Improving health services - Portsmouth Clinical Commissioning

Improving health services…Improving health services…

Wednesday 2nd October 2013

Annual General Meeting


Clinically Led Commissioning

Making A Difference?

Dr Jim Hogan

Clinical Leader & Chief Clinical Officer


The Portsmouth Pound

How does the CCG spend its money and what do things cost?

Jo GoochChief Finance Officer

Improving health services…

Programme Costs Total £m

Acute 129

Community Health 24

Continuing Health Care 14

Centrally held costs 12

Mental Health 32

Social Care & Voluntary 3

Primary Care Prescribing 31Total 245

53%

10%5%

5%

13%

1% 13%

Acute Community Health

Continuing Care Corporate

Mental health Other

Primary Care

Commissioning Spend


18%

23%44%

15%

Portsmouth Hospital NHS TrustIncome by Commissioner

NHS England Portsmouth CCG

Other CCG's Other

14%

30%37%

19%

Solent NHS TrustIncome by Commissioner

NHS England Portsmouth CCG

Other CCG's Local Authorities

Provider Landscape


Investment

• Population & Demand • Improved Access to

Psychological Therapies • Emergency Care

Redesign• Carers• 111• New Drugs

Savings

• Medicines Management• Emergency Care• Mental Health• Equipment Services• Continuing Healthcare • Planned Care• Children & Maternity

“QIPP”

Quality, Innovation, Productivity & Prevention


Funding Per Head

£245m equates to:

£1,150 per head

Acute Hospital Care£605

Emergency 40%Planned 60%

Community Based Care£113

Mental Health£150

Continuing Health Care £66

Primary Care Prescribing £146

Other £70


16,000 planned admissions16,000 planned admissions

23,500 emergency admissions23,500 emergency admissions

122,000 outpatients122,000 outpatients

42,000 A&E attendances42,000 A&E attendances

Hospital Activity

For a population of approx. 215,000:


A&E attendance£63 - £258

Out of hours £13, £50, £167

Ambulance£100

Outpatient (new)Average £156

Hip Replacement£5,750

X-Ray£27

Pathology test£1.67

Birth£1,600 - £2,300

Critical Care£1,500 per day

So What Do Things Cost?


Rising population

Changing needs of population & rising demands

New technology

Rising costs

No growth funding

Reshaping services within available resources

Future Challenges


A Call to Action

Innes Richens – Chief Operating Officer&

Dr Linda Collie – Clinical Executive


1,000,000 people are treatedby the NHS every 36 hours


Improving health services… 14

Improving health services… 15Source: Ipsos Mori 2013




Put more emphasis on prevention

Put more emphasis on prevention

Work with others to tackle health

inequalities

Work with others to tackle health

inequalities

Introduce more personalised care

planning (with personal health

budgets)

Introduce more personalised care

planning (with personal health

budgets)

Bring together GP, community and

social care services into one team, with each patient having a

care co-ordinator

Bring together GP, community and

social care services into one team, with each patient having a

care co-ordinator

Improve the use of tele-health in the

people’s care

Improve the use of tele-health in the

people’s care

Establish 7 day-week working for the NHS including

primary care

Establish 7 day-week working for the NHS including

primary care

Make greater use of feedback from GPs as patient representatives

Make greater use of feedback from GPs as patient representatives

Join up IT systems across

organisations

Join up IT systems across

organisations

What do you think about these as solutions?


Improving General Practice


The Case for Change

20


Strengths of General Practice


Vision for General Practice


• What are the key things about general practice you value?

• What are the key changes you think need to be made to primary care to meet these challenges?

23

Your Feedback Needed …


Further Information

www.england.nhs.uk/2013/07/11/call-to-action


Thank you

25

Documents

Improving health services - Portsmouth Clinical Commissioning