Strategies to improve NHS productivity
Download as PPT, PDF0 likes718 views
The document discusses strategies to improve productivity in the NHS amid significant financial constraints, projecting a need for efficiency savings of £15-20 billion between 2011-14. It highlights the importance of both technical and allocative efficiencies in enhancing care delivery while addressing unjustified variations in healthcare that lead to increased costs and reduced quality. A new paradigm is suggested where high-quality healthcare is defined by its effectiveness and efficiency.
![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]](https://image.slidesharecdn.com/morewiththesamemarkjennings-100726083613-phpapp02/85/Strategies-to-improve-NHS-productivity-10-320.jpg)
![£64m Prescribing [Source: NHS Better Care, Better Value Indicators]](https://image.slidesharecdn.com/morewiththesamemarkjennings-100726083613-phpapp02/85/Strategies-to-improve-NHS-productivity-13-320.jpg)
Strategies to improve NHS productivity
- 1. Strategies to improve productivity Mark Jennings July 2010
- 3. National cost and demand drivers
- 4. £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.”
- 5. Time Real terms spending (2009/10 levels) 2001/2 to 2010/11 2011/12 to 2013/14 on The Gap More with the same COST & DEMAND PRESSURES PRODUCTIVITY IMPROVEMENTS £105bn
- 6. How we see the gap Financial gap? – The same with less Care gap? – More with the same
- 7. Focus Trusts – new income focus PCTs – cash- growth focus
- 8. 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.
- 10. 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]
- 11. Unjustified variations in health care cause… Increased cost Reduced quality
- 13. £64m Prescribing [Source: NHS Better Care, Better Value Indicators]
- 15. A new NHS paradigm ‘ Quality costs’ Health care can only be considered high quality if it is also effective and efficient.