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Richard Dale MB BS FRCS

Medical Director

6 December 2006

IS EFFICIENCY ENOUGH?

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The presentation will cover:

1/ Delivering on Reform

2/ ISTC Programme Overview

3/ Impact of ISTC Programme

4/ Delivering a patient-led service

5/ Efficiency

Is Efficiency Enough?

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‘To provide commercial and procurement expertise helping to drive

efficiency and to secure best value-for-money through better and

smarter procurement of goods and services’

Vision

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The Commercial Directorate acts as an enabler providing sustainable provision of

Independent Sector services to meet policy goals on choice and contestability

through:

Commissioning

Procurement

Contract Management

Delivering on Reform

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ISTC Programme - Overview

As part of overall commitment to improving healthcare, the Commercial Directorate is

working with NHS locally to procure clinical and diagnostic healthcare services for NHS

patients, from the independent sector.

• ISTC programme Launched in 30 July 2003 to support NHS reform focussed on reducing patient waiting times

• ’18 wks end to end’ - Introduction of additional capacity to help NHS meet 2008 target

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Impact of ISTC Programme

• Faster access, increased choice, improved services and better value for money

• Providing more capacity, choice and contestability

• Delivering on our commitments on 18 weeks and choice

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Delivering a patient-led service

Reform cannot be driven by injecting cash into the system. System reform, of which

the independent sector is a crucial element, will create an efficient and patient-led

service, delivering choice and quality through:

Plurality of Provision

Contestability

Where providers know that their future relies on the ability to attract patients, not

on historic activity levels, the system becomes more patient focussed and more

concerned with outcomes

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Efficiency

• Efficacy What can be achieved

• Effectiveness What is achieved

• Efficiency At what cost?

Or is it?

How well it is achieved

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Is Efficiency Enough?

It depends how you measure efficiency:

• Quality is as important as cost measurement

• Patients interested in results

• Quality a key determinant of success long-term

The focus must shift to quality!

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Intangible Benefits

• Shift the paradigm

• Change of mindset

• Shift emphasis to quality

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In Conclusion

Efficiency is not enough but is extremely important!