Delivering Prescribing Efficiencies:

IntroductionDr Robert Winter OBE

NHS East of England Medical Director

08/02/2011

Today’s Objectives

• The current National and Regional picture.• Sharing Best Practice from within the Primary

Care setting.• Focus on Specials

– Presentations– ‘Bring your own’

• Ideas, actions and goals to take into FY 11/12 and beyond…

The AgendaCarol Roberts (NHS East of England)

Addition Herts Self Care Programme - Pauline Walton (NHS Hertfordshire)

Focus on Specials

QIPP: Quality and Productivity

““the NHS needs to recognise that improving quality the NHS needs to recognise that improving quality and value for money go hand in handand value for money go hand in hand””

• x

The Regional Challenge

The 13 QIPP Workstreams

“Changing our NHS Together”

Brings together• QIPP• Liberating the NHS

With our regional vision• Towards the best, Together

EoE – is committed to improving the quality ofservices in a rapidly changing environment

Liberating the NHS key elements

• The development of PCT clusters• The development of GP lead commissioning• Provider development• Joint working with Local Authorities• Patient Involvement• Capacity and Capability• Information management and technology• Workforce planning

8 Commissioner Lead Workstreams savings

• Pathway Redesign £509m• Mental Health £117m• End of Life £ 15m• Prescribing £ 89m• Community Services £ 60m• Prevention £ 15m• Specialised Commissioning £ 61m• Ambulance Services £ 15m

• £89 million target.• System-led delivery.• All areas of care.• Changing landscape and

structure.• Consortia engagement.

The Scope of Prescribing

• To improve the quality of prescribing in primary care.

• To support cost effective treatment initiatives • To reduce the prescribing of drugs of limited

clinical value.• To reduce the amount of waste.• Ensure that regional drug, and medical device,

procurement initiatives are in place, delivering lower unit costs.

Objectives

• Support local systems in the delivery of the agreed quality and productivity improvements.

• Agree KPIs and oversee regional progress.• Link to the national workstream.• Identify and disseminate best practice and

coordinate regional events to encourage adoption and spread.

System-led Delivery

GP Consortia

• Joint working with the GP Consortia essential for delivering prescribing efficiencies.

• 30 Pathfinder applications.• 12 Pathfinders authorised covering 40% population.• Estimated 25 GP Consortia.

Pathfinder Event at Number 10 last week.

New Challenges and Opportunities

Over the next four years:• We will continue to deliver our clinically led vision of

an improved NHS, ensuring better outcomes. This is Towards the best, Together.

• We will save £1.6bn in efficiencies to reinvest for these better outcomes. This is QIPP.

• We will change the NHS to put accountability and power as close to the patient as possible, into the hands of GPs. This is Liberating the NHS.

Thank you. Questions/comments

For more information please visit

www.eoe.nhs.uk