working with

Bromley Healthcare

18 months in

Update to Health, Social Care and Housing Partnership Board

05/11/2012

working with

NHS (Acute) vs. Bromley Healthcare

• Working in an NHS hospital – a world of cuts– 5% per annum cuts– Significant uncertainty / little control for the individual – Move to take services out of hospital

• Working for Bromley Healthcare – a world of competition– Services moving out of hospital > increasing £– Competitive market / 5 year contract– Less uncertainty / more control (if you perform)

working with

How we will prosper in a competitive world

• Take the best from three worlds – private sector / charities & social enterprise / public sector

– Private sector: performance management, customer focus, knowledge of how to compete (relentlessly improve & modernise)

– Charity & social enterprise sector: work closely with local and national organisations > we are helping the same group of people

– Public sector – retain purity of motive and patient focus

And compete on quality….

working with

The journey – ever better services

CORE DELIVERY

•Many examples of service improvements

•On budget

•Green balanced scorecards

•New business £3.6m vs. £1.8m

C21 COMMUNITY

PROVIDER

C21 HEALTH MANAGEMENT

ORGANISATION

Big private / charity sector

Local charity sector

NHS

& history of organisation

• Competition

• Productivity / IT

• Innovation & performance

• Great solutions

• Many local organisations

• Purity of mission

• Commitment to patients and quality

• Strength of culture

• System health innovation

• Outcomes contracts / prime contracts

Objective: build an organisation that draws on many influences and works better in every way

working with

How do you drive quality

• Delegate and empower to front line staff

• Culture / mantra, of which key is Key messages to staff

– Constantly improve the services (your responsibility not mine)

– Treat others as you would like to be treated yourselves

– Hit targets (which are continually measured and analysed).

working with

Culture is everything

working with

This approach is working

• Targets – green, patient and staff satisfaction very high, 85% share ownership

• Clinical innovations & developments – (numerous) Leg ulcer assessment clinic (healing rates 21 weeks to 5), Leg Club,  COPD in reach, Hollybank, UCC, COPD, Sexual Health, MDT pilot, Integrated discharge

• Working with GPs -Single Point of Entry / GP links • New business – 111, AQP (double in half the time)• Productivity & proof - + 8% I Nurse (forecast =20%) / DNAs 13% - 5%• New forms of revenue – SEIF grant/ Equity style social investment (?)• Partnership – Age UK, Carer’s Bromley, WRVS, SLHT, Hurley • Data – Rapid Response Plus (cost £43k / saving £280k)