in NHS expenditure
Greater choice over treatment ‘no decision about me without me’
Greater involvement (co-production) with the public including determining priorities
Leaner ‘back office’
Supporting individuals & communities to manage own health better
Health promotion and education at every opportunity
Doing what's most cost effective (Prevention is a better investment than treatment)
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Treatment of end stage Diabetes Very expensive
Need to understand cost effectiveness of:
Prevention:
Metformin c £15,000 QALY
Retinopathy screening c £17,000 QALY
Hospital Treatment
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