strategies to improve nhs productivity
DESCRIPTION
Mark Jennings, Director of Health care improvements at TheKing's Fund talks through some of the measures that could be taken to improve NHS productivity. This slideshow has been created in conjunction with our report, Improving NHS productivity: More with the same not more of the same.TRANSCRIPT
©The King’s Fund 2010
Strategies to improve productivity
Mark JenningsJuly 2010
©The King’s Fund 2010
©The King’s Fund 2010
National cost and demand drivers
©The King’s Fund 2010
£15 to £20 billion
“All bets are off. We need to move away from the NHS being built for growth to being able to sustain itself in a prolonged limitation of resources...The NHS will need to make efficiency savings of £15–20bn from 2011–14.”
©The King’s Fund 2010
TimeTime
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2001/2 to 2010/112001/2 to 2010/11
2011/12 to 2013/14 on2011/12 to 2013/14 on
The GapThe Gap
More with the same
COST & DEMAND PRESSURES
COST & DEMAND PRESSURES
PRODUCTIVITY IMPROVEMENTSPRODUCTIVITY IMPROVEMENTS
£105bn£105bn
©The King’s Fund 2010
How we see the gap
Financial gap? – The same with less
Care gap? – More with the same
©The King’s Fund 2010
Focus
Trusts – new
income focus
PCTs – cash-growth focus
©The King’s Fund 2010
Focus on how and what we do…
Technical efficiency is doing things right, eg, reducing unit costs by reducing lengths of stay or shifting care to more cost-effective settings out of hospital.
Allocative efficiency is doing the right things, eg, allocating resources to achieve the most health gain for the population served and preventing future hospital admissions.
©The King’s Fund 2010
©The King’s Fund 2010
Variations in clinical care
“Variations in care are often idiosyncratic and unscientific with local medical opinion and local supply of resources appearing more important than science in determining how medical care is delivered.”
[J.Wennberg, BMJ, October 2002]
©The King’s Fund 2010
Unjustified variations in health care cause…
Increased cost
Reduced quality
©The King’s Fund 2010
©The King’s Fund 2009
£64m
Prescribing
[Source: NHS Better Care, Better Value Indicators][Source: NHS Better Care, Better Value Indicators]
©The King’s Fund 2010
©The King’s Fund 2010
A new NHS paradigm
‘Quality costs’
Health care can only be considered high quality if it is also effective and efficient.
Health care can only be considered high quality if it is also effective and efficient.
©The King’s Fund 2010
Visit: www.kingsfund.org.uk/quality