Developing a fee paying service

Mike Townson

Background

• CIP - £175K• Productivity reviews x 3• Reduced posts• Increased clinical risk• Increased sickness• Estates strategy• Graduate skills and jobs• Supporting other providers• CFT• Filling a need• Profile dip re limited access• 50% of population have some foot pathology, NHS covers 4%

•

What next?

• Test it out with Senior managers

• Business case

• Local research - competition

• Identify clinic resource capacity

• Discharge data

• Describe pathway

• Do the maths!

Service

• Graduates/retiring/tired staff

• Targeted sites

• One year contract

• Clinical and administration separation

• Included with service

• Care not purchased under NHS SLA

• £71k part year, £106k full year

Pathway

ReferralNeeds

Assessment

Age ConcernI.PSolent Fee Paying*

*Solent Fee Paying

Advised Pt Choice

NHS SLA

Needs Assessment

Care Provided

Rebooked

‘Passing Trade’