safely reducing costs in unscheduled care alan campbell director of strategic commissioning /...
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Safely reducing costs in unscheduled care
Alan CampbellDirector of Strategic Commissioning / Interim Deputy Chief Executive
Your leader for health IN Salford
NHS North West - Annual Average Actual Allocation Growth
-2.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
1997
/199
8
1998
/199
9
1999
/200
0
2000
/200
1
2001
/200
2
2002
/200
3
2003
/200
4
2004
/200
5
2005
/200
6
2006
/200
7
2007
/200
8
2008
/200
9
2009
/201
0
2010
/201
1
2011
/201
2
2012
/201
3
Financial Year
Ave
rag
e an
nu
al p
erce
nta
ge
gro
wth
in P
CT
allo
cati
on
s £12.3 bn
?
"Flat Cash"
Growth in emergency activity
6,000
7,000
8,000
9,000
10,000
11,000
12,000
2002/03 2003/2004 2004/2005 2005/2006 2006/2007
Ind
irec
tly
age
stan
dar
ised
rat
es p
er 1
00,0
00
England women North West womenEngland men North West men
Salford informationIncrease in urgent care attendances
0
2000
4000
6000
8000
10000
12000
14000
Month
Nu
mb
er
of a
tten
da
nce
s
A&E attendances Walk In Centre attendances Total
The challenge
Your leader for health IN Salford
The status quo is not an option’ …….. what we are currently planning…… how we are currently operating is not sustainable
What won’t work
Growth in supply side solutions are yesterday’s solutions – they are morally and economically unaffordable in the future
Solution - partnership
Integrated care / urgent care partnership– NHS Salford– Practice Based Commissioning Consortium– Salford Community Health– Salford GPs (as service providers)– Salford Royal Foundation Trust
Other partners - NW Ambulance Service, Salford City Council, Greater Manchester West Foundation Trust
Solution – service delivery
Joint project board Service redesign New payment model with clear incentives /
disincentives Discussion with the public Relevant financial arrangements
Current projects
Urgent Care Centre, Trauma and Resus(A&E triage, A&E assessment and
rationalise access)
Optimising services and pathways(Frequent flyers, frail patients, end of life
care)
GP access
Chronic disease m
anagement
“Patient education”
Action to date
Clinical engagement event (Oct 09)
Partnership Board established (Nov 09)
Sub groups established (Jan 10)
Patient insight work commissioned (March 10)
Clinical design event (March 10)
Engagement event (April 10)
Clinical design event (May 10)
OSC discussion (today)
Consultation and ongoing engagement (July - Sept 10)
Thank you for listening
Any comments or questions
Alan Campbell
Director of Strategic Commissioning / Interim Deputy Chief Executive
0161 212 4840
Your leader for health IN Salford