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Annual Health Strategy Summit

Dr Martin BardsleyHead of ResearchNuffield Trust

Twitter: #NTSummit

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Annual Health Strategy Summit

Nuffield Data Lab

March 2011 Twitter: #NTSummit

Martin BardsleyHead of Research, Nuffield Trust

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You say you want a revolution

March 2011

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We all wanna change the world

March 2011

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You say you got a real solution

March 2011

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Breakfast session tomorrow

8am - 8.45amThe digital and Information revolution: how can the NHS

make digital productivity real?

Tim Kelsey, Trustee, Nuffield TrustSophia Christie, Director of Alignment and Co-ordination,

Improvement, Efficiency and QIPP, Department of Health

Azalea Room

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Key challenges and opportunities

• Outcome measurement

• Information to enable patients, service users and their carers to make fully informed choices

• Using new information technologies to create efficiencies

• Exploiting information across organisational boundaries

• Allocating resources

Information at the individual level

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Looking at individual pathways across services

March 2011

Start of trialPatterns of service use over 2 years

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Accident and emergency 350,000 records

Outpatients1,680,000 records

Inpatients360,000 records

Social care240,000 records

Community matrons20,000 records

GPs60 practices48.5 million records

Relative size of data sets collectedFor one PCT area (WSD project)

March 2011

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One person hospital cost profile over a year50-60 year old male, total annual cost > £35,000

Outpatients DayCase Elective AE Nonelective

Time (weeks)

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Uneven distribution of costs

The proportion of total costs spent on patients with category of annual costs (area of shape) with the proportion of all patients in annual cost band (dots)

Around 3% of patients are responsible for nearly half the total patient costs

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General population: Mix of predicted future costs Practice population

@ £10,000 per person per year @ £1,000 per person per year

Identifying patient costs at GP Practice level

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Breakout Session Azalea Room

Allocating healthcare budgets to general practices

Professor Peter Smith, Professor of Health Policy, Imperial College London

Chair: Dr Jennifer Dixon, Director, Nuffield Trust

Azalea Room

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Overlap of health and social care

Registered pop 77,000

Secondary care 53,000

[69% of reg'd pop]

Social care contact 13,000 [17% of reg'd

pop]

Looking at all over 55s, registered continuously with local GPs from April 2005 to April 2008

90% of those with a social care contact have also had secondary care contact(s) in the three years

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Inpatient and SC costs per person in final year, by age band

over two lines

£0

£2,000

£4,000

£6,000

£8,000

£10,000

£12,000

40 50 60 70 80 90 100Age Band

Social care

Hospital IP care

SC+ Hosp

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Breakout Session Bay Room

Interface of health and social care

David Behan, Director General Of Social Care, Local Government and Care Partnerships, Department of Health

Chair: Dr Geraint Lewis, Senior Fellow, Nuffield Trust

Bay Room

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“Realising the savings needed to invest in improving outcomes means moving from a system configured to diagnose and treat, to one configured to predict and prevent”

David Nicholson. Letter to NHS 17th Feb 2011

Predict and Prevent?

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0

Emergency inpatient admissions for four selected ambulatory care sensitive conditions 2001-2010

Combined net difference in emergency admissions between 2001/2 and 2009/10:

-28,563-38,138+3,517+77,652

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Impact of eight different interventions on hospital use

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Evaluation of telecare and telehealth“For every pound spent on telecare, five pounds could be saved on expensive hospital and

residential care” Counsel and Care, 2009

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Breakout Session Begonia Room

Telehealth technologies and the management of chronic disease

Stephen Johnson, Head of Long Term Conditions, Department of Health

Chair: Dr Martin Bardsley, Head of Research, Nuffield Trust

Begonia Room

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Parallel Sessions 15:15-16:00

Allocating healthcare budgets to general practices

Professor Peter Smith, Professor of Health Policy, Imperial College LondonChair: Dr Jennifer Dixon, Director, Nuffield Trust

Azalea Room

Telehealth technologies and the management of chronic disease

Stephen Johnson, Head of Long Term Conditions, Department of HealthChair: Dr Martin Bardsley, Head of Research, Nuffield Trust

Begonia Room

Interface of health and social care

David Behan, Director General Of Social Care, Local Government and Care Partnerships, Department of HealthChair: Dr Geraint Lewis, Senior Fellow, Nuffield Trust

Bay Room

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Thank you...Don't you know its going to be.. Alright...?

March 2011

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