the nhs beyond 2015

The NHS beyond 2015Facing the new financial realityPaul Corrigan

May December

1. The financial context2. Why we need to find and

develop new forms of value3. Where co-production fits in4. The People Powered Health

programme

The new

financial realityis the long austerity

May December

Meeting increased demand with the same resources will become normal

QUIPP works because of pay freezes - this can’t work for the next 10 years, but deflating tariffs will

The annual goal has to be significantly improved health care outcomes for the same resource

This will only be achieved by doing some cheaper new things to create outcomes that also stop doing some expensive old things

Getting more value out of the existing business model is important for short term gain

May December

The overall model that health care

value is only created by medical staff,

their kit and drugs has to be

supplemented by additional value

We need to find and develop new forms of value

May December

The economics of

co-production

Having previously made a moral case, co-production now needs to demonstrate an economics of value realisation

Around 66% of the NHS budget is spent on managing long term conditions

Patients spend 5800 hours a year managing their own condition

Patients spend about 5 hours a year having an NHS professional manage their condition

What if we spent

those 5 hours improving the efficacy of

the 5800?

Even though co-production hasn’t set out to demonstrate economic value there are already examples of it doing just that

People living with depression used significantly fewer consultant appointments and bed days

There were less consultations with mental health trusts

There were reduced DNA rates for appointments

The Health Foundation’s “Co-Creating Health” programme

The problem is as always in the NHS the money is never really ‘saved’ - this means the input is an additional cost which never ‘saves’ money

People PoweredHealth

December

Earl’s Court

December

Fewer patients need to be referred to secondary mental health providers and those who are referred will need services for shorter periods of time.

Focus on improving appropriateness of referrals and discharge

Fewer referrals and shorter average length of stay

Increasing throughput and potentially contract value

or

Reducing commissioner spend

=

Direct economic value

December

OutputsSuccessfully scaling People Powered Health models

December

December

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