Presentation by Gerry Marr NHS Tayside 14th November 2008

1. Cost Cube Gerry Marr Chief Operating Officer, NHS Tayside

2. NHS Tayside Cost Profile 2006/07

3. NHS TAYSIDE COSTS 2006/07 Hospital & Community £469.31m (73.9%) Prescribing £76.21m (12.0%) Other Family Health £31.12m (4.9%) Other Non-Clinical £9.92m (1.6%) General Medical Services £43.73m (6.9%) Administration £4.93m (0.8%)

4. Inpats & Day Cases £191,713 (30.2%) A&E £5,595 (0.9%) Prescribing £76,055 (12.0%) Psychiatric £27,293 (4.3%) Outpatients £35,175 (5.5%) Labs £4,263 (0.7%) Radiology £3,464 (0.5%) Unassigned £248,012 (39.0%) NHS TAYSIDE ASSIGNED COSTS 2006/07 General Medical Services £43,633 (6.9%)

5. Elective Inpatients £93,044 24.0% A&E £5,595 1.4% Prescribing £76,055 19.6% Psychiatric £27,293 7.0% Outpatients (New) £35,175 9.1% Labs £4,263 1.1% Radiology £3,464 0.9% NHS TAYSIDE COSTS ASSIGNED TO GP PRACTICE 2006/07 Day Cases £17,099 4.4% Non-Elective Inpatients £81,570 21.1% General Medical Services £43,633 11.3%

6. COST CUBE Cost per Head by GP Practice 2006/07 (incl. GMS)

7. COST CUBE Cost per Head by CHP (incl. GMS)

8. COST CUBE Range of Variation from mean Cost per Head between GP Practices

9. COST CUBE Range of Variation from mean Cost per Head between GP Practices Elective Inpatients Non Elective Inpatients Day Cases Prescribing Outpatients (New) Psychiatry SMR04 A&E Laboratories Radiology GMS

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14. The ‘Triple Aim’ Gerry Marr Chief Operating Officer NHS Tayside

15. The “Triple Aim” Health of the Population Experience of Care Per Capita Cost