East Midlands: Regional healthcare

science network event

Wednesday 20 April

Hilton East Midlands Airport

The Quality and Productivity Challenge

Anthony Kealy

Improvement & Efficiency Director

Context

• The NHS has enjoyed a decade of growth and expansion

• We have seen real improvements:

– More patients treated than ever before

– Reduced waiting times

– Better outcomes for cancer and heart patients, and others

• We have to continue to change, because the world is

changing

The NHS faces

increasing pressures

Quarter more over 85s by 2015

Diseases of modern lifestyles Rising consumer expectations

The cost of new drugs is increasing

The Challenge

• From this year NHS funding increases will be very small. At the same time:

– Prices will increase by 2.5% per year

– Demand for activity will increase by 2.7% per year

• By 2014/15 we will face a funding gap of around £1.3

billion

• The NHS must respond by becoming much more

efficient. We will need to do things differently to get more value from the resources we have

How do we respond?

• There is much evidence that we can reduce costs by focusing on improving quality:

– Eliminating waste

– Avoiding duplication

– Performing at the levels of the best

Drive out variation

NHS Institute ‘Better Care, Better Value’

We have identified 8 areas where the biggest

gains can be made

Making urgent care systems work effectively

Supporting people with long term conditions

Preventing ill-health (large scale)

Improving primary care

Delivering high quality planned care

Making services safer

Streamlining non-clinical services

Improving mental health and well-being

What are we doing about this?

Work has been progressing

at all levels

How are we moving forward?

• We have developed a regional delivery plan:

– Driven by lead clinicians

– Underpinned by measures for quality improvement as well as

financial savings

• Every county in the East Midlands has a plan for local

change

• Plans will deliver up to £2 billion of savings

How will we make

the changes happen?

• Leadership – particularly clinical leadership will be crucial

• Working with GPs - as future commissioners - to make

sure they agree with the required improvements

• Innovation

• The patient revolution

Adopting and Diffusing

Innovation

• TIN website http://www.tin.nhs.uk/

• Patient Medicine Bag PMB adoptionhttp://www.tin.nhs.uk/innovation-nhs-east-midlands/product-and-technology-adoption-campaigns/the-east-midlands-adoption-campaign-the-

green-medicine-bag/

• iTAPP: Innovative Technologies – EM SHA top3http://www.tin.nhs.uk/innovation-nhs-east-midlands/product-and-technology-adoption-campaigns/the-oesophageal-doppler/

13

NHS Evidence

The NHS Outcomes Framework

Preventing people from dying prematurely

Enhancing quality of life for people with long-term conditions

Helping people to recover from episodes of ill health or following injury

Ensuring people have a positive experience of care

Treating and caring for people in a safe environment and protecting them from avoidable harm

Domain 1

Domain 2

Domain 3

Domain 4

Domain 5

What does it mean for

Healthcare Scientists?

• Identifying and supporting opportunities to reduce cost and improve quality

• Focusing on the evidence for change

• Helping to drive innovation

• Supporting the shift of services such as diagnostics and

a range of interventions out of hospital

Questions