As the financial and demographic landscape changes, our healthcare services need to provide something significantly different to meet the needs of the Scottish population. In this session Gerry Marr talks about how do we make best use of the resources we have and what are we already doing that is transforming healthcare.
2. Multiplied by 5 in 2 years & represents 12.4% of GDP c £44K for each economically active person in the UK Calculated using latest data from National Statistics 76.2% of GDP 36.5% of GDP c £17K for each economically active person in the UK
8. Action Groups Safe Effective Person-centred Infrastructure Acute SPSP Paediatric SPSP Mental health SPSP Primary care SPSP HAI Children and families Population health Reshaping care Ethos and leadership Equality and mutuality Enablement and self-management Experience and outcomes Effective practitioner Measurement E-health Communications QI Hub Education and workforce development Governance Physical environment
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10. Quality & Efficiency – Two sides of the coin “ To improve the overall quality and efficiency of NHSScotland while ensuring good value for money and achieving financial targets. ”
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15. The Paradox of Plenty What do higher spending regions -- and systems -- get? Technical quality worse No more elective surgery More hospital stays, visits, specialist use, tests Content / Quality of Care 1,2 Slightly higher mortality No better function Health Outcomes 1,2 Worse communication among physicians Greater difficulty ensuring continuity of care Greater difficulty providing high quality care Greater perception of scarcity Physician ’s perceptions 5 Patient-perceived quality 1,3 Lower satisfaction with hospital care Worse access to primary care Trends over time 4 Greater growth in per-capita resource use Lower gains in survival (following AMI) (1) Ann Intern Med: 2003; 138: 273-298 (2) Health Affairs web exclusives, October 7, 2004 (3) Health Affairs, web exclusives, Nov 16, 2005 (4) Health Affairs web exclusives, Feb 7, 2006 (5) Ann Intern Med: 2006; 144: 641-649
21. 46% of New Outpatient appointments are being wasted! Increase Capacity of Outpatient Clinics? Opportunity? 0.0 5.0 10.0 15.0 20.0 25.0 Discharged AWAITING TEST RESULT REFD OTHER CLIN/HOSP DNA-Total Could Not Wait - FA REFER TO OTHER HOSP % New Return Are there significant Outpatient Capacity losses?
31. Triple Aim Health of the Population Experience of Care Best Value for Money
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34. TACTICAL STRATEGIC DEALING WITH THE 5% SPENDING THE 95% BETTER PRODUCTIVITY & EFFICIENCY CRES SERVICE OPTIMISATION TRANSFORMATION 2009 - 2011
35. 2010 - 2013 TACTICAL STRATEGIC DEALING WITH THE 5% SPENDING THE 95% BETTER PRODUCTIVITY & EFFICIENCY CRES SERVICE OPTIMISATION TRANSFORMATION
36. The Leadership Challenge We need to deliver on our statutory responsibilities as well as our ‘contract’ with Government for services which meet the dimensions of quality. But we also need to create capacity and capability within the system to realise the potential for reducing unwarranted variation, waste an harm as well as negative outcomes for our communities. The simple truth is that it is these resources that will realise our ability to transform our public services.
37. There Is No Recession In Innovation “ Fortunes are NOT made in the boom times...That is merely the collection period. Fortunes are made in depressions or lean times when the wise man overhauls his mind, his methods, his resources, and gets in training for the race to come." George Wood Bacon
